Abstract
Migrants are often poorly represented in epidemiological studies which limits the generalizability of the results of population-based studies. This study aimed to assess whether a community-based sampling (CBS) of persons of Turkish origin leads to differences in the participants’ characteristics compared to a register-based sampling (RBS). The two sampling strategies were used to recruit participants in three cities in Germany (CBS: n = 641; RBS: n = 578). We compared sociodemographic, migration- and health-related characteristics. Census data were used as an external reference. Lower German language skills and a lower acculturation status were more prevalent in the CBS than in the RBS. While age and sex adjusted obesity prevalence differed [CBS: 37.8 (33.6–42.4); RBS 30.0 (26.3–34.0); census data 19.1 (18.2–20.1)], most other health indicators were similar across the samples. In conclusion, the CBS approach led to a greater representation of persons of Turkish origin with lower language skills and lower acculturation status. Nevertheless, both recruitment strategies provided similar estimates of health status indicators.
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References
Sheikh A. Why are ethnic minorities under-represented in US research studies? PLoS Med. 2006;3(2):e49.
Ranganathan M, Bhopal R. Exclusion and inclusion of nonwhite ethnic minority groups in 72 North American and European cardiovascular cohort studies. PLoS Med. 2006;3(3):e44.
Yancey AK, Ortega AN, Kumanyika SK. Effective recruitment and retention of minority research participants. Annu Rev Public Health. 2006;27:1–28.
Sass AC, Grune B, Brettschneider AK, Rommel A, Razum O, Ellert U. Participation of people with migration background in health surveys of the Robert Koch Institute. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2015;58(6):533–42.
Reiss K, Makarova N, Spallek J, Zeeb H, Razum O. Identification and sampling of people with migration background for epidemiological studies in Germany. Gesundheitswesen. 2013;75(6):e49–58.
Ibrahim S, Sidani S. Strategies to recruit minority persons: a systematic review. J Immigr Minor Health. 2014;16(5):882–8.
Schenker MB, Castaneda Hernandez A, Rodrigues-Lainz A. Migration and health. A research handbook. Oakland: University of California Press; 2014.
Bodewes AJ, Kunst AE. Involving hard-to-reach ethnic minorities in low-budget health research: lessons from a health survey among Moluccans in the Netherlands. BMC Res Notes. 2016;9:319.
Tyldum G, Johnston L. Applying respondent driven sampling to migrant populations: lessons learned from the field. London: Palgrave; 2014.
Blohm M, Diehl C. Wenn Migranten Migranten befragen: Zum Teilnahmeverhalten von Einwanderern bei Bevölkerungsbefragungen/When migrants interview migrants: on the survey participation of migrants. Zeitschrift für Soziologie. 2001;30(3):223–42.
German National Cohort (GNC) Consortium. The German National Cohort: aims, study design and organization. Eur J Epidemiol. 2014;29(5):371–82.
Statistisches Bundesamt. Bevölkerung und Erwerbstätigkeit. Bevölkerung mit Migrationshintergrund: Ergebnisse des Mikrozensus 2016. Wiesbaden: Statistisches Bundesamt; 2017.
Winkler V, Leitzmann M, Obi N, Ahrens W, Edinger T, Giani G, et al. Response in individuals with and without foreign background and application to the National Cohort in Germany: which factors have an effect? Int J Public Health. 2014;59(3):555–63.
Şen F. The historical situation of Turkish migrants in Germany. Immigrants Minorities. 2007;22(2–3):208–27.
Esser H. Integration und ethnische Schichtung. Mannheim: 2001.
Höhne J, Linden B, Seils E, Wiebel A. Die Gastarbeiter. Geschichte und aktuelle soziale Lage. Duesseldorf: Hans-Böckler-Stiftung; 2014.
Glitz A. Ethnic segregation in Germany. Labour Econ. 2014;29:28–40.
Jenkins R. Rethinking ethnicity: identity, categorization and power. Ethn Racial Stud. 1994;17(2):197–223.
Reiss K, Dragano N, Ellert U, Fricke J, Greiser KH, Keil T, et al. Comparing sampling strategies to recruit migrants for an epidemiological study. Results from a German feasibility study. Eur J Public Health. 2014;24(5):721–6.
Statistisches Bundesamt. Zensus2011 Wiesbaden: Statistisches Bundesamt; 2011. https://ergebnisse.zensus2011.de/. Accessed 5 June 2018.
Razum O, Zeeb H, Akgun S. How useful is a name-based algorithm in health research among Turkish migrants in Germany? Trop Med Int Health 2001;6(8):654–61.
Makarova N, Reiss K, Zeeb H, Razum O, Spallek J. Improved opportunities for the identification of people with a migrant background for mortality research using the example of Bremen. Gesundheitswesen. 2013;75(6):360–5.
Ahrens W, Greiser H, Linseisen J, Kluttig A, Schipf S, Schmidt B, et al. The design of a nationwide cohort study in Germany: the pretest studies of the German National Cohort (GNC). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2014;57(11):1246–54.
Qualitätsbericht Mikrozensus 2009 [Quality report micro census 2009]. Wiesbaden, Germany: Federal Statistical Office of Germany; 2010.
Brauns H, Scherer S, Steinmann S. The CASMIN educational classification in international comparative research. In: Hoffmeyer-Zlotnik JP, Wolf C, editors. Advances in cross-national comparison. New York: Springer; 2003. p. 221–44.
OECD. What are equivalence scales? http://www.oecd.org/els/soc/OECD-Note-EquivalenceScales.pdf. Accessed 11 May 2018.
Bongard S. FRAKK20. not dated; unpublished work.
Bongard S, Kelava A, Sabic M, Aazami-Gilan D, Kim YB. Akkulturation und gesundheitliche Beschwerden bei drei Migrantenstichproben in Deutschland. In: Eschenbeck H, Heim-Dreger U, Kohlmann CW, editors. Beiträge zur Gesundheitspsychologie. Schwäbisch-Gmünd: Gmünder Hochschulreihe Band 29; 2007. p. 53.
Berry JW. Acculturation. Living successfully in two cultures. Int J Intercult Rel. 2005;29(6):697–712.
Krug S, Jordan S, Mensink GB, Muters S, Finger J, Lampert T. Physical activity: results of the German Health Interview and Examination Survey for Adults (DEGS1). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2013;56(5–6):765–71.
Ware J, Kosinski M, Dewey J, Gandek B. How to score and interpret single-item health status measures: a manual for users of the SF-8 health survey. Lincoln: QualyMetric; 2001.
Douglas A, Bhopal RS, Bhopal R, Forbes JF, Gill JM, Lawton J, et al. Recruiting South Asians to a lifestyle intervention trial: experiences and lessons from PODOSA (Prevention of Diabetes & Obesity in South Asians). Trials. 2011;12:220.
Horowitz CR, Brenner BL, Lachapelle S, Amara DA, Arniella G. Effective recruitment of minority populations through community-led strategies. Am J Prev Med. 2009;37(6 Suppl 1):195–200.
Connor Gorber S, Tremblay M, Moher D, Gorber B. A comparison of direct vs. self-report measures for assessing height, weight and body mass index: a systematic review. Obes Rev. 2007;8(4):307–26.
Lampert T, von der Lippe E, Muters S. Prevalence of smoking in the adult population of Germany: results of the German Health Interview and Examination Survey for Adults (DEGS1). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2013;56(5–6):802–8.
Mensink GB, Schienkiewitz A, Haftenberger M, Lampert T, Ziese T, Scheidt-Nave C. Overweight and obesity in Germany: results of the German Health Interview and Examination Survey for Adults (DEGS1). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2013;56(5–6):786–94.
Hoopman R, Terwee CB, Muller MJ, Öry FG, Aaronson NK. Methodological challenges in quality of life research among Turkish and Moroccan ethnic minority cancer patients: translation, recruitment and ethical issues. Ethn Health. 2009;14(3):237–53.
Saß A-C, Grüne B, Brettschneider AK, Rommel A, Razum O, Ellert U. Beteiligung von Menschen mit Migrationshintergrund an Gesundheitssurveys des Robert Koch-Instituts. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2015;58(6):533–42.
Aichberger MC, Yesil R, Rapp MA, Schlattmann P, Temur-Erman S, Bromand Z, et al. Surveying migrant populations—methodological considerations: an example from Germany. Int J Cult Ment Health. 2013;6(2):81–95.
Brand T, Samkange-Zeeb F, Ellert U, Keil T, Krist L, Dragano N, et al. Acculturation and health-related quality of life: results from the German National Cohort migrant feasibility study. Int J Public Health. 2017;62(5):521–9.
Tucker JA, Simpson CA, Chandler SD, Borch CA, Davies SL, Kerbawy SJ, et al. Utility of respondent driven sampling to reach disadvantaged emerging adults for assessment of substance use, weight, and sexual behaviors. J Health Care Poor Underserved. 2016;27(1):194–208.
Heckathorn DD. Snowball versus respondent-driven sampling. Sociol Methodol. 2011;41(1):355–66.
Acknowledgements
This study was part of the feasibility studies in preparation for the German National Cohort and was funded by the Federal Ministry of Education and Research (German: Bundesministerium für Bildung und Forschung); Grant Number: 01ER1001B; Beneficiary: Freiburg University.
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Brand, T., Samkange-Zeeb, F., Dragano, N. et al. Participation of Turkish Migrants in an Epidemiological Study: Does the Recruitment Strategy Affect the Sample Characteristics?. J Immigrant Minority Health 21, 811–819 (2019). https://doi.org/10.1007/s10903-018-0788-4
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DOI: https://doi.org/10.1007/s10903-018-0788-4