Papers by Joke van Wieringen
Background: Infant mortality of ethnic minorities in The Netherlands (10 % of the population) is ... more Background: Infant mortality of ethnic minorities in The Netherlands (10 % of the population) is twice as high as in the indigenous Dutch population. Causes of death are different for the diversemigrant groups. Methods: Hospital records of nearly 600 infants who died in the four major cities between 1995 and 1998 were analysed according to the cause of death, ethnicity, and possible hereditarity. Results: There was a four to five times higher proportion of hereditary causes of death in the Moroccan and Turkish popu-lation, compared with the Surinamese/Antillians and indigenous Dutch. Conclusions: This might be explained by a high inbreeding coefficient as three-quarters of the marriage partners are recruited from the home villages and between a quarter and a third of these marriages are between first cousins. Health promotion activities in The Netherlands have not been successful so far. Preconception genetic counselling might help in reducing these differences.
JGZ Tijdschrift voor jeugdgezondheidszorg, 2016
Tijdschrift voor gezondheidswetenschappen, 2016
Jeugd En Co Kennis, Sep 1, 2008
Samenvatting Er zijn nog steeds verschillen in gezondheid tussen allochtone en autochtone kinder... more Samenvatting Er zijn nog steeds verschillen in gezondheid tussen allochtone en autochtone kinderen in Nederland. Wie werkt met kinderen moet zich daarvan bewust zijn, omdat ziekten en ongezonde leefgewoonten het welzijn van kinderen aantasten. Een overzicht van belangrijke verschillen.
Jeugd En Co Kennis, Sep 1, 2009
Jeugd en Co Kennis, 2008
Samenvatting Het Centrum Jeugdgezondheid bij het RIVM is hét kenniscentrum voor de jeugdgezondhe... more Samenvatting Het Centrum Jeugdgezondheid bij het RIVM is hét kenniscentrum voor de jeugdgezondheidszorg. Het centrum deelt zijn kennis met het werkveld via verschillende informatiebronnen: een nieuw webportaal, een digitale nieuwsbrief, een jaarcongres, een informatiepunt, een kenniskring en verder via bijdragen aan congressen en opleidingen.
Jeugd en Co Kennis, 2008
Samenvatting Er zijn nog steeds verschillen in gezondheid tussen allochtone en autochtone kinder... more Samenvatting Er zijn nog steeds verschillen in gezondheid tussen allochtone en autochtone kinderen in Nederland. Wie werkt met kinderen moet zich daarvan bewust zijn, omdat ziekten en ongezonde leefgewoonten het welzijn van kinderen aantasten. Een overzicht van belangrijke verschillen.
The European Journal of Public Health, 2006
Background: Infant mortality of ethnic minorities in The Netherlands (10% of the population) is t... more Background: Infant mortality of ethnic minorities in The Netherlands (10% of the population) is twice as high as in the indigenous Dutch population. Causes of death are different for the diverse migrant groups. Methods: Hospital records of nearly 600 infants who died in the four major cities between 1995 and 1998 were analysed according to the cause of death, ethnicity, and possible hereditarity. Results: There was a four to five times higher proportion of hereditary causes of death in the Moroccan and Turkish population, compared with the Surinamese/Antillians and indigenous Dutch. Conclusions: This might be explained by a high inbreeding coefficient as three-quarters of the marriage partners are recruited from the home villages and between a quarter and a third of these marriages are between first cousins. Health promotion activities in The Netherlands have not been successful so far. Preconception genetic counselling might help in reducing these differences.
The European Journal of Public Health, 2002
Background: Little is known about the causes of problems in communication between health care pro... more Background: Little is known about the causes of problems in communication between health care professionals and ethnic-minority patients. Not only language difficulties, but also cultural differences may result in these problems. This study explores the influence of communication and patient beliefs about health (care) and disease on understanding and compliance of native-born and ethnic-minority patients. Methods: In this descriptive study seven general practices located in a multi-ethnic neighbourhood in Rotterdam participated. Eighty-seven parents who visited their GP with a child for a new health problem took part: more than 50% of them belonged to ethnic-minorities. The consultation between GP and patient was recorded on video and a few days after the consultation patients were interviewed at home. GPs filled out a short questionnaire immediately after the consultation. Patient beliefs and previous experiences with health care were measured by different questionnaires in the home interview. Communication was analysed using the Roter Interaction Analysis System based on the videos. Mutual understanding between GP and patient and therapy compliance was assessed by comparing GP's questionnaires with the home interview with the parents. Results: In 33% of the consultations with ethnic-minority patients (versus 13% with native-born patients) mutual understanding was poor. Different aspects of communication had no influence on mutual understanding. Problems in the relationship with the GP, as experienced by patients, showed a significant relation with mutual understanding. Consultations without mutual understanding more often ended in non-compliance with the prescribed therapy. Conclusion: Ethnic-minority parents more often report problems in their relationship with the GP and they have different beliefs about health and health care from native-born parents. Good relationships between GP and patients are necessary for mutual understanding. Mutual understanding has a strong correlation with compliance. Mutual understanding and consequently compliance is more often poor in consultations with ethnic-minority parents than with native-born parents.
Patient Education and Counseling, 2003
Although health care professionals in The Netherlands are increasingly confronted with diverse im... more Although health care professionals in The Netherlands are increasingly confronted with diverse immigrant groups, medical counselling and treatment of these groups has not been the subject of extensive research yet. From other studies it is well known that intercultural differences can have serious consequences for health care, e.g. in terms of risk of incorrect diagnoses or non-compliance. Eighty-seven autochthonous Dutch
Jeugd en Co Kennis, 2008
Samenvatting Het Centrum Jeugdgezondheid bij het RIVM is hét kenniscentrum voor de jeugdgezondhe... more Samenvatting Het Centrum Jeugdgezondheid bij het RIVM is hét kenniscentrum voor de jeugdgezondheidszorg. Het centrum deelt zijn kennis met het werkveld via verschillende informatiebronnen: een nieuw webportaal, een digitale nieuwsbrief, een jaarcongres, een informatiepunt, een kenniskring en verder via bijdragen aan congressen en opleidingen.
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Papers by Joke van Wieringen