@misc{SpallekBreckenkampKraywinkeletal., author = {Spallek, Jacob and Breckenkamp, J{\"u}rgen and Kraywinkel, Klaus and Schwabe, Wolfgang and Krieg, Volker and Greiner, Wolfgang and Damm, Oliver and Razum, Oliver}, title = {Need for nursing care support in cancer patients: Registry-linkage study in Germany}, series = {South Eastern European Journal of Public Health}, journal = {South Eastern European Journal of Public Health}, number = {11}, issn = {2197-5248}, doi = {10.4119/UNIBI/SEEJPH-2018-204}, pages = {1 -- 10}, abstract = {Aim: In Germany, very little is known about the need for assistance and nursing care support among cancer patients after hospitalization. The aim of this study was to describe nursing care support for cancer patients and to analyse whether these patients need more care assistance than other persons in need for care. Methods: This was a registry linkage study conducted in 2011. Cases were identified from the population-based cancer registry for the Muenster District in north-western Germany and in factually anonymised form linked by a semi-automatic probabilistic procedure (the standard procedure of the cancer registry) with medical examination records of patients applying for assistance and nursing care support from the regional statutory health insurance. The application records of 4,029 patients with colon, breast and prostate cancer were compared to a reference group of 13,104 non-cancer patients. Results: In only 41.7\% of colon, 45.8\% of breast and 37.4\% of prostate cancer patients was the malignancy the main underlying diagnostic cause for the application of assistance and nursing care. These patients were on average younger (mean age 71.1 vs. 76.8 years) than the non-cancer reference group, required higher levels of support (79.5 vs. 58.1\% "considerable" or higher level care need) and their applications were less likely to be rejected (odds ratios [ORs] 0.26, 0.28, and 0.31, respectively). By contrast, the proportion of successful applications and the level of support granted did not differ between multimorbid cancer patients with other main diagnoses as compared to non-cancer applicants. Conclusion: Patients with colon, breast or prostate cancer do not need per se more nursing care than non-cancer patients. Only if cancer is the main underlying diagnosis for nursing care support, higher levels of support are needed.}, language = {en} } @misc{BreckenkampSpallekKraywinkeletal., author = {Breckenkamp, J{\"u}rgen and Spallek, Jacob and Kraywinkel, Klaus and Krieg, V. and Schwabe, Wolfgang and Greiner, Wolfgang and Damm, Oliver and Hense, H. W. and Razum, Oliver}, title = {Abgleich von Verwaltungsdaten des Medizinischen Dienstes der Krankenversicherung mit Krebsregisterdaten}, series = {Gesundheitswesen}, volume = {74}, journal = {Gesundheitswesen}, number = {7}, issn = {1439-4421}, doi = {10.1055/s-0031-1286274}, pages = {e52 -- e60}, language = {de} } @misc{GrosserRazumVrijkotteetal., author = {Grosser, Angelique and Razum, Oliver and Vrijkotte, Tanja G. M. and Hinz, Ina-Merle and Spallek, Jacob}, title = {Inclusion of migrants and ethnic minorities in European birth cohort studies - a scoping review}, series = {The European Journal of Public Health}, volume = {26}, journal = {The European Journal of Public Health}, number = {6}, issn = {1464-360X}, doi = {10.1093/eurpub/ckw068}, pages = {984 -- 991}, abstract = {Background: Migrant and ethnic minority groups constitute substantial parts of European populations. They frequently experience health disadvantages relative to the respective majority populations. Birth cohort studies can help to disentangle social and biological factors producing these health inequalities over the life course. We investigated whether birth cohorts in European countries (i) assess migration history and ethnicity in the study design; and (ii) use this information in data analyses. Methods: A scoping review was performed in which European birth cohort studies were identified using dedicated web-based registries, MEDLINE and EMBASE. Two reviewers systematically assessed all identified birth cohorts and selected those fulfilling defined inclusion criteria (e.g. enrolment after 1980). Publications and websites were screened for information on the inclusion of migrants and ethnic minorities. To obtain more detailed information, researchers of enrolled birth cohorts were contacted individually. Results: Eighty-eight birth cohorts were identified in 20 European countries, with more than 486 250 children enrolled in total. Sixty-two studies (70.5\%) reported collecting data about migration history or ethnic background. Twenty-three studies (26\%) used information on migration history or ethnicity for data analyses or plan to do so in future. Conclusion: The majority of European birth cohorts assessed participants' migration history or ethnic background; however, this information was seldom used for comparative analyses in trying to disentangle reasons for health inequalities. Also, heterogeneous indicators were used. Better use of data already available, as well as harmonization of data collection on migration history and ethnicity, could yield interesting insights into the production of health inequalities.}, language = {en} } @incollection{SpallekRazum, author = {Spallek, Jacob and Razum, Oliver}, title = {Erkl{\"a}rungsmodelle f{\"u}r die gesundheitliche Situation von Migrantinnen und Migranten}, series = {Health Inequalities}, booktitle = {Health Inequalities}, editor = {Bauer, Ullrich and Bittlingmayer, Uwe H. and Richter, Matthias}, publisher = {VS Verlag f{\"u}r Sozialwissenschaften}, address = {Wiesbaden}, isbn = {978-3-531-15612-5}, pages = {271 -- 288}, abstract = {In diesem Kapitel wird dargestellt, warum Menschen mit Migrationshintergrund eine wichtige Zielgruppe der Forschung zu sozialer Ungleichheit und Gesundheit darstellen und es wird dokumentiert, dass diese Gruppe bislang nicht hinreichend ber{\"u}cksichtigt wird. Es werden g{\"a}ngige Erkl{\"a}rungsans{\"a}tze f{\"u}r gesundheitliche Unterschiede zwischen Menschen mit Migrationshintergrund und der nicht migrierten Mehrheitsbev{\"o}lkerung und ihre Grenzen erl{\"a}utert. Schließlich wird aufgezeigt, dass zuk{\"u}nftige Modelle eine Lebenslaufperspektive enthalten und die epidemiologische Situation der Bev{\"o}lkerung des Herkunftslandes ber{\"u}cksichtigen m{\"u}ssen.}, language = {de} } @misc{BerensRederRazumetal., author = {Berens, Eva-Maria and Reder, Maren and Razum, Oliver and Kolip, Petra and Spallek, Jacob}, title = {Informed Choice in the German Mammography Screening Program by Education and Migrant Status: Survey among First-Time Invitees}, series = {PLOS ONE}, volume = {10}, journal = {PLOS ONE}, number = {11}, issn = {1932-6203}, doi = {10.1371/journal.pone.0142316}, pages = {1 -- 11}, abstract = {Breast cancer is the most prevalent cancer among women and mammography screening programs are seen as a key strategy to reduce breast cancer mortality. In Germany, women are invited to the population-based mammography screening program between ages 50 to 69. It is still discussed whether the benefits of mammography screening outweigh its harms. Therefore, the concept of informed choice comprising knowledge, attitude and intention has gained importance. The objective of this observational study was to assess the proportion of informed choices among women invited to the German mammography screening program for the first time. A representative sample of 17,349 women aged 50 years from a sub-region of North Rhine Westphalia was invited to participate in a postal survey. Turkish immigrant women were oversampled. The effects of education level and migration status on informed choice and its components were assessed. 5,847 (33.7\%) women responded to the postal questionnaire of which 4,113 were used for analyses. 31.5\% of the women had sufficient knowledge. The proportion of sufficient knowledge was lower among immigrants and among women with low education levels. The proportion of women making informed choices was low (27.1\%), with similar associations with education level and migration status. Women of low (OR 2.75; 95\% CI 2.18-3.46) and medium education level (OR 1.49; 95\% CI 1.27-1.75) were more likely to make an uninformed choice than women of high education level. Turkish immigrant women had the greatest odds for making an uninformed choice (OR 5.30, 95\% CI 1.92-14.66) compared to non-immigrant women. Other immigrant women only had slightly greater odds for making an uninformed choice than non-immigrant women. As immigrant populations and women with low education level have been shown to have poor knowledge, they need special attention in measures to increase knowledge and thus informed choices.}, language = {en} } @incollection{RazumSpallek, author = {Razum, Oliver and Spallek, Jacob}, title = {GBE f{\"u}r Migranten}, series = {Gesundheitsberichterstattung und Surveillance}, booktitle = {Gesundheitsberichterstattung und Surveillance}, editor = {Reintjes, Ralf and Klein, Silvia}, publisher = {Hans Huber Verlag, Hogrefe AG}, address = {Bern}, isbn = {3-456-84441-7}, pages = {207 -- 214}, abstract = {Migranten bilden einen signifikant großen Teil der deutschen Bev{\"o}lkerung. Jedoch gibt es in der Gesundheitsberichterstattung keine eindeutige Definition {\"u}ber den Status "Migrant". Somit ist die Datenerfassung in dieser Hinsicht mangelhaft. Dieser Artikel zeigt die Relevanz dieses Themas auf und liefert Vorschl{\"a}ge zu der sinnvollen Erfassung und Interpretation von migrantenspezifischen Gesundheitsdaten.}, language = {de} } @incollection{RazumSpallek, author = {Razum, Oliver and Spallek, Jacob}, title = {Erkl{\"a}rungsmodelle zum Zusammenhang zwischen Migration und Gesundheit im Alter}, series = {Viele Welten des Alterns}, booktitle = {Viele Welten des Alterns}, editor = {Baykara-Krumme, Helen and Motel-Klingebiel, Andreas and Schimany, Peter}, publisher = {Springer VS}, address = {Wiesbaden}, isbn = {978-3-531-18318-3}, pages = {161 -- 180}, abstract = {In diesem Artikel werden zun{\"a}chst drei Konzepte von Gesundheit dargestellt. Dann geben die Autoren empirische Beispiele f{\"u}r unterschiedliche Krankheitsrisiken von Migrantinnen und Migranten relativ zur Mehrheitsbev{\"o}lkerung. Anschließend erl{\"a}utern sie theoretische Erkl{\"a}rungen f{\"u}r das Zustandekommen solcher Unterschiede. Sie schließen mit einem Modell aus der "lifecourse epidemiology" (lebenslaufbezogene Epidemiologie). Es versucht unter anderem, spezifische Expositionen zu ber{\"u}cksichtigen, denen Menschen vor, w{\"a}hrend und nach einer Migration ausgesetzt sind. Das Modell erleichtert es, solche Expositionen zu identifizieren, denen die nicht-migrierte Mehrheitsbev{\"o}lkerung nicht oder in anderem Maße ausgesetzt sind.}, language = {de} } @incollection{BerensSpallekRazum, author = {Berens, Eva-Maria and Spallek, Jacob and Razum, Oliver}, title = {Breast cancer screening among immigrant women: do we need specific approaches in risk communication?}, series = {Health Inequalities and Risk Factors among Migrants and Ethnic Minorities}, booktitle = {Health Inequalities and Risk Factors among Migrants and Ethnic Minorities}, editor = {Ingleby, David and Krasnik, Allan and Lorant, Vincent and Razum, Oliver}, publisher = {Garant Publishers}, address = {Antwerp; Apledoorn}, isbn = {978-90-441-2928-1}, pages = {304 -- 318}, abstract = {The aim of this chapter is to illustrate the specific Situation of Migrant women with regard to breast cancer Screening programmes. Screening uptake and determining factors among Migrant populations will be described. Furthermore, differences in breast cancer risk and ist Impact on the efficiencz of breast cancer Screening among migrants will be assessed. It will be discussed critically whether lower uptake rates among migrants should necessarily lead to measures to increase uptake. A Special Focus will be on risk communication and informed choice.}, language = {en} } @incollection{RazumSpallekZeeb, author = {Razum, Oliver and Spallek, Jacob and Zeeb, Hajo}, title = {Migration und Gesundheit}, series = {Die Gesellschaft und ihre Gesundheit: 20 Jahre Public Health in Deutschland, Bilanz und Ausblick einer Wissenschaft}, booktitle = {Die Gesellschaft und ihre Gesundheit: 20 Jahre Public Health in Deutschland, Bilanz und Ausblick einer Wissenschaft}, editor = {Schott, Thomas and Hornberg, Claudia}, publisher = {VS Verlag}, address = {Wiesbaden}, isbn = {978-3-531-17581-2}, pages = {555 -- 574}, abstract = {Die Datenlage zur Gesundheit von Menschen mit Migrationshintergrund ist in Deutschland bislang unzureichend. Dies hat zum Teil methodische Gr{\"u}nde, die in diesem Artikel dargestellt werden. F{\"u}r den 2008 erschienenen Schwerpunktbericht "Migration und Gesundheit" im Auftrag des Robert Koch Instituts wurden umfangreiche Auswertungen der vorhandenen Datenquellen vorgenommen (Razum et al. 2008a). Sie zeigen, dass das Krankheitsspektrum der Menschen mit Migrationshintergrund dem der nicht migrierten Bev{\"o}lkerung weitgehend {\"a}hnelt (mit Ausnahme einiger seltener erblicher h{\"a}matologischer und Stoffwechselerkrankungen bei Migranten).In vielen Bereichen bestehen aber Unterschiede hinsichtlich des Ausmaßes und der relativen Bedeutung bestimmter Krankheiten, Mutter-Kind-Gesundheit, Gesundheit am Arbeitsplatz, sowie chronische Erkrankungen und ihre Risikofaktoren zeigen, wie vielschichtig die gesundheitliche Lage von Migranten ist (Razum et al. 2008b). In diesem Artikel wird im Speziellen auf Infektionskrankheiten, M{\"u}ttersterblichkeit, Kindergesundheit, Unfall- und Schwerbehindertenquellen, Risikofaktoren f{\"u}r Herz-Kreislauferkrankungen und die gesundheitsbezogene Forschung zu Migranten eingegangen.}, language = {de} } @misc{BerensYilmazAslanSpalleketal., author = {Berens, Eva-Maria and Yilmaz-Aslan, Y{\"u}ce and Spallek, Jacob and Razum, Oliver}, title = {Determinants of mammography screening participation among Turkish immigrant women in Germany - a qualitative study reflecting key informants' and women's perspectives.}, series = {European Journal of Cancer Care}, volume = {25}, journal = {European Journal of Cancer Care}, number = {1}, issn = {1365-2354}, doi = {10.1111/ecc.12334}, pages = {38 -- 48}, language = {en} }