Zusammenfassung
Anliegen Analyse des Inanspruchnahmeverhaltens von Migranten mit einer psychischen Störung im Vergleich zu Deutschen.
Methode Reanalyse des Bundesgesundheitssurveys mit einer gematchten Stichprobe aus Migranten (n = 151) und Deutschen (n = 151).
Ergebnisse Hinsichtlich der gesundheitsbezogenen Inanspruchnahme gibt es keine Unterschiede.
Schlussfolgerungen Der Migrationshintergrund alleine erklärt die in vielen Studien gefundenen Unterschiede nicht. Auszugehen ist von einer multifaktoriellen Entstehung, die neben migrationsbezogenen vor allem auf sozioökonomischen Faktoren beruht.
Abstract
Objective Analysis of the health care utilisation of migrants with mental disorders compared to Germans with mental disorders under consideration of migration-related and socio-economic factors.
Methods Reanalysis of the supplement survey “Mental Disorders” of the “German Health Survey” 1998 with a matched sample of migrants (n = 151) and Germans (n = 151) with a positive 12-month prevalence of mental disorders.
Results Regarding the prevalence rates for mental disorders and health care utilisation no differences in the sample between Germans and migrants could be found.
Conclusions The migration background alone does not explain the differences in health care utilisation which are found in many studies. It is assumed, that differences arise multifactorial, and can be explained through migration-related factors but especially through socio-economic factors. To provide a better understanding of health care utilisation of migrants it might be necessary to set the focus on socio-economic factors. In addition a differentiated measurement of cultural and migration-related factors is needed in future studies.
Schlüsselwörter
Inanspruchnahmeverhalten - Migranten - psychische Erkrankung - transkulturell
Keywords
health care utilisation - migrants - mental health - transcultural