­­­Inanspruchnahme der ambulanten und stationären medizinischen Versorgung in Deutschland

Rattay, Petra; Butschalowsky, Hans; Rommel, Alexander; Prütz, Franziska; Jordan, Susanne; Nowossadeck, Enno; Domańska, Olga; Kamtsiuris, Panagiotis

doi:10.1007/s00103-013-1665-x

Cited by 124 publications

(61 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…On one hand, concerning the similar level of the proportion of MDD among men and women with a clinician-diagnosed depression, our results agree with findings from the US [5]. On the other hand, the fact that we did not find any sex difference regarding the proportion of clinician-diagnosed depression among those with MDD is contra-intuitive as research has suggested sex-specific barriers to help seeking [50], utilization of somatic and mental health services [42, 51], symptom reporting [52] and depression recognition rates [8]. …”

Section: Discussionsupporting

confidence: 89%

“…Thus, our findings supposedly mirror to a large part the lack of any health professional contact in people with mood disorders [37] and the fact that young adults are less likely to use professional health services due to mental health problems [38–40] than older adults, but prefer seeking help rather from family or friends [41]. Additionally, low numbers of physician contacts are reported for younger adults [42], reducing the odds for a physician to detect depression [8, 43]. This is supported by the fact that the age pattern disappeared after controlling for the number of outpatient physician visits.…”

Section: Discussionmentioning

confidence: 68%

See 1 more Smart Citation

Respondents’ report of a clinician-diagnosed depression in health surveys: comparison with DSM-IV mental disorders in the general adult population in Germany

et al. 2017

View full text Add to dashboard Cite

BackgroundRespondents’ report of a previously diagnosed depression by a health professional is frequently used to estimate depression prevalence. This study contributes to a better understanding of survey results based on this measure by comparing it with a comprehensive standardized diagnostic interview.MethodsData came from the cross-sectional nationwide German Health Interview and Examination Survey for Adults (DEGS1) and its mental health module (DEGS1-MH, n = 4483). In DEGS1, participants were asked whether they have been diagnosed with depression by a physician or psychotherapist (last 12-month). DSM-IV-based 12-month major depressive disorder (MDD) and other mental disorders were assessed with the German version of the Composite International Diagnostic Interview (CIDI). Time lag between both assessments was 6 weeks (median).Results73.4% of participants reporting clinician-diagnosed depression met criteria for any mental disorder in the CIDI (any affective disorder: 51.8%, any anxiety disorder: 54.7%). The proportion of participants reporting a clinician-diagnosed depression who met MDD criteria was highest among those aged 18–29 years (62.6%) and decreased with age (65–79 years: 29.8%). Among participants with MDD, the proportion with clinician-diagnosed depression was 33.0%, highest among those aged 45–64 years (49.3%) and lowest among those aged 18–29 years (22.7%) and 30–44 years (20.3%). MDD severity was positively associated with clinician-diagnosed depression.ConclusionsRespondents’ report of a clinician-diagnosed depression and major depression assessed with the CIDI substantially differ. Concordance of both measures varies with age and severity of depressive symptoms. Health surveys should assess a range of depression indicators in order to cover a wide spectrum.Electronic supplementary materialThe online version of this article (doi:10.1186/s12888-017-1203-8) contains supplementary material, which is available to authorized users.

show abstract

Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 68%

Respondents’ report of a clinician-diagnosed depression in health surveys: comparison with DSM-IV mental disorders in the general adult population in Germany

et al. 2017

View full text Add to dashboard Cite

show abstract

“…We hypothesize that men only see the need to visit a physician when a disease becomes manifest [50], whereas females see more different physicians and report on their health problems more frequently [45]. This could make the male control subjects look healthier than they really are.…”

Section: Discussionmentioning

confidence: 99%

“…This could make the male control subjects look healthier than they really are. Manifestation of dementia increases services utilization [45,50] and, consequently, physicians also document other, previously ignored health problems in the male population. The fact that male dementia patients probably still live with a spouse who is vigilant about regular physician’s visits, whereas older women are more often single-living and have no advocacy caring for their health care-seeking behaviour very likely adds to the effect, too.…”

Section: Discussionmentioning

confidence: 99%

A claims data-based comparison of comorbidity in individuals with and without dementia

et al. 2014

View full text Add to dashboard Cite

BackgroundMultimorbidity is common in advanced age, and is usually associated with negative – yet to some extent preventable – health outcomes. Detecting comorbid conditions is especially difficult in individuals with dementia, as they might not always be able to sufficiently express discomfort. This study compares relevant comorbidity complexes in elderly people with and without dementia, with a particular look at gender- and living environment-specific differences. Moreover, associations between selected comorbid conditions and dementia are reviewed more closely.MethodsUsing 2006 claims data from a large German Statutory Health Insurance fund, 9,139 individuals with dementia and 28,614 age- and gender-matched control subjects aged 65 years and older were identified. A total of 30 comorbidity complexes were defined based on ICD-10 codes. Corresponding prevalence rates were calculated, and the association between a distinct condition and dementia was evaluated via logistic regression in the overall sample as well as in analyses stratified by gender and living environment.ResultsIndividuals with dementia were more likely to be diagnosed with 15 comorbidity complexes, including Parkinson’s, stroke, diabetes, atherosclerosis (supposed dementia risk factors) or fluids and electrolyte disorders, insomnia, incontinence, pneumonia, fractures and injuries (supposed sequelae). In contrast, they were less likely to be diagnosed with 11 other conditions, which included vision and hearing problems, diseases of the musculoskeletal system, lipoprotein disorders and hypertension. In a gender-stratified analysis, the patterns remained largely the same, but a bigger comorbidity gap between cases and control subjects emerged in the male population. Restricting the analysis to community-living individuals did not lead to any substantial changes.ConclusionBesides strengthening the evidence on accepted dementia risk factors and sequelae, the analyses point to particular conditions that are likely to remain untreated or even undiagnosed. This issue seems to affect male and female individuals with dementia to varying degrees. Raising awareness of these conditions is important to possibly preventing comorbidity-associated complications and disease progression in dementia patients. To more comprehensively understand the mutual interactions between dementia and comorbidity, further research on diagnostic and treatment attitudes regarding comorbidity in dementia patients and on their gender-specific health-seeking behaviour seems to be required.

show abstract

“…El hecho decisivo que hizo que la mayoría de los pacientes fuesen mujeres tuvo lugar a mediados del siglo XIX. Desde entonces, la cifra del 60% (en 2008/11: 58%) se ha mantenido asombrosamente constante pese a los avances habidos en el campo de la medicina 6 . Estos cambios, acontecidos en la primera mitad del siglo XIX, tuvieron en parte que ver con la supuesta mejoría de los servicios médicos relacionados con el parto.…”

Section: Décimo: Los Hombres Solían Hacer Un Uso Distinto De Los Servunclassified

La investigación histórica y el debate actual sobre la salud masculina: el caso de Alemania

Dinges¹

2014

Asclepio

View full text Add to dashboard Cite

Cómo citar este artículo/Citation: Dinges, Martin (2014), "La investigación histórica y el debate actual sobre la salud masculina: el caso de Alemania", Asclepio 66 (1): p040. doi: http://dx.doi.org/10.3989/asclepio.2014.14 RESUMEN: El discurso actual sobre la salud masculina remite con demasiada insistencia a una imagen obsoleta y monolítica de la masculinidad contrastando de manera simplista el colectivo "hombres" con el de las "mujeres". Sin embargo, el análisis histórico hace muy evidentes los notables cambios que se han producido en la salud de los hombres, tanto en lo que se refiere a sus actitudes como a sus comportamientos, desde la revolución industrial; así, por ejemplo, se ha transformado no solamente la vida profesional y el mundo del trabajo, sino también la relación entre la masculinidad y el comportamiento de riesgo a lo largo de la vida y, asimismo, la evaluación médica de ciertos comportamientos de alto riesgo como fumar. Las diferencias en la esperanza de vida entre hombres y mujeres merecen una explicación más precisa y menos simplista. Desde una perspectiva histórica de longue-durée, también es un mito que los hombres guarden silencio en asuntos de salud.PALABRAS CLAVE: salud masculina; masculinidad; comportamientos de salud; esperanza de vida; mundo del trabajo; comportamientos de riesgo; uso de los servicios médicos; hábito de fumar tabaco; Alemania; siglos XIX, XX y XXI. ABSTRACT:The current discourse on men's health refers too insistently to an obsolete and monolithic pattern of masculinity contrasting "men" with "women" in a simplistic manner. However, historical analysis shows the remarkable changes that have occurred in the health of men, both in terms of their attitudes and their behaviors, since the industrial revolution; so, for example, the relationship between masculinity and risk behavior throughout life, the professional life and the world of work, and also the medical evaluation of certain high-risk behaviors such as smoking. Differences of the life expectancy between men and women deserve an explanation more accurate and less simplistic. From a historical perspective of longue-durée, it is also a myth that men keep silent on matters of health.

show abstract

Inanspruchnahme der ambulanten und stationären medizinischen Versorgung in Deutschland

Cited by 124 publications

References 21 publications

Respondents’ report of a clinician-diagnosed depression in health surveys: comparison with DSM-IV mental disorders in the general adult population in Germany

Respondents’ report of a clinician-diagnosed depression in health surveys: comparison with DSM-IV mental disorders in the general adult population in Germany

A claims data-based comparison of comorbidity in individuals with and without dementia

La investigación histórica y el debate actual sobre la salud masculina: el caso de Alemania

Contact Info

Product

Resources

About

­­­Inanspruchnahme der ambulanten und stationären medizinischen Versorgung in Deutschland

Cited by 124 publications

References 21 publications

Respondents’ report of a clinician-diagnosed depression in health surveys: comparison with DSM-IV mental disorders in the general adult population in Germany

Respondents’ report of a clinician-diagnosed depression in health surveys: comparison with DSM-IV mental disorders in the general adult population in Germany

A claims data-based comparison of comorbidity in individuals with and without dementia

La investigación histórica y el debate actual sobre la salud masculina: el caso de Alemania

Contact Info

Product

Resources

About

Inanspruchnahme der ambulanten und stationären medizinischen Versorgung in Deutschland