Caring for Children in Immigrant Families

Immigrant families are racially and ethnically diverse, and immigrate for variety of reasons that may include seeking economic opportunity, reuniting with family, fleeing war or violence. 

Pediatricians can play a special role in supporting the health and well-being of immigrant children in the United States. By recognizing the unique challenges and strengths that many immigrants experience; pediatricians can identify effective practice strategies and relevant resources that support health within the community.

 

Immigrant Child Health Overview  

Definitions and Demographics 

Children in immigrant families (CIF) are defined as children who are either foreign-born or have at least 1 parent who is foreign-born. Immigrant children are those born outside the United States to non-US citizen parents. One in every 4 children in the United States are CIF, representing a growing and ever more diverse US demographic that pediatric medical providers nationwide will increasingly encounter in clinical care. Immigrant children and CIF reside in all 50 states.

Access to Health Care and Health Status

  • CIF are less likely to have a usual source of medical care and to obtain specialty care when needed.
  • CIF who are foreign-born may not have received adequate screenings or immunizations in their home country.

Socioeconomic Factors 

  • CIF can face barriers to accessing programs and benefits that support low-income children.
  • Many CIF have less access to quality early education programs and are less likely to be enrolled in preschool programs, such as Head Start.

Unique Stressors/Family Separation 

  • Many CIF live in a family with a parent who faces the threat of deportation without notice or preparation.
  • Children whose parents have been taken into custody/deported may demonstrate a number of health problems including anxiety, depression, poor school performance, sleeping and eating disruptions.
  • Forced separations due to immigration enforcement can also result in the loss of family income and have been shown to result in family housing and food instability.
  • Children who have crossed the border to enter the United States as well as children who are refugees may have experienced abuse, exploitation, and/ serious trauma. 

Professional Tools and Resources

The following resources are designed to help you care for immigrant children.

 

AAP Recommendations

The AAP provides recommendations and guidelines to support pediatricians caring for immigrant children, youth and families. 

Get Involved

Council on Immigrant Child and Family Health
The Council on Immigrant Child and Family Health (COICFH) was created in July 2019. The Council is comprised of approximately 300 AAP members who are committed to promoting the care of immigrant children and youth.
Immigrant Child Health Advocacy Initiatives
The Academy continues to urge policymakers to advance policies to support the health of immigrant children and families. Learn more about the AAP's advocacy focused on immigrant child health.
Last Updated

06/17/2025

Source

American Academy of Pediatrics