International Journal of Public Health

, Volume 59, Issue 6, pp 893–895 | Cite as

Addressing health-related interventions to immigrants: migrant-specific or diversity-sensitive?

  • Oliver RazumEmail author
  • Jacob Spallek

Addressing immigrants

Immigrants and their offspring are often disadvantaged in terms of health and access to health care including preventive interventions, relative to the majority populations (Smith Nielsen and Krasnik 2010; Spallek et al. 2010; Harris 2012). There is broad agreement by now that this health disadvantage is to a substantial part explained by the same social determinants that also operate on the host populations (Reijneveld 2010; Razum and Stronks 2014). But besides tackling social determinants (Graham and Kelly 2004), we also need to make sure that immigrants receive culturally appropriate health care without discrimination (Reijneveld 2010).

How can this be achieved? Addressing immigrant populations could follow two rather different strategies: implementing services and interventions specifically addressed at this group, a somewhat “exclusive” strategy; or by adapting the existing routine health and preventive services, a more “inclusive” approach. Some people see...


Sexual Orientation Social Determinant Immigrant Woman Majority Population Diversity Management 
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  1. Berens EM, Razum O (2011) Einflussfaktoren auf die Teilnahme am Mammografiescreening-Programm bei Frauen mit türkischem Migrationshintergrund. Ergebnisse einer qualitativ-explorativen Studie. Gesundheitswesen 73:A179Google Scholar
  2. Cattacin S, Chimienti M (2007) From control policies to health policies as a tool for inclusion. Int J Public Health 52:73–74PubMedCrossRefGoogle Scholar
  3. Dorgelo A, Pos S, Vervoordeldonk J, Jansen J (undated, estimated 2010) Reasons for a differential impact of policies and interventions on the social gradient of health. NIGZ Series: Tackling the Gradient in healthGoogle Scholar
  4. Garton Ash T (2012) Freedom and diversity: a liberal pentagram for living together. New York Review of Books. Accessed 6 June 2014
  5. Geiger I (2008) Migrants, diversity management. In: Kirch W (ed) Encyclopedia of public health. Springer Netherlands, Berlin, pp 939–942CrossRefGoogle Scholar
  6. Graham H, Kelly MP (2004) Health inequalities: concepts, frameworks and policy. NHS Health Development Agency, LondonGoogle Scholar
  7. Harris MF (2012) Access to preventive care by immigrant populations. BMC Med 10:55PubMedCentralPubMedCrossRefGoogle Scholar
  8. Razum O, Stronks K (2014) The health of migrants and ethnic minorities in Europe: where do we go from here. Eur J Public Health (in press)Google Scholar
  9. Reijneveld SA (2010) Ethnic differences in health and use of health care: the questions to be answered. Int J Public Health 55:353–355PubMedCentralPubMedCrossRefGoogle Scholar
  10. Smith Nielsen S, Krasnik A (2010) Poorer self-perceived health among migrants and ethnic minorities versus the majority population in Europe: a systematic review. Int J Public Health 55:357–371CrossRefGoogle Scholar
  11. Spallek J, Zeeb H, Razum O (2010) Prevention among immigrants: the example of Germany. BMC Public Health 10:92PubMedCentralPubMedCrossRefGoogle Scholar
  12. Spallek J, Zeeb H, Razum O (2011) What do we have to know from migrants’ past exposures to understand their health status? A life course approach. Emerg Themes Epidemiol 8:6PubMedCentralPubMedCrossRefGoogle Scholar
  13. von Unger H (2010) HIV-Prävention mit Migrant(inn)en: interkulturell, partizipativ und strukturell. In: Drewes J, Sweers H (eds) Strukturelle Prävention und Gesundheitsförderung im Kontext von HIV. Deutsche AIDS-Hilfe, Berlin, pp 195–217Google Scholar
  14. von Unger H, Klumb S, Gangarova T, Wright MT (2011) Herausforderungen der HIV-Prävention für Migranten. Ergebnisse einer Befragung der Aidshilfen. Prävention und Gesundheitsförderung 6:19–26CrossRefGoogle Scholar

Copyright information

© Swiss School of Public Health 2014

Authors and Affiliations

  1. 1.Department of Epidemiology and International Public Health, School of Public HealthBielefeld UniversityBielefeldGermany

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