@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{HoffmannTallarekSpallek, author = {Hoffmann, Stephanie and Tallarek, Marie and Spallek, Jacob}, title = {Gesundheitswissenschaftliche Grundlagen f{\"u}r den Gesundheitsunterricht. Gesundheit und Vielfalt in Schule, Ausbildung und Studium}, series = {Gesundheitsdidaktik}, booktitle = {Gesundheitsdidaktik}, editor = {Goldfriedrich, Martin and Hurrelmann, Klaus}, edition = {1}, publisher = {Beltz Juventa}, address = {Weinheim, Basel}, isbn = {978-3-7799-6371-4}, pages = {134 -- 155}, abstract = {Dieses Kapitel stellt theoretische und empirische Grundlagen der Gesundheit, ihrer Determinanten und der gesundheitlichen Ungleichheit als Gegenstand eines systematischen Gesundheitsunterrichts vor (Goldfriedrich/Hurrelmann in diesem Band, Kern-Wert 2 des Gesundheitsunterrichtes). Das Wissen um die Komplexit{\"a}t menschlicher Vielfalt und deren Einfluss auf die gesundheitliche Situation bildet die Grundlage f{\"u}r das Verst{\"a}ndnis zentraler Gesundheitsdimensionen (u. a. M{\"u}ller/Porges in diesem Band) sowie die didaktische Schwerpunktsetzung in verschiedenen Institutionen im Entwicklungsverlauf, wie dem Gymnasium (Schwegmann in diesem Band), der Berufsschule (Trumpa/Dorn in diesem Band) oder in Hochschulen (Sprenger in diesem Band). In diesem Kontext erl{\"a}utert das Kapitel die Problematik ungleich verteilter Gesundheitschancen und stellt die Bandbreite relevanter Einflussfaktoren am Beispiel der sozialen Lage, des Migrationshintergrunds und des Geschlechts bei Kindern und Jugendlichen vor. Es zeigt auf, wie dieses Wissen im Bildungskontext curricular implementiert werden kann, um bereits im Kindes- und Jugendalter einen Beitrag zur gesundheitlichen Chancengleichheit leisten zu k{\"o}nnen.}, language = {de} } @misc{TallarekSpallek, author = {Tallarek, Marie and Spallek, Jacob}, title = {Othering in public health using the example of Covid-19 management in German asylum camps}, series = {European Journal of Public Health}, volume = {31}, journal = {European Journal of Public Health}, number = {Issue Supplement_3}, doi = {10.1093/eurpub/ckab164.795}, pages = {2}, abstract = {Issue/problem In 2020, several German reception centers and asylum camps were imposed mass quarantine after single residents had been infected with SARS-CoV-2. Civil and research networks criticized this measure, as crowded housing conditions limited the implementation of infection protection measures, and mass quarantine further increased the risk of infection. This raised the question why public health (PH) measures in these settings differed from those implemented in the general population, and which implications for future PH approaches can be identified. Problem description Considering the epidemiological evidence and ethical perspectives on the PH strategies described above, we applied the concepts of "Exclusionary Othering" and "Inclusionary Othering" to PH. We further discussed the Covid-19 management in German reception centers and asylum camps. Results We identified three conceptual approaches: 1) exclusionary, 2) inclusionary, and 3) diversity-sensitive approaches to PH. Exclusionary PH is characterized by an exclusion of less powerful groups despite negative health consequences. Inclusive approaches seek to empower less powerful groups in order to understand each other's needs, build cooperations, protect everyone and to prevent the development of "hot spots". Diversity-sensitive PH approaches avoid othering and seek to implement measures for everyone, taking into account diverse needs, conditions, and resources. Lessons We propose a paradigm shift towards inclusionary and diversity-sensitive PH that benefits the entire population, including those forced to flee other countries. This requires a critical reflection of power dynamics and discrimination. The proposed concepts can be transferred to other social groups, regions, and areas of PH. Key messages Public health needs to shift its perspective from exclusion and subordination to inclusion and involvement. Inclusionary and diversity-sensitive PH approaches promote health equity.}, language = {en} } @incollection{TallarekSpallek, author = {Tallarek, Marie and Spallek, Jacob}, title = {Gesundheitliche Situation von Migranten in Deutschland}, series = {Migration \& Gesundheit : Das Wichtigste f{\"u}r {\"A}rztinnen und {\"A}rzte aller Fachrichtungen}, booktitle = {Migration \& Gesundheit : Das Wichtigste f{\"u}r {\"A}rztinnen und {\"A}rzte aller Fachrichtungen}, editor = {Sieberer, Marcel and Jung, Petra and F{\"u}hrmann, Fabienne}, edition = {1}, publisher = {Urban \& Fischer Verlag/Elsevier GmbH}, address = {M{\"u}nchen, Jena}, isbn = {9783437235108}, abstract = {Kernaussagen - Menschen mit Migrationshintergrund sind nicht per se kr{\"a}nker oder ges{\"u}nder als die Bev{\"o}lkerung ohne Migrationshintergrund. Expositionen vor, w{\"a}hrend und nach der Migration k{\"o}nnen aber unterschiedliche Gesundheitsressourcen und Krankheitsrisiken mit sich bringen. - {\"U}ber das Merkmal „Migrationshintergrund" hinaus variiert eine Vielzahl an Krankheitsrisiken abh{\"a}ngig vom sozio{\"o}konomischen Status (SES), dem Alter, Geschlecht und der Aufenthaltsdauer im Zielland. - Bei 11 bis 17-j{\"a}hrigen Kindern und Jugendlichen mit und ohne Migrationshintergrund bestehen kaum Unterschiede in der Selbsteinsch{\"a}tzung der k{\"o}rperlichen Gesundheit. - Erwachsene mit Migrationshintergrund aus spezifischen Herkunftsl{\"a}ndern weisen statistisch ein geringeres Risiko f{\"u}r b{\"o}sartige Neubildungen wie Brust-, Haut- oder Lungenkrebs sowie f{\"u}r Herz-Kreislauf-Erkrankungen auf. Erh{\"o}hte Risiken bestehen f{\"u}r Arbeitsunf{\"a}lle, psychsiche Erkrankungen sowie in einzelnen Sub-Gruppen f{\"u}r Infektionskrankheiten wie Tuberkulose, Hepatitis und HIV. - Ausl{\"a}ndische S{\"a}uglinge, Kinder und Jugendliche in Deutschland weisen eine h{\"o}here Mortalit{\"a}tsrate auf als deutsche Gleichaltrige. Zugewanderte Menschen im Alter von 20 bis 60 Jahren haben eine geringere, im Alter von 65 bis 69 Jahren eine h{\"o}here Mortalit{\"a}tsrate als die nicht-migrierte Bev{\"o}lkerung. - Die Sterblichkeit ausl{\"a}ndischer Personen gleicht sich mit zunehmender Aufenthaltsdauer in Deutschland an das Mortalit{\"a}tsmuster der einheimischen Bev{\"o}lkerung an.}, language = {de} } @misc{HoffmannSanderWachtleretal., author = {Hoffmann, Stephanie and Sander, Lydia and Wachtler, Benjamin and Blume, Miriam and Schneider, Sven and Herke, Max and Pischke, Claudia R. and Matos Fialho, Paula Mayara and Schuettig, Wiebke and Tallarek, Marie and Lampert, Thomas and Spallek, Jacob}, title = {Moderating or mediating effects of family characteristics on socioeconomic inequalities in child health in high‑income countries - a scoping review}, series = {BMC Public Health}, volume = {22}, journal = {BMC Public Health}, issn = {1471-2458}, doi = {10.1186/s12889-022-12603-4}, pages = {1 -- 14}, abstract = {Background: By explaining the development of health inequalities, eco-social theories highlight the importance of social environments that children are embedded in. The most important environment during early childhood is the family, as it profoundly influences children's health through various characteristics. These include family processes, family structure/size, and living conditions, and are closely linked to the socioeconomic position (SEP) of the family. Although it is known that the SEP contributes to health inequalities in early childhood, the effects of family characteristics on health inequalities remain unclear. The objective of this scoping review is to synthesise existing research on the mediating and moderating effects of family characteristics on socioeconomic health inequalities (HI) during early childhood in high-income countries. Methods: This review followed the methodology of "Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews". To identify German and English scientific peer-reviewed literature published from January 1st, 2000, to December 19th, 2019, the following search term blocks were linked with the logical operator "AND": (1) family structure/size, processes, living conditions, (2) inequalities, disparities, diversities, (3) income, education, occupation, (4) health and (5) young children. The search covered the electronic databases PubMed, PsycINFO, and Scopus. Results: The search yielded 7,089 records. After title/abstract and full-text screening, only ten peer-reviewed articles were included in the synthesis, which analysed the effects of family characteristics on HI in early childhood. Family processes (i.e., rules /descriptive norms, stress, parental screen time, parent-child conflicts) are identified to have mediating or moderating effects. While families' living conditions (i.e., TVs in children's bedrooms) are suggested as mediating factors, family structure/size (i.e., single parenthood, number of children in the household) appear to moderate health inequalities. Conclusion: Family characteristics contribute to health inequalities in early childhood. The results provide overall support of models of family stress and family investment. However, knowledge gaps remain regarding the role of family health literacy, regarding a wide range of children's health outcomes (e.g., oral health, inflammation parameters, weight, and height), and the development of health inequalities over the life course starting at birth.}, language = {en} } @incollection{TallarekSpallek, author = {Tallarek, Marie and Spallek, Jacob}, title = {Die gesundheitliche Situation von eingewanderten Menschen in Deutschland}, series = {Migration \& Gesundheit}, booktitle = {Migration \& Gesundheit}, editor = {Sieberer, Marcel and Jung, Petra and F{\"u}hrmann, Fabienne}, edition = {1}, publisher = {Urban \& Fischer}, address = {M{\"u}nchen}, doi = {10.1016/B978-3-437-23510-8.00007-0}, pages = {31 -- 36}, abstract = {Kernaussagen: - Menschen mit Migrationshintergrund sind nicht per se kr{\"a}nker oder ges{\"u}nder als die Bev{\"o}lkerung ohne Migrationshintergrund. Expositionen vor, w{\"a}hrend und nach der Migration k{\"o}nnen aber unterschiedliche Gesundheitsressourcen und Krankheitsrisiken mit sich bringen. - {\"U}ber das Merkmal „Migrationshintergrund" hinaus variiert eine Vielzahl an Krankheitsrisiken abh{\"a}ngig vom sozio{\"o}konomischen Status (SES), dem Alter, Geschlecht und der Aufenthaltsdauer im Zielland. - Bei 11 bis 17-j{\"a}hrigen Kindern und Jugendlichen mit und ohne Migrationshintergrund bestehen kaum Unterschiede in der Selbsteinsch{\"a}tzung der k{\"o}rperlichen Gesundheit. - Erwachsene mit Migrationshintergrund aus spezifischen Herkunftsl{\"a}ndern weisen statistisch ein geringeres Risiko f{\"u}r b{\"o}sartige Neubildungen wie Brust-, Haut- oder Lungenkrebs sowie f{\"u}r Herz-Kreislauf-Erkrankungen auf. Erh{\"o}hte Risiken bestehen f{\"u}r Arbeitsunf{\"a}lle, psychsiche Erkrankungen sowie in einzelnen Sub-Gruppen f{\"u}r Infektionskrankheiten wie Tuberkulose, Hepatitis und HIV. - Ausl{\"a}ndische S{\"a}uglinge, Kinder und Jugendliche in Deutschland weisen eine h{\"o}here Mortalit{\"a}tsrate auf als deutsche Gleichaltrige. Zugewanderte Menschen im Alter von 20 bis 60 Jahren haben eine geringere, im Alter von 65 bis 69 Jahren eine h{\"o}here Mortalit{\"a}tsrate als die nicht-migrierte Bev{\"o}lkerung. - Die Sterblichkeit ausl{\"a}ndischer Personen gleicht sich mit zunehmender Aufenthaltsdauer in Deutschland an das Mortalit{\"a}tsmuster der einheimischen Bev{\"o}lkerung an.}, language = {de} } @misc{SchulzeMerzThieretal., author = {Schulze, Susanne and Merz, Sibille and Thier, Anne and Tallarek, Marie and K{\"o}nig, Franziska and Uhlenbrock, Greta and N{\"u}bling, Matthias and Lincke, Hans-Joachim and Rapp, Michael A. and Spallek, Jacob and Holmberg, Christine}, title = {Psychosocial burden in nurses working in nursing homes during the Covid-19 pandemic: a cross-sectional study with quantitative and qualitative data}, series = {BMC health services research}, volume = {22}, journal = {BMC health services research}, issn = {1472-6963}, doi = {10.1186/s12913-022-08333-3}, pages = {1 -- 13}, abstract = {Background: The Covid-19 pandemic led to increased work-related strain and psychosocial burden in nurses worldwide, resulting in high prevalences of mental health problems. Nurses in long-term care facilities seem to be especially affected by the pandemic. Nevertheless, there are few findings indicating possible positive changes for health care workers. Therefore, we investigated which psychosocial burdens and potential positive aspects nurses working in long-term care facilities experience during the Covid-19 pandemic. Methods: We conducted a mixed-methods study among nurses and nursing assistants working in nursing homes in Germany. The survey contained the third German version of the Copenhagen Psychosocial Questionnaire (COPSOQ III). Using Welch's t-tests, we compared the COPSOQ results of our sample against a pre-pandemic reference group of geriatric nurses from Germany. Additionally, we conducted semi-structured interviews with geriatric nurses with a special focus on psychosocial stress, to reach a deeper understanding of their experiences on work-related changes and burdens during the pandemic. Data were analysed using thematic coding (Braun and Clarke). Results: Our survey sample (n = 177) differed significantly from the pre-pandemic reference group in 14 out of 31 COPSOQ scales. Almost all of these differences indicated negative changes. Our sample scored significantly worse regarding the scales 'quantitative demands', 'hiding emotions', 'work-privacy conflicts', 'role conflicts', 'quality of leadership', 'support at work', 'recognition', 'physical demands', 'intention to leave profession', 'burnout', 'presenteeism' and 'inability to relax'. The interviews (n = 15) revealed six main themes related to nurses' psychosocial stress: 'overall working conditions', 'concern for residents', 'management of relatives', 'inability to provide terminal care', 'tensions between being infected and infecting others' and 'technicisation of care'. 'Enhanced community cohesion' (interviews), 'meaning of work' and 'quantity of social relations' (COPSOQ III) were identified as positive effects of the pandemic. Conclusions: Results clearly illustrate an aggravation of geriatric nurses' situation and psychosocial burden and only few positive changes due to the Covid-19 pandemic. Pre-existing hardships seem to have further deteriorated and new stressors added to nurses' strain. The perceived erosion of care, due to an overemphasis of the technical in relation to the social and emotional dimensions of care, seems to be especially burdensome to geriatric nurses.}, language = {en} } @misc{TallarekSpallek, author = {Tallarek, Marie and Spallek, Jacob}, title = {Die Selbstbestimmung Geb{\"a}render: F{\"o}rderliche und begrenzende Faktoren aus der Perspektive von Hebammen in Krankenh{\"a}usern, Geburtsh{\"a}usern und bei Hausgeburten}, series = {21. Deutscher Kongress f{\"u}r Versorgungsforschung : 05.10.-07.10.2022, Potsdam}, journal = {21. Deutscher Kongress f{\"u}r Versorgungsforschung : 05.10.-07.10.2022, Potsdam}, publisher = {Deutsches Netzwerk Versorgungsforschung e.V.}, address = {D{\"u}sseldorf}, doi = {10.3205/22dkvf321}, abstract = {Hintergrund und Stand (inter)nationaler Forschung: Die Forderung nach einer selbstbestimmten Geburt ist in Deutschland und weltweit in den fachlichen und {\"o}ffentlichen Fokus ger{\"u}ckt. Allerdings liegen bisher wenige Forschungsergebnisse zur Selbstbestimmung Geb{\"a}render und ihrer f{\"o}rderlichen und begrenzenden Bedingungen vor. Diese Erkenntnisse sind jedoch essentiell, um Selbstbestimmung gezielt unterst{\"u}tzen und ihre Verletzung vermeiden zu k{\"o}nnen. Fragestellung und Zielsetzung: Die Studie untersucht und vergleicht die Erfahrungen und Perspektiven von Hebammen in Bezug auf f{\"o}rderliche und begrenzende Faktoren einer selbstbestimmten Geburt in Krankenh{\"a}usern, Geburtsh{\"a}usern und bei Hausgeburten in Deutschland. Methode: Es wurde eine qualitative Fallstudie auf der Basis von zehn problemzentrierten Einzelinterviews mit Hebammen durchgef{\"u}hrt. Eingeschlossen wurden Hebammen mit laufender oder abgeschlossener Ausbildung, deren letzte begleitete Geburt nicht l{\"a}nger als sechs Monate zur{\"u}cklag. Die Sampling-Strategie erlaubte die Ber{\"u}cksichtigung unterschiedlicher Geburtshilfe-Settings und Regionen in Deutschland. Alle Interviews wurden aufgezeichnet, transkribiert, anonymisiert und mittels der Thematischen Analyse ausgewertet. Ein positives Ethik-Votum liegt vor. Ergebnisse: Die Ergebnisse legen acht zusammenh{\"a}ngende Kategorien nahe, die jeweils f{\"o}rdernde und begrenzende Faktoren implizieren: 1. Strukturelle/rechtliche Bedingungen auf Meso-/Makroebene; 2. Wahrnehmung von Geburt (z.B. als medizinischer/nat{\"u}rlicher Vorgang, notwendige Kompetenz und Kontrolle); 3. Vertrauen/Atmosph{\"a}re; 4. Kennenlernen/ Beziehungsaufbau mit Geb{\"a}renden; 5. Sozio{\"o}konomische Position (SEP) der Geb{\"a}renden; 6. Information der Geb{\"a}renden; 7. Entscheidungs- und Artikulationsf{\"a}higkeit der Geb{\"a}renden und 8. Verhalten der Begleitpersonen. Zudem wurden Strategien der Hebammen zur Erweiterung des Handlungsspielraums identifiziert. Mehrere Faktoren unterscheiden sich abh{\"a}ngig vom Geburtssetting. Diskussion: Die M{\"o}glichkeiten f{\"u}r eine selbstbestimmte Geburt k{\"o}nnen sich je nach Setting (z.B. institutionelle Routinen), zwischenmenschlichen Beziehungen (z.B. Vertrauen) und individuellen Faktoren (z.B. SEP) unterscheiden. Folglich k{\"o}nnen politische, institutionelle und individuelle Strategien eine selbstbestimmte Geburt - und damit eine personenzentrierte, situativ angemessene Versorgung - unter Ber{\"u}cksichtigung der oben genannten Faktoren unterst{\"u}tzen. Praktische Implikationen: Die Ergebnisse liefern konkrete Anhaltspunkte f{\"u}r Maßnahmen zur Unterst{\"u}tzung einer selbstbestimmten Geburt in verschiedenen Geburtssettings. Empfohlen werden u. a. die Verbesserung von Informationsprozessen vor und w{\"a}hrend der Geburt, die Verbesserung des Zugangs zu Versorgungsangeboten, der Abbau finanzieller H{\"u}rden in der Inanspruchnahme, die F{\"o}rderung von Beziehungsaufbau und eine St{\"a}rkung der hebammengeleiteten Geburt. Appell f{\"u}r die Praxis (Wissenschaft und/oder Versorgung) in einem Satz: Akteur*innen und Entscheidungstr{\"a}ger*innen der Geburtshilfe k{\"o}nnen die Selbstbestimmung Geb{\"a}render durch gezielte individuelle, institutionelle und politische Maßnahmen f{\"o}rdern.}, language = {de} } @misc{SchulzeMerzLinckeetal., author = {Schulze, Susanne and Merz, Sibille and Lincke, Hans-Joachim and N{\"u}bling, Matthias and Rapp, Michael A. and Spallek, Jacob and Tallarek, Marie and Thier, Anne Kathrin and Holmberg, Christine}, title = {Psychosocial burden in nurses working in nursing homes during the Covid-19 pandemic}, series = {21. Deutscher Kongress f{\"u}r Versorgungsforschung (DKVF) : 05.10.-07.10.2022, Potsdam}, journal = {21. Deutscher Kongress f{\"u}r Versorgungsforschung (DKVF) : 05.10.-07.10.2022, Potsdam}, publisher = {German Medical Science GMS Publishing House}, address = {D{\"u}sseldorf}, doi = {10.3205/22dkvf025}, abstract = {Background: Nurses' work-related strain and psychological burden increased during the Covid-19 pandemic, resulting in high prevalences of mental health problems among nurses worldwide. Nurses in long-term care facilities seem to be particularly prone to overall heightened burden and poor mental health. Research question: We investigated which work-related psychosocial burdens and potential positive aspects nurses working in nursing homes experience during the Covid-19 pandemic. Method: We conducted a mixed-methods study. Eligible for participation were nurses and nursing assistants working in nursing homes within the state of Brandenburg, Germany. Between August and October 2020, we distributed an anonymous survey containing the third German version of the Copenhagen Psychosocial Questionnaire (COPSOQ III). Using Welch's t-tests, we compared the COPSOQ results of our sample against a pre-pandemic reference group of geriatric nurses, drawn from the German COPSOQ databank and kindly shared by the Freiburg Research Centre for Occupational Science. In June 2021, we also conducted semi-structured interviews with geriatric nurses to reach a deeper understanding of their experiences on work-related changes and burdens during the first phases of the pandemic. Data were analysed using thematic coding (Braun and Clarke). Results: Our survey sample (n=177) differed significantly from the reference group in 14 out of 31 COPSOQ scales. Amongst others, our sample scored significantly worse regarding the scales 'support at work', 'recognition', 'quantitative demands', 'hiding emotions', 'role conflicts', 'intention to leave profession', 'burnout' and 'inability to relax'. The interviews (n=17) revealed five main themes related to nurses' psychosocial stress: 'overall working conditions under the hygiene measures', 'concern for isolated residents', 'management of relatives', 'inability to provide terminal care', 'tensions between being infected and infecting others' and 'technicisation of care'. 'Enhanced community cohesion' and 'meaning of work' were identified as positive effects of the pandemic. Discussion: Results indicate that nurses in nursing homes experience enhanced psychosocial and work-related strain. The comparisons with the pre-pandemic reference group suggest that the situation further aggravated during the pandemic. Nurses exhibited high psychosocial burden, e.g., due to strongly impeded possibilities to fulfill the emotional and social dimensions of care and the constant fear of infection or transmission. Deteriorated working conditions (e.g., higher workload through staff shortages and additional tasks) further exacerbated these burdens. Few positive aspects of the pandemic may be important sources of resilience. Practical implications: The reduction of nurses' strain through psychosocial support and the improvement of working conditions is crucial for the protection of nurses' health. Appeal for practice in one sentence: Political players as well as care facilities should take measures to improve nurses' situation in order to maintain a healthy workforce and high-quality care.}, language = {en} } @incollection{TallarekZeebSpallek, author = {Tallarek, Marie and Zeeb, Hajo and Spallek, Jacob}, title = {Psychiatrisch-psychotherapeutische Versorgung von zugewanderten Menschen in Deutschland. Bedarf, Inanspruchnahme und Verbesserungspotenziale}, series = {Handbuch Transkulturelle Psychiatrie}, booktitle = {Handbuch Transkulturelle Psychiatrie}, editor = {Klosinski, Matthias and Castro N{\´u}{\~n}ez, Sandra and Oestereich, Cornelia and Hegemann, Thomas}, edition = {1}, publisher = {Psychiatrie Verlag}, address = {K{\"o}ln}, isbn = {978-3-8252-5945-7}, doi = {10.36198/9783838559452}, pages = {77 -- 92}, abstract = {Dieser Beitrag gibt einen {\"U}berblick {\"u}ber theoretische Konzepte sowie epidemiologisch-empirische Erkenntnisse zu H{\"a}ufigkeit und Determinanten psychischer Erkrankungen bei zugewanderten Menschen sowie zur Inanspruchnahme und Versorgungspraxis. Auf der Basis dieser Erkenntnisse werden vielversprechende Ans{\"a}tze der Versorgungspraxis sowie der weiteren Forschung vorgestellt.}, 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} } @techreport{GoldfriedrichHoffmannMuelleretal., author = {Goldfriedrich, Martin and Hoffmann, Stephanie and M{\"u}ller, Yvonne and Schmidt, Andrea C. and Spallek, Jacob and Stroß, Annette M. and Tallarek, Marie}, title = {Konzeptpapier f{\"u}r einen Modellstudiengang „Gesundheitsp{\"a}dagogik und Gesundheitsdidaktik"}, editor = {Goldfriedrich, Martin and Hurrelmann, Klaus}, publisher = {Universit{\"a}t}, address = {Erfurt}, doi = {10.22032/dbt.52342}, url = {http://nbn-resolving.de/urn:nbn:de:gbv:547-202200367}, pages = {23}, abstract = {Angesichts der immer st{\"a}rker werdenden Diskussion um die Bedeutung von Gesundheit f{\"u}r den schulischen und außerschulischen Bildungs- und Lernprozess und der Risiken wachsender gesundheitlicher Ungleichheit bei Kindern und Jugendlichen (Hurrelmann/Richter 2013, Lampert et al. 2019) ist die Etablierung eines Studienganges „Gesundheitsp{\"a}dagogik und Gesundheitsdidaktik" l{\"a}ngst {\"u}berf{\"a}llig und von besonderer Bedeutung f{\"u}r gesundheitliche Chancengleichheit (Goldfriedrich \& Hurrelmann, 2021a; 2021b). Dieses Konzeptpapier stellt einen Modellstudiengang vor, bei dem insbesondere die Vermittlungsebenen - also die gesundheitsdidaktischen Gegenstandsbereiche - im Vordergrund stehen. Die Ausarbeitungen des Entwurfs basieren auf der Grundlage politischer Bestrebungen, der bisherigen Forschung zur Gesundheitsp{\"a}dagogik und Gesundheitsdidaktik, den Erkenntnissen der Erziehungs- und Gesundheitswissenschaften sowie wissenschaftlichen und interprofessionellen Beitr{\"a}gen des Netzwerks Gesundheitsdidaktik (bestehend aus 33 Expert*innen aus 24 Fachbereichen).}, language = {de} }