Search

Background: Despite concern about migrant children's mental health and their access to mental healthcare services during the COVID-19 pandemic, this topic has attracted little research attention. This study aimed to examine the impact of the COVID-19 pandemic on the use primary and specialist healthcare services for mental health problems among children and adolescents with migrant background. Methods: Using event study models, we investigated the impact of lockdown and subsequent COVID-19 infection control measures on children's health service use for mental health problems according to migrant background. Drawing on reimbursement data from Norwegian public healthcare providers we observe consultations in a pre-pandemic (2017–2019) and pandemic cohort (2019–2021) in primary and specialised care. Results: The pre-pandemic cohort included 77 324 migrants, 78 406 descendants of migrants and 746 917 non-migrants and the pandemic cohort included 76 830 migrants, 88 331 descendants and 732 609 non-migrants (age 6–19). The full cohorts were observed for mental healthcare use in primary care while a subsample (age 6–16) was observed for health care use in specialist care. Lockdown resulted in a dip in consultation volumes for mental disorders for all children, but this dip was relatively larger and more persistent for children with migrant background. After lockdown, consultation volumes rose more for non-migrant children than for children with migrant background. Consultations in primary healthcare peaked during January to April 2021 for non-migrants and descendants of migrants, but not for migrants (4%, 95% CI -4 to 11). In specialist care during the same period, consultations dropped by 11% for migrants (95% CI -21 to -1). By October 2021, all mental health consultations in specialist care were up with 8% for non-migrants (95% CI 0 to 15), and down with -18% for migrants and -2% for descendants (95% CIs -31 to -5 and -14 to 10). Migrant males experienced the largest reduction in consultations. Conclusions: Changes in consultation volumes among children with migrant background after lockdown were not as pronounced as for non-migrants, and at times actually decreased. This suggests that an increase in barriers to care emerged during the pandemic for children with a migrant background. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic and its associated restrictions may have affected children and adolescent's mental health adversely. We cast light on this question using primary and specialist consultations data for the entire population of children of age 6–19 years in Norway (N = 908 272). Our outcomes are the monthly likelihood of having a consultation or hospitalization related to mental health problems and common mental health diagnoses. We compared a pandemic (2019–2021) to a pre-pandemic (2017–2019) cohort using event study and difference-in-difference designs that separate the shock of the pandemic from linear period trends and seasonal variation. We found temporary reductions in all mental health consultations during lockdown in spring 2020. In fall 2020 and winter 2021, consultation volumes in primary care increased, stabilizing at a higher level in 2021. Consultations in specialist care increased from spring 2021. Our findings could suggest a worsening of mental health among adolescents. [ABSTRACT FROM AUTHOR]

Research has suggested that adolescent delinquency abstainers might have unfavorable characteristics, impeding their access to peer networks. However, recent studies have emphasized the possible heterogeneity of abstainers. We know little about the long-term adaption of delinquency abstainers. We identify subtypes of delinquency abstainers and investigate subsequent adult academic careers, income levels, and possible marginalization in the labor market. We use the population-based Young in Norway Longitudinal study, where participants (N = 2,494) are followed up by surveys and registers from their teens until their mid-30s. By means of latent class analysis, abstainers were divided in three groups according to degree of social integration. Results showed that delinquency abstainers performed as well or better in adulthood than those with moderate delinquency involvement and markedly better than the highly delinquent. Lonely abstainers performed just as well as all other groups when it comes to higher education and earnings. However, they had a higher probability of marginalization in the labor market than the social abstainers. We conclude that no group fared better than delinquency abstainers with strong social ties. The outcomes of the lonely abstainers were close to those of the majority. Thus, in this cohort who came of age in the 1990s, delinquency abstainers are not particularly vulnerable, and theory about abstainers needs to be modernized. [ABSTRACT FROM AUTHOR]

Knowing how school reopenings affect the spread of COVID-19 is crucial when balancing children's right to schooling with contagion management. This paper considers the effects on COVID-19 testing prevalence and the positive test rate of reopening Norwegian schools after a 6-week closure aimed at reducing contagion. We estimate the effects of school reopening on teachers, parents and students using an event study/difference-in-differences design that incorporates comparison groups with minimal exposure to in-person schooling. We find no evidence that COVID-19 incidence increased following reopening among students, parents or teachers pooled across grade levels. We find some suggestive evidence that infection rates among upper secondary school teachers increased; however, the effects are small and transitory. At low levels of contagion, schools can safely be reopened when other social distancing policies remain in place. [ABSTRACT FROM AUTHOR]

In the course of the twentieth century, social scientists and policy analysts have produced a large volume of literature on whether policies boost fertility. This paper describes the results of a systematic review of the literature on the effects of policy on fertility since 1970 in Europe, the United States, Canada, and Australia. Empirical studies were selected through extensive systematic searches, including studies using an experimental or quasi‐experimental design. Thirty‐five studies were included, covering reforms of parental leave, childcare, health services, and universal child transfers. In line with previous reviews, we find that childcare expansions increase completed fertility, while increased cash transfers have temporary effects. New evidence on parental leave expansions, particularly from Central Europe, suggests larger effects than previously established. High‐earning couples benefit more from parental leave expansions, while expanding childcare programs can reduce social inequalities on other domains. Subsidizing assisted reproductive treatments shows some promise of increasing birth rates for women over the age of 35. Countries that to date have limited support for families can build on solid evidence if they choose to expand these programs. [ABSTRACT FROM AUTHOR]

In this study, we examine the take-up of a non-mean tested cash benefit for children with a disability in Norway. We question if the uptake of the attendance benefit varies according to socioeconomic status and immigrant background using administrative register data. The sample in the present study contains all children (N = 335,415) born in the period between 2000 and 2005 in Norway, as well as their mothers. As we do not have sufficient information on the eligibility criteria for the attendance benefit of all children in the sample, we also operate with a subsample of children born with Down syndrome (n = 482), who all met the eligibility criteria. The analyses of attendance benefit uptake are performed using logistic regression analysis. We present the results both on the relative and absolute scales (odds ratios and average marginal effects). The findings show that immigrants have a lower take-up of the attendance benefit for children with a disability compared with the majority of the population. Having low earnings increases the probability of taking up the attendance benefit. Finally, the findings reveal that amongst those who already receive the attendance benefit for their child, there was no social inequality in the rate granted. [ABSTRACT FROM AUTHOR]

Background: The COVID-19 pandemic, and its associated social distancing measures, gave profound changes to the everyday and academic life of students in higher education. The current study is the first to use nation-wide data to evaluate the long-term effect of the pandemic and its countermeasures on university students' mental health care use. Methods: Using nation-wide individual-level data, we studied mental health consultations in primary care (data available from January 2017 to February 2022) and dispensed prescription drugs used to treat anxiety, depression, and sleep disturbances (data available from October 2018 to February 2021) for first-year undergraduate university students. We compared changes over time in mental health care use in a pandemic cohort (12,501 first-year students enrolled in 2019) to the same change in a pre-pandemic cohort (25,990 first-year students enrolled in 2017 and 2018). Event study and difference-in-difference models allowed us to separate the impact of the pandemic, experienced by the pandemic cohort only, from secular and seasonal changes experienced by all cohorts. Results: The percentage of students with a mental health consultation temporarily decreased during the first period of strict social distancing measures in March 2020. At the end of the second round with strict measures in April 2021, the level of mental health consultations increased by 73% (95% CI 40–106.3). There was also a 42% (95% CI 5.7–79.5) increase in mental health consultations in November 2021. No similar increases were observed for dispensed prescription drugs between March 2020 and February 2021. Conclusions: The COVID-19 pandemic was associated with increases in mental health consultations in primary care among students, especially during/after longer periods of strict social distancing measures. The benefits of social distancing measures in future pandemic preparedness should be weighed against the cost of potentially worsening mental health in vulnerable groups. [ABSTRACT FROM AUTHOR]

Women's health status may affect their opportunities and preferences for children through various mechanisms. We examine the relationship between health and fertility using Norwegian registry data (2004–18). Measuring verifiable and persistent health problems, we use uptake of doctor-certified sickness absence and long-term health-related benefits as proxies for health. In contrast to the expectation that poor health limits women's opportunities for children, our results show that sickness absence is positively associated with transitions to parenthood. The uptake of long-term benefits is, however, negatively associated with fertility. The selection of healthy women into parenthood weakens the association for higher-order births. The impact of long-term health indicators on fertility is comparable in magnitude to that observed for more conventional predictors, such as education and income. With continued postponement of childbearing and thus higher maternal ages, the influence of health as a fertility determinant is likely to grow and further research appears warranted. Supplementary material for this article is available at: [ABSTRACT FROM AUTHOR]