Concepts for migration-sensitive health monitoring

Schumann, Maria; Kajikhina, Katja; Polizzi, Antonino; Sarma, Navina; Hoebel, Jens; Bug, Marleen; Bartig, Susanne; Lampert, Thomas; Santos-Hövener, Claudia

doi:10.25646/6075

Cited by 8 publications

(15 citation statements)

References 50 publications

(42 reference statements)

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“…The (core) indicators developed within the framework of IMIRA I to describe the health situation of people with a migration background formed a thematic focus of the survey content [ 33 ]. In addition, relevant migration-sensitive concepts for health monitoring were taken into account, such as subjectively perceived or self-reported discrimination or the sense of belonging to society in Germany [ 44 ]. Questions on COVID-19 infection and vaccination status were also collected.…”

Section: Methodsmentioning

confidence: 99%

“…The questionnaire asked about the frequency of reported experiences of discrimination (‘How often have you been treated unfairly or worse than other people in such a way in the following situations?’) ‘in the health or care sector (e.g., doctor, hospital, assisted living, care facility)’ [ 44 ]. Answers were categorised for the evaluations into ‘very often, often’, ‘sometimes’, and ‘rarely, never’.…”

Section: Methodsmentioning

confidence: 99%

“…Answers were categorised for the evaluations into ‘very often, often’, ‘sometimes’, and ‘rarely, never’. The sense of belonging to the society in Germany (‘How much do you feel you belong to the society in Germany?’) [ 44 ] was categorised into ‘very strongly, strongly’, ‘partly’, and ‘barely, not at all, does not apply’.…”

Section: Methodsmentioning

confidence: 99%

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COVID-19 vaccination status among people with selected citizenships: results of the study GEDA Fokus

Bug

Blume

Kajikhina

et al. 2023

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Background the COVID-19 vaccination offers protection against severe disease progression. Data show that people with a history of migration are less likely to be vaccinated against COVID-19 than people without a history of migration, but are at increased risk of infection. Methods Data were used from the GEDA Fokus interview survey (November 2021 – May 2022), which included people living in Germany with Croatian, Italian, Polish, Syrian or Turkish citizenship (n=5,495). In addition to bivariate analyses, Poisson regressions were used to examine the association between uptake of at least one COVID-19 vaccination and sociodemographic, health- and migration-related factors. Results 90.0% of participants reported having received at least one COVID-19 vaccination. Having visited a general practitioner or specialist in the past 12 months, living in Germany for 31 years or more, and having a greater sense of belonging to society in Germany were associated with vaccination uptake in bivariate analyses. Regression analysis showed that older people and those with higher education were more likely to be vaccinated. Conclusions Sociodemographic factors are associated with uptake of the COVID-19 vaccine among individuals with selected citizenships. Low-threshold information and vaccination offers are important to ensure equal access to vaccination.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

COVID-19 vaccination status among people with selected citizenships: results of the study GEDA Fokus

Bug

Blume

Kajikhina

et al. 2023

View full text Add to dashboard Cite

show abstract

“…The (core) indicators developed within the framework of IMIRA I to describe the health situation of people with a migration background formed a thematic focus of the survey content [ 29 ]. In addition, relevant migration-sensitive concepts for health monitoring were taken into account, such as subjectively perceived experiences of discrimination or the sense of belonging to society in Germany [ 30 ]. Information on COVID-19 infection and vaccination status were also collected [ 31 ].…”

Section: Methodsmentioning

confidence: 99%

Health of people with selected citizenships: results of the study GEDA Fokus

Bartig

Koschollek

Bug

et al. 2023

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Background The health situation of people with a history of migration is influenced by a variety of factors. This article provides an overview of the health of people with selected citizenships using various indicators. Methods The analyses are based on the survey ‘German Health Update: Fokus (GEDA Fokus)’, which was conducted from November 2021 to May 2022 among people with Croatian, Italian, Polish, Syrian and Turkish citizenship. The prevalence for each health outcome is presented and differentiated by sociodemographic and migration-related characteristics. Poisson regressions were performed to identify relevant factors influencing health situation. Results Self-assessed general health, the presence of depressive symptoms, prevalence of current smoking and the utilisation of general and specialist healthcare differed according to various factors considered here. In addition to sociodemographic determinants, the sense of belonging to society in Germany and self-reported experiences of discrimination were particularly associated with health outcomes. Conclusions This article highlights the heterogeneity of the health situation of people with a history of migration and points to the need for further analyses to identify the reasons for health inequalities.

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“…Within IMIRA (2016–2019), feasibility studies were conducted to evaluate how to improve the inclusion of people with a history of migration in health surveys [ 5 ]. New concepts [ 6 ] and core indicators [ 7 ] were developed to describe their health situation, and relevant (secondary) data sources were explored for analysis.…”

mentioning

confidence: 99%

Editorial – Migration and health: Moving towards diversity-oriented public health monitoring at the Robert Koch Institute

Hövener

Wieler

2023

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Key messages Summarizing categories, such as migration background or history of migration, do not reflect the diversity and heterogeneity of the population living in Germany and their health. A differentiated description of the health situation of people with a history of migration should consider migration-related, social, and structural determinants of health as well as their interactions. The findings obtained in the ‘Improving Health Monitoring in Migrant Populations (IMIRA)’ projects will help to improve the inclusion of people with a history of migration in future studies as well as in the RKI panel. This will enable an adequate description of the health situation of people with a history of migration and therefore of the general population in Germany. In future studies, the health status of people who have not been well included in health surveys so far, such as people who are not listed at the registration office, should be monitored. For this purpose, continuous development of sampling and survey methods is necessary.

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Concepts for migration-sensitive health monitoring

Cited by 8 publications

References 50 publications

COVID-19 vaccination status among people with selected citizenships: results of the study GEDA Fokus

COVID-19 vaccination status among people with selected citizenships: results of the study GEDA Fokus

Health of people with selected citizenships: results of the study GEDA Fokus

Editorial – Migration and health: Moving towards diversity-oriented public health monitoring at the Robert Koch Institute

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