Rommel Alexander, Saß A C, Born S, Ellert U
Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, General-Pape-Str. 62-66, 12101, Berlin, Deutschland,
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2015 Jun;58(6):543-52. doi: 10.1007/s00103-015-2145-2.
People with a migrant background (PMB) have specific health-related risk factors and resources compared to the non-migrant population (NMP). The analysis focuses on the relationship between migrant background and health and health-related behavior. Moreover, the study analyses whether socio-economic status (SES) contributes to the explanation of differences between PMB and the NMP. The research is based on the German Health Interview and Examination Survey for Adults (DEGS1) (2008-2012, n = 8151). The population for cross-sectional analyses contains 1107 PMB (weighted 19.8 %). The research question is addressed on the basis of nine exemplary health outcomes. All analyses are gender specific and make a distinction between first and second generation PMB. Logistic regression is calculated adjusting for age and SES. The results reveal clear gender-specific patterns: For women, differences are statistically significant mainly for first generation PMB. Compared to the NMP their self-assessed health status is lower, they are less physically active, consume less alcohol, feel less informed about cancer screening programs and make less use of preventive health services. However, daily smoking is more prevalent in second generation women. For men, differences are statistically significant for first and second generation PMB. Men with a migrant background show more symptoms of depression, consume less alcohol and feel less informed about cancer screening programs. After adjusting for SES the impact of migrant background on health status and health-related behavior largely remains stable. The study shows that the DEGS1 data offers valuable results and new insights into the health status of people with a migrant background. The use of this data for further research requires a differentiated approach to the concept of migrant background and a careful interpretation of results.
与非移民人口(NMP)相比,有移民背景的人(PMB)有特定的健康相关风险因素和资源。该分析聚焦于移民背景与健康及健康相关行为之间的关系。此外,该研究分析了社会经济地位(SES)是否有助于解释PMB与NMP之间的差异。这项研究基于德国成人健康访谈与检查调查(DEGS1)(2008 - 2012年,n = 8151)。用于横断面分析的人群包含1107名有移民背景的人(加权后为19.8%)。基于九个示例性健康结果来探讨研究问题。所有分析都是按性别进行的,并且区分了第一代和第二代有移民背景的人。计算逻辑回归时对年龄和社会经济地位进行了调整。结果揭示了明显的性别特定模式:对于女性而言,差异主要在第一代有移民背景的女性中具有统计学意义。与非移民人口相比,她们自我评估的健康状况较低,身体活动较少,饮酒较少,对癌症筛查项目的了解较少,并且较少使用预防性健康服务。然而,第二代女性中每日吸烟更为普遍。对于男性而言,第一代和第二代有移民背景的男性差异均具有统计学意义。有移民背景的男性表现出更多的抑郁症状,饮酒较少,对癌症筛查项目的了解较少。在对社会经济地位进行调整后,移民背景对健康状况和健康相关行为的影响在很大程度上保持稳定。该研究表明,DEGS1数据为有移民背景的人的健康状况提供了有价值的结果和新见解。将这些数据用于进一步研究需要对移民背景的概念采取差异化方法并仔细解读结果。