Journal of health monitoring最新文献_第9页

Climate change and public health in Germany - A synthesis of options for action from the German status report on climate change and health 2023. 德国的气候变化与公共健康--《2023 年德国气候变化与健康状况报告》行动方案综述。

Journal of health monitoring Pub Date : 2023-11-29 eCollection Date: 2023-11-01 DOI: 10.25646/11774

Martin Mlinarić, Susanne Moebus, Cornelia Betsch, Elke Hertig, Judith Schröder, Julika Loss, Ramona Moosburger, Petra van Rüth, Sophie Gepp, Maike Voss, Wolfgang Straff, Tanja-Maria Kessel, Michaela Goecke, Andreas Matzarakis, Hildegard Niemann

{"title":"Climate change and public health in Germany - A synthesis of options for action from the German status report on climate change and health 2023.","authors":"Martin Mlinarić, Susanne Moebus, Cornelia Betsch, Elke Hertig, Judith Schröder, Julika Loss, Ramona Moosburger, Petra van Rüth, Sophie Gepp, Maike Voss, Wolfgang Straff, Tanja-Maria Kessel, Michaela Goecke, Andreas Matzarakis, Hildegard Niemann","doi":"10.25646/11774","DOIUrl":"10.25646/11774","url":null,"abstract":"Background: This article represents the conclusion of the updated German status report on climate change and health, which was jointly written by authors from over 30 national institutions and organisations. The objectives are (a) to synthesise the options for action formulated in the report, (b) to combine them into clusters and guiding principles, (c) to address the success factors for implementation, and (d) to combine the options for action into target parameters.Methods: The options for action from the individual contributions of the status report were systematically recorded and categorised (n=236). Topical clusters were then formed with reference to Essential Public Health Functions, and options for action were assigned to them.Results: Eight topical clusters of options for action and ten guiding principles were identified. These can be summarised in four overarching meta-levels of action: (a) cross-sectorally coordinated structural and behavioural prevention, (b) monitoring, surveillance, and digitalisation (including early warning systems), (c) development of an ecologically sustainable and resilient public health system, and (d) information, communication, and participation. The main success factors for implementation are the design of governance, positive storytelling and risk communication, proactive management of conflicting goals, and a cross-sectoral co-benefit approach.Conclusions: Based on the status report, systematically compiled target parameters and concrete options for action are available for public health.","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"8 Suppl 6","pages":"57-85"},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10722518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138806029","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}

引用次数: 0

Incidence of type 1 and type 2 diabetes before and during the COVID-19 pandemic in Germany: analysis of routine data from 2015 to 2021. 德国 COVID-19 大流行之前和期间的 1 型和 2 型糖尿病发病率：2015 年至 2021 年的常规数据分析。

Journal of health monitoring Pub Date : 2023-11-08 eCollection Date: 2023-11-01 DOI: 10.25646/11730

Lukas Reitzle, Christin Heidemann, Josephine Jacob, Dorota Pawlowska-Phelan, Marion Ludwig, Christa Scheidt-Nave

{"title":"Incidence of type 1 and type 2 diabetes before and during the COVID-19 pandemic in Germany: analysis of routine data from 2015 to 2021.","authors":"Lukas Reitzle, Christin Heidemann, Josephine Jacob, Dorota Pawlowska-Phelan, Marion Ludwig, Christa Scheidt-Nave","doi":"10.25646/11730","DOIUrl":"https://doi.org/10.25646/11730","url":null,"abstract":"Background: To date, there is no data available depicting the trend of the incidence of type 1 and type 2 diabetes across all age groups for the COVID-19 pandemic years in Germany.Methods: Based on anonymized routine data from nine million persons covered by statutory health insurance, newly diagnosed diabetes cases (ICD diagnosis E10.- to E14.-) in inpatient or (confirmed in two quarters) outpatient setting were estimated for 2015 to 2021, differentiating between type 1 and type 2 diabetes. The data were linked to the German Index of Socioeconomic Deprivation. The results are age-standardised (population as of 31 Dec. 2021).Results: Between 2015 and 2021, the incidence of type 1 diabetes increased from 9.5 to 11.6 per 100,000 persons (from 7,007 to 8,699 new cases per year). In contrast, the incidence of type 2 diabetes tended to decline between 2015 and 2019. It continued to drop initially in 2020 during the pandemic, and then rose to 740 per 100,000 persons in 2021 (556,318 new cases per year). The diabetes type-specific seasonal pattern of previous years has changed during the pandemic years. The incidence of both type 1 and type 2 diabetes was observed to be higher in regions of high socioeconomic deprivation as compared to regions characterised by low socioeconomic deprivation.Conclusions: The increase in the incidence of type 1 and type 2 diabetes in 2021 may possibly be related to the COVID-19 pandemic. The high incidence and the differences by regional socioeconomic deprivation indicate that there is a need for targeted prevention strategies.","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"8 Suppl 5","pages":"2-25"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10698802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138805763","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}

引用次数: 0

Prevalence of loneliness among older adults in Germany. 德国老年人孤独感的患病率。

Journal of health monitoring Pub Date : 2023-09-20 eCollection Date: 2023-09-01 DOI: 10.25646/11664

Susanne Wurm, Ulrike Ehrlich, Frauke Meyer-Wyk, Svenja M Spuling

引用次数: 0

Study on Health of Older People in Germany (Gesundheit 65+): objectives, design and implementation. 德国老年人健康研究（Gesundheit 65+）：目标、设计和实施。

Journal of health monitoring Pub Date : 2023-09-20 eCollection Date: 2023-09-01 DOI: 10.25646/11666

Judith Fuchs, Beate Gaertner, Hanna Perlitz, Tim Kuttig, Annett Klingner, Jens Baumert, Antje Hüther, Ronny Kuhnert, Julia Wolff, Christa Scheidt-Nave

{"title":"Study on Health of Older People in Germany (Gesundheit 65+): objectives, design and implementation.","authors":"Judith Fuchs, Beate Gaertner, Hanna Perlitz, Tim Kuttig, Annett Klingner, Jens Baumert, Antje Hüther, Ronny Kuhnert, Julia Wolff, Christa Scheidt-Nave","doi":"10.25646/11666","DOIUrl":"10.25646/11666","url":null,"abstract":"Background: The longitudinal population-based study Gesundheit 65+ aimed to close data gaps on health and well-being of older adults in Germany in times of the COVID-19 pandemic.Methods: The target population comprised persons 65 years and older permanently residing in Germany and with sufficient German language skills. Proxy interviews were possible and consent from legal representatives was obtained as necessary in order to enable participation of physically or cognitively impaired persons. A two-stage sampling process, was used to draw 128 primary sample points (PSUs) and within these PSUs sex- and age-stratified random samples were drawn from population registries. A mixed-mode design was applied to contact the study population and for data collection. Data were collected between June 2021 and April 2023. Participants were surveyed a total of four times at intervals of four months. At month 12 participants were offered a home visit including a non-invasive examination. Data on all-cause mortality and information on neighborhood social and built environment as well as health insurance data will be linked to primarily collected data at the individual level.Discussion: Results will inform health politicians and other stakeholders in the care system on health and health care needs of older people in Germany.","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"8 3","pages":"61-83"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10565879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41222253","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}

引用次数: 1

Dementia in Germany: epidemiology, trends and challenges. 德国痴呆症：流行病学、趋势和挑战。

Journal of health monitoring Pub Date : 2023-09-20 eCollection Date: 2023-09-01 DOI: 10.25646/11667

Daniela Georges, Elena Rakusa, Anna-Victoria Holtz, Anne Fink, Gabriele Doblhammer

{"title":"Dementia in Germany: epidemiology, trends and challenges.","authors":"Daniela Georges, Elena Rakusa, Anna-Victoria Holtz, Anne Fink, Gabriele Doblhammer","doi":"10.25646/11667","DOIUrl":"10.25646/11667","url":null,"abstract":"Background: Dementia poses a growing challenge for individuals, healthcare, social support, and society amidst the ongoing ageing of populations. To evaluate the care requirements and social implications of dementia in Germany, reliable statistics regarding its current and future occurrence are necessary.Methods: Using existing data sources and recent research results, this paper compiles and analyses relevant statistics on the occurrence of dementia in Germany, presents protective and risk factors, and options for care provision.Results: Recent projections indicate a potential surge in the number of dementia patients in Germany, predicted to rise from 1.7 million at present to up to 3.0 million by the year 2070. Cognitive and motor deterioration and behavioural changes associated with dementia lower the ability to live independently. These changes are often tied to social exclusion and stigma and, particularly in the severe phase of the disease, necessitate extensive medical and care requirements. This contributes to dementia being one of the most costly diseases at old age from an overall societal perspective. Currently, there are no curative treatment options available.Conclusions: To reduce the increase in the number of dementia patients and associated costs in the future, preventive approaches, particularly promoting a healthy lifestyle, may prove effective. Simultaneously, the healthcare system, society, and caregivers must prepare for the increasing number of dementia patients. Improved diagnostics, new forms of therapy, and social innovations that support those who are affected and their relatives can help reduce the burden of dementia and its associated costs.","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"8 3","pages":"30-48"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10565880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41222248","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}

引用次数: 0

Prevalence of living wills among older adults in Germany. 德国老年人生前遗嘱的流行情况。

Journal of health monitoring Pub Date : 2023-09-20 eCollection Date: 2023-09-01 DOI: 10.25646/11665

Susanne Wurm, Svenja M Spuling, Ann-Kristin Reinhard, Ulrike Ehrlich

引用次数: 0

Health in old age - status quo, challenges, and opportunities. 老年健康——现状、挑战和机遇。

Journal of health monitoring Pub Date : 2023-09-20 eCollection Date: 2023-09-01 DOI: 10.25646/11668

Janine Stein, Steffi G Riedel-Heller

引用次数: 0

Health status of the old and very old people in Germany: results of the Gesundheit 65+ study. 德国老年人和高龄老人的健康状况：Gesundheit 65+研究结果。

Journal of health monitoring Pub Date : 2023-09-20 eCollection Date: 2023-09-01 DOI: 10.25646/11663

Beate Gaertner, Christa Scheidt-Nave, Carmen Koschollek, Judith Fuchs

{"title":"Health status of the old and very old people in Germany: results of the Gesundheit 65+ study.","authors":"Beate Gaertner, Christa Scheidt-Nave, Carmen Koschollek, Judith Fuchs","doi":"10.25646/11663","DOIUrl":"10.25646/11663","url":null,"abstract":"Background: The demographic change makes comprehensive health reporting on health at older age an important topic.Methods: Gesundheit 65+ is a longitudinal epidemiological study on the health status of persons aged 65 and older in Germany. Based on a two-stage stratified random sample from 128 local population registers, 3,694 persons participated in the baseline survey between June 2021 and April 2022 (47.9 % women, mean age 78.8 years). Weighted prevalences for 19 indicators of the baseline survey are presented overall and by age, sex, education and region of residence.Results: Overall, 52.0 % of all participants of the baseline survey reported to be in good or very good health, and 78.5 % reported high or very high satisfaction with their life. This was in contrast to the large number of health/functional limitations whose prevalences ranged from 5.3 % for severe visual limitations to 69.2 % for multimorbidity. The health status of women was clearly worse than that of men, and the health status of persons aged 80 and older was worse than between 65 and 79 years of age. There was a clear educational gradient evident in the health status, but there were no differences between West and East Germany.Conclusions: Gesundheit 65+ provides a comprehensive database for description of the health status of old and very old people in Germany, on the basis of which recommendations for action for policy and practice can be derived.","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"8 3","pages":"7-29"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10565703/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41222250","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}

引用次数: 0

Impact of climate change on non-communicable diseases caused by altered UV radiation. 气候变化对紫外线辐射改变引起的非传染性疾病的影响。

Journal of health monitoring Pub Date : 2023-09-06 eCollection Date: 2023-09-01 DOI: 10.25646/11653

Cornelia Baldermann, Gudrun Laschewski, Jens-Uwe Grooß

{"title":"Impact of climate change on non-communicable diseases caused by altered UV radiation.","authors":"Cornelia Baldermann, Gudrun Laschewski, Jens-Uwe Grooß","doi":"10.25646/11653","DOIUrl":"10.25646/11653","url":null,"abstract":"Background: UV radiation can cause serious skin and eye diseases, especially cancers. UV-related skin cancer incidences have been increasing for decades. The determining factor for this development is the individual UV exposure. Climate change-induced changes in atmospheric factors can influence individual UV exposure.Methods: On the basis of a topic-specific literature research, a review paper was prepared and supplemented by as yet unpublished results of the authors' own studies. The need for scientific research and development is formulated as well as primary prevention recommendations.Results: Climate change alters the factors influencing UV irradiance and annual UV dose in Germany. First evaluations of satellite data for Germany show an increase in mean peak UV irradiance and annual UV dose for the last decade compared to the last three decades.Conclusions: The climate change-related influences on individual UV exposure and the associated individual disease incidence cannot yet be reliably predicted due to considerable uncertainties. However, the current UV-related burden of disease already requires primary preventive measures to prevent UV-related diseases.","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"8 Suppl 4","pages":"57-75"},"PeriodicalIF":0.0,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10548485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41142129","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}

引用次数: 0

Heat in Germany: Health risks and preventive measures. 德国高温：健康风险和预防措施。

Journal of health monitoring Pub Date : 2023-09-06 eCollection Date: 2023-09-01 DOI: 10.25646/11651

Claudia Winklmayr, Franziska Matthies-Wiesler, Stefan Muthers, Sebastian Buchien, Bernhard Kuch, Matthias An der Heiden, Hans-Guido Mücke

{"title":"Heat in Germany: Health risks and preventive measures.","authors":"Claudia Winklmayr, Franziska Matthies-Wiesler, Stefan Muthers, Sebastian Buchien, Bernhard Kuch, Matthias An der Heiden, Hans-Guido Mücke","doi":"10.25646/11651","DOIUrl":"10.25646/11651","url":null,"abstract":"Background: Climate change has already led to a significant temperature increase in Germany. The average temperature in the past decade was approximately 2°C above the pre-industrial level and eight of the ten hottest summers since the beginning of systematic weather records in 1881 were recorded in the last 30 years.Methods: Based on a selective literature search and authors' own results, the article summarises the current state of knowledge on heat and its health impacts for Germany, addresses adaptation measures, and gives an outlook on implementation and research questions.Results: Heat can aggravate pre-existing conditions such as diseases of the cardiovascular system, the respiratory tract, or the kidneys and trigger potentially harmful side effects for numerous medications. A significant increase in mortality is regularly observed during heat events. Previous approaches to mitigate the health impact of high temperatures include, for example, the heat alerts of the German Meteorological Service and recommendations for the preparation of heat-health action plans.Conclusions: Evidence on health impacts of heat and awareness of the need for heat-related health protection have grown in recent years, but there is still a need for further action and research.","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"8 Suppl 4","pages":"3-32"},"PeriodicalIF":0.0,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10548487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41172327","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}

引用次数: 0