Journal of health monitoring最新文献

{"title":"Depressive and anxiety symptoms among adults in Germany: Results from the RKI Panel 'Health in Germany' 2024.","authors":"Lena Walther, Felicitas Vogelgesang, Angelika Schaffrath Rosario, Christina Kersjes, Julia Thom, Diana Peitz, Florian Beese, Heike Hölling, Elvira Mauz","doi":"10.25646/13573","DOIUrl":"10.25646/13573","url":null,"abstract":"<p><strong>Background: </strong>Telephone surveys show a decline in the mental health of adults in Germany between 2020 and 2023. For 2024, results from the Robert Koch Institute's new panel 'Health in Germany' on depressive and anxiety symptoms are presented and contextualised within existing time series.</p><p><strong>Methods: </strong>Using data from n = 27,102 participants surveyed online or on paper, prevalences were estimated and subgroup differences were examined. Trends for 2014 - 2024 were modelled taking into account methodological discontinuities.</p><p><strong>Results: </strong>In 2024, an estimated 22 % of adults showed depressive symptoms (PHQ-9 ≥ 10) and 14 % showed anxiety symptoms (GAD-7 ≥ 10). 8 % of adults had moderately severe to severe depressive or anxiety symptoms (PHQ-9/GAD-7 ≥ 15). Women, younger adults and people with low or medium levels of education were more frequently affected. The burden was particularly high among young women: 47 % showed depressive or anxiety symptoms. The figures for 2024 are significantly higher than those for the previous year; however, these differences appear to be largely due to a change in methodology. Whether the symptom rise observed from 2020 to 2023 continued in 2024 cannot be conclusively assessed owing to this methodological transition.</p><p><strong>Conclusions: </strong>There continues to be a high demand for measures to promote mental health in the population. The establishment of the RKI Panel in the coming years will enable methodologically consistent monitoring of depressive and anxiety symptoms in the future, which is a key prerequisite for the reliable assessment of trends.</p>","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"10 4","pages":"e13573"},"PeriodicalIF":0.0,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12709641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical activity and physical activity promotion in Germany - An overview.","authors":"Sven Messing, Leonie Birkholz, Julian Resch, Johannes Brandl, Eva Lorenz, Karim Abu-Omar, Wolfgang Geidl, Antonina Tcymbal, Peter Gelius, Klaus Pfeifer","doi":"10.25646/13557","DOIUrl":"10.25646/13557","url":null,"abstract":"<p><strong>Background: </strong>Regular physical activity is essential for health, yet a large proportion of the German population remains inactive, with significant health and economic consequences. As physical activity promotion spans multiple settings and political sectors, systematic overviews of available data on behaviour and promotion practices are often lacking.</p><p><strong>Methods: </strong>This article draws on four policy briefs on physical activity promotion in Germany published by the Federal Ministry of Health (2022 - 2024). Data on physical activity behaviour (secondary analysis) and promotion practices across sectors (mixed methods approach) were analysed. A distinction was made between good practice (projects with proven effectiveness) and routine practice (large-scale programmes).</p><p><strong>Results: </strong>Between 1993 and 2024, eleven institutions from different political sectors collected data on physical activity behaviour in 23 larger studies. Current data show lower activity levels among older adults, women, socioeconomically disadvantaged groups, and individuals living with a non-communicable disease. In total, 43 good practice projects and 88 routine practice measures were identified. While all good practice projects demonstrated effectiveness, this was true for only 11 % of routine practices. Good practice projects were less likely to reach at least 100,000 people (12 %) compared to routine practice (25 %), and were more often limited to less than five years (33 % vs. 9 %).</p><p><strong>Conclusions: </strong>Physical activity promotion is an intersectoral challenge requiring stronger structures and shared responsibility. To increase population-level impact, the reach of good practice should be expanded and the effectiveness of routine practice evaluated more systematically. The planned establishment of a National Competence Centre for Physical Activity Promotion offers a key opportunity to advance these goals.</p>","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"10 4","pages":"e13557"},"PeriodicalIF":0.0,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12709637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical activity in Germany: Discrepancy between high societal expectation and actual activity levels in old age.","authors":"Nils Henrik Pixa, Eva-Marie Kessler, Lisa Marie Warner","doi":"10.25646/13553","DOIUrl":"10.25646/13553","url":null,"abstract":"<p><strong>Background: </strong>Remaining physically active in later life has been shown to contribute to a longer and healthier life without the need for care or support. Accordingly, a societal expectation to stay active in old age (prescriptive age norm) has emerged - particularly among older adults themselves. Yet, are they in fact as physically active as expected?</p><p><strong>Methods: </strong>Using representative data from the Age_ISM Germany survey (ages 16 - 96 years), we examine the extent to which older individuals agree with the prescriptive age norm that 'old people should normally remain physically active' compared to younger individuals. This is contrasted with the actual activity behavior of 18- to 90-year-olds based on the 2019/2020 GEDA survey data from the Robert Koch Institute. This allows us to compare endorsement of the prescriptive norm with actual behavior.</p><p><strong>Results: </strong>Although the prescriptive age norm of remaining physically active is more strongly endorsed in the older age groups than in the younger age groups, the proportion of individuals who are sufficiently active according to the World Health Organization's definition is significantly lower in the older age groups.</p><p><strong>Conclusions: </strong>The findings point to a 'norm-behavior gap': from around the age of 75 onwards, expectations regarding physical activity and actual behavior diverge increasingly. At the individual level, the negative age stereotype of older people as inactive and passive may, for instance, contribute to older adults' perception of being less addressed by exercise programs. At the socio-structural level, this may indicate a lack of age-sensitive exercise programs.</p>","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"10 4","pages":"e13553"},"PeriodicalIF":0.0,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12709639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Overview of physical activity promotion in day care centres in Germany. Results of a cross-sectional survey of the BeweKi project.","authors":"Susanne Krug, Susanne Jordan, Johanna Romefort, Loreen Neidhart, Julika Loss, Susanne Kuger","doi":"10.25646/13519","DOIUrl":"10.25646/13519","url":null,"abstract":"<p><strong>Background: </strong>Physical activity promotion should start early, as a physical active lifestyle is easier to establish at a young age and can have a positive impact into adulthood. Day care centres are particularly suitable for promoting physical activity, as over 90 % of children aged three and above attend a day care centre. Despite numerous programmes, there is a lack of scientific data on the prevalence of specific measures and insufficient evidence on factors influencing their implementation.</p><p><strong>Methods: </strong>The survey on the status of physical activity promotion in day care centres (BeweKi survey 2022/2023) asked day care centre directors about structural conditions and pedagogical staff about physical activity-related personal characteristics. Data is available for 1,647 day care centres.</p><p><strong>Results: </strong>Most day care centres engaged in walks, excursions, and used (external) sport halls at least once per week to promote physical activity, while digital resources or swimming pools were used very rarely. Almost all provided at least one hour of free physical activity time per day. Only a quarter offered an equally long period of structured units for physical activity, for which regular team discussions on physical activity, sufficient area in the day care centre and staff moving together with children were enabling factors.</p><p><strong>Conclusions: </strong>Physical activity promotion is widespread in day care centres, but structured physical activity time is not sufficiently established. To increase this, spatial and organisational conditions could be addressed, as well as staff physical activity behaviour.</p>","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"10 4","pages":"e13519"},"PeriodicalIF":0.0,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12679804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145703330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to accessing psychotherapeutic care among young adults: Individual and regional associated factors.","authors":"Vera Birgel, Paul Gellert, Heike Hölling, Ronny Kuhnert, Niels Michalski, Michael Rapp, Julie L O'Sullivan, Caroline Cohrdes","doi":"10.25646/13549","DOIUrl":"10.25646/13549","url":null,"abstract":"<p><strong>Background: </strong>Mental health problems are widespread among young adults in Germany, yet the use of professional help remains low. This study aimed to identify the most common perceived barriers to help-seeking and to examine which individual and regional factors are associated with unmet need for mental health care.</p><p><strong>Methods: </strong>A total of 3,051 former participants of the KiGGS cohort study (aged 16 to 25 years) took part in an online survey. Group comparisons and regression analyses were conducted to examine associations of individual and regional characteristics with unmet need for care.</p><p><strong>Results: </strong>Overall, 42.6 % of respondents reported not having used professional help despite being advised to do so or perceiving a need themselves. The most frequently reported barriers were difficulties in acknowledging one's own need for help (problem denial) and negative attitudes towards seeking professional help (help-seeking stigma). Within this group, unmet need was more likely reported by women, individuals with lower subjective social status, depression or anxiety symptoms, low mental health-related quality of life, or inadequate health literacy. Regional characteristics such as the density of care provision or socioeconomic deprivation were not significantly associated with unmet need.</p><p><strong>Conclusions: </strong>The findings highlight the importance of subjective barriers to help-seeking behaviour. Low-threshold interventions may help improve self-awareness, appraisal competence, and openness in dealing with psychological distress, thereby reducing the risk of mental health disorders.</p>","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"10 4","pages":"e13549"},"PeriodicalIF":0.0,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12679805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145703357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cannabis use among adolescents and young adults in Germany: Study results and prevention measures offered by the Federal Institute of Public Health.","authors":"Stephanie Eckhardt, Anika Nitzsche, Boris Orth","doi":"10.25646/13458","DOIUrl":"10.25646/13458","url":null,"abstract":"<p><strong>Background: </strong>With the passage of the Consumer Cannabis Act, cannabis was partially legalised on 1 April 2024 in Germany. Cannabis remains prohibited for adolescents under the age of 18. This article analyses how the prevalence of cannabis use among young people in Germany has developed up to this point and presents prevention measures and funding projects offered by the Federal Institute of Public Health (BIÖG, formerly the Federal Centre for Health Education, BZgA).</p><p><strong>Methods: </strong>Based on representative studies by the BIÖG, sociodemographic differences in 2023 and trends in the 12-month prevalence of cannabis use between 2008 and 2023 are analysed for 12- to 17-year-old adolescents and 18- to 25-year-old young adults. Current prevention measures are systematically presented.</p><p><strong>Results: </strong>The 12-month prevalence of cannabis use remained relatively stable among female and male adolescents before partial legalisation, but increased significantly among young women (2008: 8.3 %; 2023: 19.4 %) and men (2008: 14.8 %; 2023: 26.9 %). Cannabis prevention measures focus on the school setting and digital services.</p><p><strong>Conclusions: </strong>The effects of partial legalisation on cannabis use among adolescents and young adults must be evaluated in future studies. The BIÖG offers well-founded information on cannabis, its effects and health risks, as well as digital counselling services and self-tests for different target groups, and is continuously expanding its services.</p>","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"10 3","pages":"e13458"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12523105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stroke - prevalence, trends, and regional patterns in Germany. An analysis based on routine data from the statutory health insurance.","authors":"Aline Anton, Alexander Rommel, Henriette Steppuhn, Roma Thamm, Dinara Yessimova, Helmut Schröder, Gabriela Brückner, Katrin Schüssel, Michael Porst","doi":"10.25646/13429","DOIUrl":"10.25646/13429","url":null,"abstract":"<p><strong>Background: </strong>As part of the German Burden of Disease Study, population-based prevalences of important diseases are estimated. This allows regional patterns and temporal trends to be identified.</p><p><strong>Methods: </strong>The 10-year prevalence of stroke in the population was estimated cross-sectionally for the years 2017 to 2022 at the level of the Spatial Planning Regions using routine data of persons insured in the statutory health insurance AOK, adjusted for age, sex and morbidity (administrative 10-year prevalence).</p><p><strong>Results: </strong>In 2022, 1.4 % of the population in Germany was living with the consequences of a stroke that had occurred up to 10 years ago (women: 1.3 %, men: 1.6 %). Prevalence increases continuously with age - from 1.2 % (women) and 2.3 % (men) in the 60 - 64 age group to 8.3 % and 9.8 % in the 90 - 94 age group. Over time, age-standardised prevalence has remained largely stable since 2017. The age-standardised regional distribution shows a variation of up to 60 % between regions. Low values (below 1.1 %) are found mainly in southern German regions, while the highest values (above 1.5 %) without a clear pattern are found, for example, in the Emscher-Lippe, Saar, and southern Thuringia regions.</p><p><strong>Conclusions: </strong>Measured in terms of administrative 10-year prevalence, the significance of stroke for public health remains high, not least because of the high mortality rate, with high prevalence rates continuing to be achieved, especially in older age groups. In order to achieve a decline, more low-threshold, evidence-based prevention services are needed in addition to targeted interventions.</p>","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"10 3","pages":"e13429"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12523104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reassessment of alcohol consumption in Germany - Which population groups are at increased risk of disease?","authors":"Almut Richter, Anne Starker, Anja Schienkiewitz","doi":"10.25646/13457","DOIUrl":"10.25646/13457","url":null,"abstract":"<p><strong>Background: </strong>According to the new position statement of the German Nutrition Society, there is no level of alcohol consumption that is risk-free to health. One to two alcoholic drinks per week are associated with a low risk of negative health consequences, three to six with a moderate risk, and more than six with a high risk. Alcohol consumption in Germany was assessed according to these categories.</p><p><strong>Methods: </strong>The analyses are based on the survey German Health Update (GEDA 2019/2020-EHIS) conducted by the Robert Koch Institute with data from 22,708 adults. The frequency and amount of alcohol consumption were asked in a telephone interview.</p><p><strong>Results: </strong>21.1 % of adults stated that they did not drink alcohol. 46.3 % had an alcohol consumption with a low risk of negative health consequences. 32.5 % of adults reported moderate or high-risk consumption, with significantly more men (44.3 %) than women (21.4 %) doing so. This consumption pattern was most prevalent among men aged 45 to 64 and 65 and over (almost one in two in both groups), as well as among women aged 45 to 64 (about one in four), and increased in both sexes in higher education groups.</p><p><strong>Conclusions: </strong>Almost one in three adults consume three or more alcoholic drinks per week, which is associated with a moderate to high risk of disease. Therefore, measures proven to reduce alcohol consumption, such as advertising bans, higher taxation and restrictions on availability, should be implemented.</p>","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"10 3","pages":"e13457"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12530689/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145331104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Placing smoking prevalence in the context of tobacco control measures in Europe.","authors":"Anne Starker, Dorothea Mößnang, Ronny Kuhnert","doi":"10.25646/13418","DOIUrl":"10.25646/13418","url":null,"abstract":"<p><strong>Background: </strong>The World Health Organization's Framework Convention on Tobacco Control recommends tobacco control measures. The implementation of these measures in Europe is assessed using the Tobacco Control Scale. The aim of this analysis is to examine smoking behaviour in European countries in the context of national measures to curb tobacco consumption.</p><p><strong>Methods: </strong>In addition to analysing current tobacco consumption, the relationship between the 2019 Tobacco Control Scale results, including policy areas, and smoking prevalence in 29 European countries was examined based on data from the third wave of the European Health Interview Survey (EHIS 3). This was visualised using scatter plots and analysed using Pearson's correlation coefficients.</p><p><strong>Results: </strong>On average, 24.4 % of adults in Europe smoke, with substantial differences between countries. There are also some clear differences between the sexes, with a higher proportion of men than women smoking in all countries studied. A higher overall score on the Tobacco Control Scale is associated with a lower smoking prevalence among both women and men. Negative correlations are also evident between smoking prevalence and the policy areas of smoking cessation support and advertising bans.</p><p><strong>Conclusions: </strong>Consistent implementation of tobacco control measures is associated with lower smoking prevalence in Europe. This highlights the importance of comprehensive tobacco control strategies to reduce tobacco consumption.</p>","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"10 3","pages":"e13418"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12530690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145331069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in prevalence and number of cases of diagnosed type 2 diabetes in Germany: Projections until 2050.","authors":"Jens Baumert, Lukas Reitzle, Ralph Brinks, Ronny Kuhnert, Christin Heidemann","doi":"10.25646/13381","DOIUrl":"10.25646/13381","url":null,"abstract":"<p><strong>Background: </strong>In order to assess the prevention and care needs for type 2 diabetes in the coming decades from a public health perspective, forecasts on the trends in prevalence and case numbers are essential.</p><p><strong>Methods: </strong>The data are based on age-specific estimates of diagnosed diabetes prevalence from the survey German Health Update (GEDA) 2022, and on the proportion of type 2 diabetes derived from routine health insurance data. Using routine data on the incidence and excess mortality of diabetes, various scenarios for the future trends of type 2 diabetes are modelled using an illness-death model.</p><p><strong>Results: </strong>Based on a type 2 diabetes prevalence of 8.6 % in 2022 (women: 8.2 %, men: 9.2 %), corresponding to a total of 6.05 million cases (women: 2.92 million, men 3.13 million), the prevalence is expected to rise to 16.1 % by 2050 (women: 14.8 %, men: 17.4 %), with the number of cases increasing to 11.01 million (women: 5.19 million, men: 5.82 million). Assuming a 2.0 % annual decline in incidence, the prevalence is expected to rise to only 12.2 % (8.39 million cases); with a simultaneous 2.0 % annual decline in excess mortality, the prevalence is expected to reach 13.0 % (8.94 million cases).</p><p><strong>Conclusions: </strong>The prognosis is mainly influenced by changes in incidence. Primary preventive approaches to reduce risk factors for type 2 diabetes are therefore crucial to counteract an increase in the number of type 2 diabetes cases.</p>","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"10 3","pages":"e13381"},"PeriodicalIF":0.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12478463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}