Health Service Use Among Migrants in the German National Cohort—The Role of Birth Region and Language Skills

• DOI: 10.3389/ijph.2024.1606377
• Publication Date: 2024-03-06T12:11:11Z
• Authors: Christian Wiessner; Sara Licaj; Jens Klein; Barbara Bohn; Tilman Brand; Stefanie Castell; Amand Führer; Volker Harth; Margit Heier; Jana-Kristin Heise; Bernd Holleczek; Stefanie Jaskulski; Carmen Jochem; Lena Koch-Gallenkamp; Lilian Krist; Michael Leitzmann; Wolfgang Lieb; Claudia Meinke-Fr...; Rafael Mikolajczyk; Ilais Moreno Velá...; Nadia Obi; Tobias Pischon; Sabine Schipf; Sigrid Thierry; Stefan N. Willich; Hajo Zeeb; Heiko Becher
• Keywords: German population

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 HSU of general practitioners, medical specialists, psychologists/psychiatrists six migrant groups different origins with utilization non-migrants. A latent profile analysis (LPA) a subsequent multinomial regression was conducted to characterize groups. Additionally, separate models were calculated. Both analyses aimed estimate direct effect migration background on HSU. Results: In LPA, showed no relevant differences regarding analyses, practitioners specialists used comparably slightly more often by first-generation Eastern Europe, Turkey, resettlers. contrast, substantially lower among those Second-generation Western countries their Conclusion: We observed low mental specific This indicates existence barriers that need be addressed.