Skip to main content

Advertisement

Log in

The Risk of Neurodevelopmental Disabilities in Children of Immigrant and Refugee Parents: Current Knowledge and Directions for Future Research

  • Review Paper
  • Published:
Review Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

This paper systematically reviewed the literature from 2002 to 2016 describing the risks of autism spectrum disorder, intellectual disability and attention deficit hyperactivity disorder in children of immigrant and refugee backgrounds. Compared to children of non-immigrant mothers, 10 studies found increased risk of autism and intellectual disability and four studies found increased risk of autism without identifying concomitant intellectual disability. Very high risks were observed if the mother’s country of birth was a developing country or region. One study found higher risk of attention deficit hyperactivity disorder in a sample of children who were refugees. Children of immigrant and refugee backgrounds from developing countries had greater risks of a neurodevelopmental disorder compared to their peers whose mother was locally born.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  • Acevedo-Garcia, D., Soobadar, M.-J., & Berkman, L. (2007). Low birthweight among US hispanic/Latino subgroupds: the effect of maternal foreign-born status and education. Social Science and Medicine, 65(12), 2503–2516.

    Article  PubMed  Google Scholar 

  • Alberta Innovates - Health Solutions (2012). Knowledge translation in Alberta: Health Research with impact. ((3, 1-108), Alberta TO (3), 1-108, Alberta. Available at http://www.aihealthsolutions.ca/media/KT-Casebook-V3-2012.pdf. Accessed 17 Oct 2017.

  • Barnevik-Olsson, M., Gillberg, C., & Fernell, E. (2008). Prevalence of autism in children born to Somali parents living in Sweden: a brief report. Developmental Medicine and Child Neurology, 50(8), 598–601. https://doi.org/10.1111/j.1469-8749.2008.03036.x.

    Article  PubMed  Google Scholar 

  • Barnevik-Olsson, M., Gillberg, C., & Fernell, E. (2010). Prevalence of autism in children of Somali origin living in Stockholm: brief report of an at-risk population. Developmental Medicine and Child Neurology, 52(12), 1167–1168. https://doi.org/10.1111/j.1469-8749.2010.03812.x.

    Article  PubMed  Google Scholar 

  • Becerra, T., Ehrenstein, O., Heck, J., Olsen, J., Arah, O., Jeste, S., et al. (2014). Autism spectrum disorders and race, ethnicity and nativity: a population-based study. Pediatrics, 134(1), 64–71.

    Article  Google Scholar 

  • Betancourt, T., Frounfelker, R., Mishra, T., Hussein, A., & Falzarano, R. (2015). Addressing health disparities in the mental health of refugee children and adolescents through community-based participatory research: a study in 2 communities. American Journal of Public Health, 105(Supp3), S475-482.

  • Bolton, S., McDonald, D., Curtis, E., Kelly, S., & Gallagher, L. (2014). Autism in a recently arrived immigrant population. European Journal of Pediatrics, 173(3), 337–343. https://doi.org/10.1007/s00431-013-2149-6.

    Article  PubMed  Google Scholar 

  • Bourke, J., Klerk de, N., Smith, T., & Leonard, H. (2016). Population-based prevalence of intellectual disability and autism spectrum disorders in Western Australia: a comparison with previous estimates. Medicine, 95, e3737.

    Article  PubMed  PubMed Central  Google Scholar 

  • Boyle, C., Decoufle, P., & Yeargin-Allsopp, M. (1994). Prevalence and health impact of developmental disabilities in US children. Journal of Pediatrics, 93(3), 399–403.

    Google Scholar 

  • Carballo, M., & Nerukar, A. (2001). Migration, refugees, and health risks. Emerging Infectious Diseases, 7(3), 556–560.

    Article  PubMed  PubMed Central  Google Scholar 

  • Chaves, N. J., Paxton, G., Biggs, B. A., Thambiran, A., Smith, M., Williams, J., et al. (2016). Recommendations for comprehensive post-arrival health assessment for people from refugee-like backgrounds (pp. 1–189). Surry Hills: Australiasian Society for Infectious Diseases.

    Google Scholar 

  • Clifford, V., Rhodes, A., & Paxton, G. (2014). Learning difficulties or language English difficulties? Additional language acquisition: an update for Paediatricians. Journal of Paediatrics and Child Health, 50, 175–181.

    Article  PubMed  Google Scholar 

  • Colucci, E., Szwarc, J., Minas, H., Paxton, G., & Guerra, C. (2014). The utilisation of mental health services by children and young people from a refugee background: a systematic literature review. International Journal of Culture and Mental Health, 7(1), 86–108.

    Article  Google Scholar 

  • Daseking, M., Bauer, A., Knievel, J., Petermann, F., & Waldmann, H. C. (2011). Cognitive development and risk factors in bilingual pre-school children from an immigrant background. Praxis der Kinderpsychologie und Kinderpsychiatrie, 60(5), 351–368.

    Article  PubMed  Google Scholar 

  • Daud, A., & Rydelius, P. (2009). Comorbidity/overlapping between ADHD and PTSD in relation to IQ among children of traumatized and non-traumatized parents. Journal of Attention Disorders, 13(2), 188–196.

    Article  PubMed  Google Scholar 

  • Davidson, N., Skull, S., Chaney, G., Frtdenberg, A., Isaacs, D., Kelly, P., et al. (2004). Comprehensive health assessment for newly arrived refugee children in Australia. Journal of Paediatrics and Child Health, 40, 562–568.

    Article  PubMed  Google Scholar 

  • Delobel-Ayoub, M., Ehlinger, V., Klapouszczak, D., Maffre, T., Raynaud, J., Delpierre, C., et al. (2015). Socioeconomic disparities and prevalence of autism spectrum disorders and intellectual disability. PLoS One, 10(11), 1–13.

    Article  Google Scholar 

  • Department of Immigration and Border Protection, D. (2014). Australia’s humanitarian programme 2014–2015 and beyond. Canberra: Australian Government.

    Google Scholar 

  • Department of Immigration and Citizenship. (2016). 2015–16 migration programme report. Programme year to 30 June 2016 (immigration, trans.) (pp. 1–15). Canberra: Australian Government.

    Google Scholar 

  • Durkin, M. (2002). The epidemiology of developmental disabilities in low-income countries. Mental Retardation and Developmental Disabilities, 8, 206–211.

    Article  Google Scholar 

  • Fernald L., Kariger P., Engle P., Raikes A. (2009). Examining early child development in low- income countries: A toolkit for the assessment of children in the first five years of life. In Kariger P, Fernald L, Engle P and Raikes A. (Eds.). Washington DC: The World Bank. Available at http://www.cup.ualberta.ca/wpcontent/uploads/2011/06/Crosscultural_Handbook.pdf. Accessed 17 Oct 2017.

  • Fernell, E., Barnevik-Olsson, M., Bagenholm, G., Gillberg, C., Gustafsson, S., & Saaf, M. (2010). Serum levels of 25-hydroxyvitamin D in mothers of Swedish and of Somali origin who have children with and without autism. Acta Paediatrica, 99(5), 743–747. https://doi.org/10.1111/j.1651-2227.2010.01755.x.

    Article  PubMed  Google Scholar 

  • Flores, M. E. S., Simonsen, S. E., Manuck, T. A., Dyer, J. M., & Turok, D. K. (2012). The “Latina epidermiologic paradox”: contrasting patterns of adverse birth outcomes in U.S-born and foreign-born Latinas. Womens Health Issues, 22(e501-e507), e501.

    Article  PubMed  Google Scholar 

  • Geedes, J. (2012). Measuring early childhood development in refugee children. Perth: University of Western Australia.

    Google Scholar 

  • Gokiert R., Chow W., Parsa N., Rajani N., Bisanz J., Vandenberghe C. (2010). Early childhood screening in immigrant and refugee populations: Community-university partnership for the study of children, youth and families. Edmonton Alberta: University of Alberta and Canadian Council on Learning. Available at http://www.cup.ualberta.ca/wpcontent/uploads/2011/06/Crosscultural_Handbook.pdf. Accessed 17 Oct 2017.

  • Graham, H., Minhas, R., & Paxton, G. (2016). Learning problems in children of refugee backgrounds; a systematic review. Pediatrics, 137(6), 1–15.

    Article  Google Scholar 

  • Haglund, N., & Kallen, K. (2010). Risk factors for autism and Asperger syndrome. Perinatal factors and migration. Autism, 14(4), 1–21.

    Google Scholar 

  • Keen, D., Reid, F., & Arnone, D. (2010). Autism, ethnicity and maternal immigration. British Journal of Psychiatry, 196(4), 274–281. https://doi.org/10.1192/bjp.bp.109.065490.

    Article  PubMed  Google Scholar 

  • Kira, I., Lewandowski, L., Yoon, J., Somers, C., & Chiodo, L. (2012). The linear and nonlinear associations between multiple types of trauma and IQ discrepancy indexes in African American and Iraqi refugee adolescents. Journal of Child and Adolescent Trauma, 5, 47–62.

    Article  Google Scholar 

  • Lehti, V., Hinkka-Yli-Salomaki, S., Cheslack-Postava, K., Gissler, M., Brown, A., & Sourander, A. (2013). The risk of childhood autism among second-generation migrants in Finland: a case-control study. BMC Pediatrics, 13.

  • Leonard, H., & Wen, X. (2002). The epidemiology of mental retardation: challenges and opportunities in the new millennium. Mental Retardation and Developmental Disabilities, 8, 117–134.

    Article  Google Scholar 

  • Leonard, H., Petterson, B., De Klerk, N., Zubrick, S., Glasson, E., & Bower, C. (2005). Association of sociodemographic characteristics of children with intellectual disability in Western Australia. Social Science & Medicine, 60, 1499–1513.

    Article  Google Scholar 

  • Leonard, H., Glasson, E., Nassar, N., Whitehouse, A., Bebbington, A., Bourke, J., et al. (2011). Autism and intellectual disability are differentially related to sociodemographic background at birth. PLoS One, 6(3), e17875.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mace, A., Mulheron, S., Jones, C., & Cherian, S. (2015). Educational, developmental and psychological outcomes of resettled refugee children in Western Australia: a review of School of Special Educational Needs: Medical and Mental Health input. Journal of Paediatrics and Child Health, 50, 985–992.

    Google Scholar 

  • Mackay, D., Smith, G., Cooper, S., Wood, R., King, A., & Clark, D. (2016). Month of conception and learning difficulties: a record-linkage study of 801,592 children. American Journal of Epidemiology, 184(7), 485–493.

    Article  PubMed  Google Scholar 

  • Magana, S., Parish, S., Roderick, R., Timberlack, M., & Swaine, J. (2012). Racial and ethnic disparities in quality of health care among children with autism and other developmental disabilities. Intellectual and Developmental Disabilities, 50(4), 287–299.

    Article  PubMed  Google Scholar 

  • Magnusson, C., Rai, D., Goodman, A., Lundberg, M., Idring, S., Svensson, A., et al. (2012). Migration and autism spectrum disorder: population-based study. The British Journal of Psychiatry, 201, 109–115.

    Article  PubMed  Google Scholar 

  • McGregor, L., Melvin, G., & Newman, L. (2015). Familial separations, coping styles, and PTSD symptomatology in resettled refugee youth. The Journal of Nervous and Mental Disease, 203(6), 431–438.

    Article  PubMed  Google Scholar 

  • Mutch, R., Cherian, S., Nemba, K., Geddes, J., Rutherford, D., Chaney, G., et al. (2012). Tertiary paediatric refugee health clinic in Western Australia: analysis of the first 1026 children. Journal of Paediatrics and Child Health, 48(7), 582–587.

    Article  PubMed  Google Scholar 

  • Perreira, K., & Ornelas, I. (2011). The physical and pyschological wellbeing of immigrant children. The Future of Children, 21(1), 195–218.

    Article  PubMed  Google Scholar 

  • Pumariega, A., Rothe, E., & Pumariega, J. (2005). Mental health of immigrants and refugees. Community Mental Health Journal, 41(5), 581–597.

    Article  PubMed  Google Scholar 

  • Romero, C. X., Duke, J. K., Dabelea, D., Romero, T. E., & Ogden, L. G. (2012). Does the epidemiologic paradox hold in the presence of risk factors for low birth weight infants among Mexican-born women in Colorado? Journal of Health Care Poor Underserved, 23(2), 604–614.

    Article  Google Scholar 

  • State Government Victoria Department of Education and Early Childhood Development (2011). Refugee Status Report: a report on how refugee children and young people in Victoria are faring. Melbourne: State of Victoria. Available at http://www.myan.org.au/file/file/useful%20resources/refugee-status-report.pdf. Accessed 17 Oct 2017.

  • Tandon, A., Murrary, C., Lauer, J., & Evans, D. (2000). Measuring overall health system performance for 191 countries (Vol. 30). Geneva: World Health Organisation.

    Google Scholar 

  • The Joanna Briggs Institute. (2014). Joanna Briggs institute reviewers manual: 2014 edition/supplement. Adelaide Australia: The Joanna Briggs Institute. Available at https://joannabriggs.org/assets/docs/sumari/ReviewersManual-2014.pdf. Accessed 17 Oct 2017.

  • The Royal Australiasian College of Physicians. (2015). The Royal Australiasian College of Physicians: policy on refugee and asylum seeker health may 2015 (pp. 1–43). Sydney: The Royal Australiasian College of Physicans.

    Google Scholar 

  • The World Bank (2016). Countries and economies http://data.worldbank.org/country.

  • United Nations Committe for Development Policy, Development Policy and Analysis Division, & Department of Economic and Social Affairs. (2016). List of least developed countries (as of may 2016). New York: United Nations.

    Google Scholar 

  • United Nations Department of Economic and Social Affairs, P. D., United Nations Conference on Trade and Development, Economic Comission for Africa, Economic Commission for Europe, Economic Commission for Lation America and the Caribbean, Economic and Social Commission for Asia and the Pacific, et al. (2015). World economic situation and prospects 2015. New York United Nations.

  • United Nations Department of Economic and Social Affairs Population Division (2016). International Migration Report 2015: highlights. In 375 (Ed.). New York.

  • United Nations Higher Commissioner for Refugees, U (2014). The top 20 countries to have granted protection to refugees in the 21st century. New York.

  • Van Naarden, B. K., Christensen, D., Doernberg, N., Schieve, L., Rice, C., Wiggins, L., et al. (2015). Trends in the prevalence of autism spectrum disorder, cerebral palsy, hearing loss, intellectual disability, and vision impairment, metropolitan atlanta, 1991-2010. PLoS One, 10(4), 1–21.

    Google Scholar 

  • Ven, E., Termorshuizen, F., Laan, W., Breetvelt, E., Os, J., & Selten, J. (2013). An incidence study of diagnosed autism-spectrum disorders among immigrants to the Netherlands. Acta Psychiatr Scandinavica, 128, 54–60.

    Article  Google Scholar 

  • Whitehouse, A., Holt, B., Serralha, M., Holt, P., Kusel, M., & Hart, P. (2012). Maternal serum vitamin D levels during pregnancy and offspring neurocognitive development. Pediatrics, 129(3), 485–493.

    Article  PubMed  Google Scholar 

  • Williams, K., Helmer, M., Duncan, G., Peat, J., & Mellis, C. (2008). Perinatal and maternal risk factors for autism spectrum disorders in New South Wales, Australia. Child: Care, Health and Development, 34(2), 249–256.

    Google Scholar 

Download references

Acknowledgements

The authors would like to thank the Developmental Pathways Project at Telethon Kids Institute, Perth, Western Australia, for their support and funding of this study and her Ph.D.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jenny Downs.

Ethics declarations

This work was conducted as part of PhD study and the first author received a PhD scholarship from the Developmental Pathways Project, Telethon Kids Institute, Perth.

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

This article does not contain any studies with human participants performed by any of the authors.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Abdullahi, I., Leonard, H., Cherian, S. et al. The Risk of Neurodevelopmental Disabilities in Children of Immigrant and Refugee Parents: Current Knowledge and Directions for Future Research. Rev J Autism Dev Disord 5, 29–42 (2018). https://doi.org/10.1007/s40489-017-0121-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40489-017-0121-5

Keywords

Navigation