Migration and Sexual Health Services Use – Results from the German Health and Sexuality Survey (GeSiD)

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Migration and Sexual Health Services Use – Results from the German Health and Sexuality Survey (GeSiD). / Wiessner, Christian; von dem Knesebeck, Olaf; Gerlich, Miriam G.; Briken, Peer; Becher, Heiko.

in: SEX RES SOC POLICY, Jahrgang 19, Nr. 3, 2022, S. 1383-1394.

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@article{4862c6be18c34df3b2cd78f77ac2a14c,
title = "Migration and Sexual Health Services Use – Results from the German Health and Sexuality Survey (GeSiD)",
abstract = "Introduction Migration background is an important predisposing characteristic of health service use (HSU). In thiscross-sectional survey, we aim to explore the association between migration background and HSU in the context ofsexual health.Methods In a population-representative sample of 4,955 persons from all German federal states (data collection 2018/2019),we examined the HSU of first-generation (15.9% of the total sample) and second-generation migrants (9.8%) compared tonon-migrants (74.3%). Outcomes of sexual HSU ranged from primary and secondary prevention measures such as humanpapillomaviruses (HPV) vaccination and chlamydia test to HSU due to sexual problems in the relationship, and consultationson contraceptives, and HIV or other STIs.Results Generally, first-generation migrants used sexual health services less often than non-migrants. Notably, first-generation migrant women had lower odds of being vaccinated against HPV (OR = 0.24; 95% CI: 0.14; 0.38), of alifetime use of both a chlamydia test in the context of a screening program for young women (OR = 0.21; 95% CI:0.11; 0.39), and a HSU due to contraceptives (OR = 0.40; 95% CI: 0.28; 0.58). Second-generation migrants resembledmore closely the non-migrants, only showing differences regarding the use of the HPV vaccination (OR = 0.48; 95%CI: 0.30; 0.76).Policy Implications First-generation migrants showed remarkable differences in the HSU compared to non-migrants.Therefore, this group should be targeted with the aim of a more equitable HSU that is mainly based on the needsfor health services and not restricted due to formal or informal barriers. Both migration generations had lowerodds of being vaccinated against HPV indicating the need for a better education regarding the benefits and risks ofvaccinations.Keywords Health service use · HPV vaccination · Chlamydia test · Contraceptives · Migration · Generational cohortsapproach · Native population",
author = "Christian Wiessner and {von dem Knesebeck}, Olaf and Gerlich, {Miriam G.} and Peer Briken and Heiko Becher",
year = "2022",
doi = "10.1007/s13178-022-00691-1",
language = "English",
volume = "19",
pages = "1383--1394",
journal = "SEX RES SOC POLICY",
issn = "1868-9884",
publisher = "Springer New York",
number = "3",

}

RIS

TY - JOUR

T1 - Migration and Sexual Health Services Use – Results from the German Health and Sexuality Survey (GeSiD)

AU - Wiessner, Christian

AU - von dem Knesebeck, Olaf

AU - Gerlich, Miriam G.

AU - Briken, Peer

AU - Becher, Heiko

PY - 2022

Y1 - 2022

N2 - Introduction Migration background is an important predisposing characteristic of health service use (HSU). In thiscross-sectional survey, we aim to explore the association between migration background and HSU in the context ofsexual health.Methods In a population-representative sample of 4,955 persons from all German federal states (data collection 2018/2019),we examined the HSU of first-generation (15.9% of the total sample) and second-generation migrants (9.8%) compared tonon-migrants (74.3%). Outcomes of sexual HSU ranged from primary and secondary prevention measures such as humanpapillomaviruses (HPV) vaccination and chlamydia test to HSU due to sexual problems in the relationship, and consultationson contraceptives, and HIV or other STIs.Results Generally, first-generation migrants used sexual health services less often than non-migrants. Notably, first-generation migrant women had lower odds of being vaccinated against HPV (OR = 0.24; 95% CI: 0.14; 0.38), of alifetime use of both a chlamydia test in the context of a screening program for young women (OR = 0.21; 95% CI:0.11; 0.39), and a HSU due to contraceptives (OR = 0.40; 95% CI: 0.28; 0.58). Second-generation migrants resembledmore closely the non-migrants, only showing differences regarding the use of the HPV vaccination (OR = 0.48; 95%CI: 0.30; 0.76).Policy Implications First-generation migrants showed remarkable differences in the HSU compared to non-migrants.Therefore, this group should be targeted with the aim of a more equitable HSU that is mainly based on the needsfor health services and not restricted due to formal or informal barriers. Both migration generations had lowerodds of being vaccinated against HPV indicating the need for a better education regarding the benefits and risks ofvaccinations.Keywords Health service use · HPV vaccination · Chlamydia test · Contraceptives · Migration · Generational cohortsapproach · Native population

AB - Introduction Migration background is an important predisposing characteristic of health service use (HSU). In thiscross-sectional survey, we aim to explore the association between migration background and HSU in the context ofsexual health.Methods In a population-representative sample of 4,955 persons from all German federal states (data collection 2018/2019),we examined the HSU of first-generation (15.9% of the total sample) and second-generation migrants (9.8%) compared tonon-migrants (74.3%). Outcomes of sexual HSU ranged from primary and secondary prevention measures such as humanpapillomaviruses (HPV) vaccination and chlamydia test to HSU due to sexual problems in the relationship, and consultationson contraceptives, and HIV or other STIs.Results Generally, first-generation migrants used sexual health services less often than non-migrants. Notably, first-generation migrant women had lower odds of being vaccinated against HPV (OR = 0.24; 95% CI: 0.14; 0.38), of alifetime use of both a chlamydia test in the context of a screening program for young women (OR = 0.21; 95% CI:0.11; 0.39), and a HSU due to contraceptives (OR = 0.40; 95% CI: 0.28; 0.58). Second-generation migrants resembledmore closely the non-migrants, only showing differences regarding the use of the HPV vaccination (OR = 0.48; 95%CI: 0.30; 0.76).Policy Implications First-generation migrants showed remarkable differences in the HSU compared to non-migrants.Therefore, this group should be targeted with the aim of a more equitable HSU that is mainly based on the needsfor health services and not restricted due to formal or informal barriers. Both migration generations had lowerodds of being vaccinated against HPV indicating the need for a better education regarding the benefits and risks ofvaccinations.Keywords Health service use · HPV vaccination · Chlamydia test · Contraceptives · Migration · Generational cohortsapproach · Native population

U2 - 10.1007/s13178-022-00691-1

DO - 10.1007/s13178-022-00691-1

M3 - SCORING: Journal article

VL - 19

SP - 1383

EP - 1394

JO - SEX RES SOC POLICY

JF - SEX RES SOC POLICY

SN - 1868-9884

IS - 3

ER -