Early childhood development among voluntary and forced migrants: evidence from Germany

Abstract Background While the number of descendants of voluntary and forced migrants rises, disparities in early childhood development (ECD) between these groups remain underexplored. Methods Using data from the German Socio-Economic Panel (2004-2021; N = 1826), which includes a representative sample of refugees in Germany, we compared developmental outcomes across five domains (communication, daily skills, social relations, gross motor skills, and fine motor skills) for children aged 2-4 who were born to voluntary and forced migrants. We employed multivariate linear regressions, adjusting for child demographics, parental education, and child health. Additional models incorporated maternal and paternal mental health. Results Children of forced migrants scored significantly lower across all developmental domains, with the largest gaps observed in gross motor skills (β = -0.319; 95% CI: -0.437 to -0.201) and social relations (β = -0.213; 95% CI: -0.329 to -0.098). Both maternal and paternal mental health were significantly associated with improved communication and daily skills. For maternal mental health, the associations were β = 0.070 (95% CI: 0.013 to 0.127) for communication skills and β = 0.100 (95% CI: 0.049 to 0.151) for daily skills. Paternal mental health was associated with β = 0.080 (95% CI: 0.024 to 0.145) for communication skills and β = 0.100 (95% CI: 0.052 to 0.160) for daily skills. Adjusting for parental mental health attenuated, but did not eliminate the developmental differences between groups. Conclusions Children of refugees show persistent developmental disadvantages in early childhood, particularly in gross motor skills and social functioning, even after accounting for parental mental health and sociodemographic factors. These findings highlight the need for public health policies that address early developmental risks in refugee families. Targeted family-based mental health support may help to reduce these disparities. Key messages • Children of forced migrants show early developmental delays compared to voluntary migrants. • Parental mental health partially explains disparities, but structural barriers remain.

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Publication Details

Journal
European Journal of Public Health
Published
2025-10-01
DOI
https://doi.org/10.1093/eurpub/ckaf161.189
Primary Topic
Migration, Health and Trauma
Type
article
Field-Weighted Citation Impact
0.00
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article

Early childhood development among voluntary and forced migrants: evidence from Germany

Louise Biddle, S. A. Zinn, V Heidemann
European Journal of Public Health
Migration, Health and Trauma
article

Early childhood development among voluntary and forced migrants: evidence from Germany

Louise Biddle, S. A. Zinn, V Heidemann
article en

Abstract

Abstract Background While the number of descendants of voluntary and forced migrants rises, disparities in early childhood development (ECD) between these groups remain underexplored. Methods Using data from the German Socio-Economic Panel (2004-2021; N = 1826), which includes a representative sample of refugees in Germany, we compared developmental outcomes across five domains (communication, daily skills, social relations, gross motor skills, and fine motor skills) for children aged 2-4 who were born to voluntary and forced migrants. We employed multivariate linear regressions, adjusting for child demographics, parental education, and child health. Additional models incorporated maternal and paternal mental health. Results Children of forced migrants scored significantly lower across all developmental domains, with the largest gaps observed in gross motor skills (β = -0.319; 95% CI: -0.437 to -0.201) and social relations (β = -0.213; 95% CI: -0.329 to -0.098). Both maternal and paternal mental health were significantly associated with improved communication and daily skills. For maternal mental health, the associations were β = 0.070 (95% CI: 0.013 to 0.127) for communication skills and β = 0.100 (95% CI: 0.049 to 0.151) for daily skills. Paternal mental health was associated with β = 0.080 (95% CI: 0.024 to 0.145) for communication skills and β = 0.100 (95% CI: 0.052 to 0.160) for daily skills. Adjusting for parental mental health attenuated, but did not eliminate the developmental differences between groups. Conclusions Children of refugees show persistent developmental disadvantages in early childhood, particularly in gross motor skills and social functioning, even after accounting for parental mental health and sociodemographic factors. These findings highlight the need for public health policies that address early developmental risks in refugee families. Targeted family-based mental health support may help to reduce these disparities. Key messages • Children of forced migrants show early developmental delays compared to voluntary migrants. • Parental mental health partially explains disparities, but structural barriers remain.

European Journal of Public HealthVol. 35(Supplement_4)
German Institute for Economic Research (DE), Humboldt-Universität zu Berlin (DE)
Openalex Percentile: Top 57%
Migration, Health and Trauma
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