Inanspruchnahme von Ergotherapie im Kindesalter – Ergebnisse aus der KiGGS-Basiserhebung

Weber, Anne Françoise; Karch, Dieter; Thyen, Ute; Rommel, Alexander; Schlack, Robert; Hölling, Heike; Kries, R. von

doi:10.1055/s-0041-111177

Cited by 4 publications

(6 citation statements)

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“…The publications that investigated inequalities in using therapists and counselling services ( n = 8) mostly reported lower utilization among PMB. This holds true for physical (adult 1st generation migrants, children and adolescents) [ 45 , 46 ] and occupational therapy (children and adolescents) [ 47 ], psychosocial care/counselling [ 26 , 28 , 48 ], but not for the two studies analysing utilization of psychotherapists and psycho-oncologists [ 22 , 49 ]. In terms of physical therapy, a recent multi-level analysis found a lower probability of utilization among 1st generation migrants (OR: 0.67; CI: 0.51–0.89) [ 45 ].…”

Section: Resultsmentioning

confidence: 99%

Inequalities in health care utilization among migrants and non-migrants in Germany: a systematic review

Klein

Knesebeck

2018

Int J Equity Health

114

102

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BackgroundDespite the growing number of people with migrant background in Germany, a systematic review about their utilization of health care and differences to the non-migrant population is lacking. By covering various sectors of health care and migrant populations, the review aimed at giving a general overview and identifying special areas of potential intervention.MethodsA systematic review was conducted in PubMed database including records that were published until 1st of June 2017. Further criteria for eligibility were a publication in a peer-reviewed journal written in English or German language. The studies have to report quantitative and original data of a population residing in Germany. The appropriateness of the studies was judged by both authors. Studies were excluded if native controls were not originated from the same sample. Moreover, indicators of health care utilization have to assess individual behaviour like consultation or participation rates. 63 studies met the inclusion criteria for a qualitative synthesis of the findings.ResultsThe overall findings indicate a lower utilization among migrants, although the results vary in terms of health care sector, indicator of health care utilization and migrant population. For specialist care, medication use, therapist consultations and counselling, rehabilitation as well as disease prevention (early cancer detection, prevention programs for children and oral health check-ups) a lower utilization among people with migrant background was found. The lower usage was particularly shown for migrants of the 1st generation, people with two-sided migrant background, children/adolescents and women. Due to the methodological heterogeneity a meta-analysis was not feasible. As most of the studies were cross-sectional, no causal interpretations could be drawn.ConclusionsThe inequalities in utilization could not substantially be explained by differences in the socioeconomic status. Other reasons of lower utilization could be due to differences in need, preferences, information, language and formal access barriers (e.g. charges, waiting times, travel distances or lost wages). Different migrant-specific and migrant-sensitive strategies are relevant to address the problem for certain health care sectors and migrant populations.Trial registrationThe review protocol was registered on PROSPERO (CRD42014015162).Electronic supplementary materialThe online version of this article (10.1186/s12939-018-0876-z) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Inequalities in health care utilization among migrants and non-migrants in Germany: a systematic review

Klein

Knesebeck

2018

Int J Equity Health

114

102

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“…The higher utilization rates of physical therapy services among the socially better off and people without a migration background has already been found in studies among adults [ 15 ]. However, former analyses of the use of occupational therapy and physical therapy in children and adolescents showed no clear associations with socioeconomic characteristics or migration background [ 5 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Results from the baseline study of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS baseline study, 2003-2006) show that 2.4% of 3- to 13-year-olds were given occupational therapy within 12 months. 6.4% of 0- to 17-year-olds used physical therapy services [ 5 , 6 ]. According to the health insurance provider Allgemeine Ortskrankenkassen (AOK), 9.8% of all insured girls and 13.8% of all insured boys up to the age of 14 years used allied health services such as physical therapy, speech therapy or occupational therapy in 2016.…”

Section: Introductionmentioning

confidence: 99%

“…The association between utilization of these allied health services and social factors is also analysed. Previous studies have suggested that even when there is a medical indication for treatment, social factors play a role in the utilization of physical therapy, speech therapy and occupational therapy [ 5 , 6 , 15 ]. Therefore the question arises as to whether all social groups benefit equally from these services when they need care.…”

Section: Introductionmentioning

confidence: 99%

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Utilization of physical therapy, speech therapy and occupational therapy by children and adolescents in Germany. Results of the cross-sectional KiGGS Wave 2 study and trends

Rommel¹,

Hintzpeter²,

Urbanski³

2019

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Allied health services such as physical therapy, speech therapy and occupational therapy contribute to the early treatment of health disorders in children and adolescents and promote a healthy development. This article describes the utilization of these allied health services by children and adolescents in Germany and analyses its association with demographic and social factors. The analyses are based on the second wave of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS Wave 2, 2014-2017) including 15,023 participants. Trends are calculated in comparison with the KiGGS baseline study (2003-2006). Within one year, 9.6% of children and adolescents in Germany use physical therapy, 6.1% speech therapy and 4.0% occupational therapy. Speech therapy and occupational therapy are used more frequently by boys than by girls. The utilization of speech therapy is highest among 3- to 6-year-olds with 15.0%. Occupational therapy (8.3%) is most frequently used by 7- to 10-year-olds and physical therapy (16.9%) by 14- to 17-year-olds. Social differences are evident mainly in the higher utilization of occupational therapy and speech therapy and a lower utilization of physical therapy by socially disadvantaged children and adolescents. Over the last ten years, the utilization of speech therapy and physical therapy in children and adolescents has increased significantly.

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“…For instance, no gender differences were observed in the participation in preventive medical screening (Landeszentrum Gesundheit Nordrhein-Westfalen 2016;Rattay et al 2014), dental prevention (Martin et al 2012) and preventive child health examinations at the general practitioner (Søndergaard et al 2008). In contrast, marked differences were observed for occupational therapy with more boys than girls participating (Weber et al 2016). There is almost no evidence in the context of non-medical PHP while the community provides a range of programmes to support children in their development, such as nutrition counselling, programmes to promote physical activity at different life stages, or training of life competencies in children or their parents.…”

Section: Introductionmentioning

confidence: 98%

Are we promoting boys and girls equally? An analysis of boys’ and girls’ participation in community prevention

Weyers

Kreffter

Götz

et al. 2022

J Public Health (Berl.)

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Aim Despite consensus that prevention and health promotion need to address gender aspects and differences, not much is known about how boys and girls in infancy (or their parents) make use of existing non-medical community programmes. The aim of the study was therefore to analyse the extent to which boys and girls or their parents in distinct social circumstances participate in respective programmes. Subject and methods We conducted secondary analyses for two study samples: The COLIPRE Study includes (n = 6.480) pre-schoolers from Duesseldorf; the SKILLS Study includes (n = 637) pre-schoolers and school children from Cologne. Social circumstances included parental education, employment status, family status, migration background, mother language and neighbourhood deprivation. Prevention participation included programmes for a healthy diet, physical activity, child education and language development. We used Poisson regressions to calculate prevalence ratios (PR) with 95% confidence interval (CI), adjusted for age, siblings and BMI, stratified for boys and girls. Results In both studies, we observed no gender differences in general participation. Taking a range of social circumstances into account, we found that boys and girls with specific disadvantages were underrepresented in programmes to promote a healthy diet, physical activity and child education. By contrast, boys and girls with a migration background participate in language promotion programmes more often than their German-native peers. Conclusion More effort should be put into developing programmes for boys and girls and their parents in difficult social circumstances.

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Inanspruchnahme von Ergotherapie im Kindesalter – Ergebnisse aus der KiGGS-Basiserhebung

Abstract: The causes for the low proportion of explained occupational therapy in young children and the lower use in children with immigration background warrant further research.

Cited by 4 publications

References 8 publications

Inequalities in health care utilization among migrants and non-migrants in Germany: a systematic review

Inequalities in health care utilization among migrants and non-migrants in Germany: a systematic review

Utilization of physical therapy, speech therapy and occupational therapy by children and adolescents in Germany. Results of the cross-sectional KiGGS Wave 2 study and trends

Are we promoting boys and girls equally? An analysis of boys’ and girls’ participation in community prevention

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