The health status of first- and second-generation Turkish immigrants in Germany

Wengler, Annelene

doi:10.1007/s00038-011-0254-8

Cited by 34 publications

(34 citation statements)

References 33 publications

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“…People with Turkish background are in part poorly integrated in the German society, and discrimination is obvious. 5 We cannot support these hypotheses with our data. This has to be done in further research (e.g., detailed interviews with patients and parents with Turkish background), considering social position and health beliefs.…”

Section: Discussioncontrasting

confidence: 71%

“…There may be a different understanding of disease or health beliefs. 5,15 Unfortunately, we have no respective data in our study population. On the other hand, factors within the healthcare system may contribute to our finding as well.…”

Section: Discussionmentioning

confidence: 99%

“…In contrast, it has been found that patients with Turkish origin have a lower participation in prevention and screening programs. 5,7,11 In several studies, area-level sociodemographic conditions have been found to be associated with diabetes healthcare and outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4] In Germany in particular, people with Turkish background, the largest ethnic minority, have been found to have poor health outcomes. [5][6][7] As possible reasons for lower acceptance of prevention and treatment offers, language barriers, lower socioeconomic status, another disease belief, or, on the other hand, factors within the healthcare system have been discussed. 5 However, little is known regarding differences in diabetes care processes between pediatric diabetes patients with and without Turkish migration background.…”

Section: Introductionmentioning

confidence: 99%

“…[5][6][7] As possible reasons for lower acceptance of prevention and treatment offers, language barriers, lower socioeconomic status, another disease belief, or, on the other hand, factors within the healthcare system have been discussed. 5 However, little is known regarding differences in diabetes care processes between pediatric diabetes patients with and without Turkish migration background. During the past few years, insulin pump therapy in pediatric diabetes care has become common, with nowadays 20-35% of patients using insulin pump therapy.…”

Section: Introductionmentioning

confidence: 99%

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Lower Frequency of Insulin Pump Treatment in Children and Adolescents of Turkish Background with Type 1 Diabetes: Analysis of 21,497 Patients in Germany

Icks

Razum

Rosenbauer

et al. 2012

Diabetes Technology & Therapeutics

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Aim: This study investigated insulin pump therapy in pediatric patients with type 1 diabetes and Turkish origin compared with those without migration background in Germany. Subjects and Methods: Using a nationwide documentation program, we estimated the prevalence of insulin pump therapy in patients < 20 years of age with Turkish origin and those without migration background. Logistic regression was used to adjust for age, sex, diabetes duration, body mass index SD score (BMI-SDS), glycated hemoglobin, number of outpatient visits, number of daily blood glucose self-measurements, and area-based socioeconomic conditions. Results: In 1,695 pediatric type 1 diabetes patients with Turkish background and 19,802 patients without migration background (respectively: 51.2% and 53.0% boys; mean age, 12.4 -4.1 and 12.6 -4.2 years; mean diabetes duration, 4.7 -3.9 and 5.3 -4.0 years), fully adjusted prevalences of insulin pump therapy were 18.5% and 30.9%, respectively (odds ratio 0.51, 95% confidence interval 0.43-0.60, P < 0.001). Age, sex, BMI-SDS, outpatient visits, and blood glucose self-control were significantly associated with the prevalence of insulin pump therapy but did not alter the difference substantially. Conclusions: The prevalence of insulin pump therapy is roughly half among pediatric diabetes patients with Turkish background compared with those without migration background. Several covariates could not explain this difference. Individual characteristics or access barriers within the healthcare system may play a role. Further research is needed.

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Section: Discussioncontrasting

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Lower Frequency of Insulin Pump Treatment in Children and Adolescents of Turkish Background with Type 1 Diabetes: Analysis of 21,497 Patients in Germany

Icks

Razum

Rosenbauer

et al. 2012

Diabetes Technology & Therapeutics

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Ethnic differences in self‐assessed health in Scotland: The role of socio‐economic status and migrant generation

Cézard

Finney

Kulu

et al. 2020

Population Space and Place

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This study investigates ethnic differences in self‐assessed health in Scotland and their determinants, focusing on socio‐economic status and migrant generations. We use the Scottish Health and Ethnicity Linkage Study (SHELS) and apply regression analysis to data for 4.6 million people. The analysis shows that the White British, Other White and Chinese groups reported better health than the White Scottish population, whereas Pakistani and Indian populations had worse health outcomes. For the latter two groups, this contrasts with previous findings of mortality advantage and thus highlights a morbidity–mortality paradox in these South Asian populations. Our findings imply that socio‐economic deprivation, health selection and acculturation explain health inequalities for some ethnic groups, but for other groups, especially those of Pakistani origin, other mechanisms deserve further exploration.

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Sozialkapital, Gesundheit und Lebenszufriedenheit bei Migrantinnen und Migranten sowie Österreicherinnen und Österreichern

Muckenhuber

Glatz

2019

Die Lebenssituation Von Migrantinnen Und Migranten in Österreich

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The health status of first- and second-generation Turkish immigrants in Germany

Abstract: Socio-economic status and coping resources are key determinants of the (subjective) health status of Turkish immigrants. They must be strengthened to improve immigrants' level of health.

Cited by 34 publications

References 33 publications

Lower Frequency of Insulin Pump Treatment in Children and Adolescents of Turkish Background with Type 1 Diabetes: Analysis of 21,497 Patients in Germany

Lower Frequency of Insulin Pump Treatment in Children and Adolescents of Turkish Background with Type 1 Diabetes: Analysis of 21,497 Patients in Germany

Ethnic differences in self‐assessed health in Scotland: The role of socio‐economic status and migrant generation

Sozialkapital, Gesundheit und Lebenszufriedenheit bei Migrantinnen und Migranten sowie Österreicherinnen und Österreichern

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