Trends in der Inanspruchnahme ambulant-ärztlicher Leistungen im Kindes- und Jugendalter. Ergebnisse der KiGGS-Studie – Vergleich von Basiserhebung und erster Folgebefragung (KiGGS Welle 1)

Rattay, Petra; Starker, Anne; Domańska, Olga; Butschalowsky, Hans; Kamtsiuris, Panagiotis

doi:10.1055/s-0034-1374432

Cited by 14 publications

(27 citation statements)

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“…Die Ergebnisse einer aktuellen Studie aus Dänemark liefern allerdings Hinweise darauf, dass bei subjektiven und schriftlichen Erhebungsinstrumenten keine Mode-Effekte im Hinblick auf verschiedene Indikatoren der Inanspruchnahme von Gesundheitsleistungen zu beobachten sind [40]. Für den in dieser Arbeit herangezogenen Indikator zur Inanspruchnahme der Früherkennungs-untersuchungen gilt dies aber nicht gleichermaßen [2]. In Bezug auf den Ergebnisvergleich zwischen Thüringen und Gesamtdeutschland ist zudem zu berücksichtigen, dass bei der Berechnung der p-Werte ignoriert wurde, dass ein geringer Anteil der Thüringer Probandinnen und Probanden in beide Schätzer eingeht (etwa 650 von den insgesamt 4884 Fällen), was eine konservative Annahme darstellt.…”

Section: Limitationen Der Studieunclassified

Ärztliche und stationäre Versorgung im Kindes- und Jugendalter

Krause

Anding²,

Kamtsiuris

2016

Bundesgesundheitsbl

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Section: Limitationen Der Studieunclassified

Ärztliche und stationäre Versorgung im Kindes- und Jugendalter

Krause

Anding²,

Kamtsiuris

2016

Bundesgesundheitsbl

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“…This puts a smaller burden on participants than add-on approaches [61] and provides a low threshold approach to reach expecting mothers and their infants. According to most recent estimates almost 90% of expecting mothers in Germany regularly attend prenatal visits [62] and over 95% of infants attend infant check-ups during the first year of life [63].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a computer-assisted multi-professional intervention to address lifestyle-related risk factors for overweight and obesity in expecting mothers and their infants: protocol for an effectiveness-implementation hybrid study

et al. 2020

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Background: The first 1000 days after conception are a critical period to encourage lifestyle changes to reduce the risk of childhood obesity and early programming of chronic diseases. A healthy lifestyle during pregnancy is also crucial to avoid high post-partum weight retention. Currently, lifestyle changes are not consistently discussed during routine health services in Germany. The objective of this study is to evaluate a novel computer-assisted lifestyle intervention embedded in prenatal visits and infant check-ups. The intervention seeks to reduce lifestylerelated risk factors for overweight and obesity among expecting mothers and their infants. Methods:The study is designed as a hybrid effectiveness-implementation trial to simultaneously collect data on the effectiveness and implementation of the lifestyle intervention. The trial will take place in eight regions of the German state Baden-Wuerttemberg. Region were matched using propensity score matching. Expecting mothers (n = 1860) will be recruited before 12 weeks of gestation through gynecological practices and followed for 18 months. During 11 routine prenatal visits and infant check-ups gynecologists, midwives and pediatricians provide lifestyle counseling using Motivational Interviewing techniques. The primary outcome measure is the proportion of expecting mothers with gestational weight gain within the recommended range. To understand the process of implementation (focus group) interviews will be conducted with providers and participants of the lifestyle intervention. Additionally, an analysis of administrative data and documents will be carried out. An economic analysis will provide insights into cost and consequences compared to routine health services.

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“…In addition to medical need, earlier studies primarily identified socio-demographic and familial factors as variables which influenced the utilization of medical services in childhood and adolescence [24,30,31]. In addition to age, sociodemographic factors also included socioeconomic status (SES) and immigrant background.…”

Section: Variablesmentioning

confidence: 99%

Prevalence and Trends in the Utilization of Gynecological Services by Adolescent Girls in Germany. Results of the German Health Survey for Children and Adolescents (KiGGS)

Krause

Seeling

Prütz

et al. 2017

Geburtshilfe Frauenheilkd

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There is only limited data available on the utilization of gynecological services in Germany. Based on data from the German Health Survey for Children and Adolescents (KiGGS) of the Robert Koch Institute, a survey carried out across all of Germany, this study aimed to examine the utilization of gynecological services by girls in Germany. Data from the KiGGS Wave 1 survey (2009 - 2012) was used to analyze the factors which affect utilization. The KiGGS baseline study (2003 - 2006) was used to analyze trends. The database consisted of a subsample from the KiGGS Wave 1 survey (n = 2575), the initial follow-up survey conducted by telephone after the baseline study. Data are shown as prevalence and mean with 95% confidence intervals. Correlations with selected influencing factors were calculated using multivariate logistic regression models. Differences between study populations were considered significant if p < 0.05. At the time of the KiGGS Wave 1 survey, 53.9% of girls aged 14 to 17 years had visited a gynecologist at least once. This percentage increased significantly with each additional year of life. For 61.9% of 17-year-old girls who had previously visited a gynecologist at least once, the first visit to a gynecologist occurred at the age of 15 or 16 years. Growing up with siblings was associated with a lower prevalence of utilization, while middle socioeconomic status, risky alcohol consumption and daily consumption of tobacco, and the utilization of general medical services were associated with a higher 12-month prevalence for the utilization of gynecological services. The utilization of gynecological services has increased significantly compared to the KiGGS baseline survey. Among girls there is a high need for information on issues of sexual health. Gynecologists are important but they are not the only port of call. Information needs should be covered as part of a coordinated approach which includes the involvement of all relevant stakeholders. Initiatives such as the WHO Action Plan for Sexual and Reproductive Health and its recommendations should be incorporated.

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Trends in der Inanspruchnahme ambulant-ärztlicher Leistungen im Kindes- und Jugendalter. Ergebnisse der KiGGS-Studie – Vergleich von Basiserhebung und erster Folgebefragung (KiGGS Welle 1)

Cited by 14 publications

References 0 publications

Ärztliche und stationäre Versorgung im Kindes- und Jugendalter

Ärztliche und stationäre Versorgung im Kindes- und Jugendalter

Evaluation of a computer-assisted multi-professional intervention to address lifestyle-related risk factors for overweight and obesity in expecting mothers and their infants: protocol for an effectiveness-implementation hybrid study

Prevalence and Trends in the Utilization of Gynecological Services by Adolescent Girls in Germany. Results of the German Health Survey for Children and Adolescents (KiGGS)

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