@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} } @misc{SpallekReeskeNorredametal., author = {Spallek, Jacob and Reeske, Anna and Norredam, Marie and Smith Nielsen, Signe and Lehnardt, Jessica and Razum, Oliver}, title = {Suicide among immigrants in Europe — a systematic literature review}, series = {The European Journal of Public Health}, volume = {25}, journal = {The European Journal of Public Health}, number = {1}, issn = {1464-360X}, doi = {10.1093/eurpub/cku121}, pages = {63 -- 71}, language = {en} } @misc{BerensStahlYilmazAslanetal., author = {Berens, Eva-Maria and Stahl, Lisa and Yilmaz-Aslan, Y{\"u}ce and Sauzet, Odile and Spallek, Jacob and Razum, Oliver}, title = {Participation in breast cancer screening among women of Turkish origin in Germany - a register-based study}, series = {BMC Women's Health}, volume = {14}, journal = {BMC Women's Health}, issn = {1472-6874}, doi = {10.1186/1472-6874-14-24}, url = {http://nbn-resolving.de/urn:nbn:de:0070-pub-26613854}, language = {en} } @misc{SpallekArnoldRazumetal., author = {Spallek, Jacob and Arnold, Melina and Razum, Oliver and Juel, Knud and Rey, Gregoire and Deboosere, Patrick and Mackenbach, Johan Pieter and Kunst, Anton Eduard}, title = {Cancer mortality patterns among Turkish immigrants in four European countries and in Turkey}, series = {European Journal of Epidemiology}, volume = {27}, journal = {European Journal of Epidemiology}, number = {12}, issn = {1573-7284}, doi = {10.1007/s10654-012-9746-y}, pages = {915 -- 921}, language = {en} } @misc{SpallekLehnhardtReeskeetal., author = {Spallek, Jacob and Lehnhardt, Jessica and Reeske, Anna and Razum, Oliver and David, Matthias}, title = {Perinatal outcomes of immigrant women of Turkish, Middle Eastern and North African origin in Berlin, Germany: a comparison of two time periods}, series = {Archives of Gynecology and Obstetrics}, volume = {289}, journal = {Archives of Gynecology and Obstetrics}, number = {3}, issn = {1432-0711}, doi = {10.1007/s00404-013-2986-6}, pages = {505 -- 512}, language = {en} } @misc{ReissSauzetBreckenkampetal., author = {Reiss, Katharina and Sauzet, Odile and Breckenkamp, J{\"u}rgen and Spallek, Jacob and Razum, Oliver}, title = {How do immigrants adapt their smoking behaviour? A comparative analysis among Turkish immigrants in Germany and the Netherlands}, series = {BMC Public Health}, volume = {14}, journal = {BMC Public Health}, issn = {1471-2458}, doi = {10.1186/1471-2458-14-844}, language = {en} } @misc{ReeskeZeebRazumetal., author = {Reeske, Anna and Zeeb, Hajo and Razum, Oliver and Spallek, Jacob}, title = {Differences in the Incidence of Gestational Diabetes between Women of Turkish and German Origin: An Analysis of Health Insurance Data From a Statutory Health Insurance in Berlin, Germany (AOK), 2005-2007}, series = {Geburtshilfe und Frauenheilkunde}, volume = {72}, journal = {Geburtshilfe und Frauenheilkunde}, number = {4}, issn = {0016-5751}, doi = {10.1055/s-0031-1280428}, pages = {305 -- 310}, language = {en} } @misc{ReeskeKutschmannRazumetal., author = {Reeske, Anna and Kutschmann, Marcus and Razum, Oliver and Spallek, Jacob}, title = {Stillbirth differences according to regions of origin: an analysis of the German perinatal database, 2004-2007}, series = {BMC Pregnancy and Childbirth}, volume = {11}, journal = {BMC Pregnancy and Childbirth}, issn = {1471-2393}, doi = {10.1186/1471-2393-11-63}, pages = {63}, language = {en} } @misc{ReissSpallekRazum, author = {Reiss, Katharina and Spallek, Jacob and Razum, Oliver}, title = {'Imported risk' or 'health transition'? Smoking prevalence among ethnic German immigrants from the Former Soviet Union by duration of stay in Germany - analysis of microcensus data}, series = {International Journal for Equity in Health}, volume = {9}, journal = {International Journal for Equity in Health}, issn = {1475-9276}, doi = {10.1186/1475-9276-9-15}, pages = {15}, language = {en} } @misc{BrzoskaVoigtlaenderSpalleketal., author = {Brzoska, Patrick and Voigtl{\"a}nder, Sven and Spallek, Jacob and Razum, Oliver}, title = {Utilization and effectiveness of medical rehabilitation in foreign nationals residing in Germany}, series = {European Journal Epidemiology}, volume = {25}, journal = {European Journal Epidemiology}, number = {9}, issn = {1573-7284}, doi = {10.1007/s10654-010-9468-y}, pages = {651 -- 660}, language = {en} } @misc{SpallekArnoldHentscheletal., author = {Spallek, Jacob and Arnold, Melina and Hentschel, Stefan and Razum, Oliver}, title = {Cancer incidence rate ratios of Turkish immigrants in Hamburg, Germany. A registry based study}, series = {Cancer Epidemiology}, volume = {33}, journal = {Cancer Epidemiology}, number = {6}, issn = {1877-7821}, doi = {10.1016/j.canep.2009.10.006}, pages = {413 -- 418}, language = {en} } @misc{ReeskeSpallekRazum, author = {Reeske, Anna and Spallek, Jacob and Razum, Oliver}, title = {Changes in smoking prevalence among first- and second-generation Turkish migrants in Germany - an analysis of the 2005 Microcensus}, series = {International Journal for Equity in Health}, volume = {8}, journal = {International Journal for Equity in Health}, issn = {1475-9276}, doi = {10.1186/1475-9276-8-26}, pages = {26}, language = {en} } @misc{SpixSpallekKaatschetal., author = {Spix, Claudia and Spallek, Jacob and Kaatsch, Peter and Razum, Oliver and Zeeb, Hajo}, title = {Cancer survival among children of Turkish descent in Germany 1980-2005: a registry-based analysis}, series = {BMC Cancer}, volume = {8}, journal = {BMC Cancer}, issn = {1471-2407}, doi = {10.1186/1471-2407-8-355}, pages = {355}, language = {en} } @misc{SpallekSpixZeebetal., author = {Spallek, Jacob and Spix, Claudia and Zeeb, Hajo and Kaatsch, Peter and Razum, Oliver}, title = {Cancer patterns among children of Turkish descent in Germany: a study at the German Childhood Cancer Registry}, series = {BMC Public Health}, volume = {8}, journal = {BMC Public Health}, issn = {1471-2458}, doi = {10.1186/1471-2458-8-152}, pages = {152}, language = {en} } @incollection{SpallekZeebRazum, author = {Spallek, Jacob and Zeeb, Hajo and Razum, Oliver}, title = {Conceptual Models for the Study of Migration and Health}, series = {Migration and Health: A Research Methods Handbook}, booktitle = {Migration and Health: A Research Methods Handbook}, editor = {Schenker, Marc B. and Casta{\~n}eda, X{\´o}chitl and Rodriguez-Lainz, Alfonso}, publisher = {UC Press}, address = {Los Angeles}, isbn = {978-0-520-27794-6}, language = {en} } @incollection{ReeskeSpallekRazum, author = {Reeske, Anna and Spallek, Jacob and Razum, Oliver}, title = {Migrant and Ethnic Health Observatory (MEHO): Migrant-sensitive Cancer Registration in Europe - Results of a Survey Conducted among European Cancer Registries}, series = {Network EuroLifestyle}, booktitle = {Network EuroLifestyle}, editor = {Neumann, Grit and Kirch, Wilhelm}, publisher = {Thieme}, address = {Stuttgart [u.a.]}, isbn = {978-3-13-146461-3}, pages = {11 -- 18}, language = {en} } @incollection{SpallekRazum, author = {Spallek, Jacob and Razum, Oliver}, title = {Migrants, Social Inequalities}, series = {Encyclopedia of Public Health}, booktitle = {Encyclopedia of Public Health}, editor = {Kirch, Wilhelm}, publisher = {Springer}, address = {Berlin}, isbn = {978-1-4020-5613-0}, pages = {947 -- 949}, language = {en} } @misc{DoyleBorrmannGrosseretal., author = {Doyle, Ina-Merle and Borrmann, Brigitte and Grosser, Angelique and Razum, Oliver and Spallek, Jacob}, title = {Determinants of dietary patterns and diet quality during pregnancy: a systematic review with narrative synthesis}, series = {Public Health Nutrition}, journal = {Public Health Nutrition}, issn = {1475-2727}, doi = {10.1017/S1368980016002937}, pages = {1 -- 20}, language = {en} } @incollection{BerensSpallekRazum, author = {Berens, Eva-Maria and Spallek, Jacob and Razum, Oliver}, title = {Using the Wiki Technology for Knowledge Management in Public Health - The Example of MIGHEALTHNET}, series = {Network EuroLifestyle}, booktitle = {Network EuroLifestyle}, editor = {Neumann, Grit and Kirch, Wilhelm}, publisher = {Thieme}, address = {Stuttgart [u.a.]}, isbn = {978-3-13-146461-3}, pages = {19 -- 26}, language = {en} } @incollection{SpallekReeskeZeebetal., author = {Spallek, Jacob and Reeske, Anna and Zeeb, Hajo and Razum, Oliver}, title = {Models of migration and health}, series = {Handbook of migration and health}, booktitle = {Handbook of migration and health}, editor = {Thomas, Felicity}, publisher = {Edward Elgar}, address = {Cheltenham}, isbn = {978-1-78471-477-2}, pages = {44 -- 58}, language = {en} } @misc{SpallekZeebRazum, author = {Spallek, Jacob and Zeeb, Hajo and Razum, Oliver}, title = {What do we have to know from migrants' past exposure to understand their health status? A life course approach}, series = {Emerging Themes in Epidemiology}, volume = {8}, journal = {Emerging Themes in Epidemiology}, issn = {1742-7622}, doi = {10.1186/1742-7622-8-6}, pages = {6}, language = {en} } @misc{SpallekZeebRazum, author = {Spallek, Jacob and Zeeb, Hajo and Razum, Oliver}, title = {Prevention among Immigrants: The example of Germany}, series = {BMC Public Health}, volume = {10}, journal = {BMC Public Health}, issn = {1471-2458}, doi = {10.1186/1471-2458-10-92}, pages = {92}, language = {en} } @misc{RazumSpallek, author = {Razum, Oliver and Spallek, Jacob}, title = {Addressing health-related interventions to immigrants: migrant-specific or diversity-sensitive?}, series = {International Journal Public Health}, volume = {59}, journal = {International Journal Public Health}, number = {6}, issn = {1661-8556}, doi = {10.1007/s00038-014-0584-4}, pages = {893 -- 895}, language = {en} } @techreport{BrzoskaVoigtlaenderReutinetal., author = {Brzoska, Patrick and Voigtl{\"a}nder, Sven and Reutin, Barbara and Yilmaz-Aslan, Y{\"u}ce and Barz, Irina and Starikow, Klara and Reiss, Katharina and Dr{\"o}ge, Angela and Hinz, Julia and Exner, Anne and Striedelmeyer, Lena and Krupa, Elzbieta and Spallek, Jacob and Berg-Beckhoff, Gabriele and Schott, Thomas and Razum, Oliver}, title = {Rehabilitative Versorgung und gesundheitsbedingte Fr{\"u}hberentung von Personen mit Migrationshintergrund in Deutschland}, publisher = {Bundesministerium f{\"u}r Arbeit und Soziales}, address = {Bonn}, pages = {143}, language = {de} } @misc{GrosserHoellerHoltrichterDoyleetal., author = {Grosser, Angelique and H{\"o}ller-Holtrichter, Chantal and Doyle, Ina-Merle and Schmitz, Jutta and Hoffmann, Renata and Ergin-Akkoyun, Emine and Mauro, Antonia and Breckenkamp, J{\"u}rgen and Razum, Oliver and Spallek, Jacob}, title = {Rekrutierungsstrategien f{\"u}r Migrantinnen in einer Geburtskohorte am Beispiel der BaBi-Studie}, series = {Das Gesundheitswesen}, volume = {81}, journal = {Das Gesundheitswesen}, number = {8/9}, issn = {0941-3790}, doi = {10.1055/a-0600-2392}, pages = {621 -- 628}, abstract = {Die Rekrutierung von Studienteilnehmern aller relevanten Bev{\"o}lkerungsgruppen stellt eine der Herausforderungen in der (sozial-)epidemiologischen Forschung dar. Es existiert eine Vielzahl von Strategien, die der Rekrutierung von ethnischen Minderheiten und bestimmter Migrantengruppen dienen k{\"o}nnen. Unklar ist bisher, ob diese Strategien auch bei der Etablierung einer Geburtskohorte geeignet sind. Ziel der vorliegenden Arbeit ist die Darstellung und Evaluation von Rekrutierungsstrategien f{\"u}r Migrantinnen in einer Geburtskohorte am Beispiel der BaBi-Studie. Die Rekrutierung erfolgte von Oktober 2013 bis Oktober 2016. Als Vorbereitung wurden Fokusgruppen mit Schwangeren und M{\"u}ttern und leitfadengest{\"u}tzte Experteninterviews mit Hebammen und Gyn{\"a}kologInnen durchgef{\"u}hrt, um Studienmaterialien, Befragungsinstrumente und Sprachpr{\"a}ferenzen zu pr{\"u}fen. In der Vorstudie wurden unterschiedliche Rekrutierungswege getestet. Im Rekrutierungsverlauf fand eine kontinuierliche Evaluation statt, um erfolgreiche Rekrutierungsstrategien f{\"u}r Teilnehmerinnen mit Migrationshintergrund zu ermitteln und anzupassen. Von den eingeschlossenen 980 Teilnehmerinnen hatten 390 einen Migrationshintergrund (40\%). Es wurden aktive und passive Rekrutierungsstrategien verfolgt, in denen u. a. t{\"u}rkische {\"U}bersetzungen und multikulturelles Personal zum Einsatz kamen. F{\"u}r die passive Rekrutierung {\"u}ber gyn{\"a}kologische Praxen und Hebammen mussten die schwangeren Frauen und W{\"o}chnerinnen eine hohe Motivation f{\"u}r die Rekrutierung mitbringen. Die aktive Rekrutierung in den Geburtskliniken (Ansprache durch Study-Nurses) erh{\"o}hte den Anteil an Teilnehmerinnen mit Migrationshintergrund von 22 auf 49\% aller Teilnehmerinnen. Durch fr{\"u}hzeitige {\"U}berpr{\"u}fungen und Anpassungen der Zugangswege konnte die Teilnahmebereitschaft erh{\"o}ht werden. F{\"u}r die Rekrutierung von Frauen mit Migrationshintergrund sind gr{\"u}ndliche Vorbereitungen in Form von Befragungen (Fokusgruppen, Leitfadeninterviews) und einer Vorstudie sinnvoll. Von Beginn an sind Verfahren zur fr{\"u}hzeitigen Evaluation der unterschiedlichen Rekrutierungsstrategien und ein erh{\"o}hter Personalaufwand (z. B. f{\"u}r (R{\"u}ck-/ {\"U}bersetzungen) einzuplanen). Der Einschluss von Menschen mit Migrationshintergrund in sozialepidemiologischen Studien sollte in Deutschland zur Normalit{\"a}t werden.}, language = {de} } @misc{LoefflerGrosserMianietal., author = {L{\"o}ffler, Antje and Grosser, Angelique and Miani, Celine and Doyle, Ina-Merle and Razum, Oliver and Spallek, Jacob}, title = {Einflussfaktoren auf die Einf{\"u}hrung von Beikost bei S{\"a}uglingen - Ergebnisse der BaBi-Geburtskohorte in Deutschland}, series = {Gesundheitswesen 2019}, volume = {81}, journal = {Gesundheitswesen 2019}, number = {08/09}, publisher = {Georg Thieme Verlag KG}, address = {Stuttgart}, doi = {10.1055/s-0039-1694423}, pages = {686 -- 686}, abstract = {Hintergrund: Im ersten Lebensjahr erfolgt ein schrittweiser {\"U}bergang von Muttermilch bzw. S{\"a}uglingsmilchnahrung zur Familienkost, wobei die erste Gabe von Beikost zwischen 5. und 7. Lebensmonat erfolgen soll. Es ist wenig bekannt {\"u}ber soziodemographische bzw. klinische Einflussfaktoren auf die Beikosteinf{\"u}hrung. Methodik: Datengrundlage der vorliegenden Untersuchung waren Baseline und erstes Follow-Up der Bielefelder Geburtskohorte BaBi (2013 - 2016, n = 777). Angaben zur Stilldauer, Einf{\"u}hrung von Beikost sowie der Getr{\"a}nkegabe vor und w{\"a}hrend der Einf{\"u}hrung von Beikost wurden telefonisch erhoben, als die S{\"a}uglinge zwischen neun und 12 Monaten alt waren. Einflussfaktoren auf die Beikosteinf{\"u}hrung wurden mittels bi-und multivariater Datenanalyse untersucht. Ergebnisse: Bei Einf{\"u}hrung der Beikost waren die S{\"a}uglinge im Mittel 5,4 ± 1,2 Monate alt. 2,6\% der S{\"a}uglinge waren j{\"u}nger als vier Monate, 12,5\% der S{\"a}uglinge waren {\"a}lter als 6,5 Monate. Lineare Regressionsanalysen zeigten eine direkte Assoziation zwischen der ausschließlichen Stilldauer bzw. dem S{\"a}uglingsalter bei letzter Mutter-/S{\"a}uglingsmilchgabe und dem Beikostbeginn (b = 0,31 [95\%KI = 0,26 - 0,36; p ≤ 0,001; b = 0,12 [95\% KI 0,07 - 0,18], p ≤ 0,001). M{\"u}tterliche Determinanten wie Alter, Bildungsstatus, Migrationsstatus, Familienstand, Parit{\"a}t, pr{\"a}nataler BMI und Rauchstatus vor und w{\"a}hrend der Schwangerschaft hatten keinen Einfluss auf den Beginn der Beikostgabe. 73,6\% der befragten Frauen gaben an, schon einmal Probleme mit dem F{\"u}ttern seit Beginn der Beikosteinf{\"u}hrung gehabt zu haben. Diskussion: In der vorliegenden Analyse erfolgte der Beikostbeginn unabh{\"a}ngig von soziodemographischen und klinischen Parametern, jedoch f{\"u}hrte l{\"a}ngeres ausschließliches Stillen bzw. l{\"a}ngere Mutter-/S{\"a}uglingsmilchgabe zu einem sp{\"a}teren Beikostbeginn. Weitere Untersuchungen sind notwendig, um Art, Umfang und m{\"o}gliche Auswirkungen berichteter Probleme bei der Beikosteinf{\"u}hrung bzw. eines verz{\"o}gerten Beikostbeginns auf Mutter und Kind zu quantifizieren.}, language = {de} } @misc{MianiRazumSpallek, author = {Miani, C{\´e}line and Razum, Oliver and Spallek, Jacob}, title = {Health of the offspring of immigrants: the BaBi birth cohort study}, series = {Public Health Forum}, volume = {27}, journal = {Public Health Forum}, number = {4}, issn = {1876-4851}, doi = {10.1515/pubhef-2019-0062}, pages = {298 -- 300}, abstract = {Children with a migration background are more at risk of health-related problems than those without a migration background. The German health system still does not adequately meet the challenges of on increasingly heterogeneous population, not least due to a lack of adequate epidemiological data and models. The BaBi study contributes to gaining new insights in the development of health inequalities due to cultural diversity in Germany, with a focus on pregnancy and early childhood.}, language = {en} } @misc{SauzetZolitschkaSpalleketal., author = {Sauzet, Odile and Zolitschka, Kim Alexandra and Spallek, Jacob and Breckenkamp, J{\"u}rgen and Razum, Oliver}, title = {An ego-centred approach for the evaluation of health inequalities in urban areas}, series = {European Journal of Public Health}, volume = {29}, journal = {European Journal of Public Health}, number = {4}, issn = {1101-1262}, doi = {10.1093/eurpub/ckz186.243}, pages = {1}, abstract = {Background: Neighbourhood possesses attributes, structural, physical and social, for which pathways to health inequalities could be hypothesized. Hence, neighbourhood is a complex mixture of factors which cannot be simply defined by a delineation on a map, making common definitions of neighbourhood (e.g. administrative borders) problematic. We present a new concept for the evaluation of contextual health inequalities in an urban setting. Methods: An ego-centred approach to neighbourhood effects on health allows to establish to what degree the health outcomes of a person are on average correlated to the health outcomes of his/her neighbours. This approach does not necessitate the definition of what a neighbourhood is, or of its boundaries. Using data from the BaBi birth cohort following up 958 mother-child pairs in Bielefeld/Germany we illustrate how the method provides information about the spatial structure of a possible association between unmeasured neighbourhood factors and birthweight. Spatially correlated birthweight indicates a neighbourhood effect on maternal health. Results: A parametric model of the correlation structure gives two indicators: a distance after which health outcomes are no longer correlated (practical range), and the strength of correlation (RSV). We modelled birthweight directly and residuals after controlling for (spatially correlated) covariates. After adjusting for the mother's demographics and neighbourhood characteristics, birthweights remained spatially correlated with RSV of 11\% and a practical range of 128 m. Conclusions: Modelling the spatial correlation of a health outcome provides a measure of the degree of health correlation, thus offering new evidence on the production of health inequalities while incorporating current modelling approaches. Moreover, it measures heterogeneity in a city. This could be used as an indicator for policy makers or town planners to identify areas in need of socioeconomic investment.}, language = {en} } @misc{BreckenkampRazumSpalleketal., author = {Breckenkamp, J{\"u}rgen and Razum, Oliver and Spallek, Jacob and Berger, Klaus and Chaix, Basile and Sauzet, Odile}, title = {A method to define the relevant ego-centred spatial scale for the assessment of neighbourhood effects: the example of cardiovascular risk factors}, series = {BMC Public Health}, volume = {21}, journal = {BMC Public Health}, issn = {1471-2458}, doi = {10.1186/s12889-021-11356-w}, pages = {7}, abstract = {Introduction: The neighbourhood in which one lives affects health through complex pathways not yet fully understood. A way to move forward in assessing these pathways direction is to explore the spatial structure of health phenomena to generate hypotheses and examine whether the neighbourhood characteristics are able to explain this spatial structure. We compare the spatial structure of two cardiovascular disease risk factors in three European urban areas, thus assessing if a non-measured neighbourhood effect or spatial processes is present by either modelling the correlation structure at individual level or by estimating the intra-class correlation within administrative units. Methods: Data from three independent studies (RECORD, DHS and BaBi), covering each a European urban area, are used. The characteristics of the spatial correlation structure of cardiovascular risk factors (BMI and systolic blood pressure) adjusted for age, sex, educational attainment and income are estimated by fitting an exponential model to the semi-variogram based on the geo-coordinates of places of residence. For comparison purposes, a random effect model is also fitted to estimate the intra-class correlation within administrative units. We then discuss the benefits of modelling the correlation structure to evaluate the presence of unmeasured spatial effects on health. Results: BMI and blood pressure are consistently found to be spatially structured across the studies, the spatial correlation structures being stronger for BMI. Eight to 22\% of the variability in BMI were spatially structured with radii ranging from 100 to 240 m (range). Only a small part of the correlation of residuals was explained by adjusting for the correlation within administrative units (from 0 to 4 percentage points). Discussion: The individual spatial correlation approach provides much stronger evidence of spatial effects than the multilevel approach even for small administrative units. Spatial correlation structure offers new possibilities to assess the relevant spatial scale for health. Stronger correlation structure seen for BMI may be due to neighbourhood socioeconomic conditions and processes like social norms at work in the immediate neighbourhood.}, language = {en} } @misc{SpallekScholaskeDumanetal., author = {Spallek, Jacob and Scholaske, Laura and Duman, Elif Aysimi and Razum, Oliver and Entringer, Sonja}, title = {Association of maternal migrant background with inflammation during pregnancy - results of a birth cohort study in Germany}, series = {Brain, Behavior, and Immunity}, volume = {Vol. 96}, journal = {Brain, Behavior, and Immunity}, issn = {1090-2139}, doi = {10.1016/j.bbi.2021.06.010}, pages = {271 -- 278}, abstract = {Background Health disparities in children of immigrants are prevalent from birth and are hypothesized to - in part - emerge as a biological consequence of migration's unfavorable social and psychological sequelae. The aim of this study was to examine whether maternal migrant background is associated with inflammation during pregnancy - a key pathway by which maternal states and conditions during pregnancy may influence fetal development and subsequent pregnancy, birth, and child developmental and health outcomes. Material and Methods Data was available from 126 pregnant women who participated in a population based multi-site prospective birth cohort study in Bielefeld and Berlin, Germany. The study included two study visits in mid- and late pregnancy. At each visit, a composite maternal pro-inflammatory score was derived from circulating levels of plasma inflammatory markers (IL-6, CRP). Migrant background was defined by country of origin of participants and their parents' (Turkey or other) and generation status (1st or 2nd generation). We applied hierarchical linear models (HLM) in order to quantify the relationship between different migrant background variables and inflammation during pregnancy after adjustment for potential confounders (including socioeconomic status). Results Migrant background was significantly associated with inflammation during pregnancy. When compared to women without migrant background, levels of inflammation were increased in 1) pregnant women with migrant background in general (B = 0.35, SE = 0.12, p < .01); 2) 1st (B = 0.28, SE = 0.15, p < .10) and 2nd generation (B = 0.40, SE = 0.15, p < .01); 3) women with a Turkish migrant background (B = 0.28, SE = 0.14, p < .10) and women with another migrant background (B = 0.42, SE = 0.15, p <.01); and 4) 2nd generation Turkish origin women (B = 0.38, SE = 0.20, p <.10), 1st generation women with other migrant background (B = 0.44, SE = 0.26, p <.10), and 2nd generation women with other migrant background (B=0.43, SE = 0.17, p <.05). Discussion Our findings support a role for maternal inflammation as a pathway of intergenerational transmission of migration-related health inequalities, suggest that the effect seems to persist in 2nd generation immigrants, and highlight the need for future research and targeted interventions in this context.}, language = {en} } @misc{MianiLudwigDoyleetal., author = {Miani, C{\´e}line and Ludwig, Angelique and Doyle, Ina-Merle and Breckenkamp, J{\"u}rgen and H{\"o}ller-Holtrichter, Chantal and Spallek, Jacob and Razum, Oliver}, title = {The role of education and migration background in explaining differences in folic acid supplementation intake in pregnancy: Results from a German birth cohort study}, series = {Public Health Nutrition}, journal = {Public Health Nutrition}, issn = {1475-2727}, doi = {10.1017/S1368980021003621}, pages = {1 -- 24}, abstract = {Objective: Official German recommendations advise women to start taking folic acid supplementation (FAS) before conception and continue during the first pregnancy trimester to lower the risk of birth defects. Women from lower socioeconomic background and ethnic minorities tend to be less likely to take FAS in other European countries. As little is known about the determinants of FAS in Germany, we aimed to investigate the association between FAS and formal education and migration background, adjusting for demographic factors. Design: We used data (2013-2016) on nutrition and socioeconomic and migration background from the baseline questionnaire of the BaBi cohort study. We performed multivariate regressions and mediation analyses. Setting: Bielefeld, Germany. Participants: 947 women (pregnant or who had given birth in the past two months). Results: 16.7\% of the participants (158/947) didn't use FAS. Migration-related variables (e.g. language, length of stay) were not associated with FAS in the adjusted models. FAS was lower in women with lower level of formal education and in unplanned pregnancies. Reasons given by women for not taking FAS were unplanned pregnancy and lack of knowledge of FAS. Conclusions: Health practitioners may be inclined to see migrant women as an inherently at-risk group for failed intake of FAS. However, it is primarily women who did not plan their pregnancy, and women of lower formal education level, who are at risk. Different public health strategies to counter low supplementation rates should be supported, those addressing the social determinants of health (i.e. education) and those more focussed on family planning.}, language = {en} } @incollection{SpallekRazum, author = {Spallek, Jacob and Razum, Oliver}, title = {Migration und Gesundheit}, series = {Soziologie von Gesundheit und Krankheit}, booktitle = {Soziologie von Gesundheit und Krankheit}, editor = {Richter, Matthias and Hurrelmann, Klaus}, edition = {2. Auflage}, publisher = {Springer VS}, address = {Wiesbaden}, isbn = {978-3-658-42102-1}, doi = {10.1007/978-3-658-42103-8_11}, pages = {187 -- 202}, language = {de} } @misc{ScholaskeSpallekDumanetal., author = {Scholaske, Laura and Spallek, Jacob and Duman, Elif Aysimi and Adam, Emma K. and Razum, Oliver and Entringer, Sonja}, title = {Increased Levels of Psychological Stress and Alterations in Stress Biology during Pregnancy among Women of Turkish-Origin in Germany}, series = {Psychoneuroendocrinology}, volume = {153}, journal = {Psychoneuroendocrinology}, publisher = {ScienceDirect}, issn = {0306-4530}, doi = {10.1016/j.psyneuen.2023.106269}, pages = {1}, abstract = {Background People of Turkish origin constitute one of the biggest migrant groups in Germany. They have an increased risk to develop stress-related health disadvantages, and this risk is also prevalent in the offspring generation from early ages on. We have conducted a multi-site prospective cohort study to examine the role of stress and stress biology in this intergenerational perpetuation of health disparities. Methods 140 pregnant women (33 of Turkish origin) participated in a prospective cohort study with two study visits during pregnancy and one after birth (T1: 20-25 weeks of gestation, T2: 30-35 weeks of gestation, T3: four weeks after birth). At T1 and T2, women completed the Perceived Stress Scale and Center for Epidemiologic Studies Depression Scale and collected saliva samples after awakening, 30 minutes after awakening, and in the evening, and venous blood samples were collected for analysis of CRP and IL-6 concentrations. Results Multilevel models showed that Turkish-origin women exhibited higher levels of perceived stress and depressive symptoms, had increased inflammatory levels (Spallek et al., 2021), a blunted cortisol awakening response and flatter diurnal cortisol slope during pregnancy compared to non-migrant women after adjustment for socioeconomic factors.Some of the effects were mainly driven by 2nd generation migrants. Conclusions Increased levels of psychosocial stress and stress-related biological alterations among Turkish-origin pregnant women may contribute to the intergenerational transmission of health disadvantages in this group.}, language = {de} } @misc{SpallekZeebRazum, author = {Spallek, Jacob and Zeeb, Hajo and Razum, Oliver}, title = {Lebenslauforientierte Epidemiologie in der Migrationsforschung}, series = {Bundesgesundheitsblatt}, volume = {66}, journal = {Bundesgesundheitsblatt}, number = {10}, issn = {1437-1588}, doi = {10.1007/s00103-023-03761-w}, pages = {1092 -- 1098}, abstract = {Es gibt viele Gr{\"u}nde f{\"u}r Migration, von freier Entscheidung bis zu erzwungener Flucht. Entsprechend vielf{\"a}ltig sind auch die Vorgeschichten und Lebensumst{\"a}nde der migrierenden Menschen. Die damit einhergehenden unterschiedlichen Expositionen beeinflussen die Gesundheit der Migrant*innen und ihrer Kinder. Um ein solch komplexes Ph{\"a}nomen zu erfassen, ist ein Ansatz erforderlich, der die besonderen Umst{\"a}nde im Lebenslauf der Migrant*innen einbezieht. Ein etablierter methodischer Ansatz, der dies leisten kann, ist die Lebenslaufepidemiologie. Bei der Anwendung dieses Konzepts auf migrierende Bev{\"o}lkerungen werden Expositionen vor, w{\"a}hrend und nach der Migration untersucht. In der epidemiologischen Forschung zur Gesundheit von eingewanderten Menschen ist es w{\"u}nschenswert, alle diese 3 Phasen zu ber{\"u}cksichtigen. Eine Herausforderung hierbei ist, dass verl{\"a}ssliche Daten {\"u}ber den gesamten Lebenslauf nicht immer verf{\"u}gbar sind. Eine valide, zeitnahe Erhebung und datenschutzgerechte Verkn{\"u}pfung longitudinaler Daten aus verschiedenen Quellen k{\"o}nnen die lebenslaufbezogene Forschung zur Gesundheit von Migrant*innen in Deutschland verbessern. Perspektivisch sollten entsprechende Daten auch aus den Herkunftsl{\"a}ndern von Migrant*innen einbezogen werden.}, language = {de} } @incollection{NowakTallarekHoffmannetal., author = {Nowak, Anna Christina and Tallarek, Marie and Hoffmann, Stephanie and H{\"o}vener, Claudia and Razum, Oliver and Spallek, Jacob}, title = {Nachhaltigkeit in der Gesundheit(sversorgung) von zugewanderten Menschen}, series = {Gesundheit und Nachhaltigkeit}, booktitle = {Gesundheit und Nachhaltigkeit}, editor = {Hartung, Susanne and Wihofszky, Petra}, publisher = {Springer}, address = {Berlin, Heidelberg}, isbn = {978-3-662-64954-1}, doi = {10.1007/978-3-662-64954-1_22-1}, pages = {11}, abstract = {In diesem Beitrag wird facettenartig eine Br{\"u}cke zwischen Zuwanderung und Gesundheit(-sversorgung) unter besonderer Ber{\"u}cksichtigung der globalen Ziele zur nachhaltigen Entwicklung geschlagen. Um Migrationserfahrungen als (potenziellen) Einflussfaktor auf gesundheitliche Chancengleichheit zu verstehen, wird die politisch-rechtliche Situation von Menschen mit Einwanderungsgeschichte im Zugang zur Gesundheitsversorgung und zu Pr{\"a}ventions- und Gesundheitsf{\"o}rderungsmaßnahmen beschrieben. Dabei zeigt sich, dass sich die gesundheitliche Versorgungssituation durch soziale, politische, institutionelle und strukturelle Ungleichheiten und Benachteiligungen auszeichnet, die weder in den globalen Zielen zur nachhaltigen Entwicklung noch in der deutschen Nachhaltigkeitsstrategie angemessene Ber{\"u}cksichtigung finden.}, language = {de} } @misc{LudwigDoyleLoeffleretal., author = {Ludwig, Angelique and Doyle, Ina-Merle and L{\"o}ffler, Antje and Breckenkamp, J{\"u}rgen and Spallek, Jacob and Razum, Oliver and Miani, Celine}, title = {The impact of psychosocial factors on breastfeeding duration in the BaBi-Study. Analysis of a birth cohort study in Germany}, series = {Midwifery}, volume = {86}, journal = {Midwifery}, issn = {1532-3099}, doi = {10.1016/j.midw.2020.102688}, abstract = {Breastfeeding is beneficial for both mother and child. A breastfed child can benefit from improved mental developments, protection against infectious diseases and infectious disease mortality, and a decreased risk of overweight and obesity (Whalen and Cramton 2010)(Regional Office for Europe (World Health Organisation) 2019). Furthermore, there is evidence on protection against type 1 and 2 diabetes, allergic rhinitis, asthma or wheezing, atopic dermatitis, childhood leukemia, hypercholesterolemia later in life, sudden infant death syndrome (Whalen and Cramton 2010) and malocclusion (Victora et al. 2016). Breastfeeding women have a lower risk of breast and ovarian cancer, postpartum depression, and type 2 diabetes. They can, furthermore, benefit from prolonged lactational amenorrhea (Victora et al. 2016), improved postpartum sleep (Whalen and Cramton 2010) and postpartum weight loss (Kramer and Kakuma 2012).}, language = {en} } @incollection{RazumButlerSpallek, author = {Razum, Oliver and Butler, Jeffrey and Spallek, Jacob}, title = {Gesundheitliche Chancen und Risiken von MigrantInnen: Handlungsm{\"o}glichkeiten einer kommunalen Gesundheitspolitik}, series = {Handbuch Lokale Integrationspolitik}, booktitle = {Handbuch Lokale Integrationspolitik}, editor = {Gesemann, Frank and Roth, Roland}, publisher = {Springer Fachmedien}, address = {Wiesbaden}, isbn = {978-3-658-13409-9}, doi = {10.1007/978-3-658-13409-9_25}, pages = {565 -- 584}, language = {de} } @incollection{SpallekRazum, author = {Spallek, Jacob and Razum, Oliver}, title = {Epidemiologische Erkl{\"a}rungsmodelle f{\"u}r den Zusammenhang zwischen Migration und Gesundheit}, series = {Handbuch Migration und Gesundheit : Grundlagen, Perspektiven und Strategien}, booktitle = {Handbuch Migration und Gesundheit : Grundlagen, Perspektiven und Strategien}, editor = {Spallek, Jacob and Zeeb, Hajo}, edition = {1}, publisher = {Hogrefe AG}, address = {Bern}, isbn = {978-3-456-85995-8}, doi = {10.1024/85995-000}, pages = {81 -- 90}, abstract = {Migration beeinflusst die Gesundheit. Ob sich Migration gesundheitlich positiv oder negativ auswirkt, h{\"a}ngt von einer Vielzahl von Faktoren ab, die in verschiedenen Erkl{\"a}rungsmodellen in einen Zusammenhang gebracht werden. Wichtig bei der Beschreibung des Zusammenhangs sind eine zeitliche Komponente und die Einbeziehung der individuellen Lebensl{\"a}ufe der Migrant*innen mit ihren Lebensabschnitten vor, w{\"a}hrend und nach der Migration.}, language = {de} } @techreport{BozorgmehrHintermeierRazumetal., author = {Bozorgmehr, Kayvan and Hintermeier, Maren and Razum, Oliver and Mohsenpour, Amir and Biddle, Louise and Oertelt-Prigione, Sabine and Spallek, Jacob and Tallarek, Marie and Jahn, Rosa}, title = {SARS-CoV-2 in Aufnahmeeinrichtungen und Gemeinschaftsunterk{\"u}nften f{\"u}r Gefl{\"u}chtete: Epidemiologische und normativ-rechtliche Aspekte}, doi = {10.4119/UNIBI/2943665}, pages = {37}, abstract = {Ziel des Factsheets ist es, das „Ausbreitungspotential" (als kumulatives Inzidenzrisiko) von SARSCoV- 2 in Aufnahmeeinrichtungen und Gemeinschaftsunterk{\"u}nften bei Auftreten eines Falls zu ermitteln, Zusammenh{\"a}nge mit Einrichtungstyp und Strategie des Ausbruchsmanagements zu explorieren und normativ-rechtliche Aspekte zu diskutieren. Zusammengefasst kann gesagt werden: - Das Risiko, mit dem weitere Bewohner*innen nach einem ersten nachgewiesenen Fall von SARS-CoV-2 (mittels PCR) positiv getestet werden ist in Aufnahmeeinrichtungen und Gemeinschaftsunterk{\"u}nften mit durchschnittlich 17\% als hoch einzusch{\"a}tzen, wobei es eine große Varianz zwischen den Einrichtungen gibt. - Eine Kollektivquarant{\"a}ne hat bezogen auf das Infektionsrisiko der unter Quarant{\"a}ne gestellten Bewohner*innen gegen{\"u}ber anderen Strategien keinen messbaren Vorteil. Ist innerhalb der Quarant{\"a}ne eine physische Distanzierung nur bedingt m{\"o}glich, ist von einer Erh{\"o}hung des Infektionsrisikos f{\"u}r die nicht-infizierten Bewohner*innen auszugehen. Studien zur Quarant{\"a}ne unter den vergleichsweisen g{\"u}nstigen Bedingungen von Kreuzfahrtschiffen best{\"a}tigen dies. Es gibt keine Daten dar{\"u}ber, ob die Kollektivquarant{\"a}ne einen gesundheitlichen Nutzen f{\"u}r die Bev{\"o}lkerung außerhalb der Einrichtung bedeutet. Da sie allerdings erhebliche normativ-rechtliche Probleme birgt, ist die Kollektivquarant{\"a}ne nach aktuellem Kenntnisstand zu vermeiden. - Die Unterbringung von Gefl{\"u}chteten sollte grunds{\"a}tzlich coronaschutzkonform erfolgen, d.h. m{\"o}glichst dezentral bzw. bei zentralen Einrichtungen m{\"o}glichst in Einzelunterbringung in kleinen Wohneinheiten, damit bei Auftreten eines Falls eine rasche Ausbreitung vermieden wird und eine ad{\"a}quate Kontaktnachverfolgung m{\"o}glich ist. - Nationale Empfehlungen zum Umgang mit SARS-CoV-2 in Aufnahmeeinrichtungen und Gemeinschaftsunterk{\"u}nften unter Ber{\"u}cksichtigung der bisher vor Ort entwickelten Pr{\"a}ventions- und L{\"o}sungsans{\"a}tze sowie epidemiologischer und normativ-rechtlicher {\"U}berlegungen sind dringend notwendig, um die beteiligten Akteur*innen in ihrem Engagement f{\"u}r die Gesundheit der Bewohner*innen zu unterst{\"u}tzen. Dieses Papier richtet sich an: Politikverantwortliche sowie Akteur*innen der Fl{\"u}chtlingsversorgung und der Wissenschaft.}, language = {de} } @misc{WandschneiderSauzetBreckenkampetal., author = {Wandschneider, Lisa and Sauzet, Odile and Breckenkamp, J{\"u}rgen and Spallek, Jacob and Razum, Oliver}, title = {Kleinr{\"a}umige Merkmale und ihr Einfluss auf ein niedriges Geburtsgewicht - eine theoriegeleitete Analyse}, series = {14. Jahrestagung der DGEpi, 11-13. September, Ulm}, journal = {14. Jahrestagung der DGEpi, 11-13. September, Ulm}, pages = {113 -- 113}, abstract = {Hintergrund: Der Wohnort kann eine Dimension sozialer Ungleichheiten darstellen, und es gibt Hinweise daf{\"u}r, dass sich dieser bereits auf die perinatale Entwicklung auswirken k{\"o}nnte. Die zugrunde liegenden Wirkmechanismen sind nach wie vor unbekannt; theorie-basierte und hypothesengeleitete Analysen fehlen. Um diesen Herausforderungen zu begegnen, untersucht diese Studie, inwieweit kleinr{\"a}umige Merkmale zu einem niedrigen Geburtsgewicht beitragen, unabh{\"a}ngig von individuellen Merkmalen. Auf der Grundlage eines konzeptionellen Modells1 wurden kleinr{\"a}umige Merkmale ausgew{\"a}hlt, erhoben und deren Auswirkungen auf niedriges Geburtsgewicht analysiert. Methoden: Die Individualdaten stammen aus der Geburtskohortenstudie „Gesundheit von Babys und Kindern in Bielefeld". Die Stichprobe besteht aus 958 Frauen und ihren S{\"a}uglingen, verteilt auf 80 statistische Bezirke in Bielefeld. Kleinr{\"a}umige Daten wurden anhand von lokalen L{\"a}rmkarten, dem Emissionskataster, Google Street View und dem Melderegister erhoben. Zur Quantifizierung des Einflusses kleinr{\"a}umiger Merkmale wurde eine lineare Mehrebenenanalyse mit einer Zwei-Ebenen-Struktur (Individuen, die in statistische Bezirke eingebettet sind) durchgef{\"u}hrt. Ergebnisse: Insgesamt sind die Auswirkungen der ausgew{\"a}hlten kleinr{\"a}umigen Merkmale gering bis nicht existent, es zeigen sich keine signifikanten Effekten f{\"u}r niedriges Geburtsgewicht. Tendenziell weisen Neugeborene aus {\"a}sthetisch weniger ansprechenden und subjektiv unsicher wahrgenommenen Stadtteilen einen h{\"o}heren Anteil an niedrigem Geburtsgewicht auf. Schlussfolgerungen: Die Analyse liefert keine eindeutigen Hinweise auf negative Auswirkungen kleinr{\"a}umiger Faktoren auf ein niedriges Geburtsgewicht. Auf methodischer Seite best{\"a}tigt die Studie, dass ein angemessener Stichprobenumfang, eine zuverl{\"a}ssige Expositionsabsch{\"a}tzung und die Operationalisierung des kleinr{\"a}umigen Kontextes mit Blick auf die verf{\"u}gbaren Daten die zentralen Herausforderungen des Forschungsfeldes darstellen.}, language = {de} } @misc{BerensRiedelRederetal., author = {Berens, Eva-Maria and Riedel, J{\"o}rg and Reder, Maren and Razum, Oliver and Kolip, Petra and Spallek, Jacob}, title = {Postalische Befragung von Frauen mit t{\"u}rkischem Migrationshintergrund - Identifizierung, Stichprobenbereinigung und Response im Rahmen der InEMa-Studie}, series = {Das Gesundheitswesen}, volume = {79}, journal = {Das Gesundheitswesen}, number = {12}, issn = {0941-3790}, doi = {10.1055/s-0035-1564076}, pages = {1000 -- 1003}, language = {de} } @misc{WandschneiderBatramZantvoortAlazeetal., author = {Wandschneider, Lisa and Batram-Zantvoort, Stephanie and Alaze, Anita and Niehues, Vera and Spallek, Jacob and Razum, Oliver and Miani, C{\´e}line}, title = {Self-reported mental well-being of mothers with young children during the first wave of the COVID-19 pandemic in Germany: A mixed-methods study}, series = {Women's Health}, volume = {18}, journal = {Women's Health}, issn = {1617-8041}, doi = {10.1177/17455057221114274}, pages = {1 -- 17}, abstract = {Objectives: Mothers of young children have been identified as a particularly vulnerable group during the COVID-19 pandemic. We aimed to explore how occupational, psychosocial and partnership-related factors were associated with their self-reported mental well-being during the first COVID-19 wave. Methods: Five hundred fifty participants of the BaBi cohort study (est. 2013, Bielefeld, North-Rhine Westphalia, Germany) were invited to complete an online survey and to take part in email interviews (April-May 2020). With survey data, we assessed self-reported mental well-being through validated instruments (eight-item Patient Health Questionnaire; short version of the Symptom Checklist) and ran linear regression models for occupational, psychosocial and partnership-related factors. We performed content analysis on the interviews' data to further understand the determinants of the women's mental well-being. Results: One hundred twenty-four women participated in the survey; of which 17 also participated in the interviews. A perceived lack of support in childcare was associated with higher levels of depressive symptoms, while having a higher internal locus of control was associated with lower levels. Psychological distress was higher in those reporting lack of emotional or childcare support. Interviews confirmed the interplay of potential stressors and highlighted the difficulties to reconcile different expectations of motherhood. Discussion: Occupational, psychosocial and partner-related factors can act (to varying degree) both as resources and stressors to the self-reported mental well-being of mothers of young children. These impacts took different forms and created opportunities or challenges, depending on specific life circumstances, such as work or family situations, relationships and own psychosocial resources. Although not representative, our study contributes to building the COVID-19 evidence base, delineating the mental health toll of the pandemic on mothers of young children and the factors that contribute to it.}, language = {en} } @misc{SpallekKaatschSpixetal., author = {Spallek, Jacob and Kaatsch, Peter and Spix, Claudia and Ulusoy, Nazan and Zeeb, Hajo and Razum, Oliver}, title = {Namensbasierte Identifizierung von F{\"a}llen mit t{\"u}rkischer Herkunft im Kinderkrebsregister Mainz}, series = {Gesundheitswesen}, volume = {68}, journal = {Gesundheitswesen}, number = {10}, issn = {1439-4421}, doi = {10.1055/s-2006-927166}, pages = {643 -- 649}, language = {de} } @incollection{OkkenSpallekRazum, author = {Okken, Petra-Karin and Spallek, Jacob and Razum, Oliver}, title = {Pflege t{\"u}rkischer Migranten}, series = {Soziale Ungleichheit und Pflege}, booktitle = {Soziale Ungleichheit und Pflege}, editor = {Bauer, Ullrich and B{\"u}chel, Andreas}, publisher = {VS Verlag f{\"u}r Sozialwissenschaften}, address = {Wiesbaden}, isbn = {978-3-531-15621-7}, pages = {396 -- 422}, abstract = {Obwohl die Bev{\"o}lkerungsgruppe mit t{\"u}rkischem Migrationshintergrund in Deutschland zur Zeit noch ein vergleichsweise niedriges Durchschnittsalter aufweist, w{\"a}chst der Anteil {\"a}lterer Menschen unter den t{\"u}rkischen Migrantinnen und Migranten. Vor diesem Hintergrund gewinnen Fragen zur Pflegeversorgung dieser Bev{\"o}lkerungsgruppe stark an Bedeutung, {\"u}ber die bisher in Deutschland kaum wissenschaftlich abgesicherte Erkenntnisse existieren. Das folgende Kapitel beschreibt die besondere Situation von Menschen mit t{\"u}rkischem Migrationshintergrund, die in Deutschland leben, und gibt so erste Einblicke in dieses noch junge aber wichtige Forschungsfeld und stellt einen Einstieg in die weitere Forschung zu diesem Thema dar.}, language = {de} } @incollection{SpallekRazum, author = {Spallek, Jacob and Razum, Oliver}, title = {Migration und Gesundheit aus Geschlechterperspektive}, series = {Handbuch Geschlecht und Gesundheit}, booktitle = {Handbuch Geschlecht und Gesundheit}, editor = {Kolip, Petra and Hurrelmann, Klaus}, publisher = {Hogrefe}, address = {Bern}, isbn = {978-3-456-85466-3}, pages = {125 -- 133}, language = {de} } @incollection{VoigtlaenderBrzoskaSpalleketal., author = {Voigtl{\"a}nder, Sven and Brzoska, Patrick and Spallek, Jacob and Exner, Anne-Kathrin and Razum, Oliver}, title = {Die Inanspruchnahme medizinischer Rehabilitation bei Menschen mit Migrationshintergrund}, series = {Migration und medizinische Rehabilitation}, booktitle = {Migration und medizinische Rehabilitation}, editor = {Schott, Thomas and Razum, Oliver}, publisher = {Beltz Juventa}, address = {Weinheim ; Basel}, isbn = {978-3-7799-1987-2}, pages = {92 -- 104}, language = {de} } @incollection{BrzoskaVoigtlaenderSpalleketal., author = {Brzoska, Patrick and Voigtl{\"a}nder, Sven and Spallek, Jacob and Razum, Oliver}, title = {Reha-Erfolg bei Migrant(inn)en: Herkunftsl{\"a}nder im Vergleich}, series = {Migration und medizinische Rehabilitation}, booktitle = {Migration und medizinische Rehabilitation}, editor = {Schott, Thomas and Razum, Oliver}, publisher = {Beltz Juventa}, address = {Weinheim ; Basel}, isbn = {978-3-7799-1987-2}, pages = {105 -- 110}, language = {de} } @incollection{BrzoskaVoigtlaenderSpalleketal., author = {Brzoska, Patrick and Voigtl{\"a}nder, Sven and Spallek, Jacob and Razum, Oliver}, title = {Arbeitsunf{\"a}lle, Berufskrankheiten und Erwerbsminderung bei Menschen mit Migrationshintergrund}, series = {Migration und medizinische Rehabilitation}, booktitle = {Migration und medizinische Rehabilitation}, editor = {Schott, Thomas and Razum, Oliver}, publisher = {Beltz Juventa}, address = {Weinheim ; Basel}, isbn = {978-3-7799-1987-2}, pages = {49 -- 61}, language = {de} } @incollection{SpallekRazum, author = {Spallek, Jacob and Razum, Oliver}, title = {Migration und Gesundheit}, series = {Soziologie von Gesundheit und Krankheit}, booktitle = {Soziologie von Gesundheit und Krankheit}, editor = {Richter, Matthias and Hurrelmann, Klaus}, publisher = {Springer VS}, address = {Wiesbaden}, isbn = {978-3-658-11009-3}, doi = {10.1007/978-3-658-11010-9}, url = {http://nbn-resolving.de/urn:nbn:de:1111-20160205276}, pages = {153 -- 166}, abstract = {Deutschland ist ein Zuwanderungsland. Hier lebende Menschen mit Migrationshintergrund sollten den gleichen Zugang zu gesundheitsbezogenen Leistungen haben wie die gesamte Bev{\"o}lkerung. Es bestehen jedoch noch Zugangshindernisse sowie Unterschiede im Nutzungsverhalten und bei den gesundheitlichen Ergebnissen. Diversity Management wird als eine Strategie diskutiert, um unterschiedliche Bedarfe und Bed{\"u}rfnisse zu ber{\"u}cksichtigen und gesundheitliche Chancengleichheit zu erreichen.}, language = {de} } @incollection{BrauseBrzoskaRazumetal., author = {Brause, Michaela and Brzoska, Patrick and Razum, Oliver and Reutin, Barbara and Schott, Thomas and Spallek, Jacob and Voigtl{\"a}nder, Sven and Yilmaz-Aslan, Y{\"u}ce}, title = {Abschließende Handlungsempfehlungen und Schlussfolgerungen f{\"u}r die Praxis}, series = {Migration und medizinische Rehabilitation}, booktitle = {Migration und medizinische Rehabilitation}, editor = {Schott, Thomas and Razum, Oliver}, publisher = {Beltz Juventa}, address = {Weinheim ; Basel}, isbn = {978-3-7799-1987-2}, pages = {211 -- 216}, language = {de} } @incollection{SpallekYilmazAslanSpalleketal., author = {Spallek, Jacob and Yilmaz-Aslan, Y{\"u}ce and Spallek, Lena and G{\"o}k, Yesim and Razum, Oliver}, title = {Interkulturelle Aspekte und Migration}, series = {Handbuch Psychoonkologie}, booktitle = {Handbuch Psychoonkologie}, editor = {Mehnert, Anja and Koch, Uwe}, publisher = {Hogrefe}, address = {G{\"o}ttingen}, isbn = {978-3-8017-2474-0}, pages = {444 -- 453}, language = {de} } @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} } @incollection{BrzoskaVoigtlaenderSpalleketal., author = {Brzoska, Patrick and Voigtl{\"a}nder, Sven and Spallek, Jacob and Razum, Oliver}, title = {Potenziale und Limitationen der Reha-Statistik-Datenbasis f{\"u}r die rehabilitationswissenschaftliche Migrationsforschung}, series = {Gesundheit, Migration und Einkommensgleichheit}, booktitle = {Gesundheit, Migration und Einkommensgleichheit}, publisher = {DRV Schriftenband}, address = {Berlin}, isbn = {978-3-00-033860-1}, pages = {121 -- 130}, language = {de} } @incollection{BrzoskaSpallekVoigtlaenderetal., author = {Brzoska, Patrick and Spallek, Jacob and Voigtl{\"a}nder, Sven and Razum, Oliver}, title = {Sozio{\"o}konomischer Status, Gesundheit und Gesundheitsversorgung von Menschen mit Migrationshintergrund in Deutschland}, series = {Migration \& Integration, Band 3}, booktitle = {Migration \& Integration, Band 3}, editor = {Biffl, Gudrun and R{\"o}ssl, Lydia}, publisher = {Omninum}, address = {Bad V{\"o}slau}, isbn = {978-3-99031-011-3}, pages = {85 -- 94}, language = {de} } @misc{RazumSpallek, author = {Razum, Oliver and Spallek, Jacob}, title = {Wie gesund sind Migranten? Erkenntnisse und Zusammenh{\"a}nge am Beispiel der Zuwanderer in Deutschland}, series = {Focus Migration : Kurzdossier}, journal = {Focus Migration : Kurzdossier}, number = {12}, isbn = {1864-5704}, pages = {1 -- 9}, language = {de} } @incollection{SpallekRazum, author = {Spallek, Jacob and Razum, Oliver}, title = {Das deutsche Konzept „Staatsangeh{\"o}rigkeit"}, series = {Migrationssensible Studiendesigns zur Repr{\"a}sentation des Migrationsstatus in der Gesundheitsforschung}, booktitle = {Migrationssensible Studiendesigns zur Repr{\"a}sentation des Migrationsstatus in der Gesundheitsforschung}, publisher = {Robert Koch Institut}, address = {Berlin}, isbn = {978-3-89606-098-3}, pages = {23 -- 29}, language = {de} } @book{BrzoskaVoigtlaenderReutinetal., author = {Brzoska, Patrick and Voigtl{\"a}nder, Sven and Reutin, Barbara and Yilmaz-Aslan, Y{\"u}ce and Barz, Irina and Starikow, Klara and Reiss, Katharina and Dr{\"o}ge, Angela and Hinz, Julia and Exner, Anne and Striedelmeyer, Lena and Krupa, Elzbieta and Spallek, Jacob and Berg-Beckhoff, Gabriele and Schott, Thomas and Razum, Oliver}, title = {Rehabilitative Versorgung und gesundheitsbedingte Fr{\"u}hberentung von Personen mit Migrationshintergrund in Deutschland : Abschlussbericht}, publisher = {Bundesministerium f{\"u}r Arbeit und Soziales}, address = {Bonn}, language = {de} } @misc{MakarovaReissZeebetal., author = {Makarova, Nataliya and Reiss, Katharina and Zeeb, Hajo and Razum, Oliver and Spallek, Jacob}, title = {Verbesserte M{\"o}glichkeiten zur Identifikation von Menschen mit Migrationshintergrund f{\"u}r die Mortalit{\"a}tsforschung am Beispiel Bremens}, series = {Gesundheitswesen}, volume = {75}, journal = {Gesundheitswesen}, number = {6}, issn = {1439-4421}, doi = {10.1055/s-0032-1321767}, pages = {360 -- 365}, language = {de} } @misc{SpallekReeskeGrosseretal., author = {Spallek, Jacob and Reeske, Anna and Grosser, Angelique and Schwabe, Wolfgang and Rieger, Michael and Krahn, U. and Razum, Oliver}, title = {Pflegebed{\"u}rftigkeit bei t{\"u}rkischst{\"a}mmigen und nicht-t{\"u}rkischst{\"a}mmigen S{\"a}uglingen. Eine Analyse der Pflegegutachten des MDK-Westfalen-Lippe von 2004 bis 2008}, series = {Gesundheitswesen}, volume = {74}, journal = {Gesundheitswesen}, number = {8-9}, issn = {1439-4421}, doi = {10.1055/s-0031-1286276}, pages = {485 -- 487}, language = {de} } @misc{ReissMakarovaSpalleketal., author = {Reiss, Katharina and Makarova, Nataliya and Spallek, Jacob and Zeeb, Hajo and Razum, Oliver}, title = {Identifizierung und Rekrutierung von Menschen mit Migrationshintergrund f{\"u}r epidemiologische Studien in Deutschland}, series = {Gesundheitswesen}, volume = {75}, journal = {Gesundheitswesen}, number = {6}, issn = {1439-4421}, doi = {10.1055/s-0032-1321768}, pages = {e49 -- e58}, language = {de} } @misc{MianiBatramZantvoortWandschneideretal., author = {Miani, C{\´e}line and Batram-Zantvoort, Stephanie and Wandschneider, Lisa and Spallek, Jacob and Razum, Oliver}, title = {Potential of Standard Perinatal Data for Measuring Violation of Birth Integrity}, series = {Frontiers in global women's health}, journal = {Frontiers in global women's health}, number = {1}, issn = {2673-5059}, doi = {10.3389/fgwh.2020.581244}, pages = {8}, abstract = {Background: Measuring the phenomenon of violation of birth integrity (vBI) (e.g., obstetric violence) relies in part on the availability and content of maternity care providers' data. The population coverage and linkage possibilities that these data provide make for a yet untapped potential. Although vBI is a complex phenomenon best measured with dedicated instruments, we argue that maternity care providers' data could contribute to enhance our knowledge of the manifestations and frequency of vBI, and allow for analyses across different sub-groups of the population. Looking into the German standardized perinatal data, we investigate which variables are relevant to vBI-related research, and how complete their reporting is. Methods: First, we analyse state-of-the-art frameworks and recommendations, and, for each vBI-related domain, we search for and list corresponding variables in the perinatal data which could contribute to a better understanding of vBI issues. Second, we use an example and analyse the content of perinatal data obtained between 2013 and 2016 in the context of the BaBi birth cohort study set in Bielefeld, Germany. We use descriptive statistics to assess the completeness of the data. Results: The vBI-related variables can be classified in three main categories: discrimination based on specific patient socio-demographic attributes (e.g., height and weight to calculate BMI before pregnancy, foreign origin), indication for medical interventions (i.e., medicalization-related variables: indication for cesarean sections and induction), and supportive care, in particular the mobilization dimension (e.g., continuous fetal heartbeat monitoring). The data analyses included 876 births, of which 601 were vaginal birth. We found poor reporting on demographic variables in terms of completeness. Medicalization and mobilization variables are better documented, although limited in scope. Conclusions: Putting more emphasis on the completeness of standardized data could increase their potential for vBI-related research. Perinatal data alone are insufficient to assess vBI, but a broader, theory-informed discussion of indicators to be included in standardized datasets would contribute to capturing the different aspects of integrity violation in a more systematic way and expand the evidence-base on different types of vBI.}, language = {en} } @incollection{RazumReeskeSpallek, author = {Razum, Oliver and Reeske, Anna and Spallek, Jacob}, title = {Schwangerschaft, Geburt und erstes Lebensjahr in der Migration: gesundheitliche Herausforderungen}, series = {Schwangerschaft, Geburt und fr{\"u}he Kindheit in der Migration}, booktitle = {Schwangerschaft, Geburt und fr{\"u}he Kindheit in der Migration}, editor = {David, Matthias and Borde, Theda}, publisher = {Mabuse-Verlag}, address = {Frankfurt am Main}, isbn = {979-3-940529-91-6}, pages = {57 -- 72}, abstract = {Dieser Artikel besch{\"a}ftigt sich mit den, durch mangelnde Akkulturation oder geringe Integration bedingte, Risikofaktoren f{\"u}r Gesundheitsprobleme w{\"a}hrend der Schwangerschaft, in der Perinatalzeit und im ersten Lebensjahr.}, language = {de} } @misc{LudwigMianiBreckenkampetal., author = {Ludwig, Angelique and Miani, C{\´e}line and Breckenkamp, J{\"u}rgen and Sauzet, Odile and Borde, Theda and Doyle, Ina-Merle and Brenne, Silke and H{\"o}ller-Holtrichter, Chantal and David, Matthias and Spallek, Jacob and Razum, Oliver}, title = {Are Social Status and Migration Background Associated with Utilization of Non-medical Antenatal Care? Analyses from Two German Studies}, series = {Maternal and Child Health Journal}, volume = {24}, journal = {Maternal and Child Health Journal}, number = {7}, issn = {1573-6628}, doi = {10.1007/s10995-020-02937-z}, pages = {943 -- 952}, abstract = {Objective: Non-medical antenatal care (ANC) refers to a range of non-medical services available to women during pregnancy aiming at supporting women and prepare them for the birth and the postpartum period. In Germany, they include antenatal classes, breastfeeding classes and pregnancy-specific yoga or gymnastics courses. Studies suggest that various types of non-medical ANC carry benefits for both the women and their babies. Little is known about the uptake of non-medical ANC among different socioeconomic population subgroups, but one may expect lower utilization among socio-economically disadvantaged women. We analyzed factors contributing to the utilization of non-medical ANC in general and antenatal classes in particular. Methods: Baseline data of the Bielefeld BaBi birth cohort (2013-2016) and the Berlin perinatal study (2011-2012) were analyzed. Comparing the two cohorts allowed to increase the socio-economic and migration background variance of the study population and to capture the effect of the local context on uptake of services. Multivariate logistic regression analyses were performed to study associations between the uptake of non-medical ANC and socio-economic and migration status.ResultsIn Berlin and Bielefeld, being a first generation migrant and having lower levels of education were associated with lower non-medical ANC uptake. In Berlin, being a 2nd generation woman or having a low income was also associated with lower uptake. Conclusions for Practice: Our study suggests that non-medical ANC remains in some part the prerogative of non-migrant, well-educated and economically privileged women. Since differences in non-medical ANC have the potential to create inequalities in terms of birth outcomes and maternal health during pregnancy and post-partum, more efforts are needed to promote the use of non-medical ANC by all population groups.}, language = {en} } @misc{WandschneiderSauzetBreckenkampetal., author = {Wandschneider, Lisa and Sauzet, Odile and Breckenkamp, J{\"u}rgen and Spallek, Jacob and Razum, Oliver}, title = {Small-Area Factors and Their Impact on Low Birth Weight—Results of a Birth Cohort Study in Bielefeld, Germany}, series = {Frontiers in Public Health}, volume = {8}, journal = {Frontiers in Public Health}, issn = {2296-2565}, doi = {10.3389/fpubh.2020.00136}, pages = {10}, abstract = {Introduction: The location of residence is a factor possibly contributing to social inequalities and emerging evidence indicates that it already affects perinatal development. The underlying pathways remain unknown; theory-based and hypothesis-driven analyses are lacking. To address these challenges, we aim to establish to what extent small-area characteristics contribute to low birth weight (LBW), independently of individual characteristics. First, we select small-area characteristics based on a conceptual model and measure them. Then, we empirically analyse the impact of these characteristics on LBW. Material and methods: Individual data were provided by the birth cohort study "Health of infants and children in Bielefeld/Germany." The sample consists of 892 eligible women and their infants distributed over 80 statistical districts in Bielefeld. Small-area data were obtained from local noise maps, emission inventory, Google Street View and civil registries. A linear multilevel analysis with a two-level structure (individuals nested within statistical districts) was conducted. Results: The effects of the selected small-area characteristics on LBW are small to non-existent, no significant effects are detected. The differences in proportion of LBW based on marginal effects are small, ranging from zero to 1.1\%. Newborns from less aesthetic and subjectively perceived unsafe neighbourhoods tend to have higher proportions of LBW. Discussion: We could not find evidence for negative effects of small-area factors on LBW, but our study confirms that obtaining adequate sample size, reliable measure of exposure and using available data for operationalisation of the small-area context represent the core challenges in this field of research.}, language = {en} } @misc{MianiLudwigBreckenkampetal., author = {Miani, Celine and Ludwig, A. and Breckenkamp, J{\"u}rgen and Sauzet, Odile and Doyle, Ina-Merle and H{\"o}ller-Holtrichter, Chantal and Spallek, Jacob and Razum, Oliver}, title = {Socioeconomic and migration status as predictors of emergency caesarean section: a birth cohort study}, series = {BMC pregnancy and childbirth}, volume = {20}, journal = {BMC pregnancy and childbirth}, issn = {1471-2393}, doi = {10.1186/s12884-020-2725-5}, pages = {7}, abstract = {BACKGROUND: Women with a migration background are reportedly at a higher risk of emergency caesarean section. There is evidence that this is due in part to suboptimal antenatal care use and quality of care. Despite the fact that migrant women and descendants of migrants are often at risk of socioeconomic disadvantage, there is, in comparison, scarce and incomplete evidence on the role of socioeconomic position as an independent risk factor for emergency caesarean delivery. We therefore investigate whether and how migration background and two markers of socioeconomic position affect the risk of an emergency caesarean section and whether they interact with each other. METHODS: In 2013-2016, we recruited women during the perinatal period in Bielefeld, Germany, collecting data on health and socioeconomic and migration background, as well as routine perinatal data. We studied associations between migration background (1st generation migrant, 2nd/3rd generation woman, no migration background), socioeconomic status (educational attainment and net monthly household income), and the outcome emergency caesarean section. RESULTS: Of the 881 participants, 21\% (n = 185) had an emergency caesarean section. Analyses showed no association between having an emergency caesarean section and migration status or education. Women in the lowest (< 800€/month) and second lowest (between 800 and 1750€/month) income categories were more likely (aOR: 1.96, CI: 1.01-3.81; and aOR: 2.36, CI: 1.27-4.40, respectively) to undergo an emergency caesarean section than women in the higher income groups. CONCLUSIONS: Migration status and education did not explain heterogeneity in mode of birth. Having a low household income, however, increased the chances of emergency caesarean section and thereby contributed towards producing health disadvantages. Awareness of these findings and measures to correct these inequalities could help to improve the quality of obstetric care.}, language = {en} } @misc{GrosserDoyleLoeffleretal., author = {Grosser, Angelique and Doyle, Ina-Merle and L{\"o}ffler, Antje and Breckenkamp, J{\"u}rgen and Spallek, Jacob and Razum, Oliver and Miani, Celine}, title = {The impact of psychosocial factors on breastfeeding duration in the BaBi cohort study, Germany}, series = {European Journal of Public Health}, volume = {29}, journal = {European Journal of Public Health}, number = {4}, issn = {1464-360X}, doi = {10.1093/eurpub/ckz187.122}, pages = {2}, abstract = {Background: Breastfeeding is considered beneficial for both mother and child. In Germany, national guidelines recommend fully breastfeeding for at least 4 months, a goal reached by only 34\% of mothers in 2012. The WHO's recommendation of exclusively breastfeeding for six months was met by 19\% only. Hardly modifiable factors such as socio-economic status and migration background have been associated with duration of breastfeeding but little is known about the impact of psychosocial factors such as personality traits and social support. We hypothesise that there are differences in the psychosocial profiles of mothers regarding the duration of breastfeeding. Methods: We analyse baseline and follow-up data of the Bielefeld BaBi birth cohort (2013-16). They include detailed migration and socio-economic backgrounds, as well as three measures of psychological characteristics: the optimism scale, the Big Five inventory and the locus of control scales. We perform bivariate and multivariate analyses in order to identify psychosocial determinants of fully breastfeeding for four and six months. Results: Out of 780 BaBi study participants, 548 fully breastfed for four months (70.3\%), of which 279 continued until at least six months (35.8\%). Logistic regression analyses show that fully breastfeeding for at least four or six months is independently associated with the intention to breastfeed and the attendance of antenatal class during this or previous pregnancies. Personality characteristics, social status and migration background show however no significant association with breastfeeding duration. Conclusions: Our study results support the promotion of individuals' breastfeeding intention and attendance to antenatal classes to increase breastfeeding duration. Since differences in breastfeeding practices have the potential to create inequalities in maternal and child health, more efforts are needed to intensify research on modifiable factors influencing breastfeeding duration.}, language = {en} } @misc{GrosserHoellerHoltrichterMianietal., author = {Grosser, Angelique and H{\"o}ller-Holtrichter, Chantal and Miani, Celine and Hoffmann, Renata and Breckenkamp, J{\"u}rgen and Razum, Oliver and Spallek, Jacob}, title = {Impact of migration background on the uptake of antenatal care: the BaBi birth cohort study, Germany}, series = {European Journal of Public Health}, volume = {27}, journal = {European Journal of Public Health}, number = {Suppl. 3}, issn = {1464-360X}, doi = {10.1093/eurpub/ckx187.467}, pages = {S. 183}, language = {en} } @misc{GrosserDoyleLoeffleretal., author = {Grosser, Angelique and Doyle, Ina-Merle and L{\"o}ffler, Antje and Breckenkamp, J{\"u}rgen and Spallek, Jacob and Razum, Oliver and Miani, Celine}, title = {The impact of psychosocial factors on breastfeeding duration in the BaBi-Study. Analysis of a birth cohort study in Germany}, series = {Gesundheitswesen 2019}, volume = {81}, journal = {Gesundheitswesen 2019}, number = {08/09}, publisher = {Georg Thieme Verlag}, address = {Stuttgart}, doi = {10.1055/s-0039-1694422}, pages = {686 -- 686}, abstract = {Background: Breastfeeding is beneficial for both mother and child. In Germany, national guidelines recommend fully breastfeeding for at least 4 months, which has only been reached by 34\% in 2012. The WHO's aim of exclusively breastfeeding for six months was reached by 19\% only. Socio-economic status and migration background have been identified to be associated with duration of breastfeeding but little is known about the impact of psychosocial factors e.g. personality traits and social support. We hypothesized that there are differences in the psychosocial profiles of mothers regarding the duration of breastfeeding. Methods: Baseline and follow up data of the Bielefeld BaBi birth cohort (2013 - 16) were analysed. Bivariate and multivariate analyses were performed in order to identify psychosocial determinants for fully breastfeeding for four and six months. Results: Out of 780 BaBi study participants, 548 fully breastfeed for four months (70.3\%) and 279 continued until at least six months (35.8\%). Logistic regression analyses shows that fully breastfeeding for at least four or six months is independently associated with the intention to breastfeed (OR 7.3 [C.I. 4.54.-11.21) and the attendance of antenatal class (OR 1.4 [C.I. 1.01.-2.06). Personality characteristics, social status und migration background showed no significant association with breastfeeding duration. Conclusion: Our study results suggest to promote individuals' breastfeeding intention and the attendance of antenatal classes to increase breastfeeding duration. Since differences in breastfeeding practices have the potential to create inequalities in mother and child health, more efforts are needed to intensify research on modifiable factors influencing breastfeeding duration.}, language = {en} } @misc{MianiBreckenkampGrosseretal., author = {Miani, Celine and Breckenkamp, J{\"u}rgen and Grosser, Angelique and H{\"o}ller-Holtrichter, Chantal and Ergin-Akkoyun, Emine and Hoffmann, Renata and Doyle, Ina-Merle and Spallek, Jacob and Razum, Oliver}, title = {Socio-economic determinants of breastfeeding uptake and duration intention among women with and without migration background. Results from the BaBi birth cohort study in Bielefeld, Germany}, series = {European Journal of Public Health}, volume = {28}, journal = {European Journal of Public Health}, number = {Vol. 1}, issn = {1464-360X}, doi = {10.1093/eurpub/cky047.093}, pages = {S. 50}, abstract = {Background: Disparities in breastfeeding practices have been observed between migrants and majority populations in many countries. We compared breastfeeding practices among women with and without a migration background in Bielefeld, Germany, using data from a birth cohort. Methods: In 2013-16, we conducted 967 standardised interviews with women aged over 18 during pregnancy or shortly after birth, collecting data on breastfeeding uptake and duration intention, as well as on socio-economic and migration background. Bivariate and multivariate analyses were performed, adjusting for clinical factors (e.g. age, parity, birthweight). Results: Breastfeeding uptake was more common among women with a migration background than among non-immigrants (88.9\% vs. 83\%, p < 0.05). It was particularly high among 2nd and 3rd generation women (92\%). Women with a migration background tended to intend to breastfeed longer than non-immigrants (6.2\% vs 7.6\% between 6 months and one year and 0.67\% vs. 2.53\% beyond one year). When controlling for clinical and socio-economic characteristics, only a statistically significant correlation between breastfeeding uptake and the opinion of the mother and of the partner with regard to breastfeeding remained, with a negative opinion decreasing the chances of uptake (OR 0.5; CI 0.25-0.79 and OR 0.2; CI 0.12-0.36, respectively). Mothers and partners of women with migration background were more likely to strongly support breastfeeding than those of non-immigrants. Duration intention was positively associated with having a migration background (1.98; CI 1.10-3.55) and negatively associated with income, with higher income decreasing likelihood of breastfeeding beyond 6 months (OR 0.6; CI 0.44-0.94). Conclusions: This study found differences in breastfeeding uptake and duration intention among women with and without a migration background. This calls for public health actions targeting different socio-economic groups if one wants to come closer to the WHO recommended breastfeeding rates. Initiatives that are inclusive of the mother and the partner of the expectant women are also worth considering.}, language = {en} } @misc{BerensRederRazumetal., author = {Berens, Eva-Maria and Reder, Maren and Razum, Oliver and Kolip, Petra and Spallek, Jacob}, title = {Informed choice in mammography screening program among migrant and non-migrant women: a survey among first-time invitees in Germany, 2013-2015}, series = {European Journal of Public Health}, volume = {28}, journal = {European Journal of Public Health}, number = {Suppl. 1}, issn = {1464-360X}, doi = {10.1093/eurpub/cky047.107}, pages = {S. 55}, abstract = {Background: In Germany, women aged 50 to 69 are invited biennially to the population-based mammography screening programme (MSP). There is still a broad discussion whether the benefits of the programme outweigh its harms. Hence, the concept of informed choice is of particular importance for MSP. The aim of this survey was to assess the proportion of informed choices among migrant and non-migrant women invited to the German MSP for the first time. Methods: A random sample of 17,349 women aged 50 from a sub-region of North Rhine Westphalia was invited to participate in a postal cross-sectional survey conducted in German and Turkish. Turkish and other migrants were identified by country of birth and German resettlers additionally by self-reported resettler-status. Turkish migrant women were oversampled, due to expected lower response-rates. The effect of migration status on informed choice and on its three components (knowledge, attitude and intention) were assessed by chi-square tests and logistic regression modelling. Results:5,847 (33.7\%) women responded to the postal questionnaire. 4,113 complete cases were included in the analyses. The proportion of women making informed choices was low (27.1\%). Turkish migrant women had the highest odds for making an uninformed choice (OR 5.30, 95\%CI 1.92-14.66) independent of educational level. Other migrant groups only had slightly higher odds for making an uninformed choice (German resettlers: OR 1.50, 95\%CI 1.00-2.25; other migrants: OR 1.57, 95\%CI 0.96-2.57) compared to non-migrant women. Fewer Turkish and other immigrant women intended to participate in the MSP. Immigrant women had a more positive attitude and a lower proportion of sufficient knowledge compared to non-migrant women. Conclusions: The overall proportion of informed choice in the German MSP is low and knowledge is poor. Measures are needed to improve information materials, strengthen health literacy and create a user-friendly environment facilitating informed choices especially for migrant women.}, language = {en} } @misc{GrosserHoellerHoltrichterMianietal., author = {Grosser, Angelique and H{\"o}ller-Holtrichter, Chantal and Miani, Celine and Hoffmann, Renata and Breckenkamp, J{\"u}rgen and Spallek, Jacob and Razum, Oliver}, title = {Caesarean birth frequency among women with and without migration background in Germany: the BaBi birth cohort study, Germany}, series = {European Journal of Public Health}, volume = {27}, journal = {European Journal of Public Health}, number = {Suppl. 3}, issn = {1464-360X}, doi = {10.1093/eurpub/ckx187.466}, pages = {S. 183}, language = {en} } @misc{SpallekGrosserHoellerHoltrichteretal., author = {Spallek, Jacob and Grosser, Angelique and H{\"o}ller-Holtrichter, Chantal and Doyle, Ina-Merle and Breckenkamp, J{\"u}rgen and Razum, Oliver}, title = {Early childhood health in Bielefeld, Germany (BaBi study) : study protocol of a social-epidemiological birth cohort}, series = {British Medical Journal Open}, volume = {7}, journal = {British Medical Journal Open}, number = {8}, issn = {2044-6055}, doi = {10.1136/bmjopen-2017-018398}, pages = {5}, language = {en} } @misc{GrosserHoellerHoltrichterBreckenkampetal., author = {Grosser, Angelique and H{\"o}ller-Holtrichter, Chantal and Breckenkamp, J{\"u}rgen and Hoffmann, Renata and Spallek, Jacob and Razum, Oliver}, title = {Impact of migration background on the uptake of antenatal care: the BaBi birth cohort study, Germany}, series = {Das Gesundheitswesen}, volume = {79}, journal = {Das Gesundheitswesen}, number = {08/09}, issn = {1439-4421}, doi = {10.1055/s-0037-1605903}, pages = {656 -- 804}, language = {en} } @misc{BerensRederRazumetal., author = {Berens, Eva-Maria and Reder, Maren and Razum, Oliver and Kolip, Petra and Spallek, Jacob}, title = {Informed choice in mammography screening program: a survey among first-time invitees in Germany}, series = {European Journal of Public Health}, volume = {27}, journal = {European Journal of Public Health}, number = {Suppl. 3}, issn = {1464-360X}, doi = {10.1093/eurpub/ckx187.213}, pages = {S. 83}, language = {en} } @incollection{SpallekBrzoskaYilmazAslanetal., author = {Spallek, Jacob and Brzoska, Patrick and Yilmaz-Aslan, Y{\"u}ce and Exner, Anne-Kathrin and Voigtl{\"a}nder, Sven and Razum, Oliver}, title = {Medizinische Rehabilitation und Leistungen zur Teilhabe am Arbeitsleben bei Menschen mit Migrationshintergrund}, series = {Behinderung und Migration}, booktitle = {Behinderung und Migration}, editor = {Wansing, Gudrun and Westphal, Manuela}, publisher = {Springer VS}, address = {Wiesbaden}, isbn = {978-3-531-19401-1}, doi = {10.1007/978-3-531-19401-1}, pages = {253 -- 262}, abstract = {Eine Bestandsaufnahme zur Zug{\"a}nglichkeit und Qualit{\"a}t der Versorgung.}, language = {de} } @incollection{RazumButlerSpallek, author = {Razum, Oliver and Butler, Jeffrey and Spallek, Jacob}, title = {Gesundheitliche Chancen und Risiken von Migrant*innen: Handlungsm{\"o}glichkeiten einer kommunalen Gesundheitspolitik.}, series = {Handbuch Lokale Integrationspolitik.}, booktitle = {Handbuch Lokale Integrationspolitik.}, editor = {Gesemann, Frank and Filsinger, Dieter and M{\"u}nch, Sybille}, edition = {2. Auflage}, publisher = {Springer VS}, address = {Wiesbaden}, isbn = {978-3-658-43195-2}, doi = {10.1007/978-3-658-43195-2_34-1}, pages = {1 -- 23}, abstract = {Migrant*innen haben gesundheitliche Vor- und Nachteile gegen{\"u}ber der nicht-migrierten Bev{\"o}lkerung. Der Zusammenhang zwischen Migration und Gesundheit ist mehrdimensional, weitere - insbesondere soziale - Faktoren m{\"u}ssen bei der Interpretation beachtet werden. Erkl{\"a}rungsmodelle bilden die Komplexit{\"a}t des Zusammenhangs ab. Die zentralen Modelle haben eine Perspektive auf den gesamten Lebenslauf von migrierten Menschen (vor, w{\"a}hrend und nach der Migration). Sie helfen der kommunalen Gesundheitspolitik, geeignete Daten zu erheben und wirksame Interventionen zu entwickeln.}, language = {de} }