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  1. 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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  2. 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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  3. Book ; Online ; Thesis: Analysing health systems responses to forced migration through the complementary lenses of resilience and responsiveness

    Biddle, Louise Rosa [Verfasser]

    2023  

    Author's details Louise Rosa Biddle
    Keywords Soziale Probleme, Sozialarbeit ; Social problems, Social work
    Subject code sg360
    Language English
    Publisher Universitätsbibliothek Bielefeld
    Publishing place Bielefeld
    Document type Book ; Online ; Thesis
    Database Digital theses on the web

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  4. Article ; Online: Utilisation of dental services by refugees in Germany: Results of the population-based RESPOND survey.

    Bozorgmehr, Kayvan / Hintermeier, Maren / Biddle, Louise / Hövener, Claudia / Gottlieb, Nora

    Journal of health monitoring

    2024  Volume 9, Issue Suppl 1, Page(s) 2–10

    Abstract: Background: The utilisation of outpatient dental services is an important indicator for monitoring healthcare provision in Germany. In the general population, the 12-month prevalence of dental service utilization is 82.2 %. For refugees, this indicator ... ...

    Abstract Background: The utilisation of outpatient dental services is an important indicator for monitoring healthcare provision in Germany. In the general population, the 12-month prevalence of dental service utilization is 82.2 %. For refugees, this indicator has hardly been measured, although studies suggest an objectively high need for dental care.
    Methodology: As part of the population-based cross-sectional RESPOND study (2018), self-reported health and healthcare, including the use of dental services, was assessed in three representative, random samples of refugees residing in reception and shared accommodation centres in Baden-Württemberg and Berlin.
    Results: The indicator was available for 68.8 % (594) of the 863 surveyed refugees. Overall, 38.2 % of the respondents stated that they had utilised dental services in the previous 12 months, whereas 41.4 % had never used any dental care in Germany.
    Conclusions: The utilisation of dental services among refugees is very low compared to the level of utilisation in the general population. It reflects a discrepancy between access and needs.
    Language English
    Publishing date 2024-01-17
    Publishing country Germany
    Document type Journal Article
    ISSN 2511-2708
    ISSN (online) 2511-2708
    DOI 10.25646/11844
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Local political climate and spill-over effects on refugee and migrant health: a conceptual framework and call to advance the evidence.

    Bozorgmehr, Kayvan / Kühne, Simon / Biddle, Louise

    BMJ global health

    2023  Volume 8, Issue 3

    Abstract: The health of refugees and migrants is determined by a wide range of factors. Among these, the local political climate in the postmigration phase is an important determinant which operates at interpersonal and institutional levels. We present a ... ...

    Abstract The health of refugees and migrants is determined by a wide range of factors. Among these, the local political climate in the postmigration phase is an important determinant which operates at interpersonal and institutional levels. We present a conceptual framework to advance theory, measurement and empirical evidence related to the small-area factors which shape and determine the local political climate, as these may translate into variations in health outcomes among refugees, migrants and other marginalised population groups. Using the example of Germany, we present evidence of small-area variation in factors defining political climates, and present and discuss potential pathways from local political climates to health outcomes. We show that anti-immigrant and antirefugee violence is a Europe-wide phenomenon and elaborate how resilience of individuals, communities, and the health system may function as moderator of the effects of the local political climate on health outcomes. Building on a pragmatic review of international evidence on spill-over effects identified in other racialised groups, we present a conceptual framework which incorporates direct effects as well as 'spill-over' effects on mental health with the aim to spark further academic discussion and guide empirical analysis on the topic. After presenting and discussing methodological challenges, we call for collective efforts to build coalitions between social sciences, conflict and violence studies, political science, data science, social psychologists and epidemiology to advance theory, measurement, and analysis of health effects of local political climates.
    MeSH term(s) Humans ; Transients and Migrants ; Emigration and Immigration ; Refugees ; Violence ; Social Sciences
    Language English
    Publishing date 2023-03-10
    Publishing country England
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ISSN 2059-7908
    ISSN 2059-7908
    DOI 10.1136/bmjgh-2022-011472
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Between Care and Coercion: Asylum Seekers' Experiences With COVID-19 Containment and Mitigation Measures in German Reception Centres.

    Rast, Eilin / Perplies, Clara / Biddle, Louise / Bozorgmehr, Kayvan

    International journal of public health

    2023  Volume 68, Page(s) 1605230

    Abstract: Objectives: ...

    Abstract Objectives:
    MeSH term(s) Humans ; Refugees/psychology ; Coercion ; COVID-19/epidemiology ; COVID-19/prevention & control ; Mental Health ; Social Support
    Language English
    Publishing date 2023-03-13
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2274130-6
    ISSN 1661-8564 ; 1661-8556
    ISSN (online) 1661-8564
    ISSN 1661-8556
    DOI 10.3389/ijph.2023.1605230
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Exploring contextual effects of post-migration housing environment on mental health of asylum seekers and refugees: A cross-sectional, population-based, multi-level analysis in a German federal state.

    Mohsenpour, Amir / Biddle, Louise / Bozorgmehr, Kayvan

    PLOS global public health

    2023  Volume 3, Issue 12, Page(s) e0001755

    Abstract: Asylum seekers and refugees (ASR) in Germany are dispersed quasi-randomly to state-provided, collective accommodation centres. We aimed to analyse contextual effects of post-migration housing environment on their mental health. We drew a balanced random ... ...

    Abstract Asylum seekers and refugees (ASR) in Germany are dispersed quasi-randomly to state-provided, collective accommodation centres. We aimed to analyse contextual effects of post-migration housing environment on their mental health. We drew a balanced random sample of 54 from 1 938 accommodation centres with 70 634 ASR in Germany's 3rd largest federal state. Individual-level data on depression and anxiety as well as sociodemographic- and asylum-related covariates, were collected and linked to contextual geo-referenced data on housing environment ('Small-area Housing Environment Deterioration' index, number of residents, remoteness, urbanity, and German Index of Multiple Deprivation). We fitted two-level random-intercept models to exploratively estimate adjusted contextual effects. Of 411 surveyed participants, 45.53% and 44.83%, respectively, reported symptoms of depression or anxiety. 52.8% lived in centres with highest deterioration, 46.2% in centres with > = 50 residents, 76.9% in urban, and 56% in deprived districts. 7.4% of centres were remote. We found statistically significant clustering in reporting anxiety on the level of accommodation centres. The model resulted in an intraclass correlation of 0.16 which translated into a median odds ratio of 2.10 for the accommodation-level effects. No significant clustering was found for symptoms of depression. The highest degree of deterioration, large accommodation size, remoteness, and district urbanity showed higher, but statistically not significant, odds for reporting anxiety or depression. District deprivation demonstrated higher odds for anxiety and lower odds for depression yet remained statistically insignificant for both. Evidence for contextual effects of housing environment on mental health of ASR could not be established but residual confounding by length of stay in the accommodation centre cannot be ruled out. Confirmatory analyses with prior power calculations are needed to complement these exploratory estimates.
    Language English
    Publishing date 2023-12-27
    Publishing country United States
    Document type Journal Article
    ISSN 2767-3375
    ISSN (online) 2767-3375
    DOI 10.1371/journal.pgph.0001755
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Context, health and migration: a systematic review of natural experiments.

    Biddle, Louise / Hintermeier, Maren / Costa, Diogo / Wasko, Zahia / Bozorgmehr, Kayvan

    EClinicalMedicine

    2023  Volume 64, Page(s) 102206

    Abstract: Background: Migration health research pays little attention to the places into which people migrate. Studies on health effects of contextual factors are often limited because of the ability of individuals to self-select their environment, but natural ... ...

    Abstract Background: Migration health research pays little attention to the places into which people migrate. Studies on health effects of contextual factors are often limited because of the ability of individuals to self-select their environment, but natural experiments may allow for the causal effect of contexts to be examined. The objective was to synthesise the evidence on contextual health effects from natural experiments among migrant groups.
    Methods: We performed a systematic review of natural experiments among migrant populations in PubMed/MEDLINE, The Cochrane Library, Web of Science, CINAHL and Google Scholar for literature published until 13 October 2022. 5870 articles were screened in duplicate using the following inclusion criteria: quantitative natural experiment design, migrant population, context factor as treatment variable and health or healthcare outcome variable. Synthesis without meta-analysis was performed following quality appraisal using the EPHPP tool for quantitative studies and data extraction (PROSPERO: CRD42020169236).
    Findings: The 46 included articles provide evidence for negative effects of neighbourhood disadvantage on physical health and mortality, while finding mixed effects on mental health. Articles comparing migrants with those that stayed behind demonstrate detrimental effects of migration and adverse post-migratory contexts on physical health and mortality, while demonstrating favourable effects for mental and child health. Natural experiments of policy environments indicate the negative impacts of restrictive migration and social policies on healthcare utilization, mental health and mortality, as well as the positive health effects when restrictions are lifted.
    Interpretation: Natural experiments complement observational studies and provide robust evidence to advocate for more inclusive migration, health and social policies as well as neighbourhood improvement programmes. In order to strengthen the methodological approach, future research utilising natural experiments should be more explicit in the mechanisms underlying the experiment and provide details on potential causal mechanisms for the observed effects.
    Funding: German Science Foundation (FOR: 2928/GZ: BO5233/1-1).
    Language English
    Publishing date 2023-09-18
    Publishing country England
    Document type Journal Article
    ISSN 2589-5370
    ISSN (online) 2589-5370
    DOI 10.1016/j.eclinm.2023.102206
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Utilisation of dental services by refugees in Germany

    Bozorgmehr, Kayvan / Hintermeier, Maren / Biddle, Louise / Hövener, Claudia / Gottlieb, Nora

    Results of the population-based RESPOND survey

    2024  

    Abstract: Background: The utilisation of outpatient dental services is an important indicator for monitoring healthcare provision in Germany. In the general population, the 12-month prevalence of dental service utilization is 82.2 %. For refugees, this indicator ... ...

    Abstract Background: The utilisation of outpatient dental services is an important indicator for monitoring healthcare provision in Germany. In the general population, the 12-month prevalence of dental service utilization is 82.2 %. For refugees, this indicator has hardly been measured, although studies suggest an objectively high need for dental care. Methodology: As part of the population-based cross-sectional RESPOND study (2018), self-reported health and healthcare, including the use of dental services, was assessed in three representative, random samples of refugees residing in reception and shared accommodation centres in Baden-Württemberg and Berlin. Results: The indicator was available for 68.8 % (594) of the 863 surveyed refugees. Overall, 38.2 % of the respondents stated that they had utilised dental services in the previous 12 months, whereas 41.4 % had never used any dental care in Germany. Conclusions: The utilisation of dental services among refugees is very low compared to the level of utilisation in the general population. It reflects a discrepancy between access and needs.
    Keywords Health Monitoring ; Refugees ; Survey ; Utilisation ; Dental Care ; 610 Medizin und Gesundheit ; ddc:610
    Subject code 360 ; 670
    Language English
    Publishing date 2024-01-17
    Publisher Robert Koch-Institut
    Publishing country de
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Inanspruchnahme zahnmedizinischer Leistungen bei geflüchteten Menschen in Deutschland

    Bozorgmehr, Kayvan / Hintermeier, Maren / Biddle, Louise / Hövener, Claudia / Gottlieb, Nora

    Ergebnisse des bevölkerungsbezogenen Surveys RESPOND

    2024  

    Abstract: Hintergrund: Die Inanspruchnahme ambulanter zahnmedizinischer Leistungen ist ein wichtiger Indikator für die Beschreibung der gesundheitlichen Versorgung in Deutschland. In der Allgemeinbevölkerung liegt die 12-Monats-Prävalenz der Nutzung ... ...

    Abstract Hintergrund: Die Inanspruchnahme ambulanter zahnmedizinischer Leistungen ist ein wichtiger Indikator für die Beschreibung der gesundheitlichen Versorgung in Deutschland. In der Allgemeinbevölkerung liegt die 12-Monats-Prävalenz der Nutzung zahnmedizinischer Leistungen im Schnitt bei 82,2 %. Für geflüchtete Menschen wurde der Indikator bisher kaum erhoben, obwohl Studien einen objektiv hohen Versorgungsbedarf nahelegen. Methode: Im Rahmen der bevölkerungsbezogenen Querschnittstudie RESPOND (2018) wurden in drei repräsentativen, zufallsbasierten Stichproben geflüchteter Menschen in Aufnahmeeinrichtungen und Gemeinschaftsunterkünften in Baden-Württemberg und Berlin Selbstangaben zu ihrer Gesundheit und gesundheitlichen Versorgung erhoben, darunter auch zur Inanspruchnahme zahnmedizinischer Leistungen. Ergebnisse: Der Indikator lag für 68,8 % (594) der insgesamt 863 befragten geflüchteten Menschen vor. Insgesamt gaben 38,2 % an, in den vergangenen 12 Monaten zahnmedizinische Leistungen in Anspruch genommen zu haben, wohingegen 41,4 % noch nie entsprechende Leistungen in Deutschland genutzt haben. Schlussfolgerungen: Die Inanspruchnahme zahnmedizinischer Leistungen geflüchteter Menschen ist verglichen mit dem Niveau der Inanspruchnahme in der Gesamtbevölkerung als sehr niedrig und nicht bedarfsgerecht einzuschätzen.
    Keywords Gesundheitsmonitoring ; Geflüchtete Menschen ; Survey ; Inanspruchnahme ; Zahnmedizimische Versorgung ; 610 Medizin und Gesundheit ; ddc:610
    Subject code 360
    Language German
    Publishing date 2024-01-17
    Publisher Robert Koch-Institut
    Publishing country de
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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