Armut, Migration und psychische Gesundheit

Kluge, Ulrike; Rapp, Michael A.; Mehran, Nassim; Jumaa, Jinan Abi; Aichberger, Marion C.

doi:10.1007/s00115-019-00790-2

Cited by 11 publications

(6 citation statements)

References 46 publications

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“…A barrier at the structural level that has increasingly challenged experts in recent years is the limited ability to accommodate families with a migration background, who have limited German language skills and less familiarity with the German health care system. This problem is not unique to rare diseases but is present throughout the health care system [ 40 ]. The need for low-threshold services and easily accessible and understandable information becomes particularly apparent here.…”

Section: Discussionmentioning

confidence: 99%

Rare pediatric diseases and pathways to psychosocial care: a qualitative interview study with professional experts working with affected families in Germany

Witt

Kristensen

Wiegand-Grefe

et al. 2021

Orphanet J Rare Dis

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Background Rare diseases occur in early childhood and have a major impact on the quality of life of the affected children and their families. Their need for psychosocial support is considerable, but psychosocial care in Germany is still far from being part of routine care. We interviewed experts to explore how they describe the current pathways to psychosocial care, potential barriers and problems, and possibilities for improvements. Results We conducted telephone interviews with 49 experts working in somatic medicine, psychosocial medicine, patient organizations, child and youth welfare, and the educational sector. Interviews were transcribed and analyzed using focused interview analysis. Results document ways of access and facilities used by families to receive psychosocial care. The barriers described by the experts can be summarized on three levels: the family-organizational level, the family-psycho-emotional level, and finally, the structural system level. Accordingly, suggestions for improvement were directed at these levels. Conclusion Based on the experts' perspectives, there is ample room for improvement to facilitate the pathways to psychosocial care for children with rare diseases and their families. Unfortunately, there seems to be a long way to go before psychosocial care will be routinely provided. However, awareness of the issue among different professional groups is high, and numerous suggestions for improvement were made, including continuous expansion of services to all family members, strengthening of low-threshold services, simplifying application procedures, and more cooperation between different funding agencies as well as between different care providers.

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Section: Discussionmentioning

confidence: 99%

Rare pediatric diseases and pathways to psychosocial care: a qualitative interview study with professional experts working with affected families in Germany

Witt

Kristensen

Wiegand-Grefe

et al. 2021

Orphanet J Rare Dis

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“…MigrantInnen/Flüchtlinge aus tropischen und/ oder subtropischen Regionen können sich -im Krankheitsfall -mit einer Vielzahl lokaler und regionaler Besonderheiten präsentieren; diese zu erkennen und richtig einzuordnen setzt detailliertes klinisches und epidemiologisches Wissen voraus. Neben "exotischen" Infektionskrankheiten muss bei neurologischen Symptomen auch an Malnutrition, Wasser-und Elektrolytmangel gedacht werden und besonders während der Migration oder in Flüchtlingslagern Nordafrikas oder des Vorderen Orients an physische und psychische Gewalt [4,5,6,7,8,9,10,11,12,13,14]. Eine detaillierte Anamnese bez.…”

Section: Cme Hintergrundunclassified

Importierte Infektionen des Zentralnervensystems

Schmutzhard

Pfausler

2020

Nervenarzt

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“…In recent years, scholars have primarily examined the impact of household characteristics, individual behavior, and structural factors on the risk of falling into medical impoverishment. Factors such as household size ( 10 ), whether one belongs to a migrant group ( 11 , 12 ), the presence of children ( 13 , 14 ) or older adult individuals ( 15 ), employment status ( 16 ), the nature of employment, household asset structure, family composition ( 17 ), and chronic illness or disability ( 4 , 18 ) can all affect the risk of health poverty among respondents. Unhealthy behaviors like poor diet, smoking, or a lack of physical activity ( 3 ) can lead to lower levels of health, which are significantly associated with poverty.…”

Section: Introductionmentioning

confidence: 99%

“…Unhealthy behaviors like poor diet, smoking, or a lack of physical activity ( 3 ) can lead to lower levels of health, which are significantly associated with poverty. Structural factors such as the local economic development and social security systems ( 19 – 23 ), the risk of fuel scarcity and climate ( 24 ), social transfers ( 25 ), and other related constructs like social cohesion, social capital, and social exclusion ( 11 ) also impact health poverty. Furthermore, considerable literature has begun to explore relative standards of health poverty, such as using specific proportions of the median income to calculate relative poverty thresholds ( 26 , 27 ).…”

Section: Introductionmentioning

confidence: 99%

Analysis of medical impoverishment and its influencing factors among China's rural near-poor, 2016–2020

Feng,

Che,

et al. 2024

Front. Public Health

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ObjectiveThis study investigates the determinants of medical impoverishment among China's rural near-poor, aiming to enhance public health services and establish preventative and monitoring systems.MethodsUsing China Family Panel Studies and World Bank methods, we categorized rural populations and calculated their 2020 Poverty Incidence (PI) and Poverty Gap (PG), with impoverishing health expenditures (IHE) as the primary indicator. We analyzed the data from 2016 to 2020 using a conditional fixed-effects multinomial logit model and 2020 logistic regression to identify factors influencing medical impoverishment risk.Results(1) In 2020, the near-poor in China faced a PI of 16.65% post-health expenditures, 8.63 times greater than the non-poor's PI of 1.93%. The near-poor's Average Poverty Gap (APG) was CNY 1,920.67, notably surpassing the non-poor's figure of CNY 485.58. Health expenses disproportionately affected low-income groups, with the near-poor more prone to medical impoverishment. (2) Disparities in medical impoverishment between different economic household statuses were significant (P < 0.001), with the near-poor being particularly vulnerable. (3) For rural near-poor households in China, those with over six members faced a lower risk of medical impoverishment compared to those with three or fewer. Unmarried individuals had a 7.1% reduced risk of medical impoverishment relative to married/cohabiting counterparts. Unemployment was associated with a 9% increased risk. A better self-rated health status was linked to a lower probability of IHE, with the “very healthy” reporting a 25.8% lower risk than those “unhealthy.” Chronic disease sufferers in the near-poor and non-poor categories were at an increased risk of 12 and 1.4%, respectively. Other surveyed factors, including migrant status, age, insurance type, gender, educational level, and recent smoking or drinking, were not statistically significant (P > 0.05).ConclusionRural near-poor in China are much more susceptible to medical impoverishment, influenced by specific socio-economic factors. The findings advocate for policy enhancements and health system reforms to mitigate health poverty. Further research should extend to urban areas for comprehensive health poverty strategy development.

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Armut, Migration und psychische Gesundheit

Cited by 11 publications

References 46 publications

Rare pediatric diseases and pathways to psychosocial care: a qualitative interview study with professional experts working with affected families in Germany

Rare pediatric diseases and pathways to psychosocial care: a qualitative interview study with professional experts working with affected families in Germany

Importierte Infektionen des Zentralnervensystems

Analysis of medical impoverishment and its influencing factors among China's rural near-poor, 2016–2020

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