FOR 2928: Refugee migration to Germany: a magnifying glass for broader public health challenges (PH-LENS)

强迫移徙以及随后的难民健康问题目前被视为一个特例。我们假设这在两个方面构成了社会和科学上的贫困方法。第一，单一性观点最终可能对难民健康产生不利影响，因为由此造成被迫移徙者的进一步社会边缘化或“其他”。第二，将难民健康问题作为一个单一问题处理，就错失了从总体上改善人口健康的机会，因为它未能实现固有的分析潜力：鉴于德国当今社会的多样性，难民健康问题可被解释为各种因素的加剧和积累，这些因素也影响到其他人口亚群，并最终在不同程度上影响到德国的所有社会成员。在这个研究单位，我们将分析两个这样的因素，（一）上下文（小面积）对健康的影响;和（二）卫生系统的挑战（我们将其概念化为弹性），以及它们的相互作用，从一个真正的跨学科的角度。“他者化”的过程将作为这些因素之间的概念联系。我们的目标是确定与这些因素相关的健康不平等，确定包括社会排斥过程在内的潜在途径，并制定减少这些因素的概念和战略。通过拒绝奇点的角度来看，我们的结果，无论是在方法和科学内容方面，将更广泛地适用于公共卫生在德国的日益多样化的社会。这一创新概念显然突出于许多正在进行的难民保健项目的工作。

Forced migration, and subsequently refugee health, is currently treated as a singularity. We postulate that this constitutes a socially as well as scientifically impoverished approach in two respects. Firstly, a singularity perspective may ultimately have adverse effects on refugee health because of the resulting further social marginalization, or ‘othering’, of forced migrants. Secondly, treating refugee health as a singularity constitutes a missed opportunity for improving population health in general as it fails to realize an inherent analytical potential: In view of the diversity in Germany’s society today, refugee health can be interpreted as an exacerbation and accumulation of factors that affect also other population subgroups, and ultimately – to varying degrees – all members of society in Germany. In this Research Unit, we will analyse two such factors, (i) contextual (small-area) effects on health; and (ii) challenges to the health system (which we conceptualize as its resilience), as well as their interactions, from a truly interdisciplinary perspective. The process of ‘othering’ will serve as the conceptual link between these factors. We aim to identify health inequalities related to these factors, determine the underlying pathways including societal exclusion processes, and formulate concepts and strategies for reducing them. By rejecting the singularity perspective, our results, both in terms of methodology and of scientific content, will be applicable more broadly to public health in Germany’s increasingly diverse society. This innovative concept clearly stands out from the work of many on-going refugee health projects.