TY - GEN A1 - Spallek, Jacob A1 - Breckenkamp, Jürgen A1 - Kraywinkel, Klaus A1 - Schwabe, Wolfgang A1 - Krieg, Volker A1 - Greiner, Wolfgang A1 - Damm, Oliver A1 - Razum, Oliver T1 - Need for nursing care support in cancer patients: Registry-linkage study in Germany T2 - South Eastern European Journal of Public Health N2 - Aim: In Germany, very little is known about the need for assistance and nursing care support among cancer patients after hospitalization. The aim of this study was to describe nursing care support for cancer patients and to analyse whether these patients need more care assistance than other persons in need for care. Methods: This was a registry linkage study conducted in 2011. Cases were identified from the population-based cancer registry for the Muenster District in north-western Germany and in factually anonymised form linked by a semi-automatic probabilistic procedure (the standard procedure of the cancer registry) with medical examination records of patients applying for assistance and nursing care support from the regional statutory health insurance. The application records of 4,029 patients with colon, breast and prostate cancer were compared to a reference group of 13,104 non-cancer patients. Results: In only 41.7% of colon, 45.8% of breast and 37.4% of prostate cancer patients was the malignancy the main underlying diagnostic cause for the application of assistance and nursing care. These patients were on average younger (mean age 71.1 vs. 76.8 years) than the non-cancer reference group, required higher levels of support (79.5 vs. 58.1% “considerable” or higher level care need) and their applications were less likely to be rejected (odds ratios [ORs] 0.26, 0.28, and 0.31, respectively). By contrast, the proportion of successful applications and the level of support granted did not differ between multimorbid cancer patients with other main diagnoses as compared to non-cancer applicants. Conclusion: Patients with colon, breast or prostate cancer do not need per se more nursing care than non-cancer patients. Only if cancer is the main underlying diagnosis for nursing care support, higher levels of support are needed. KW - cancer patients KW - nursing care Y1 - 2018 U6 - https://doi.org/10.4119/UNIBI/SEEJPH-2018-204 SN - 2197-5248 IS - 11 SP - 1 EP - 10 ER - TY - GEN A1 - Breckenkamp, Jürgen A1 - Spallek, Jacob A1 - Kraywinkel, Klaus A1 - Krieg, V. A1 - Schwabe, Wolfgang A1 - Greiner, Wolfgang A1 - Damm, Oliver A1 - Hense, H. W. A1 - Razum, Oliver T1 - Abgleich von Verwaltungsdaten des Medizinischen Dienstes der Krankenversicherung mit Krebsregisterdaten T2 - Gesundheitswesen Y1 - 2012 U6 - https://doi.org/10.1055/s-0031-1286274 SN - 1439-4421 SN - 0941-3790 VL - 74 IS - 7 SP - e52 EP - e60 ER - TY - GEN A1 - Grosser, Angelique A1 - Razum, Oliver A1 - Vrijkotte, Tanja G. M. A1 - Hinz, Ina-Merle A1 - Spallek, Jacob T1 - Inclusion of migrants and ethnic minorities in European birth cohort studies - a scoping review T2 - The European Journal of Public Health N2 - Background: Migrant and ethnic minority groups constitute substantial parts of European populations. They frequently experience health disadvantages relative to the respective majority populations. Birth cohort studies can help to disentangle social and biological factors producing these health inequalities over the life course. We investigated whether birth cohorts in European countries (i) assess migration history and ethnicity in the study design; and (ii) use this information in data analyses. Methods: A scoping review was performed in which European birth cohort studies were identified using dedicated web-based registries, MEDLINE and EMBASE. Two reviewers systematically assessed all identified birth cohorts and selected those fulfilling defined inclusion criteria (e.g. enrolment after 1980). Publications and websites were screened for information on the inclusion of migrants and ethnic minorities. To obtain more detailed information, researchers of enrolled birth cohorts were contacted individually. Results: Eighty-eight birth cohorts were identified in 20 European countries, with more than 486 250 children enrolled in total. Sixty-two studies (70.5%) reported collecting data about migration history or ethnic background. Twenty-three studies (26%) used information on migration history or ethnicity for data analyses or plan to do so in future. Conclusion: The majority of European birth cohorts assessed participants’ migration history or ethnic background; however, this information was seldom used for comparative analyses in trying to disentangle reasons for health inequalities. Also, heterogeneous indicators were used. Better use of data already available, as well as harmonization of data collection on migration history and ethnicity, could yield interesting insights into the production of health inequalities. KW - migrants KW - ethnic minorities KW - birth cohort KW - review Y1 - 2016 UR - http://eurpub.oxfordjournals.org/content/early/2016/06/03/eurpub.ckw068 U6 - https://doi.org/10.1093/eurpub/ckw068 SN - 1464-360X VL - 26 IS - 6 SP - 984 EP - 991 ER - TY - CHAP A1 - Spallek, Jacob A1 - Razum, Oliver ED - Bauer, Ullrich ED - Bittlingmayer, Uwe H. ED - Richter, Matthias T1 - Erklärungsmodelle für die gesundheitliche Situation von Migrantinnen und Migranten T2 - Health Inequalities N2 - In diesem Kapitel wird dargestellt, warum Menschen mit Migrationshintergrund eine wichtige Zielgruppe der Forschung zu sozialer Ungleichheit und Gesundheit darstellen und es wird dokumentiert, dass diese Gruppe bislang nicht hinreichend berücksichtigt wird. Es werden gängige Erklärungsansätze für gesundheitliche Unterschiede zwischen Menschen mit Migrationshintergrund und der nicht migrierten Mehrheitsbevölkerung und ihre Grenzen erläutert. Schließlich wird aufgezeigt, dass zukünftige Modelle eine Lebenslaufperspektive enthalten und die epidemiologische Situation der Bevölkerung des Herkunftslandes berücksichtigen müssen. KW - Migranten KW - Gesundheit KW - Deutschland Y1 - 2008 SN - 978-3-531-15612-5 SP - 271 EP - 288 PB - VS Verlag für Sozialwissenschaften CY - Wiesbaden ER - TY - GEN A1 - Berens, Eva-Maria A1 - Reder, Maren A1 - Razum, Oliver A1 - Kolip, Petra A1 - Spallek, Jacob T1 - Informed Choice in the German Mammography Screening Program by Education and Migrant Status: Survey among First-Time Invitees T2 - PLOS ONE N2 - Breast cancer is the most prevalent cancer among women and mammography screening programs are seen as a key strategy to reduce breast cancer mortality. In Germany, women are invited to the population-based mammography screening program between ages 50 to 69. It is still discussed whether the benefits of mammography screening outweigh its harms. Therefore, the concept of informed choice comprising knowledge, attitude and intention has gained importance. The objective of this observational study was to assess the proportion of informed choices among women invited to the German mammography screening program for the first time. A representative sample of 17,349 women aged 50 years from a sub-region of North Rhine Westphalia was invited to participate in a postal survey. Turkish immigrant women were oversampled. The effects of education level and migration status on informed choice and its components were assessed. 5,847 (33.7%) women responded to the postal questionnaire of which 4,113 were used for analyses. 31.5% of the women had sufficient knowledge. The proportion of sufficient knowledge was lower among immigrants and among women with low education levels. The proportion of women making informed choices was low (27.1%), with similar associations with education level and migration status. Women of low (OR 2.75; 95% CI 2.18–3.46) and medium education level (OR 1.49; 95% CI 1.27–1.75) were more likely to make an uninformed choice than women of high education level. Turkish immigrant women had the greatest odds for making an uninformed choice (OR 5.30, 95% CI 1.92–14.66) compared to non-immigrant women. Other immigrant women only had slightly greater odds for making an uninformed choice than non-immigrant women. As immigrant populations and women with low education level have been shown to have poor knowledge, they need special attention in measures to increase knowledge and thus informed choices. KW - German Mammography Screening Program Y1 - 2015 UR - http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4631499/ U6 - https://doi.org/10.1371/journal.pone.0142316 SN - 1932-6203 VL - 10 IS - 11 SP - 1 EP - 11 ER - TY - CHAP A1 - Razum, Oliver A1 - Spallek, Jacob ED - Reintjes, Ralf ED - Klein, Silvia T1 - GBE für Migranten T2 - Gesundheitsberichterstattung und Surveillance N2 - Migranten bilden einen signifikant großen Teil der deutschen Bevölkerung. Jedoch gibt es in der Gesundheitsberichterstattung keine eindeutige Definition über den Status "Migrant". Somit ist die Datenerfassung in dieser Hinsicht mangelhaft. Dieser Artikel zeigt die Relevanz dieses Themas auf und liefert Vorschläge zu der sinnvollen Erfassung und Interpretation von migrantenspezifischen Gesundheitsdaten. KW - Migranten KW - Gesundheitsberichterstattung KW - Deutschland Y1 - 2007 SN - 3-456-84441-7 SP - 207 EP - 214 PB - Hans Huber Verlag, Hogrefe AG CY - Bern ER - TY - CHAP A1 - Razum, Oliver A1 - Spallek, Jacob ED - Baykara-Krumme, Helen ED - Motel-Klingebiel, Andreas ED - Schimany, Peter T1 - Erklärungsmodelle zum Zusammenhang zwischen Migration und Gesundheit im Alter T2 - Viele Welten des Alterns N2 - In diesem Artikel werden zunächst drei Konzepte von Gesundheit dargestellt. Dann geben die Autoren empirische Beispiele für unterschiedliche Krankheitsrisiken von Migrantinnen und Migranten relativ zur Mehrheitsbevölkerung. Anschließend erläutern sie theoretische Erklärungen für das Zustandekommen solcher Unterschiede. Sie schließen mit einem Modell aus der "lifecourse epidemiology" (lebenslaufbezogene Epidemiologie). Es versucht unter anderem, spezifische Expositionen zu berücksichtigen, denen Menschen vor, während und nach einer Migration ausgesetzt sind. Das Modell erleichtert es, solche Expositionen zu identifizieren, denen die nicht-migrierte Mehrheitsbevölkerung nicht oder in anderem Maße ausgesetzt sind. KW - Migranten KW - Alte KW - Migration KW - Gesundheit Y1 - 2012 SN - 978-3-531-18318-3 SP - 161 EP - 180 PB - Springer VS CY - Wiesbaden ER - TY - CHAP A1 - Berens, Eva-Maria A1 - Spallek, Jacob A1 - Razum, Oliver ED - Ingleby, David ED - Krasnik, Allan ED - Lorant, Vincent ED - Razum, Oliver T1 - Breast cancer screening among immigrant women: do we need specific approaches in risk communication? T2 - Health Inequalities and Risk Factors among Migrants and Ethnic Minorities N2 - The aim of this chapter is to illustrate the specific Situation of Migrant women with regard to breast cancer Screening programmes. Screening uptake and determining factors among Migrant populations will be described. Furthermore, differences in breast cancer risk and ist Impact on the efficiencz of breast cancer Screening among migrants will be assessed. It will be discussed critically whether lower uptake rates among migrants should necessarily lead to measures to increase uptake. A Special Focus will be on risk communication and informed choice. KW - Migrants KW - Breastcancer KW - risk KW - communication Y1 - 2012 SN - 978-90-441-2928-1 SP - 304 EP - 318 PB - Garant Publishers CY - Antwerp; Apledoorn ER - TY - CHAP A1 - Razum, Oliver A1 - Spallek, Jacob A1 - Zeeb, Hajo ED - Schott, Thomas ED - Hornberg, Claudia T1 - Migration und Gesundheit T2 - Die Gesellschaft und ihre Gesundheit: 20 Jahre Public Health in Deutschland, Bilanz und Ausblick einer Wissenschaft N2 - Die Datenlage zur Gesundheit von Menschen mit Migrationshintergrund ist in Deutschland bislang unzureichend. Dies hat zum Teil methodische Gründe, die in diesem Artikel dargestellt werden. Für den 2008 erschienenen Schwerpunktbericht "Migration und Gesundheit" im Auftrag des Robert Koch Instituts wurden umfangreiche Auswertungen der vorhandenen Datenquellen vorgenommen (Razum et al. 2008a). Sie zeigen, dass das Krankheitsspektrum der Menschen mit Migrationshintergrund dem der nicht migrierten Bevölkerung weitgehend ähnelt (mit Ausnahme einiger seltener erblicher hämatologischer und Stoffwechselerkrankungen bei Migranten).In vielen Bereichen bestehen aber Unterschiede hinsichtlich des Ausmaßes und der relativen Bedeutung bestimmter Krankheiten, Mutter-Kind-Gesundheit, Gesundheit am Arbeitsplatz, sowie chronische Erkrankungen und ihre Risikofaktoren zeigen, wie vielschichtig die gesundheitliche Lage von Migranten ist (Razum et al. 2008b). In diesem Artikel wird im Speziellen auf Infektionskrankheiten, Müttersterblichkeit, Kindergesundheit, Unfall- und Schwerbehindertenquellen, Risikofaktoren für Herz-Kreislauferkrankungen und die gesundheitsbezogene Forschung zu Migranten eingegangen. KW - Migranten KW - Gesundheit KW - Forschung Y1 - 2011 SN - 978-3-531-17581-2 SP - 555 EP - 574 PB - VS Verlag CY - Wiesbaden ER - TY - GEN A1 - Berens, Eva-Maria A1 - Yilmaz-Aslan, Yüce A1 - Spallek, Jacob A1 - Razum, Oliver T1 - Determinants of mammography screening participation among Turkish immigrant women in Germany – a qualitative study reflecting key informants’ and women’s perspectives. T2 - European Journal of Cancer Care Y1 - 2016 U6 - https://doi.org/10.1111/ecc.12334 SN - 1365-2354 VL - 25 IS - 1 SP - 38 EP - 48 ER -