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De Santis KK, Mergenthal L, Christianson L, Zeeb H. Health promotion and disease prevention with digital technologies for older people: Scoping review. Eur J Public Health 2022. [DOI: 10.1093/eurpub/ckac131.166] [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
In the aging world digital technologies are needed to target the health needs of older people. This study aimed to identify digital technologies for health promotion and disease prevention for older people by performing a scoping review.
Methods
A search of MEDLINE, PsycINFO, CINAHL and SCOPUS on 09.03.2022 identified 2150 studies. The inclusion criteria were: 1) Population: older people, 2) Concept: any digital health technology, 3) Context: health promotion and disease prevention in home or community settings. Preliminary study selection was performed automatically using the smart groups function in EndNote. Studies were clustered by digital technology type, health target, study design and study focus. Final study selection and data coding will be performed manually by two authors.
Results
Of the 2150 studies, 1874 studies were excluded, 159 studies met the inclusion criteria 1) and 2), but addressed different contexts (digital competence, digital technology development, disease management) or setting (care) and 117 studies were included. Digital technology types were: 1) any technologies (digital, virtual, video, eHealth or telehealth), 2) internet websites accessed via computer, 3) SMS or mobile phones, 4) exergaming or 5) smartphones or wearables. Health targets were: 1) physical activity, 2) mental health and wellness, 3) nutrition or 4) cognitive functioning. Study designs included primary studies (randomized-controlled trials) or reviews (systematic or scoping). Study focus was on effectiveness, feasibility or evaluation of digital technologies.
Conclusions
The health needs of older people are addressed by older technologies. Newer studies use heterogeneous terminology when referring to digital technologies. Future studies should focus on multiple aspects of healthy aging beyond mobility. More work is also needed to understand if and how a shift towards newer technologies occurs and if that is associated with health benefits in older people.
Key messages
• Older digital technologies (computers and mobile phones) address the health needs of older people.
• Mobility is the main health target of digital technologies for older people in the context of health promotion and disease prevention.
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Affiliation(s)
- KK De Santis
- Department of Prevention and Evaluation, Leibniz Institute BIPS , Bremen, Germany
- Leibniz-Science Campus Digital Public Health , Bremen, Germany
| | - L Mergenthal
- Department of Prevention and Evaluation, Leibniz Institute BIPS , Bremen, Germany
| | - L Christianson
- Department of Administration, Leibniz Institute BIPS , Bremen, Germany
| | - H Zeeb
- Department of Prevention and Evaluation, Leibniz Institute BIPS , Bremen, Germany
- Leibniz-Science Campus Digital Public Health , Bremen, Germany
- Faculty 11 Human and Health Sciences, University of Bremen , Bremen, Germany
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2
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Zeeb H, Schüz B, Pigeot I. Highlighting the ‘public ‘in digital public health – a critical reflection. Eur J Public Health 2022. [DOI: 10.1093/eurpub/ckac129.148] [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
What is the appropriate differentiation of digital public health versus digital health - or is there none? This is an essential question when pondering digitalisation and public health, especially with a view to the potential development of the field. Digital health seems to be a general term related to information and communication technology in health care. Putting a public health lens on this general descriptive term can be done by simply expanding it towards public health as a population science and practice field, rather than the narrow medical and health care arena. However, a more specific approach towards outlining similarities and differences will also focus on digital technologies and their challenges in the core areas of prevention and health promotion. Considering the leading public health functions, their relationship with digitalisation and their specific requirements towards digitalisation can be a valuable path to describe and discuss what digital public health is all about. We will also highlight where interfaces and interrelations with digital health need to be considered for research and practice. This contribution will aim to provide such a perspective.
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Affiliation(s)
- H Zeeb
- BIPS , Bremen, Germany
- Leibniz ScienceCampus Digital Public Health , Bremen, Germany
- EUPHA-DH
| | - B Schüz
- BIPS , Bremen, Germany
- Institute of Public Health and Nursing Research, University of Bremen , Bremen, Germany
| | - I Pigeot
- BIPS , Bremen, Germany
- Leibniz ScienceCampus Digital Public Health , Bremen, Germany
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3
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Forberger S, Khan Z, Ahmad F, Ahmed F, Frense J, Kampfmann T, Ullah S, Dogar O, Siddiqi K, Zeeb H. Scoping Review of Existing Evaluations of Smokeless Tobacco Control Policies: What Is Known About Countries Covered, Level of Jurisdictions, Target Groups Studied, and Instruments Evaluated? Nicotine Tob Res 2022; 24:1344-1354. [PMID: 35428887 DOI: 10.1093/ntr/ntac102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2020] [Revised: 03/17/2022] [Accepted: 04/12/2022] [Indexed: 11/13/2022]
Abstract
OBJECTIVE The implementation of smokeless tobacco control policies lags behind those for smoking. This scoping review summarizes the studies that evaluated public policies on smokeless tobacco regulation (SLT) and provides an overview of the jurisdictional level, target groups, and policy instruments. METHODS Seven databases were systematically searched for studies reporting on public policies regulating SLT. Two reviewers independently screened all studies. Data extraction was performed using a predefined extraction form. Extraction was replicated for 10% of the identified studies for quality assurance. A narrative synthesis of the included studies was used to analyze and interpret the data. The protocol was published beforehand with the Open Science Foundation (OSF). RESULTS Fourty articles comprising 41 studies were included. Most of the studies reported in the articles were conducted in the United States (n = 17) or India (n = 14). Most studies reported outcomes for students (n = 8), retailers/sellers (n = 8), and users/former users (n = 5). The impact of public policies on smokeless tobacco use, in general, was most frequently assessed (n = 9), followed by the impact of taxes (n = 7), product bans (n = 6), sales/advertising bans near educational institutions (n = 4), and health warnings (n = 3) on consumer behavior. CONCLUSIONS There are significant gaps in the evaluation of smokeless tobacco regulation studies that need to be filled by further research to understand the observed outcomes. WHO reporting on Framework Convention on Tobacco Control (FCTC) implementation should be linked to studies evaluating smokeless tobacco control measures at all levels of jurisdictions and in countries not members of the WHO FCTC or do not provide data. IMPLICATION Large gaps in the evaluation of SLT control policies exist. For some countries, WHO FCTC evaluations are available for different levels of jurisdictions. In countries with a strong federal structure, there is a lack of data beyond the national level to provide a more detailed look at compliance, indirect effects, or implementation gaps. More research is needed at all levels of jurisdictions, which add to the work of the WHO to understand what works for which target group, how the different levels of jurisdiction interact, how the real-world context can be incorporated, and what indirect effects may occur.
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Affiliation(s)
- Sarah Forberger
- Department Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Achterstrasse 30, 28359 Bremen, Germany
| | - Z Khan
- Office of Research, Innovation, and Commercialization (ORIC), Khyber Medical University, Phase 5 Hayatabad, Peshawar, Khyber Pakhtunkhwa, Pakistan
| | - F Ahmad
- Faculty Institute of Public Health & Social Sciences, Khyber Medical University, F1 Phase-6 Rd, Phase 5 Hayatabad, Peshawar, Khyber Pakhtunkhwa 25100, Pakistan
| | - F Ahmed
- Department Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Achterstrasse 30, 28359 Bremen, Germany
| | - J Frense
- Department Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Achterstrasse 30, 28359 Bremen, Germany
| | - T Kampfmann
- Institute for Ethics and Transdisciplinary Sustainability Research, Leuphana University Universitätsallee 1, 21335 Lüneburg, Germany
| | - S Ullah
- Office of Research Innovation and Commercialization, Khyber Medical University Peshawar; Phase 5 Hayatabad, Peshawar, Khyber Pakhtunkhwa, Pakistan
| | - O Dogar
- Department of Health Sciences, University of York, Heslington, York YO10 5DD, UK
- Usher Institute, The University of Edinburgh, Old College, South Bridge, Edinburgh EH8 9YLUK
| | - K Siddiqi
- Department of Health Sciences, University of York, Heslington, York YO10 5DD, UK
- Hull York Medical School, John Hughlings Jackson Building, University Rd, Heslington, York YO10 5DD, UK
| | - H Zeeb
- Department Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Achterstrasse 30, 28359 Bremen, Germany
- Health Sciences Bremen, University of Bremen, 28359 Bremen, Germany
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4
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Zeeb H. PRESENT – Koordination der Forschungsverbünde
für Primärprävention und
Gesundheitsförderung. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753966] [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: 12/12/2022]
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5
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Schubert M, Romero Starke K, Kaboth P, Hegewald J, Reusche M, Gerlach J, Friedemann D, Zülke A, Riedel-Heller SG, Zeeb H, Seidler A. BELÄSTIGUNG UND SCHLAFGESTÖRTHEIT DURCH
VERKEHRSLÄRM: EIN VERGLEICH MIT DEN
WHO-EXPOSITIONS-WIRKUNGSFUNKTIONEN. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753826] [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 Schubert
- Technische Universität Dresden Medizinische Fakultät,
Institut und Poliklinik für Arbeits- und Sozialmedizin, Dresden,
Deutschland
| | - K Romero Starke
- Technische Universität Dresden Medizinische Fakultät,
Institut und Poliklinik für Arbeits- und Sozialmedizin, Dresden,
Deutschland
| | - P Kaboth
- Technische Universität Dresden Medizinische Fakultät,
Institut und Poliklinik für Arbeits- und Sozialmedizin, Dresden,
Deutschland
| | - J Hegewald
- Technische Universität Dresden Medizinische Fakultät,
Institut und Poliklinik für Arbeits- und Sozialmedizin, Dresden,
Deutschland
- Bundesanstalt für Arbeitsschutz und Arbeitsmedizin,
Prävention arbeitsbedingter Erkrankungen, Berlin,
Deutschland
| | - M Reusche
- Universität Leipzig, Medizinische Fakultät, Institut
für Medizininformatik, Biometrie und Epidemiologie, Leipzig,
Deutschland
| | - J Gerlach
- Technische Universität Dresden, Institut für
Verkehrsplanung und Straßenverkehr, Professur für
Verkehrsökologie, Dresden, Deutschland
| | | | - A Zülke
- Universität Leipzig, Medizinische Fakultät, Institut
für Arbeits-, Sozial- und Umweltmedizin, Leipzig,
Deutschland
| | - SG Riedel-Heller
- Universität Leipzig, Medizinische Fakultät, Institut
für Arbeits-, Sozial- und Umweltmedizin, Leipzig,
Deutschland
| | - H Zeeb
- Leibniz-Institut für Präventionsforschung und
Epidemiologie – BIPS GmbH, Abteilung Prävention und Evaluation,
Bremen, Deutschland
| | - A Seidler
- Technische Universität Dresden Medizinische Fakultät,
Institut und Poliklinik für Arbeits- und Sozialmedizin, Dresden,
Deutschland
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6
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Kühne L, Brüssermann S, De Santis KK, Jäckle S, Grimm S, Ha TH, Zeeb H. EsteR – Decision support for German health departments by
risk modelling in order to contain the COVID-19 pandemic. A rapid living
review. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753829] [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)
- L Kühne
- Leibniz Institute for Prevention Research and Epidemiology –
BIPS, Prevention and Evaluation, Bremen, Deutschland
- Leibniz Science Campus Digital Public Health Bremen, Bremen,
Deutschland
| | - S Brüssermann
- Leibniz Institute for Prevention Research and Epidemiology –
BIPS, Prevention and Evaluation, Bremen, Deutschland
| | - KK De Santis
- Leibniz Institute for Prevention Research and Epidemiology –
BIPS, Prevention and Evaluation, Bremen, Deutschland
- Leibniz Science Campus Digital Public Health Bremen, Bremen,
Deutschland
| | - S Jäckle
- Fraunhofer Institute for Digital Medicine MEVIS,
Bremen/Lübeck, Deutschland
| | - S Grimm
- Fraunhofer Institute for Industrial Mathematics ITWM, Kaiserslautern,
Deutschland
| | - T-H Ha
- Fraunhofer Institute for Digital Medicine MEVIS,
Bremen/Lübeck, Deutschland
| | - H Zeeb
- Leibniz Institute for Prevention Research and Epidemiology –
BIPS, Prevention and Evaluation, Bremen, Deutschland
- Leibniz Science Campus Digital Public Health Bremen, Bremen,
Deutschland
- University of Bremen, Faculty of Human and Health Sciences, Public
Health, Bremen, Deutschland
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7
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Potzauf M, Zeeb H. Association Between Childhood Verbal Abuse and Health Outcomes: A
Systematic Review. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753778] [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 Potzauf
- University of Bremen, Bremen, Deutschland
| | - H Zeeb
- Leibniz Institute for Prevention Research and Epidemiology –
BIPS, Prevention and Evaluation, Bremen, Deutschland
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8
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Hoenemann S, Altenhöner T, Zeeb H. Soziale Integration und gesundheitsbezogene Lebensqualität
– eine qualitative Analyse der Folgen von Diskriminierung bei in
Deutschland lebenden türkeistämmigen Frauen. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753615] [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)
- S Hoenemann
- Fachhochschule Bielefeld, Fachbereich Sozialwesen, Bielefeld,
Deutschland
| | - T Altenhöner
- Fachhochschule Bielefeld, Fachbereich Sozialwesen, Bielefeld,
Deutschland
| | - H Zeeb
- Leibniz-Institut für Präventionsforschung und
Epidemiologie – BIPS, Bremen, Deutschland
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9
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Zeeb H, Brand T. Digitalisation and social inclusion in health care – lessons
learned from the Covid-19 pandemic. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753877] [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: 12/12/2022]
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10
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De Santis KK, Zeeb H, Matthias K. Factors associated with the interest in smartphone apps for health
promotion and disease prevention: Results from a cross-sectional, nationwide
survey in Germany. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753679] [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)
- KK De Santis
- Leibniz Institute for Prevention Research and Epidemiology- BIPS,
Department of Prevention and Evaluation, Bremen, Deutschland
- Leibniz Science Campus Digital Public Health Bremen, Bremen,
Deutschland
| | - H Zeeb
- Leibniz Institute for Prevention Research and Epidemiology- BIPS,
Department of Prevention and Evaluation, Bremen, Deutschland
- Leibniz Science Campus Digital Public Health Bremen, Bremen,
Deutschland
- University of Bremen, Faculty 11 Human and Health Sciences, Bremen,
Deutschland
| | - K Matthias
- University of Applied Science Stralsund, Faculty of Electrical
Engineering and Computer Science, Stralsund, Deutschland
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11
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Brand T, Wiersing R, Zeeb H. Leibniz Living Lab – Gesundheitswerkstatt Osterholz –
Ein Reallabor zum Wissenstransfer zwischen Wissenschaft, Praxis und
Bevölkerung. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753991] [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: 12/12/2022]
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12
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Van de Velde S, Buffel V, van der Heijde C, Çoksan S, Bracke P, Abel T, Busse H, Zeeb H, Rabiee-khan F, Stathopoulou T, Van Hal G, Ladner J, Tavolacci M, Tholen R, Wouters E. Depressive symptoms in higher education students during the first wave of the COVID-19 pandemic. An examination of the association with various social risk factors across multiple high- and middle-income countries. SSM Popul Health 2021; 16:100936. [PMID: 34611543 PMCID: PMC8484180 DOI: 10.1016/j.ssmph.2021.100936] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Revised: 09/10/2021] [Accepted: 09/29/2021] [Indexed: 01/21/2023] Open
Abstract
Higher-education students face substantial risks for developing depressive symptoms during the COVID-19 pandemic or experiencing exacerbated pre-existing depressive symptoms. This study uses data from the COVID-19 International Student Well-Being Study, which collected data through a non-representative convenience sample in 125 higher-education institutions (HEI) across 26 high- and middle-income countries (N: 20,103) during the first wave of the COVID-19 pandemic. It describes the prevalence of depressive symptoms in higher-education students. We find substantial cross-national variation in depressive symptoms, with lowest mean levels established in the Nordic countries and France, while highest mean levels of depressive symptoms were found in Turkey, South Africa, Spain and the USA. Elevated risk for depressive symptoms was found in female students, students with fewer social support resources and in a more disadvantaged socioeconomic position, and students with a migrant background. COVID-19 related stressors, such as reduced social contact, increased financial insecurity, and academic stress explained a relatively larger proportion of the variance in depressive symptoms compared to non-COVID-19 related stressors. This finding shows that not the pandemic itself, but rather the secondary effects of the pandemic relate to students' mental health. Our results enable HEIs to be better equipped to target groups that are particularly at risk during a pandemic.
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Affiliation(s)
- S. Van de Velde
- Centre for Population, Family and Health, Department of Sociology, University of Antwerp, Sint-Jacobsstraat 2-4, 2000, Antwerpen, Belgium
| | - V. Buffel
- Centre for Population, Family and Health, Department of Sociology, University of Antwerp, Sint-Jacobsstraat 2-4, 2000, Antwerpen, Belgium
| | | | - S. Çoksan
- Department of Psychology, Middle East Technical University, Üniversiteler Mahallesi, Dumlupınar Bulvarı No:1, 06800, Çankaya/Ankara, Turkey
| | - P. Bracke
- Health & Demographic Research, Department of Sociology, Ghent University, Korte Meer 5, 9000, Gent, Belgium
| | - T. Abel
- Institute of Social and Preventive Medicine, Faculty of Medicine, Universität Bern, Mittelstrasse 43, 3012, Bern, Switzerland
| | - H. Busse
- Leibniz Institute for Prevention Research and Epidemiology – BIPS, Achterstraße 30, 28359, Bremen, Germany
| | - H. Zeeb
- Leibniz Institute for Prevention Research and Epidemiology – BIPS, Achterstraße 30, 28359, Bremen, Germany
- Health Sciences Bremen, University of Bremen, Bibliotheksstr, 1, 28359 Bremen, Germany
| | - F. Rabiee-khan
- School of Health Sciences, Faculty of Health, Education & Life Sciences, Birmingham City University, Westbourne Road, Birmingham, B15 3TN, UK
| | - T. Stathopoulou
- National Centre for Social Research, 9 Kratinou & Athinas St., 10552, Athens, Greece
| | - G. Van Hal
- Department of Social Epidemiology and Health Policy, University of Antwerp, Universiteitsplein 1, 2610, Wilrijk, Belgium
| | - J. Ladner
- Clinical Investigation Center, CHU Rouen, U 1073, Normandie University, F 76000 Rouen, France
| | - M. Tavolacci
- Clinical Investigation Center, CHU Rouen, U 1073, Normandie University, F 76000 Rouen, France
| | - R. Tholen
- Centre for Population, Family and Health, Department of Sociology, University of Antwerp, Sint-Jacobsstraat 2-4, 2000, Antwerpen, Belgium
| | - E. Wouters
- Centre for Population, Family and Health, Department of Sociology, University of Antwerp, Sint-Jacobsstraat 2-4, 2000, Antwerpen, Belgium
| | - for the C19 ISWS consortium
- Centre for Population, Family and Health, Department of Sociology, University of Antwerp, Sint-Jacobsstraat 2-4, 2000, Antwerpen, Belgium
- Student Health Services, University of Amsterdam, the Netherlands
- Department of Psychology, Middle East Technical University, Üniversiteler Mahallesi, Dumlupınar Bulvarı No:1, 06800, Çankaya/Ankara, Turkey
- Health & Demographic Research, Department of Sociology, Ghent University, Korte Meer 5, 9000, Gent, Belgium
- Institute of Social and Preventive Medicine, Faculty of Medicine, Universität Bern, Mittelstrasse 43, 3012, Bern, Switzerland
- Leibniz Institute for Prevention Research and Epidemiology – BIPS, Achterstraße 30, 28359, Bremen, Germany
- School of Health Sciences, Faculty of Health, Education & Life Sciences, Birmingham City University, Westbourne Road, Birmingham, B15 3TN, UK
- National Centre for Social Research, 9 Kratinou & Athinas St., 10552, Athens, Greece
- Department of Social Epidemiology and Health Policy, University of Antwerp, Universiteitsplein 1, 2610, Wilrijk, Belgium
- Clinical Investigation Center, CHU Rouen, U 1073, Normandie University, F 76000 Rouen, France
- Health Sciences Bremen, University of Bremen, Bibliotheksstr, 1, 28359 Bremen, Germany
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13
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Zeeb H, Pohlabeln H, Preising A, Schulz B, Naczinsky A, Dortmann O, Kolpatzik K. Digital Health Literacy – results of a representative survey among adults in Germany. Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab164.505] [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
Whereas the concept of health literacy has already found its place in Public Health, this is less the case for digital health literacy (DiHL). To investigate the distribution of digital health literacy in the German adult population, we used a definition encompassing individual, social and technical competencies and resources to search, find, understand, apply and evaluate digital health information. We conducted a representative survey including 8.500 persons aged 18-75 years, based on an online access panel. All participants filled a questionnaire which covered the seven domains of the Digital Health Literacy Instrument (DHLI). Demographic information for participants was available through existing panel data. Optimal cut points to categorize digital health literacy were developed via regression modelling. Data were analysed using descriptive statistics and logistic regression modelling, comparing the two lower categories of DIHL against high/very high DiHL. Results are presented via odds ratios and 95% confidence intervals. Overall, 52.4% of respondents were categorized as having low or moderate DiHL (W: 51.2%; M: 53.7%). There were few differences according to age group and migration status. Those with higher educational attainment also scored higher in terms of DiHL. Operative competencies were generally rated high, whereas the evaluation of reliability of content scored lowest. In the regression analysis, the adjusted odds ratio (OR) for limited DiHL was 2.01 (95%CI 1.51;2.67) among those with poor or very poor self-reported health. Digital health literacy addresses a complex set of competencies and resources. More than half of the adult German population report a limited digital health literacy according to this nationwide survey. Impaired health is associated with low digital health literacy, and many have difficulties assessing the reliability of digital content. This is troublesome as more and more health-related information becomes digitalized.
Key messages
More than half of the German adult population reports limited digital health literacy. Poor health status was found to be associated with low digital health literacy.
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Affiliation(s)
- H Zeeb
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
- Health Sciences Bremen, Bremen, Germany
| | - H Pohlabeln
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | - A Preising
- AOK Rheinland Hamburg, Düsseldorf, Germany
| | - B Schulz
- AOK Rheinland Hamburg, Düsseldorf, Germany
| | | | - O Dortmann
- AOK Rheinland Hamburg, Düsseldorf, Germany
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14
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De Santis KK, Jahnel T, Sina E, Wienert J, Zeeb H. Digital health literacy and COVID-19 pandemic: Results of a nationwide survey in Germany. Eur J Public Health 2021. [PMCID: PMC8574833 DOI: 10.1093/eurpub/ckab164.274] [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: 11/15/2022] Open
Abstract
Background Digital health literacy is important for interpreting information and making health decisions in an increasingly digitised world. We investigated the perceived digital health literacy and the attitudes towards digital information on the COVID-19 pandemic using a nationwide survey. Methods We conducted a cross-sectional, computer-assisted telephone survey in October 2020 using a panel sample of Internet users selected from the general population living in Germany. Responses on items regarding the COVID-19 pandemic and the eHealth Literacy Scale (eHEALS; total sum score of 8=minimum to 40=maximum perceived digital health literacy) were analysed using descriptive statistics and a linear regression analysis. Results Of the 1014 Internet users, 928 (92%) completed the eHEALS. The respondents were 52% female, aged 14-93 years (mean±SD of 55±17 years), 66% with up to secondary education and 45% with up to average household income. The responses on eHEALS were consistent (Cronbach's α=.88). While the perceived digital health literacy was high (mean±SD eHEALS score of 31±6), less than half of respondents (43%) were confident in using digital information for health decisions. Higher digital health literacy was associated with younger age (β=-.22, p<.001), higher household income (β=.21, p<.001) and more education (β=.14, p<.001). About half of respondents (52%) reported that they sometimes or often come across inaccurate digital information on the COVID-19 pandemic. The majority (78%) were confident in their ability to recognise inaccurate digital information on the COVID-19 pandemic and 43% installed the contact-tracing app. Discussion Internet users in Germany report high perceived digital health literacy but low confidence in making health decisions and low trust in digital information on the COVID-19 pandemic. Factors contributing to such low confidence in the general population need to be investigated. Key messages Despite high digital health literacy, the confidence in making health decisions is low in the general public. The trust in digital information on the COVID-19 pandemic is low.
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Affiliation(s)
- KK De Santis
- Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
- Digital Public Health Bremen, Leibniz Science Campus, Bremen, Germany
| | - T Jahnel
- Public Health, University of Bremen, Bremen, Germany
- Digital Public Health Bremen, Leibniz Science Campus, Bremen, Germany
| | - E Sina
- Epidemiological Methods and Etiological Research, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
- Digital Public Health Bremen, Leibniz Science Campus, Bremen, Germany
| | - J Wienert
- Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
- Digital Public Health Bremen, Leibniz Science Campus, Bremen, Germany
- Health Psychology, IUBH University of Applied Sciences, Bad Reichenhal, Germany
| | - H Zeeb
- Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
- Digital Public Health Bremen, Leibniz Science Campus, Bremen, Germany
- Public Health, University of Bremen, Bremen, Germany
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Döhla C, Dierkes J, Zeeb H. Data Stewardship. A new health profession for findable, accessible, interoperable and re-usable data. Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab165.172] [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
Issue
In longstanding tradition of Public Health exists a tension between different stakeholders. Consensus about policies and practices is required to cope with the challenging transformation that results from digitalisation. For health systems, this means a new ‘way of digital thinking', especially in research data management (RDM). In Germany, NFDI4Health, an upcoming national research data infrastructure has the potential to shape this process. Its aim is making personal and health-related research data more findable, accessible, interoperable, and re-usable (FAIR). This vision is inspired by the German Council for Scientific Information Infrastructures.
Description of the problem
Health-related research data are sensitive and related to several legal restrictions. Therefore, it is particularly necessary to accompany these ‘living data bodies' during their entire life cycle. Due to various opt-in or opt-out models, access and re-use may change during and after the studies. This could only be circumvented by an unlimited, irrevocable and non-purposive approval by the data donor. The consequence is a tension between individual needs and the requirements of research.
Results
“Data Stewards” (DS) operate within a Task Area of NFDI4Health. In this context, they act as ‘agents of change' and as ‘boundary spanners' in a complex intervention; they tare individual and societal, legal and technical aspects in the field of research. A preliminary success of NFDI4Health is the integration of a DS in selected projects of a centre for clinical trials. The first milestones were to sensitize the study directors to the benefits of this intervention and to formally involve the DS.
Lessons
The concept of DS embedded in NFDI4Health is innovative and could serve as a model for Public Health worldwide. Clinical trials require tailored RDM, which can be provided by DS. They have the potential to integrate individual and social aspects to make “health-related big data” FAIR.
Key messages
Data Stewardship is an up-coming supporting profession for Public Health, which can help to create a “Big Picture” for more health in all policies. Data Stewardship is facing the task to handle health-related big data and to guide researchers in this field to adapt their techno-ethical work practices in the context of the digital transformation.
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Affiliation(s)
- C Döhla
- Research and Publication Support, University of Cologne, Cologne, Germany
| | - J Dierkes
- Research and Publication Support, University of Cologne, Cologne, Germany
| | - H Zeeb
- Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS GmbH, Bremen, Germany
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16
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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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17
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Samkange-Zeeb F, Singh H, Lakeberg M, Kolschen J, Schüz B, Zeeb H, Christianson L, De Santis K, Brand T. Health literacy needs among unemployed adults: Triangulating interview and scoping review data. Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab164.368] [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
Disadvantaged populations, including unemployed adults, often exhibit low levels of health literacy. Exploring subjectively perceived health literacy needs in these populations can serve as an entry point for participatory intervention development. We aimed to assess health literacy needs of unemployed adults by triangulating qualitative interviews data and a scoping review. Using a parallel approach, we combined results of an interview study with 10 participants of a job-reintegration program in Germany and a scoping review. The interviews, conducted in early 2021, focused on health topics of interest to the participants and their sources of health-related information. Data were analysed using thematic analysis. For the scoping review, we searched MEDLINE, CINAHL, PsycInfo and SCOPUS up to January 2021 for studies containing “unemployed” AND “health literacy” in titles/abstracts. Study selection and data extraction were done independently by two researchers. Nutrition and physical activity emerged as core themes during the interviews, with some participants referring to the importance of both for mental health. Doctors and the institution running the job-reintegration program were the sources of health-related information often mentioned. The Corona pandemic was reported to have limited physical activity and affected psycho-social well-being. Five out of 2696 studies were included in the review. Four focused on mental health literacy, the fifth assessed information seeking practices in unemployed adults. The qualitative analysis revealed that health literacy needs of unemployed adults go beyond mental health literacy. As nutrition and physical activity impact mental health, interventions targeting such topics might also improve mental health literacy in unemployed adults. Study findings will be discussed with unemployed persons and social workers in co-production workshops that aim to identify and prioritize health literacy needs for intervention development.
Key messages
Health literacy programs for unemployed adults should target nutrition and physical activity. Workforce re-integration programs play a pivotal role in improving health literacy of unemployed adults.
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Affiliation(s)
- F Samkange-Zeeb
- Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | - H Singh
- Institute of Public Health and Nursing Research, University of Bremen, Bremen, Germany
| | - M Lakeberg
- Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | - J Kolschen
- Institute of Public Health and Nursing Research, University of Bremen, Bremen, Germany
| | - B Schüz
- Institute of Public Health and Nursing Research, University of Bremen, Bremen, Germany
| | - H Zeeb
- Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
- Health Sciences Bremen, University of Bremen, Bremen, Germany
| | - L Christianson
- Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | - K De Santis
- Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | - T Brand
- Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
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18
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Forberger S, Zeeb H. AEQUIPA – Physical Activity And Health EQUITY: Primary Prevention For Healthy Aging. Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1732106] [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)
- S Forberger
- Leibniz-Institut für Präventionsforschung und Epidemiologie – BIPS
| | - H Zeeb
- Leibniz-Institut für Präventionsforschung und Epidemiologie – BIPS
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19
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Hoenemann S, Köhler M, Kleindienst-Cachay C, Zeeb H, Altenhoener T. Migration und Vereinssport – Ungleichheiten in der Teilhabe von Jugendlichen mit Migrationshintergrund am organisierten Sport. Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1732129] [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)
| | | | | | - H Zeeb
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS
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20
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Jilani H, Busse H, von Atens-Kahlenberg W, Bücking B, Brandes M, Zeeb H. Welche Rolle spielen Eltern und Kita für die Förderung gesunder Ernährung bei Kindern? Ergebnisse einer qualitativen Interviewstudie mit Erzieherinnen. Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1732213] [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)
- H Jilani
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS
- Institut für Public Health und Pflegeforschung – IPP, Universität Bremen
| | - H Busse
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS
| | | | - B Bücking
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS
| | - M Brandes
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS
| | - H Zeeb
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS
- Wissenschaftsschwerpunkt Bremen Gesundheitswissenschaften, Universität Bremen
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21
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Müllmann S, Ubert T, Gansefort D, Zeeb H, Brand T. Kommunales Capacity Building zur Bewegungsförderung im Alter mittels kooperativer Planung: Ergebnisse aus dem Projekt Ready to Change. Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1732738] [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)
- S Müllmann
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS
| | - T Ubert
- Gesundheitswirtschaft Nordwest e.V
| | - D Gansefort
- Landesvereinigung für Gesundheit und Akademie für Sozialmedizin e.V
| | - H Zeeb
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS
| | - T Brand
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS
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22
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Girbig M, Freiberg A, Zeiser M, Schefter C, Zeeb H, Seidler A. Bestandsaufnahme zur Forschung im Bereich lebensweltbezogener Prävention und Gesundheitsförderung in Deutschland. Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1732115] [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)
- M Girbig
- Institut und Poliklinik für Arbeits- und Sozialmedizin, Medizinische Fakultät, TU Dresden
| | - A Freiberg
- Institut und Poliklinik für Arbeits- und Sozialmedizin, Medizinische Fakultät, TU Dresden
| | - M Zeiser
- Institut und Poliklinik für Arbeits- und Sozialmedizin, Medizinische Fakultät, TU Dresden
| | - C Schefter
- Institut und Poliklinik für Arbeits- und Sozialmedizin, Medizinische Fakultät, TU Dresden
| | - H Zeeb
- Leibniz-Institut für Präventionsforschung und Epidemiologie, BIPS GmbH
| | - A Seidler
- Institut und Poliklinik für Arbeits- und Sozialmedizin, Medizinische Fakultät, TU Dresden
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23
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Wichmann F, Budde S, Busse H, Brandes M, Müllmann S, Peters M, Pischke C, Zeeb H. Eine Online-Plattform zur Unterstützung der Evaluation von Präventionsprojekten - www.devacheck.de. Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1732205] [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)
- F Wichmann
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS
| | - S Budde
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS
| | - H Busse
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS
| | - M Brandes
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS
| | - S Müllmann
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS
| | - M Peters
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS
- Wissenschaftsschwerpunkt Gesundheitswissenschaften, Universität Bremen
| | - C Pischke
- Institut für Medizinische Soziologie, Centre for Health and Society, Medizinische Fakultät, Heinrich-Heine-Universität Düsseldorf
| | - H Zeeb
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS
- Wissenschaftsschwerpunkt Gesundheitswissenschaften, Universität Bremen
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24
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De Santis KK, Jahnel T, Sina E, Wienert J, Zeeb H. Digitalisierung und Gesundheit: Ergebnisse einer bundesweiten Befragung in Deutschland. Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1732097] [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)
- KK De Santis
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS
- Leibniz Science Campus Digital Public Health Bremen
| | - T Jahnel
- Leibniz Science Campus Digital Public Health Bremen
- Universität Bremen
| | - E Sina
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS
- Leibniz Science Campus Digital Public Health Bremen
| | - J Wienert
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS
- Leibniz Science Campus Digital Public Health Bremen
- IUBH Internationale Hochschule Campus Bad Reichenhall
| | - H Zeeb
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS
- Leibniz Science Campus Digital Public Health Bremen
- Universität Bremen
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25
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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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26
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Forberger S, Reisch L, Kampfmann T, Zeeb H. Nudging to move: a scoping review of the use of choice architecture interventions to promote physical activity in the general population. Int J Behav Nutr Phys Act 2019; 16:77. [PMID: 31481090 PMCID: PMC6724306 DOI: 10.1186/s12966-019-0844-z] [Citation(s) in RCA: 38] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2019] [Accepted: 08/23/2019] [Indexed: 11/10/2022] Open
Abstract
Background Nudges are used to alter lifestyles and thus curb the rise of non-communicable diseases. Physical activity is a core prevention strategy to reduce the burden of non-communicable diseases. This paper aims to (1) give an overview of the scope of interventions using choice architecture techniques to promote physical activity at the population levels and (2) identify research gaps by analysing the different approaches in terms of class and type of intervention used. Methods A systematic electronic database search was combined with snowball citation sampling of a starter set of publications to search for studies published through October 2018 reporting interventions to promote physical activity at the population level using choice architecture techniques. The methodology of the Joanna Briggs Institute for Scoping Reviews was applied. Results In all, 35 publications were included. Most of the interventions used point-of-choice prompts tested at railway stations, shopping malls and airports (N = 27). Eight studies were online studies. While all studies were aimed at the general population, details, if reported at all, were vague and basic. All studies focused on individual-level lifestyle behaviour. None of the studies attempted to alter population-based lifestyle behaviour. Online and “real-world” approaches were rarely combined. Neither, interventions targeting meso- and macro-level structures nor combinations of individual-level and specific meso- or macro-level interventions were found. Conclusion Nudging is in principle an effective approach to promote physical activity within the general population. However, there are large gaps in research. Available opportunities have not yet been exhausted. Further research is needed that is explicitly based on behavioural insights and covering the full range of nudging approaches, particularly focussing on theoretical developments, practical feasibility tests and scale-up activities. Electronic supplementary material The online version of this article (10.1186/s12966-019-0844-z) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- S Forberger
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Achterstraße 30, 28359, Bremen, Germany.
| | - L Reisch
- Leibniz-Chair, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Achterstraße 30, 28359, Bremen, Germany.,Copenhagen Business School, MSC, Dalgas Have 15, 2000, Frederiksberg, Denmark
| | - T Kampfmann
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Achterstraße 30, 28359, Bremen, Germany
| | - H Zeeb
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Achterstraße 30, 28359, Bremen, Germany.,Health Sciences Bremen, University of Bremen, Bremen, Germany
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27
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Plaß D, Tobollik M, Devleesschauwer B, Grill E, Hoffmann B, Hurraß J, Künzli N, Peters A, Rothenbacher D, Schneider A, Wichmann HE, Wintermeyer D, Wolf J, Zeeb H, Straff W. Kritik an Population Attributable Fraction bei genauerem Hinsehen nicht gerechtfertigt. Gesundheitswesen 2019; 81:444-447. [DOI: 10.1055/a-0915-1215] [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: 10/26/2022]
Affiliation(s)
- D Plaß
- Umweltbundesamt, Abteilung Umwelthygiene, Berlin
| | - M Tobollik
- Umweltbundesamt, Abteilung Umwelthygiene, Berlin
| | - B Devleesschauwer
- Sciensano, Abteilung für Epidemiologie und Public Health, (Belgisches Institut für Gesundheit), Brüssel, Belgien
| | - E Grill
- Institut für Medizinische Informationsverarbeitung Biometrie und Epidemiologie (IBE), Ludwig-Maximilians Universität München, München
| | - B Hoffmann
- Institut für Arbeits-, Sozial- und Umweltmedizin, Medizinische Fakultät, Universität Düsseldorf, Düsseldorf
| | - J Hurraß
- Umweltbundesamt, Abteilung Umwelthygiene, Berlin
| | - N Künzli
- Schweizerisches Tropen- und Public Health-Institut, Basel, Schweiz
| | - A Peters
- Institut für Epidemiologie, Helmholtz Zentrum München und Institut für Medizinische Informationsverarbeitung Biometrie und Epidemiologie (IBE), Ludwig-Maximilians Universität München, München
| | - D Rothenbacher
- Institut für Epidemiologie und Medizinische Biometrie, Universität Ulm, Ulm
| | - A Schneider
- Institut für Epidemiologie, Helmholtz Zentrum München, München
| | - H E Wichmann
- ehemals Institut für Epidemiologie, Helmholtz Zentrum München, München und Lehrstuhl für Epidemiologie, LMU München
| | | | - J Wolf
- Unabhängige Beraterin (Derzeit Weltgesundheitsorganisation, Genf, Schweiz)
| | - H Zeeb
- Abteilung Prävention und Evaluation, Leibniz-Institut für Präventionsforschung und Epidemiologie – BIPS, Bremen
| | - W Straff
- Umweltbundesamt, Abteilung Umwelthygiene, Berlin
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28
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Czwikla J, Gansefort D, Brand T, Zeeb H, Rothgang H. Teilnahmeeffekte und Kosten von Capacity Building im Kontext eines individuellen Bewegungsprogramms für ältere Menschen. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1667779] [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: 10/28/2022]
Affiliation(s)
- J Czwikla
- Universität Bremen, SOCIUM Forschungszentrum Ungleichheit und Sozialpolitik, Bremen, Deutschland
| | - D Gansefort
- Leibniz-Institut für Präventionsforschung und Epidemiologie – BIPS, Bremen, Deutschland
| | - T Brand
- Leibniz-Institut für Präventionsforschung und Epidemiologie – BIPS, Bremen, Deutschland
| | - H Zeeb
- Leibniz-Institut für Präventionsforschung und Epidemiologie – BIPS, Bremen, Deutschland
| | - H Rothgang
- Universität Bremen, SOCIUM Forschungszentrum Ungleichheit und Sozialpolitik, Bremen, Deutschland
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29
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Dreger S, Wollschlaeger D, Schafft T, Hammer G, Blettner M, Zeeb H. Mortality from cancer and other causes in German Airline Crew: Results from a third follow-up study using dose registry date, 1960–2014. Rev Epidemiol Sante Publique 2018. [DOI: 10.1016/j.respe.2018.05.182] [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: 10/28/2022] Open
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30
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Brand T, Samkange-Zeeb F, Knecht M, Bradby H, Padilla B, Pemberton S, Phillimore J, Zeeb H. 5.2-O7Unmet needs for healthcare in superdiverse neighbourhoods: results from the UPWEB study. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky047.169] [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: 11/12/2022] Open
Affiliation(s)
- T Brand
- Leibniz Institute for Prevention Research and Epidemiology, Germany
| | - F Samkange-Zeeb
- Leibniz Institute for Prevention Research and Epidemiology, Germany
| | | | | | - B Padilla
- ISCTE - Instituto Universitário de Lisboa, Portugal
| | | | | | - H Zeeb
- Leibniz Institute for Prevention Research and Epidemiology, Germany
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31
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Zeeb H, Phillimore J, Knecht M, Padilla B, Bradby H, Pemberton S, Brand T. 2.5-O3Transnational healthcare usage in superdiverse neighbourhoods: survey results from European countries. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky047.072] [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: 11/14/2022] Open
Affiliation(s)
- H Zeeb
- Leibniz-Institute for Prevention Research and Epidemiology - BIPS, Germany
| | - J Phillimore
- University of Birmingham, Institute for Superdiversity, United Kingdom
| | - M Knecht
- University of Bremen, Department of Anthropology and Cultural Research, Germany
| | | | | | | | - T Brand
- Leibniz-Institute for Prevention Research and Epidemiology - BIPS, Germany
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32
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Jäckel D, Schlothauer NI, Zeeb H, Wagner G, Sachse MM. [Skin cancer screening and treatment costs : Utilisation of the skin cancer screening and skin cancer treatment costs in organ transplant recipients]. Hautarzt 2018; 69:570-575. [PMID: 29651516 DOI: 10.1007/s00105-018-4159-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
BACKGROUND Organ transplant recipients have an up to 250-times higher risk to develop skin cancer. This article evaluated the utilisation of skin cancer screening and the treatment costs for skin cancer in organ transplant recipients. Patients of the health insurance AOK Bremen/Bremerhaven had been identified and the need for skin cancer prevention trainings was derived. METHODS The number of organ transplant recipients (ICD code Z94.0-4) with and without any history of skin cancer (ICD code C43/C44), the utilisation of dermatologic health care services, and the costs for treatments with the diagnosis Z94.0-4 with and without C43/C44 were evaluated. The analyses were carried out for the period from 2009-2014 by using the accounting systems of the AOK. RESULTS Between 2009 and 2014, 231 organ transplant recipients had been recorded. By mid-2014, 20% of these insured persons developed skin cancer and the mean incidence was 2.76% per year. On average, 43% of these patients were seen by a dermatologist at least once a year, whereby only 15% of the organ transplant recipients participated in the annual skin cancer screening. In 29% of the patients without any history of skin cancer, a skin examination was never performed by a dermatologist or a general practitioner. In all, 17 inpatient cases of organ transplant recipients with the primary diagnosis C43/C44 were analyzed. This resulted in total costs of 54,707 € (on average about 3200 € per case). CONCLUSIONS The increased incidence of skin cancer and the associated treatment costs indicate the need for skin cancer prevention training.
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Affiliation(s)
- D Jäckel
- Rechts- und Staatswissenschaftliche Fakultät, Ernst-Moritz-Arndt-Universität Greifswald, Greifswald, Deutschland. .,Klinik für Dermatologie, Allergologie und Phlebologie, Klinikum Bremerhaven, Bremerhaven, Deutschland.
| | - N I Schlothauer
- ehemals Versorgungsmanagement/Medizin, AOK Bremen/Bremerhaven, Bremen, Deutschland
| | - H Zeeb
- Abt. Prävention und Evaluation, Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Bremen, Deutschland
| | - G Wagner
- Klinik für Dermatologie, Allergologie und Phlebologie, Klinikum Bremerhaven, Bremerhaven, Deutschland
| | - M M Sachse
- Klinik für Dermatologie, Allergologie und Phlebologie, Klinikum Bremerhaven, Bremerhaven, Deutschland
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33
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Böttcher S, Sachse MM, Jahn I, Buck C, Laschewski G, Zeeb H. M-Health und E-Health gestützte Hautkrebsprävention für Kinder und Jugendliche nach Organtransplantation: Die HIPPOlino-Interventionsstudie. Das Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1605833] [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)
- S Böttcher
- Leibniz-Institut für Präventionsforschung und Epidemiologie – BIPS, Prävention und Evaluation, Bremen
| | - MM Sachse
- Klinikum Bremerhaven, Klinik für Dermatologie, Allergologie und Phlebologie, Bremerhaven
| | - I Jahn
- Leibniz-Institut für Präventionsforschung und Epidemiologie – BIPS, Prävention und Evaluation, Bremen
| | - C Buck
- Leibniz-Institut für Präventionsforschung und Epidemiologie – BIPS, Biometrie und EDV, Bremen
| | | | - H Zeeb
- Leibniz-Institut für Präventionsforschung und Epidemiologie – BIPS, Prävention und Evaluation, Bremen
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34
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Seidler A, Hegewald J, Seidler AL, Schubert M, Zeeb H. Combined traffic noise exposure from different sources: is the whole more than the sum of its parts? Das Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1605744] [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)
- A Seidler
- TU Dresden, Medizinische Fakultät, Institut und Poliklinik für Arbeits- und Sozialmedizin, Dresden
| | - J Hegewald
- TU Dresden, Medizinische Fakultät, Institut und Poliklinik für Arbeits- und Sozialmedizin, Dresden
| | - AL Seidler
- TU Dresden, Medizinische Fakultät, Institut und Poliklinik für Arbeits- und Sozialmedizin, Dresden
- University of Syndney, MHMRC Clinical Trials Centre, Systematic Reviews & Health Technology Assessment, Sydney
| | - M Schubert
- TU Dresden, Medizinische Fakultät, Institut und Poliklinik für Arbeits- und Sozialmedizin, Dresden
| | - H Zeeb
- Leibniz-Institute for Prevention Research and Epidemiology – BIPS GmbH, Department of Prevention and Evaluation, Bremen
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35
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Bogner K, Hammer GP, Dreger S, Schafft T, Wollschläger D, Blettner M, Zeeb H. Validierung der geschätzten Strahlenexposition von Piloten anhand von Daten des Strahlenschutzregisters in der FLIPKO-Kohorte. Das Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1605926] [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)
- K Bogner
- Institut für Lehrergesundheit, Universitätsmedizin Mainz, Mainz
| | - GP Hammer
- Laboratoire National de Santé, Registre Morphologique des Tumeurs, Dudelange
| | - S Dreger
- Leibniz-Institut für Präventionsforschung und Epidemiologie – BIPS, Bremen
| | - T Schafft
- Universität Bielefeld, Fakultät für Gesundheitswissenschaften, Bielefeld
| | - D Wollschläger
- Institut für Medizinische Biometrie, Epidemiologie und Informatik, Universitätsmedizin Mainz, Mainz
| | - M Blettner
- Institut für Medizinische Biometrie, Epidemiologie und Informatik, Universitätsmedizin Mainz, Mainz
| | - H Zeeb
- Leibniz-Institut für Präventionsforschung und Epidemiologie – BIPS, Bremen
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36
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Buttmann-Schweiger N, Grube M, Zeeb H. Open Access publizieren in den Gesundheitswissenschaften. Das Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1605885] [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)
| | - M Grube
- DGEpi-Initiative, besser forschen, Berlin
| | - H Zeeb
- DGEpi-Initiative, besser forschen, Berlin
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37
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Hegewald J, Schubert M, Dröge P, Swart E, Zeeb H, Seidler A. Verkehrslärm und Brustkrebs-Risiko: eine Fall-Kontroll-Studie auf der Grundlage von Krankenversicherungsdaten. Das Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1605746] [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)
- J Hegewald
- TU Dresden, Institut und Poliklinik für Arbeits- und Sozialmedizin, Dresden
| | - M Schubert
- TU Dresden, Institut und Poliklinik für Arbeits- und Sozialmedizin, Dresden
| | - P Dröge
- TU Dresden, Institut und Poliklinik für Arbeits- und Sozialmedizin, Dresden
| | - E Swart
- Med. Fakultät, Otto-von-Guericke-Universität Magdeburg, Institut für Sozialmedizin und Gesundheitsökonomie (ISMG), Magdeburg
| | - H Zeeb
- Leibniz -Institut für Präventionsforschung und Epidemiologie – BIPS GmbH, Prävention und Evaluation, Bremen
| | - A Seidler
- TU Dresden, Institut und Poliklinik für Arbeits- und Sozialmedizin, Dresden
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38
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Krille L, Dreger S, Schindel R, Albrecht T, Asmussen M, Barkhausen J, Berthold JD, Chavan A, Claussen C, Forsting M, Gianicolo EAL, Jablonka K, Jahnen A, Langer M, Laniado M, Lotz J, Mentzel HJ, Queißer-Wahrendorf A, Rompel O, Schlick J, Schneider K, Schumacher M, Seidenbusch M, Spix C, Spors B, Staatz G, Vogl T, Wagner J, Weisser G, Zeeb H, Blettner M. Erratum to: Risk of cancer incidence before the age of 15 years after exposure to ionising radiation from computed tomography: results from a German cohort study. Radiat Environ Biophys 2017; 56:293-297. [PMID: 28612109 DOI: 10.1007/s00411-017-0694-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Affiliation(s)
- L Krille
- Institute of Medical Biostatistics, Epidemiology and Informatics, University Medical Center Mainz, Obere Zahlbacher Straße 69, 55131, Mainz, Germany
- International Agency for Research on Cancer, 69372, Lyon, France
| | - S Dreger
- Leibniz - Institute for Prevention Research and Epidemiology - BIPS, Research Focus Health Sciences Bremen, University of Bremen, 28359, Bremen, Germany
| | - R Schindel
- Institute of Medical Biostatistics, Epidemiology and Informatics, University Medical Center Mainz, Obere Zahlbacher Straße 69, 55131, Mainz, Germany
| | - T Albrecht
- Institut für Radiologie und Interventionelle Therapie, Vivantes, Klinikum Neukölln, 12351, Berlin, Germany
| | - M Asmussen
- Städtisches Klinikum Karlsruhe, Zentralinstitut für Bildgebende Diagnostik, 76133, Karlsruhe, Germany
| | - J Barkhausen
- Klinik für Radiologie und Nuklearmedizin, Campus Lübeck, Universitätsklinikum Schleswig Holstein, 23538, Lübeck, Germany
| | - J D Berthold
- Institut für Diagnostische und Interventionelle Radiologie, Medizinische Hochschule Hannover, 30625, Hannover, Germany
| | - A Chavan
- Institut für Diagnostische & Interventionelle Radiologie, Klinikum Oldenburg GmbH, 26133, Oldenburg, Germany
| | - C Claussen
- Abt. für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Tübingen, 72076, Tübingen, Germany
| | - M Forsting
- Institut für Diagnostische und Interventionelle Radiologie und Neuroradiologie, Universitätsklinikum Essen, 45147, Essen, Germany
| | - E A L Gianicolo
- Institute of Medical Biostatistics, Epidemiology and Informatics, University Medical Center Mainz, Obere Zahlbacher Straße 69, 55131, Mainz, Germany
- Institute of Clinical Physiology, National Research Council, 73100, Lecce, Italy
| | - K Jablonka
- Klinik für Radiologische Diagnostik und Nuklearmedizin, Klinikum Bremen-Mitte, 28177, Bremen, Germany
| | - A Jahnen
- Centre de Recherche Public Henri Tudor, 1855, Luxembourg, Luxembourg
| | - M Langer
- Klinik für Radiologie, Universitätsklinikum Freiburg, 79106, Freiburg, Germany
| | - M Laniado
- Institut und Poliklinik für Radiologische Diagnostik, Universitätsklinikum Carl Gustav Carus Dresden, 01307, Dresden, Germany
| | - J Lotz
- Institut für Diagnostische und Interventionelle Radiologie, Universitätsmedizin Göttingen, 37075, Göttingen, Germany
| | - H J Mentzel
- Institut für Diagnostische und Interventionelle Radiologie, Sektion Kinderradiologie, Universitätsklinikum Jena, 07740, Jena, Germany
| | - A Queißer-Wahrendorf
- Zentrum für Kinder- und Jugendmedizin, Universitätsmedizin Mainz, 55131, Mainz, Germany
| | - O Rompel
- Radiologisches Institut, Universitätsklinikum Erlangen, 91054, Erlangen, Germany
| | - J Schlick
- Institut für Radiologie und Neuroradiologie, Klinikum Nürnberg Süd, 90471, Nuremberg, Germany
| | - K Schneider
- Klinikum der Universität München, Dr. von Haunersches Kinderspital, Institut für Klinische Radiologie, 80337, Munich, Germany
| | - M Schumacher
- Klinik für Neuroradiologie, Neurozentrum, Universitätsklinik Freiburg, 78106, Freiburg, Germany
| | - M Seidenbusch
- Klinikum der Universität München, Dr. von Haunersches Kinderspital, Institut für Klinische Radiologie, 80337, Munich, Germany
| | - C Spix
- German Childhood Cancer Registry, University Medical Center Mainz, 55131, Mainz, Germany
| | - B Spors
- Kinderradiologie, Standort Campus Virchow Klinikum, Charité - Universitätsmedizin Berlin, 13353, Berlin, Germany
| | - G Staatz
- Klinik und Poliklinik für diagnostische und interventionelle Radiologie, Sektion Kinderradiologie, Universitätsmedizin Mainz, 55131, Mainz, Germany
| | - T Vogl
- Institut für Diagnostische und Interventionelle Radiologie, Klinikum der Johann Wolfgang Goethe-Universität Frankfurt/Main, 60590, Frankfurt, Germany
| | - J Wagner
- Institut für Radiologie und Interventionelle Therapie, Vivantes, Klinikum im Friedrichshain, 10249, Berlin, Germany
| | - G Weisser
- Institut für Klinische Radiologie und Nuklearmedizin, Universitätsklinikum Mannheim, 68167, Mannheim, Germany
| | - H Zeeb
- Leibniz - Institute for Prevention Research and Epidemiology - BIPS, Research Focus Health Sciences Bremen, University of Bremen, 28359, Bremen, Germany
| | - M Blettner
- Institute of Medical Biostatistics, Epidemiology and Informatics, University Medical Center Mainz, Obere Zahlbacher Straße 69, 55131, Mainz, Germany.
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39
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Bragina I, Lippke S, Pischke C, Meyer J, Muellmann S, Rost E, Zeeb H, Voelcker-Rehage C. PROMOTE: TAILORING PHYSICAL ACTIVITY INTERVENTIONS TO PROMOTE HEALTHY AGEING. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.828] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- I. Bragina
- Human Movement Science and Health, TU Chemnitz, Chemnitz, Germany,
| | - S. Lippke
- Jacobs University Bremen, Bremen, Germany,
| | - C. Pischke
- Leibniz Institute for Prevention Research and Epidemiology, Bremen, Germany,
| | - J. Meyer
- OFFIS - Institute for Information Technology, Oldenburg, Germany
| | - S. Muellmann
- Leibniz Institute for Prevention Research and Epidemiology, Bremen, Germany,
| | - E. Rost
- Jacobs University Bremen, Bremen, Germany,
| | - H. Zeeb
- Leibniz Institute for Prevention Research and Epidemiology, Bremen, Germany,
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40
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Pfinder M, Dreger S, Christianson L, Lhachimi SK, Zeeb H. The effects of iodine blocking on thyroid cancer, hypothyroidism and benign thyroid nodules following nuclear accidents: a systematic review. J Radiol Prot 2016; 36:R112-R130. [PMID: 27655110 DOI: 10.1088/0952-4746/36/4/r112] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
A potential radiation protection method to reduce the risk of adverse health outcomes in the case of accidental radioactive iodine release is the administration of potassium iodide (KI). Although KI administration is recommended by WHO's Guidelines for Iodine Prophylaxis following Nuclear Accidents, a systematic review of the scientific evidence for the guidelines is lacking. Therefore, this study aims to systematically review the effects of KI administration in the case of accidental radioactive iodine release on thyroid cancer, hypothyroidism and benign thyroid nodules. We applied standard systematic review methodology for a search of the literature, selection of eligible studies, data extraction, assessment of risk of bias, assessment of heterogeneity, data synthesis, and the assessment of the quality of the evidence. We searched MEDLINE (via PubMed) and EMBASE. We found one cross-sectional study, one analytic cohort study and two case-control studies relating to our question. The number of participants ranged from 886-12 514. Two studies were conducted in children and two other studies in children and adults. It was not possible to conduct a meta-analysis. We identified low to very low-quality evidence that KI administration after a nuclear accident resulted in a reduction of the risk of thyroid cancer in children; however, the KI administration and dose was not well described in the studies. None of the studies investigated the effects of KI administration in the case of a nuclear accident on hypothyroidism and benign thyroid nodules. Low to very low-quality evidence suggests that KI intake following a nuclear accident may reduce the risk of thyroid cancer in children. No conclusions can be drawn about the effectiveness of KI intake with respect to the prevention of hypothyroidism and benign thyroid nodules.
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Affiliation(s)
- M Pfinder
- Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany. Collaborative Research Group for Evidence-Based Public Health, Leibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany. Institute for Public Health and Nursing Research, Health Sciences, University of Bremen, Bremen, Germany. Department of Health Promotion and Occupational Health Management, AOK Baden-Wuerttemberg, Stuttgart, Germany
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Fassmer AM, Luque Ramos A, Boiselle C, Dreger S, Helmer S, Zeeb H. [Tobacco Use and Utilization of Medical Services in Adolescence: An Analysis of the KiGGS Data]. Gesundheitswesen 2016; 81:17-23. [PMID: 27855473 DOI: 10.1055/s-0042-116590] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVE In Germany, there is a lack of information on the correlation between tobacco use by adolescents and their utilization of medical care. The aim of this article is to identify possible early consequences of adolescent smoking. METHODS We conducted a re-analysis of cross-sectional data of the baseline wave (2003-2006) of the German Health Survey for Children and Adolescents (KiGGS). To examine the association between current smoking status and utilization of medical care during the 12 months before the interview, prevalence of selected diseases was calculated, and stratified by smoking status. Besides, the proportion of adolescents who consulted a physician at least once and the total number of medical consultations were estimated. For the inpatient setting, information about the number of nights spent in a hospital was analyzed. In a multiple logistic regression, the association of smoking behavior with utilization of outpatient medical care was assessed, further adjusting for sociodemographic variables and comorbidities. RESULTS The study population included 3 679 adolescents aged between 14 and 17 years. 49.1% were female and 31.7% were current smokers. Among smokers, there was an increased prevalence of cystitis (+87.0%) and bronchitis (+50.0%). Tobacco users consulted a general practitioner more frequently than non-smokers (+30.8%). As far as medical specialists are concerned, there were more consultations with psychiatrists (+171.4%) and psychologists (+94.4%), but there was no increase in the total number of visits. Additionally, smoking adolescents were more frequently hospitalized (+26.5%) and the stays were of longer duration (+19.7%). There was a statistically significant association between current tobacco use and a greater utilization of medical care (OR=1.20; 95%-CI: 1.02-1.40). CONCLUSIONS Tobacco use among adolescents was associated with increased prevalence of certain diseases and a greater utilization of medical care. Nevertheless, whether there is a causal connection is still debatable. The KiGGS cohort study will provide opportunities to further clarify the observed association.
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Affiliation(s)
- A M Fassmer
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS GmbH, Klinische Epidemiologie, Bremen
| | - A Luque Ramos
- Fakultät für Medizin und Gesundheitswissenschaften, Abteilung für Versorgungsforschung, Carl von Ossietzky Universität Oldenburg, Oldenburg
| | - C Boiselle
- Fachbereich 11 Human- und Gesundheitswissenschaften, Universität Bremen, Bremen
| | - S Dreger
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS GmbH, Prävention und Evaluation, Bremen
| | - S Helmer
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS GmbH, Prävention und Evaluation, Bremen
| | - H Zeeb
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS GmbH, Prävention und Evaluation, Bremen.,Wissenschaftsschwerpunkt Gesundheitswissenschaften, Universität Bremen
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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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Gansefort D, Brand T, Zeeb H. Assessing community readiness regarding physical activity for older adults in Northwest Germany. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw165.018] [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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Dragano N, Gerhardus A, Kurth BM, Kurth T, Razum O, Stang A, Teichert U, Wieler LH, Wildner M, Zeeb H. [Public Health: Setting Goals, Establishing Structures and Improving Health for All]. Gesundheitswesen 2016; 78:686-688. [PMID: 27756087 DOI: 10.1055/s-0042-116192] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Public health is a population- and system-based approach that is needed to improve the health of societies and to decrease health inequalities. In the face of global challenges, the public health approach is essential. In Germany, the importance of public health is only partly reflected by its institutions and institutional arrangements. This applies equally to research, teaching and training, as well as to the public health service. Furthermore, the public health perspective is not sufficiently considered in cross-sectional topics that are relevant for health.There have been several initiatives to overcome structural deficits which can partly be traced back to historical circumstances. The White Paper presented here should encourage discussions about future policy options in public health. The authors represent public health in practice, research, and teaching in Germany.
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Affiliation(s)
- N Dragano
- Institut für Medizinische Soziologie, Weiterbildungsstudiengang MSc Public Health, Heinrich-Heine-Universität Düsseldorf
| | - A Gerhardus
- Institut für Public Health und Pflegeforschung, Universität Bremen
| | - B-M Kurth
- Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, Berlin
| | - T Kurth
- Institute of Public Health, Charité-Universitätsmedizin Berlin
| | - O Razum
- Fakultät für Gesundheitswissenschaften, Universität Bielefeld
| | - A Stang
- Zentrum für Klinische Epidemiologie, Universitätsklinikum Essen
| | - U Teichert
- Bundesverband der Ärztinnen und Ärzte des Öffentlichen Gesundheitsdienstes, Düsseldorf
| | - L H Wieler
- Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, Berlin
| | - M Wildner
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit, Erlangen/Oberschleißheim
| | - H Zeeb
- Leibniz-Institut für Präventionsforschung und Epidemiologie, Bremen
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Gansefort D, Brand T, Zeeb H. Analyse kommunaler Kapazitäten zur Bewegungsförderung für ältere Menschen. Gesundheitswesen 2016. [DOI: 10.1055/s-0036-1586707] [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: 10/21/2022]
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Möllers T, Pischke C, Zeeb H. Inwiefern werden neue gesetzliche Regularien in Solarien umgesetzt? Ergebnisse einer „simulated client“ Studie in Deutschland. Gesundheitswesen 2016. [DOI: 10.1055/s-0036-1586527] [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: 10/21/2022]
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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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Makarova N, Klein-Ellinghaus F, Frisina Doetter L, Zeeb H. Applications and limitations of the concept of avoidable mortality among immigrant groups in Europe. Eur J Public Health 2015. [DOI: 10.1093/eurpub/ckv175.163] [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: 11/12/2022] Open
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Spallek L, Yilmaz-Aslan Y, Klein-Ellinghaus F, Gök Y, Zeeb H, Kolip P, Spallek J. Krankheitsvorstellungen und Behandlungserwartungen deutscher und türkischer Brustkrebspatientinnen. Gesundheitswesen 2015. [DOI: 10.1055/s-0035-1563311] [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: 10/23/2022]
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Gansefort D, Brand T, Zeeb H. Community Readiness – Gemeindebezogenen Handlungsbereitschaft zur Bewegungsförderung bei älteren Menschen. Gesundheitswesen 2015. [DOI: 10.1055/s-0035-1563348] [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: 10/23/2022]
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