Health Service Use Among Migrants in the German National Cohort-The Role of Birth Region and Language Skills.
Journal: International journal of public health
Volume: 69
Issue:
Year of Publication: 2024
Affiliated Institutions:
Institute of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Institute of Medical Sociology, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
NAKO e.V, Heidelberg, Germany.
Leibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany.
Department of Epidemiology, Helmholtz Center for Infection Research, Brunswick, Germany.
Institute of Medical Epidemiology, Biostatistics, and Informatics, Interdisciplinary Center for Health Sciences, Medical School of the Martin Luther University Halle-Wittenberg, Halle, Germany.
Institute for Occupational and Maritime Medicine Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Institute of Epidemiology, Helmholtz Zentrum München-German Research Center for Environmental Health (GmbH), Neuherberg, Germany.
Saarland Cancer Registry, Saarbrücken, Germany.
Institute for Prevention and Cancer Epidemiology, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, Germany.
Department of Epidemiology and Preventive Medicine, University of Regensburg, Regensburg, Germany.
Department of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Institute of Social Medicine, Epidemiology and Health Economics, Charité University Medicine Berlin, Berlin, Germany.
Institute of Epidemiology, Faculty of Medicine, University of Kiel, Kiel, Germany.
Institute for Community Medicine, University Medical Center Greifswald, Greifswald, Germany.
Max-Delbrueck-Center for Molecular Medicine in the Helmholtz Association (MDC), Molecular Epidemiology Research Group, Berlin, Germany.
Heidelberg Institute of Global Health, Heidelberg University Hospital, Heidelberg, Germany.
Abstract summary
To compare health service use (HSU) between migrants and non-migrants in Germany. 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. 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. 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.
Authors & Co-authors:
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
Becher
Study Outcome
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