Health Service Use Among Migrants in the German National Cohort-The Role of Birth Region and Language Skills

Wiessner, Christian and Licaj, Sara and Klein, Jens and Bohn, Barbara and Brand, Tilman and Castell, Stefanie and Fuehrer, Amand and Harth, Volker and Heier, Margit and Heise, Jana-Kristin and Holleczek, Bernd and Jaskulski, Stefanie and Jochem, Carmen and Koch-Gallenkamp, Lena and Krist, Lilian and Leitzmann, Michael and Lieb, Wolfgang and Meinke-Franze, Claudia and Mikolajczyk, Rafael and Moreno Velasquez, Ilais and Obi, Nadia and Pischon, Tobias and Schipf, Sabine and Thierry, Sigrid and Willich, Stefan N. and Zeeb, Hajo and Becher, Heiko (2024) Health Service Use Among Migrants in the German National Cohort-The Role of Birth Region and Language Skills. INTERNATIONAL JOURNAL OF PUBLIC HEALTH, 69: 1606377. ISSN 1661-8556, 1661-8564

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Abstract

Objective: To compare health service use (HSU) between migrants and non-migrants in Germany.Methods: Using data from the population-based German National Cohort (NAKO), we compared the HSU of general practitioners, medical specialists, and psychologists/psychiatrists between six migrant groups of different origins with the utilization of non-migrants. A latent profile analysis (LPA) with a subsequent multinomial regression analysis was conducted to characterize the HSU of different groups. Additionally, separate regression models were calculated. Both analyses aimed to estimate the direct effect of migration background on HSU.Results: In the LPA, the migrant groups showed no relevant differences compared to non-migrants regarding HSU. In separate analyses, general practitioners and medical specialists were used comparably to slightly more often by first-generation migrants from Eastern Europe, Turkey, and resettlers. In contrast, the use of psychologists/psychiatrists was substantially lower among those groups. Second-generation migrants and migrants from Western countries showed no differences in their HSU compared to non-migrants.Conclusion: We observed a low mental HSU among specific migrant groups in Germany. This indicates the existence of barriers among those groups that need to be addressed.

Item Type: Article
Uncontrolled Keywords: CARE SERVICES; BEHAVIORAL-MODEL; IMMIGRANTS; MIGRATION; ACCESS; WORLD; migrant health; health service research; mental health; German National Cohort; NAKO
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Institut für Epidemiologie und Präventivmedizin > Lehrstuhl für Genetische Epidemiologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 20 Aug 2025 07:52
Last Modified: 20 Aug 2025 07:52
URI: https://pred.uni-regensburg.de/id/eprint/65578

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