Migration und Gesundheit – Entwicklung eines Erklärungs- und Analysemodells für epidemiologische Studien

Abstract

Migrant status, including ethnic minority status, is an important determinant of health inequalities. Previous studies point to a complex, multifactorial relationship between migration and health, however current explanatory approaches focus mostly on the effects of single determinants. In this article, an explanatory and analytical model of migration and health will be developed in an effort to structure and integrate previous approaches by drawing upon existing definitions of the target population and theories of the relationship between migration and health status.

The Contextual and Household Contribution to Individual Health Status in Germany: What Is the Role of Gender and Migration Background?

“…Bearing in mind that Turks and Aussiedler often migrated to reunite their family or-in the case of Aussiedler-to live in their cultural home, this assumption must be questioned. It is conceivable-and supported by our results-that there is a gradual appropriation of cultural peculiarities, which goes together with an adaption of norms and values as well as health risks in the course of stay (Schenk 2007). As in other studies, we conclude that migrants who have been in Germany for a long time adapt behaviours (Milewski 2010(Milewski , 2011Berry 1992).…”

“…10 Together with the 10 However, it is assumed that the health benefits of migrants appear especially shortly after migration and decrease over time (Razum and Rohrmann 2002;Schenk 2007). …”

“…This social deprivation is associated with additional health risks and often also has negative effects on the educational success of children with migration background (Schenk 2007). In addition to socio-economic disadvantages and downward social mobility (Constant and Massey 2005;Schenk 2007), problems such as language barriers, processes of integration, and cultural adaptation can affect migrants negatively, e.g. in terms of health (Neuhauser and Razum 2008).…”

Die gesundheitliche Lage von Menschen mit Migrationshintergrund und die Bedeutung des sozioökonomischen Status

“…Da sich eher jüngere und gesunde Menschen zur Auswanderung entschieden, sei die Gesundheit von Menschen mit Migrationshintergrund in der Regel besser und ihre Sterblichkeit geringer als die der aufnehmenden Gesellschaften (sog. healthy migrant effect) [2][3][4][5].…”

“…Beispielsweise sind im Generationenwechsel zwischen Einwanderern und deren Nachkommen Lebensbedingungen und Verhaltensweisen einem kontinuierlichen Wandel unterworfen. Die Frage, ob Menschen mit Migrationshintergrund der ersten oder einer der Folgegenerationen angehören, stellt damit auch in Bezug auf die gesundheitliche Lage eines der wichtigsten Differenzierungsmerkmale dar [5].…”