Health Service Use Among Migrants in the German National Cohort-The Role of Birth Region and Language Skills
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Health Service Use Among Migrants in the German National Cohort-The Role of Birth Region and Language Skills. / Wiessner, Christian; Licaj, Sara; Klein, Jens; Bohn, Barbara; Brand, Tilman; Castell, Stefanie; Führer, Amand; Harth, Volker; Heier, Margit; Heise, Jana-Kristin; Holleczek, Bernd; Jaskulski, Stefanie; Jochem, Carmen; Koch-Gallenkamp, Lena; Krist, Lilian; Leitzmann, Michael; Lieb, Wolfgang; Meinke-Franze, Claudia; Mikolajczyk, Rafael; Moreno Velásquez, Ilais; Obi, Nadia; Pischon, Tobias; Schipf, Sabine; Thierry, Sigrid; Willich, Stefan N; Zeeb, Hajo; Becher, Heiko.
in: INT J PUBLIC HEALTH, Jahrgang 69, 2024, S. 1606377.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Health Service Use Among Migrants in the German National Cohort-The Role of Birth Region and Language Skills
AU - Wiessner, Christian
AU - Licaj, Sara
AU - Klein, Jens
AU - Bohn, Barbara
AU - Brand, Tilman
AU - Castell, Stefanie
AU - Führer, Amand
AU - Harth, Volker
AU - Heier, Margit
AU - Heise, Jana-Kristin
AU - Holleczek, Bernd
AU - Jaskulski, Stefanie
AU - Jochem, Carmen
AU - Koch-Gallenkamp, Lena
AU - Krist, Lilian
AU - Leitzmann, Michael
AU - Lieb, Wolfgang
AU - Meinke-Franze, Claudia
AU - Mikolajczyk, Rafael
AU - Moreno Velásquez, Ilais
AU - Obi, Nadia
AU - Pischon, Tobias
AU - Schipf, Sabine
AU - Thierry, Sigrid
AU - Willich, Stefan N
AU - Zeeb, Hajo
AU - Becher, Heiko
N1 - Copyright © 2024 Wiessner, Licaj, Klein, Bohn, Brand, Castell, Führer, Harth, Heier, Heise, Holleczek, Jaskulski, Jochem, Koch-Gallenkamp, Krist, Leitzmann, Lieb, Meinke-Franze, Mikolajczyk, Moreno Velásquez, Obi, Pischon, Schipf, Thierry, Willich, Zeeb and Becher.
PY - 2024
Y1 - 2024
N2 - Objective: To compare health service use (HSU) between migrants and non-migrants in Germany. Methods: Using data from the population-based German National Cohort (NAKO), we compared the HSU of general practitioners, medical specialists, and psychologists/psychiatrists between six migrant groups of different origins with the utilization of non-migrants. A latent profile analysis (LPA) with a subsequent multinomial regression analysis was conducted to characterize the HSU of different groups. Additionally, separate regression models were calculated. Both analyses aimed to estimate the direct effect of migration background on HSU. Results: In the LPA, the migrant groups showed no relevant differences compared to non-migrants regarding HSU. In separate analyses, general practitioners and medical specialists were used comparably to slightly more often by first-generation migrants from Eastern Europe, Turkey, and resettlers. In contrast, the use of psychologists/psychiatrists was substantially lower among those groups. Second-generation migrants and migrants from Western countries showed no differences in their HSU compared to non-migrants. Conclusion: We observed a low mental HSU among specific migrant groups in Germany. This indicates the existence of barriers among those groups that need to be addressed.
AB - Objective: To compare health service use (HSU) between migrants and non-migrants in Germany. Methods: Using data from the population-based German National Cohort (NAKO), we compared the HSU of general practitioners, medical specialists, and psychologists/psychiatrists between six migrant groups of different origins with the utilization of non-migrants. A latent profile analysis (LPA) with a subsequent multinomial regression analysis was conducted to characterize the HSU of different groups. Additionally, separate regression models were calculated. Both analyses aimed to estimate the direct effect of migration background on HSU. Results: In the LPA, the migrant groups showed no relevant differences compared to non-migrants regarding HSU. In separate analyses, general practitioners and medical specialists were used comparably to slightly more often by first-generation migrants from Eastern Europe, Turkey, and resettlers. In contrast, the use of psychologists/psychiatrists was substantially lower among those groups. Second-generation migrants and migrants from Western countries showed no differences in their HSU compared to non-migrants. Conclusion: We observed a low mental HSU among specific migrant groups in Germany. This indicates the existence of barriers among those groups that need to be addressed.
KW - Humans
KW - Transients and Migrants
KW - Germany
KW - Health Services
KW - Patient Acceptance of Health Care
KW - Language
U2 - 10.3389/ijph.2024.1606377
DO - 10.3389/ijph.2024.1606377
M3 - SCORING: Journal article
C2 - 38510525
VL - 69
SP - 1606377
JO - INT J PUBLIC HEALTH
JF - INT J PUBLIC HEALTH
SN - 1661-8556
ER -