Systematische Übersicht und „Mapping“ empirischer Studien des Gesundheitszustands und der medizinischen Versorgung von Flüchtlingen und Asylsuchenden in Deutschland (1990-2014) = Systematic review and evidence mapping of empirical studies on health status and medical care among refugees and asylum seekers in Germany (1990–2014)

BackgroundOwing to a lack of routine statistics on the health status and medical care of asylum seekers, empirical studies play a major role in the mapping of these aspects.ObjectivesThe aim of this review is to provide a comprehensive overview of the research landscape in this area, synthesizing kn...

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Bibliographic Details
Main Authors: Bozorgmehr, Kayvan (Author) , Mohsenpour, Amir (Author) , Saure, Daniel (Author) , Stock, Christian (Author) , Tunkl, Christine (Author)
Format: Article (Journal)
Language:German
English
Published: 18. April 2016
In: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
Year: 2016, Volume: 59, Issue: 5, Pages: 599-620
ISSN:1437-1588
DOI:10.1007/s00103-016-2336-5
Online Access:Verlag, Volltext: https://doi.org/10.1007/s00103-016-2336-5
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Author Notes:Kayvan Bozorgmehr, Amir Mohsenpour, Daniel Saure, Christian Stock, Adrian Loerbroks, Stefanie Joos, Christine Schneider
Description
Summary:BackgroundOwing to a lack of routine statistics on the health status and medical care of asylum seekers, empirical studies play a major role in the mapping of these aspects.ObjectivesThe aim of this review is to provide a comprehensive overview of the research landscape in this area, synthesizing knowledge from empirical studies and identifying evidence gaps.MethodsA three-tiered search strategy included searching for empirical studies in national/international databases and on the internet, screening reference lists, and contacting experts. Studies meeting predefined inclusion criteria were thematically organized and described in a narrative synthesis.ResultsThe searches generated 1,190 hits; 52 articles met the inclusion criteria. Of these, 41 were quantitative studies (78.9 %), 10 qualitative (19.2 %), and 1 was a review (1.9 %). A total of 30 primary articles (58.9 %) analyzed mental health aspects, followed by infectious diseases (n = 12, 23.5 %). Qualitative studies, mainly ethnographies and case studies, explored mental health and social determinants of health, providing evidence for the impact of living conditions on health and medical care. Few studies analyzed chronic diseases (n = 3) or childhood illnesses (n = 6). No studies analyzed the health needs or medical care of asylum-seeking women during pregnancy and child birth. In 62.7 % of the primary studies, a single sampling point was used to recruit asylum seekers. Nationwide external validity was given in two quantitative studies.ConclusionThe priority research areas identified are chronic diseases and childhood and maternal health. The divergency and heterogeneity of the studies hamper a comprehensive and comparable acquisition of knowledgeand emphasize the need for collaborative research to close the existing evidence gaps.
Item Description:Gesehen am 24.10.2019
Physical Description:Online Resource
ISSN:1437-1588
DOI:10.1007/s00103-016-2336-5