Claudia Hövener

Claudia Hövener
Robert Koch Institut | RKI · Unit 28: Social Determinants of Health

Dr. PH, MSc

About

139
Publications
27,111
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748
Citations
Additional affiliations
February 2010 - present
Robert Koch Institut
Position
  • Research Associate

Publications

Publications (139)
Article
Full-text available
Objective Although health inequalities in adolescence are well documented, the underlying mechanisms remain unclear. Few studies have examined the role of the family in explaining the association between the family’s socioeconomic position and adolescents’ self-rated health. The current study aimed to explore whether the association between socioec...
Article
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Background: Evidence on the relationship between socioeconomic position (SEP) and infections with SARS-CoV-2 is still limited as most of the available studies are ecological in nature. This is the first German nationwide study to examine differences in the risk of SARS-CoV-2 infections according to SEP at the individual level. Methods: The ‘CORONA...
Article
Full-text available
Germany is a country of immigration; 27% of the population are people with a migration background (PMB). As other countries, Germany faces difficulties in adequately including hard-to-survey populations like PMB into national public health monitoring. The IMIRA project was initiated to develop strategies to adequately include PMB into public health...
Article
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Background In Germany, different health checks for adults are offered for primary and secondary prevention. Previous findings indicate that preventive care utilization varies according to social determinants, especially migration background. This study examined the extent to which migration background is associated with preventive care utilization,...
Article
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Objective Evidence on socioeconomic inequalities in infections with the novel coronavirus (SARS-CoV-2) is still limited as most of the available studies are ecological in nature and individual-level data is sparse. We therefore analysed individual-level data on socioeconomic differences in the prevalence and perceived dangerousness of SARS-CoV-2 in...
Article
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Background Eating disorder symptoms (EDs) have been discussed as a prominent problem among late adolescent girls with serious health risks and long-term consequences. However, there is a lack of population-based evidence on EDs comprising the age range from early adolescence to emerging adulthood as well as considering both females and males equall...
Article
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Background Participation in sports and physical activity (PA) is a critical resource for children’s health and social development. This study analyzes how the parental socioeconomic status (SES) of children and adolescents affects their PA in sports clubs (organized sports) and outside of sports clubs (unorganized sports) and tests whether the pote...
Article
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This scoping review systematically mapped evidence of the mediating and moderating effects of family characteristics on health inequalities in school-aged children and adolescents (6–18 years) in countries with developed economies in Europe and North America. We conducted a systematic scoping review following the PRISMA extension for Scoping Review...
Preprint
Full-text available
Background: Evidence on the relationship between socioeconomic position (SEP) and infections with the SARS-CoV-2 coronavirus is still limited as most of the available studies are ecological in nature. This is the first German nationwide study to examine differences in the risk of SARS-CoV-2 infections according to SEP at the individual level. Metho...
Article
Full-text available
The economic and health consequences of the COVID-19 pandemic pose a particular threat to vulnerable groups, such as migrants, particularly forcibly displaced populations. The aim of this review is (i) to synthesise the evidence on risk of infection and transmission among migrants, refugees, asylum seekers and internally displaced populations, and...
Article
https://www.aerzteblatt.de/archiv/218459: Wie bereits in der ersten Welle der SARS-CoV-2-Epidemie in Deutschland sind auch zu Beginn der zweiten Welle zunächst höhere Inzidenzraten in sozioökonomisch bessergestellten Regionen festzustellen. Mit Voranschreiten der zweiten Welle kehrte sich dieses Muster jedoch um, sodass Menschen in sozioökonomisch...
Preprint
Full-text available
The economic and health consequences of the COVID-19 pandemic pose a particular threat to vulnerable groups, such as migrants, particularly forcibly displaced populations. The aim of this review is (i) to synthesise the evidence on risk of infection and transmission among migrants, refugees, asylum seekers and internally displaced populations, and...
Article
Three months after a coronavirus disease (COVID-19) outbreak in Kupferzell, Germany, a population-based study (n = 2,203) found no RT-PCR-positives. IgG-ELISA seropositivity with positive virus neutralisation tests was 7.7% (95% confidence interval (CI): 6.5–9.1) and 4.3% with negative neutralisation tests. We estimate 12.0% (95% CI: 10.4–14.0%) in...
Article
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At a regional and local level, the COVID-19 pandemic has not spread out uniformly and some German municipalities have been particularly affected. The seroepidemiological data from these areas helps estimate the proportion of the population that has been infected with SARS-CoV-2 (seroprevalence), as well as the number of undetected infections and as...
Article
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Social epidemiological research describes correlations between socioeconomic status and the population's risk to become diseased or die. Little research of such correlations for SARS-CoV-2 and COVID-19 has so far been conducted. This scoping review provides an overview of the international research literature. Out of the 138 publications found, 46...
Article
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Experiences with acute respiratory diseases which caused virus epidemics in the past and initial findings in the research literature on the current COVID-19 pandemic suggest a higher SARS-CoV-2 infection risk for socioeconomically disadvantaged populations. Nevertheless, further research on such a potential association between socioeconomic status...
Article
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Zusammenfassung Deutschland ist ein Einwanderungsland und 2019 hatte mehr als jede vierte hier lebende Person einen sog. Migrationshintergrund. Bei dieser statistisch definierten Gruppe handelt es sich um einen heterogenen Personenkreis; nicht nur in Bezug auf die Herkunft, sondern auch auf die Lebenslagen oder beispielsweise die Zuzugsmotive oder...
Article
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Die Erfahrungen aus vergangenen Epidemien mit viralen Erregern akuter Atemwegserkrankungen und erste Hinweise aus der Forschungsliteratur zur aktuellen COVID-19-Pandemie deuten darauf hin, dass sozioökonomisch benachteiligte Menschen ein höheres Risiko für eine Infektion mit SARS-CoV-2 haben könnten. Dieser mögliche Zusammenhang zwischen dem sozioö...
Article
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Die sozialepidemiologische Forschung beschreibt den Zusammenhang zwischen dem sozioökonomischen Status und den Krankheits- und Sterberisiken der Menschen. Ob und wie sich dieser Zusammenhang in Bezug auf eine SARS-CoV-2-Infektion beziehungsweise COVID-19-Erkrankung darstellt ist noch wenig erforscht. Das vorliegende Scoping Review gibt einen Überbl...
Article
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Die COVID-19-Epidemie ist in Deutschland regional und lokal unterschiedlich ausgeprägt und eine Reihe von Gemeinden ist überproportional stark davon betroffen. Seroepidemiologische Informationen aus besonders betroffenen Gebieten können helfen, auch für andere Regionen den Bevölkerungsanteil mit durchgemachter SARS-CoV-2-Infektion (Seroprävalenz) s...
Article
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•Acculturation is a widely used concept in epidemiological research.•There are various ways to measure acculturation using proxies or scales; often an acculturation score is calculated.•Studies often show inconsistencies in operationalization and measurement of the concept of acculturation.•The exact outcome is often unclear; this creates a lack of...
Chapter
Menschen mit Migrationshintergrund machen ein Viertel der in Deutschland lebenden Bevölkerung aus. Angesichts dessen und der starken Zuwanderung der letzten Jahre besteht zunehmend Bedarf an verlässlichen Informationen zur gesundheitlichen Situation von hierzulande lebenden Menschen mit Migrationshintergrund. Dem Robert Koch-Institut (RKI) kommt in...
Chapter
Im Rahmen der Studie zu sexueller Gesundheit mit Migrantinnen und Migranten aus Subsahara Afrika (MiSSA-Studie) wurden Methoden der partizipativen Gesundheitsforschung eingesetzt. So haben Community-Mitglieder und andere Akteurinnen und Akteure das Studiendesign mitentwickelt und Peer Researcher die Datenerhebung durchgeführt. Ziel dieses Beitrags...
Article
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Background: Germany is a popular destination for immigrants, and migration has increased in recent years. It is therefore important to collect reliable data on migrants' health. The Robert Koch Institute, Berlin, Germany, has launched the Improving Health Monitoring in Migrant Populations (IMIRA) project to sustainably integrate migrant population...
Article
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Background A total of 3,419 new HIV diagnoses were reported in Germany in 2016, with migrants from sub-Saharan Africa (misSA) accounting for 14.1%. To understand the driving factors behind the epidemiological situation, we conducted a quantitative cross-sectional survey on knowledge, attitudes, behavior, and practices regarding HIV and sexually tra...
Article
Background Surveying perceived discrimination in the context of health monitoring can help to clarify the connection between unequal treatment and health. We aimed to review, identify and extract data on definitions and measures of discrimination. Methods A scoping review of both peer reviewed and grey literature was conducted. Survey instruments...
Conference Paper
Background Participatory epidemiology aims to involve public health professionals, health activists, and community representatives in epidemiological studies. Paramount are equitable research partnerships for identifying the causes of health problems, generating data, and finding ways to address health related issues. Alongside the research process...
Article
Background A quarter of the population living in Germany are people with a migration background (PMB). In this context, the Robert Koch Institute (RKI) has the task of designing the health monitoring system that has been established in recent years in such a way that PMB are adequately taken into account in statements on the health situation of the...
Article
Introduction Although more than one third of minors living in Germany have a migration background (MB), valid data on the health of this population are still lacking. The German Health Interview and Examination Survey for Children and Adolescents in Germany (KiGGS wave 2, 2014-2017) provides population-based data to make reliable statements on the...
Article
Background Although 36.5% of minors in Germany had a migration background (MB) in 2017, data on their health situation is scarce. The project ‘Improving Health Monitoring in Migrant Populations’ (IMIRA) initiated in 2016 aims to expand health reporting on the health situation of people with MB, for which a core indicator set was developed. We are d...
Article
Background: Prior research has identified perceptions of relative social status to affect mental health. We investigated whether migrants to Germany who perceive that they would have a higher relative social status if they were still in their country of origin experience more depressive symptoms than those who perceive no such status discrepancy....
Article
Objectives The level of diversity in most European societies is increasing, especially due to ongoing migration to and within Europe. Migrants are very heterogeneous in terms of reasons for migration, region of origin and chances in the countries of destination and thus, differ greatly in regards to health resources and risks. It is crucial to gain...
Article
Background In Germany, reliable information on the health of people with migration background (PMB) is scarce. Therefore, the Robert Koch Institute initiated the project “Improving health monitoring in migrant populations (IMIRA)” to improve the inclusion of PMB into the federal health monitoring.Objective The objective of this article is to identi...
Article
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Im Rahmen des Projekts Improving Health Monitoring in Migrant Populations (IMIRA) wurde ein (Kern-)Indikatorenset zur Beschreibung der Gesundheit von Menschen mit Migrationshintergrund entwickelt. Die Recherche und Bewertung von Datenquellen im Bereich Migration und Gesundheit stellte dabei eine wesentliche Voraussetzung dar. Zunächst wurden vier H...
Article
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As part of the project Improving Health Monitoring in Migrant Populations (IMIRA), a (core) set of indicators was developed to describe the health of people with a migration background. This work was underpinned by research into and assessment of relevant data sources in the field of migration and health. Initially, four fields of action were ident...
Article
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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 tota...
Article
Full-text available
Over a third (36.5%) of young people living in Germany have a migration background. Based on the data of the second follow-up to the German Health Interview and Examination Survey for Children and Adolescents (KiGGS Wave 2, 2014-2017), the health situation of 11- to 17-year-olds with and without a migration background is described using selected in...
Article
Background Even though 36.5% of children and adolescents living in Germany have a migration background (MB), data on the health of this population is scarce. With population-based data from the German Health Interview and Examination Survey for Children and Adolescents (KiGGS Wave 2, 2014–2017), reliable statements can be given. Methods Data from...
Article
Full-text available
Fast ein Viertel der Bevölkerung in Deutschland hat nach Definition des Mikrozensus einen Migrationshintergrund, das heißt, dass sie selbst oder mindestens ein Elternteil ohne deutsche Staatsangehörigkeit geboren wurden. Repräsentative Aussagen zur gesundheitlichen Lage aller in Deutschland lebenden Menschen sind mit Blick auf die aktuelle Datenlag...
Article
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Die partizipative Epidemiologie ist ein Konzept, das die aktive Einbeziehung und möglichst gleichberechtigte Zusammenarbeit von Forschenden und Beforschten in einzelnen Abschnitten oder im gesamten epidemiologischen Studienverlauf vorsieht. Sie umfasst folgende Aspekte: die kooperative Definition von Forschungszielen und Forschungsfragen, die partn...
Article
Background Migration background plays an important role in analyses of health inequalities in Germany. The heterogeneity of people with and without migration background requires a differentiated recording of migration-related characteristics. The latest overview of representative data sources from the Health Reporting (GBE) that included informatio...
Preprint
BACKGROUND Germany is a popular country for immigration, and migration has increased in recent years. It is therefore important to collect reliable data on migrant health. The Robert Koch-Institute (RKI) has launched the “Improving Health Monitoring in Migrant Populations” (IMIRA) project to sustainably integrate migrant populations into health mon...
Article
Full-text available
Background: Persons with migrant backgrounds (PMB) are considered ‘hard to reach’. To sustainably integrate migrant populations into health monitoring in Germany, the Robert Koch Institute (RKI) has launched the project Improving Health Monitoring in Migrant Populations (IMIRA), providing results on response rates, sample composition and the effect...
Article
Migrants from sub-Saharan Africa (misSA) in Germany are disproportionally affected by HIV. To develop targeted interventions, it is necessary to collect data on knowledge, attitudes, behaviour and practices (KABP) regarding HIV and sexual health. However, misSA are difficult to reach and to sample: a) it is unknown how many people with an African m...
Article
Full-text available
Germany is an immigration country and nearly a quarter of its population has a migration background. Thus, there is increasingly a need for reliable information on the health situation of people with a migration background. The Robert Koch Institute is in charge of expanding its health monitoring to improve the representation of people with a migra...
Article
Full-text available
Background Among all newly diagnosed HIV cases in Germany in 2015, 16% originated from sub-Saharan Africa. Twelve percent of these infections were contracted within Germany and migrants from sub-Saharan Africa (misSA) are diagnosed later than Germans. Migrants, specifically those without health insurance, face many barriers accessing health care du...
Poster
Full-text available
The research question was whether migrants and refugees to Germany who perceive that they would have a higher relative social status if they were still in their country of origin experience more severe depressive symptoms than those who perceive no such status discrepancy. We used a sample of 728 migrants to Germany, of which 247 were refugees. Rel...