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

被迫移徙以及随后的难民健康，目前被视为一个奇点。我们认为，这在两个方面构成了一种社会和科学贫乏的方法。首先，单一观点最终可能对难民的健康产生不利影响，因为这导致被迫移徙者进一步被社会边缘化，或被“排斥”。第二，将难民健康视为一种单一现象，错失了改善总体人口健康的机会，因为它未能实现固有的分析潜力：鉴于当今德国社会的多样性，难民健康可以被解释为影响其他人口群体的因素的加剧和积累，并最终在不同程度上影响德国社会的所有成员。在本研究股，我们将分析两个这样的因素：(i)环境（小区域）对健康的影响；从真正跨学科的角度来看，对卫生系统的挑战（我们将其定义为其复原力）及其相互作用。“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。通过拒绝单一观点，我们的结果，无论是在方法方面还是在科学内容方面，都将更广泛地适用于德国日益多样化的社会中的公共卫生。这一创新概念从许多正在进行的难民保健项目的工作中脱颖而出。

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.