Migrant children within Europe: a systematic review of children's perspectives on their health experiences.

OBJECTIVES: To review the extant literature to explore what is known about children's own perspectives on their health experiences, focussing on children and young people who have migrated into, and within, Europe.

STUDY DESIGN: A systematic review with narrative synthesis.

METHODS: A review of English language articles was performed in June 2016 using the following databases: MEDLINE, CINAHL, Cochrane and Web of Science. Included articles had to report data generated directly with children, up to 18 years of age, who had migrated across national borders into, or within, Europe during their own lifetimes. Extraction from articles was undertaken by all authors, and quality assessment of included reviews was performed using the Mixed Methods Appraisal Tool.

RESULTS: The articles in the final data set included research based on four broad areas: alcohol, smoking and substance use; diet, eating disorders and overweight; emotional, psychological and mental health issues; and children's views and experiences of health and health services. Most studies were cross-sectional analytic or incidence or prevalence studies.

CONCLUSION: There is a general lack of clarity in the literature regarding the reporting of children's own migration status. Children's voices are often subsumed within those of their adult parents or carers. There is a need to promote more child-focussed research which gives voice to migrant children to better understand the complex and multidimensional factors that contribute to their (ill)health.