
Amand FührerMartin Luther University Halle-Wittenberg | MLU · Institute for Medical Epidemiology, Biometrics and Informatics
Amand Führer
PD Dr. med. habil.; MD; M.A.
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60
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271
Citations
Publications
Publications (60)
Background
Despite considerable improvements in oral health in recent decades, caries and periodontitis are still widespread, ranking among the most prevalent diseases worldwide and requiring future research. The German National Cohort (NAKO Gesundheitsstudie, NAKO) is a large-scaled, multidisciplinary, nationwide, multi-centre, population-based, p...
Being a university student is a vulnerable period marked by transitions and uncertainties which can impair their physical and mental well-being as well as overall quality of life. The existing literature suggests that certain groups of students might be particularly affected by that. In addition, quality of life might have been further affected by...
Aim was to investigate to what extent cognitive functioning differs by three socioeconomic conditions: low income, being without employment, and living alone. A total of N = 158,144 participants of the population-based German National Cohort (NAKO) provided data on socioeconomic conditions and completed cognitive tests. Multivariable confounder-adj...
Citation: Konopka, A.; Führer, A.; Binder, M.; Diexer, S.; Frese, T.; Gekle, M.; Girndt, M.; Gottschick, C.; Hoell, J.; Klee, B.; et al. Child and Adolescent Mental Health in a Period of Fewer Abstract: The aim of this study was to assess the mental health situation of children and adolescents during a period of less strict COVID-19-pandemic-relate...
The WHO emphasizes the importance of taking area-level factors into account when formulating public health interventions. The aim of this systematic review was to identify which area-level factors are associated with children’s dental caries in Europe and might therefore be a suitable starting point for public health interventions. We conducted a s...
Noch immer spielen soziale Determinanten in den klinischen Fächern eine geringe Rolle. Ein solides konzeptionelles Fundament fehlt bislang.
Das Konzept der strukturellen Kompetenz bietet hier eine Möglichkeit.
Background
The COVID-19 pandemic presented unprecedented challenges, particularly for vulnerable populations residing in confined settings such as refugee shelters: Physical distancing measures were challenging to implement in shelters due to shared rooms or communal use of kitchens and sanitary facilities, which increased the risk of infections. M...
Background
Refugees remain a marginalized population and are exposed to a variety of discriminatory processes, among them Othering which categorizes people as belonging or not-belonging according to certain ascribed characteristics. We explored how the narrative construction of refugee patients by medical students constitutes a form of Othering.
M...
Universities are commonly imagined as "enlightened institutions" that leave no room for discrimination. While studies from other countries and some studies from German universities cast doubt on this notion, the extent and characteristics of university students' experiences of discrimination in Germany are not yet sufficiently researched. Therefore...
Background
Multiple Sclerosis (MS) represents the most common inflammatory neurological disease causing disability in early adulthood. Childhood and adolescence factors might be of relevance in the development of MS. We aimed to investigate the association between various factors (e.g., prematurity, breastfeeding, daycare attendance, weight history...
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 the HSU of general practitioners, medical specialists, and psychologists/psychiatrists between six migrant groups of different origins with the utilization of non-migra...
Zusammenfassung
Hintergrund Geflüchtete sind in Deutschland oft in Sammelunterkünften untergebracht, in denen ihr Einfluss auf die Alltagsgestaltung stark beschränkt ist. Während der COVID-19-Pandemie standen die Sammelunterkünfte daher in der besonderen Verantwortung, Maßnahmen zu ergreifen, um die Gesundheit der Bewohner zu schützen. Im Rahmen ei...
Zusammenfassung
Patient*innen mit Migrationsgeschichte stoßen im deutschen Gesundheitssystem vielfach auf Zugangsbarrieren, die die Qualität der ihnen zugänglichen Versorgung mindern und ihre Gesundheit beeinträchtigen. Diese Barrieren haben einerseits politische Ursachen, sind jedoch auch auf einen Mangel an migrations- und diversitätsbezogenen In...
Zusammenfassung
Asylsuchende sind in Deutschland einer Vielzahl gesundheitlicher Belastungen ausgesetzt, während ihr Zugang zu medizinischer Versorgung erschwert ist. Diese Übersichtsarbeit erläutert einige Determinanten, die diese Situation strukturieren, und führt dabei u. a. aus, wie sich das Asylbewerberleistungsgesetz (AsylbLG), die Abrechnung...
Einleitung: Diskriminierung hat vielfältige soziale und gesundheitliche Implikationen. In welchem Ausmaß Diskriminierung im universitären Kontext auftritt und welche Formen sie annimmt, ist bisher unzureichend untersucht.
Methoden: Studierende einer Universität wurden zu einer Online-Umfrage eingeladen, in der ihre Diskriminierungserfahrungen, so...
Objectives: We analyze whether the prevalence of depressive symptoms differs among various migrant and non-migrant populations in Germany and to what extent these differences can be attributed to socioeconomic position (SEP) and social relations.
Methods: The German National Cohort health study (NAKO) is a prospective multicenter cohort study (N =...
Background:
Although childhood obesity prevalence has stagnated in many high-income regions after decades of increase, it continues to be a major public health problem with adverse effects. The objective was to examine obesity trends as a function of parental social status to identify obesity disparities among children.
Methods:
Data from school...
Introduction
Family history of depression and childhood maltreatment are established risk factors for depression. However, how these factors are interrelated and jointly influence depression risk is not well understood. The present study investigated (i) if childhood maltreatment is associated with a family history of depression (ii) if family hist...
The School Entry Examination (SEE) can be used to identify children with current health issues, developmental delays, and risk factors for later diseases. This study analyzes the health status of preschool children in a German city with considerable socioeconomic differences among its quarters.
We used secondary data from SEEs 2016-2019 from the e...
To reach the goals of the Global Hepatitis Elimination 2030 program, Indonesia is now preparing a new regulation for hepatitis B vaccinations for adult population. This study aimed to determine the factors influencing vaccine uptake for hepatitis B in the adult population, and identify barriers to, and facilitators of, hepatitis B vaccination progr...
Diese Arbeit gibt einen Überblick über die medizinische Versorgung von Asylsuchenden in Deutschland. Hierbei wird auf ein breites methodisches Repertoire zurückgegriffen (Sekundärdatenanalysen, Literaturreviews, Surveys und qualitative Methoden).
Die medizinische Versorgung von Asylsuchenden ist an wichtigen Stellen defizitär; dies zeigt sich im Um...
Die vorliegende Handreichung wurde erstellt, um Anlaufstellen
und Praxiseinrichtungen beim Umgang mit externen Forschungsanfragen
zu unterstützen. Sie bündelt forschungsethische und
forschungspraktische Vorschläge, was bei Kooperationen mit
Forschenden zur Gesundheit von Menschen ohne geregelten
Aufenthaltsstatus berücksichtigt werden sollte.
Vaccinations are a core element of infection control. Migrants have been reported to have low vaccination rates for many infectious diseases, including COVID-19. Still, determinants of mi-grants' uptake of COVID-19 vaccinations are not sufficiently clear. The present study addresses this gap and examines the respective influence of three potential...
Objective:
To investigate which measures are recommended by guidelines on prevention and management of infectious disease outbreaks in refugee shelters, how outbreaks have been dealt with in these facilities in the past and how measures taken compare with the recommendations identified in the literature.
Design, data sources and eligibility crite...
Introduction
In Ethiopia, breast cancer is the leading cause of cancer among women. Little is known about the duration of disease and symptoms of patients who died from breast cancer in rural Ethiopia. The objective of this study was to assess breast cancer mortality with a particular focus on the self-reported duration of illness including sufferi...
Zusammenfassung
Ziel der Studie Unterschiedliche Möglichkeiten zur Regelung der Entscheidung über Organspende wurden im Vorfeld der parlamentarischen Abstimmung am 16.01.2020 diskutiert. Das Ziel dieser Arbeit ist die Beschreibung der Einstellungen der Bürger*innen zur Organspende und Untersuchung der Prädiktoren für die (Dokumentation der) Spendeb...
Background: An EU directive holds the EU member states responsible for implementing the provision of health care for asylum seekers. However, current literature indicates insufficient care for asylum seekers in the German health system. This article aims to characterize the situation of the client population on the waiting list of a psychosocial ce...
Einleitung: Die Auswirkungen des Klimawandels auf die Gesundheit und die Notwendigkeit, die Treibhausgasemissionen des Gesundheitswesens zu reduzieren, werden zunehmend thematisiert. Über die Haltung ambulant tätiger Ärztinnen und Ärzte zum Klimaschutz in Praxen ist bisher wenig bekannt.
Methodik: Zwischen Oktober 2020 und Februar 2021 wurden ambul...
Zusammenfassung
Hintergrund Die medizinische Versorgung von Asylsuchenden wird durch rechtliche Regelungen – v. a. das Asylbewerberleistungsgesetz (AsylbLG) – erschwert, die die Abrechnung von Leistungen für diese Patientengruppe betreffen. Ärztinnen und Ärzte sollten daher mit dem AsylbLG vertraut sein, um Versorgungsdefizite in der Behandlung die...
Z u s a m m e n f a s s u n g
Hintergrund und Zielstellung: Als Reaktion auf die Zuwanderung nach Deutschland im Jahr 2015 wurden viele gesundheitsbezogene Informationshefte, Übersetzungshilfen etc. erarbeitet. Bisher wurde ihre Akzeptanz und wahrgenommene Nützlichkeit für den medizinischen Alltag jedoch nicht evaluiert. Diese Lücke soll die vorli...
Hintergrund
Viele Menschen im deutschsprachigen Raum haben Probleme mit der deutschen Sprache. Im Gesundheits-system ergeben sich hieraus Barrieren für den Zugang zu und die Nutzung von Angeboten. Ziel der vorliegenden Übersichtsarbeit ist es, den aktuellen Forschungsstand zur Relevanz von Sprachbarrieren in der medizinischen Versorgung darzustell...
Background
Asylum seekers are a vulnerable group with special needs in health care due to their migration history and pre-, peri- and postmigratory social determinants of health. However, in Germany access to health care is restricted for asylum seekers by law and administrative regulations.
Methods
Using claims data generated in the billing proce...
Background
The prevalence of psychological complaints is known to be very high in populations of asylum seekers. Despite this, data on the health care system’s ability to adequately meet these high-risk populations’ mental health needs are scarce. This article investigates how well the German outpatient health care system is able to detect and adeq...
Hintergrund: Für den Erfolg der Bemühungen zur Eindämmung einer Epidemie sind die großflächige Umsetzung der Maßnahmen und ihre Akzeptanz in der Bevölkerung wichtig. Diese Studie untersucht daher den Wissensstand und die Risikowahrnehmung in der frühen Phase der COVID-19-Pandemie und analysiert, wie empfohlene und vorgeschriebene Maßnahmen umgesetz...
Background: The growing immigration to Germany led to more patients whose medical needs are divergent from those of the domestic population. In the field of dental health care there is a debate about how well the German health system is able to meet the resulting challenges. Data on asylum-seekers' dental health is scarce. This work is intended to...
Background
Persons with a migration background (PmM) as a population group usually differ from the autochthonous population in terms of morbidity, mortality, and use of the health care system, but they participate less frequently in health studies. The PmM group is very heterogeneous, which has hardly been taken into account in studies so far.
Obj...
Background: Migration background is known to be an important risk factor for a number of medical outcomes. Still, relatively little is known about the epidemiologic relevance of different definitions of migration status. Methods: Data from 5250 school entry examinations spanning three consecutive years (2015–2017) were gathered from the Public Heal...
Purpose: The prevalence of psychological complaints is known to be very high among asylum-seekers. This work investigates how often asylum-seekers are diagnosed with psychological complaints in the outpatient health care sector and which treatments they receive.
Methods: To this end, we combine data from a cross-sectional survey with billing data...
Ziel der Studie
Die Medizin wird verschiedentlich dafür kritisiert, die biologischen Facetten von Gesundheit und Krankheit gegenüber gesellschaftlichen Einflüssen zu privilegieren. Gegen diesen Vorwurf hat sich in den letzten Jahrzehnten ein medizintheoretischer Ansatz etabliert, der ein bio-psychosoziales Krankheitskonzept vertritt. Dieser Artike...
Background:
In Germany, all preschoolers undergo a school entry examination (SEE). While most children are sufficiently served with standardized developmental tests only, for a small group of otherwise underserved children, the SEE should also include a subsidiary health checkup. The aim of the study was to validate selection criteria to different...
Background
School entry examinations are obligatory medical examinations to assess children’s school-related development and detect developmental delays. In addition, they function as subsidiary medical check-ups that ought to rescue children who otherwise do not use preventative services.
Objectives
The aim was to develop an algorithm to identify...
The Health Booklet for Asylum Seekers -
an evaluation of its usability among several target groups
Abschlussarbeit zur Erlangung des akademischen Grades " Master of Arts " (M.A.) Titel: " I was alone and no one helped me. " Ethnographische Perspektiven auf die medizinische Versorgung von Asylbewerbern als Herausforderung für eine bio-psycho-soziale Medizin.
Erschienen in: Gesundheit braucht Politik. Zeitschrift für eine soziale Medizin, hg. vom Verein demokratischer Ärztinnen und Ärzte, Nr. 3/2017 In der Diskussion über die gesundheitliche Situation und medizinische Versorgung von Geflüchteten in den letzten Jahren wurde oft das bemerkenswerte, oft ehrenamtliche Engagement von Aktivist*innen und Ärzt*...
Asylum seekers constitute a particularly vulnerable group. Not only is their physical and mental health exposed to multiple stresses, but also their access to health care in Germany is legally restricted. Up to now, there is very limited scientific literature investigating the health-outcomes of asylum seekers in Germany. The aim of this study was...
Fragestellung: Bisher sind nur wenige Informationen zur Grosenordnung maligner Erkrankungen im landlichen Afrika verfugbar. Eine Transition von Infektionskrankheiten hin zu Nicht-Infektionserkrankungen wird angenommen. Weder gibt es Sterberegister, noch sind ausreichende klinische Daten zur Abschatzung eines Todesursachenprofils von Frauen im repro...