Gesundheit von Kindern und Jugendlichen aus Familien mit ungesichertem Aufenthaltsstatus im Vergleich zu Kindern mit und ohne Migrationshintergrund: Auswertung der KiGGS-Daten 2003–06

Wenner, Judith; Razum, Oliver; Schenk, Liane; Ellert, Ute; Bozorgmehr, Kayvan

doi:10.1007/s00103-016-2338-3

Cited by 16 publications

(14 citation statements)

References 37 publications

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“…The small number of studies ( n = 3) that examined emergency care utilization do not enable a definitive conclusion. One current publication showed higher utilization [ 40 ] among PMB while two others found no differences [ 26 , 41 ]. Also, the four studies regarding the utilization of rehabilitation (out- and inpatient) provide insufficient evidence [ 26 , 42 – 44 ], albeit the trend suggests a lower participation among PMB.…”

Section: Resultsmentioning

confidence: 99%

“…A different pattern was shown in terms of vaccination uptake. Subject to the type of vaccination, inequalities substantially vary, so a clear trend cannot be identified [ 41 , 61 , 66 , 67 , 69 – 77 ]. Only two studies examined ethnic inequalities in the utilization of the general health check-up that is offered to every person aged ≥35 years [ 26 , 61 ].…”

Section: Resultsmentioning

confidence: 99%

“… Inpatient care 10 [ 17 , 18 , 23 , 25 , 26 , 29 , 30 , 37 – 39 ] O ▪ Inconsistent results, differences in terms of type of disease. Emergency care 3 [ 26 , 40 , 41 ] O ▪ Inconsistent results: Higher probability of utilization among migrant adults, but no difference among children and adolescents. Rehabilitation 4 [ 26 , 42 – 44 ] – ▪ Results tend to lower usage among migrants.…”

Section: Resultsmentioning

confidence: 99%

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Inequalities in health care utilization among migrants and non-migrants in Germany: a systematic review

Klein

Knesebeck

2018

Int J Equity Health

103

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BackgroundDespite the growing number of people with migrant background in Germany, a systematic review about their utilization of health care and differences to the non-migrant population is lacking. By covering various sectors of health care and migrant populations, the review aimed at giving a general overview and identifying special areas of potential intervention.MethodsA systematic review was conducted in PubMed database including records that were published until 1st of June 2017. Further criteria for eligibility were a publication in a peer-reviewed journal written in English or German language. The studies have to report quantitative and original data of a population residing in Germany. The appropriateness of the studies was judged by both authors. Studies were excluded if native controls were not originated from the same sample. Moreover, indicators of health care utilization have to assess individual behaviour like consultation or participation rates. 63 studies met the inclusion criteria for a qualitative synthesis of the findings.ResultsThe overall findings indicate a lower utilization among migrants, although the results vary in terms of health care sector, indicator of health care utilization and migrant population. For specialist care, medication use, therapist consultations and counselling, rehabilitation as well as disease prevention (early cancer detection, prevention programs for children and oral health check-ups) a lower utilization among people with migrant background was found. The lower usage was particularly shown for migrants of the 1st generation, people with two-sided migrant background, children/adolescents and women. Due to the methodological heterogeneity a meta-analysis was not feasible. As most of the studies were cross-sectional, no causal interpretations could be drawn.ConclusionsThe inequalities in utilization could not substantially be explained by differences in the socioeconomic status. Other reasons of lower utilization could be due to differences in need, preferences, information, language and formal access barriers (e.g. charges, waiting times, travel distances or lost wages). Different migrant-specific and migrant-sensitive strategies are relevant to address the problem for certain health care sectors and migrant populations.Trial registrationThe review protocol was registered on PROSPERO (CRD42014015162).Electronic supplementary materialThe online version of this article (10.1186/s12939-018-0876-z) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Inequalities in health care utilization among migrants and non-migrants in Germany: a systematic review

Klein

Knesebeck

2018

Int J Equity Health

103

View full text Add to dashboard Cite

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“…Vaccination in newly arrived refugees presents an opportunity to cost-effectively, safely, and humanely protect a vulnerable population from negative health outcomes resulting from vaccine-preventable diseases ( 13 ). Given that children in Germany with insecure residence status are twice as likely to be incompletely vaccinated ( 2 ), a PCV program for refugee children in Germany might require additional follow-up measures to ensure consistency and provide sufficient protection, particularly because PCV dosing in Germany-born children with IPD has been lax ( 9 ). A PCV program could help reduce antimicrobial drug–resistant pneumococcal infections, the carriage of resistant strains ( 14 ), overall antimicrobial drug use, and the prevalence of resistance genes within the pneumococcal population ( 15 ).…”

Section: Discussionmentioning

confidence: 99%

“…Germany has taken in >1 million refugees since 2015 ( 1 ), more than one third of whom were children <18 years of age ( 2 ). Invasive pneumococcal disease (IPD) is a major cause of childhood death, especially in resource-poor environments ( 3 ).…”

mentioning

confidence: 99%