{"title":"Tätigkeitsbericht der Zentralen Ethik-Kommission für Stammzellenforschung (ZES) : 21. Bericht nach Inkrafttreten des Stammzellgesetzes (StZG) für den Zeitraum vom 01.01.2023 bis 31.12.2023.","authors":"","doi":"10.1007/s00103-024-03971-w","DOIUrl":"10.1007/s00103-024-03971-w","url":null,"abstract":"","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"105-113"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142521092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Methods to quit smoking-a quantitative online survey on facilitators and barriers (RauS-study)].","authors":"Bernd Werse, Larissa Steimle, Heino Stöver","doi":"10.1007/s00103-024-03970-x","DOIUrl":"10.1007/s00103-024-03970-x","url":null,"abstract":"<p><strong>Background: </strong>Smoking is still the largest preventable health risk in Germany, which is why a higher success rate in smoking cessation would benefit both public and individual health. In order to achieve this, a better understanding of the smoking cessation methods used and the factors that facilitate and prevent smoking cessation is required. The RauS study therefore aimed to investigate which methods have been used in attempts to stop smoking, how successful these methods have been, and which factors have been perceived as helping or hindering smoking cessation.</p><p><strong>Methods: </strong>From March to December 2022 a quantitative online survey was conducted among current or former smokers over 14 years of age (N = 6192).</p><p><strong>Results: </strong>Of the sample, 93% have tried to quit smoking at least once. In general, for the respondents who did or did not use e‑cigarettes/tobacco heaters, \"personal willpower\" was the most frequently used and perceived as the most helpful method. Among people who have used e‑cigarettes/tobacco heaters to quit smoking, e‑cigarettes with nicotine were used most frequently and were rated as the most helpful. Potential or concrete health consequences were most likely to be perceived as motivating. Rituals associated with smoking were the main barrier to quit smoking, while withdrawal symptoms played a much smaller role.</p><p><strong>Discussion: </strong>Overall, the results show that the focus on \"nicotine addiction\" in smoking cessation should be reconsidered, and social and ritual dimensions should be addressed more strongly. For at least some of those affected, e‑cigarettes may be a helpful method of reducing harm and/or quitting smoking.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"88-96"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142603097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Understanding vaccination behavior of healthcare workers in German hospitals-results from the OKaPII study].","authors":"Elisa Wulkotte, Nora Katharina Schmid-Küpke","doi":"10.1007/s00103-024-03982-7","DOIUrl":"10.1007/s00103-024-03982-7","url":null,"abstract":"<p><strong>Background: </strong>Influenza vaccination coverage in Germany is generally low. Even in hospitals, the demand for influenza vaccination is lacking although it has the potential to prevent the spread of the influenza virus and diseases. To take effective actions, a deeper understanding of vaccination behavior of healthcare workers is crucial.</p><p><strong>Methods: </strong>OKaPII is an annual German-wide online survey of clinical staff on influenza vaccination. Differences in vaccination behavior were tested for occupation, sex, and age, and differences in knowledge were tested between physicians and nurses. We used logistic regressions to analyze associations between psychological determinants and vaccination behavior among physicians and nursing staff.</p><p><strong>Results: </strong>From 115 clinics, 15,312 employees participated in the survey (17 April to 15 May 2023). In the 2022/23 season, 58.7% of the participants were vaccinated against influenza. The vaccination coverage was 80.7% for physicians and 51.1% for nursing staff . The vaccination behavior of physicians and nursing staff was significantly associated with collective responsibility and confidence in vaccination safety. Of the knowledge items, 87.2% were answered correctly by physicians and 62% by nursing staff.</p><p><strong>Discussion: </strong>We identified significant differences in vaccine uptake between occupational groups in German hospitals. Low vaccination coverage has existed for years, especially among nursing staff. Tailored interventions should promote the idea of protecting vulnerable people and confidence in the safety of vaccination. Increased education, especially on vaccination safety issues, can have a positive impact on the decision to vaccinate. Possibilities to get vaccinated despite time constraints in the workplace should be provided.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"79-87"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[The debate on the German abortion law since the German reunification-historical, legal, and ethical aspects of abortion in Germany].","authors":"Florian Michael Dienerowitz","doi":"10.1007/s00103-024-03992-5","DOIUrl":"10.1007/s00103-024-03992-5","url":null,"abstract":"<p><p>Abortion continues to be a highly contentious issue. This article provides an overview of the historical, ethical, and legal aspects of the abortion debate in Germany with a focus on the developments since the reunification. It delves into the background of the 1995 reform of the German abortion law, which centers around mandatory counseling before having an abortion. Furthermore, it outlines the implications of the medical indication for abortion and legal areas of tension. In light of the emerging shift in the status of abortion from a prohibited act under criminal law to a reproductive right, the article presents various legal viewpoints and practical considerations in the ongoing discussion.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"69-78"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142805992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Erratum zu: Empfehlung zum Schutz von Badenden vor Cyanobakterien und Cyanobakterientoxinen.","authors":"","doi":"10.1007/s00103-024-03973-8","DOIUrl":"10.1007/s00103-024-03973-8","url":null,"abstract":"","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"115"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142615303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Dimensions of person-centeredness in abortion services-selected results of the CarePreg study].","authors":"Jördis Zill, Anja Lindig","doi":"10.1007/s00103-024-03990-7","DOIUrl":"10.1007/s00103-024-03990-7","url":null,"abstract":"<p><p>Person-centered care is a fundamental principle of healthcare in Germany. The concept focuses on the preferences, needs, and values of individuals in the healthcare system. Studies show that unintentionally pregnant women seeking to terminate their pregnancy may encounter legal regulations, stigmatization, and ethical and moral concerns from healthcare providers. In Germany, the implementation of person-centered care in the care of unintentionally pregnant women has been scarcely researched. The goals of the CarePreg study (running from November 2020 to July 2024) were to evaluate person-centered care in psychosocial and medical care (1) from the perspective of healthcare providers as well as (2) from the perspective of women experiencing an unintended pregnancy and abortion, and (3) to derive recommendations for the current care situation. A mixed-methods approach was chosen for the study.This article presents the methodology of the CarePreg study and reports on the findings from two workshops involving 18 experts as part of the first study phase. Participants in the workshops were professionals from psychosocial and medical services for individuals with unintended pregnancies. They considered person-centered care highly relevant to abortion services, emphasizing dimensions such as \"access to care,\" \"personalized information,\" and \"equal collaboration and involvement in decision-making.\" Barriers to person-centered care discussed included the stigmatization of abortion and those providing related services as well as the current legal framework.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"19-27"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142799442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[IQWiG evidence report on psychological consequences of abortion].","authors":"David Endres, Julia Gowik, Andrea Tasar","doi":"10.1007/s00103-024-03993-4","DOIUrl":"10.1007/s00103-024-03993-4","url":null,"abstract":"<p><p>The Institute for Quality and Efficiency in Health Care (IQWiG) was commissioned by the Federal Ministry of Health to provide support for the further development of the S2k guideline on first-trimester abortion into an S3 guideline. To this end, the responsible guideline group formulated research questions that were answered in IQWiG evidence reports. One of the questions to be addressed was the evidence regarding the psychological consequences of an abortion in the first trimester compared to no abortion in the first trimester in pregnant women who wish to have an abortion. A systematic search identified one relevant prospective comparative cohort study that reported results on the outcomes of clinically diagnosed depression and clinically diagnosed anxiety disorders. The evidence was evaluated in accordance with the methodological requirements of the Grading of Recommendations Assessment, Development and Evaluation (GRADE) working group, as specified by the IQWiG methods. No significant differences were observed between the study groups with regard to the outcomes mentioned. The certainty of the evidence was rated as very low and downgraded due to study limitations and imprecision of the effects. Prospective comparative cohort studies that approach the research question under investigation should, inter alia, have adequate control for relevant confounders, a sufficient number of participants, and a carefully planned collection of data on relevant outcomes.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"45-52"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142811998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Abortions and the life course: insights based on pairfam data].","authors":"Lara Minkus","doi":"10.1007/s00103-024-03997-0","DOIUrl":"10.1007/s00103-024-03997-0","url":null,"abstract":"<p><strong>Introduction: </strong>Despite the social and political importance of abortion, little quantitative research has been done on the individual circumstances of women who have had abortions in Germany. This article takes an empirical and descriptive look at the individual, economic, and partnership conditions under which such decisions are made.</p><p><strong>Methods: </strong>Data from the first 13 waves (2008-2021) of the German Family Panel (pairfam) were analyzed. Data from women who had an abortion were compared with those who carried the pregnancy to term in terms of individual characteristics, economic, and partnership circumstances. The sample consists of 1511 observations from 1082 respondents, including 216 abortions and 1295 births. The data were analyzed by means of descriptive analysis.</p><p><strong>Results: </strong>Abortions are associated with several individual, economic, and partnership characteristics. Abortions are relatively less frequent when women are in good health and more frequent when they already have two or more children. In addition, the financial situation of women who have an abortion is comparatively worse. They are also more likely to be single or dissatisfied with their partnership.</p><p><strong>Discussion: </strong>The findings suggest that the decision to terminate a pregnancy by abortion is made in the context of specific life circumstances. This article highlights the need for further research into the complexities involved.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"11-18"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Abortion from a multidisciplinary perspective].","authors":"Matthias David, Joseph Kuhn, Anke-Christine Saß","doi":"10.1007/s00103-024-03996-1","DOIUrl":"10.1007/s00103-024-03996-1","url":null,"abstract":"","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":"68 1","pages":"1-2"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142977784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Annika Ziegler, Angela M Kunzler, Sebastian Voigt-Radloff, Jochen Schmitt, Onnen Moerer, Simone Scheithauer, Heike Heytens, Christian Apfelbacher, Joerg J Meerpohl
{"title":"[Prioritization of research questions in health crises-presentation of a concept developed during the COVID-19 pandemic].","authors":"Annika Ziegler, Angela M Kunzler, Sebastian Voigt-Radloff, Jochen Schmitt, Onnen Moerer, Simone Scheithauer, Heike Heytens, Christian Apfelbacher, Joerg J Meerpohl","doi":"10.1007/s00103-024-03985-4","DOIUrl":"10.1007/s00103-024-03985-4","url":null,"abstract":"<p><p>In acute crises such as the COVID-19 pandemic, scientific questions need to be addressed quickly in order to protect the health of the population and to maintain the function of the healthcare system. The prevailing urgency and the large number of issues to be addressed, combined with the limitation of time, personnel, or monetary resources make prioritization indispensable. In the COVID-19 Evidence Ecosystem (CEOsys) project initiated by the University Medicine Network (NUM), a procedure for the rapid prioritization of questions was used specifically for evidence syntheses and clinical guideline recommendations, which was further developed in the follow-up project PREparedness and Pandemic Response in Germany (PREPARED).The result is a concept paper on the prioritization of research questions and topics with a more generic orientation. The content of the concept is presented in this article. The core subjects are basic principles of successful prioritization as well as an explicit seven-step process with information on organizational framework conditions and the procedure. The concept offers possibilities for adaptation, as research prioritization is highly context-dependent.The application of such a systematic, transparent prioritization process contributes to comprehensible and informed decisions about which research questions are relevant and urgent, in which order they should be processed, and which issues are not critically urgent or have to be postponed.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"97-104"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142784221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}