@misc{HintermeierGencerKajikhinaetal., author = {Hintermeier, Maren and Gencer, Hande and Kajikhina, Katja and Rohleder, Sven and Santos-H{\"o}vener, Claudia and Tallarek, Marie and Spallek, Jacob and Bozorgmehr, Kayvan}, title = {SARS-CoV-2 among migrants and forcibly displaced populations: a rapid systematic review}, series = {Journal of Migration and Health}, volume = {4}, journal = {Journal of Migration and Health}, issn = {2666-6235}, doi = {10.1016/j.jmh.2021.100056}, pages = {13}, abstract = {The economic and health consequences of the COVID-19 pandemic pose a particular threat to vulnerable groups, such as migrants, particularly forcibly displaced populations. The aim of this review is (i) to synthesise the evidence on risk of infection and transmission among migrants, refugees, asylum seekers and internally displaced populations, and (ii) the effect of lockdown measures on these populations. We searched MEDLINE and WOS, preprint servers, and pertinent websites between 1st December 2019 and 26th June 2020. The included studies showed a high heterogeneity in study design, population, outcome and quality. The incidence risk of SARS-CoV-2 varied from 0•12\% to 2•08\% in non-outbreak settings and from 5•64\% to 21•15\% in outbreak settings. Migrants showed a lower hospitalisation rate compared to non-migrants. Negative impacts on mental health due to lockdown measures were found across respective studies. However, findings show a tenuous and heterogeneous data situation, showing the need for more robust and comparative study designs.}, language = {en} } @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} } @misc{TallarekSpallek, author = {Tallarek, Marie and Spallek, Jacob}, title = {Factors promoting or limiting self-determined childbirth: midwives' perspectives in Germany}, series = {European Journal of Public Health}, volume = {32}, journal = {European Journal of Public Health}, number = {Supplement_3}, issn = {1101-1262}, doi = {10.1093/eurpub/ckac131.423}, pages = {1}, abstract = {Background Claims for self-determined childbirth (SDC) have gained increasing scientific, political and societal attention. However, research on SDC is limited. This study analyzes and compares midwives' experiences and perspectives on factors that promote or limit SDC in hospitals, birthing centers and during home births in Germany. We argue that these insights are essential in order to foster self-determination and to avoid its violation. Methods A qualitative case study was conducted based on semi-structured face-to-face interviews with midwives working in hospitals, birthing centers, and offering home births in Germany. In total, nine interviews were conducted in 2021 and have been audiotaped, transcribed, anonymized and analyzed by use of Thematic Analysis. Results The results indicate eight inter-related categories, each of which imply promoting and limiting factors: 1) Structural/ legal conditions; 2) Perception of birth (e. g. as natural or medical process; required competence and control); 3) Trust and atmosphere; 4) Getting acquainted/relationship building; 5) Birthing person's socioeconomic position; 6) Birthing person's preparation/ education; 7) Birthing person's capability of decision making and expression; and 8) Behavior of accompanying persons. Moreover, we identified midwives' strategies to extend possibilities of choice. Several factors clearly differ depending on the birth setting. Conclusions The opportunities for SDC seem to differ according to the setting (e.g. institutional routines), inter-personal relations (e.g. getting acquainted, trust), and individual factors (e.g. socioeconomic position, capabilities). Hence, political, institutional and individual strategies may support SDC in consideration of the above factors. Measures may, among others, include the improvement of information processes, the reduction of economic barriers, relationship building before and during birth as well as respective structural adjustments.}, language = {en} } @misc{HoffmannTschornMichalskietal., author = {Hoffmann, Stephanie and Tschorn, Mira and Michalski, Niels and Hoebel, Jens and F{\"o}rstner, Bernd R. and Rapp, Michael A. and Spallek, Jacob}, title = {Do regional characteristics predict developmental delay? Analyses of German school entry examination}, series = {European Journal of Public Health}, volume = {32}, journal = {European Journal of Public Health}, number = {Supplement_3}, issn = {1101-1262}, doi = {10.1093/eurpub/ckac129.342}, pages = {2}, abstract = {Background Children's health and development are strongly linked to their living situation, including their family's socioeconomic position (SEP) and living region. However, research on the impact of the living region on children's development beyond family SEP is scarce. This study evaluated whether rurality and regional socioeconomic deprivation (DEP) are associated with children's development independently of family SEP. Methods The study used population-based data of 5-6.5 years old children (n = 22,801) from mandatory school entry examinations (SEE) in the German federal state of Brandenburg, which were examined in 2018/2019. The SEE data have been linked with data on i. rurality that was defined by an inverted population density and ii. regional DEP that were provided by the German Index of Socioeconomic Deprivation. By binary multilevel models, the predictive values of rurality and regional DEP for global developmental delay (GDD) were evaluated, while adjusting for family SEP. Results Children with high family SEP showed reduced odds for GDD compared to medium family SEP (female: OR = 4.26, CI95=3.14-5.79, male: OR = 3.46, CI95=2.83-4.22) and low family SEP (female: OR = 16.58, CI95=11.90-23.09, male: OR = 12.79, CI95=10.13-16.16). Regional DEP additionally predicted GDD, with higher odds for children from more deprived regions (female: OR = 1.35, CI95=1.13-1.62, male: OR = 1.20, CI95=1.05-1.39). Rurality did not predict GDD beyond family SEP and regional DEP. Conclusions In addition to family SEP, the regional DEP has an effect on children's developmental delay. Hence, Public Health should take into account regional socioeconomic conditions as determinant of health over the life course in addition to family SEP.}, language = {en} } @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{RattayBlumeSpalleketal., author = {Rattay, Petra and Blume, Miriam and Spallek, Jacob and Hoffmann, Stephanie and Sander, Lydia and Herr, Raphael and Herke, Max and Reuter, Marvin and Novelli, Anna and H{\"o}vener, Claudia}, title = {Socioeconomic position and self-rated health among adolescents: the mediating role of the family}, series = {European Journal of Public Health}, volume = {32}, journal = {European Journal of Public Health}, number = {Supplement_3}, issn = {1101-1262}, doi = {10.1093/eurpub/ckac129.580}, pages = {1}, abstract = {Background Although health inequalities in adolescence are well documented, the underlying mechanisms remain unclear. Few studies have examined the role of the family in explaining adolescents' health inequalities. The study aimed to explore whether the association between socioeconomic position and self-rated health (SRH) was mediated by familial determinants. Methods Using data from wave 2 of the KiGGS study (1,838 female and 1,718 male 11- to 17-year-olds), linear regression analyses were conducted to decompose the total effects of parents' education, occupation, income, socioeconomic position index, and adolescents' subjective social status on SRH into direct effects and indirect effects through familial determinants (family cohesion, parenting styles, parental well-being, stress, obesity, smoking and sporting activity). Results A significant total effect of all socioeconomic position indicators on SRH was found, except for income in male adolescents. In female adolescents, more than 70\% of the total effects of each socioeconomic position indicator were explained by familial mediators, whereas no significant direct effects remained. The most important mediator was parental well-being, followed by family cohesion, parental smoking and sporting activity. In male adolescents, the associations of parental education, the socioeconomic position index and subjective social status with SRH were also mediated by familial determinants (family cohesion, parental smoking and obesity). However, a significant direct effect of subjective social status remained. Conclusions The family appears to play an important role in explaining health inequalities, particularly in female adolescents. Reducing health inequalities in adolescence requires policy interventions, community-based strategies, as well as programs to improve parenting and family functioning.}, language = {en} } @misc{UlrichKohlerSpalleketal., author = {Ulrich, Hanna-Sophie and Kohler, Emma and Spallek, Jacob and Richter, Matthias and Clauß, Daniel and Mlinarić, Martin}, title = {Explaining psychosocial care among unaccompanied minor refugees: a realist review}, series = {European child \& adolescent psychiatry}, volume = {31(2022)}, journal = {European child \& adolescent psychiatry}, number = {12}, issn = {1435-165X}, doi = {10.1007/s00787-021-01762-1}, pages = {1857 -- 1870}, abstract = {Research on the psychosocial care (PSC) of unaccompanied minor refugees (UMRs) has mainly taken a socioepidemiological approach and has focused on the perspectives of experts in the field. In contrast, the knowledge concerning the differing context factors and the underlying mechanisms of current PSC which could inform policy recommendations is scant. The study aims at unravelling the contexts, mechanisms and outcomes of PSC for UMRs. For a realist review (RR), scientific evidence and gray literature were synthesised consistent with the RAMESES publication standards for realist synthesis. Based on an iterative keyword search in electronic databases (e.g., PubMed) and screening, 34 works from 2005 to 2019 were included in a realist synthesis. Theory-informed context-mechanism-outcome configurations (CMOs) were extracted, to explain underlying processes and mechanisms. Characterised by their interrelatedness, the dominant CMOs included the UMRs' intersections of transitions (e.g., adolescence and migration), their needs for culture-, and gender-sensitive PSC, and the undersupply of PSC. These contexts and outcomes are mediated by pre-, peri- and post-migratory stressors as well as care structures and are moreover influenced by overarching discourses and concepts. They comprise adverse and beneficial mechanisms in the PSC of UMRs. The existing literature grasps the PSC of UMRs by different disciplines and approaches but does not offer a comprehensive overview on micro-macro intersections and included discourses. The inclusion of lay perspectives and an intersectional approach could inform health service research. The reflection of UMR-related categorical constructs of resilience and vulnerability, discourses of othering, as well as restrictive health policies may guide policy recommendations.}, language = {en} } @misc{TallarekBozorgmehrSpallek, author = {Tallarek, Marie and Bozorgmehr, Kayvan and Spallek, Jacob}, title = {Towards inclusionary and diversity-sensitive public health: the consequences of exclusionary othering in public health using the example of COVID-19 management in German reception centres and asylum camps}, series = {BMJ Global Health}, volume = {5}, journal = {BMJ Global Health}, number = {12}, issn = {2059-7908}, doi = {10.1136/bmjgh-2020-003789}, pages = {9}, abstract = {The German government's response to the COVID-19 pandemic has been predominantly considered wellfounded. Still, the practice of mass quarantine in reception centres and asylum camps has been criticised for its discrimination of refugees and asylum seekers. Building on the concept of othering, this article argues that processes of othering are structurally anchored in German asylum regulations and they have further pervaded public health measures against COVID-19. The practice of mass quarantine made the negative consequences of exclusionary othering for public health particularly noticeable. In the light of recent data indicating this measure to be epidemiologically, legally and ethically insufficient, we apply the concept of othering to public health and discuss (1) exclusionary, (2) inclusionary and (3) diversity-sensitive approaches to public health. We finally conclude that a shift of perspective from exclusion to inclusion, from subordination to empowerment and from silencing to participation is urgently required.}, 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{SchefflerSchoelerRoesneretal., author = {Scheffler, Bettina and Sch{\"o}ler, Almut and R{\"o}sner, Katrin and Schimb{\"o}ck, Florian and Spallek, Jacob and Kopkow, Christian}, title = {Evaluation and tailored implementation of guideline compliant physiotherapy in stroke rehabilitation in Germany - protocol of a mixed methods study}, series = {WFNR \& SOFMER 2020 - Abstracts of congress}, volume = {35}, journal = {WFNR \& SOFMER 2020 - Abstracts of congress}, number = {4}, issn = {1545-9683}, doi = {10.1177/1545968320988381}, language = {en} } @misc{LampertRichterSchreiberetal., author = {Lampert, Thomas and Richter, Matthias and Schreiber, Sven and Spallek, Jacob and Dragano, Nico}, title = {Soziale Ungleichheit und Gesundheit. Stand und Perspektiven der sozialepidemiologischen Forschung in Deutschland}, series = {Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz}, volume = {59}, journal = {Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz}, number = {2}, issn = {1436-9990}, doi = {10.1007/s00103-015-2275-6}, pages = {153 -- 165}, language = {de} } @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{ReeskeSpallek, author = {Reeske, Anna and Spallek, Jacob}, title = {Sozio{\"o}konomische Aspekte der Prim{\"a}rpr{\"a}vention von Adipositas bei Kindern und Jugendlichen - Ansatzpunkte vor dem Hintergrund eines lebenslaufbasierten Ansatzes der Adipositasentstehung}, series = {Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz}, volume = {54}, journal = {Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz}, number = {3}, issn = {1436-9990}, doi = {10.1007/s00103-010-1221-x}, pages = {272 -- 280}, 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{SpallekKuntzSchott, author = {Spallek, Jacob and Kuntz, Benjamin and Schott, Thomas}, title = {Sozialepidemiologie}, series = {Public Health Forum}, volume = {20}, journal = {Public Health Forum}, number = {3}, issn = {1876-4851}, doi = {10.1016/j.phf.2012.06.015}, pages = {4 -- 8}, language = {de} } @misc{SpallekZeeb, author = {Spallek, Jacob and Zeeb, Hajo}, title = {Gesundheit von Migranten. Erkenntnisse am Beispiel der Zuwanderer in Deutschland}, series = {{\"A}rzteblatt Rheinland-Pfalz}, volume = {62}, journal = {{\"A}rzteblatt Rheinland-Pfalz}, number = {7}, issn = {0001-9488}, pages = {20}, 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} } @misc{JahnBolteSpallek, author = {Jahn, Ingeborg and Bolte, Gabriele and Spallek, Jacob}, title = {Epidemiologische Fachgesellschaften f{\"u}r „Geschlechtersensible Planung und Durchf{\"u}hrung der geplanten Nationalen Kohortenstudie" Ein wichtiger Schritt f{\"u}r geschlechtersensible Gesundheitsforschung in Deutschland}, series = {Gesundheitswesen}, volume = {72}, journal = {Gesundheitswesen}, number = {7}, doi = {10.1055/s-0030-1261917}, pages = {383 -- 386}, 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{SpallekBerensKolip, author = {Spallek, Jacob and Berens, Eva-Maria and Kolip, Petra}, title = {Fr{\"u}herkennung - Herausforderung der „Informierten Entscheidung" im Kontext des Mammografie-Screening-Programms}, series = {Geburtshilfe und Frauenheilkunde}, volume = {76}, journal = {Geburtshilfe und Frauenheilkunde}, number = {11}, issn = {1438-8804}, doi = {10.1055/s-0042-112118}, pages = {1117 -- 1120}, language = {de} } @misc{TallarekJostSpallek, author = {Tallarek, Marie and Jost, Annemarie and Spallek, Jacob}, title = {How do midwives deal with women's preferences during childbirth in Germany? An action model}, series = {European Journal of Public Health}, volume = {33}, journal = {European Journal of Public Health}, number = {Supplement 2}, issn = {1788-7119}, doi = {10.1093/eurpub/ckad160.1512}, pages = {S. ii603}, abstract = {Background Midwifery care is increasingly discussed in terms of its ability to promote a self-determined childbirth. The degree of self-determination (SD) depends on the extent to which women's preferences are negotiated and implemented. From the perspective of midwives in different obstetric settings in Germany, this study answered the research question: "How do midwives deal with women's preferences during birth?". Methods 11 semi-structured face-to-face interviews were conducted with active midwives. The sample showed a high variance in terms of obstetric settings (clinics, birth centers, home births), regions, and participants' characteristics (e. g. experience, age). All interviews were recorded, transcribed, anonymized, and analyzed using the Grounded Theory Methodology (Strauss/Corbin, 1994). Results A model consisting of 7 steps was developed: 1) Interpret the situation; 2) Prioritize relevant parameters; 3) Determine a frame of possibilities; 4) Match the preference(s) to the frame of possibilities; 5) Negotiate preference(s); 6) Continuously monitor contextual/situational changes; 7) Adjust the frame of possibilities. The actions are related to contextual conditions (structural; interpersonal; personal; health situation; course of birth; understanding of birth). The model shows how midwives can promote SD even if prior preferences are discarded or modified at birth. Conclusions The model describes how midwives in Germany deal with women's preferences during birth, which factors they consider decisive in doing so, and how SD may be promoted despite of discarded or modified preferences. Further research should examine the role of relationship building, test the model with regard to its generalizability, and use it to analyze and support person-centered midwifery care. Key messages • The model describes how midwives in different obstetric settings in Germany deal with women's preferences during birth and, thereby, influence self-determination. • Midwives can promote self-determination also if prior preferences are discarded, modified, or redeveloped at birth.}, language = {en} } @misc{HoepkerLampertSpallek, author = {H{\"o}pker, T. and Lampert, Thomas and Spallek, Jacob}, title = {Identifizierung und Charakterisierung von Gesundheitsverhaltenstypen bei 11- bis 17-j{\"a}hrigen Jungen und M{\"a}dchen. Eine Clusteranalyse auf Basis der Daten des Kinder- und Jugendgesundheitssurveys (KiGGS)}, series = {Gesundheitswesen}, volume = {76}, journal = {Gesundheitswesen}, number = {7}, issn = {1439-4421}, doi = {10.1055/s-0034-1372619}, pages = {453 -- 461}, 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{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{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{DeSantisMuellmannPanetal., author = {De Santis, Karina Karolina and M{\"u}llmann, Saskia and Pan, Chen-Chia and Hoffmann, Stephanie and Spallek, Jacob and Haug, Ulrike and Zeeb, Hajo}, title = {Digital technology use for physical activity promotion: Results of a nationwide survey in Germany}, series = {37th Annual Conference of the European Health Psychology Society}, journal = {37th Annual Conference of the European Health Psychology Society}, doi = {10.13140/RG.2.2.22062.48967}, pages = {1}, abstract = {Background. Digital technologies can contribute to healthy behaviour. We aimed to investigate a digital technology use for physical activity (PA) promotion using a nationwide survey. Methods. Our cross-sectional survey was conducted using a panel sample of 1020 adult internet users living in Germany (age: 18-92 years, 47\% female). Computer-assisted telephone interviews were conducted using a self-developed questionnaire in November 2022. Survey data were analysed using relative frequencies and bivariate logistic regression. Findings. Among all participants, 626/1020 reported internet use in health context and 278/626 (44\%) reported digital technology use for PA promotion. Most of the 278 users for PA promotion reported that such technologies are easy to use (92\%) and use them at least once a week (91\%). The reasons for using digital technologies were to measure own PA (74\%) or to find exercise ideas (57\%). Most participants reported using mobile devices (e.g., smartphones, 77\%, or activity trackers, 58\%) and rated device feedback as helpful (69\%). Among sociodemographic factors (age, gender, education, household income), health status and eHealth literacy, younger age was the only significant predictor (OR=.98, 95\% CI: .97-.99) of digital technology use for PA promotion. Discussion. Despite their availability, the prevalence of digital technology use for PA promotion is still low among adult internet users in Germany. Such technologies are likely to support PA behaviour change because users rate them as easy to use, their feedback as helpful and use them frequently. Health interventions are necessary to encourage digital technology use for PA promotion among adults in Germany.}, language = {en} } @misc{MuellmannDeSantisPanetal., author = {M{\"u}llmann, Saskia and De Santis, Karina Karolina and Pan, Chen-Chia and Hoffmann, Stephanie and Spallek, Jacob and Haug, Ulrike and Zeeb, Hajo}, title = {Attitudes towards digital technology use in health context according to a nationwide survey in Germany}, series = {37th Annual Conference of the European Health Psychology Society}, journal = {37th Annual Conference of the European Health Psychology Society}, doi = {10.13140/RG.2.2.24579.07200}, pages = {1}, abstract = {Background Digitalization has led to a proliferation of digital health technologies and online health information. We aimed to assess the attitudes towards digital technology use in health context using a nationwide survey. Methods A cross-sectional nationwide survey of a panel sample of adult internet users living in Germany was conducted in November 2022. Participants completed computer-assisted telephone interviews using a self-developed, 30-item questionnaire. Survey data were analysed using frequencies and univariate multiple regression analysis. Findings Among 1,020 participants (18-92 years, 56±16 years, 47\% female), 62\% completed up to tertiary education and 42\% reported the household income of up to 3500 Euro/month. The minority of participants reported that they trust health websites when recommended by friends and family (39\%), that their social network relies on the internet for health information (35\%), that they consider the internet as the immediate source of health information (39\%) and that they are interested in digital health technologies (40\%). Most participants (71\%) reported that they prefer to receive health information in person or on paper. The preference for such sources of health information was associated with lower eHealth literacy (β= -.12, p<.001), worse health status (β= -.08, p=.026) and female gender (β= -.08, p=.033). Discussion The trust in the internet as the source of health information and the interest in digital health technologies were low among internet users in Germany. Interventions should strengthen eHealth literacy to empower adults to find, understand and assess reliable health information on the Internet.}, language = {en} } @misc{ScholaskeAdamSpalleketal., author = {Scholaske, Laura and Adam, Emma K. and Spallek, Jacob and Entringer, Sonja}, title = {Maternal BMI and inflammation during pregnancy: a bi- or unidirectional association?}, series = {Brain, Behavior, and Immunity}, volume = {106}, journal = {Brain, Behavior, and Immunity}, publisher = {Elsevier}, doi = {10.1016/j.bbi.2022.07.049}, pages = {12}, abstract = {Methods: 140 pregnant women participated in a multi-site prospective cohort study in, Germany with two study visits during pregnancy (T1: 24.44 ± 2.34, T2: 32.92 ± 1.72 weeks of gestation). Maternal BMI was derived from body length and current weight and was residualized for gestational week at assessment. Pro-inflammatory markers CRP and IL-6 were analyzed from venous blood samples and combined into a repeatedly measured composite inflammation score. Results: In a path model, T1-BMI significantly predicted T2-inflammation (b=0.53, SE=0.02, p <.001), and T1-inflammation predicted T2-BMI (b=0.46, SE=0.42, p <.001), suggesting a bidirectional relationship between BMI and inflammation. However, further adjustment for pre-pregnancy BMI diminished the association between T1-inflammation and T2-BMI (b=0.004, SE=0.22, p =.922), whereas the relationship between T1-BMI and T2-inflammation remained significant (b=0.20, SE=0.01, p =.004). Thus, adjusting for pre-pregnancy BMI underlined a unidirectional relationship. Conclusions: Based on these results, reducing overweight may be a relevant target for interventions to reduce inflammation and the risk of subsequent adverse outcomes.}, language = {en} } @misc{LueckmannHoebelRoicketal., author = {Lueckmann, Sara Lena and Hoebel, Jens and Roick, Julia and Markert, Jenny and Spallek, Jacob and Knesebeck, Olaf von dem and Richter, Matthias}, title = {Socioeconomic inequalities in primary-care and specialist physician visits: a systematic review}, series = {International journal for equity in health}, volume = {20}, journal = {International journal for equity in health}, issn = {1475-9276}, doi = {10.1186/s12939-020-01375-1}, pages = {19}, abstract = {Background Utilization of primary-care and specialist physicians seems to be associated differently with socioeconomic status (SES). This review aims to summarize and compare the evidence on socioeconomic inequalities in consulting primary-care or specialist physicians in the general adult population in high-income countries. Methods We carried out a systematic search across the most relevant databases (Web of Science, Medline) and included all studies, published since 2004, reporting associations between SES and utilization of primary-care and/or specialist physicians. In total, 57 studies fulfilled the eligibility criteria. Results Many studies found socioeconomic inequalities in physician utilization, but inequalities were more pronounced in visiting specialists than primary-care physicians. The results of the studies varied strongly according to the operationalization of utilization, namely whether a physician was visited (probability) or how often a physician was visited (frequency). For probabilities of visiting primary-care physicians predominantly no association with SES was found, but frequencies of visits were higher in the most disadvantaged. The most disadvantaged often had lower probabilities of visiting specialists, but in many studies no link was found between the number of visits and SES. Conclusion This systematic review emphasizes that inequalities to the detriment of the most deprived is primarily a problem in the probability of visiting specialist physicians. Healthcare policy should focus first off on effective access to specialist physicians in order to tackle inequalities in healthcare.}, language = {en} } @misc{SchillingSpallekMauletal., author = {Schilling, Laura and Spallek, Jacob and Maul, Holger and Schneider, Sven}, title = {Study on E-Cigarettes and Pregnancy (STEP) - Results of a Mixed Methods Study on Risk Perceptionof E-Cigarette Use During Pregnancy}, series = {Geburtshilfe und Frauenheilkunde}, volume = {81}, journal = {Geburtshilfe und Frauenheilkunde}, number = {02}, issn = {0016‑5751}, doi = {10.1055/a-1308-2376}, pages = {214 -- 223}, abstract = {Introduction E-cigarette use during pregnancy is a risk factor for maternal and fetal health. Early studies on animals showed that in utero exposure to e-cigarettes can have negative health outcomes for the fetus. There has been only limited research into the risk perceptions of e-cigarette use during pregnancy. This study was conducted to comprehensively characterize the constructs of risk perceptions with regard to e-cigarette use during pregnancy using an Integrated Health Belief Model (IHBM). Methods Our STudy on E-cigarettes and Pregnancy (STEP)used a mixed methods approach, with the study divided intoan initial qualitative part and a quantitative part. A netno-graphic approach was used for the first part, which consistedof the analysis of 1552 posts from 25 German-language on-line discussion threads on e-cigarette use during pregnancy. Using these qualitative results, a quantitative questionnaire was developed to explore risk perception constructs about e‑cigarette use during pregnancy. This questionnaire was subsequently administered to pregnant women (n = 575) in onehospital in Hamburg, Germany. Descriptive and bivariate analysis was used to examine differences in risk perception ac-cording to participantsʼ tobacco and e-cigarette user status before and during pregnancy. While the study design, methods and sample have been extensively described in our recently published study protocol in the January 2020 issue of Geburtshilfe und Frauenheilkunde, this paper is devoted to apresentation of the results of our mixed methods study. Results Themes related to perceived threats identified in the qualitative study part were nicotine-related health risks and po-tential health risks of additional ingredients. Perceived benefits were possibility and facilitation of smoking cessationand a pre-sumed potential to reduce harm. The subsequent quantitative part showed that nearly all participants (99.3\%) perceivede‑cigarettes which contained nicotine as constituting a threat to the health of the unborn child. The most commonly perceived barrier was health-related (96.6\%), while the most commonly perceived benefit was a reduction in the amount of tobacco cigarettes consumed (31.8\%). We found that partic-ularly perceived benefits varied depending on the partici-pantʼs tobacco and e-cigarette user status. Conclusion When considering future prevention strategies, the potential health risks and disputed effectiveness of e-cigarettes as a tool for smoking cessation need to be taken intoaccount and critically discussed.}, language = {en} } @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} } @incollection{SpallekZeeb, author = {Spallek, Jacob and Zeeb, Hajo}, title = {Bedarf und Inanspruchnahme psychiatrischer Versorgung durch Menschen mit Migrationshintergrund in Deutschland}, series = {Handbuch transkulturelle Psychiatrie}, booktitle = {Handbuch transkulturelle Psychiatrie}, editor = {Hegemann, Thomas and Salman, Ramazan}, edition = {1. Auflage}, publisher = {Psychiatrie-Verlag}, address = {Bonn}, isbn = {978-3-88414-467-1}, pages = {58 -- 68}, abstract = {Obwohl die Migration ein offensichtlich psychisch stark belastender Vorgang ist, gibt es zu dem Bedarf und der Inanspruchnahme psychiatrischer Versorgung durch Menschen mit Migrationshintergrund in Deutschland wenig erforschtes Wissen. Dieser Artikel zeigt ein Modell auf, wie diese Belastung wirkt, wo Hindernisse und wo noch Bedarf in der Forschung f{\"u}r dieses Thema liegen.}, language = {de} } @book{Spallek, author = {Spallek, Jacob}, title = {Migrantengesundheit - Die Sicht der Life-Course-Epidemiologie am Beispiel von Krebs bei t{\"u}rkischen Zuwanderern}, edition = {1. Auflage}, publisher = {Beltz Juventa}, address = {Weinheim und Basel}, isbn = {978-3-7799-1983-4}, pages = {105}, abstract = {Die Gesundheit von Zuwanderern und von der nicht eingewanderten Bev{\"o}lkerung unterscheidet sich zum Teil erheblich. M{\"o}gliche Ursachen daf{\"u}r k{\"o}nnen w{\"a}hrend des ganzen Lebenslaufs der Zuwanderer aufgetreten sein. Dieses Buch besch{\"a}ftigt sich mit dieser Lebenslaufperspektive anhand der empirischen Ergebnisse von zwei epidemiologischen Untersuchungen zu Krebsrisiken von t{\"u}rkischen Zuwanderern in Deutschland.}, language = {de} }