Perinatal outcomes of immigrant women of Turkish, Middle Eastern and North African origin in Berlin, Germany: a comparison of two time periods

Spallek, Jacob; Lehnhardt, Jessica; Reeske, Anna; Razum, Oliver; David, Matthias

doi:10.1007/s00404-013-2986-6

Cited by 18 publications

(18 citation statements)

References 16 publications

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“…The utilization of GPs and paediatricians was assessed by five studies showing small differences between PMB and the non-migrant population (NMP) [ 22 – 26 ]. The largest number of studies ( n = 14) was found for specialist consultations [ 22 , 23 , 25 – 36 ]. The majority of the results showed lower utilization for PMB, especially among 1st generation migrants.…”

Section: Resultsmentioning

confidence: 99%

Inequalities in health care utilization among migrants and non-migrants in Germany: a systematic review

Klein

Knesebeck

2018

Int J Equity Health

122

102

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BackgroundDespite the growing number of people with migrant background in Germany, a systematic review about their utilization of health care and differences to the non-migrant population is lacking. By covering various sectors of health care and migrant populations, the review aimed at giving a general overview and identifying special areas of potential intervention.MethodsA systematic review was conducted in PubMed database including records that were published until 1st of June 2017. Further criteria for eligibility were a publication in a peer-reviewed journal written in English or German language. The studies have to report quantitative and original data of a population residing in Germany. The appropriateness of the studies was judged by both authors. Studies were excluded if native controls were not originated from the same sample. Moreover, indicators of health care utilization have to assess individual behaviour like consultation or participation rates. 63 studies met the inclusion criteria for a qualitative synthesis of the findings.ResultsThe overall findings indicate a lower utilization among migrants, although the results vary in terms of health care sector, indicator of health care utilization and migrant population. For specialist care, medication use, therapist consultations and counselling, rehabilitation as well as disease prevention (early cancer detection, prevention programs for children and oral health check-ups) a lower utilization among people with migrant background was found. The lower usage was particularly shown for migrants of the 1st generation, people with two-sided migrant background, children/adolescents and women. Due to the methodological heterogeneity a meta-analysis was not feasible. As most of the studies were cross-sectional, no causal interpretations could be drawn.ConclusionsThe inequalities in utilization could not substantially be explained by differences in the socioeconomic status. Other reasons of lower utilization could be due to differences in need, preferences, information, language and formal access barriers (e.g. charges, waiting times, travel distances or lost wages). Different migrant-specific and migrant-sensitive strategies are relevant to address the problem for certain health care sectors and migrant populations.Trial registrationThe review protocol was registered on PROSPERO (CRD42014015162).Electronic supplementary materialThe online version of this article (10.1186/s12939-018-0876-z) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Inequalities in health care utilization among migrants and non-migrants in Germany: a systematic review

Klein

Knesebeck

2018

Int J Equity Health

122

102

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“…Arbeiten einer Berliner Arbeitsgruppe zum Thema Schwangerschaft und Migration zeigen erfreulicherweise einen positiven Trend in den letzten Jahrzehnten: In den Jahren 1993-1997 als auch 2003-2007 zeigten sich sowohl hinsichtlich des Zeitpunktes der ersten Vorsorgeuntersuchung als auch der Anzahl der Untersuchungen hochsignifikante Unterschiede zwischen türkischen und deutschen Schwangeren, wobei die Häufigkeiten sowohl der späten Erstvorstellung als auch der geringeren Anzahl der Vorsorgeuntersuchungen im Zeitraum 2003-2007 abnahm [7]. Nach aktuellen Analysen nehmen Frauen mit Migrationshintergrund die Vorsorgeuntersuchungen während der Schwangerschaft in annähernd gleichem Ausmaß in Anspruch wie Frauen ohne Migrationshintergrund.…”

Section: Schwangerschaftsvorsorge Bei Patientinnen Mit Migrationshintunclassified

“…Generation 11,4 %, 2./3. Generation 11,9 % versus 5,3 % ohne Migrationshintergrund) [7,12]. Postpartal zeigen sich keine signifikanten Unterschiede bei den mittleren Hb-Werten, Frauen mit Migrationshintergrund der 2./3.…”

Section: Prä-und Postpartale Anämieunclassified

“…Das Risiko für einen intrauterinen Fruchttod oder die Geburt eines Kindes mit einer angeborenen Fehlbildung ist bei Frauen höher, die nach Europa immigriert sind [10, 17 -19], wobei sich auch hier die Unterschiede mit der Dauer des Aufenthalts in Deutschland angleichen [7]. Soziale Unterschiede, Konsanguinität und die unterschiedliche Inanspruchnahme der Schwangerenvorsorge der Immigrantinnen werden hierfür als Ursache genannt [10, 17 -19].…”

Section: Intrauteriner Fruchttodkongenitale Anomalieunclassified

“…Die Interpretation dieser Unterschiede ist jedoch beeinträchtigt einerseits durch die unterschiedlichen Termini Small for Gestational Age (SGA), intrauterine Wachstumsrestriktion (IUGR) oder Low Birth Weight (LBW) sowie ethnisch bedingte Unterschiede, weswegen eine Anpassung von Wachstumsperzentilen gefordert wird [20,21]. Interessanterweise berichten zahlreiche Studien (auch in Deutschland) keine Unterschiede oder sogar einen protektiven Effekt der Migration hinsichtlich des Auftretens von LBW, SGA oder IUGR [7,11,13,22]. Sozioökonomische Faktoren scheinen hier eine entscheidende Rolle zu spielen [22].…”

Section: Niedriges Geburtsgewicht (Sga Iugr Lbw)unclassified

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Migrantinnen in der gynäkologisch-/geburtshilflichen Praxis

Schlembach¹

2019

Frauenheilkunde up2date

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Quality of maternal and newborn care around the time of childbirth for migrant versus nonmigrant women during the COVID‐19 pandemic: Results of the IMAgiNE EURO study in 11 countries of the WHO European region

Costa

Rodrigues

Dias³

et al. 2022

Intl J Gynecology & Obste

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Objective: To describe the perception of quality of maternal and newborn care (QMNC) around the time of childbirth among migrant and nonmigrant women in Europe. Methods: Women who gave birth at a health facility in 11 countries of the WHO European Region from March 2020 to July 2021 were invited to answer an online questionnaire including demographics and childbirth experience. Data were analyzed and compared for 1781 migrant and 20 653 nonmigrant women.Results: Migrant women who experienced labor perceived slightly more difficulties in attending routine antenatal visits (41.2% vs 39.4%; P = 0.001), more barriers in accessing facilities (32.9% vs 29.9%; P = 0.001), lack of timely care (14.7% vs 13.0%; P = 0.025), inadequate room comfort and equipment (9.2% vs 8.5%; P = 0.004), inadequate number of women per room (9.4% vs 8.6%; P = 0.039), being prevented from staying with their baby as they wished (7.8% vs 6.9%; P = 0.011), or suffering abuse (14.5% vs 12.7%; P = 0.022) compared with nonmigrant women. For women who had a prelabor cesarean, migrant women were more likely not to receive pain relief after birth (16.8% vs.13.5%; P = 0.039) and less likely to provide informal payment (1.8% vs 4.4%; P = 0.005) compared with nonmigrant women. Overall, the QMNC index was not significantly different for migrant compared with nonmigrant women.

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Perinatal outcomes of immigrant women of Turkish, Middle Eastern and North African origin in Berlin, Germany: a comparison of two time periods

Cited by 18 publications

References 16 publications

Inequalities in health care utilization among migrants and non-migrants in Germany: a systematic review

Inequalities in health care utilization among migrants and non-migrants in Germany: a systematic review

Migrantinnen in der gynäkologisch-/geburtshilflichen Praxis

Quality of maternal and newborn care around the time of childbirth for migrant versus nonmigrant women during the COVID‐19 pandemic: Results of the IMAgiNE EURO study in 11 countries of the WHO European region

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