Self-rated health among migrants from the former Soviet Union in Germany: a cross-sectional study

TY - JOUR

T1 - Self-rated health among migrants from the former Soviet Union in Germany: a cross-sectional study

AU - Stolpe, Susanne

AU - Ouma, Mary

AU - Winkler, Volker

AU - Meisinger, Christa

AU - Becher, Heiko

AU - Deckert, Andreas

N1 - © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

PY - 2018/10/24

Y1 - 2018/10/24

N2 - OBJECTIVES: To assess the status and change in self-rated health among Aussiedler, ethnic German immigrants from the former Soviet Union, as a predictor for premature death 10 years after first assessment. Moreover, to identify subgroups which are particular at risk of anticipated severe health impairment.DESIGN: Cross-sectional questionnaire.SETTING: The study was conducted in the catchment area of Augsburg, a city in southern Bavaria, Germany, in 2011/2012 that has a large community of Aussiedler.PARTICIPANTS: 595 Aussiedler (231 male, 364 female, mean age 55 years) who in majority migrated to Germany between 1990 and 1999.OUTCOME: Primary outcome: self-rated health (very good/good/not so good/bad) and its association with demographic, social and morbidity related variables.METHODS: Self-rated health was dichotomised as 'very good' and 'good' versus 'not so good' and 'bad'. Multivariable logistic models were created. Missing values with regard to pain were addressed by a second analysis.RESULTS: Although low response suggests a healthier sample, the findings are alarming. Altogether47% of the Aussiedler perceived their health as less than good, which is worse compared with the first assessment in 2000 (25% compared with 20% of the general public). Prevalence of high blood pressure was present in 52% of Aussiedler, 34.5% were obese, 40.7% suffered from frequent pain and 13.1% had diabetes mellitus. According to the multivariable models, individuals suffering from pain, limited mobility, diabetes mellitus and high blood pressure are particularly in jeopardy.CONCLUSIONS: 10 years after the first assessment of self-rated health among Aussiedler their situation deteriorated. Tailored risk factor counselling of general practitioners is highly recommended.

AB - OBJECTIVES: To assess the status and change in self-rated health among Aussiedler, ethnic German immigrants from the former Soviet Union, as a predictor for premature death 10 years after first assessment. Moreover, to identify subgroups which are particular at risk of anticipated severe health impairment.DESIGN: Cross-sectional questionnaire.SETTING: The study was conducted in the catchment area of Augsburg, a city in southern Bavaria, Germany, in 2011/2012 that has a large community of Aussiedler.PARTICIPANTS: 595 Aussiedler (231 male, 364 female, mean age 55 years) who in majority migrated to Germany between 1990 and 1999.OUTCOME: Primary outcome: self-rated health (very good/good/not so good/bad) and its association with demographic, social and morbidity related variables.METHODS: Self-rated health was dichotomised as 'very good' and 'good' versus 'not so good' and 'bad'. Multivariable logistic models were created. Missing values with regard to pain were addressed by a second analysis.RESULTS: Although low response suggests a healthier sample, the findings are alarming. Altogether47% of the Aussiedler perceived their health as less than good, which is worse compared with the first assessment in 2000 (25% compared with 20% of the general public). Prevalence of high blood pressure was present in 52% of Aussiedler, 34.5% were obese, 40.7% suffered from frequent pain and 13.1% had diabetes mellitus. According to the multivariable models, individuals suffering from pain, limited mobility, diabetes mellitus and high blood pressure are particularly in jeopardy.CONCLUSIONS: 10 years after the first assessment of self-rated health among Aussiedler their situation deteriorated. Tailored risk factor counselling of general practitioners is highly recommended.

KW - Journal Article

U2 - 10.1136/bmjopen-2018-022947

DO - 10.1136/bmjopen-2018-022947

M3 - SCORING: Journal article

C2 - 30361404

VL - 8

SP - e022947

JO - BMJ OPEN

JF - BMJ OPEN

SN - 2044-6055

IS - 10

ER -