Persons with migration background in the German National Cohort (NAKO)-sociodemographic characteristics and comparisons with the German autochthonous population

被引:16
|
作者
Wiessner, Christian [1 ]
Keil, Thomas [2 ,3 ,4 ]
Krist, Lilian [2 ]
Zeeb, Hajo [5 ,6 ]
Dragano, Nico [7 ]
Schmidt, Boerge [8 ]
Ahrens, Wolfgang [5 ,9 ]
Berger, Klaus [10 ]
Castell, Stefanie [11 ]
Fricke, Julia [2 ]
Fuehrer, Amand [12 ]
Gastell, Sylvia [13 ]
Greiser, Halina [14 ]
Guo, Feng [15 ]
Jaeschke, Lina [16 ]
Jochem, Carmen [17 ]
Joeckel, Karl-Heinz [8 ]
Kaaks, Rudolf [14 ]
Koch-Gallenkamp, Lena [15 ]
Krause, Gerard [11 ,18 ]
Kuss, Oliver [19 ]
Legath, Nicole [10 ]
Leitzmann, Michael [17 ]
Lieb, Wolfgang [20 ]
Meinke-Franze, Claudia [21 ]
Meisinger, Christa [22 ,23 ,24 ]
Mikolajczyk, Rafael [12 ]
Obi, Nadia [1 ]
Pischon, Tobias [16 ,25 ,26 ,27 ,28 ]
Schipf, Sabine [21 ]
Schmoor, Claudia [29 ]
Schramm, Sara [8 ]
Schulze, Matthias B. [30 ]
Sowarka, Nicole [24 ,31 ]
Waniek, Sabina [20 ]
Wigmann, Claudia [32 ]
Willich, Stefan N. [2 ]
Becher, Heiko [1 ]
机构
[1] Univ Klinikum Hamburg Eppendorf, Inst Med Biometrie & Epidemiol, Martinistr 52, D-20251 Hamburg, Germany
[2] Charite Univ Med Berlin, Inst Sozialmed Epidemiol & Gesundheitsokon, Berlin, Germany
[3] Univ Wurzburg, Inst Klin Epidemiol & Biometrie, Wurzburg, Germany
[4] Bayer Landesamt Gesundheit & Lebensmittelsicherhe, Landesinst Gesundheit, Bad Kissingen, Germany
[5] Leibniz Inst Pravent Forsch & Epidemiol BIPS, Bremen, Germany
[6] Univ Bremen, Hlth Sci Bremen, Bremen, Germany
[7] Heinrich Heine Univ Dusseldorf, Ctr Hlth & Soc, Inst Med Soziol, Fak Med, Dusseldorf, Germany
[8] Univ Duisburg Essen, Univ Klinikum Essen, Fak Med, Med Informat Biometrie & Epidemiol IMIBE, Essen, Germany
[9] Univ Bremen, Fachbereich Math & Informat, Inst Stat, Bremen, Germany
[10] Univ Munster, Inst Epidemiol & Sozialmed, Munster, Germany
[11] Helmholtz Zentrum Infekt Forsch HZI, Abt Epidemiol, Braunschweig, Germany
[12] Martin Luther Univ Halle Wittenberg, Fak Med, IMEBI, Halle, Germany
[13] Deutsch Inst Ernahrungsforsch Potsdam Rehbrucke, NAKO Studienzentrum, Nuthetal, Germany
[14] Deutsch Krebsforschungszentrum DKFZ, Abt Epidemiol Krebserkrankungen, Heidelberg, Germany
[15] Deutsch Krebsforschungszentrum DKFZ, Abt Klin Epidemiol & Alternsforsch, Heidelberg, Germany
[16] Max Delbruck Ctr Mol Med Helmholtz Gemeinschaft M, Forschergrp Mol Epidemiol, Berlin, Germany
[17] Univ Regensburg, Inst Epidemiol & Pravent Med, Regensburg, Germany
[18] MHH, Hannover, Germany
[19] Heinrich Heine Univ Dusseldorf, Leibniz Zentrum Diabet Forsch, DDZ, Inst Biometrie & Epidemiol, Dusseldorf, Germany
[20] Christian Albrechts Univ Kiel, Inst Epidemiol, Kiel, Germany
[21] Univ Med Greifswald, Inst Community Med, Greifswald, Germany
[22] Helmholtz Zentrum Munchen, SFG Klin Epidemiol, Neuherberg, Germany
[23] Ludwig Maximilians Univ Munchen, UNIKA T Augsburg, Lehrstuhl Epidemiol, Augsburg, Germany
[24] Univ Klinikum Augsburg, NAKO Studienzentrum, Augsburg, Germany
[25] Charite Univ Med Berlin, Berlin, Germany
[26] Deutsch Zentrum Herz Kreislauf Forsch DZHK, Partnerstandort Berlin, Berlin, Germany
[27] Max Delbruck Ctr Mol Med Helmholtz Gemeinschaft M, MDC BIH Biobank, Berlin, Germany
[28] BIH, Berlin, Germany
[29] Albert Ludwigs Univ Freiburg, Fak Med, Univ Klinikum Freiburg, Zentrum Klin Studien, Freiburg, Germany
[30] Deutsch Inst Ernahrungsforsch Potsdam Rehbrucke, Abt Mol Epidemiol, Nuthetal, Germany
[31] Helmholtz Zentrum Munchen, Inst Epidemiol, Neuherberg, Germany
[32] IUF Leibniz Inst Umweltmed Forsch, Dusseldorf, Germany
关键词
Cancer screening; Migration; Sociodemography; Social epidemiology; Health services; CAUSE-SPECIFIC MORTALITY; IMMIGRANT WOMEN; UNITED-STATES; TURKISH; HEALTH; MIGRANTS; ORIGIN; EASTERN; EUROPE; TRENDS;
D O I
10.1007/s00103-020-03097-9
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background Persons with a migration background (PmM) as a population group usually differ from the autochthonous population in terms of morbidity, mortality, and use of the health care system, but they participate less frequently in health studies. The PmM group is very heterogeneous, which has hardly been taken into account in studies so far. Objectives Sociodemographic characteristics of PmM in the NAKO health study (age, sex, time since migration, education) are presented. In addition, it is examined through an example whether migration background is related to the use of cancer screening for colorectal cancer (hemoccult test). Methods Data of the first 101,816 persons of the NAKO were analyzed descriptively and cartographically. The migration background was assigned on the basis of the definition of the Federal Statistical Office, based on nationality, country of birth, year of entry, and country of birth of the parents. Results Overall, the PmM proportion is 16.0%. The distribution across the 18 study centers varies considerably between 6% (Neubrandenburg) and 33% (Dusseldorf). With 153 countries of origin, most countries are represented in the NAKO. All variables show clear differences between the different regions of origin. In the hemoccult test, persons of Turkish origin (ORx202f;= 0.67) and resettlers (ORx202f;= 0.60) have a lower participation rate. PmM born in Germany do not differ in this respect from the autochthonous population (ORx202f;= 0.99). Conclusion PmM in the NAKO are a very heterogeneous group. However, due to the sample size, individual subgroups of migrants can be studied separately with respect to region of origin.
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页码:279 / 289
页数:11
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