@misc{ScholaskeEntringerRazumetal., author = {Scholaske, Laura and Entringer, Sonja and Razum, Oliver and Spallek, Jacob}, title = {Elevated stress during pregnancy in women of Turkish origin: Results from a prospective cohort study}, series = {European Journal of Public Health}, volume = {32}, journal = {European Journal of Public Health}, number = {Supplement_3}, issn = {1101-1262}, doi = {10.1093/eurpub/ckac129.608}, pages = {2}, abstract = {Background Ethnic health disparities exist in the context of pregnancy and childbirth, suggesting that women of Turkish origin (i.e., they or their parents born in Turkey) in Germany have higher risks for some adverse maternal health and child developmental outcomes. Stress is believed to be a relevant pathway by which migration may be associated with these risks. In this study, we tested associations of Turkish origin with stress biology and psychological stress experiences during pregnancy. Methods 140 pregnant women (33 of Turkish/26 of other origin) participated in a prospective cohort study that was carried out in Bielefeld and Berlin (Spallek et al., 2020). Inflammatory markers CRP and IL-6 from venous blood samples and diurnal cortisol profiles from salivary cortisol samples were derived and participants completed the Perceived Stress Scale (PSS) and Center for Epidemiologic Studies Depression Scale (CESD) at two study visits during pregnancy (T1: 20-25 weeks of gestation, T2: 30-35 weeks of gestation). Multilevel models were conducted to account for the nested data structure due to repeated measurements. Results Compared to non-migrant women, women of Turkish origin had significantly higher inflammatory levels (b = 0.28, SE = 0.14, p=.052) (Spallek et al., 2021), a blunted cortisol awakening response (b=-0.21, CI=-0.38-0.03, p<.05), a flatter diurnal cortisol slope (b = 0.02, CI = 0.00-0.04, p<.05), and higher PSS (b = 0.46, SE = 0.13, p< .001) and CESD scores (b = 0.29, SE = 0.08, p<.001) during pregnancy after adjusting for socioeconomic factors. Conclusions The results of our study suggest higher stress at the biological and psychological level in pregnant women of Turkish origin. Stress is a risk factor for pregnancy complications and poor birth and child developmental outcomes. To reduce such unequally distributed risks, interventions for stress reduction are needed that are tailored to women of Turkish origin.}, language = {en} } @misc{EntringerScholaskeKurtetal., author = {Entringer, Sonja and Scholaske, Laura and Kurt, Medlin and Duman, Elif Aysimi and Adam, Emma K. and Razum, Oliver and Spallek, Jacob}, title = {Diurnal cortisol variation during pregnancy in Turkish origin and non-migrant women in a German birth cohort study}, series = {Journal of Psychosomatic Research}, volume = {162}, journal = {Journal of Psychosomatic Research}, issn = {0022-3999}, doi = {10.1016/j.jpsychores.2022.111020}, pages = {1 -- 10}, abstract = {Background Immigrants from Turkey experience health disadvantages relative to non-immigrant populations in Germany that are manifest from the earliest stages of the lifespan onwards and are perpetuated across generations. Chronic stress and perturbations of stress-responsive physiological systems, including the hypothalamus-pituitary-adrenal (HPA)-axis, are believed to in part mediate this relationship. Cortisol plays an important role in the association between maternal stress during pregnancy and many pregnancy-, birth- and offspring-related outcomes. We therefore examined whether maternal migrant background is associated with diurnal cortisol variation during pregnancy. Methods 109 pregnant women (incl. n = 32 Turkish origin women) that participated in a multi-site prospective cohort study in Germany collected saliva samples across the day on two consecutive days around 24 and 32 weeks gestation. Hierarchical linear models were applied to quantify associations between migrant background and diurnal cortisol variation across pregnancy. Results Women of Turkish origin exhibited a significantly lower cortisol awakening response (CAR) and a flatter diurnal cortisol slope (DCS) compared to non-migrant women after adjusting for household income. These relationships between migrant status and diurnal cortisol variation were mainly driven by 2nd generation migrants. Discussion A potential HPA axis dysregulation of Turkish-origin pregnant women may contribute to the intergenerational transmission of health disadvantages in this group.}, language = {en} } @misc{RazumKarraschSpallek, author = {Razum, Oliver and Karrasch, Laura and Spallek, Jacob}, title = {Migration : Eine vernachl{\"a}ssigte Dimension gesundheitlicher Ungleichheit?}, series = {Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz}, volume = {59}, journal = {Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz}, number = {2}, issn = {1436-9990}, doi = {10.1007/s00103-015-2286-3}, pages = {259 -- 265}, language = {de} } @misc{BrzoskaVoigtlaenderSpalleketal., author = {Brzoska, Patrick and Voigtl{\"a}nder, Sven and Spallek, Jacob and Razum, Oliver}, title = {Die Nutzung von Routinedaten in der rehabilitationswissenschaftlichen Versorgungsforschung bei Menschen mit Migrationshintergrund: M{\"o}glichkeiten und Grenzen}, series = {Gesundheitswesen}, volume = {74}, journal = {Gesundheitswesen}, number = {6}, issn = {1439-442}, doi = {10.1055/s-0031-1280759}, pages = {371 -- 378}, language = {de} } @misc{ZeebSpallekRazum, author = {Zeeb, Hajo and Spallek, Jacob and Razum, Oliver}, title = {Epidemiologische Perspektiven der Migrationsforschung am Beispiel von Krebserkrankungen}, series = {Psychotherapie, Psychosomatik, Medizinische Psychologie}, volume = {58}, journal = {Psychotherapie, Psychosomatik, Medizinische Psychologie}, number = {3}, issn = {1439-1058}, doi = {10.1055/s-2008-1067347}, pages = {130 -- 135}, language = {de} } @misc{SpallekRazum, author = {Spallek, Jacob and Razum, Oliver}, title = {Gesundheit von Migranten: Defizite im Bereich der Pr{\"a}vention}, series = {Medzinische Klinik}, volume = {102}, journal = {Medzinische Klinik}, number = {6}, issn = {2193-6218}, doi = {10.1007/s00063-007-1058-8}, pages = {451 -- 456}, language = {de} } @misc{ReissSpallekRazum, author = {Reiss, Katharina and Spallek, Jacob and Razum, Oliver}, title = {Die Entwicklung des Rauchverhaltens im Kontext der Migration nach Deutschland}, series = {Public Health Forum}, volume = {23}, journal = {Public Health Forum}, number = {2}, issn = {1876-4851}, doi = {10.1515/pubhef-2015-0031}, pages = {85 -- 87}, language = {de} } @misc{SpallekRazum, author = {Spallek, Jacob and Razum, Oliver}, title = {Migration und Geschlecht}, series = {Public Heatlth Forum}, volume = {23}, journal = {Public Heatlth Forum}, number = {2}, issn = {1876-4851}, doi = {10.1515/pubhef-2015-0027}, pages = {73 -- 75}, language = {de} } @misc{RazumSpallek, author = {Razum, Oliver and Spallek, Jacob}, title = {Migration und Gesundheit}, series = {Public Health Forum}, volume = {23}, journal = {Public Health Forum}, number = {2}, issn = {1876-4851}, doi = {10.1515/pubhef-2015-0021}, pages = {54 -- 57}, language = {de} } @misc{SpallekRazum, author = {Spallek, Jacob and Razum, Oliver}, title = {Gesundheitschancen. Fr{\"u}hzeitige Weichenstellung. [BaBi-Studie]}, series = {Deutsches {\"A}rzteblatt}, volume = {109}, journal = {Deutsches {\"A}rzteblatt}, number = {46}, language = {de} }