88 results on '"HEALTH INEQUALITY"'
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2. Soziale Lage, Gesundheit und Gesundheitsverhalten von Kindern und Jugendlichen in Ein-Eltern-Haushalten zum Ende der COVID-19-Pandemie. Ergebnisse der KIDA-Studie 2022–2023.
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Rattay, Petra, Öztürk, Yasmin, Geene, Raimund, Blume, Miriam, Allen, Jennifer, Poethko-Müller, Christina, Mauz, Elvira, Manz, Kristin, Wieland, Catherine, and Hövener, Claudia
- Abstract
Copyright of Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2024
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3. Type 2 diabetes among people with selected citizenships in Germany: risk, healthcare, complications
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Maike Buchmann, Carmen Koschollek, Yong Du, Elvira Mauz, Laura Krause, Laura Neuperdt, Oktay Tuncer, Jens Baumert, Christa Scheidt-Nave, and Christin Heidemann
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migration ,discrimination ,health inequality ,type 2 diabetes ,germany ,depression ,communication barriers ,Medicine - Abstract
Background: Migration-related factors, such as language barriers, can be relevant to the risk, healthcare and complications of type 2 diabetes in people with a history of migration. Diabetes-related data from people with selected citizenships were analysed on the basis of the nationwide survey German Health Update: Fokus (GEDA Fokus). Methods: The diabetes risk of persons without diabetes (n = 4,698, 18 – 79 years), key figures on healthcare and secondary diseases of persons with type 2 diabetes (n = 326, 45 – 79 years) and on concomitant diseases (n = 326 with type 2 diabetes compared to n = 2,018 without diabetes, 45 – 79 years) were stratified according to sociodemographic and migration-related characteristics. Results: Better German language proficiency is associated with a lower risk of diabetes. Diabetes-related organ complications are observed more frequently in persons who report experiences of discrimination in the health or care sector. Both persons with and without diabetes are more likely to have depressive symptoms when they reported experiences of discrimination. A stronger sense of belonging to the society in Germany is associated with reporting depressive symptoms less often in people without diabetes, but not in people with type 2 diabetes. Conclusions: The differences according to migration-related characteristics indicate a need for improvement in the prevention and care of type 2 diabetes. Migration-sensitive indicators should be integrated into the surveillance of diabetes.
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- 2024
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4. Die Umsetzung des Präventionsgesetzes in der Kommune: Projekterfahrungen dezentraler Gesundheitsförderung aus Nürnberg.
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Zimmermann, Ina, Hentrich, Sarah, Seebaß, Katharina, Herbert-Maul, Annika, and Barth, Janina
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BUREAUCRACY ,HEALTH promotion ,HEALTH equity ,PUBLIC health - Abstract
Copyright of Public Health Forum is the property of De Gruyter and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2024
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5. Angebote Früher Hilfen und gesundheitliche Entwicklung von Kindern: Exemplarische Befunde und methodische Herausforderungen bei der Nutzung der Schuleingangsuntersuchung
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Weyers, Simone and Götz, Simon
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- 2024
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6. Gesundheitliche Ungleichheit und Bildungserfolg.
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Tuppat, Julia
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EDUCATIONAL equalization ,HEALTH equity ,HEALTH promotion ,CHILDREN'S health - Abstract
Copyright of Public Health Forum is the property of De Gruyter and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2024
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7. Einflussfaktoren beim Aufbau von Präventionsketten in Neubaugebieten am Beispiel des Münchner Stadtteils Freiham – eine qualitative Studie.
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Voss, Stephan, Coenen, Michaela, Hummel, Julia, Jung-Sievers, Caroline, Zu Rhein, Valerie, and Rehfuess, Eva
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- 2023
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8. Psychische Gesundheit: Abstand zwischen Ost- und Westdeutschland wird kleiner.
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Beckmannshagen, Mattis, Graeber, Daniel, and Stacherl, Barbara
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HEALTH equity ,EQUALITY ,ECONOMIC development ,MENTAL health - Abstract
Copyright of Deutsches Institut für Wirtschaftsforschung: DIW-Wochenbericht is the property of DIW Berlin and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
9. Gesundheit von Menschen mit ausgewählten Staatsangehörigkeiten in Deutschland: Prävalenzen nichtübertragbarer Erkrankungen und damit assoziierte soziale sowie migrationsbezogene Faktoren.
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Bartig, Susanne, Bug, Marleen, Koschollek, Carmen, Kajikhina, Katja, Blume, Miriam, Siegert, Manuel, Heidemann, Christin, Walther, Lena, Neuhauser, Hannelore, and Hövener, Claudia
- Abstract
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- 2023
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10. Social differences in COVID-19 vaccination status – Results of the GEDA 2021 study
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Susanne Bartig, Stephan Müters, Jens Hoebel, Nora Katharina Schmid-Küpke, Jennifer Allen, and Claudia Hövener
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covid-19 ,vaccination ,social determinants ,health inequality ,geda 2021 ,Medicine - Abstract
Background: The COVID-19 vaccination is a key measure to contain the pandemic. It aims to restrict new infections and to reduce severe courses of the disease. This paper examines the influence of various social determinants on COVID-19 vaccination status. Methods: The analyses are based on data from the study German Health Update (GEDA 2021), a nationwide telephone-based survey of the adult population in Germany, which was conducted between July and December 2021. In addition to bivariate analyses, the association between the COVID-19 vaccination status and the social determinants was examined using Poisson regression. Results: A total of 86.7% of people aged 18 years and older who participated in GEDA 2021 have been received at least one dose of COVID-19 vaccine. Social differences are evident: The proportion of people vaccinated against COVID-19 increases with age, income and higher education group. Lower vaccination rates are found among people with a history of migration, people living in rural areas and people from East Germany. An age-differentiated analysis shows that the social differences in COVID-19 vaccination uptake are lower among those aged 60 years and older. Conclusions: The presented results should be considered when designing targeted interventions to overcome potential barriers to COVID-19 vaccination uptake. Further research is needed regarding the explanatory factors for the social differences in vaccination behaviour, such as structural and group-specific barriers or psychological determinants.
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- 2023
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11. Health of people with selected citizenships: results of the study GEDA Fokus
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Susanne Bartig, Carmen Koschollek, Marleen Bug, Miriam Blume, Katja Kajikhina, Julia Geerlings, Anne Starker, Ulfert Hapke, Alexander Rommel, and Claudia Hövener
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migration ,health ,social determinants ,discrimination ,health inequality ,Medicine - Abstract
Background: The health situation of people with a history of migration is influenced by a variety of factors. This article provides an overview of the health of people with selected citizenships using various indicators. Methods: The analyses are based on the survey ‘German Health Update: Fokus (GEDA Fokus)’, which was conducted from November 2021 to May 2022 among people with Croatian, Italian, Polish, Syrian and Turkish citizenship. The prevalence for each health outcome is presented and differentiated by sociodemographic and migration-related characteristics. Poisson regressions were performed to identify relevant factors influencing health situation. Results: Self-assessed general health, the presence of depressive symptoms, prevalence of current smoking and the utilisation of general and specialist healthcare differed according to various factors considered here. In addition to sociodemographic determinants, the sense of belonging to society in Germany and self-reported experiences of discrimination were particularly associated with health outcomes. Conclusions: This article highlights the heterogeneity of the health situation of people with a history of migration and points to the need for further analyses to identify the reasons for health inequalities.
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- 2023
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12. COVID-19 vaccination status among people with selected citizenships: results of the study GEDA Fokus
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Marleen Bug, Miriam Blume, Katja Kajikhina, Susanne Bartig, Elisa Wulkotte, Hannelore Neuhauser, Julia Geerlings, Claudia Hövener, and Carmen Koschollek
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migration ,education ,covid-19 ,vaccination ,health inequality ,Medicine - Abstract
Background: the COVID-19 vaccination offers protection against severe disease progression. Data show that people with a history of migration are less likely to be vaccinated against COVID-19 than people without a history of migration, but are at increased risk of infection. Methods: Data were used from the GEDA Fokus interview survey (November 2021 – May 2022), which included people living in Germany with Croatian, Italian, Polish, Syrian or Turkish citizenship (n=5,495). In addition to bivariate analyses, Poisson regressions were used to examine the association between uptake of at least one COVID-19 vaccination and sociodemographic, health- and migration-related factors. Results: 90.0% of participants reported having received at least one COVID-19 vaccination. Having visited a general practitioner or specialist in the past 12 months, living in Germany for 31 years or more, and having a greater sense of belonging to society in Germany were associated with vaccination uptake in bivariate analyses. Regression analysis showed that older people and those with higher education were more likely to be vaccinated. Conclusions: Sociodemographic factors are associated with uptake of the COVID-19 vaccine among individuals with selected citizenships. Low-threshold information and vaccination offers are important to ensure equal access to vaccination.
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- 2023
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13. Gynäkologische Versorgung von Frauen mit Behinderungen in der Praxis.
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Debus, Gerlinde
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- 2023
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14. German Index of Socioeconomic Deprivation (GISD): Revision, update and applications
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Niels Michalski, Marvin Reis, Fabian Tetzlaff, Meik Herber, Lars Eric Kroll, Claudia Hövener, Enno Nowossadeck, and Jens Hoebel
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social deprivation ,regional inequality ,health inequality ,gisd ,inkar ,Medicine - Abstract
Background: Regional deprivation indices enable researchers to analyse associations between socioeconomic disadvantages and health outcomes even if the health data of interest does not include information on the individuals’ socioeconomic position. This article introduces the recent revision of the German Index of Socioeconomic Deprivation (GISD) and presents associations with life expectancy as well as age-standardised cardiovascular mortality rates and cancer incidences as applications. Methods: The GISD measures the level of socioeconomic deprivation using administrative data of education, employment, and income situations at the district and municipality level from the INKAR database. The indicators are weighted via principal component analyses. The regional distribution is depicted cartographically, regional level associations with health outcomes are presented. Results: The principal component analysis indicates medium to high correlations of the indicators with the index subdimensions. Correlation analyses show that in districts with the lowest deprivation, the average life expectancy of men is approximately six years longer (up to three years longer for women) than for those from districts with the highest deprivation. A similar social gradient is observed for cardiovascular mortality and lung cancer incidence. Conclusions: The GISD provides a valuable tool to analyse socioeconomic inequalities in health conditions, diseases, and their determinants at the regional level.
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- 2022
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15. [Risks for a good life in old age-Importance of selected dimensions of living conditions].
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Falk K, Heusinger J, Kammerer K, and Wolter B
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Background: Life situation dimensions, such as financial resources, housing, health and social relationships, have a significant influence on the scope available to older people for coping with everyday life and participation and thus for a good life in old age., Method: As a basis for identifying current and future challenges posed by precarious living conditions in old age, current publicly available data and study results on the income situation, housing, health and care are reported as central dimensions of the living conditions of people aged 65 years and over in Germany., Results: The study results presented provide indications as to which groups of older people live in particularly precarious living situations, which provide starting points for municipal action. Inequalities exist in the availability of income, affordable and accessible housing, social networks, health opportunities and care support services. Particular importance is attached to the risk of poverty, which goes hand in hand with the risk of disadvantages in the other dimensions analyzed., (© 2024. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.)
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- 2024
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16. [Early childhood intervention and children's health development : Exemplary findings and methodological challenges in the use of the school entry examination].
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Weyers S and Götz S
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Background: Early childhood intervention is intended to systematically network and customise support services, particularly for socio-economically disadvantaged families. The programmes are universal or selective, but the evidence on their effectiveness is limited., Aims: The aims of this study were to exemplary analyse whether participants in early childhood intervention services had better development than non-participants using the school entry examination (SEE) as well as to discuss to what extent the SEE can be used to assess the impact of early childhood intervention services., Methods: We analysed three typical offers of early childhood intervention services (family education; Zukunft für Kinder (ZfK); Kita-U) in relation to full vaccination coverage and age-appropriate development at U9. Data from 4579 Düsseldorf first graders were included. Propensity score matching was used to calculate percentage differences (average treatment effect on the treated; ATT) in terms of immunisation coverage and development between comparable intervention and control groups., Results: All programmes are associated with a slightly increased probability of full vaccination protection (ATT 2.1 for family education; 2.5 for ZfK; 5.3 for Kita-U). Family education is also associated with a slightly higher probability of age-appropriate development (ATT 1.6), while the probability of age-appropriate development is lower for participants in ZfK (-10.1) and Kita‑U (-4.5)., Discussion: The evaluation of early childhood intervention, especially selective services, is a methodological challenge due to confounding and suitable comparison groups. However, the SEE could be a framework for impact analyses under specific conditions., (© 2024. The Author(s).)
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- 2024
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17. [Social situation, health, and health behavior of children and adolescents in one-parent households at the end of the COVID-19 pandemic: Results of the KIDA study 2022-2023].
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Rattay P, Öztürk Y, Geene R, Blume M, Allen J, Poethko-Müller C, Mauz E, Manz K, Wieland C, and Hövener C
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- Humans, Adolescent, Child, Male, Female, Germany epidemiology, Child, Preschool, SARS-CoV-2, Stress, Psychological epidemiology, Stress, Psychological psychology, Social Support, Health Status, Single-Parent Family statistics & numerical data, Single-Parent Family psychology, Socioeconomic Factors, COVID-19 epidemiology, COVID-19 psychology, Pandemics, Health Behavior
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Introduction: During the COVID-19 pandemic, single parents and their children were particularly exposed to stress due to the containment measures and to limited resources. We analyzed differences in the social and health situation of children and adolescents in one-parent households and two-parent households at the end of the pandemic., Methods: The analysis is based on data from the KIDA study, in which parents of 3‑ to 15-year-old children as well as 16- to 17-year-old adolescents were surveyed in 2022/2023 (telephone: n = 6992; online: n = 2896). Prevalences stratified by family type were calculated for the indicators psychosocial stress, social support, health, and health behavior. Poisson regressions were adjusted for gender, age, level of education, and household income., Results: Children and adolescents from one-parent households are more likely to be burdened by financial restrictions, family conflicts, and poor living conditions and receive less school support than peers from two-parent households. They are more likely to have impairments in health as well as increased healthcare needs, and they use psychosocial services more frequently. Furthermore, they are less likely to be active in sports clubs, but they take part in sporting activities at schools as often as minors from two-parent households. The differences are also evident when controlling for income and education., Discussion: Children and adolescents from one-parent households can be reached well through exercise programs in a school setting. Low-threshold offers in daycare centers, schools, and the community should therefore be further expanded. Furthermore, interventions are needed to improve the socioeconomic situation of single parents and their children., (© 2024. The Author(s).)
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- 2024
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18. Schule aus dem Geist von Public Health?: Schulische Gesundheitsförderung aus bildungssoziologischer Perspektive.
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Bittlingmayer, Uwe H. and Okcu, Gözde
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- 2022
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19. Socioeconomic inequalities and COVID-19 – A review of the current international literature
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Benjamin Wachtler, Niels Michalski, Enno Nowossadeck, Michaela Diercke, Morten Wahrendorf, Claudia Santos-Hövener, Thomas Lampert, and Jens Hoebel
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covid-19 ,sars-cov-2 ,health inequality ,literature review ,Medicine - Abstract
Social epidemiological research describes correlations between socioeconomic status and the population’s risk to become diseased or die. Little research of such correlations for SARS-CoV-2 and COVID-19 has so far been conducted. This scoping review provides an overview of the international research literature. Out of the 138 publications found, 46 were later included in the analysis. For the US and the UK, the reported findings indicate the presence of socioeconomic inequalities in infection risks as well as the severity of the course of the disease, with socioeconomically less privileged populations being hit harder. There are far fewer findings for Germany to date, as is the case for most other European countries. However, the scant evidence available so far already indicates that social inequalities are a factor in COVID-19. Most of these analyses have been ecological studies with only few studies considering socioeconomic inequalities at the individual level. Such studies at the individual level are particularly desirable as they could help to increase our understanding of the underlying pathways that lead to the development of inequalities in infection risks and the severity of disease and thereby could provide a basis to counteract the further exacerbation of health inequalities.
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- 2020
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20. „Aus der Krise zu Health in All Policies". Tagungsbericht vom Kongress Armut und Gesundheit 2021.
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Amler, Marion, Bollmann, Julian, Waldhauer, Julia, and Janella, Maren
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- 2021
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21. Gesundheit in der Stadt und auf dem Land: Wo lebt es sich gesünder?
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Schneider, Sven and Holzwarth, Bärbel
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- 2021
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22. Versorgungsforschung als Herausforderung: Effektivität und Effizienz von Versorgungsleistungen optimieren.
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Stollreiter, Martina and Stich, Heribert
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- 2020
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23. Wie informieren sich die Menschen in Deutschland zum Thema Gesundheit? Erkenntnisse aus der ersten Welle von HINTS Germany.
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Baumann, Eva, Czerwinski, Fabian, Rosset, Magdalena, Seelig, Markus, and Suhr, Ralf
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Copyright of Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2020
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24. Auswirkungen von Armut auf den Gesundheitszustand und das Gesundheitsverhalten von Kindern und Jugendlichen: Ergebnisse aus KiGGS Welle 2.
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Lampert, Thomas and Kuntz, Benjamin
- Abstract
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- 2019
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25. Sozioökonomische Unterschiede in der Gesundheit und Pflegebedürftigkeit älterer Menschen.
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Lampert, Thomas and Hoebel, Jens
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Copyright of Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2019
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26. Soziale Determinanten der Kenntnis und Inanspruchnahme kommunaler Gesundheitsförderung und Prävention für Kinder
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Ehlen, Sebastian, Henning, Lena, Rehaag, Regine, and Dreiskämper, Dennis
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- 2021
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27. [Health of people with selected citizenships in Germany: prevalence of non-communicable diseases and associated social as well as migration-related factors].
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Bartig S, Bug M, Koschollek C, Kajikhina K, Blume M, Siegert M, Heidemann C, Walther L, Neuhauser H, and Hövener C
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Background: Health chances and risks of people with a history of migration vary according to a wide range of factors. This paper aims to describe the health of people with selected citizenships on the basis of four non-communicable diseases (chronic disease or long-term health problem in general, coronary heart disease, diabetes mellitus, depression) and to identify associated social and migration-related factors., Methods: Analyses are based on data from the multilingual and multimodal interview survey "German Health Update: Fokus" (GEDA Fokus), which was conducted among 18- to 79-year-olds with Croatian, Italian, Polish, Syrian, or Turkish citizenship living in Germany (November 2021 to May 2022). Poisson regressions were used to calculate prevalence ratios and 95% confidence intervals to examine the association between the individual indicators and social as well as migration-related characteristics., Results: In particular, a low sense of belonging to the society in Germany and self-reported experiences of discrimination in everyday life are associated with higher prevalence of a chronic disease or long-term health problem and - according to self-reported medical diagnoses - with depression and partly with coronary heart disease and diabetes., Discussion: Given the importance of subjective sense of belonging to the society in Germany and self-reported experience of discrimination for the health outcomes studied, the results point to health inequalities among people with selected citizenships that may indicate mechanisms of social exclusion., (© 2023. The Author(s).)
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- 2023
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28. Analyse integrierter Gesamtansätze kommunaler Gesundheitsförderung für Kinder.
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Ehlen, Sebastian and Rehaag, Regine
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Copyright of Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2018
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29. Integrierte Gesamtansätze kommunaler Gesundheitsförderung für Kinder.
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Ehlen, Sebastian, Dreiskämper, Dennis, Utesch, Till, and Rehaag, Regine
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- 2018
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30. Die Verteilung von kardiovaskulären Risikofaktoren bei Beschäftigten in kleinen und mittleren Unternehmen in Deutschland.
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Kaifie, Andrea and Kraus, Thomas
- Abstract
Copyright of Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2018
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31. Schulisches Wohlbefinden, Schulform und Tabakkonsum von Jugendlichen: Ergebnisse der SILNE-Studie.
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Rathmann, Katharina, Heilmann, Kristina, Moor, Irene, and Richter, Matthias
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ADOLESCENT smoking , *TOBACCO use , *HIGH school students , *GRADING of students , *TREND analysis , *ADOLESCENCE - Abstract
Aims:This study investigates the role of the attended school type and school wellbeing for adolescent smoking and further examines for the first time, whether this association is related as a double jeopardy to students tobacco use. Methods: Data were obtained from the German WP5-Survey of the European SILNE-Study „Tackling socioeconomic inequalities in smoking: learning from natural experiments by time trend analyses and cross-national comparisons“ (students in grades 8 and 9) in Hannover/Germany (n = 1.190). Associations between school wellbeing (school engagement, school connectedness and burnout), attended school type and smoking were examined in bi- and multivariate analyses. Results: Adolescents with low school engagement, low school connectedness and high school burnout showed higher likelihoods of smoking as well as students attending school types other than Grammar schools. The results reveal no evidence for the double jeopardy hypothesis in relation to adolescent smoking. Grammar school students with high school burnout showed higher likelihoods of smoking compared to students attending other school types. Conclusions: Our results provide important information for school type-specific initiatives of health promotion in order to strengthen school wellbeing and to tackle tobacco use in adolescence. [ABSTRACT FROM AUTHOR]
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- 2016
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32. Gesundheitsförderung in den Lebenswelten gemeinsam stärken.
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Kilian, Holger, Lehmann, Frank, Richter-Kornweitz, Antje, Kaba-Schönstein, Lotte, and Mielck, Andreas
- Abstract
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- Published
- 2016
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33. Soziale Ungleichheit und Gesundheit.
- Author
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Lampert, Thomas, Richter, Matthias, Schneider, Sven, Spallek, Jacob, and Dragano, Nico
- Abstract
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- Published
- 2016
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34. ['From Crisis to Health in All Policies.' Conference report from the Poverty and Health 2021 Congress]
- Author
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Marion, Amler, Julian, Bollmann, Julia, Waldhauer, and Maren, Janella
- Subjects
SARS-CoV-2 ,Health in all Policies ,Armut ,COVID-19 ,Health prevention ,Berlin ,Tagungsberichte ,Policy ,Gesundheitsförderung ,Gesundheitliche Ungleichheiten ,Germany ,Humans ,Gesundheitspolitik ,Poverty ,Health equity ,Health inequality - Abstract
The annual Poverty and Health congress, which has been organized by Gesundheit Berlin-Brandenburg e. V. since 1995, has become one of the biggest public health events in Germany. It offers an exchange platform for science, practice, and politics. This year's congress topic was "From Crisis to Health in All Policies," which aimed to address the SARS-CoV‑2 pandemic's impact on society in general and public health in particular. Overall, 80 panels were organized with close to 500 experts discussing a wide range of subjects and questions, for example, the connection between poverty and COVID-19, the current challenges in the care sector, the situation of homeless people, and the impact of the pandemic on (young) families or students as well as global questions on vaccination strategy and key issues for a public health strategy for Germany.Der Kongress Armut und Gesundheit, der seit 1995 jährlich von Gesundheit Berlin-Brandenburg e. V. in Kooperation mit unterschiedlichsten Partner*innen ausgerichtet wird, gehört inzwischen zu den größten regelmäßig stattfindenden Public-Health-Veranstaltungen in Deutschland (siehe Infobox 1). Er ist eine Plattform für den Austausch zwischen Wissenschaft, Praxis, Zivilgesellschaft und Politik. Unter dem Motto „Aus der Krise zu Health in All Policies“ wurden in diesem Jahr Public Health und gesundheitliche Ungleichheit vor allem vor dem Hintergrund der SARS-CoV-2-Pandemie thematisiert. In über 80 Veranstaltungen mit knapp 500 Referierenden wurde ein breites Spektrum an Themen und Fragestellungen diskutiert: unter anderem der Zusammenhang zwischen Armut und COVID-19, die Herausforderungen in der Pflege, die Situation wohnungsloser Menschen, der Einfluss der Pandemie auf (junge) Familien oder Studierende sowie globale Fragen zur Impfstrategie und Eckpunkte für eine Public-Health-Strategie für Deutschland.
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- 2021
35. Messung des subjektiven sozialen Status in der Gesundheitsforschung mit einer deutschen Version der MacArthur Scale.
- Author
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Hoebel, Jens, Müters, S., Kuntz, B., Lange, C., and Lampert, T.
- Abstract
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- Published
- 2015
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36. The impact of socioeconomic status on nutrition therapy: a qualitative analysis with dietitians from Austria
- Author
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Saly, Elisabeth
- Subjects
Soziale Ungleichheit ,sozioökonomisch benachteiligte Personen ,inneninterviews [Expert] ,interviews ,recommendations ,gesundheitliche Ungleichheit ,Gesundheitskompetenz ,health inequality ,Ernährungsberatung ,Ernährungstherapie ,Empfehlungen ,nutrition therapy ,socioeconomically disadvantaged people - Abstract
Hintergrund: Sozioökonomisch schwächere Personen tendieren zu einer ungesünderen Ernährungsweise, was in Kombination mit anderen Gesundheitsdeterminanten zu einem höheren Übergewichtsrisiko führt (Burkert & Freidl, 2019; Fekete & Weyers, 2016). Um eine zielgruppengerechte Ernährungsberatung anbieten zu können, bedarf es der besonderen Rücksichtnahme auf die Bedürfnisse und Lebensumwelten der sozioökonomisch schwächeren Personen. Forschungsfrage: Basierend auf diesen Hintergrund entsteht folgende Forschungsfrage: Wie können Diätolog:innen im Rahmen der ernährungstherapeutischen Behandlung von sozioökonomisch schwächeren Personen(gruppen) ihre Vorgehensweise so adaptieren, dass sie die zielgruppenspezifischen Bedürfnisse optimal berücksichtigen? Methodik: Es wurde zur Beantwortung der Forschungsfrage eine strukturierte Literaturrecherche in einschlägigen Datenbanken wie PubMed durchgeführt. Darauf aufbauend wurden elf leitfadengestützte Expert:inneninterviews mit Diätolog:innen durchgeführt und mittels thematischer Analyse nach Braun & Clarke ausgewertet und Empfehlungsansätze generiert. Ergebnisse: Diätolog:innen können in der Ernährungsberatung einige Faktoren beachten, um sozioökonomisch schwächeren Personen die Ernährungsänderung zu erleichtern. Zu erwähnen sind die vorurteilsfreie, wertschätzende und einfühlsame Kommunikation, alltagsnahe und praxistaugliche Empfehlungen sowie das gemeinsame Erarbeiten von Lösungen. Die Stärkung der Selbstwirksamkeit und Gesundheitskompetenz von Patient:innen sowie die sektoren- und berufsübergreifende Zusammenarbeit können eine umfassende Betreuung und wirksamere Verhaltensänderungen ermöglichen. Diskussion: Für die erfolgreiche Beratung von sozioökonomisch schwächeren Personen wurde der Praxisbezug besonders hervorgehoben. Die Diätolog:innen benötigen zusätzliche Informationen, Beratungsunterlagen und -materialien sowie Kooperationen, um die Personengruppe optimal beraten und weiterführend vermitteln zu können. Erforderlich wären mehr Informationsbroschüren und kostenfreie Angebote, die auf sozioökonomisch schwächere Personen und deren Lebenswelten zugeschnitten sind. Background: Socioeconomically disadvantaged people tend to have an unhealthy diet, which in combination with other health determinants leads to a higher risk of obesity (Burkert & Freidl, 2019; Fekete & Weyers, 2016). To be able to offer nutrition therapy that is appropriate to the target group, special consideration must be given to the needs and living environments of the socioeconomically disadvantaged people. Research Question: Based on this background, the following research question results: How can dieticians adapt their approach in the context of nutrition therapy of socioeconomically disadvantaged people in such a way that they best take into account the target group-specific needs? Method: To answer the research question, a structured literature search was conducted in relevant databases such as PubMed. Based on this, eleven guided interviews with dieticians were carried out and evaluated by means of thematic analysis according to Braun & Clarke to generate recommendations. Results: Dieticians can consider various factors in nutrition counselling in order to facilitate diet change for socioeconomically disadvantaged people. These include unprejudiced, appreciative and empathetic communication, recommendations that are practical and relevant to everyday life, and the joint development of solutions. Strengthening patients' self-efficacy and health literacy, as well as intersectoral and interprofessional cooperation, can enable holistic care and more effective behaviour change. Discussion: For a successful nutrition therapy of socioeconomically disadvantaged people, the practical relevance of the recommendations was particularly emphasised. The dieticians partly need information, advisory documents and materials as well as cooperation in order to be able to optimally advise the group of people and to refer them further. It would be necessary to develop more information brochures and free services tailored to socioeconomically disadvantaged people and their living conditions. eingereicht von: Elisabeth Saly Abweichender Titel laut Übersetzung der Verfasserin/des Verfassers Masterarbeit Bad Gleichenberg, Fachhochschule Joanneum 2021
- Published
- 2021
37. Messung des sozioökonomischen Status in der KiGGS-Studie.
- Author
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Lampert, Thomas, Müters, S., Stolzenberg, H., and Kroll, L. E.
- Abstract
Copyright of Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2014
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38. Die Bedeutung sozialer Determinanten für die Gesundheitsversorgung
- Author
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Schnitzer, Susanne
- Subjects
health care research ,social determinants ,long-term care ,health inequality ,600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit ,outpatient care - Abstract
Die Bedeutung sozialer Determinanten für die Gesundheitsversorgung speist sich aus dem postulierten Ziel einer gesundheitlichen Chancengleichheit. Systematische Unterschiede aufgrund sozialer Determinanten verweisen auf eine Chancenungleichheit. Ziel der Habilitationsschrift war es, anhand ausgewählter Bereiche der gesundheitlichen Versorgung zu einem besseren Verständnis und einem Informationsgewinn hinsichtlich des Zusammenhangs von sozialen Determinanten und gesundheitlicher Versorgung beizutragen. Im Unterschied zur gängigen Praxis in der Sozialepidemiologie und den Gesundheitswissenschaften lag der Fokus hierbei nicht primär auf vertikalen Determinanten (Einkommen, Beruf, Bildungsstatus). Vielmehr wurde eine integrierte Herangehensweise gewählt, die vertikale Determinanten und horizontale Determinanten (Alter, Geschlecht, Familienstand, etc.) gleichermaßen betrachtet. Zudem wurden Erklärungsansätze für Unterschiede aufgrund sozialer Determinanten diskutiert. Die Ergebnisse beruhen auf verschiedenen Datengrundlagen (Routine-, Kohorten-, Surveydaten). Die statistischen Analysen erfolgten anhand binär logistischer Regressionen, Trend- und Clusteranalysen, Diskriminanzanalysen sowie verschiedener Tests (Hosmer-Lemeshow, Omnibus-Tests, Interaktionsterme). Als bedeutende soziale Determinante zeigt sich in allen Teilstudien das Lebensalter – dies beruht zum einen auf der Tatsache, dass mit einem höheren Lebensalter eine höhere Krankheitslast einhergeht. Zum anderen verweisen die Analysen aber auch auf soziale Konnotationen des Alters, etwa in Hinblick auf das diskutierte „Zufriedenheitsparadox“, Unterschiede in der Gesundheitskompetenz oder hinsichtlich der Erwartungshaltungen zur Gesundheitsversorgung (Kapitel 3.1 und 3.2). Die horizontale Determinante „Partnerschaft“ spielt im Kontext von Pflegebedürftigkeit eine signifikante Rolle (Kapitel 2.2). Alte und sehr alte Menschen, die angaben, in einer Partnerschaft zu leben, waren seltener pflegebedürftig. Die multivariablen Analysen deuten darauf hin, dass sich die protektive Wirkung einer Partnerschaft über die Unterstützung im Alltag erklärt, so dass etwa das Sturzrisiko abgefedert oder die Mobilität befördert werden kann. Unterschiede zwischen Männern und Frauen wurden in keiner der Untersuchungen festgestellt, wenn nach Morbiditäten, geriatrischen Assessment-Parametern oder der subjektiven Gesundheit kontrolliert wurde. Analog zu den geschlechtsspezifischen Ergebnissen zeigen sich auch keine bildungsspezifischen Unterschiede im Pflegerisiko mehr, wenn Morbiditäten berücksichtigt (adjustiert) werden (Kapitel 2.2). Die vertikale Determinante Bildung spielt darüber hinaus im Bereich der ambulanten, gesundheitlichen Versorgung eine signifikante Rolle. Anhand der Ergebnisse wurde deutlich, dass höher Gebildete die untersuchten Aspekte der Health System Responsiveness besonders kritisch bewerten (Kapitel 3.2) sowie den niedrigsten Kenntnisstand zu Neuregelungen im Gesundheitssystem aufweisen – das letztgenannte Ergebnis bezieht sich allerdings nicht auf alle höher Gebildeten, sondern nur auf Erwerbstätige im mittleren Alter (Kapitel 3.3). Zukünftige Studien zu sozialen Determinanten in der Gesundheitsversorgung sollten neben vertikalen Determinanten vermehrt auch horizontale Determinanten analysieren. Die vertikalen sozialen Determinanten Bildung, Einkommen und/oder beruflicher Status sind zwar, da es sich um „erworbene“ Eigenschaften handelt, augenscheinlich zugänglicher für Präventionsmaßnahmen als die „zugeschriebenen“ Merkmale wie Alter oder Geschlechts-zugehörigkeit. Allerdings zeigen gerade die Ergebnisse der vorliegenden Arbeit, dass diese quasi biologischen Kategorien für Prävention und Interventionsansätze von hoher Relevanz sind. Daher ist eine integrierte und im besten Fall verschränkte Sicht verschiedener sozialer Determinanten der Ungleichheit empfehlenswert., The relevance of social determinants in relation to healthcare derives from the postulated objective of health equality. Systematic disparities based on social determinants point to health inequality. The aim of the Habilitation (post-doctoral project) was to contribute to a better understanding and provide new information about social determinants in healthcare. In contrast to current practice in social epidemiology and public health, the study did not focus primarily on vertical determinants (income, occupation and education status). Instead, an integrated approach was chosen to investigate vertical and horizontal determinants (age, gender, marital status, etc.) equally. Possible explanations of disparities based on social determinants were also discussed. The results were based on a variety of data sources (routine, cohort and survey data). The statistical analyses were performed using binary logistic regressions, trend and cluster analyses, discriminant analyses and various tests (Hosmer-Lemeshow, omnibus tests, interaction terms). In all studies, age proved to be a significant social determinant, reflecting the fact that disease burden increases with age. However, the analyses also draw attention to social connotations of age, e.g. in relation to the discussed “satisfaction paradox”, differences in health literacy, and expectations of healthcare (Sections 3.1 and 3.2). “Partnership status” as a horizontal determinant plays a significant role in relation to care dependency (Section 2.2). Older and very old persons who lived with a partner were less likely to be care-dependent compared to persons without a partner. The multivariable analyses suggest that the protective effect of living with a partner can be explained by the support provided in daily life: the risk of falling may be reduced, for example, or mobility increased. No differences between males and females were observed in any of the analyses after adjusting for morbidities, geriatric assessment parameters or subjective health. Analogous to the gender-specific results, there are also no education-specific differences in care dependency risk if morbidities are adjusted for (Section 2.2). The vertical determinant “education” is also significant in relation to outpatient care. The results indicated that higher-educated persons are especially critical of the investigated aspects of health system responsiveness (Section 3.2) and also have lowest knowledge of health system reforms; however, this latter result does not apply to all higher-educated persons but solely to middle-aged persons in full-time employment (Section 3.3). Future studies on social determinants in healthcare provision should focus to a greater extent on analysing horizontal as well as vertical determinants. The vertical social determinants – education, income and/or occupational status – are, as “acquired” characteristics, seemingly more accessible for prevention measures than “attributed” characteristics like age or gender. However, the results of this study show that these quasi-biological categories are of great relevance for prevention and intervention strategies. An integrated and, in a best case, interconnected perspective on various social determinants of inequality is therefore recommended.
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- 2020
39. Sozioökonomischer Status und Gesundheit.
- Author
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Lampert, T., Kroll, L.E., Lippe, E., Müters, S., and Stolzenberg, H.
- Abstract
Copyright of Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2013
- Full Text
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40. Messung des sozioökonomischen Status in der Studie zur Gesundheit Erwachsener in Deutschland (DEGS1).
- Author
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Lampert, T., Kroll, L., Müters, S., and Stolzenberg, H.
- Abstract
Copyright of Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2013
- Full Text
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41. Messung des sozioökonomischen Status in der Studie „Gesundheit in Deutschland aktuell“ (GEDA)
- Author
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Lampert, T., Kroll, L.E., Müters, S., and Stolzenberg, H.
- Abstract
Copyright of Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2013
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42. [School from the spirit of public health? : Health promotion in schools from a sociology of education perspective].
- Author
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Bittlingmayer UH and Okcu G
- Subjects
- Germany, Humans, Schools, Sociology, Health Promotion, Public Health
- Abstract
In the context of health promotion in terms of the Ottawa Charter, a series of tasks and functions are attributed to schools, including the reduction of health and social inequalities. However, important theoretical considerations and empirical findings from the sociology of education, which analyzes school as a hierarchizing, segregating, inequality-producing, and reproducing institution, hardly find place in the public health debate on school health promotion. In this discussion article, some positions on schools from the sociology of education and the normative framework for health promotion in schools are presented. Furthermore, the contradictions between the goals of health promotion and the current conditions in schools, are discussed. In conclusion, some conceptual considerations are introduced from a perspective that rethinks education from the health promotion point of view and connects with inclusion, democracy education, and human rights., (© 2022. The Author(s).)
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- 2022
- Full Text
- View/download PDF
43. Manifestation, Erklärung und Reduzierung gesundheitlicher Ungleichheiten.
- Author
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Geyer, Siegfried
- Abstract
Copyright of Ethik in der Medizin is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2010
- Full Text
- View/download PDF
44. Soziale Ungleichheit und Diabetes.
- Author
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Kowall, B. and Mielck, A.
- Abstract
Copyright of Der Diabetologe is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2010
- Full Text
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45. Bedeutung der Genetik beim Thema "soziale Ungleichheit und Gesundheit".
- Author
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Mielck, Andreas and Rogowski, W.
- Published
- 2007
- Full Text
- View/download PDF
46. Gesundheitliche Ungleichheit zum Lebensbeginn: Zum Einfluss der mütterlichen Bildung auf die Wahrscheinlichkeit einer Frühgeburt
- Author
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Stolberg, Carolyn and Becker, Sten
- Published
- 2015
- Full Text
- View/download PDF
47. ["From Crisis to Health in All Policies." Conference report from the Poverty and Health 2021 Congress].
- Author
-
Amler M, Bollmann J, Waldhauer J, and Janella M
- Subjects
- Berlin, Germany, Humans, Policy, SARS-CoV-2, COVID-19, Poverty
- Abstract
The annual Poverty and Health congress, which has been organized by Gesundheit Berlin-Brandenburg e. V. since 1995, has become one of the biggest public health events in Germany. It offers an exchange platform for science, practice, and politics. This year's congress topic was "From Crisis to Health in All Policies," which aimed to address the SARS-CoV‑2 pandemic's impact on society in general and public health in particular. Overall, 80 panels were organized with close to 500 experts discussing a wide range of subjects and questions, for example, the connection between poverty and COVID-19, the current challenges in the care sector, the situation of homeless people, and the impact of the pandemic on (young) families or students as well as global questions on vaccination strategy and key issues for a public health strategy for Germany., (© 2021. Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature.)
- Published
- 2021
- Full Text
- View/download PDF
48. Migrationssensible Gesundheitsforschung
- Author
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Schenk, Liane
- Subjects
health research ,standards ,ethnicity ,health inequality ,migration ,methods - Abstract
Ein Fünftel der in Deutschland lebenden Bevölkerung weist einen Migrationshintergrund auf. Trotz diesen hohen Anteils hat eine wissenschaftliche Auseinandersetzung mit gesundheitlicher Ungleichheit im Kontext von (Post-) Migration erst in jüngerer Zeit begonnen. Ziel der in der Habilitationsschrift zusammengefassten Publikationen war es, methodisch- methodologische Grundlagen für eine migrationssensible Gesundheitsforschung zu entwickeln. Dies umfasste u.a. eine Auseinandersetzung mit der begrifflichen Bestimmung der Zielpopulation, die Konzeptualisierung eines Mindestindikatorensatzes zur Erfassung des Migrationsstatus, Analysen zum Teilnahmeverhalten von Personen mit Migrationshintergrund an Gesundheitsstudien und damit verknüpfte Stichprobeneffekte sowie die Entwicklung eines Analyse- und Erklärungsmodells zum Zusammenhang von Migration und Gesundheit. Der sich anschließende Diskussionsteil bezieht neuere Ergebnisse aus diesem Feld ein und gibt einen Ausblick auf noch zu bearbeitende Forschungsdesiderate., About a fifth of the population living in Germany has a migration background. Despite this relatively large proportion, it is only recently that a scientific examination of health inequalities associated with (post-) migration has been initiated. The works published within the habilitation dissertation aimed for developing a methodic- methodological basis for a migrant-sensitive health research. This included, amongst others, a terminological identification of the target population, the conceptualization of a basic set of migration status indicators and analyses of migrant participation in health studies as well as associated selection biases. Moreover, an explanatory and analytical model displaying the relationship between migration and health status was developed. The discussion section comprises recent findings within this research field and points at research desiderata yet to be worked upon.
- Published
- 2016
49. [The challenge of healthcare research : Optimizing the effectiveness and efficiency of healthcare services].
- Author
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Stollreiter M and Stich H
- Subjects
- Delivery of Health Care, Health Services Accessibility, Humans, Efficiency, Health Services Research
- Published
- 2020
- Full Text
- View/download PDF
50. [How do people in Germany seek health information? Insights from the first wave of HINTS Germany].
- Author
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Baumann E, Czerwinski F, Rosset M, Seelig M, and Suhr R
- Subjects
- Adult, Germany, Humans, Internet, Sex Factors, Surveys and Questionnaires, Information Seeking Behavior, Trust
- Abstract
Background: Dynamic developments in the healthcare system are associated with a more active and more participatory patient role, in which patients make informed decisions and help shape their care. This points to the increasing role of health information and health information seeking behaviors. But to date, the health information seeking behavior of people in Germany hasn't been subject to systematic survey research. The German Health Information National Trends Survey (HINTS Germany) closes this gap., Methods: HINTS Germany was fielded as a telephone survey with a sample of N = 2902 people. The questionnaire covers various aspects of the search for and use of health information, healthcare, health status, and health-related behaviors., Results: First results show regional and gender differences in health information seeking. One in four respondents reports problems concerning the process of health information seeking. The most used health information sources are doctors and other health professionals as well as the Internet, whereby respondents trust health information from doctors by far the most., Discussion: The rather rare use of the Internet as the primary source corresponds to the lower level of trust that the respondents place in the Internet as a source of health information, which is also known from other studies. However, this should not hide the fact that the Internet can be of great importance as a supplementary source, i.e., used in combination with other information, for example after a doctor's visit. HINTS Germany provides a data basis representative of the adult population in Germany, with which the importance of health information seeking for health-related attitudes and behaviors can be analyzed in a differentiated manner.
- Published
- 2020
- Full Text
- View/download PDF
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