Tropical Medicine and International Health
Volume 6, Issue 8, 2001, Pages 654-661

How useful is a name-based algorithm in health research among Turkish migrants in Germany? (Article)

Razum O.* , Zeeb H. , Akgün S.
  • a Department of Tropical Hygiene and Public Health, Heidelberg University, Heidelberg, Germany, Department of Tropical Hygiene and Public Health, Heidelberg University, Im Neuenheimer Feld 324, 69120 Heidelberg, Germany
  • b School of Public Health, Bielefeld University, Bielefeld, Germany
  • c Department of Public Health, Baskent University, Ankara, Turkey

Abstract

Migrants often face particular social, economic and health disadvantages relative to the population of the host country. In order to adapt health services to the needs of migrants, health researchers need to identify differences in risk factor and disease profiles, as well as inequalities concerning treatment and prevention. Registries of health-related events could be employed for these purposes. In Germany, however, routine data bases often hold no, or inaccurate, information on the national origin of the cases registered. We developed an algorithm based on a large data set of Turkish family and first names (n = 15 000), with religion as additional criterion, to identify cases of Turkish origin in registries in a largely automatic search. We tested the performance of the algorithm in a population registry and in a cancer registry. The algorithm discriminates well against Greek and Arab names, with 1% false positive matches in our study. It achieves a specificity of > 99.9% in delimiting Turkish from German cases in the cancer registry. The sensitivity can be increased to 85%, provided the small proportion of case records with uncertain origin can be assessed manually. The name algorithm can be useful for registry-based health research among Turkish migrants in Germany. Possible applications are e.g. in cancer registries to compare survival among German and Turkish cancer patients, or in health insurance registries to compare the relative importance of work-related degenerative diseases. In specific circumstances, the algorithm may also be useful in aetiological research.

Author Keywords

Transients and migrants Epidemiologic methods Turkey Germany minority groups Sensitivity and specificity

Index Keywords

Germany immigrant immigrant population Registries register human controlled study Turkey (republic) Epidemiologic Methods algorithm Algorithms Humans academic research health services sensitivity and specificity Article major clinical study Turkey research Transients and Migrants health survey

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-0034824356&doi=10.1046%2fj.1365-3156.2001.00760.x&partnerID=40&md5=b82f1185f64992c2649f1e7a8c2196bb

DOI: 10.1046/j.1365-3156.2001.00760.x
ISSN: 13602276
Cited by: 54
Original Language: English