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Background: In many European countries, foreign nationals experience, on average, less favorable treatment outcomes in rehabilitative care than the respective majority population. In Germany, this for example is reflected in a lower occupational performance and a higher risk of disability retirement after rehabilitation as analyses of routine data show. However, little is known about the perspective of health care users. The aim of the present study was to compare self-rated treatment outcomes between German and non-German nationals undergoing in-patient medical rehabilitation in Germany.Methods: We analyzed data from a cross-sectional representative rehabilitation patient survey of 239,811 patients from 642 clinics in Germany who completed about 3 weeks of in-patient rehabilitative treatment. The self-rating of the treatment outcome was based on a dichotomized Likert scale consisting of three items. A multilevel logistic regression analysis adjusted for various demographic, socio-economic, health and other covariates was conducted to examine differences in the self-rated treatment outcome between German and non-German nationals.Results: Of the 239,811 respondents 0.9% were nationals from Turkey, 0.8% had a nationality from a former Yugoslavian country, 0.9% held a nationality from the South European countries Portugal, Spain, Italy or Greece and 1.9% were nationals from other countries. Non-German nationals reported a less favorable self-rated outcome than Germans. Adjusted odds ratios [OR] for reporting a less favorable treatment outcome were 1.24 (95%-confidence interval [95%-CI]: 1.12-1.37) for nationals from the South European countries Portugal/Spain/Italy/Greece, 1.62 (95%-CI: 1.45-1.80) for Turkish nationals and 1.68 (95%-CI: 1.52-1.85) for nationals from Former Yugoslavia.Conclusions: Knowledge on health outcomes from the patients' point of view is important for the provision of patient-centered health care. Our study showed that non-German nationals report less favorable outcomes of rehabilitative care than Germans. This may be due to cultural and religious needs not sufficiently addressed by health care providers. In order to improve rehabilitative care for non-German nationals, rehabilitative services must become sensitive to the needs of this population group. Diversity management can contribute to this process. [ABSTRACT FROM AUTHOR]

Background: Measures to contain the Covid-19 pandemic had major impacts on families, e.g., due to the unpredictable closing of childcare facilities and schools. Parents had to re-arrange their work, childcare and household obligations. Methods: We conducted 17 email interviews with mothers having at least one child aged < =6 years. Topics included adjustments to the pandemic situation, views on motherhood and wellbeing. We analysed data through content analysis. Results: We found differing consequences on the wellbeing of the interviewees. One group articulated a deceleration of daily life and increased satisfaction due to doing more justice to their role as mother. Another group felt highly stressed and overloaded. Some expressed having shaky hands and heart palpitations, others felt mentally exhausted. The idea of not being a ‘good mother’ was expressed by many, provoking guilt and self-doubt. Most interviewees referred to ideological myths of motherhood, picturing mothers as caring and sacrificial, yet well-organized managers of the family. Norms imposed on ‘working mothers’ require their full effort and an ability to manage employers’ demands. These conflicting norms reveal tensions between the roles mothers find themselves in, potentially leading to adverse (mental) health outcomes. Conclusions: Our analysis shows that myths of ‘good motherhood’ act as a perpetuation mechanism of traditional gender roles and increase the social burden many mothers are expected to carry, adding to the challenges the global pandemic brought on families. Negative consequences on (mental) health require mitigation strategies, putting mothers at the centre of Covid19 response policies. Key messages: The Covid-19 pandemic exacerbates traditional gender roles and the multiple social burdens that mothers are expected to carry. Conflicting norms imposed on mothers reveal tensions between the different roles they find themselves in, potentially leading to adverse (mental) health outcomes. [ABSTRACT FROM AUTHOR]

Aim: This study investigated insulin pump therapy in pediatric patients with type 1 diabetes and Turkish origin compared with those without migration background in Germany.Subjects and Methods: Using a nationwide documentation program, we estimated the prevalence of insulin pump therapy in patients < 20 years of age with Turkish origin and those without migration background. Logistic regression was used to adjust for age, sex, diabetes duration, body mass index SD score (BMI-SDS), glycated hemoglobin, number of outpatient visits, number of daily blood glucose self-measurements, and area-based socioeconomic conditions.Results: In 1,695 pediatric type 1 diabetes patients with Turkish background and 19,802 patients without migration background (respectively: 51.2% and 53.0% boys; mean age, 12.4 ± 4.1 and 12.6 ± 4.2 years; mean diabetes duration, 4.7 ± 3.9 and 5.3 ± 4.0 years), fully adjusted prevalences of insulin pump therapy were 18.5% and 30.9%, respectively (odds ratio 0.51, 95% confidence interval 0.43-0.60, P < 0.001). Age, sex, BMI-SDS, outpatient visits, and blood glucose self-control were significantly associated with the prevalence of insulin pump therapy but did not alter the difference substantially.Conclusions: The prevalence of insulin pump therapy is roughly half among pediatric diabetes patients with Turkish background compared with those without migration background. Several covariates could not explain this difference. Individual characteristics or access barriers within the healthcare system may play a role. Further research is needed. [ABSTRACT FROM AUTHOR]