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 - TY - CHAP A1 - Brzoska, Patrick A1 - Voigtländer, Sven A1 - Spallek, Jacob A1 - Razum, Oliver T1 - Potenziale und Limitationen der Reha-Statistik-Datenbasis für die rehabilitationswissenschaftliche Migrationsforschung T2 - Gesundheit, Migration und Einkommensgleichheit Y1 - 2010 SN - 978-3-00-033860-1 SP - 121 EP - 130 PB - DRV Schriftenband CY - Berlin ER - TY - CHAP A1 - Brzoska, Patrick A1 - Spallek, Jacob A1 - Voigtländer, Sven A1 - Razum, Oliver ED - Biffl, Gudrun ED - Rössl, Lydia T1 - Sozioökonomischer Status, Gesundheit und Gesundheitsversorgung von Menschen mit Migrationshintergrund in Deutschland T2 - Migration & Integration, Band 3 Y1 - 2012 SN - 978-3-99031-011-3 SP - 85 EP - 94 PB - Omninum CY - Bad Vöslau ER - TY - GEN A1 - Razum, Oliver A1 - Spallek, Jacob T1 - Wie gesund sind Migranten? Erkenntnisse und Zusammenhänge am Beispiel der Zuwanderer in Deutschland T2 - Focus Migration : Kurzdossier Y1 - 2009 SN - 1864-5704 IS - 12 SP - 1 EP - 9 ER - TY - CHAP A1 - Spallek, Jacob A1 - Razum, Oliver T1 - Das deutsche Konzept „Staatsangehörigkeit“ T2 - Migrationssensible Studiendesigns zur Repräsentation des Migrationsstatus in der Gesundheitsforschung Y1 - 2006 SN - 978-3-89606-098-3 SN - 3-89606-098-8 SP - 23 EP - 29 PB - Robert Koch Institut CY - Berlin ER - TY - BOOK A1 - Brzoska, Patrick A1 - Voigtländer, Sven A1 - Reutin, Barbara A1 - Yilmaz-Aslan, Yüce A1 - Barz, Irina A1 - Starikow, Klara A1 - Reiss, Katharina A1 - Dröge, Angela A1 - Hinz, Julia A1 - Exner, Anne A1 - Striedelmeyer, Lena A1 - Krupa, Elzbieta A1 - Spallek, Jacob A1 - Berg-Beckhoff, Gabriele A1 - Schott, Thomas A1 - Razum, Oliver T1 - Rehabilitative Versorgung und gesundheitsbedingte Frühberentung von Personen mit Migrationshintergrund in Deutschland : Abschlussbericht Y1 - 2010 PB - Bundesministerium für Arbeit und Soziales CY - Bonn ER - TY - GEN A1 - Makarova, Nataliya A1 - Reiss, Katharina A1 - Zeeb, Hajo A1 - Razum, Oliver A1 - Spallek, Jacob T1 - Verbesserte Möglichkeiten zur Identifikation von Menschen mit Migrationshintergrund für die Mortalitätsforschung am Beispiel Bremens T2 - Gesundheitswesen Y1 - 2013 U6 - https://doi.org/10.1055/s-0032-1321767 SN - 1439-4421 SN - 0941-3790 VL - 75 IS - 6 SP - 360 EP - 365 ER - TY - GEN A1 - Spallek, Jacob A1 - Reeske, Anna A1 - Grosser, Angelique A1 - Schwabe, Wolfgang A1 - Rieger, Michael A1 - Krahn, U. A1 - Razum, Oliver T1 - Pflegebedürftigkeit bei türkischstämmigen und nicht-türkischstämmigen Säuglingen. Eine Analyse der Pflegegutachten des MDK-Westfalen-Lippe von 2004 bis 2008 T2 - Gesundheitswesen Y1 - 2012 U6 - https://doi.org/10.1055/s-0031-1286276 SN - 1439-4421 SN - 0941-3790 VL - 74 IS - 8-9 SP - 485 EP - 487 ER - TY - GEN A1 - Reiss, Katharina A1 - Makarova, Nataliya A1 - Spallek, Jacob A1 - Zeeb, Hajo A1 - Razum, Oliver T1 - Identifizierung und Rekrutierung von Menschen mit Migrationshintergrund für epidemiologische Studien in Deutschland T2 - Gesundheitswesen Y1 - 2013 U6 - https://doi.org/10.1055/s-0032-1321768 SN - 1439-4421 SN - 0941-3790 VL - 75 IS - 6 SP - e49 EP - e58 ER - TY - GEN A1 - Miani, Céline A1 - Batram-Zantvoort, Stephanie A1 - Wandschneider, Lisa A1 - Spallek, Jacob A1 - Razum, Oliver T1 - Potential of Standard Perinatal Data for Measuring Violation of Birth Integrity T2 - Frontiers in global women's health N2 - 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. KW - childbirth KW - respectful maternity care KW - mistreatment KW - perinatal data KW - Germany KW - birth integrity KW - obstetric violence Y1 - 2021 U6 - https://doi.org/10.3389/fgwh.2020.581244 SN - 2673-5059 IS - 1 ER - TY - CHAP A1 - Razum, Oliver A1 - Reeske, Anna A1 - Spallek, Jacob ED - David, Matthias ED - Borde, Theda T1 - Schwangerschaft, Geburt und erstes Lebensjahr in der Migration: gesundheitliche Herausforderungen T2 - Schwangerschaft, Geburt und frühe Kindheit in der Migration N2 - Dieser Artikel beschäftigt sich mit den, durch mangelnde Akkulturation oder geringe Integration bedingte, Risikofaktoren für Gesundheitsprobleme während der Schwangerschaft, in der Perinatalzeit und im ersten Lebensjahr. KW - Migranten KW - Gesundheit KW - Schwangerschaft KW - Gesundheitsversorgung Y1 - 2011 SN - 979-3-940529-91-6 SP - 57 EP - 72 PB - Mabuse-Verlag CY - Frankfurt am Main ER -