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@ARTICLE{Wiessner:289076,
      author       = {C. Wiessner and S. Licaj and J. Klein and B. Bohn and T.
                      Brand and S. Castell and A. Führer and V. Harth and M.
                      Heier and J.-K. Heise and B. Holleczek and S. Jaskulski and
                      C. Jochem and L. Koch-Gallenkamp$^*$ and L. Krist and M.
                      Leitzmann and W. Lieb and C. Meinke-Franze and R.
                      Mikolajczyk and I. Moreno Velásquez and N. Obi and T.
                      Pischon and S. Schipf and S. Thierry and S. N. Willich and
                      H. Zeeb and H. Becher},
      title        = {{H}ealth {S}ervice {U}se {A}mong {M}igrants in the {G}erman
                      {N}ational {C}ohort-{T}he {R}ole of {B}irth {R}egion and
                      {L}anguage {S}kills.},
      journal      = {International journal of public health},
      volume       = {69},
      issn         = {1661-8556},
      address      = {[Lausanne]},
      publisher    = {Frontiers Media S.A.},
      reportid     = {DKFZ-2024-00577},
      pages        = {1606377},
      year         = {2024},
      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.},
      keywords     = {German National Cohort (Other) / NAKO (Other) / health
                      service research (Other) / mental health (Other) / migrant
                      health (Other)},
      cin          = {C070},
      ddc          = {610},
      cid          = {I:(DE-He78)C070-20160331},
      pnm          = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
      pid          = {G:(DE-HGF)POF4-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:38510525},
      pmc          = {pmc:PMC10952844},
      doi          = {10.3389/ijph.2024.1606377},
      url          = {https://inrepo02.dkfz.de/record/289076},
}