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  1. Article: Gesundheitssystem zwischen Krise und Integration: Lehren aus 30 Jahren Fluchtmigration. Kayvan Bozorgmehr, Louise Biddle und Nora Gottlieb, Universität Bielefeld

    Bozorgmehr, Kayvan / Biddle, Louise / Gottlieb, Nora

    Gesundheit und Gesellschaft : Wissenschaft : das Wissenschaftsforum in Gesundheit und Gesellschaft

    2022  Volume 22, Issue 3, Page(s) 15

    Language German
    Document type Article
    ZDB-ID 2052876-0
    ISSN 1868-1492
    Database Current Contents Medicine

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  2. Book ; Online ; E-Book: Health Policy and Systems Responses to Forced Migration

    Bozorgmehr, Kayvan / Roberts, Bayard / Razum, Oliver / Biddle, Louise

    2020  

    Abstract: Forced migration has yet to be sufficiently addressed from the perspective of health policy and systems research, resulting in limited knowledge on system‐level interventions and policies to improve the health of forced migrants. The contributions within ...

    Author's details edited by Kayvan Bozorgmehr, Bayard Roberts, Oliver Razum, Louise Biddle
    Abstract Forced migration has yet to be sufficiently addressed from the perspective of health policy and systems research, resulting in limited knowledge on system‐level interventions and policies to improve the health of forced migrants. The contributions within this edited volume seek to rectify this gap in the literature by compiling the existing knowledge on health systems and health policy responses to forced migration with a focus on asylum seekers, refugees, and internally displaced people. It also brings together the work of research communities from the fields of political science, epidemiology, health sciences, economics, psychology, and sociology to push the knowledge frontier of health research in the area of forced migration towards health policy and systems-level interventions, while also framing potential routes for further research in this area. Among the analyses within the chapters: The political economy of health and forced migration in Europe Innovative humanitarian health financing for refugees Understanding the resilience of health systems Health security in the context of forced migration Discrimination as a health systems response to forced migration Health Policy and Systems Responses to Forced Migration offers unique and interdisciplinary theoretical, empirical, and literature-based perspectives that apply a health policy and systems approach to health and healthcare challenges among forced migrants. It will find an engaged audience among policy makers and analysts, international organizations, scholars in academia, think tanks, and students in undergraduate programs or at the graduate level, for policy, practice, and educational purposes.
    Keywords Medical policy ; Emigration and immigration ; Medical care ; Public health ; Health Policy ; Migration ; Health Services Research
    Subject code 362.1
    Language English
    Size 1 online resource (XVII, 249 p. 23 illus., 18 illus. in color.)
    Edition 1st ed. 2020.
    Publisher Springer International Publishing ; Imprint: Springer
    Publishing place Cham
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    ISBN 3-030-33812-6 ; 3-030-33811-8 ; 978-3-030-33812-1 ; 978-3-030-33811-4
    DOI 10.1007/978-3-030-33812-1
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  3. Article: Effect of area-level socioeconomic deprivation on mental and physical health: A longitudinal natural experiment among refugees in Germany.

    Biddle, Louise / Bozorgmehr, Kayvan

    SSM - population health

    2024  Volume 25, Page(s) 101596

    Abstract: Existing studies on contextual health effects struggle to account for compositional bias, limiting causal interpretation. We use refugee dispersal in Germany as a natural experiment to study the effect of area-level socioeconomic deprivation on mental ... ...

    Abstract Existing studies on contextual health effects struggle to account for compositional bias, limiting causal interpretation. We use refugee dispersal in Germany as a natural experiment to study the effect of area-level socioeconomic deprivation on mental and physical health, while considering the potential mediating role of neighbourhood characteristics. Refugees subject to dispersal (n = 1466) are selected from a nation-wide longitudinal refugee study (IAB-SOEP-BAMF Panel; 2016-2018). Multi-level linear regression models, adjusted for age, sex, education, country of origin, federal state, asylum status and length of residence in Germany, are fitted to the change in mental and physical health subscales of the SF-12 depending on quintiles (Q1 - Q5) of commune-level socioeconomic deprivation (German Index of Socioeconomic Deprivation, GISD). This is followed by sensitivity analyses and mediation analyses for housing, social cohesion, proportion of non-citizens in the neighbourhood, access to green space, population density and primary care physician density. Residency in districts with moderate-high deprivation (Q4) has a negative impact on physical health (coef.: -2.2, 95%CI: -4.1;-0.2) compared to lowest deprivation (Q1). Moderate-high deprivation (Q4) has a positive impact on mental health, but the effect is statistically insignificant (coef.: 1.6, 95%CI: -0.7; 3.9). Comparisons with other deprivation quintiles are statistically insignificant. Sensitivity analyses confirm results of the final models, while no mediating factors show a substantial impact on the observed relationship. The results point to gaps in health and social service provision for refugees living in the most deprived regions, but further research is required to understand the precise mechanisms behind the observed relationships. Further research using longer timeframes and larger sample sizes are required to confirm results.
    Language English
    Publishing date 2024-01-02
    Publishing country England
    Document type Journal Article
    ISSN 2352-8273
    ISSN 2352-8273
    DOI 10.1016/j.ssmph.2023.101596
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: "I don´t put people into boxes, but…" A free-listing exercise exploring social categorisation of asylum seekers by professionals in two German reception centres.

    Ziegler, Sandra / Bozorgmehr, Kayvan

    PLOS global public health

    2024  Volume 4, Issue 2, Page(s) e0002910

    Abstract: Newly arriving asylum seekers in Germany mostly live in large reception centres, depending on professionals in most aspects of their daily lives. The legal basis for the provision of goods and services allows for discretionary decisions. Given the ... ...

    Abstract Newly arriving asylum seekers in Germany mostly live in large reception centres, depending on professionals in most aspects of their daily lives. The legal basis for the provision of goods and services allows for discretionary decisions. Given the potential impact of social categorisation on professionals' decisions, and ultimately access to health and social services, we explore the categories used by professionals. We ask of what nature these categorisations are, and weather they align with the public discourse on forced migration. Within an ethnographic study in outpatient clinics of two refugee accommodation centres in Germany, we conducted a modified free-listing with 40 professionals (physicians, nurses, security-personnel, social workers, translators) to explore their categorisation of asylum seekers. Data were qualitatively analysed, and categories were quantitatively mapped using Excel and the Macro "Flame" to show frequencies, ranks, and salience. The four most relevant social categorisations of asylum seekers referred to "demanding and expectant," "polite and friendly" behaviour, "economic refugees," and "integration efforts". In general, sociodemographic variables like gender, age, family status, including countries and regions of origin, were the most significant basis for categorisations (31%), those were often presented combined with other categories. Observations of behaviour and attitudes also influenced categorisations (24%). Professional considerations, e.g., on health, education, adaption or status ranked third (20%). Social categorisation was influenced by public discourses, with evaluations of flight motives, prospects of staying in Germany, and integration potential being thematised in 12% of the categorisations. Professionals therefore might be in danger of being instrumentalised for internal border work. Identifying social categories is important since they structure perception, along their lines deservingness is negotiated, so they potentially influence interaction and decision-making, can trigger empathy and support as well as rejection and discrimination. Larger studies should investigate this further. Free-listing provides a suitable tool for such investigations.
    Language English
    Publishing date 2024-02-23
    Publishing country United States
    Document type Journal Article
    ISSN 2767-3375
    ISSN (online) 2767-3375
    DOI 10.1371/journal.pgph.0002910
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Book: Psychotherapie nach Flucht und Vertreibung

    Bozorgmehr, Kayvan / Borcsa, Maria / Nikendei, Christoph

    eine praxisorientierte und interprofessionelle Perspektive auf die Hilfe für Flüchtlinge

    2017  

    Author's details herausgegeben von Maria Borcsa, Christoph Nikendei ; unter Mitarbeit von Kayvan Bozorgmehr [und 26 anderen]
    Keywords Flüchtling ; Psychisches Trauma ; Psychotherapie
    Subject Behandlung ; Psychologische Behandlung ; Psychische Traumatisierung ; Psychotrauma ; Trauma ; Emigrant ; Flüchtlinge ; Geflüchteter ; Geflüchtete ; Mensch mit Fluchthintergrund ; Menschen mit Fluchthintergrund
    Language German
    Size 206 Seiten, 1 Illustration
    Publisher Georg Thieme Verlag
    Publishing place Stuttgart ; New York
    Publishing country Germany
    Document type Book
    HBZ-ID HT019382946
    ISBN 978-3-13-240745-9 ; 3-13-240745-3 ; 9783132407503 ; 9783132407510 ; 313240750X ; 3132407518
    Database Catalogue ZB MED Medicine, Health

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  6. Article ; Online: Funding for global health research in Germany.

    Saint, Victoria / Bozorgmehr, Kayvan

    Lancet (London, England)

    2023  Volume 402, Issue 10409, Page(s) 1237–1238

    MeSH term(s) Humans ; Global Health ; Germany ; Health Services Research
    Language English
    Publishing date 2023-10-05
    Publishing country England
    Document type Letter
    ZDB-ID 3306-6
    ISSN 1474-547X ; 0023-7507 ; 0140-6736
    ISSN (online) 1474-547X
    ISSN 0023-7507 ; 0140-6736
    DOI 10.1016/S0140-6736(23)01891-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Power of and power over COVID-19 response guidelines.

    Bozorgmehr, Kayvan

    Lancet (London, England)

    2020  Volume 396, Issue 10260, Page(s) e67

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Germany ; Guidelines as Topic ; Health Policy ; Humans ; Pandemics/prevention & control ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Politics ; Quarantine ; Refugees ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-10-05
    Publishing country England
    Document type Letter
    ZDB-ID 3306-6
    ISSN 1474-547X ; 0023-7507 ; 0140-6736
    ISSN (online) 1474-547X
    ISSN 0023-7507 ; 0140-6736
    DOI 10.1016/S0140-6736(20)32081-X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Overcoming denominator problems in refugee settings with fragmented electronic records for health and immigration data: a prediction-based approach.

    Erdmann, Stella / Jahn, Rosa / Rohleder, Sven / Bozorgmehr, Kayvan

    BMC medical research methodology

    2024  Volume 24, Issue 1, Page(s) 81

    Abstract: Background: Epidemiological studies in refugee settings are often challenged by the denominator problem, i.e. lack of population at risk data. We develop an empirical approach to address this problem by assessing relationships between occupancy data in ... ...

    Abstract Background: Epidemiological studies in refugee settings are often challenged by the denominator problem, i.e. lack of population at risk data. We develop an empirical approach to address this problem by assessing relationships between occupancy data in refugee centres, number of refugee patients in walk-in clinics, and diseases of the digestive system.
    Methods: Individual-level patient data from a primary care surveillance system (PriCarenet) was matched with occupancy data retrieved from immigration authorities. The three relationships were analysed using regression models, considering age, sex, and type of centre. Then predictions for the respective data category not available in each of the relationships were made. Twenty-one German on-site health care facilities in state-level registration and reception centres participated in the study, covering the time period from November 2017 to July 2021.
    Results: 445 observations ("centre-months") for patient data from electronic health records (EHR, 230 mean walk-in clinics visiting refugee patients per month and centre; standard deviation sd: 202) of a total of 47.617 refugee patients were available, 215 for occupancy data (OCC, mean occupancy of 348 residents, sd: 287), 147 for both (matched), leaving 270 observations without occupancy (EHR-unmatched) and 40 without patient data (OCC-unmatched). The incidence of diseases of the digestive system, using patients as denominators in the different sub-data sets were 9.2% (sd: 5.9) in EHR, 8.8% (sd: 5.1) when matched, 9.6% (sd: 6.4) in EHR- and 12% (sd 2.9) in OCC-unmatched. Using the available or predicted occupancy as denominator yielded average incidence estimates (per centre and month) of 4.7% (sd: 3.2) in matched data, 4.8% (sd: 3.3) in EHR- and 7.4% (sd: 2.7) in OCC-unmatched.
    Conclusions: By modelling the ratio between patient and occupancy numbers in refugee centres depending on sex and age, as well as on the total number of patients or occupancy, the denominator problem in health monitoring systems could be mitigated. The approach helped to estimate the missing component of the denominator, and to compare disease frequency across time and refugee centres more accurately using an empirically grounded prediction of disease frequency based on demographic and centre typology. This avoided over-estimation of disease frequency as opposed to the use of patients as denominators.
    MeSH term(s) Humans ; Refugees ; Electronic Health Records ; Emigration and Immigration ; Risk Factors ; Electronics
    Language English
    Publishing date 2024-04-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 2041362-2
    ISSN 1471-2288 ; 1471-2288
    ISSN (online) 1471-2288
    ISSN 1471-2288
    DOI 10.1186/s12874-024-02204-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Power of and power over COVID-19 response guidelines

    Bozorgmehr, Kayvan

    The Lancet

    2020  Volume 396, Issue 10260, Page(s) e67

    Keywords General Medicine ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 3306-6
    ISSN 1474-547X ; 0023-7507 ; 0140-6736
    ISSN (online) 1474-547X
    ISSN 0023-7507 ; 0140-6736
    DOI 10.1016/s0140-6736(20)32081-x
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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