According to microcensus data, nearly one quarter of the German population has a migration background. This means
that either themselves or at least one parent was born without German citizenship. Based on the currently available data
and due to the underrepresentation of specific population groups, representative findings on the health of the total
population residing in Germany are only possible to a limited degree. Against this backdrop, the Robert Koch Institute
initiated the Improving Health Monitoring in Migrant Populations (IMIRA) project. The project aims to establish a
migration-sensitive health monitoring system and to better represent people with a migration background in health
surveys conducted by the Robert Koch Institute. In this context it is crucial to review and further develop relevant migrationsensitive
concepts and appropriate surveying instruments. To achieve this, the concepts of acculturation, discrimination,
religion and subjective social status were selected. This article theoretically embeds these concepts. Furthermore, we
describe their application in epidemiology as well as provide a proposal on how to measure and operationalise these
concepts. Moreover, recommendations for action are provided regarding the potential application of these concepts in
health monitoring at the Robert Koch Institute.Peer Reviewe
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