Borgmann Lea-Sophie, Waldhauer Julia, Bug Marleen, Lampert Thomas, Santos-Hövener Claudia
Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, General-Pape-Straße 62, 12101, Berlin, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2019 Nov;62(11):1397-1405. doi: 10.1007/s00103-019-03036-3.
In Germany, reliable information on the health of people with migration background (PMB) is scarce. Therefore, the Robert Koch Institute initiated the project "Improving health monitoring in migrant populations (IMIRA)" to improve the inclusion of PMB into the federal health monitoring.
The objective of this article is to identify challenges and strategies in accessing migrant populations with epidemiological research.
A total of 24 guided interviews with experts from Germany were conducted. Experts were scientists from various disciplines with a research focus on migration, civil servants in the area of migration, and experts from the field. The interview focused on challenges and strategies regarding access to migrants in research. The written summaries of the interviews were analyzed.
Challenges in accessing PMB include language, sociodemographic and cultural barriers, fears, structural, and practical difficulties. Further challenges arise from the heterogeneity and motivation of the groups. Strategies to increase accessibility among PMB can be found in the research process, methods, communication, and diversity-sensitive research culture. Confidence-building is considered significant.
Experts report a variety of strategies that focus on addressing and including PMB directly: strengthening of participatory approaches, new forms of translation, and measures to increase trust in research should be the focus of future efforts. The willingness to participate in epidemiological research can be increased with appropriate strategies and thus data on the health of migrant populations can be improved sustainably.
在德国,关于有移民背景人群(PMB)健康状况的可靠信息匮乏。因此,罗伯特·科赫研究所启动了“改善移民人群健康监测(IMIRA)”项目,以提高将PMB纳入联邦健康监测的程度。
本文旨在确定在流行病学研究中接触移民人群所面临的挑战及策略。
对来自德国的专家进行了总共24次引导式访谈。专家包括来自各个学科、研究重点为移民问题的科学家、移民领域的公务员以及该领域的专家。访谈聚焦于研究中接触移民所面临的挑战和策略。对访谈的书面总结进行了分析。
接触PMB的挑战包括语言、社会人口统计学和文化障碍、恐惧、结构和实际困难。群体的异质性和动机也带来了进一步的挑战。在研究过程、方法、沟通以及对多样性敏感的研究文化中,可以找到提高PMB可及性的策略。建立信任被认为至关重要。
专家们报告了各种直接针对并纳入PMB的策略:加强参与式方法、新的翻译形式以及增加对研究信任的措施应成为未来工作的重点。通过适当的策略可以提高参与流行病学研究的意愿,从而可持续地改善移民人群的健康数据。