Gesundheitliche Chancengleichheit in Krisenzeiten

Peer Reviewe

Social, health-related, and environmental factors influencing sleep problems of children, adolescents and young adults

Sleep is a relevant factor for functioning and well-being of young people. The paper provides a differentiated description of sleep difficulties in this population group including social, health-related, and environmental factors. The analyses included n=6,728 11- to 17-year-olds of the KiGGS baseline study (2003–2006) and 6,072 young adults (age 18–31), who provided information relating sleep in the survey KiGGS Wave 2 (2014–2017). Information from 3,567 people was evaluated at two survey points. 22.0% of the 11- to 17-year-olds reported sleep difficulties. A significant impact for the sex (female), living with a single parent, and with siblings is reflected in the logistic regression. The risk for sleep difficulties increases significantly in the case of mental problems and pain. Among the 18- to 31-year-olds, 19.6% complained of difficulties falling asleep and sleeping through the night. In addition to sex, noise exposure, a low level of education, the professional situation, and living with children were reflected as important influencing factors in the logistic regressions. Over one third of those, who suffered from sleep problems as children and adolescents, also indicated sleep difficulties almost ten years later. The high prevalence of sleep problems and the associated health risks illustrate the high public health relevance of the topic. In addition to sex, health-related and environmental variables also turned out to be significant and need to be considered in the development of interventions

Armut, soziale Ungleichheit und Gesundheit: Expertise des Robert-Koch-Instituts zum 2. Armuts- und Reichtumsbericht der Bundesregierung

"Das Forschungsprojekt zeigt gesundheitsbezogene Problemlagen und Verteilungsungleichheiten auf und weist auf Entwicklungstrends in Deutschland hin. Dazu werden umfangreiche Auswertungen auf Basis zugänglicher Datengrundlagen, u.a. der Gesundheitssurveys des Robert Koch-Instituts, des Sozio-oekonomischen Panels und des Mikrozensus durchgeführt. Die Studie liefert aktuelle Informationen zu relevanten Themenfeldern der Sozial- und Gesundheitspolitik, wie z.B. gesundheitliche Auswirkungen von Einkommensungleichheit, Folgen der Arbeitslosigkeit für die Gesundheit, sozial ungleiche Gesundheitschancen von Kindern und Jugendlichen sowie Migration und Gesundheit." (Autorenreferat

Survey of sex/gender diversity in the GEDA 2019/2020-EHIS study – objectives, procedure and experiences

Sex/gender diversity is increasingly recognised by society and should be taken into account more in populationrepresentative studies, as they are important data sources for targeting health promotion, prevention and care. In 2019, the Robert Koch Institute started a population-representative health survey with the study Health in Germany Update (GEDA 2019/2020-EHIS) with a modified, two-stage measures of sex/gender. The survey covered sex registered at birth and gender identity with an open response option. This article describes the aims, the procedure and the experiences with the operationalisation of sex/gender and the results. Out of 23,001 respondents, 22,826 persons are classified as cisgender, 113 persons as transgender and 29 persons as gender-diverse. 33 respondents were counted as having missing values. A survey of interviewers showed that the two-stage measures of sex/gender had a high level of acceptance overall and that there were only a few interview drop-outs. On the basis of previous experience, the modified query can be used for further surveys, but should also be adapted in perspective. For this purpose, participatory studies are desirable that focus on how the acceptance of measures of sex/gender can be further improved and how hurtful experiences in the context of the questions asked can be avoided

Erhebung geschlechtlicher Diversität in der Studie GEDA 2019/2020-EHIS – Ziele, Vorgehen und Erfahrungen

Die geschlechtliche Vielfalt wird gesellschaftlich zunehmend anerkannt und sollte in bevölkerungsrepräsentativen Studien verstärkt berücksichtigt werden, da sie wichtige Datenquellen sind, um Gesundheitsförderung, Prävention und Versorgung adressatengerecht auszurichten. Im Jahr 2019 startete im Robert Koch-Institut mit der Studie „Gesundheit in Deutschland aktuell“ (GEDA 2019/2020-EHIS) die bevölkerungsrepräsentative Gesundheitsbefragung mit einer geänderten, zweistufigen Geschlechtsabfrage. Erhoben wurden das bei Geburt eingetragene Geschlecht und die geschlechtliche Identität mit einer offenen Antwortoption. Im vorliegenden Artikel werden die Ziele, das Vorgehen und die Erfahrungen mit der Operationalisierung von Geschlecht und die Ergebnisse beschrieben. Von 23.001 Befragten werden 22.826 Personen als cisgeschlechtlich, 113 Personen als transgeschlechtlich und 29 Personen als genderdivers eingeordnet. 33 Befragte wurden als Personen mit fehlenden Werten gezählt. Eine Befragung der Interviewenden zeigte, dass die zweistufige Geschlechtsabfrage insgesamt eine hohe Akzeptanz aufweist und es nur zu wenigen Interviewabbrüchen kommt. Auf der Grundlage der bisherigen Erfahrungen kann die geänderte Abfrage für weitere Befragungen genutzt werden, sollte perspektivisch jedoch auch angepasst werden. Hierfür sind partizipative Studien wünschenswert, die darauf fokussieren, wie die Akzeptanz der Geschlechtsabfrage weiter verbessert werden kann und wie verletzende Erfahrungen im Kontext der gestellten Fragen vermieden werden können

Accidents in Germany: Results of the Telephone Survey »German Health Update« (GEDA) 2009

The second issue of GBE kompakt describes non-fatal accidents in Germany. Data of the "German Health Update" 2009 (GEDA) was analysed; in particular accidents at home and leisure and work-related accidents

Participation in cancer screening programmes

A growing number of people in Germany participate in the cancer screening services offered by statutory health insurance. Using data from the first wave of the German Health Interview and Examination Survey for Adults (DEGS1), current levels of participation in cancer screening services were determined. DEGS1 (2008–2011) permits representative cross-sectional analyses to be performed. In DEGS1, persons who were entitled to different cancer screening services were interviewed on their awareness, participation and regular utilisation of cancer screening for different types of cancer. Overall, 67.2% of women and 40.0% of men participate regularly. Participation rates fluctuate to a great extent for individual types of cancer screening. Women participate in cancer screening more frequently than men do. For women, a better socioeconomic status was associated with higher participation rates. Participation rates improve with increasing age, meaning that the difference in participation rates between women and men becomes smaller. The current analyses present information on specifically targeted population groups to promote informed decision-making about cancer screening, so that participation rates can be improved further. The analyses thus provide an important basis for health policy measures