1
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Guenther L, Schleberger S, Pischke CR. Feasibility of a social network-based physical activity intervention targeting vocational students. Eur J Public Health 2022. [PMCID: PMC9593933 DOI: 10.1093/eurpub/ckac131.315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
Background Globally, four of five adolescents do not meet the recommendations for physical activity (PA). This is a public health concern because moving large segments of young adults from inactivity to activity, is essential to reach the global target of a 15% relative reduction of inactivity by 2030 worldwide. This study aimed to pilot a social network-based PA intervention in a sample of young adults enrolled at vocational schools. Methods Fourteen students from one vocational school located in Duesseldorf were encouraged to walk 10.000 steps per day over an intervention period of six weeks. In the WALK2gether intervention, students received general information on PA in a Facebook group and were instructed to use the pedometer app Pacer to monitor their individual steps and compare their daily step count with fellow participants. The framework by Thabane et al. (2010) was was taken as a basis for examining the feasibility of the methods and procedures employed and for estimating the magnitude of potential intervention effects. Results The WALK2gether intervention turned out to be minimally resource intensive with, in total, 92 hours spent by the study staff on development and implementation. The recruitment rate was 19.2% and loss-to-follow was 28.6%. Descriptively analysed data revealed no noteworthy changes from baseline to follow-up neither in PA nor in other health outcomes, such as body mass index and quality of life. The target population did not interact in the Facebook group, while a moderate interaction with Pacer was noted. Conclusions This pilot study and intervention were only partially feasible. Although the results ought to be interpreted with caution due to the small sample size, our results suggest that the target group would rather benefit from a structured PA regimen with regular check-ins and PA counselling, possibly by vocational school teachers, than the very autonomous approach piloted in this study. Key messages • Results of this pilot study can inform the development and implementation of future social media-based PA interventions targeting young adults in vocational schools. • Optimization of the intervention and studies on a larger scale are necessary.
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Affiliation(s)
- L Guenther
- Heinrich-Heine-University Duesseldorf, Institute of Medical Sociology , Düsseldorf, Germany
| | - S Schleberger
- Heinrich-Heine-University Duesseldorf, Institute of Medical Sociology , Düsseldorf, Germany
| | - CR Pischke
- Heinrich-Heine-University Duesseldorf, Institute of Medical Sociology , Düsseldorf, Germany
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2
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Trümmler J, Heumann E, Helmer SM, Stock C, Busse H, Heinrichs K, Negash S, Horn J, Niephaus Y, Pischke CR. Attitudes towards vaccination are associated with vaccination behaviour among university students. Eur J Public Health 2022. [DOI: 10.1093/eurpub/ckac130.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
Vaccination behaviour is influenced by various determinants. Evidence indicates a higher COVID-19 vaccine hesitancy among university students due to their age and a lower risk of complications compared to the general population in Germany. However, little is known about other COVID-19-related determinants for the population of German university students. This study aimed to investigate determinants of vaccination behaviour among German university students.
Methods
The cross-sectional COVID-19 German Student Well-being Study was conducted at five German universities at the end of 2021 via an online survey (n = 7.267). Multiple logistic regressions were calculated to examine associations of vaccination behaviour (not vaccinated vs. fully vaccinated) and attitudes towards vaccination (5Cs: confidence in the safety of the vaccine, complacency - not perceiving diseases as high risk, constraints - structural and psychological barriers, calculation - engagement in information seeking, collective responsibility - willingness to protect others), health literacy in a pandemic (CHL-P), and additional determinants.
Results
All 5Cs were associated with the vaccination status ‘fully vaccinated’, except for complacency. Regarding CHL-P, we found that students who felt that the current scientific knowledge about COVID-19 in terms of the policy decisions on pandemic measures was very complex had a higher odds for being vaccinated (OR = 3.02; 95% CI: 2.26-4.04). Regarding additional determinants, the analysis revealed that students who had been previously infected had in all regressions a lower odds for being vaccinated compared to students with no previous infection.
Conclusions
Due to the strong association of the attitudes towards vaccination and vaccination behaviour among university students, we recommend that the different components of the 5Cs should be considered in future COVID-19 vaccination campaigns in the university context.
Key messages
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Affiliation(s)
- J Trümmler
- Institute of Medical Sociology, Heinrich Heine University Duesseldorf , Duesseldorf, Germany
| | - E Heumann
- Institute of Health and Nursing Science, Charité-Universitätsmedizin Berlin , Berlin, Germany
| | - SM Helmer
- Institute of Health and Nursing Science, Charité-Universitätsmedizin Berlin , Berlin, Germany
| | - C Stock
- Institute of Health and Nursing Science, Charité-Universitätsmedizin Berlin , Berlin, Germany
- Unit of Health Promotion Research, University of Southern Denmark , Esbjerg, Denmark
| | - H Busse
- Department Prevention and Evaluation, Institute for Prevention Research and Epidemiology , Bremen, Germany
| | - K Heinrichs
- Institute of Health and Nursing Science, Charité-Universitätsmedizin Berlin , Berlin, Germany
| | - S Negash
- Institute for Medical Epidemiology, Martin-Luther University Halle-Wittenberg, Halle ( Saale), Germany
| | - J Horn
- Institute for Medical Epidemiology, Martin-Luther University Halle-Wittenberg, Halle ( Saale), Germany
| | - Y Niephaus
- Department of Social Sciences, University of Siegen , Siegen, Germany
| | - CR Pischke
- Institute of Medical Sociology, Heinrich Heine University Duesseldorf , Duesseldorf, Germany
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3
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Reuter M, Herke M, Richter M, Diehl K, Hoffmann S, Pischke CR, Dragano N. The impact of the school-to-work transition on self-rated health & subjective well-being in Germany. Eur J Public Health 2022. [DOI: 10.1093/eurpub/ckac129.583] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
During the school-to-work transition (STWT), young people enter different states as vocational training, university or unemployment that may have immediate or long-term effects on health. Since research has not paid much attention to this, we investigate the development of self-rated health (SRH) and subjective well-being (SWB) during the STWT.
Methods
We used data from Starting Cohort 4 of the German National Educational Panel Study (NEPS), a nationally representative cohort of 11,098 ninth graders (50.5% girls) followed over nine years. Linear panel regression analysis with fixed-effects (FE) was used to explore intra-individual changes in SRH and SWB when moving between different STWT states (school, prevocational program, vocational training, university, employment, unemployment, inactivity). FE impact functions were used to compare trajectories of SRH and SWB by states reached after school-leave. Time-varying control variables were age, household composition, and residential area.
Results
School-leave was linked to increases in SRH and SWB, whereas no impact was found for job entry after vocational training or university. Upward transitions (e.g. from a prevocational program to vocational training, from vocational training to university or from unemployment to employment) increased SRH or SWB, while downward transitions (e.g. from vocational training or employment to unemployment) were related to decreases. Over the years after school-leave, we found a decline in SRH and SWB, which was faster in case of transitions to unemployment or prevocational programs directly after school.
Conclusions
Findings suggest that a smooth STWT is key for good health in youth and adulthood. Health and labour market intervention programs should focus on the time after school-leave, especially on those who are not able to find an academic or vocational training position.
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Affiliation(s)
- M Reuter
- Heinrich Heine University Düsseldorf, Institute of Medical Sociology , Düsseldorf, Germany
| | - M Herke
- Martin Luther University Halle-Wittenberg, Institute of Medical Sociology , Halle, Germany
| | - M Richter
- Martin Luther University Halle-Wittenberg, Institute of Medical Sociology , Halle, Germany
- Technical University of Munich, Department of Sport and Health Sciences , Munich, Germany
| | - K Diehl
- Friedrich-Alexander-University, Department of Medical Informatics, Biometry and Epidemiology , Erlangen, Germany
- Heidelberg University, Center for Preventive Medicine and Digital Health , Mannheim, Germany
| | - S Hoffmann
- Brandenburg University of Technology, Department of Public Health , Senftenberg, Germany
| | - CR Pischke
- Heinrich Heine University Düsseldorf, Institute of Medical Sociology , Düsseldorf, Germany
| | - N Dragano
- Heinrich Heine University Düsseldorf, Institute of Medical Sociology , Düsseldorf, Germany
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4
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Negash S, Horn J, Heumann E, Helmer SM, Busse H, Heinrichs K, Pischke CR, Trümmler J, Niephaus J, Mikolajczyk R. Change in the financial situation of students during COVID-19 and its impact on depressive symptoms. Eur J Public Health 2022. [PMCID: PMC9619890 DOI: 10.1093/eurpub/ckac130.180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Background Students faced unique challenges during the COVID-19 pandemic that may have affected their financial situation as well as their mental health. This study sought to examine whether changes in financial situation before and during the COVID-19 pandemic were associated with depressive symptoms among German university students. Methods The cross-sectional COVID-19 German Student Well-being Study (C19 GSWS; N = 7,267) was implemented at five German universities between 27.10. and 14.11.2021. Students were asked if they had had sufficient financial resources to cover monthly expenses before the pandemic, as well as during the first and third waves of the pandemic. Depressive symptoms were assessed using the CES-D 8 (score ranges 0-24) and the PHQ-2 (0-6); higher scores indicating more severe depressive symptoms. Linear regression models were used to examine associations between variables. Results A worsened financial situation between the first and the third wave of the pandemic was associated with a one point (0.95) increase on the CES-D 8 scale (95% CI: 0.61, 1.29) and an improved financial situation with a decrease by 0.81 points (95% CI: -1.20, -0.42). A worsened financial situation was associated with a 0.26-point increase in PHQ-2 (95% CI: 0.14, 0.37) and an improved financial situation with a -0.12-point decrease (95% CI: -0.25, 0.01). Similarly, worsened financial situation in the third wave compared to prior to the pandemic, was also associated with an increase in CES-D 8 score and PHQ-2 and an improved financial situation with a decrease in CES-D 8 and PHQ-2. Conclusions Our findings suggest associations between students’ financial situation during the COVID-19 pandemic and their mental health. Due to their instable financial situation, students are a vulnerable group in need of mental and financial support during pandemic crises. Key messages
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Affiliation(s)
- S Negash
- Institute for Medical Epidemiology, Martin-Luther University Halle-Wittenberg, Halle ( Saale), Germany
| | - J Horn
- Institute for Medical Epidemiology, Martin-Luther University Halle-Wittenberg, Halle ( Saale), Germany
| | - E Heumann
- Institute for Health and Nursing Science, Charité - Universitätsmedizin Berlin , Berlin, Germany
| | - SM Helmer
- Department Prevention and Evaluation, Institute for Prevention Research and Epidemiology , Bremen, Germany
| | - H Busse
- Department Prevention and Evaluation, Institute for Prevention Research and Epidemiology , Bremen, Germany
| | - K Heinrichs
- Institute for Health and Nursing Science, Charité - Universitätsmedizin Berlin , Berlin, Germany
| | - CR Pischke
- Institute of Medical Sociology, Heinrich Heine University Duesseldorf , Duesseldorf, Germany
| | - J Trümmler
- Institute of Medical Sociology, Heinrich Heine University Duesseldorf , Duesseldorf, Germany
| | - J Niephaus
- Department of Social Sciences, University of Siegen , Siegen, Germany
| | - R Mikolajczyk
- Institute for Medical Epidemiology, Martin-Luther University Halle-Wittenberg, Halle ( Saale), Germany
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5
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Heumann E, Helmer SM, Busse H, Negash S, Pischke CR, Trümmler J, Niephaus Y, Stock C. Anxiety among students during the pandemic - Results from the C-19 German Student Well-being Study. Eur J Public Health 2022. [PMCID: PMC9594184 DOI: 10.1093/eurpub/ckac131.478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background Anxiety is widespread among university students. The COVID-19 pandemic af-fected students’ mental health negatively. Given the long duration of the pandemic monitoring mental health remains important. This study aims to determine to which extent anxiety is preva-lent among students (1), what factors are associated with it (2) and which student groups are mostly affected (3). Methods The cross-sectional COVID-19 German Student Well-being Study (C19 GSWS) sur-veyed mental health and well-being of students at five universities in Germany from 27.10.-14.11.21. Anxiety was assessed using the GAD-2. Associations between anxiety and sociodem-ographic, socioeconomic/social support factors as well as health- and COVID-19-related factors were determined using multiple binary logistic regression models. Results The mean age of students was 24.1 years (SD = 4.9), 67% were women and 31% men. The prevalence of anxiety was 32% and diverse gender (OR = 3.98, 95% CI: 1.71-9.23), a com-plicated relationship status (OR = 1.66, 95% CI: 1.06-2.60), the lack of a confidant (OR = 2.50, 95% CI: 1.80-3.46), and financial difficulties (e.g., being able to cover monthly expenses; OR = 1.76, 95% CI: 1.36-2.29) were associated with anxiety. Participants who were worried about (re)infection with COVID-19 had a 1.28-times higher chance (OR, 95% CI: 1.03-1.59) for anxie-ty. Students who were (rather) not worried that a relative would become severely ill with COVID-19 had a lower chance to experience anxiety (OR = 0.72, 95% CI: 0.53-0.98) as well as those who were confident receiving medical care in case of an infection with COVID-19 (OR = 0.80, 95% CI: 0.65-0.98). Conclusions Concepts for prevention and counselling in terms of mental health problems in students should be developed considering specific stressors due to the pandemic. Key messages • This study shows that anxiety is widespread among university students and associated with a variety of stressors. • The findings can help to develop specific concepts for prevention and counselling.
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Affiliation(s)
- E Heumann
- Institute for Health and Nursing Science, Charité - Universitätsmedizin Berlin , Berlin, Germany
| | - SM Helmer
- Human and Health Sciences, University of Bremen , Bremen, Germany
| | - H Busse
- Department Prevention and Evaluation, Institute for Prevention Research and Epidemiology , Bremen, Germany
| | - S Negash
- Institute for Medical Epidemiology, Martin Luther University Halle-Wittenberg , Halle (Saale), Germany
| | - CR Pischke
- Institute of Medical Sociology, Heinrich Heine University Duesseldorf , Duesseldorf, Germany
| | - J Trümmler
- Institute of Medical Sociology, Heinrich Heine University Duesseldorf , Duesseldorf, Germany
| | - Y Niephaus
- Department of Social Sciences, University of Siegen , Siegen, Germany
| | - C Stock
- Institute for Health and Nursing Science, Charité - Universitätsmedizin Berlin , Berlin, Germany
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6
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Iashchenko I, Schüttig W, Bammert P, Spallek J, Rattay P, Schneider S, Moor I, Pischke CR, Sundmacher L. The role of regional health policy for socioeconomic inequality in health services utilization. Eur J Public Health 2022. [DOI: 10.1093/eurpub/ckac129.584] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
“J1” is a preventative routine examination in Germany recommended for adolescents at the age of 12-14 years. In contrast to the well-established U1-U9 examinations for younger children, with participation rates above 90%, the attendance of the J1 examination is approximately only 40%. The most frequent reason for not attending J1 is the unawareness of this examination. “Ticket to J1” is an intervention including an information leaflet introduced in Bavaria in 2017 to inform adolescents about J1. The aims of the present analysis are to investigate (1) if the regional policy was effective in increasing the attendance in J1, (2) if the effects vary by family socioeconomic status (SES), and (3) which meso-level characteristics of the healthcare system correlate with attendance rates in J1.
Methods
We used anonymised data of a large statutory health insurance in Germany for the timeframe of 2016-2018. To investigate the effect of the policy, a difference-in-differences design at the individual level was used. Assuming a parallel trend at the level of federal states, the likelihood of attendance in J1 of 13- and 14-year-olds was compared between Bavaria and other federal German states before and after policy introduction. All analyses were additionally stratified by SES.
Results
The introduction of “Ticket to J1” increased participation in J1 by 1% after controlling for all confounders. Furthermore, the effect was stronger for children from families with lower SES (an increase of 5%). Density of pediatricians was positively significantly correlated with participation in J1.
Discussion
Regional health policy intervention had a significant positive impact on attendance of J1 and appears to have the potential to reduce socioeconomic inequalities in healthcare utilization. Informing adolescents about J1 seems to increase the attendance, in particular for children from families with lower SES.
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Affiliation(s)
- I Iashchenko
- Technical University of Munich, Department of Sport and Health Sciences , Munich, Germany
| | - W Schüttig
- Technical University of Munich, Department of Sport and Health Sciences , Munich, Germany
| | - P Bammert
- Technical University of Munich, Department of Sport and Health Sciences , Munich, Germany
| | - J Spallek
- Brandenburg University of Technology, Department of Public Health , Senftenberg, Germany
| | - P Rattay
- Robert Koch-Institute, Department of Epidemiology and Health Monitoring , Berlin, Germany
| | - S Schneider
- Heidelberg University, Center for Preventive Medicine and Digital Health , Mannheim, Germany
| | - I Moor
- Martin Luther University Halle-Wittenberg, Institute of Medical Sociology , Halle, Germany
| | - CR Pischke
- Heinrich-Heine University Düsseldorf, Child Health Services Unit , Düsseldorf, Germany
| | - L Sundmacher
- Technical University of Munich, Department of Sport and Health Sciences , Munich, Germany
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7
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Heumann E, Helmer SM, Busse H, Negash S, Pischke CR, Trümmler J, Niephaus Y, Stock C. Depressive Symptome Studierender während der dritten Welle
der COVID-19-Pandemie – Ergebnisse der COVID-19 German Student
Well-being Study (C19 GSWS). Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- E Heumann
- Charité – Universitätsmedizin Berlin, Institut
für Gesundheits- und Pflegewissenschaft, Berlin,
Deutschland
| | - SM Helmer
- Universität Bremen, Fachbereich Human- und
Gesundheitswissenschaften, Bremen, Deutschland
| | - H Busse
- Leibniz-Institut für Präventionsforschung und
Epidemiologie – BIPS, Abteilung Prävention und Evaluation,
Bremen, Deutschland
| | - S Negash
- Martin-Luther-Universität Halle-Wittenberg, Institut
für Medizinische Informatik, Biometrie und Epidemiologie, Halle (Saale),
Deutschland
| | - CR Pischke
- Heinrich-Heine-Universität Düsseldorf, Institut
für Medizinische Soziologie, Düsseldorf,
Deutschland
| | - J Trümmler
- Heinrich-Heine-Universität Düsseldorf, Institut
für Medizinische Soziologie, Düsseldorf,
Deutschland
| | - Y Niephaus
- Universität Siegen, Seminar für Sozialwissenschaften,
Siegen, Deutschland
| | - C Stock
- Charité – Universitätsmedizin Berlin, Institut
für Gesundheits- und Pflegewissenschaft, Berlin,
Deutschland
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8
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Schmitz E, Matos Fialho P, Günther L, Trümmler J, Willemsen S, Vomhof M, Icks A, Lang A, Kuss O, Weyers S, Pischke CR. Evaluation der Auswirkungen der gemeindebasierten komplexen
Intervention „10.000 Schritte Düsseldorf“ in zwei
Städten in Nordrhein-Westfalen: Replikationsstudie. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753697] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- E Schmitz
- Heinrich-Heine-Universität Düsseldorf, Institut
für Medizinische Soziologie, Düsseldorf,
Deutschland
| | - P Matos Fialho
- Heinrich-Heine-Universität Düsseldorf, Institut
für Medizinische Soziologie, Düsseldorf,
Deutschland
| | - L Günther
- Heinrich-Heine-Universität Düsseldorf, Institut
für Medizinische Soziologie, Düsseldorf,
Deutschland
| | - J Trümmler
- Heinrich-Heine-Universität Düsseldorf, Institut
für Medizinische Soziologie, Düsseldorf,
Deutschland
| | - S Willemsen
- Heinrich-Heine-Universität Düsseldorf, Institut
für Medizinische Soziologie, Düsseldorf,
Deutschland
| | - M Vomhof
- Heinrich-Heine-Universität Düsseldorf, Institut
für Versorgungsforschung und Gesundheitsökonomie,
Düsseldorf, Deutschland
- Leibniz Zentrum für Diabetes-Forschung an der
Heinrich-Heine-Universität Düsseldorf, Institut für
Versorgungsforschung und Gesundheitsökonomie, Düsseldorf,
Deutschland
- Deutsches Diabetes Zentrum, Düsseldorf,
Deutschland
| | - A Icks
- Heinrich-Heine-Universität Düsseldorf, Institut
für Versorgungsforschung und Gesundheitsökonomie,
Düsseldorf, Deutschland
- Leibniz Zentrum für Diabetes-Forschung an der
Heinrich-Heine-Universität Düsseldorf, Institut für
Versorgungsforschung und Gesundheitsökonomie, Düsseldorf,
Deutschland
- Deutsches Diabetes Zentrum, Düsseldorf,
Deutschland
| | - A Lang
- Deutsches Diabetes Zentrum, Institut für Biometrie und
Epidemiologie, Düsseldorf, Deutschland
| | - O Kuss
- Deutsches Diabetes Zentrum, Institut für Biometrie und
Epidemiologie, Düsseldorf, Deutschland
- Heinrich-Heine-Universität Düsseldorf, Centre for
Health and Society, Düsseldorf, Deutschland
| | - S Weyers
- Heinrich-Heine-Universität Düsseldorf, Institut
für Medizinische Soziologie, Düsseldorf,
Deutschland
| | - CR Pischke
- Heinrich-Heine-Universität Düsseldorf, Institut
für Medizinische Soziologie, Düsseldorf,
Deutschland
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9
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Reuter M, Herke M, Richter M, Diehl K, Hoffmann S, Pischke CR, Dragano N. Der Einfluss des Übergangs von der Schule in den Beruf auf
die Gesundheit und das Wohlbefinden junger Menschen in
Deutschland. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- M Reuter
- Heinrich-Heine-Universität Düsseldorf, Institut
für Medizinische Soziologie, Düsseldorf,
Deutschland
| | - M Herke
- Martin-Luther Universität Halle-Wittenberg, Institut
für Medizinische Soziologie (IMS), Halle (Saale),
Deutschland
| | - M Richter
- Martin-Luther Universität Halle-Wittenberg, Institut
für Medizinische Soziologie (IMS), Halle (Saale),
Deutschland
| | - K Diehl
- Friedrich-Alexander-Universität Erlangen-Nürnberg,
Institut für Medizinische Informatik, Biometrie und Epidemiologie,
Nürnberg, Deutschland
| | - S Hoffmann
- Brandenburgische Technische Universität Cottbus-Senftenberg,
Institut für Public Health, Senftenberg, Deutschland
| | - CR Pischke
- Heinrich-Heine-Universität Düsseldorf, Institut
für Medizinische Soziologie, Düsseldorf,
Deutschland
| | - N Dragano
- Heinrich-Heine-Universität Düsseldorf, Institut
für Medizinische Soziologie, Düsseldorf,
Deutschland
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10
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Blume M, Rattay P, Hoffmann S, Spallek J, Sander L, Herr R, Moor I, Pischke CR, Iashchenko I, Hövener C. Zusammenhang zwischen der sozioökonomischen Position der
Familie und Adipositas bei Jugendlichen in Deutschland – welche Rolle
hat die Familie? Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- M Blume
- Robert Koch-Institut, Abteilung für Epidemiologie und
Gesundheitsmonitoring, Berlin, Deutschland
| | - P Rattay
- Robert Koch-Institut, Abteilung für Epidemiologie und
Gesundheitsmonitoring, Berlin, Deutschland
| | - S Hoffmann
- Brandenburgische Technische Universität Cottbus-Senftenberg,
Fachgebiet Gesundheitswissenschaften, Cottbus-Senftenberg,
Deutschland
| | - J Spallek
- Brandenburgische Technische Universität Cottbus-Senftenberg,
Fachgebiet Gesundheitswissenschaften, Cottbus-Senftenberg,
Deutschland
| | - L Sander
- Brandenburgische Technische Universität Cottbus-Senftenberg,
Fachgebiet Gesundheitswissenschaften, Cottbus-Senftenberg,
Deutschland
| | - R Herr
- Universität Heidelberg, Medizinische Fakultät Mannheim,
Mannheim, Deutschland
| | - I Moor
- Martin-Luther-Universität Halle-Wittenberg, Institut
für Medizinische Soziologie, Halle, Deutschland
| | - CR Pischke
- Heinrich-Heine-Universität Düsseldorf, Medizinische
Fakultät, Düsseldorf, Deutschland
| | - I Iashchenko
- Technische Universität München, Fakultät
für Sport- und Gesundheitswissenschaften, München,
Deutschland
| | - C Hövener
- Robert Koch-Institut, Abteilung für Epidemiologie und
Gesundheitsmonitoring, Berlin, Deutschland
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11
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Iashchenko I, Schüttig W, Bammert P, Spallek J, Rattay P, Schneider S, Moor I, Pischke CR, Sundmacher L. Die Rolle der regionalen Gesundheitspolitik für die
sozioökonomische Ungleichheit in der Inanspruchnahme der
Gesundheitsleistungen. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- I Iashchenko
- Technische Universität München, Fakultät
für Sport- und Gesundheitswissenschaften, Lehrstuhl für
Gesundheitsökonomie, München, Deutschland
| | - W Schüttig
- Technische Universität München, Fakultät
für Sport- und Gesundheitswissenschaften, Lehrstuhl für
Gesundheitsökonomie, München, Deutschland
| | - P Bammert
- Technische Universität München, Fakultät
für Sport- und Gesundheitswissenschaften, Lehrstuhl für
Gesundheitsökonomie, München, Deutschland
| | - J Spallek
- Brandenburg University of Technology Cottbus-Senftenberg, Fachgebiet
Gesundheitswissenschaften, Senftenberg, Deutschland
| | - P Rattay
- Robert Koch-Institut, Abteilung für Epidemiologie und
Gesundheitsmonitoring, Berlin, Deutschland
| | - S Schneider
- Universität Heidelberg, Medizinische Fakultät Mannheim,
Zentrum für Präventivmedizin und Digitale Gesundheit
Baden-Württemberg (CPD-BW), Mannheim, Deutschland
| | - I Moor
- Martin-Luther Universität Halle-Wittenberg, Medizinische
Fakultät, Institut für Medizinische Soziologie, Halle,
Deutschland
- Heinrich-Heine-Universität Düsseldorf, Medizinische
Fakultät – Centre for Health and Society, Institut für
Medizinische Soziologie, Düsseldorf, Deutschland
| | - CR Pischke
- Martin-Luther Universität Halle-Wittenberg, Medizinische
Fakultät, Institut für Medizinische Soziologie, Halle,
Deutschland
- Heinrich-Heine-Universität Düsseldorf, Medizinische
Fakultät – Centre for Health and Society, Institut für
Medizinische Soziologie, Düsseldorf, Deutschland
| | - L Sundmacher
- Technische Universität München, Fakultät
für Sport- und Gesundheitswissenschaften, Lehrstuhl für
Gesundheitsökonomie, München, Deutschland
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12
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Busse H, Fialho PM, Stock C, Pischke CR, Buck C, Spatafora F, Kühne L, Zeeb H, Wendt C, Helmer SM. Mental wellbeing and engagement in health risk behaviours in German university students during the COVID-19 pandemic: Findings of a cross-sectional study. Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab164.182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Daily life of higher education students across the world changed profoundly in 2020 with the implementation of governmental and institutional measures to control the COVID-19 pandemic. We investigated mental wellbeing and engagement in health risk behaviours (HRB) in German university students at the start of the COVID-19 pandemic.
Methods
Data stem from the COVID-19 International Student Wellbeing Study (C19 ISWS). The web-based survey was conducted in May 2020 at four German universities. HRBs included tobacco and cannabis use, alcohol consumption, and engagement in physical activity. All HRBs were assessed retrospectively and at the time of data collection. Mental wellbeing was assessed using the 8-item Center for Epidemiologic Studies-Depression Scale (CES-D 8). We conducted multinomial regression analyses to investigate factors associated with changes in HRBs and latent transition analysis to identify substance use profiles.
Results
5021 students completed the survey (69% female; mean age 24.4 years, SD = 5.1). The mean score for depressive symptoms was 9.25 (SD = 0.67, range 0-24). Sixty-one percent of students reported consuming alcohol, 46% binge drinking, 44% inactivity, 19% smoking and 11% cannabis use. While smoking and cannabis use remained unchanged during the COVID-19 pandemic, 24% reported a decrease in binge drinking. Changes to physical activity were frequently reported, with 31% reporting an increase and 19% reporting a decrease in vigorous physical activity. Higher depressive symptoms were found to be associated with changes in HRBs. Five substance use behaviour profiles were identified, which remained fairly unchanged.
Conclusions
Engagement in HRBs remains at high level during the COVID-19 pandemic among German students. Depressive symptoms were found to be associated with changes in HRBs. Efforts to promote student health and wellbeing are needed in times of the COVID-19 pandemic and thereafter to prevent longer-term consequences.
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Affiliation(s)
- H Busse
- Department Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology, BIPS, Bremen, Germany
| | - P M Fialho
- Institute of Medical Sociology, Centre for Health and Society, Heinrich-Heine University Duesseldorf, Duesseldorf, Germany
| | - C Stock
- Institute of Health and Nursing Science, Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
| | - CR Pischke
- Institute of Medical Sociology, Centre for Health and Society, Heinrich-Heine University Duesseldorf, Duesseldorf, Germany
| | - C Buck
- Department Biometry and Data Management, Leibniz Institute for Prevention Research and Epidemiology, BIPS, Bremen, Germany
| | - F Spatafora
- Institute of Medical Sociology, Centre for Health and Society, Heinrich-Heine University Duesseldorf, Duesseldorf, Germany
| | - L Kühne
- Department Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology, BIPS, Bremen, Germany
| | - H Zeeb
- Department Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology, BIPS, Bremen, Germany
- Health Sciences Bremen, University of Bremen, Siegen, Germany
| | - C Wendt
- Department Sociology of Health and Health Care Systems, University Siegen, Siegen, Germany
| | - SM Helmer
- Institute of Health and Nursing Science, Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
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13
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Hoffmann S, Sander L, Blume M, Schneider S, Herke M, Fialho PM, Pischke CR, Schüttig W, Lampert T, Spallek J. Do families have moderating or mediating effects on early health inequalities? A scoping review. Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab165.506] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
During early childhood, families have a crucial impact on children's health behaviour, health, and development (bhd). However, a family's socioeconomic position (SEP) determines both the parental behaviour, living conditions, and child health. To understand how family characteristics may influence the development of health inequalities, this scoping review synthesised research on their mediating and moderating effects.
Methods
The review followed the guidelines of the PRISMA Extension for Scoping Reviews. The search included German and English peer-reviewed articles published between January 1st, 2000 and December 19th, 2019. The search in PubMed, PsycINFO, and Scopus used both free text terms in the title/abstract and index terms within linked keyword blocks: (1) family characteristics, (2) inequalities, (3) income, education, occupation, (4) bhd, (5) newborn, infant, toddler, preschooler. Two researchers independently examined eligibility for inclusion in two rounds (title/abstract; full-text).
Results
Of 7,089 articles identified, ten sources were included that studied family characteristics and health inequalities among 0-6 years olds. Parental rules, stress, and screentime, and TV in bedroom showed mediating effects on inequalities in behaviour problems or children's screentime. Families' negativity, single parenthood, and the number of children in the household moderated differences in impairment, health, behaviour problems, development or breastfeeding initiation.
Conclusions
The effect of family characteristics on early health inequalities has been sparsely investigated. The evidence supported models of family stress and investment. Further research is needed to comprehensively understand this association.
Key messages
Family characteristics contribute to health inequalities. Taking families’ stress and investment into account could improve targeted prevention efforts aimed at reducing health inequalities.
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Affiliation(s)
- S Hoffmann
- Department of Public Health, Brandenburg University of Technology Cottbus-Senftenberg, Senftenberg, Germany
| | - L Sander
- Department of Public Health, Brandenburg University of Technology Cottbus-Senftenberg, Senftenberg, Germany
| | - M Blume
- Department of Epidemiology and Health Monitoring, Robert Koch-Institute, Berlin, Germany
| | - S Schneider
- Mannheim Institute of Public Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany
| | - M Herke
- Institute of Medical Sociology, Medical Faculty Martin-Luther-University Halle-Wittenberg, Halle-Wittenberg, Germany
| | - PM Fialho
- Institute of Medical Sociology, Centre for Health and Society, Medical Faculty, Heinrich Heine University Duesseldorf, Duesseldorf, Germany
| | - CR Pischke
- Institute of Medical Sociology, Centre for Health and Society, Medical Faculty, Heinrich Heine University Duesseldorf, Duesseldorf, Germany
| | - W Schüttig
- Chair of Health Economics, Technical University of Munich, Munich, Germany
| | - T Lampert
- Department of Epidemiology and Health Monitoring, Robert Koch-Institute, Berlin, Germany
| | - J Spallek
- Department of Public Health, Brandenburg University of Technology Cottbus-Senftenberg, Senftenberg, Germany
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14
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Heinrichs K, Abel T, Matos Fialho P, Pischke CR, Busse H, Wendt C, Stock C. Kritische Gesundheitskompetenz in einer Pandemie: Zusammenhänge mit Wissen, Risikowahrnehmung, Sorge und Einhaltung der Maßnahmen zum Gesundheitsschutz bei Studierenden. Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1732717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- K Heinrichs
- Institute of Health and Nursing Science, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin
| | - T Abel
- Institute of Social and Preventive Medicine, University of Bern
| | - P Matos Fialho
- Institute of Medical Sociology, Centre for Health and Society, Medical Faculty, Heinrich Heine University Düsseldorf
| | - CR Pischke
- Institute of Medical Sociology, Centre for Health and Society, Medical Faculty, Heinrich Heine University Düsseldorf
| | - H Busse
- Leibniz Institute for Prevention Research and Epidemiology – BIPS
| | - C Wendt
- Department Sociology of Health and Healthcare Systems, University Siegen
| | - C Stock
- Institute of Health and Nursing Science, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin
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15
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Pischke CR, Helmer SM, Pohlabeln H, Muellmann S, Schneider S, Reintjes R, Schmidt-Pokrzywniak A, Girbig M, Krämer A, Icks A, Walter U, Zeeb H. Effects of a Brief Web-Based "Social Norms"-Intervention on Alcohol, Tobacco and Cannabis Use Among German University Students: Results of a Cluster-Controlled Trial Conducted at Eight Universities. Front Public Health 2021; 9:659875. [PMID: 34055723 PMCID: PMC8160121 DOI: 10.3389/fpubh.2021.659875] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2021] [Accepted: 04/12/2021] [Indexed: 11/13/2022] Open
Abstract
Background and Aim: "Social norms" (SN)-interventions are aimed at changing existing misperceptions regarding peer substance use by providing feedback on actual norms, thereby affecting personal substance use. It is unknown whether SN-intervention effects previously demonstrated in US students can be replicated in German students. The aim of the INSIST-study was to examine the effects of a web-based SN-intervention on substance use. Design: Cluster-controlled trial. Setting: Eight Universities in Germany. Participants and Measurements: Students were recruited at four intervention vs. four delayed intervention control Universities. 4,463 students completed baseline, 1,255 students (59% female) completed both baseline and 5-months follow-up web-based surveys on personal and perceived peer substance use. Intervention participants received feedback contrasting personal and perceived peer use with previously assessed use and perceptions of same-sex, same-university peers. Intervention effects were assessed via multivariable mixed logistic regression models. Findings: Relative to controls, reception of SN-feedback was associated with higher odds for decreased alcohol use (OR: 1.91, 95% CI 1.42-2.56). This effect was most pronounced in students overestimating peer use at baseline and under or accurately estimating it at follow-up (OR: 6.28, 95% CI 2.00-19.8). The OR was 1.33 (95% CI 0.67-2.65) for decreased cannabis use in students at intervention Universities and was statistically significant at 1.70 (95% CI 1.13-2.55) when contrasting unchanged and decreased with increased use. Regarding tobacco use and episodes of drunkenness, no intervention effects were found. Conclusions: This study was the first cluster-controlled trial suggesting beneficial effects of web-based SN-intervention on alcohol and cannabis use in a large sample of German University students. Clinical Trial Registration: The trial registration number of the INSIST-study is DRKS00007635 at the "German Clinical Trials Register."
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Affiliation(s)
- C. R. Pischke
- Institute of Medical Sociology, Centre for Health and Society, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany
| | - S. M. Helmer
- Institute of Health and Nursing Science, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany
| | - H. Pohlabeln
- Department Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | - S. Muellmann
- Department Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | - S. Schneider
- Mannheim Institute of Public Health, Social and Preventive Medicine, Ruprecht-Karls-University Heidelberg, Mannheim, Germany
| | - R. Reintjes
- Department of Health Sciences, Hamburg University of Applied Sciences, Hamburg, Germany
| | | | - M. Girbig
- Institute and Policlinic of Occupational and Social Medicine, Technical University Dresden, Dresden, Germany
| | - A. Krämer
- Department of Health Sciences, Bielefeld University, Bielefeld, Germany
| | - A. Icks
- Institute for Health Services Research and Health Economics, Centre for Health and Society, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany
- Institute for Health Services Research and Health Economics, German Diabetes Center, Düsseldorf, Germany
| | - U. Walter
- Institute for Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School, Hanover, Germany
| | - H. Zeeb
- Department Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
- Faculty 11 Human and Health Sciences, University of Bremen, Health Sciences, Bremen, Germany
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16
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Wichmann F, Laging M, Müllmann S, Braun M, Ganz T, Pischke CR. Implementierungsbereitschaft bezüglich webbasierter Interventionen zur Prävention von riskantem studentischem Substanzkonsum an Hochschulen. Das Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1605810] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- F Wichmann
- Leibniz-Institut für Präventionsforschung und Epidemiologie – BIPS, Prävention und Evaluation, Bremen
| | | | - S Müllmann
- Leibniz-Institut für Präventionsforschung und Epidemiologie – BIPS, Prävention und Evaluation, Bremen
| | - M Braun
- Hochschule Esslingen, Esslingen
| | - T Ganz
- Hochschule Esslingen, Esslingen
| | - CR Pischke
- Leibniz-Institut für Präventionsforschung und Epidemiologie – BIPS, Prävention und Evaluation, Bremen
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Steenbock B, Pischke CR, Schönbach J, Pöttgen S, Brand T. [The effectiveness of primary prevention interventions promoting physical activity and healthy eating in preschool children: A review of reviews]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2016; 58:609-19. [PMID: 25475527 DOI: 10.1007/s00103-014-2100-7] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
BACKGROUND During their preschool years children establish nutritional and physical activity (PA) habits that may contribute to the development of overweight and obesity. OBJECTIVE To examine the evidence for effective interventions promoting healthy eating and PA in childcare settings. METHODS We searched PubMed, the Cochrane Library, and Campbell Collaboration for systematic reviews published between 2007 and 2014. Ten systematic reviews and three meta-analyses met the inclusion criteria, including a total of 22 intervention studies. Intervention studies were conducted in North America (N = 14), Europe (N = 5), Asia (N = 2), and Australia (N = 1). Half of these addressed ethnic minority groups or socially disadvantaged children. We extracted information about the effects regarding anthropometric measures, eating habits, and physical activity, as well as the characteristics of effective interventions, and summarized them narratively. RESULTS Evidence for intervention effects on anthropometric measurements was inconclusive. Seven out of nine studies showed beneficial effects on diet-related outcomes. Only isolated effects were reported on improvements in PA. Reviews indicated that interventions which comprised (1) the development of skills and competencies, (2) medium to high parental involvement, and (3) information on behavior-health links for parents were more effective. CONCLUSION Preschool-based interventions showed some early improvements in eating habits and PA. Evidence is limited by the small number of studies, a lack of methodological quality, and inconsistencies among outcome measures. Evidence regarding anthropometric measurements is still inconclusive.
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Affiliation(s)
- B Steenbock
- Abteilung Prävention und Evaluation, Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Achterstraße 30, 28359, Bremen, Deutschland,
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Muellmann S, Forberger S, Möllers T, Bröring E, Zeeb H, Pischke CR. EHealth interventions for the promotion of physical activity in older adults: a systematic review. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw165.023] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Roos G, Langøien LJ, Terragni L, Rugseth G, De Cocker K, Hayes C, Horodyska K, Luszczynska A, Muellmann S, Pischke CR. Factors facilitating policies promoting healthy eating: findings from DEDIPAC case studies in Norway. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw169.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Hayes CB, O’Shea MP, Horodyska K, Luszczynska A, Langøien LJ, Roos G, De Cocker K, Muellmann S, Pischke CR, De Bourdeaudhuij I. Conditions for Implementation of Diet and Physical Activity Interventions in Schools-A DEDIPAC study. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw169.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Muellmann S, Landgraf-Rauf K, Brand T, Zeeb H, Pischke CR. [Effectiveness of School-based Interventions for the Prevention and/or Reduction of Psychosocial Problems among Children and Adolescents: A Review of Reviews]. Gesundheitswesen 2016; 79:252-260. [PMID: 27351689 DOI: 10.1055/s-0042-108648] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Objective: To summarize the current evidence on the effectiveness of school-based interventions for the maintenance of mental health and the prevention of psychosocial problems among pupils. Methods: A systematic literature search of reviews published between 2007 and 2015 was carried out. Databases searched included Medline, PsycINFO, Campbell Library, Cochrane Library, NICE, ERIC, and Web of Science. Study selection, data extraction, and quality assessment (using AMSTAR criteria) were performed by 2 independent reviewers. Results: 6 reviews covering 331 primary studies were included in this review of reviews. Findings of three reviews with a focus on the maintenance and/or promotion of mental health and general well-being suggested that interventions aimed at changes in the social and the school environment were more effective than those that only targeted individual behavior change among pupils. Interventions for the reduction of mobbing/bullying were most effective if they comprised organizational changes at schools, such as playground and schoolyard supervision, and disciplinary measures. One review suggested strong evidence for the effectiveness of classroom management to reduce violent behavior among pupils. Conclusions: Participation in interventions promoting changes in the school environment, in addition to individual behavior change, appears to be associated with improved mental health among pupils and reductions in mobbing/bullying and violent behavior at schools.
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Affiliation(s)
- S Muellmann
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Bremen
| | - K Landgraf-Rauf
- Universitätskrankenhaus von Haunersches Kinderspital München, LMU München, München
| | - T Brand
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Bremen
| | - H Zeeb
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Bremen
| | - C R Pischke
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Bremen
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Helmer SM, Pischke CR, Zeeb H. Reduktion und Prävention des legalen und illegalen Substanzkonsums von Studierenden durch Teilnahme an ‚Soziale Normen‘-Interventionen: Erfahrungen und erste Ergebnisse einer internationalen Machbarkeitsstudie in 7 europäischen Ländern (SNIPE-Studie) und der in vier Regionen Deutschlands umgesetzten Nachfolgestudie (INSIST-Studie). Suchttherapie 2015. [DOI: 10.1055/s-0035-1557538] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Pöttgen S, Samkange-Zeeb F, Brand T, Steenbock B, Pischke CR. [Effectiveness of School-based Interventions to Prevent and/or Reduce Substance Use among Primary and Secondary School Pupils: A Review of Reviews]. Gesundheitswesen 2015; 78:230-6. [PMID: 25806506 DOI: 10.1055/s-0035-1547275] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
OBJECTIVE The aim of this study is to provide a current overview of the effectiveness of school-based interventions on prevention and/or reduction of substance use among children and adolescents aged 5-19 years. METHODS A systematic literature search was conducted in PubMed, Cochrane Library, Campbell Collaboration, NICE and ERIC. Systematic reviews and meta-analyses published between 2007 and 2013 were included in the analysis. 2 reviewers assessed the quality of the identified review articles and extracted the data. RESULTS 14 review articles of moderate to good quality fulfilled the a-priori defined inclusion criteria. Capacity-promoting interventions, e. g., those focusing on strengthening self-confidence and peer resistance, show promising evidence of effectiveness. Multi-component and multi-level interventions are more suitable for the prevention of alcohol and cannabis consumption. Findings on the prevention of tobacco consumption are inconsistent. The effectiveness of knowledge-based interventions is limited. The long-term effectiveness of smoke-free competitions cannot be conclusively evaluated as the findings are discrepant. CONCLUSIONS School-based interventions should include capacity-promoting components and should address further levels beyond the individual, for example, organisational changes of the school setting. Further research is needed, in particular on the effectiveness of multi-component and multi-level interventions for the prevention of tobacco consumption.
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Steenbock B, Pischke CR, Schoenbach J, Poettgen S, Brand T. The effectiveness of interventions promoting healthy eating and physical activity among preschool children. Eur J Public Health 2014. [DOI: 10.1093/eurpub/cku162.061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Landgraf-Rauf K, Poettgen S, Samkange-Zeeb F, Steenbock B, Brand T, Pischke CR. A review on the effectiveness of school-based programs aimed at reducing mobbing, aggressive behavior and psychological problems among children and adolescents. Eur J Public Health 2014. [DOI: 10.1093/eurpub/cku165.123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Helmer S, Mikolajczyk R, Pischke CR, Zeeb H, van Hal G, Vriesacker B, Dempsey R, Bewick BM, Akvardar Y, Guillen-Grima F, Orosova O, Salonna F, Kalina O, Stock C, McAlaney J. Personal and perceived peer use of alcohol among university and college students in seven European countries: the SNIPE study. Eur J Public Health 2013. [DOI: 10.1093/eurpub/ckt126.048] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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