@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{RichterDraganoLampertetal., author = {Richter, M. and Dragano, Nico and Lampert, Thomas and Schneider, Sven and Spallek, Jacob and Sundmacher, Leonie}, title = {Understanding the institutional context of health inequalities among young people: Study protocol for a multi-center research unit}, series = {Gesundheitswesen 2019}, volume = {81}, journal = {Gesundheitswesen 2019}, number = {08/09}, publisher = {Georg Thieme Verlag KG}, address = {Stuttgart}, doi = {10.1055/s-0039-1694623}, pages = {750 -- 751}, abstract = {Background: While health inequalities among young people are well described, the underlying mechanisms have been explored far less. Compositional and contextual characteristics of institutional contexts (e.g. kindergartens, schools) are likely to shape health inequalities among young people and may have an impact above and beyond individual-level determinants. The general research objectives of the research unit are to empirically study if characteristics of different institutional contexts are associated with the emergence of individual-level inequalities in health and c) to integrate findings from different life stages into a comprehensive theoretical model about the key mechanisms at individual and contextual levels. Methods and analysis: Building upon reviews of the existing evidence, each of the five subprojects of the research unit will analyse secondary data (cross-sectional and longitudinal surveys). The subprojects will focus on institutional contexts that serve as major socialization agents in society, such as the family, kindergarten, school, tertiary education/work, as well as the health care system. Linear or logistic multilevel modelling will be applied in order to examine the role of institutional characteristics for young people's health and health inequalities at the individual level. Ethics and dissemination: The dissemination activities include the publication of results in peer-reviewed journals, at international and national scientific conferences, as well as press releases in written and broadcast media to inform relevant stakeholders and the lay public. In the first funding stage, the research unit only uses secondary data of existing datasets. Therefore, ethical approval is not required.}, 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{ScholaskeLindnerMatthesKurtetal., author = {Scholaske, Laura and Lindner-Matthes, Denise and Kurt, Medlin and Duman, Elif Aysimi and Sahbaz, C. and Spallek, Jacob and Entringer, Sonja}, title = {Intergenerational transmission of health disparities among Turkish-origin residents in Germany: role of maternal stress and stress biology during pregnancy. A study protocol}, series = {European Journal of Public Health}, volume = {28}, journal = {European Journal of Public Health}, number = {Suppl. 1}, issn = {1464-360X}, doi = {10.1093/eurpub/cky048.044}, pages = {S. 126}, abstract = {Background:Turkish-origin immigrants constitute one of the biggest migration groups in Germany where they exhibit higher levels of social disadvantage when compared to the majority population. Research has elucidated the underlying mechanisms by which social disadvantage is biologically embedded to impact health over the lifespan. However, relatively little is known about how its effects are transmitted across generations. Aims of the study: To elucidate the effects of maternal migration status and socioeconomic status on stress-related maternal-placental-foetal (MPF) biological processes across gestation and on subsequent infant birth and health outcomes. Methods: We are conducting a longitudinal cohort study of N = 450 child-mother dyads with serial measures across gestation and birth through the first year of life. Our proposed study population will include approximately equal numbers of Turkish-origin women in Germany, German women in Germany, Turkish women living in Turkey and their offspring. Study visits are conducted from the second trimester of pregnancy to the end of the first year of life to assess maternal socio-economic and migration-related information, psychological well-being, nutrition, medical risk variables, and MPF stress biology markers from maternal blood and saliva samples. Infant anthropometric measures, developmental outcomes and stress markers in saliva are assessed throughout the first year of life. Analyses: We will test specific hypotheses regarding the association between migration background, socioeconomic status and MPF stress biology. We will furthermore quantify the association of maternal migration background- and social disadvantage-related MPF stress biology measures on pregnancy and child health outcomes. Discussion: This is the first study on foetal programming of health disparities with a focus on Turkish-origin women in Germany. The significance and impact of this study derives from the importance of achieving a better understanding of underlying mechanisms that alter disease vulnerability in minority and disadvantaged populations.}, 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} } @misc{ReeskeSpallek, author = {Reeske, Anna and Spallek, Jacob}, title = {Deeper Analysis Desirable}, series = {Deutsches {\"A}rzteblatt}, volume = {114}, journal = {Deutsches {\"A}rzteblatt}, number = {41}, doi = {10.3238/arztebl.2017.0689c}, pages = {689 -- 690}, abstract = {The Prevalence of Gestational Diabetes A Population-Based Analysis of a Nationwide Screening Program by Dr. phil. Hanne Melchior, Diana Kurch-Bek, Dr. med. Monika Mund in issue 24/2017}, language = {en} } @misc{SteliarovaFoucher, author = {Steliarova-Foucher, Eva}, title = {Migration-sensitive Cancer Registration in Europe}, editor = {Razum, Oliver and Spallek, Jacob and Reeske, Anna and Arnold, Melina}, edition = {1. Auflage}, publisher = {Peter Lang GmbH Internationaler Verlag der Wissenschaften}, address = {Frankfurt am Main}, isbn = {978-3-631-61934-6}, pages = {138}, abstract = {Migration-sensitive monitoring of health is essential in order to assess and react to changing health care needs of culturally diverse groups in Europe. One example is cancer registration, allowing for the ascertainment and analzsis of trends in cancer occurrence and survival in good time. This book for the first time presents a detailed overview and methodological discussion of migration-sensitive cancer registration in selected European countries. It describes the current situation on the European level by means of five country reports, written in close collaborations with local experts. It examines the ideads of developing common indicators, standardizing data collection procedures and enhancing networking throughout Europe.}, language = {en} } @misc{DoyleSpallek, author = {Doyle, Ina-Merle and Spallek, Jacob}, title = {Determinants of dietary behaviour during pregnancy}, series = {Public Health Forum}, volume = {24}, journal = {Public Health Forum}, number = {3}, issn = {1876-4851}, doi = {10.1515/pubhef-2016-0063}, pages = {231 -- 233}, language = {en} } @misc{ZeebSpallekJahn, author = {Zeeb, Hajo and Spallek, Jacob and Jahn, Ingeborg}, title = {Gender agenda: positive steps taken in Germany}, series = {Nature}, volume = {466}, journal = {Nature}, number = {7304}, issn = {0028-0836}, doi = {10.1038/466315b}, pages = {315}, language = {en} } @book{Jeschke, author = {Jeschke, Sandra}, title = {Status of MCH Services, P.R. of China}, publisher = {VDM Verlag Dr. Mueller}, address = {Saarbr{\"u}cken}, isbn = {978-3-639-00416-8}, language = {en} } @book{Jeschke, author = {Jeschke, Sandra}, title = {Sexual and Reproductive Health in Rural Kenya}, publisher = {VDM Verlag Dr. Mueller}, address = {Saarbr{\"u}cken}, isbn = {978-3-639-19628-3}, pages = {68}, language = {en} } @techreport{DeSantisMuellmannPanetal., author = {De Santis, Karina Karolina and M{\"u}llmann, Saskia and Pan, Chen-Chia and Spallek, Jacob and Hoffmann, Stephanie and Haug, Ulrike and Zeeb, Hajo}, title = {Digitalisierung und Gesundheit: Ergebnisse einer zweiten bundesweiten Befragung in Deutschland}, pages = {21}, abstract = {Diese Studie untersuchte Einstellungen zu und Nutzung von digitalen Technologien im Gesundheitskontext anhand einer zweiten bundesweiten Befragung von Internetnutzenden in Deutschland. Unser Ziel war es zu ermitteln, ob und wie sich Einstellungen zu und Nutzung von digitalen Technologien im Gesundheitskontext zwei Jahre nach der ersten Befragung ver{\"a}ndert haben.}, language = {de} } @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{TallarekSpallek, author = {Tallarek, Marie and Spallek, Jacob}, title = {Migration and health. Theoretical foundations, empirical findings, and public health responses using the example of Germany}, series = {Contemporary challenges of social work in Poland and Germany: war migrants as a challenge}, booktitle = {Contemporary challenges of social work in Poland and Germany: war migrants as a challenge}, editor = {Orłowska, Beata and Paetzold, Ulrich}, edition = {1}, publisher = {Akademia im. Jakuba z Paradyża w Gorzowie Wielkopolskim}, address = {Gorz{\´o}w Wielkopolski}, isbn = {978-83-67705-24-0}, pages = {11 -- 31}, abstract = {Migrants and their offspring, referred to as people with a migration background in this article, are an utmost heterogeneous group whose health situation can be better, similar or worse compared to the health of the population without a migration background. A better understanding of the health of people with a migration background requires the consideration of their individual life course as well as several additional explanatory factors. The latter include, for instance, their social position, age, and gender, as well as the policies, health care system, social climate, living situation, and length of stay in the destination country. Particularly promising public health strategies for migrant health include a combination of migration sensitive and migration specific offers, setting approaches, and inclusionary public health approaches that critically reflect on mechanisms of othering, marginalization, and exclusion.}, language = {en} }