Bestandsaufnahme und Evaluierung von Datenquellen im Kontext der psychischen Gesundheit von Kindern und Jugendlichen mit Migrationsgeschichte in Deutschland
摘要
Up-to-date and representative data across all populations, as well as inclusive data systems, are essential for evidence-based health policy. However, there are considerable gaps in the availability and linkage of migration-related health data. Using the example of the mental health of children and adolescents (ChAd) with a history of migration, this analysis provides an overview of available data sources in Germany and evaluates their usability for public health reporting (PHR).
MethodsWithin the STRONGDATA-Kids project, data sources since 2000 were mapped if they included information on the mental health of ChAd with a history of migration and a sample size of n ≥ 1000. Data quality and barriers to access and use were assessed using a scorecard comprising eight dimensions.
ResultsA total of 37 data sources were identified. Since 2019, a diversification in the use of migration-related indicators can be observed, particularly with regard to country of birth (including that of parents). Personal resources and resilience, as well as emotional and behavioural problems, were most frequently assessed. Routine data show strengths in standardisation and reliability, while surveys ensure timely provision of data and flexibility. The main access barriers to routine data and surveys occur at the structural level, partly due to decentralised responsibilities.
DiscussionRoutine data and surveys are complementary and both indispensable for PHR. Despite broader use of migration-related indicators, further methodological and structural developments, such as standardised indicator sets, diversity-oriented research strategies and systematic data linkage are needed to validly represent the mental health of ChAd.