Prävention und Gesundheitsförderung

Beise, Uwe

doi:10.1007/978-3-642-36984-1_2

Cited by 2 publications

(3 citation statements)

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“…Factors and processes have to be identified, presented (including presentation of the criteria, advantages and disadvantages) and optimized, which aim to maintain the use of dental healthcare services despite a changed or adverse life situation (strengthening of oral-health-related resilience). This process, also known as primary prevention, also referred to as health promotion interventions, aims at eliminating risk factors before their effects occur [ 53 ]. Secondary prevention, on the other hand, refers to interventions for “early detection and early treatment” [ 53 ].…”

Section: Discussionmentioning

confidence: 99%

“…This process, also known as primary prevention, also referred to as health promotion interventions, aims at eliminating risk factors before their effects occur [ 53 ]. Secondary prevention, on the other hand, refers to interventions for “early detection and early treatment” [ 53 ]. Here, for example, targeted prevention methods for risk groups (e.g., people diagnosed with dementia, people with disabilities) need to be considered.…”

Section: Discussionmentioning

confidence: 99%

“…Here, for example, targeted prevention methods for risk groups (e.g., people diagnosed with dementia, people with disabilities) need to be considered. Tertiary prevention, on the other hand, would be the active intervention and treatment of existing health problems in order to prevent the disease from progressing any further [ 53 ] (e.g., rehabilitation of the diseased oral cavity and reintegration into a control-oriented, individualized dental care concept for the patient).…”

Section: Discussionmentioning

confidence: 99%

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Health-Related Social and Ethical Considerations towards the Utilization of Dental Medical Services by Seniors: Influencing and Protective Factors, Vulnerability, Resilience and Sense of Coherence

Nitschke

Hahnel

Jockusch

2021

IJERPH

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The aim is to analyze protective and modifying factors (e.g., vulnerability, resilience, sense of coherence) in relation to the utilization of dental services by seniors at different levels of the healthcare system. Terminological imprecision in the use and transfer of existing terms (sense of coherence, resilience, salutogenesis) to gerodontology is clarified. Factors influencing a reduced utilization (static/dynamic factors) can occur isolated or in combination and, thus, model the risk of a reduced utilization of dental services (influencing-factor mechanism). Protective factors of utilization include patient-specific factors for self-motivation and factors that promote oral-health-related resilience. Resistance forces that counteract can be identified as oral-health-related resilience factors. Achieving social and individual appreciation and establishing a prevention-oriented approach to utilization will be increasingly challenging, since the population is becoming older and access is not equal in terms of opportunity. Resistance forces need to be strengthened in an ethical context. Studies should increasingly present resilience processes, determinants and modes of action at the various interfaces in the healthcare system, which can ensure sustainable medical care in old age. The concepts conveyed here are generally valid and able to point out inequalities and ageism in access to dental services.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Health-Related Social and Ethical Considerations towards the Utilization of Dental Medical Services by Seniors: Influencing and Protective Factors, Vulnerability, Resilience and Sense of Coherence

Nitschke

Hahnel

Jockusch

2021

IJERPH

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Prediction of Chronic Stress and Protective Factors in Adults: Development of an Interpretable Prediction Model Based on XGBoost and SHAP Using National Cross-sectional DEGS1 Data

Weltermann¹

2023

JMIR AI

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Background Chronic stress is highly prevalent in the German population. It has known adverse effects on mental health, such as burnout and depression. Known long-term effects of chronic stress are cardiovascular disease, diabetes, and cancer. Objective This study aims to derive an interpretable multiclass machine learning model for predicting chronic stress levels and factors protecting against chronic stress based on representative nationwide data from the German Health Interview and Examination Survey for Adults, which is part of the national health monitoring program. Methods A data set from the German Health Interview and Examination Survey for Adults study including demographic, clinical, and laboratory data from 5801 participants was analyzed. A multiclass eXtreme Gradient Boosting (XGBoost) model was constructed to classify participants into 3 categories including low, middle, and high chronic stress levels. The model’s performance was evaluated using the area under the receiver operating characteristic curve, precision, recall, specificity, and the F1-score. Additionally, SHapley Additive exPlanations was used to interpret the prediction XGBoost model and to identify factors protecting against chronic stress. Results The multiclass XGBoost model exhibited the macroaverage scores, with an area under the receiver operating characteristic curve of 81%, precision of 63%, recall of 52%, specificity of 78%, and F1-score of 54%. The most important features for low-level chronic stress were male gender, very good general health, high satisfaction with living space, and strong social support. Conclusions This study presents a multiclass interpretable prediction model for chronic stress in adults in Germany. The explainable artificial intelligence technique SHapley Additive exPlanations identified relevant protective factors for chronic stress, which need to be considered when developing interventions to reduce chronic stress.

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Prävention und Gesundheitsförderung

Cited by 2 publications

References 0 publications

Health-Related Social and Ethical Considerations towards the Utilization of Dental Medical Services by Seniors: Influencing and Protective Factors, Vulnerability, Resilience and Sense of Coherence

Health-Related Social and Ethical Considerations towards the Utilization of Dental Medical Services by Seniors: Influencing and Protective Factors, Vulnerability, Resilience and Sense of Coherence

Prediction of Chronic Stress and Protective Factors in Adults: Development of an Interpretable Prediction Model Based on XGBoost and SHAP Using National Cross-sectional DEGS1 Data

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