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1.
Artigo em Alemão | MEDLINE | ID: mdl-25824135

RESUMO

People with a migrant background (PMB) have specific health-related risk factors and resources compared to the non-migrant population (NMP). The analysis focuses on the relationship between migrant background and health and health-related behavior. Moreover, the study analyses whether socio-economic status (SES) contributes to the explanation of differences between PMB and the NMP. The research is based on the German Health Interview and Examination Survey for Adults (DEGS1) (2008-2012, n = 8151). The population for cross-sectional analyses contains 1107 PMB (weighted 19.8 %). The research question is addressed on the basis of nine exemplary health outcomes. All analyses are gender specific and make a distinction between first and second generation PMB. Logistic regression is calculated adjusting for age and SES. The results reveal clear gender-specific patterns: For women, differences are statistically significant mainly for first generation PMB. Compared to the NMP their self-assessed health status is lower, they are less physically active, consume less alcohol, feel less informed about cancer screening programs and make less use of preventive health services. However, daily smoking is more prevalent in second generation women. For men, differences are statistically significant for first and second generation PMB. Men with a migrant background show more symptoms of depression, consume less alcohol and feel less informed about cancer screening programs. After adjusting for SES the impact of migrant background on health status and health-related behavior largely remains stable. The study shows that the DEGS1 data offers valuable results and new insights into the health status of people with a migrant background. The use of this data for further research requires a differentiated approach to the concept of migrant background and a careful interpretation of results.


Assuntos
Emigração e Imigração/estatística & dados numéricos , Acessibilidade aos Serviços de Saúde/estatística & dados numéricos , Nível de Saúde , Inquéritos Epidemiológicos/métodos , Disparidades em Assistência à Saúde/estatística & dados numéricos , Migrantes/estatística & dados numéricos , Adulto , Distribuição por Idade , Idoso , Idoso de 80 Anos ou mais , Escolaridade , Alemanha/epidemiologia , Letramento em Saúde/estatística & dados numéricos , Humanos , Entrevistas como Assunto , Pessoa de Meia-Idade , Fatores de Risco , Distribuição por Sexo , Fatores Socioeconômicos , Adulto Jovem
2.
Artigo em Alemão | MEDLINE | ID: mdl-24863702

RESUMO

In Germany, more than 20,000 people were killed in accidents and 8.7 million people suffered nonfatal unintentional injuries (UI) in 2011. This report gives an overview of the occurrence of nonfatal UI in the German adult population. The representative health survey "German Health Update" 2010 (phone survey) collected data on nonfatal accidents in the adult population within a recall period of 12 months (n = 22,050). Interviewees reporting medically treated UI responded to 19 further questions about accident locations, accident mechanisms, injuries, and consequences of up to three UI within 1 year. Overall, detailed data on 2,117 UI were collected. About 7.9 % of the German adult population suffers at least one medically treated UI within 1 year. Men are more often affected than women and young people more frequently than older people. The majority of all UI occurs at home or during leisure-time activities. One in five UI results from accidents on public footways, roads, and squares. Falls account for almost every third UI and about one in five accidents causes fractures. Two thirds of all UI require inpatient treatment. Two in three UI lead to temporary sick leave averaging 29.7 days of absenteeism. Among UI at home and in leisure-time activities, falls have particularly serious consequences. Moreover, falls play an important role in UI among pedestrians and cyclists. UI affect large parts of the German adult population and are clearly patterned by gender, age, and accident location. Therefore, prevention activities should consider target group-specific needs and setting-specific circumstances of UI.


Assuntos
Absenteísmo , Acidentes/estatística & dados numéricos , Inquéritos Epidemiológicos , Hospitalização/estatística & dados numéricos , Atividades de Lazer , Ferimentos e Lesões/epidemiologia , Acidentes/tendências , Adolescente , Adulto , Distribuição por Idade , Idoso , Idoso de 80 Anos ou mais , Feminino , Alemanha/epidemiologia , Hospitalização/tendências , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Fatores de Risco , Distribuição por Sexo , Adulto Jovem
3.
Artigo em Alemão | MEDLINE | ID: mdl-24863703

RESUMO

Compared to adults, children and adolescents run a considerably higher risk of suffering unintentional injuries (UI). To prevent UI, detailed knowledge of the overall accident occurrence and the determinants of UI is needed. This article gives an overview of the data sources covering the occurrence of UI among children and adolescents in Germany. According to the Robert Koch Institute's German Health Interview and Examination Survey for Children and Adolescents (KiGGS), approximately 15.3 % of children and adolescents (1-17 years) in Germany suffer at least one UI within 12 months. Most accidents (60.7 %) occur at home or during leisure-time activities. In 2011, the German Statutory Accident Insurance (DGUV) registered more than 1.4 million accidents among children in day-care facilities and students in educational institutions. According to official statistics, in the same year, more than 50,000 children and adolescents were injured in traffic accidents. Moreover, the Federal Statistical Office registered 260,534 hospital admissions due to injuries and poisonings among children and adolescents. All data sources revealed age- and sex-specific differences. Boys suffer UI more frequently than girls do and they show higher injury rates in adolescence than during childhood. While UI among children mostly happen at home, road traffic and leisure-time accidents increase in occurrence during adolescence. In Germany, there are numerous initiatives dedicated to the prevention of UI in children and adolescents. The creation of target group-specific prevention measures is complicated by the fact that the methodological approaches of existing data sources differ considerably.


Assuntos
Acidentes/estatística & dados numéricos , Creches/estatística & dados numéricos , Hospitalização/estatística & dados numéricos , Intoxicação/epidemiologia , Instituições Acadêmicas/estatística & dados numéricos , Ferimentos e Lesões/epidemiologia , Adolescente , Distribuição por Idade , Criança , Pré-Escolar , Feminino , Alemanha/epidemiologia , Humanos , Lactente , Recém-Nascido , Atividades de Lazer , Masculino , Prevalência , Fatores de Risco , Distribuição por Sexo
5.
Artigo em Alemão | MEDLINE | ID: mdl-23703507

RESUMO

A growing number of people in Germany participate in the cancer screening services offered by statutory health insurance. Using data from the first wave of the German Health Interview and Examination Survey for Adults (DEGS1), current levels of participation in cancer screening services were determined. DEGS1 (2008-2011) permits representative cross-sectional analyses to be performed. In DEGS1, persons who were entitled to different cancer screening services were interviewed on their awareness, participation and regular utilisation of cancer screening for different types of cancer. Overall, 67.2% of women and 40.0% of men participate regularly. Participation rates fluctuate to a great extent for individual types of cancer screening. Women participate in cancer screening more frequently than men do. For women, a better socioeconomic status was associated with higher participation rates. Participation rates improve with increasing age, meaning that the difference in participation rates between women and men becomes smaller. The current analyses present information on specifically targeted population groups to promote informed decision-making about cancer screening, so that participation rates can be improved further. The analyses thus provide an important basis for health policy measures. An English full-text version of this article is available at SpringerLink as supplemental.


Assuntos
Detecção Precoce de Câncer/estatística & dados numéricos , Inquéritos Epidemiológicos/estatística & dados numéricos , Entrevistas como Assunto/métodos , Programas de Rastreamento/estatística & dados numéricos , Neoplasias/epidemiologia , Neoplasias/prevenção & controle , Participação do Paciente/estatística & dados numéricos , Adolescente , Adulto , Distribuição por Idade , Idoso , Feminino , Alemanha/epidemiologia , Nível de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias/diagnóstico , Prevalência , Medição de Risco , Distribuição por Sexo , Classe Social , Adulto Jovem
6.
Artigo em Alemão | MEDLINE | ID: mdl-22842893

RESUMO

What kind of health targets should be pursued concerning the health care of elderly people? What kind of activities should be implemented to ensure good health care with regard to future challenges? The Association for the Continuous Development of the National Health Target Process, health-targets.de, deals with these issues under the new national health target "Healthy Ageing". We develop concrete objectives and proposals for practical implementation in the areas of "outpatient and inpatient care", "nursing" and "rehabilitation in old age". health-targets.de supports a common health target process and initiates interventions in the field of health care for elderly people.


Assuntos
Envelhecimento/psicologia , Doença Crônica/enfermagem , Avaliação Geriátrica , Qualidade de Vida/psicologia , Ajustamento Social , Idoso , Idoso de 80 Anos ou mais , Doença Crônica/psicologia , Comportamento Cooperativo , Avaliação da Deficiência , Feminino , Controle de Acesso , Alemanha , Comportamentos Relacionados com a Saúde , Promoção da Saúde , Humanos , Comunicação Interdisciplinar , Masculino , Admissão do Paciente , Equipe de Assistência ao Paciente
7.
Artigo em Alemão | MEDLINE | ID: mdl-20437022

RESUMO

With advancing age, there is a significant increase in the number of health problems; at the same time, the complexity of the existing impairments increases. In addition to the diagnosed somatic and psychological illnesses, functional disorders and disabilities as well as the self-assessed health of the individual play an important role. Health in old age is an important individual and societal topic today and in the future. In order to plan health politics, mapping of morbidity and prognosis are important. They require representative, valid, current, and comparable data over time. Databases of the health reporting in the area of senior citizens have improved in recent years. However, data are still missing, for example, in the area of not being able to fully take part in daily life. Research is needed, because of the specificity of health problems in the elderly, including the survey methodology and the selection of suitable indicators.


Assuntos
Planejamento em Saúde/tendências , Política de Saúde/tendências , Indicadores Básicos de Saúde , Morbidade/tendências , Dinâmica Populacional , Vigilância da População/métodos , Idoso , Idoso de 80 Anos ou mais , Feminino , Previsões , Alemanha , Necessidades e Demandas de Serviços de Saúde/tendências , Inquéritos Epidemiológicos , Humanos , Masculino
8.
Artigo em Alemão | MEDLINE | ID: mdl-19526204

RESUMO

In 2008 the forum gesundheitsziele.de selected "Healthy aging" as a new health target. Besides "Healthy aging" three other targets were considered: chronic back pain, myocardial infarction, and vaccination. This paper describes the selection process for all four health targets which followed several criteria: mortality, morbidity, prevalence, burden of disease, economic impact, potential for improvement, equity in health, empowerment of and priorities in the population. The analysis particularly focused on assessment of feasibility and readiness of stakeholders to participate in the development and implementation of the health target.


Assuntos
Necessidades e Demandas de Serviços de Saúde/tendências , Programas Gente Saudável/tendências , Dor Lombar/prevenção & controle , Infarto do Miocárdio/prevenção & controle , Objetivos Organizacionais , Saúde Pública/tendências , Vacinação/tendências , Idoso , Controle de Custos/tendências , Estudos Transversais , Previsões , Avaliação Geriátrica , Alemanha , Custos de Cuidados de Saúde/tendências , Prioridades em Saúde/tendências , Acessibilidade aos Serviços de Saúde/tendências , Humanos , Dor Lombar/economia , Dor Lombar/epidemiologia , Infarto do Miocárdio/economia , Infarto do Miocárdio/epidemiologia , Planejamento Social , Vacinação/economia
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