scholarly journals Results and Strategies for a Diversity-Oriented Public Health Monitoring in Germany

Author(s):  
Carmen Koschollek ◽  
Katja Kajikhina ◽  
Susanne Bartig ◽  
Marie-Luise Zeisler ◽  
Patrick Schmich ◽  
...  

Germany is a country of immigration; 27% of the population are people with a migration background (PMB). As other countries, Germany faces difficulties in adequately including hard-to-survey populations like PMB into national public health monitoring. The IMIRA project was initiated to develop strategies to adequately include PMB into public health monitoring and to represent diversity in public health reporting. Here, we aim to synthesize the lessons learned for diversity-oriented public health monitoring and reporting in Germany. We also aim to derive recommendations for further research on migration and health. We conducted two feasibility studies (interview and examination surveys) to improve the inclusion of PMB. Study materials were developed in focus groups with PMB. A systematic review investigated the usability of the concept of acculturation. A scoping review was conducted on discrimination as a health determinant. Furthermore, core indicators were defined for public health reporting on PMB. The translated questionnaires were well accepted among the different migrant groups. Home visits increased the participation of hard-to-survey populations. In examination surveys, multilingual explanation videos and video-interpretation services were effective. Instead of using the concept of acculturation, we derived several dimensions to capture the effects of migration status on health, which were more differentiated. We also developed an instrument to measure subjectively perceived discrimination. For future public health reporting, a set of 25 core indicators was defined to report on the health of PMB. A diversity-oriented public health monitoring should include the following: (1) multilingual, diversity-sensitive materials, and tools; (2) different modes of administration; (3) diversity-sensitive concepts; (4) increase the participation of PMB; and (5) continuous public health reporting, including constant reflection and development of concepts and methods.

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  

Abstract Public health monitoring and reporting (PHMR) provides compilations of up-to-date epidemiological data from multiple sources and their interpretation. Health reports are aimed at users in public health policy but should also inform civil society, healthcare professionals, or students. Recently, stakeholders from civil society were increasingly involved in the process of PHMR to identify topics that are relevant for diverse population groups. PHMR inter alia seeks to identify population groups at need of health promotion or healthcare and, thus, to contribute to achieve health equity. High-, middle- and low-income countries alike have developed reporting systems that describe the health of populations according to categories of difference such as sex/gender, race/ethnicity, or socioeconomic status. In the past, most of these reports have focused on single categories and dichotomous presentations. Scholars involved in PHMR have pointed out that health reports focusing on sex/gender should compare disease burden between women and men, display heterogeneity within the groups of women and men, consider the social context and make use of theory to interpret findings in order to be gender-sensitive. We argue that an intersectional framework might be suited to inform gender-sensitive health reporting. Intersectionality posits that categories of difference cannot be thought of independently because systems of power and oppression that create inequalities are mutually constituting and reinforcing. An intersectional perspective, for example, visualises heterogeneity within supposedly homogenous societal groups such as women and men. Moreover, intersectionality was proposed as a ground-breaking theoretical framework for public health because its aim to achieve social justice by considering socio-structural systems of differentiation and subordination and by empowering all parts of society is well in line with the goal of health equity. In this workshop, we aim to discuss implications of intersectionality for the practice of gender-sensitive PHMR. To create a foundation for the panel discussion, we will present a theoretical argument about why PHMR should consider the epistemological and methodological principles of intersectionality, and present suggestions for a gender-sensitive and intersectional practice of PHMR, based on research of the joint project AdvanceGender. AdvanceGender brings together interdisciplinary researchers to translate principles of intersectionality into methods and suggestions for gender-sensitive health reporting and population health research. A panel consisting of members of AdvanceGender and experts in public policy, data analysis and health reporting will draw on research and practice internationally and on a range of methods and applications of intersectionality to research and policy. The panel discussion will focus on the feasibility of suggested methods and applications in PHMR, and their contributions towards health equity. Key messages We will present a theoretical rationale to consider the epistemological and methodological principles of intersectionality in public health monitoring and reporting. A panel will discuss implications of intersectionality for the practice of gender-sensitive public health monitoring and reporting and possible contributions to achieving health equity.


Author(s):  
Stanley Ulijaszek

The epidemiologies of undernutrition and obesity are conducted using standardized metrics in very regulated ways. Bodies are physical entities with economic, social, and medical correlates, and the standardization of bodily measures of undernutrition and obesity have political and economic implications. Most recently, their use has been mostly as proxies for health and mortality risk. This chapter describes the now historical process of bodily standardization through public health anthropometry at both extremes of body size, and examines how public health reporting of undernutrition and obesity informs the discourse of both of them at governmental level, once such measures are given the status of national statistics.


2009 ◽  
Vol 15 (6) ◽  
pp. 471-478 ◽  
Author(s):  
Catherine J. Staes ◽  
Per H. Gesteland ◽  
Mandy Allison ◽  
Susan Mottice ◽  
Michael Rubin ◽  
...  

2015 ◽  
Vol 43 (S1) ◽  
pp. 27-31 ◽  
Author(s):  
David Presley ◽  
Thomas Reinstein ◽  
Damika Webb-Barr ◽  
Scott Burris

Surveillance in public health is the means by which people who are responsible for preventing or controlling threats to health get the timely, ongoing, and reliable information they need about the occurrence, antecedents, time course, geographic spread, consequences, and nature of these threats among the populations they serve. “Policy surveillance” is the ongoing, systematic collection, analysis, and dissemination of information about laws and other policies of health importance.


2020 ◽  
Vol 27 (11) ◽  
pp. 1821-1822
Author(s):  
Catherine J Staes ◽  
James Jellison ◽  
Mary Beth Kurilo ◽  
Rick Keller ◽  
Hadi Kharrazi

Author(s):  
Maike Grube ◽  
Judith Fuchs ◽  
Gabriele Meyer ◽  
Nils Lahmann ◽  
Susanne Zank ◽  
...  

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