Lay perspectives on social distancing and other official recommendations and regulations in the time of COVID-19: a qualitative study of social media posts.

Olcer S, Yilmaz-Aslan Y, Brzoska P. Lay perspectives on social distancing and other official recommendations and regulations in the time of COVID-19: a qualitative study of social media posts. BMC public health. 2020;20(1): 963.BACKGROUND: COVID-19 caused by a new form of coronavirus (SARS-CoV-2) first appeared in China end of 2019 and quickly spread to all counties of the world. To slow down the spread of the virus and to limit the pressure on the health care systems, different regulations and recommendations have been implemented by authorities, comprising amongst others the closure of all entertainment venues and social distancing. These measures have received mixed reactions, particularly from young individuals, with many not following available advice. Drawing on the information in social media discussion forums, the present study explores the reasons why people ignore the orders and recommendations of the authorities and why the authorities are unable to produce a shared sense of inclusion concerning protective measures against the COVID-19 outbreak.; METHODS: Three open-access social media forums (Reddit, Twitter, and YouTube comments) were systematically searched with respect to COVID-19-related beliefs, attitudes, and behaviours of individuals. The data was retrieved in the first 3 weeks of March 2020. Qualitative document analysis and qualitative content analysis were used as the methodical approach. The data was reviewed by all authors and jointly interpreted to minimise inconsistencies.; RESULTS: The study reveals that reasons such as information pollution on social media, the persistence of uncertainty about the rapidly spreading virus, the impact of the social environment on the individual, and fear of unemployment associated with inequality in the distribution of income lead people to ignore the orders and recommendations of the authorities. The findings suggest that government representatives and politicians could not produce a shared sense of inclusion concerning protective measures against the COVID-19 outbreak, due to not building trust among the public and taking concrete economic steps to satisfy them.; CONCLUSION: In uncertain crises, transparency in the presentation of information and government policies emerge as influential determinants in creating social susceptibility and solidarity. The differences between social classes constitute one of the important factors that affect the decision-making mechanisms of individuals in determining the necessary steps to be undertaken in times of crisis

Participation in breast cancer screening among women of Turkish origin in Germany – a register-based study

Berens E-M, Stahl L, Yilmaz-Aslan Y, Sauzet O, Spallek J, Razum O. Participation in breast cancer screening among women of Turkish origin in Germany – a register-based study. BMC Women's Health. 2014;14(1): 24.Background Population-based breast cancer screening programs were implemented to reduce breast cancer mortality and to improve recovery chances. Breast cancer screening participation among migrant women differs from that of autochthonous populations in several European countries. Here we investigate for the first time participation among women of Turkish origin in Germany. Methods Data of five screening units covering 2010 and 2011 as well as associated population registries were analysed. Women of Turkish origin were identified using a name-based algorithm. Participation ratios among women of Turkish origin and odds ratios compared to women of non-Turkish origin were calculated. Analyses were stratified and adjusted for age-groups and screening unit. Results A total of 208,500 participants in the five breast screening units were included, out of 423,649 eligible women in the catchment areas (participation 49.2%). Women of Turkish origin have a slightly higher chance to participate in breast cancer screening than women without Turkish origin (OR 1.17; 95% CI: 1.14-1.21). Only women of Turkish origin aged 65–69 years have a lower chance to participate than women without Turkish origin (OR: 0.71; 95% CI: 0.66-0.75). Conclusion In spite of low participation in preventive measures among migrant populations, the overall breast cancer screening participation among women of Turkish origin in Germany seems to be higher compared to women of non-Turkish origin. Turkish women aged 65 years and above have a lower chance of participation than younger Turkish women. There is need for further research to study factors affecting participation in screening among migrant and non-migrant populations in Germany

Self-rated treatment outcomes in medical rehabilitation among German and non-German nationals residing in Germany: an exploratory cross-sectional study

Brzoska P, Sauzet O, Yilmaz-Aslan Y, Widera T, Razum O. Self-rated treatment outcomes in medical rehabilitation among German and non-German nationals residing in Germany: an exploratory cross-sectional study. BMC HEALTH SERVICES RESEARCH. 2016;16(1): 105.Background: In many European countries, foreign nationals experience, on average, less favorable treatment outcomes in rehabilitative care than the respective majority population. In Germany, this for example is reflected in a lower occupational performance and a higher risk of disability retirement after rehabilitation as analyses of routine data show. However, little is known about the perspective of health care users. The aim of the present study was to compare self-rated treatment outcomes between German and non-German nationals undergoing in-patient medical rehabilitation in Germany. Methods: We analyzed data from a cross-sectional representative rehabilitation patient survey of 239,811 patients from 642 clinics in Germany who completed about 3 weeks of in-patient rehabilitative treatment. The self-rating of the treatment outcome was based on a dichotomized Likert scale consisting of three items. A multilevel logistic regression analysis adjusted for various demographic, socio-economic, health and other covariates was conducted to examine differences in the self-rated treatment outcome between German and non-German nationals. Results: Of the 239,811 respondents 0.9 % were nationals from Turkey, 0.8 % had a nationality from a former Yugoslavian country, 0.9 % held a nationality from the South European countries Portugal, Spain, Italy or Greece and 1.9 % were nationals from other countries. Non-German nationals reported a less favorable self-rated outcome than Germans. Adjusted odds ratios [OR] for reporting a less favorable treatment outcome were 1.24 (95 %-confidence interval [95 %-CI]: 1.12-1.37) for nationals from the South European countries Portugal/Spain/Italy/Greece, 1.62 (95 %-CI: 1.45-1.80) for Turkish nationals and 1.68 (95 %-CI: 1.52-1.85) for nationals from Former Yugoslavia. Conclusions: Knowledge on health outcomes from the patients' point of view is important for the provision of patient-centered health care. Our study showed that non-German nationals report less favorable outcomes of rehabilitative care than Germans. This may be due to cultural and religious needs not sufficiently addressed by health care providers. In order to improve rehabilitative care for non-German nationals, rehabilitative services must become sensitive to the needs of this population group. Diversity management can contribute to this process

Deficits in psycho-oncological care among Turkish immigrant women with breast cancer in Germany – an interview study

Spallek L, Yilmaz-Aslan Y, Klein-Ellinghaus F, et al. Deficits in psycho-oncological care among Turkish immigrant women with breast cancer in Germany – an interview study. International Journal of Psychotherapy Practice and Research. 2017;1(2):1-10

Rehabilitative Versorgung und gesundheitsbedingte Frühberentung von Personen mit Migrationshintergrund in Deutschland: Abschlussbericht

Dieser Abschlussbericht stellt die Ergebnisse des Projektes "Rehabilitative Versorgung und gesundheitsbedingte Frühberentung von Personen mit Migrationshintergrund in Deutschland" vor. Auf Basis eines quantitativen und qualitativen Forschungszugangs wurde untersucht, inwiefern sich einzelne Gruppen von ausländischen Staatsangehörigen bzw. Menschen mit Migrationshintergrund hinsichtlich der Häufigkeit von Arbeitsunfällen und Berufskrankheiten, der Inanspruchnahme beruflicher und medizinischer Rehabilitationsmaßnahmen, des Rehabilitationserfolges und der Frühberentung von Deutschen bzw. Menschen ohne Migrationshintergrund unterscheiden. Unter Bezugnahme auf Prozess- und Individualdaten unterschiedlicher Rehabilitationsträger zeigt der Bericht, dass Menschen mit Migrationshintergrund im Durchschnitt weniger häufig Maßnahmen der medizinischen Rehabilitation in Anspruch nehmen sowie einen geringeren Rehabilitationserfolg und höhere Frühberentungsquoten aufweisen als die Mehrheitsbevölkerung. Auf Basis einer systematischen Literaturrecherche und mittels qualitativer Experten- und Fokusgruppeninterviews werden darüber hinaus unterschiedliche Zugangs-, Durchführungs- und Wirksamkeitsbarrieren in der Rehabilitation von Menschen mit Migrationshintergrund identifiziert, welche die quantitativen Ergebnisse zumindest teilweise erklären können. Handlungsempfehlungen für die Verbesserung der rehabilitativen Versorgung von Menschen mit Migrationshintergrund werden abgeleitet

Subjektive Krankheitsvorstellungen bei chronisch kranken Menschen mit türkischem Migrationshintergrund : Empfehlungen für die Berücksichtigung in der Gesundheitsversorgung

Yilmaz-Aslan Y. Subjektive Krankheitsvorstellungen bei chronisch kranken Menschen mit türkischem Migrationshintergrund : Empfehlungen für die Berücksichtigung in der Gesundheitsversorgung. Bielefeld; 2013

Disparities in the use of regular pap smears among migrant and non-migrant women in Austria. A population-based survey of 7633 women

Brzoska P, Aksakal T, Yilmaz-Aslan Y. Disparities in the use of regular pap smears among migrant and non-migrant women in Austria. A population-based survey of 7633 women. Journal of Medical Screening. 2021;28(3):372-376.Objective: Regular pap smears are effective in reducing cervical cancer incidence and mortality. Migrant women have been reported to utilize cervical cancer screening less often than non-migrant women. However, inconsistent results, e.g. from Germany, have also been reported. This study examines disparities in the use of annual pap smears among 20-69year old migrant and non-migrant women in neighboring Austria. Method: Data from a nationwide population-based survey of 7633 women is used of whom 504 (6.6%) were migrants from European Union countries and 251 (3.3%) were migrants from non-European Union countries. Logistic regression analysis was conducted to account for socio economic and health differences between the three population groups. Results: The study shows that as compared to the non-migrant women, migrant women from European Union and non-European Union countries were at lower odds of having received a pap smear in the last 12months (adjusted odds ratio =0.80, 95% confidence interval=0.66-0.96 and adjusted odds ratio=0.74, 95%-confidence interval=0.57-0.97, respectively). Disparities were similar with respect to utilization in the last 36months (adjusted odds ratio=0.60, 95% confidence interval=0.46-0.77 and adjusted odds ratio=0.58, 95% confidence interval=0.40-0.82, respectively). Conclusions: The findings are in agreement with research from the majority of other countries. They suggest barriers that migrants encounter in the health system and highlight the need for diversity-sensitive health care strategies

Everyday General Practitioner Care in Times of COVID-19-Results of a nationwide Online Survey

Aksakal T, Yilmaz-Aslan Y, Brzoska P. Der hausärztliche Versorgungsalltag in Zeiten von COVID-19 – Ergebnisse einer bundesweiten Onlineumfrage. Gesundheitswesen. 2022;84(08/09):767

Häusliche Pflege bei Migrantinnen und Migranten.

Glodny S, Yilmaz-Aslan Y, Razum O. Häusliche Pflege bei Migrantinnen und Migranten. Informationsdienst Altersfragen. 2010;37(6):9-12

Impact of the COVID-19 pandemic on GP care: Results of a national survey in Germany

Aksakal T, Yilmaz-Aslan Y, Brzoska P. Impact of the COVID-19 pandemic on GP care: Results of a national survey in Germany. Oncology Research and Treatment . 2022;45(Suppl. 3):193