Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz最新文献

{"title":"[Pneumococcal vaccination in people aged 60 and over: relationships between vaccination intention, knowledge, and psychological reasons for the vaccination decision].","authors":"Hannah Nordmann, Sarah Anna Katharina Uthoff, Anna Zinkevich, Julia Iwen, Marc Biedermann, Lena Ansmann","doi":"10.1007/s00103-025-04012-w","DOIUrl":"https://doi.org/10.1007/s00103-025-04012-w","url":null,"abstract":"<p><strong>Introduction: </strong>Worldwide, pneumococci are the most common cause of morbidity and mortality from lower respiratory tract infections. Despite recommendations of the Standing Committee on Vaccination (STIKO), the vaccination rate against pneumococci in over 60-year-olds in Germany remains low. This study therefore investigates the associations between psychological reasons for (non-) vaccination, knowledge about pneumococci, age and gender, previous vaccination decisions, and pneumococcal vaccination intention in over 60-year-olds.</p><p><strong>Methods: </strong>The analysis is based on data from the study \"ALtersspezifische Impfinanspruchnahme VErbessern,\" in which 1117 patients aged 60 and over were surveyed in 2022. In addition to the descriptive evaluation of the cross-sectional data, a Spearman correlation analysis was carried out. Predictive variables were also identified in a linear regression analysis.</p><p><strong>Results: </strong>Confidence in the safety of vaccination (β = 0.514, p < 0.001) and receiving the influenza vaccination (β = 0.153, p < 0.001) in the last season are the strongest predictors of pneumococcal vaccination intention. In addition, the perceived risk of pneumococcal infection (β = 0.086, p = 0.002) showed a significant positive correlation with vaccination intention. The regression analysis performed was able to explain 48.8% of the variance in vaccination intention (R² = 0.488).</p><p><strong>Discussion: </strong>Confidence and risk perception appear to be decisive factors in the decision to get vaccinated. Measures that address these aspects could increase vaccination intention. A joint administration of the influenza and pneumococcal vaccination could be useful, as receiving an influenza vaccination in the previous season showed a positive effect on the intention to get the pneumococcal vaccination.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514784","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":"[Monitoring vaccination coverage in Germany-current status and trends].","authors":"Thorsten Rieck, Cornelius Rau, Elisa Wulkotte, Marcel Feig, Constantin Fischer, Ole Wichmann, Annika Steffen","doi":"10.1007/s00103-025-04020-w","DOIUrl":"https://doi.org/10.1007/s00103-025-04020-w","url":null,"abstract":"<p><p>Timely and reliable data on the vaccination status of the population are essential for the evaluation of vaccination programs. The analysis of school entry examination data and health claims data from the Associations of Statutory Health Insurance Physicians is the basis for monitoring the vaccination coverage in Germany. These two established and effective systems are supplemented by surveys among special target groups that can provide data on vaccination coverage, acceptance, and intention to be vaccinated.With the data from school entry examinations and health claims, vaccination coverage can only be reported with a delay of 1-2 years. Furthermore, the health claims data are incomplete due to the increasing diversification of vaccination service providers. The need for a complete and timely monitoring of the vaccination coverage during the COVID-19 pandemic revealed the limitations of these systems in an emergency situation. Therefore, the temporary Digital Immunization Monitoring (DIM) system for collecting COVID-19 vaccination data was established. With DIM, it was possible to collect COVID-19 vaccination data from all vaccination service providers on a daily basis.With the vision of timely and complete monitoring of vaccination coverage, the integration of vaccination data collection into the German Electronic Reporting and Information System for Infection Protection (DEMIS) is being developed as a uniform reporting infrastructure. In the future, DEMIS will be used to collect timely, pseudonymized, and individual-based vaccination data from all vaccination service providers. This will enable the evaluation of vaccination programs with little delay using complete and high-resolution data as well as the rapid adaptation of vaccination recommendations and communication strategies as needed.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448267","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":"[Digital innovations in vaccination communication].","authors":"Robert Böhm, Rian Gross, Sabrina Forst, Julia Reiter, Cornelia Betsch","doi":"10.1007/s00103-025-04019-3","DOIUrl":"https://doi.org/10.1007/s00103-025-04019-3","url":null,"abstract":"<p><p>Despite the significant success of vaccinations, increasing vaccine hesitancy poses a threat to public health, making effective vaccination communication essential. Both personalized, needs-based conversations between healthcare providers and patients and large-scale, standardized vaccination campaigns through traditional media are important tools for addressing patients' concerns, correcting misinformation, and conveying positive arguments for the benefits of vaccination. This article describes innovative digital solutions for vaccination communication that combine the strengths of these two approaches, potentially becoming vital components of vaccination communication in an increasingly digital society. We focus on four digital solutions: social media, smartphone apps, chatbots, and immersive technologies (particularly virtual reality). We describe the features of these media and technologies, potential target groups for their application, selected scientific evidence regarding their effectiveness in vaccination communication, and potential research gaps and opportunities. Finally, we offer suggestions for possible application areas of these digital solutions in vaccination communication. While research on the use of innovative digital solutions in vaccination communication is still in its early stages, we see great potential for integrating these technologies as complementary measures into comprehensive vaccination communication strategies to enhance the effectiveness of future vaccination campaigns and promote global health.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405697","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":"[Effects of high thermal stress on health-a nationwide analysis based on statutory health insurance routine data between 2012 and 2021].","authors":"Jobst Augustin, Sandra Hischke, Peter Hoffmann, Dante Castro, Nadia Obi, Alice Czerniejewski, Roman Dallner, Laurens M Bouwer","doi":"10.1007/s00103-024-03968-5","DOIUrl":"10.1007/s00103-024-03968-5","url":null,"abstract":"<p><strong>Background: </strong>The extent to which statutory health insurance (SHI) data can be used to map associations between thermal stress and heat-related diseases is still unclear. The aim of this study is to analyse the association between climate variability and heat-associated diseases using insurance data.</p><p><strong>Methods: </strong>The study is based on claims data (outpatient and stationary) from health insurance companies in Germany for the years 2012-2021, covering approximately 11 million people with statutory health insurance. Four heat-related ICD-10 diagnoses were considered: T67 (heat and sun damage), E86 (volume depletion), N17 (acute renal failure) and N19 (renal insufficiency). Thermal conditions were quantified using meteorological variables. The evaluation was carried out on a federal state-specific basis for the second and third quarters (Q2, Q3) using descriptive methods and correlation analyses with repeated measurements.</p><p><strong>Results: </strong>The years 2016, 2018 and 2020 were characterised by high temperatures. Compared with Q2, Q3 was associated with higher thermal stress and more heat-related diagnoses on average during the entire observational period. Nationally, diagnoses of heat and sun damage (outpatient) correlated with the number of hot days (r_mw = 0.86 [0.81; 0.90]). Although heat stress is lower in the second quarter, a similar correlation is found here (r_mw = 0.76 [0.68; 0.82]). This striking association was also maintained when analysing the federal states specifically.</p><p><strong>Discussion: </strong>The article shows that associations between thermal stress and morbidity can also be found in routine SHI data. Against the background of an increase in high thermal stress due to climate change, this article highlights the need for adaptation measures.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"119-129"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11774979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142495719","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":"[Digital public health in Germany: status quo, challenges, and future perspectives : A position paper of the Digital Public Health Section of the German Public Health Association].","authors":"Laura Maaß, Christoph Dockweiler, Zora Hocke-Bolte, Stephanie Hoffmann, Florian Fischer, Sarah Forberger, Janika Gebert, Felix Holl, Robert Hrynyschyn, Sven Kernebeck, Claudia Pischke, Jacqueline Posselt, Jacob Spallek","doi":"10.1007/s00103-024-03989-0","DOIUrl":"10.1007/s00103-024-03989-0","url":null,"abstract":"<p><p>This position paper from the Digital Public Health Section of the German Public Health Association defines digital public health (DiPH) and describes its goals and potential. It also addresses the current situation and challenges as well as the need for action in Germany. The focus here is on the presentation of the nationwide promotion of (digital) health literacy; the application of DiPH in prevention, health promotion, and healthcare; the use of innovative preventive strategies for the prevention of non-communicable diseases; and the teaching of DiPH in academic public health programs. Finally, relevant measures and demands to strengthen DiPH in Germany are summarized.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"176-184"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142784273","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":"[Cause of death statistics-how to avoid misinterpretation of mortality data].","authors":"Susanne Stolpe, Bernd Kowall","doi":"10.1007/s00103-024-03986-3","DOIUrl":"10.1007/s00103-024-03986-3","url":null,"abstract":"<p><p>National mortality registers provide important data for monitoring population health. Analyses of cardiovascular mortality in particular-and especially mortality from coronary heart disease-are frequently the basis for conclusions about the quality of healthcare and prevention. To be able to interpret disease-specific mortality differences between countries and changes in mortality over time, it is necessary to know the basics of monocausal cause-of-death statistics and the associated limitations in comparative statements.Conclusions from disease-specific mortality data can be problematic due to the highly subjective selection of diseases that are entered on a death certificate after a post-mortem examination. In death certification, unawareness of the different \"roles\" of specific diseases-known at the time of death-within the causal chain leading to death can result in incomplete death certificates as a data basis for mortality statistics. Comparisons of disease-specific mortality rates are difficult due to different proportions of non-informative-including unknown-causes of death and due to country-specific preferences for which diseases are recorded on a death certificate-especially in the prevalence of multimorbidity. A population's morbidity is therefore only reflected to a limited extent by mortality rates. Conceptual ambiguities with regard to the concepts of lethality and mortality when describing mortality rates can also lead to erroneous conclusions.Training of medical staff on how to complete a death certificate and the introduction of an electronic death certificate can improve the quality of mortality data. Irrespective of this, knowing potential pitfalls when analyzing mortality data will improve the quality of health reporting.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"167-175"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766565","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":"[Health data: over-, under-, and misuse?]","authors":"Joseph Kuhn","doi":"10.1007/s00103-024-04003-3","DOIUrl":"https://doi.org/10.1007/s00103-024-04003-3","url":null,"abstract":"","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":"68 2","pages":"117-118"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143051602","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":"[Workload and mental health of nursing staff in Germany during the COVID-19 pandemic-a scoping review].","authors":"Dagmar Arndt, Thomas Hering","doi":"10.1007/s00103-024-03984-5","DOIUrl":"10.1007/s00103-024-03984-5","url":null,"abstract":"<p><strong>Background: </strong>In March 2023, there was no comprehensive overview of job demands, resources, and mental health consequences for nurses in Germany during the COVID-19 pandemic. Because of country-specific differences with regard to the course/management of the pandemic and the organization of the healthcare system, data from Germany were analyzed specifically.</p><p><strong>Methods: </strong>A systematic search in databases (PubMed/Medline, PsycINFO) yielded 50 relevant studies that were included in the scoping review.</p><p><strong>Results: </strong>The studies were based on cross-sectional designs, mostly from the hospital setting and the first year of the pandemic. Frequently investigated job demands were work intensification, lack of protective equipment, rapidly changing regulations, contact with COVID-19 patients, and pandemic-related worries/anxieties. Pandemic phase and setting-specific demand cascades became clear. Frequently examined mental health problems (including stress experience, anxiety, depression, burnout, and intention to change career/job) were higher in groups with higher levels of reported job demands. Nurses generally reported less favorable values than medical professionals. Social support, reward/appreciation, humor, resilience, and sense of coherence proved to be resources.</p><p><strong>Conclusion: </strong>In preparation for further pandemics and crises, pre-pandemic job demands should be reduced through targeted measures and relevant resources should be strengthened. Pandemic-specific job demands should be systematically reflected and cross-organizational solutions developed. Longitudinal studies using validated instruments and intervention studies should be the focus of future research funding.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"130-140"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766608","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: Einsamkeit: Ein Begriff für viele Wirklichkeiten.","authors":"Joseph Kuhn, Martin Härter, Peter Brieger, Steffi G Riedel-Heller","doi":"10.1007/s00103-024-03976-5","DOIUrl":"10.1007/s00103-024-03976-5","url":null,"abstract":"","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"187-188"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709249","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":"[Do basic welfare payments in Germany cover the food costs of a healthy diet for children and adolescents?]","authors":"Aziza J Belgardt, Mathilde Kersting, Kathrin Sinningen, Anjona Schmidt-Choudhury, Frank Jochum, Martin Claßen, Thomas Lücke","doi":"10.1007/s00103-024-04001-5","DOIUrl":"10.1007/s00103-024-04001-5","url":null,"abstract":"<p><strong>Introduction: </strong>Families in Germany who live in poverty receive citizens' benefits (Bürgergeld) within the context of welfare legislation. Basic rates for children and adolescents are included in these benefits and staggered into three groups according to age. The need for nutrition is the largest category of the basic rate. The Optimized Mixed Diet (OMD) is a practical concept of a healthy diet for children and adolescents aged 1-18 years. Traditional and home-cooked meals are preferred. The aim of this project was to calculate the food costs of the OMD based on the underlying 7‑day meal plan.</p><p><strong>Methods: </strong>The lowest shelf prices of 87 different foods from the OMD were recorded during market inspections in different food retailers (1 supermarket, 1 discounter; November 2022, Bochum, Germany). The nutrition basic rate was compared to the total food costs per month in accordance with the age groups of the welfare legislation as well as of the German Nutrition Society (DGE) reference values. Furthermore, the contributions of the food groups were determined based on total costs and total energy intake of the OMD.</p><p><strong>Results: </strong>The food costs of the OMD are covered 101-109% by the standard nutritional rate of the citizens' benefits for every age group of the welfare legislation. The costs for the more narrowly defined DGE age groups are covered as well with a few exceptions. The main cost drivers of the OMD were vegetables/raw foods, and the main energy sources were bread/cereal products.</p><p><strong>Discussion: </strong>The current citizens' benefits can cover the nutritional requirement of children and adolescents, provided that meals are self-cooked and low-priced foods are used. The question remains to what extent the social needs for participation can be fulfilled as well.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"160-166"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11774961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142977776","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}