The J1 Adolescent Health Check-Up

Hagen, B; Strauch, Stefan

doi:10.3238/arztebl.2011.0180

Cited by 12 publications

(4 citation statements)

References 7 publications

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“…Furthermore, in 1998, a regular health check-up for 12- to 15-year-olds (J1) was established in Germany. It covers a complete physical examination [32]. Therefore, the duration of untreated illness could be shortened in children vs. adolescents, and the extent of underweight at admission to hospital may have been less severe [33].…”

Section: Discussionmentioning

confidence: 99%

Clinical Characteristics of Inpatients with Childhood vs. Adolescent Anorexia Nervosa

Jaite¹,

Bühren

Dahmen

et al. 2019

Nutrients

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We aimed to compare the clinical data at first presentation to inpatient treatment of children (<14 years) vs. adolescents (≥14 years) with anorexia nervosa (AN), focusing on duration of illness before hospital admission and body mass index (BMI) at admission and discharge, proven predictors of the outcomes of adolescent AN. Clinical data at first admission and at discharge in 289 inpatients with AN (children: n = 72; adolescents: n = 217) from a German multicenter, web-based registry for consecutively enrolled patients with childhood and adolescent AN were analyzed. Inclusion criteria were a maximum age of 18 years, first inpatient treatment due to AN, and a BMI <10th BMI percentile at admission. Compared to adolescents, children with AN had a shorter duration of illness before admission (median: 6.0 months vs. 8.0 months, p = 0.004) and higher BMI percentiles at admission (median: 0.7 vs. 0.2, p = 0.004) as well as at discharge (median: 19.3 vs. 15.1, p = 0.011). Thus, in our study, children with AN exhibited clinical characteristics that have been associated with better outcomes, including higher admission and discharge BMI percentile. Future studies should examine whether these factors are actually associated with positive long-term outcomes in children.

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Section: Discussionmentioning

confidence: 99%

Clinical Characteristics of Inpatients with Childhood vs. Adolescent Anorexia Nervosa

Jaite¹,

Bühren

Dahmen

et al. 2019

Nutrients

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“…A suggestion for improvement from experts to optimize HPV vaccination rates is to take advantage of school vaccination, promotion of participation in the J1 examination, and an introduction of reminder and invitation systems [ 22 ]. The J1 examination is an adolescent health check-up in Germany whose participation of adolescents is very low [ 23 ]. Also, the integration of social media showed potential to impact awareness, knowledge, and attitudes of some people toward HPV and HPV vaccination [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Enhancing Human Papillomavirus Vaccination Rates through Better Knowledge? Insights from a Survey among German Medical Students

Aksoy,

Reimold,

Schumann

et al. 2024

Urol Int

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Introduction: Vaccination against human papillomavirus (HPV) significantly reduces the risk for malignant diseases like cervix, anal or penile cancer. However, although vaccination rates are rising, they are still too low mirroring a lack of disease awareness in the community. This study aims to evaluate knowledge about HPV vaccination as well as the vaccination rate among German medical students. Material & methods: Medical students were surveyed during a German medical students' football tournament. The self-designed survey on HPV vaccination consisted of 24-items. The data collection was anonymous. Results: Among 974 participating medical students 64.9% (632) were women, 335 (34.4%) were male and 7 (0,7%) were non-binary. Mean age was 23.1 +- 2.7 (+- standard deviation (SD); range 18-35) years. Respondents had studied mean 6.6 +- 3.3 (1-16) semesters and 39.4% (383) had completed medical education in urology. 613 (64%) respondents reported that HPV had been discussed during their studies. 7.6% (74) had never heard of HPV. In a multivariate model female gender, the knowledge about HPV, and having worked on the topic were significantly associated with being HPV-vaccinated. Older students were vaccinated less likely. Conclusions: Better knowledge and having worked on the topic of HPV were associated with a higher vaccination rate. However, even in this highly selected group the knowledge about HPV vaccination was low. Consequently, more information and awareness campaigns on HPV vaccination are needed in Germany to increase vaccination rates.

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“…On the other hand, various studies conducted in Germany showed that participation in early detection examinations declines with increasing age and is particularly low in adolescence [ 33 ]. In the past, the participation rate for the youth examination J1 at the age of 12–14 years, which is offered as part of regular health care in Germany, varied between 32–43% depending on the study, while the participation rates for the U1-U9 at the age of 0–6 years were 96–99% [ 31 ], STMGP [ 6 , 27 , 34 ]. If one considers the additional preventive examination J2 for adolescents at the age of 16–17 years, the participation rate even decreased to less than 20% [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

“…U1-U9, J1) offered by the statutory health insurance. It has also been found that adolescents with a migration background participate in the early detection examination J1 (between 12 and 14 years) only half as often as adolescents without a migration background [ 6 , 7 , 25 , 30 , 32 ].…”

Section: Introductionmentioning

confidence: 99%

Determinants for participation in a prevention and early detection programme for children and adolescents in Germany: does social background play a role?

Krüger,

Lapstich,

Reber

et al. 2023

Arch Public Health

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Early detection examinations and prevention are particularly important in childhood and adolescence, as certain diseases are already developing and health-related attitudes and behaviour patterns are formed and implemented. Despite the importance of screening and prevention, not all families use the available services and programmes. The aim of this study is to identify factors associated with participation in an early detection and prevention programme for children and adolescents, as well as factors associated with actual uptake of an examination. The analyses are based on questionnaire data of an online survey of participants and non-participants. Descriptive analyses and logistic regression models are conducted on a defined sample (n = 1,289). The results show that both groups differ with regard to several factors: age, chronic diseases, federal state, living space, number of siblings, country of birth, migration background, language spoken at home, mother’s occupational status, household income, treatment duration, and trust in treating physician. Regression I shows that participation in the programme is significantly associated with higher age, language spoken at home, mother’s occupational status and greater trust in the treating physician. The latter demonstrates the highest predictive power. Regression II indicates that the actual uptake of an examination among participants is significantly affected by age, federal state and father’s occupational status. Overall, the results of this study show that social background partly plays a role in participation, but that factors such as trust in the treating physician also have a significant impact. For the future, further research on the factors influencing participation in screening and prevention services or programmes for children and adolescents is important in order to develop strategies to overcome existing barriers and thus reach groups that have not been reached yet. In this context, trust in the treating physician and his or her influence on decision-making should in particular be considered.

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The J1 Adolescent Health Check-Up

Cited by 12 publications

References 7 publications

Clinical Characteristics of Inpatients with Childhood vs. Adolescent Anorexia Nervosa

Clinical Characteristics of Inpatients with Childhood vs. Adolescent Anorexia Nervosa

Enhancing Human Papillomavirus Vaccination Rates through Better Knowledge? Insights from a Survey among German Medical Students

Determinants for participation in a prevention and early detection programme for children and adolescents in Germany: does social background play a role?

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