TY - GEN A1 - Wandschneider, Lisa A1 - Batram-Zantvoort, Stephanie A1 - Alaze, Anita A1 - Niehues, Vera A1 - Spallek, Jacob A1 - Razum, Oliver A1 - Miani, Céline T1 - Self-reported mental well-being of mothers with young children during the first wave of the COVID-19 pandemic in Germany: A mixed-methods study T2 - Women’s Health N2 - Objectives: Mothers of young children have been identified as a particularly vulnerable group during the COVID-19 pandemic. We aimed to explore how occupational, psychosocial and partnership-related factors were associated with their self-reported mental well-being during the first COVID-19 wave. Methods: Five hundred fifty participants of the BaBi cohort study (est. 2013, Bielefeld, North-Rhine Westphalia, Germany) were invited to complete an online survey and to take part in email interviews (April–May 2020). With survey data, we assessed self-reported mental well-being through validated instruments (eight-item Patient Health Questionnaire; short version of the Symptom Checklist) and ran linear regression models for occupational, psychosocial and partnership-related factors. We performed content analysis on the interviews’ data to further understand the determinants of the women’s mental well-being. Results: One hundred twenty-four women participated in the survey; of which 17 also participated in the interviews. A perceived lack of support in childcare was associated with higher levels of depressive symptoms, while having a higher internal locus of control was associated with lower levels. Psychological distress was higher in those reporting lack of emotional or childcare support. Interviews confirmed the interplay of potential stressors and highlighted the difficulties to reconcile different expectations of motherhood. Discussion: Occupational, psychosocial and partner-related factors can act (to varying degree) both as resources and stressors to the self-reported mental well-being of mothers of young children. These impacts took different forms and created opportunities or challenges, depending on specific life circumstances, such as work or family situations, relationships and own psychosocial resources. Although not representative, our study contributes to building the COVID-19 evidence base, delineating the mental health toll of the pandemic on mothers of young children and the factors that contribute to it. KW - COVID-19 KW - mental health KW - mixed-methods analysis KW - motherhood KW - ccupational status KW - psychosocial determinants KW - well-being Y1 - 2022 UR - https://journals.sagepub.com/doi/10.1177/17455057221114274 U6 - https://doi.org/10.1177/17455057221114274 SN - 1617-8041 VL - 18 SP - 1 EP - 17 ER - TY - GEN A1 - Spallek, Jacob A1 - Kaatsch, Peter A1 - Spix, Claudia A1 - Ulusoy, Nazan A1 - Zeeb, Hajo A1 - Razum, Oliver T1 - Namensbasierte Identifizierung von Fällen mit türkischer Herkunft im Kinderkrebsregister Mainz T2 - Gesundheitswesen Y1 - 2006 U6 - https://doi.org/10.1055/s-2006-927166 SN - 1439-4421 SN - 0941-3790 VL - 68 IS - 10 SP - 643 EP - 649 ER - TY - CHAP A1 - Okken, Petra-Karin A1 - Spallek, Jacob A1 - Razum, Oliver ED - Bauer, Ullrich ED - Büchel, Andreas T1 - Pflege türkischer Migranten T2 - Soziale Ungleichheit und Pflege N2 - Obwohl die Bevölkerungsgruppe mit türkischem Migrationshintergrund in Deutschland zur Zeit noch ein vergleichsweise niedriges Durchschnittsalter aufweist, wächst der Anteil älterer Menschen unter den türkischen Migrantinnen und Migranten. Vor diesem Hintergrund gewinnen Fragen zur Pflegeversorgung dieser Bevölkerungsgruppe stark an Bedeutung, über die bisher in Deutschland kaum wissenschaftlich abgesicherte Erkenntnisse existieren. Das folgende Kapitel beschreibt die besondere Situation von Menschen mit türkischem 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. KW - Migration KW - Pflege KW - Situation türkischer Migranten Y1 - 2008 SN - 978-3-531-15621-7 SP - 396 EP - 422 PB - VS Verlag für Sozialwissenschaften CY - Wiesbaden ER - TY - CHAP A1 - Spallek, Jacob A1 - Razum, Oliver ED - Kolip, Petra ED - Hurrelmann, Klaus T1 - Migration und Gesundheit aus Geschlechterperspektive T2 - Handbuch Geschlecht und Gesundheit KW - Migration KW - Gesundheit KW - Geschlechterperspektive Y1 - 2016 SN - 978-3-456-85466-3 SP - 125 EP - 133 PB - Hogrefe CY - Bern ER - TY - CHAP A1 - Voigtländer, Sven A1 - Brzoska, Patrick A1 - Spallek, Jacob A1 - Exner, Anne-Kathrin A1 - Razum, Oliver ED - Schott, Thomas ED - Razum, Oliver T1 - Die Inanspruchnahme medizinischer Rehabilitation bei Menschen mit Migrationshintergrund T2 - Migration und medizinische Rehabilitation KW - Medizinische Rehabilitation KW - Migrationshintergrund Y1 - 2013 SN - 978-3-7799-1987-2 SP - 92 EP - 104 PB - Beltz Juventa CY - Weinheim ; Basel ER - TY - CHAP A1 - Brzoska, Patrick A1 - Voigtländer, Sven A1 - Spallek, Jacob A1 - Razum, Oliver ED - Schott, Thomas ED - Razum, Oliver T1 - Reha-Erfolg bei Migrant(inn)en: Herkunftsländer im Vergleich T2 - Migration und medizinische Rehabilitation KW - Reha-Erfolg KW - Migrant(inn)en KW - Herkunftsländer KW - Vergleich Y1 - 2013 SN - 978-3-7799-1987-2 SP - 105 EP - 110 PB - Beltz Juventa CY - Weinheim ; Basel ER - TY - CHAP A1 - Brzoska, Patrick A1 - Voigtländer, Sven A1 - Spallek, Jacob A1 - Razum, Oliver ED - Schott, Thomas ED - Razum, Oliver T1 - Arbeitsunfälle, Berufskrankheiten und Erwerbsminderung bei Menschen mit Migrationshintergrund T2 - Migration und medizinische Rehabilitation KW - Arbeitsunfälle KW - Berufskrankheiten KW - Erwerbsminderung KW - Migrationshintergrund Y1 - 2013 SN - 978-3-7799-1987-2 SP - 49 EP - 61 PB - Beltz Juventa CY - Weinheim ; Basel ER - TY - CHAP A1 - Spallek, Jacob A1 - Razum, Oliver ED - Richter, Matthias ED - Hurrelmann, Klaus T1 - Migration und Gesundheit T2 - Soziologie von Gesundheit und Krankheit N2 - Deutschland ist ein Zuwanderungsland. Hier lebende Menschen mit Migrationshintergrund sollten den gleichen Zugang zu gesundheitsbezogenen Leistungen haben wie die gesamte Bevölkerung. 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 Bedürfnisse zu berücksichtigen und gesundheitliche Chancengleichheit zu erreichen. KW - Migration KW - Gesundheit Y1 - 2016 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:1111-20160205276 UR - http://www.springerlink.com/content/978-3-658-11010-9 SN - 978-3-658-11009-3 SP - 153 EP - 166 PB - Springer VS CY - Wiesbaden ER - TY - CHAP A1 - Brause, Michaela A1 - Brzoska, Patrick A1 - Razum, Oliver A1 - Reutin, Barbara A1 - Schott, Thomas A1 - Spallek, Jacob A1 - Voigtländer, Sven A1 - Yilmaz-Aslan, Yüce ED - Schott, Thomas ED - Razum, Oliver T1 - Abschließende Handlungsempfehlungen und Schlussfolgerungen für die Praxis T2 - Migration und medizinische Rehabilitation KW - Handlungsempfehlungen KW - Schlussfolgerungen Y1 - 2013 SN - 978-3-7799-1987-2 SP - 211 EP - 216 PB - Beltz Juventa CY - Weinheim ; Basel ER - TY - CHAP A1 - Spallek, Jacob A1 - Yilmaz-Aslan, Yüce A1 - Spallek, Lena A1 - Gök, Yesim A1 - Razum, Oliver ED - Mehnert, Anja ED - Koch, Uwe T1 - Interkulturelle Aspekte und Migration T2 - Handbuch Psychoonkologie KW - interkulturell KW - Aspekte KW - Migration Y1 - 2016 SN - 978-3-8017-2474-0 SP - 444 EP - 453 PB - Hogrefe CY - Göttingen ER - TY - GEN A1 - Scholaske, Laura A1 - Entringer, Sonja A1 - Razum, Oliver A1 - Spallek, Jacob T1 - Elevated stress during pregnancy in women of Turkish origin: Results from a prospective cohort study T2 - European Journal of Public Health N2 - 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. KW - stress KW - pregnancy KW - Turkish origin KW - prospective cohort study Y1 - 2022 UR - https://academic.oup.com/eurpub/article/32/Supplement_3/ckac129.608/6765682?searchresult=1 U6 - https://doi.org/10.1093/eurpub/ckac129.608 SN - 1101-1262 SN - 1464-360X VL - 32 IS - Supplement_3 ER - TY - GEN A1 - Entringer, Sonja A1 - Scholaske, Laura A1 - Kurt, Medlin A1 - Duman, Elif Aysimi A1 - Adam, Emma K. A1 - Razum, Oliver A1 - Spallek, Jacob T1 - Diurnal cortisol variation during pregnancy in Turkish origin and non-migrant women in a German birth cohort study T2 - Journal of Psychosomatic Research N2 - 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. KW - cortisol variation KW - pregnancy KW - Turkish origin KW - birth cohort study KW - Germany Y1 - 2022 UR - https://www.sciencedirect.com/science/article/abs/pii/S0022399922003051 U6 - https://doi.org/10.1016/j.jpsychores.2022.111020 SN - 0022-3999 VL - 162 SP - 1 EP - 10 ER - TY - GEN A1 - Razum, Oliver A1 - Karrasch, Laura A1 - Spallek, Jacob T1 - Migration : Eine vernachlässigte Dimension gesundheitlicher Ungleichheit? T2 - Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz Y1 - 2016 U6 - https://doi.org/10.1007/s00103-015-2286-3 SN - 1436-9990 SN - 1437-1588 VL - 59 IS - 2 SP - 259 EP - 265 ER - TY - GEN A1 - Brzoska, Patrick A1 - Voigtländer, Sven A1 - Spallek, Jacob A1 - Razum, Oliver T1 - Die Nutzung von Routinedaten in der rehabilitationswissenschaftlichen Versorgungsforschung bei Menschen mit Migrationshintergrund: Möglichkeiten und Grenzen T2 - Gesundheitswesen Y1 - 2012 U6 - https://doi.org/10.1055/s-0031-1280759 SN - 1439-442 SN - 0941-3790 VL - 74 IS - 6 SP - 371 EP - 378 ER - TY - GEN A1 - Zeeb, Hajo A1 - Spallek, Jacob A1 - Razum, Oliver T1 - Epidemiologische Perspektiven der Migrationsforschung am Beispiel von Krebserkrankungen T2 - Psychotherapie, Psychosomatik, Medizinische Psychologie Y1 - 2008 U6 - https://doi.org/10.1055/s-2008-1067347 SN - 1439-1058 SN - 0937-2032 VL - 58 IS - 3 SP - 130 EP - 135 ER - TY - GEN A1 - Spallek, Jacob A1 - Razum, Oliver T1 - Gesundheit von Migranten: Defizite im Bereich der Prävention T2 - Medzinische Klinik Y1 - 2007 U6 - https://doi.org/10.1007/s00063-007-1058-8 SN - 2193-6218 SN - 2193-6226 VL - 102 IS - 6 SP - 451 EP - 456 ER - TY - GEN A1 - Reiss, Katharina A1 - Spallek, Jacob A1 - Razum, Oliver T1 - Die Entwicklung des Rauchverhaltens im Kontext der Migration nach Deutschland T2 - Public Health Forum Y1 - 2015 U6 - https://doi.org/10.1515/pubhef-2015-0031 SN - 1876-4851 SN - 0944-5587 VL - 23 IS - 2 SP - 85 EP - 87 ER - TY - GEN A1 - Spallek, Jacob A1 - Razum, Oliver T1 - Migration und Geschlecht T2 - Public Heatlth Forum Y1 - 2015 U6 - https://doi.org/10.1515/pubhef-2015-0027 SN - 1876-4851 SN - 0944-5587 VL - 23 IS - 2 SP - 73 EP - 75 ER - TY - GEN A1 - Razum, Oliver A1 - Spallek, Jacob T1 - Migration und Gesundheit T2 - Public Health Forum Y1 - 2015 U6 - https://doi.org/10.1515/pubhef-2015-0021 SN - 1876-4851 SN - 0944-5587 VL - 23 IS - 2 SP - 54 EP - 57 ER - TY - GEN A1 - Spallek, Jacob A1 - Razum, Oliver T1 - Gesundheitschancen. Frühzeitige Weichenstellung. [BaBi-Studie] T2 - Deutsches Ärzteblatt Y1 - 2012 VL - 109 IS - 46 ER -