Self-rated health among migrants from the former Soviet Union in Germany: a cross-sectional study
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Self-rated health among migrants from the former Soviet Union in Germany: a cross-sectional study. / Stolpe, Susanne; Ouma, Mary; Winkler, Volker; Meisinger, Christa; Becher, Heiko; Deckert, Andreas.
In: BMJ OPEN, Vol. 8, No. 10, 24.10.2018, p. e022947.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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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 -