non-Western Migrants Research Articles

Change in care needs of people with severe mental illness with and without a non-Western migration background: are their needs equally served throughout treatment?

People with a non-Western migration background living in Western countries are more likely to experience psychiatric problems and have more severe symptoms when they do. Patients of non-Western origin also have more unmet needs for care. This study focuses on differences between Western and non-Western patients in care needs being met during the course of mental health treatment. The care needs of 1099 patients, 39% with and 61% without a non-Western migration background, recorded between 2017 and 2020 in Flexible Assertive Community Treatment, were compared. Non-Western migrants more often received psychotic disorder diagnoses, had more socio-economic problems, met, unmet and total needs for care and experienced less reduction in unmet needs during treatment. This was specifically the case for the rehabilitation areas: daily activities, treatment information, basic education, paid work and meaningful life and recovery. After controlling for socio-economic factors and diagnosis, group differences in change in number of unmet needs were no longer significant. However, the reduction in unmet needs in the areas of basic education, paid work and meaningful life and recovery remained significantly smaller for non-Western patients. Except for the rehabilitation domains of basic education, paidwork and meaningful life, the disadvantages in resolving the care needs of patients with a non-Western migration background do not remain significant after taking into account socioeconomic factors and diagnosis. Collaboration of mental health care and the social domain is warranted to improve socio-economic factors for patients with a non-Western migration background, to better address their unmet needs for care.

Navigating employment and overeducation: comparative study of immigrant experiences in 17 Western European nations

ABSTRACT The labor market integration of migrants, focusing on employment and job quality, differs notably across Southern and Continental-Northern European nations, often involving trade-offs. Nonetheless, little is known about whether these diverse migrant inclusion models in European labor markets extend to the combination of employment and overeducation. Additionally, the role of gender in this context remains unclear. While overeducation is more prevalent among immigrants compared to native, its prevalence varies across countries. To fill this gap, we analyzed data from the 2015–2019 European Labor Force Survey in 17 European countries, considering gender and migrant origin – Western vs. non-Western. Results show that non-Western migrants and migrant women face more challenges than Western migrants and male counterparts, respectively. Among males, a trade-off model predominates, with low employment penalties but high overeducation penalties in Mediterranean countries, and vice versa in Continental and some Nordic nations. For females, those in Southern Europe align with the Mediterranean trade-off model, while those in most Continental and Nordic countries experience a double penalty. In Liberal countries, male migrants tend toward the Mediterranean trade-off model, while female migrants align with the integration model.

Mobile vaccination units to increase COVID-19 vaccination uptake in areas with lower coverage: a within-neighbourhood analysis using national registration data, the Netherlands, September-December 2021.

BackgroundVaccine uptake differs between social groups. Mobile vaccination units (MV-units) were deployed in the Netherlands by municipal health services in neighbourhoods with low uptake of COVID-19 vaccines.AimWe aimed to evaluate the impact of MV-units on vaccine uptake in neighbourhoods with low vaccine uptake.MethodsWe used the Dutch national-level registry of COVID-19 vaccinations (CIMS) and MV-unit deployment registrations containing observations in 253 neighbourhoods where MV-units were deployed and 890 contiguous neighbourhoods (total observations: 88,543 neighbourhood-days). A negative binomial regression with neighbourhood-specific temporal effects using splines was used to study the effect.ResultsDuring deployment, the increase in daily vaccination rate in targeted neighbourhoods ranged from a factor 2.0 (95% confidence interval (CI): 1.8-2.2) in urbanised neighbourhoods to 14.5 (95% CI: 11.6-18.0) in rural neighbourhoods. The effects were larger in neighbourhoods with more voters for the Dutch conservative Reformed Christian party but smaller in neighbourhoods with a higher proportion of people with non-western migration backgrounds. The absolute increase in uptake over the complete intervention period ranged from 0.22 percentage points (95% CI: 0.18-0.26) in the most urbanised neighbourhoods to 0.33 percentage point (95% CI: 0.28-0.37) in rural neighbourhoods.ConclusionDeployment of MV-units increased daily vaccination rate, particularly in rural neighbourhoods, with longer travel distance to permanent vaccination locations. This public health intervention shows promise to reduce geographic and social health inequalities, but more proactive and long-term deployment is required to identify its potential to substantially contribute to overall vaccination rates at country level.

How language power, white subalternity and compressed modernity frame highly-skilled non-Western migrants in an East-German company: insights from multi-sited ethnography

PurposeThis paper shows the benefits of multi-sited ethnography for global migration studies in management, in particular when cosmopolitan self-initiated expatriates meet a local setting.Design/methodology/approachThe author conducted a multi-sited ethnography to trace how a local East German research organization’s well-intended approach to integration becomes condescending.FindingsHighly skilled non-Western migrant employees who represent English-language cosmopolitanism are framed as negatively “foreign” by corporate discourses and practices. This phenomenon can only be understood if one follows the interconnections of language power, White subalternity and compressed modernity and if one considers the immediate surroundings, the historical context of East German identity and wider migration frames in Germany.Research limitations/implicationsMulti-sited ethnography, if power-sensitive and historically-aware, is suitable for understanding the multi-level phenomenon of global migration and identifying limiting framing-effects on management and organizations. Researcher standpoint is both its strength and its limitation.Practical implicationsManagers and companies can “imagine otherwise” and move beyond the unquestioned dominant frames limiting their problem analyses and, consequently, their strategies and actions.Social implicationsManagers and companies are enabled to move beyond individual- and corporate-level approaches to managing migration at work and can thus take up full social responsibility in the sense of good corporate citizenship on a global level. Global mobility researchers can work towards an inclusive migration theory.Originality/valueMulti-sited ethnography, in particular, one that is power-sensitive and historically aware, is an approach not yet applied to migration in the context of management and organization. By means of an example, this paper illustrates the value of this approach and enables researchers to understand its main principles. Compressed modernity and White subalternity are introduced as novel concepts structuring migration, and language power emerges as relevant far beyond the scope of the multinational corporation.

Loneliness and regular sports participation among people of Turkish and Moroccan origin and native Dutch people in the Netherlands. A longitudinal study

ObjectiveSports participation is lower in people of Turkish and Moroccan origin in the Netherlands than in native Dutch people. Addressing this inequality calls for better insights into antecedents of sports participation in different ethnic groups. Theorists suggested that loneliness may hamper sports participation, and levels of loneliness are high among people of Turkish and Moroccan origin. This study assessed the longitudinal association between loneliness and regular sports participation among Turkish origin, Moroccan origin and native Dutch people. MethodsData are from Turkish origin (n = 394), Moroccan origin (n = 387) and native Dutch (n = 1663) people who participated in Wave 1 (2008–2010) and Wave 2 (2013) of the Netherlands Longitudinal Lifecourse Study. Regular sports participation at follow-up was regressed on loneliness at baseline in logistic regression models adjusted for baseline sports participation and a range of confounders. Models were stratified by ethnic group. ResultsTurkish and Moroccan origin people had lower rates of regular sports participation and higher levels of loneliness than native Dutch people. Loneliness at baseline was negatively associated with sports participation at follow-up for people of Turkish and Moroccan origin. No evidence of a longitudinal association between loneliness and sports participation among native Dutch people was found. ConclusionsThe demonstrated positive longitudinal association between loneliness and regular sports participation in people of Turkish and Moroccan origin potentially opens new ways to encourage physical activity in these groups. An integrated approach to addressing loneliness and physical inactivity among people with a non-western migration background may benefit the realization of both goals.

‘And that was her choice’: Dutch general practitioners’ perceptions of the autonomy of patients with non-western migration backgrounds who experience domestic violence

ABSTRACT Women in the Netherlands with non-western migration backgrounds experience domestic violence at the intersection of culture and gender, and visit their general practitioners (GPs) with health concerns related to the violence. Drawing on semi-structured interviews with GPs, this paper illuminates how GPs navigate the process of decision-making around intervention in domestic violence, with particular attention to the role of autonomy. Patient autonomy is a core principle in Dutch general practice. The term refers to the principle that GPs must respect that competent adults can make autonomous decisions about the care they do and do not want, and that GPs must respect patients’ views, choices, and ways of life. The interview data shows great variation in how GPs respond in situations of domestic violence against women with non-western migration backgrounds. Deploying ‘somatechnics of perception’, this paper explores how GPs’ perceptions of their patients’ autonomy are both the agent and effect of a complex and embodied negotiation of gender, race, culture, ethnicity, medical ethics, and morality. In highlighting how these patients’ autonomy is rendered (un)intelligible and (il)legible in contextually specific ways, this paper sheds light on how GPs in the Netherlands can better assist women with non-western migration backgrounds who experience domestic violence.

Evolution of residential segregation patterns in the Netherlands between 2015 and 2020

We investigate the evolution of residential segregation patterns in the Netherlands, with a focus on the population with a non-western migration background. Unlike previous research relying on predefined spatial structures, this study employs a regionalization approach to track the evolution of social enclaves in 82 municipalities from 2015 to 2020. Enclaves have become more mixed in municipalities with historically homogeneous social enclaves whereas in the other municipalities, they have become more homogeneous. In addition, we find a positive association between the increase in the share of population with a non-western migration background at the municipality level and the spatial growth of social enclaves. These insights contribute to a deeper understanding of residential segregation in the Netherlands, offering a valuable foundation for informed policymaking.

Oesophageal cancer awareness and anticipated time to help-seeking: results from a population-based survey.

Modifying public awareness of oesophageal cancer symptoms might help to decrease late-stage diagnosis and, in turn, improve cancer outcomes. This study aimed to explore oesophageal cancer symptom awareness and determinants of lower awareness and anticipated time to help-seeking. We invited 18,156 individuals aged 18 to 75 years using random sampling of the nationwide Dutch population registry. A cross-sectional web-based survey containing items adapted from the Awareness and Beliefs about Cancer measure (i.e., cancer symptom awareness, anticipated time to presentation with dysphagia, health beliefs, and sociodemographic variables) was filled out by 3106 participants (response rate: 17%). Descriptive statistics were calculated and logistic regression analyses were performed to explore determinants of awareness and anticipated presentation (dichotomised as <1 month or ≥1 month). The number of participants that recognised dysphagia as a potential symptom of cancer was low (47%) compared with symptoms of other cancer types (change in bowel habits: 77%; change of a mole: 93%; breast lump: 93%). In multivariable analyses, non-recognition of dysphagia was associated with male gender (OR 0.50, 95% CI 0.43-0.58), lower education (OR 0.44, 0.35-0.54), and non-western migration background (OR 0.43, 0.28-0.67). Anticipated delayed help-seeking for dysphagia was associated with not recognising it as possible cancer symptom (OR 1.58, 1.27-1.97), perceived high risk of oesophageal cancer (OR 2.20, 1.39-3.47), and negative beliefs about oesophageal cancer (OR 1.86, 1.20-2.87). Our findings demonstrate a disconcertingly low public awareness of oesophageal cancer symptoms. Educational interventions targeting groups with decreased awareness and addressing negative cancer beliefs may lead to faster help-seeking behaviour, although additional studies are needed to determine the effect on clinical cancer outcomes.

Not leaving your unsatisfactory job: analyzing female, migrant, elderly and lower-educated employees

PurposeEmployees facing challenges in their careers – i.e. female, migrant, elderly and lower-educated employees – might expect job searches to have a low likelihood of success and might therefore more often stay in unsatisfactory positions. The goal of this study is to discover inequalities in job mobility for these employees.Design/methodology/approachWe rely on a large sample of Dutch public sector employees (N = 30,709) and study whether employees with challenges in their careers are hampered in translating job dissatisfaction into job searches. Additionally, we assess whether this is due to their perceptions of labor market alternatives.FindingsFindings show that non-Western migrant, elderly and lower-educated employees are less likely to act on job dissatisfaction than their advantaged counterparts, whereas women are more likely than men to do so. Additionally, we find that although they perceive labor market opportunities as limited, this does not affect their propensity to search for different jobs.Originality/valueThis paper is novel in discovering inequalities in job mobility by analyzing whether employees facing challenges in their careers are less likely to act on job dissatisfaction and therefore more likely to remain in unsatisfactory positions.

Environmental noise is positively associated with socioeconomically less privileged neighborhoods in the Netherlands

BackgroundEnvironmental noise has detrimental effects on various health outcomes. Although disparities in some environmental exposures (e.g., air pollution) are well-documented, there is still a limited and uncertain understanding of the extent to which specific populations are disproportionately burdened by noise. AimTo assess whether environmental noise levels are associated with demographic and socioeconomic neighborhood compositions. MethodsWe cross-sectionally examined long-term noise levels for 9,372 neighborhoods in the Netherlands. We linked these noise levels with administrative data on neighborhood characteristics for the year 2021. Linear and non-linear spatial regression models were fitted to explore the associations between noise, demographic, and socioeconomic neighborhood characteristics. ResultsOur results showed that 46 % of the neighborhoods exhibited noise levels surpassing the recommended threshold of 53 dB to prevent adverse health effects. The regressions uncovered positive and partially non-linear neighborhood-level associations between noise and non-Western migrants, employment rates, low-incomers, and address density. Conversely, we found negative associations with higher-educated neighborhoods and those with a greater proportion of younger residents. Neighborhoods with older populations displayed a U-shaped association. ConclusionsThis national study showed an inequality in the noise burden, adversely affecting vulnerable, marginalized, and less privileged neighborhoods. Addressing the uneven distribution of noise and its root causes is an urgent policy imperative for sustainable Dutch cities.

Do immigrants know less than natives about cancer screening tests? – the case of Netherlands

IntroductionThe Netherlands was one of the first countries in Europe to offer breast, colorectal and cervical cancer screening tests free of charge. Yet, a significant share of migrants in the Netherlands forgo the use of these preventive screenings. Qualitative research suggests, that lack of system knowledge on how the healthcare system operates (e.g. age eligibility of cancer screenings), is one factor contributing to this underuse among migrants. However, little is known about the extent to which migrants differ from natives in their system knowledge and about potential causes of this ethnic gap. The contribution of this study is therefore twofold: First, we examine whether migrants in the Netherlands have lower system knowledge regarding cancer screenings than the natives. Second, we examine which factors explain potential ethnic differences in system knowledge between migrants and non-migrants. MethodUsing the Longitudinal Internet Study for Social Sciences (LISS), we matched newly collected data on system knowledge about healthcare with Health module (wave 14). To assess the difference in system knowledge among migrants and non-migrants, while taking into account potential selection bias, we applied propensity score matching, one-to-one matching procedure with no replacement. We compared first generation non - Western migrants (FNWM) and second-generation non-western migrants (SNWM) with their most similar non-migrants group regarding their knowledge about breast, colorectal, and cervical screening. A Blinder-Oaxaca decomposition with non-matched samples was used to examine which factors can explain the differences in system knowledge among migrants and non-migrants. ResultsOur results show that first generation migrants have lower system knowledge about all three screening tests, while second generation migrants differ from non-migrants only with regard to knowledge about breast and colorectal cancer screenings. The ethnic differences found are not caused by personal or social factors such as education or income. ConclusionWe recommend Dutch healthcare policy makes to focus in the strengthen of cancer screening system knowledge among migrant populations in order to increase their participation in these screening programs.

Spatio-temporal distributions of COVID-19 vaccine doses uptake in the Netherlands: a Bayesian ecological modelling analysis.

In the transitioning era towards the COVID-19 endemic, there is still a sizable population that has never been vaccinated against COVID-19 in the Netherlands. This study employs Bayesian spatio-temporal modelling to assess the relative chances of COVID-19 vaccination uptake - first, second, and booster doses - both at the municipal and regional (public health services) levels. Incorporating ecological regression modelling to consider socio-demographic factors, our study unveils a diverse spatio-temporal distribution of vaccination uptake. Notably, the areas located in or around the Dutch main urban area (Randstad) and regions that are more religiously conservative exhibit a below-average likelihood of vaccination. Analysis at the municipal level within public health service regions indicates internal heterogeneity. Additionally, areas with a higher proportion of non-Western migrants consistently show lower chances of vaccination across vaccination dose scenarios. These findings highlight the need for tailored national and local vaccination strategies. Particularly, more regional efforts are essential to address vaccination disparities, especially in regions with elevated proportions of marginalized populations. This insight informs ongoing COVID-19 campaigns, emphasizing the importance of targeted interventions for optimizing health outcomes during the second booster phase, especially in regions with a relatively higher proportion of marginalized populations.

Trends in Chlamydia trachomatis IgG seroprevalence in the general population of the Netherlands over 20 years

ObjectivesTo report sex and age-specific Chlamydia trachomatis (Ct) seroprevalence estimates in the general population of the Netherlands between 1996 and 2017 and identify risk factors associated with Ct seropositivity.MethodsParticipants (n=5158,...

Placemaking -the importance of kinship for migrants’ habitus and territorial integration

This article delves into the evolving significance of kinship among non-Western migrants residing in Western Europe. In the migrants’ countries of origin, kinship generally encompasses a rule-based and normative way of life, hinging on each individual member’s adherence to kinship values. In contrast, life in their new Western host countries is expected to revolve around the individual’s personal engagement in education, employment, and healthcare within the context of the nuclear family. This shift is often framed in integration policies and practical social work as a transition from viewing migrants as passive recipients of their homeland traditions to recognizing them as active agents responsible for shaping their own lives. However, this transformation raises the question of whether kinship diminishes in significance in these new surroundings or if it can assume a new role as a foundation for complex individual lives. In this context, active participation (and integration) would be built upon a secure base strengthened by kinship. Our analysis focuses on how migrants grapple with two equally crucial systems: the kinship of their home country and the nuclear family structure of the host country. Upon their arrival in the host country, migrants confront a weighty choice: Should they relinquish their kinship relationships because they seemingly serve no purpose in the host country? And must the migrant assimilate into a nuclear family structure where welfare is guaranteed by the welfare state, but where each individual citizen is expected to contribute to community-building and a sense of belonging? These questions should be considered by both migrants themselves and within the domain of social work. This analysis revolves around a single concept central to migrants, namely kinship, and how it evolves through their experiences in the host country. Migrant relations encompass group dynamics and cultural values not always comprehensible to most people in the host country. However, following migrants’ experiences, kinship emerges as a crucial bridge to integration within a Western welfare state. In our analysis, we primarily draw upon Pierre Bourdieu’s distinction between official and practical kinship. We perceive kinship as a tool of power for managing social and cultural conflicts (Bourdieu 1979, Brighenti 2010) due to kinships serving as bastions of emotional and value cohesion among their members. Nevertheless, kinship can also serve as a secure foundation for migrants in novel surroundings, characterized by foreign demands and expectations (Carsten 2020). The article concludes by briefly outlining how educational practitioners can monitor migrant families’ percep-tions of and attachment to their new locale.

Random Forest Variable Importance Measures for Spatial Dynamics: Case Studies from Urban Demography

Population growth in urban centres and the intensification of segregation phenomena associated with international mobility require improved urban planning and decision-making. More effective planning in turn requires better analysis and geospatial modelling of residential locations, along with a deeper understanding of the factors that drive the spatial distribution of various migrant groups. This study examines the factors that influence the distribution of migrants at the local level and evaluates their importance using machine learning, specifically the variable importance measures produced by the random forest algorithm. It is conducted on high spatial resolution (100×100 grid cells) register data in Amsterdam and Copenhagen, using demographic, housing and neighbourhood attributes for 2018. The results distinguish the ethnic and demographic composition of a location as an important factor in the residential distribution of migrants in both cities. We also examine whether certain migrant groups pay higher prices in the most attractive areas, using spatial statistics and mapping for 2008 and 2018. We find evidence of segregation in both cities, with Western migrants having higher purchasing power than non-Western migrants in both years. The method sheds light on the determinants of migrant distribution in destination cities and advances our understanding of the application of geospatial artificial intelligence to urban dynamics and population movements.

Neighbourhood sociodemographic factors and COVID-19 vaccine uptake in the Netherlands: an ecological analysis

BackgroundWhile overall COVID-19 vaccine uptake is high in the Netherlands, it lags behind in certain subpopulations.AimWe aimed to explore the characteristics of groups with lower COVID-19 vaccine uptake at neighbourhood level to inform the strategy to improve uptake and guide research into barriers for vaccination.MethodsWe performed an ecological study using national vaccination register and socio-demographic data at neighbourhood level. Using univariate and multivariable generalized additive models we examined the (potentially non-linear) effect of each determinant on uptake. We focused on those aged 50 years and older, since they are at highest risk of severe disease.ResultsIn those over 50 years of age, a higher proportion of individuals with a non-Western migration background and higher voting proportions for right-wing Christian and conservative political parties were at neighbourhood level univariately associated with lower COVID-19 vaccine uptake. In contrast, higher socioeconomic status and higher voting proportions for right-wing liberal, progressive liberal and Christian middle political parties were associated with higher uptake. Multivariable results differed from univariate results in that a higher voting proportion for progressive left-wing political parties was also associated with higher uptake. In addition, with regard to migration background only a Turkish background remained significant.ConclusionWe identified determinants associated with COVID-19 vaccine uptake at neighbourhood level and observed heterogeneity in uptake between different subpopulations. Since the goal of vaccination is not only to reduce suffering and death by improving the average uptake, but also to reduce health inequity, it is important to focus on subpopulations with lower uptake.

Temporary Employment of First-Generation Migrants in the Netherlands

The Netherlands is the European country that has undergone the highest increase in temporary jobs in the last decade. These occupations are characterized by a low level of job security and, in the case of older workers, may lead to social exclusion and higher welfare dependence. Using the LISS panel data (2008–2019) for the resident population of the Netherlands, this paper establishes an innovative link between migration background and temporary employment. First, it is investigated whether first-generation migrants (western and non-western) are more likely to be temporarily employed than Dutch-born natives. Besides, it is explored whether higher education, language problems, and active social contacts influence this relationship. The findings show that non-western migrants are more likely to be temporarily employed than both western migrants and Dutch-born natives. Language problems are the main moderator increasing migrants’ probability of being temporarily employed, while higher education and active social contacts appear not to be significant.

Development of the self-regulation assessment and content validation using cognitive interviews in a multicultural post-rehabilitation population.

Self-regulation is one of the main goals of medical rehabilitation. Four themes of self-regulation were identified by former patients and rehabilitation physicians in a previous study. Based on these themes, a measure for self-regulation, the self-regulation assessment (SeRA), was developed. This study aimed to establish the content validity of the SeRA in a multicultural and multi-diagnostic post-rehabilitation population. The Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) methodology was applied. First, cognitive interviews were held with eight former rehabilitation patients. Feedback was obtained on relevance, comprehensibility, and comprehensiveness of the items. Items with problems were revised. Then, a second series of cognitive interviews was held with 16 former rehabilitation patients with non-Western migration backgrounds. Again, feedback was obtained on relevance, comprehensibility, and comprehensiveness of the items. The first series of cognitive interviews revealed good comprehensiveness, and also comprehensibility or relevance problems with 12 of the 25 items. These items were revised or deleted. Two missing concepts were identified and these were added. There was no need to revise the items based on the results of the second series of cognitive interviews. The final version of the SeRA demonstrated content validity for the studied population. The measure is ready for psychometric analyses in subsequent validation studies.

Selection tools and student diversity in health professions education: a multi-site study

Student diversity in health professions education (HPE) can be affected by selection procedures. Little is known about how different selection tools impact student diversity across programs using different combinations of traditional and broadened selection criteria. The present multi-site study examined the chances in selection of subgroups of applicants to HPE undergraduate programs with distinctive selection procedures, and their performance on corresponding selection tools. Probability of selection of subgroups (based on gender, migration background, prior education, parental education) of applicants (N = 1935) to five selection procedures of corresponding Dutch HPE undergraduate programs was estimated using multilevel logistic regression. Multilevel linear regression was used to analyze performance on four tools: prior-education grade point average (pe-GPA), biomedical knowledge test, curriculum-sampling test, and curriculum vitae (CV). First-generation Western immigrants and applicants with a foreign education background were significantly less likely to be selected than applicants without a migration background and with pre-university education. These effects did not vary across programs. More variability in effects was found between different selection tools. Compared to women, men performed significantly poorer on CVs, while they had higher scores on biomedical knowledge tests. Applicants with a non-Western migration background scored lower on curriculum-sampling tests. First-generation Western immigrants had lower CV-scores. First-generation university applicants had significantly lower pe-GPAs. There was a variety in effects for applicants with different alternative forms of prior education. For curriculum-sampling tests and CVs, effects varied across programs. Our findings highlight the need for continuous evaluation, identifying best practices within existing tools, and applying alternative tools.

Green school outdoor environments, greater equity? Assessing environmental justice in green spaces around Dutch primary schools

Green spaces around schools contribute to children's health and wellbeing. However, only a few studies have examined whether green space provision around schools in urban and rural areas are equally available across socioeconomic groups. We assessed whether and to what extent the green space provision of public primary schoolyards differs cross-sectionally across demographic and socioeconomic neighborhood profiles in the Netherlands. A fine-grained measure of green space (e.g., lawns, hedges, and trees) was applied to 5,773 school locations centering buffers at 50 m, 100 m, and 500 m. Fitting spatial lag regression models to the data, our results showed robust and inverse associations between available green school outdoor environments and low-income and less-educated neighborhoods. The percentage of non-Western migrants was positively associated. No evidence showed greenness around schools differing across levels of urbanization; however, schools with subsidy schemes supporting schoolyard greening tended to be greener. Our overall findings highlight socioeconomic disparities in green school outdoor environments across the Netherlands. To bridge this gap in environmental justice, we advocate for each child to have the ability to benefit equally from schoolyard green spaces by enabling more comprehensive greening subsidy schemes.