Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz最新文献

{"title":"[The very elderly in Germany: demography, regional inequalities, and health-an overview].","authors":"Birgit Wolter, Kerstin Kammerer, Steffen Maretzke, Enno Nowossadeck","doi":"10.1007/s00103-026-04285-9","DOIUrl":"10.1007/s00103-026-04285-9","url":null,"abstract":"<p><p>The proportion of very elderly people in the German population is steadily increasing. As a result, their specific needs-for example, with regard to regional healthcare and support structures-are becoming increasingly important. This article introduces the current issue with an overview of the living conditions and health status of people aged 80 and over.First, the population group is described based on demographic characteristics. Women clearly predominate among the very elderly; furthermore, gender-specific differences are evident in terms of income, remaining life expectancy, and marital status. Their share of the population varies regionally-in some cases considerably-and is linked to the respective region's development potential. The proportion of very old people in the population is particularly high in structurally weak and low-income regions.Based on the representative Gesundheit 65+ study (Robert Koch Institute, RKI) and D80+ study (ceres), key data on the health status of the very elderly are presented. The article addresses subjective health, health limitations, diseases and multimorbidity, need for care, and dementia. The health data, which also highlight gender-specific differences and health inequalities, point to fields of action that should be addressed in order to ensure equal living conditions. Structurally weak regions in particular face major challenges in providing the necessary care and health infrastructure for a dignified life in old age.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"981-990"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13562148/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148788503","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":"[Modifiable risk and protective factors for dementia: an overview of established and emerging evidence].","authors":"Felix G Wittmann, Andrea E Zülke, Michelle Vajnberger, Melanie Luppa, Steffi G Riedel-Heller","doi":"10.1007/s00103-026-04279-7","DOIUrl":"10.1007/s00103-026-04279-7","url":null,"abstract":"<p><p>Alzheimer's disease and other dementias are among the most serious widespread diseases, with societal and healthcare-system relevance expected to increase further in the coming years. Projections of the future disease burden are correspondingly concerning. At the same time, considerable progress has been made in research, particularly in the field of risk reduction. A broad range of established protective and risk factors at the individual level has been identified, alongside a growing number of related intervention studies. Increasingly, however, attention is shifting toward population-based measures aimed at reducing dementia cases in the long term.This article provides an overview of the current state of research. First, drawing on recent data on disease burden, established risk factors are summarized. Building on this, more recent and previously less considered potential determinants are discussed. The review further outlines existing intervention approaches and examines the relevance of population-based prevention strategies for public health and health policy.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"1000-1007"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13562204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148577134","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":"[How is the health of people aged 80 and older in Germany?]","authors":"Judith Fuchs, Enno Nowossadeck, Anke-Christine Saß","doi":"10.1007/s00103-026-04287-7","DOIUrl":"10.1007/s00103-026-04287-7","url":null,"abstract":"","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":"69 9","pages":"979-980"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13562306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148929076","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":"[Walkability in older age: built environment factors and function-sensitive assessment in urban areas].","authors":"Daniela Koller, Eva Grill, Ralf Strobl","doi":"10.1007/s00103-026-04288-6","DOIUrl":"10.1007/s00103-026-04288-6","url":null,"abstract":"<p><p>Walkability describes how supportive a neighbourhood is for walking and is a key concept for promoting mobility, physical activity and social participation in older age. However, existing approaches do not adequately reflect the specific needs of older adults, especially in the presence of functional limitations. This article outlines how walkability can be further conceptualised, measured in a function-sensitive way and empirically examined in an urban context.The paper presents an age-specific operationalization framework for walkability based on the authors' previous work and a Delphi consensus study. It includes three dimensions: residential environment and transport infrastructure, accessibility of destinations and meeting places, and attractiveness and safety of the environment. A central feature is the systematic consideration of the interaction between functional status and environmental demands.Using the planned WALK project in Munich as an example, the article illustrates how these indicators can be applied in a municipal mixed-methods study. The design combines qualitative interviews, walk-and-talk assessments, expert interviews and GIS-based analyses. The aim is to identify barriers and facilitators of everyday walking among older adults and to derive recommendations for health-promoting, age-sensitive urban planning.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"1044-1052"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13562301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148788500","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":"Rücknahme von Leitlinien zur hygienischen Beurteilung von organischen Materialien im Kontakt mit Trinkwasser.","authors":"","doi":"10.1007/s00103-026-04278-8","DOIUrl":"https://doi.org/10.1007/s00103-026-04278-8","url":null,"abstract":"","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":"69 9","pages":"1122"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148929038","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":"Hinweis auf die Veröffentlichung einer Änderung der KRINKO-​Empfehlung „Händehygiene in Einrichtungen des Gesundheitswesens“ im Epidemiologischen Bulletin.","authors":"","doi":"10.1007/s00103-026-04282-y","DOIUrl":"10.1007/s00103-026-04282-y","url":null,"abstract":"","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"1121"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148668547","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":"[The North Rhine-Westphalia State Cancer Registry-a historical review from 1974-2025].","authors":"Andreas Stang, Heike Bertram, Andres Schützendübel","doi":"10.1007/s00103-026-04289-5","DOIUrl":"https://doi.org/10.1007/s00103-026-04289-5","url":null,"abstract":"<p><p>Cancer registration in North Rhine-Westphalia began in 1974 and celebrated its 50th anniversary in 2024. The aim of this paper is to describe the development phases of cancer registration in North Rhine-Westphalia between 1974 and 2025.Following an international symposium in Düsseldorf in 1973 and with the support of the Society for the Fight Against Cancer (later: Cancer Society of North Rhine-Westphalia), a cancer registry was established in 1974 under the leadership of Prof. Ekkehard Grundmann, initially focusing on oncological aftercare in Münster. Pathologists who had no contact with patients were not able to report to the registry. Federal political debates between 1978 and 1981 promoted the establishment of cancer centers and cancer registries. The Cancer Registry Act of North Rhine-Westphalia of 1985 created the legal basis for epidemiological cancer registration in the administrative district of Münster. Pathologists were still unable to report to the registry. It was not until the establishment of an electronic procedure for transmitting pathology reports using control numbers in the early 2000s that pathologists were able to report directly to the registry. Only then was it possible to achieve the required completeness of registration of 95%.In 2005, an amendment to the law led to the comprehensive expansion of cancer registration in North Rhine-Westphalia. Since then, reports could only be submitted electronically. The Cancer Early Detection and Registration Act (KFRG) of 2013 led to the amendment of the Cancer Registry Act in North Rhine-Westphalia in 2016. Since then, the cancer registry has been an epidemiological and clinical cancer registry. The cancer registry currently covers a population of 18 million people and registers 173,000 new cases of cancer per year (including non-melanotic skin cancer).</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148863635","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":"[Suicides in agriculture: a cross-population analysis based on Bavarian police crime statistics].","authors":"Christian Hetzel, Nadine Sänger, David Bühne, Juliane Vees, Regina Eichinger-Schönberger, Michael Holzer","doi":"10.1007/s00103-026-04297-5","DOIUrl":"https://doi.org/10.1007/s00103-026-04297-5","url":null,"abstract":"<p><strong>Introduction: </strong>According to international studies, people employed in agriculture are at increased risk of suicide. To date, there is little evidence on this subject for Germany. The aim of this study was to estimate, on the basis of secondary data, the suicide rates among people in agriculture-related occupations (green occupations) compared with the rest of the population.</p><p><strong>Methods: </strong>A population-based descriptive study using age- and sex-specific aggregated data from the Bavarian Police Crime Statistics (PCS) on suicides between 2017 and 2024. The PCS classifies suicide cases according to the primary occupation. Various population statistics were used as the reference populations; due to methodological uncertainties in these populations, the calculated suicide rates should be interpreted as estimates.</p><p><strong>Results: </strong>During the study period, 463 suicides were recorded among individuals primarily employed in green occupations (an average of 57.9 ± 14.7 cases per year). The estimated suicide rates were significantly higher than those of the rest of the population, both overall and by sex and age. Among men aged 18 to 59-the group with the most reliable data-the suicide rate was 3.4 times higher (95% CI (confidence interval): 2.9-4.0). Even when using expanded populations and allowing for underreporting in the population, a suicide rate at least 50% higher remained robust.</p><p><strong>Discussion: </strong>The increased risk is consistent with international studies. The Bavarian PCS provides, for the first time in a major German federal state, an estimate of elevated suicide rates among those primarily employed in green occupations. Limitations include the limited depth of the PCS data and a possible underreporting of full-time employees outside the family in the reference data used. The findings should be confirmed with other data. Causal factors were not investigated. Suicide prevention measures appear warranted.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148863569","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":"[Sexual self-determination and disability: 10 years of the ReWiKs project-dynamics and findings].","authors":"Sven Jennessen, Tim Krüger","doi":"10.1007/s00103-026-04263-1","DOIUrl":"10.1007/s00103-026-04263-1","url":null,"abstract":"<p><p>Sexual self-determination for people with disabilities remains a marginalised topic in the context of the discourse on participation. Narratives and facts that define the (sexual) realities of life for the target group clearly show that the realisation of sexual self-determination is primarily shaped by disabling social attitudes, structural challenges and paternalistic everyday practices. These are mostly at odds with sexual human rights. The ReWiKs research project has developed a comprehensive topic-specific media package, conducted training courses for professionals and designed participation-oriented discussion formats (Freiraum-Gruppen) for people with disabilities. The empirical findings from these activities indicate significant competence developments among professionals, while also revealing considerable structural and institutional challenges in the development and implementation of sex-positive institutional cultures. The participatory discussion formats for people with disabilities create spaces for resonance, exchange, recognition and sexual education. The findings of the project have multidimensional consequences for participation issues in the context of self-determined sexuality.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"909-917"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148338039","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 progress of participation research. A sociological analysis of its institutionalization].","authors":"Markus Schäfers, Gudrun Wansing","doi":"10.1007/s00103-026-04275-x","DOIUrl":"10.1007/s00103-026-04275-x","url":null,"abstract":"<p><p>Participation research has emerged as an interdisciplinary field of research that focuses on the social participation of people with disabilities. More than a decade after its founding and initial phase, the question arises as to the current state of its development. This article examines the progress of participation research from a sociological perspective and reconstructs it as a process of progressive institutionalization. The analysis of structural, social, epistemic, and sociopolitical aspects paints an ambivalent picture. In particular, the network formation and the emergence of a transdisciplinary epistemic culture point to significant progress in institutionalization. Furthermore, the field of research has high political relevance. However, the structural anchoring of participation research within the academic system has so far been only modest.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"866-872"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415258/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148395976","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}