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Results and Strategies for a Diversity-Oriented Public Health Monitoring in Germany

Author

Listed:
  • Carmen Koschollek

    (Robert Koch Institute, 13353 Berlin, Germany)

  • Katja Kajikhina

    (Robert Koch Institute, 13353 Berlin, Germany)

  • Susanne Bartig

    (Robert Koch Institute, 13353 Berlin, Germany)

  • Marie-Luise Zeisler

    (Robert Koch Institute, 13353 Berlin, Germany)

  • Patrick Schmich

    (Robert Koch Institute, 13353 Berlin, Germany)

  • Antje Gößwald

    (Robert Koch Institute, 13353 Berlin, Germany)

  • Alexander Rommel

    (Robert Koch Institute, 13353 Berlin, Germany)

  • Thomas Ziese

    (Robert Koch Institute, 13353 Berlin, Germany)

  • Claudia Hövener

    (Robert Koch Institute, 13353 Berlin, Germany)

Abstract

Germany is a country of immigration; 27% of the population are people with a migration background (PMB). As other countries, Germany faces difficulties in adequately including hard-to-survey populations like PMB into national public health monitoring. The IMIRA project was initiated to develop strategies to adequately include PMB into public health monitoring and to represent diversity in public health reporting. Here, we aim to synthesize the lessons learned for diversity-oriented public health monitoring and reporting in Germany. We also aim to derive recommendations for further research on migration and health. We conducted two feasibility studies (interview and examination surveys) to improve the inclusion of PMB. Study materials were developed in focus groups with PMB. A systematic review investigated the usability of the concept of acculturation. A scoping review was conducted on discrimination as a health determinant. Furthermore, core indicators were defined for public health reporting on PMB. The translated questionnaires were well accepted among the different migrant groups. Home visits increased the participation of hard-to-survey populations. In examination surveys, multilingual explanation videos and video-interpretation services were effective. Instead of using the concept of acculturation, we derived several dimensions to capture the effects of migration status on health, which were more differentiated. We also developed an instrument to measure subjectively perceived discrimination. For future public health reporting, a set of 25 core indicators was defined to report on the health of PMB. A diversity-oriented public health monitoring should include the following: (1) multilingual, diversity-sensitive materials, and tools; (2) different modes of administration; (3) diversity-sensitive concepts; (4) increase the participation of PMB; and (5) continuous public health reporting, including constant reflection and development of concepts and methods.

Suggested Citation

  • Carmen Koschollek & Katja Kajikhina & Susanne Bartig & Marie-Luise Zeisler & Patrick Schmich & Antje Gößwald & Alexander Rommel & Thomas Ziese & Claudia Hövener, 2022. "Results and Strategies for a Diversity-Oriented Public Health Monitoring in Germany," IJERPH, MDPI, vol. 19(2), pages 1-18, January.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:2:p:798-:d:722663
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    References listed on IDEAS

    as
    1. Johannes Giesecke & Martin Kroh & Ingrid Tucci & Anne-Luise Baumann & Nihad El-Kayed, 2017. "Armutsgefährdung bei Personen mit Migrationshintergrund - vertiefende Analysen auf Basis von SOEP und Mikrozensus," SOEPpapers on Multidisciplinary Panel Data Research 907, DIW Berlin, The German Socio-Economic Panel (SOEP).
    2. Samantha R. Lattof, 2018. "Collecting data from migrants in Ghana: Lessons learned using respondent-driven sampling," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 38(36), pages 1017-1058.
    3. Paolo Giorgi Rossi & Flavia Riccardo & Annamaria Pezzarossi & Paola Ballotari & Maria Grazia Dente & Christian Napoli & Antonio Chiarenza & Cesar Velasco Munoz & Teymur Noori & Silvia Declich, 2017. "Factors Influencing the Accuracy of Infectious Disease Reporting in Migrants: A Scoping Review," IJERPH, MDPI, vol. 14(7), pages 1-14, July.
    4. Patrick Brzoska, 2018. "Disparities in health care outcomes between immigrants and the majority population in Germany: A trend analysis, 2006–2014," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-14, January.
    5. Florence Samkange-Zeeb & Ronja Foraita & Stefan Rach & Tilman Brand, 2019. "Feasibility of using respondent-driven sampling to recruit participants in superdiverse neighbourhoods for a general health survey," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(3), pages 451-459, April.
    6. Brandy M Mapes & Christopher S Foster & Sheila V Kusnoor & Marcia I Epelbaum & Mona AuYoung & Gwynne Jenkins & Maria Lopez-Class & Dara Richardson-Heron & Ahmed Elmi & Karl Surkan & Robert M Cronin & , 2020. "Diversity and inclusion for the All of Us research program: A scoping review," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-14, July.
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