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Children evacuated during wars

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Journal of Paediatrics and Child HealthVolume 51, Issue 3 p. 349-349 Heads UpFree Access Children evacuated during wars First published: 11 March 2015 https://doi.org/10.1111/jpc.12858 edited by Craig Mellis (craig.mellis@sydney.edu.au) AboutSectionsPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat The harms done to children by parental separation and their degree of resilience to such a trauma have been debated often. We know refugee children are at risk of mental health problems, but are these increased if the children are separated from their parents. In World War II (WWII), European children were often separated from their parents in the city and evacuated to foster homes in the country. Most studies of this situation struggle to differentiate war-related and separation-related mental health problems. A Finnish study1 compared data from a national census and a database recording psychiatric admissions to examine the effects of evacuation of 1425 Finnish children to Swedish foster homes during WWII. The novelty was that the researchers excluded single children and compared siblings who were evacuated with their non-evacuated siblings. The risk of admission to hospital for a psychiatric disorder did not differ between evacuated and non-evacuated siblings (hazard ratio (HR) = 0.89, 95% confidence interval (CI) 0.64 to 1.26). However, analysis of admissions for individual psychiatric disorders showed evacuated girls were significantly more likely than their non-evacuated sisters to be admitted to hospital in adulthood for a mood disorder (HR = 2.19, 95% CI 1.10 to 4.33). There is still risk of bias because we do not know what factors determined which siblings were evacuated and which remained. Reference 1Santavirta T et al. BMJ 2015; 350: g7753. CrossrefPubMedWeb of Science®Google Scholar Reviewer: David Isaacs, david.isaacs@health.nsw.gov.au Volume51, Issue3March 2015Pages 349-349 ReferencesRelatedInformation

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