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Hoffmann S, Tschorn M, Michalski N, Hoebel J, Förstner BR, Rapp MA, Spallek J. Do regional characteristics predict developmental delay? Analyses of German school entry examination. Eur J Public Health 2022. [DOI: 10.1093/eurpub/ckac129.342] [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
Children's health and development are strongly linked to their living situation, including their family's socioeconomic position (SEP) and living region. However, research on the impact of the living region on children's development beyond family SEP is scarce. This study evaluated whether rurality and regional socioeconomic deprivation (DEP) are associated with children's development independently of family SEP.
Methods
The study used population-based data of 5-6.5 years old children (n = 22,801) from mandatory school entry examinations (SEE) in the German federal state of Brandenburg, which were examined in 2018/2019. The SEE data have been linked with data on i. rurality that was defined by an inverted population density and ii. regional DEP that were provided by the German Index of Socioeconomic Deprivation. By binary multilevel models, the predictive values of rurality and regional DEP for global developmental delay (GDD) were evaluated, while adjusting for family SEP.
Results
Children with high family SEP showed reduced odds for GDD compared to medium family SEP (female: OR = 4.26, CI95=3.14-5.79, male: OR = 3.46, CI95=2.83-4.22) and low family SEP (female: OR = 16.58, CI95=11.90-23.09, male: OR = 12.79, CI95=10.13-16.16). Regional DEP additionally predicted GDD, with higher odds for children from more deprived regions (female: OR = 1.35, CI95=1.13-1.62, male: OR = 1.20, CI95=1.05-1.39). Rurality did not predict GDD beyond family SEP and regional DEP.
Conclusions
In addition to family SEP, the regional DEP has an effect on children's developmental delay. Hence, Public Health should take into account regional socioeconomic conditions as determinant of health over the life course in addition to family SEP.
Key messages
• Regional socioeconomic deprivation contributes to inequalities in children's development and health.
• Besides family SEP, regional socioeconomic circumstances are of particular interest to promote health over the life course.
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Affiliation(s)
- S Hoffmann
- Department of Public Health, Brandenburg University of Technology CB-SFB , Senftenberg, Germany
| | - M Tschorn
- Faculty of Health Sciences Brandenburg, Research Area Services Research and e-Health , Potsdam, Germany
- Department of Sports and Health Sciences, Faculty of Human Science, University Potsdam , Potsdam, Germany
| | - N Michalski
- Division of Social Determinants of Health, Robert Koch Institute , Berlin, Germany
| | - J Hoebel
- Division of Social Determinants of Health, Robert Koch Institute , Berlin, Germany
| | - BR Förstner
- Department of Sports and Health Sciences, Faculty of Human Science, University Potsdam , Potsdam, Germany
| | - MA Rapp
- Faculty of Health Sciences Brandenburg, Research Area Services Research and e-Health , Potsdam, Germany
- Department of Sports and Health Sciences, Faculty of Human Science, University Potsdam , Potsdam, Germany
| | - J Spallek
- Department of Public Health, Brandenburg University of Technology CB-SFB , Senftenberg, Germany
- Faculty of Health Sciences Brandenburg, Research Area Services Research and e-Health , Potsdam, Germany
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Tschorn M, Neuperdt L, Blume M, Flerlage N, Allen J, Loss J. Von welchen Eindämmungsmaßnahmen in der
SARS-CoV-2-Pandemie sind Kinder und Jugendlichen betroffen? – Ergebnisse
der KIDA-Studie des Robert Koch-Instituts. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753980] [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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Tschorn M, Loss J, Allen J, Blume M, Scheidt-Nave C, Thamm R, Poethko-Müller C, Neuperdt L, Hölling H, Mauz E, Waldhauer J, Mueters S, Hövener C, Flerlage N, Krug S. Wie steht es um die Gesundheit von Kindern und Jugendlichen in der
SARS-CoV-2-Pandemie im Jahr 2022? – Ergebnisse der KIDA-Studie des
Robert Koch-Instituts. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753975] [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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Tschorn M, Poethko-Müller C, Thamm R, Scheidt-Nave C. Subjektive Gesundheit, körperliche Symptombelastung und
spezieller Versorgungsbedarf von Kindern und Jugendlichen nach zwei Jahren
SARS-CoV-2-Pandemie: erste Ergebnisse der KIDA-Studie 2022. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753979] [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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Förstner B, Tschorn M, Heinz A, Mathiak K, Schulze T, Schneider F, Kamp-Becker I, Meyer-Lindenberg A, Padberg F, Banaschewski T, Bauer M, Rupprecht R, Hans-Ulrich W, Rapp M. Research Domain Criteria (RDoC) und ihr Zusammenhang zur Krankheitsschwere. Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1732278] [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)
- B Förstner
- Prof. Sozial- und Praeventivmedizin, Universität Potsdam
| | - M Tschorn
- Prof. Sozial- und Praeventivmedizin, Universität Potsdam
| | - A Heinz
- Klinik für Psychiatrie und Psychotherapie CCM, Charité – Universitätsmedizin Berlin
| | - K Mathiak
- Experimental Behavioral Psychobiology, Universitätsklinikum Aachen, AöR
| | - T Schulze
- Institut für Psychiatrische Phänomik und Genomik, LMU Klinikum
| | - F Schneider
- Universitätsklinikum Düsseldorf (UKD) - MNR-Klinik
- Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Uniklinik RWTH Aachen
| | - I Kamp-Becker
- Universitätsklinikum Marburg - Klinik für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie
| | - A Meyer-Lindenberg
- Zentralinstitut für Seelische Gesundheit, Klinik für Psychiatrie und Psychotherapie
| | - F Padberg
- Munich Center for Brain Stimulation, LMU Klinikum der Universität München – AöR
| | - T Banaschewski
- Zentralinstitut für Seelische Gesundheit, Klinik für Psychiatrie und Psychotherapie des Kindes- und Jugendalters
| | - M Bauer
- Klinik und Poliklinik für Psychiatrie und Psychotherapie, Universitätsklinikum Carl Gustav Carus
| | - R Rupprecht
- Klinik und Poliklinik für Psychiatrie und Psychotherapie, Universitätsklinikum Regensburg
| | - W Hans-Ulrich
- Institut für Klinische Psychologie und Psychotherapie, Technische Universität Dresden
| | - M Rapp
- Prof. Sozial- und Praeventivmedizin, Universität Potsdam
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Rapp MA, Tschorn M, Supprian T, Thomas C, Kreisel S, Benninghoff J, Schumann G, Heinz A. [Potentials and limits of aging cohort studies for geriatric psychiatry]. Nervenarzt 2020; 92:219-227. [PMID: 33242121 DOI: 10.1007/s00115-020-01035-3] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 10/30/2020] [Indexed: 11/29/2022]
Abstract
The sizeable number of population-based cohort studies of aging in Germany have provided highly valuable contributions for the specification of risk factors and predictors for frequent mental disorders in old age, especially dementia and depression. The results from these cohort studies enable the specification of mechanisms for the development of and preventative interventions for common mental disorders in old age. On the other hand, there is a significant paucity of clinical cohort studies investigating disease trajectories and possible markers for specific individualized interventions of frequent mental disorders in old age. In this article, we report selected key findings from cohort studies of aging and discuss novel approaches for the integration and harmonization of population-based and clinical cohort studies.
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Affiliation(s)
- M A Rapp
- Sozial- und Präventivmedizin, Department Sport- und Gesundheitswissenschaften, Strukturbereich Kognitionswissenschaften, Universität Potsdam, Am Neuen Palais 10, 14469, Potsdam, Deutschland.
| | - M Tschorn
- Sozial- und Präventivmedizin, Department Sport- und Gesundheitswissenschaften, Strukturbereich Kognitionswissenschaften, Universität Potsdam, Am Neuen Palais 10, 14469, Potsdam, Deutschland
| | - T Supprian
- Abteilung Gerontopsychiatrie, LVR-Klinikum Düsseldorf, Kliniken der Heinrich-Heine-Universität, Düsseldorf, Deutschland
| | - C Thomas
- Klinik für Psychiatrie und Psychotherapie für Ältere, Klinikum Stuttgart, Stuttgart, Deutschland
| | - S Kreisel
- Abteilung Gerontopsychiatrie, Campus Bielefeld-Bethel, Universitätsklinikum Ostwestfalen-Lippe, Bielefeld, Deutschland
| | - J Benninghoff
- Zentrum für Altersmedizin und Entwicklungsstörungen, kbo-Isar-Amper-Klinikum München-Ost, Haar, Deutschland
| | - G Schumann
- Klinik für Psychiatrie und Psychotherapie, PONS Zentrum, Charité Universitätsmedizin Berlin, Berlin, Deutschland
| | - A Heinz
- Klinik für Psychiatrie und Psychotherapie, PONS Zentrum, Charité Universitätsmedizin Berlin, Berlin, Deutschland
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