{"title":"[Utilisation of dental check-ups in Germany-prevalence and trends based on routine statutory health insurance data].","authors":"Laura Krause, Stefanie Seeling, Lukas Reitzle","doi":"10.1007/s00103-026-04253-3","DOIUrl":"10.1007/s00103-026-04253-3","url":null,"abstract":"<p><strong>Introduction: </strong>Dental check-ups contribute significantly to reducing the burden of oral disease. This article examines for the first time in Germany the utilisation of dental check-ups by adults aged 20 years and older based on routine data.</p><p><strong>Methods: </strong>The analyses were based on the outpatient dental claims data in accordance with BEMA (Uniform Assessment Scale for Dental Services) of the National Association of Statutory Health Insurance Dentists. A dental check-up was assumed to have been performed if at least one billing of BEMA 01, 151, 152, 153, 154 or 155 was documented in a calendar year. The utilisation was estimated as a proportion of all persons with statutory health insurance according to the KM6 statistics for the years 2015 to 2024, stratified by sex, age and region in a cross-sectional study design.</p><p><strong>Results: </strong>The rate of utilisation of dental check-ups remained relatively constant at around 64% until 2019, with a decline in the first year of the COVID-19 pandemic in 2020 (62.1%) and a gradual increase in the subsequent years to the initial level in 2024. Compared to the overall rate, men, young and early middle-aged adults, the very old and people in western Germany had a lower utilisation rate. Over time, the east-west differences in the utilisation rate in Germany have decreased.</p><p><strong>Discussion: </strong>More than one in three persons did not have a dental check-up in 2024. The results therefore highlight the need for preventive measures. For Germany, there had previously been no analyses of the utilisation of dental check-ups based on routine data. This article therefore fills a research gap.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"803-812"},"PeriodicalIF":1.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13323270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148204099","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":"[Doping: caught between fraud, health protection, and responsibility].","authors":"Uwe Koch-Gromus","doi":"10.1007/s00103-026-04260-4","DOIUrl":"10.1007/s00103-026-04260-4","url":null,"abstract":"","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":"69 7","pages":"733-735"},"PeriodicalIF":1.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13323219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148359635","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":"[Gene doping: current test methods and analytical challenges].","authors":"Mario Thevis, Andreas Thomas, Nana Naumann","doi":"10.1007/s00103-026-04257-z","DOIUrl":"10.1007/s00103-026-04257-z","url":null,"abstract":"<p><p>Gene doping refers to the use of gene therapeutic substances or technologies for the purpose of illicit sport performance enhancement. A wide variety of doping analytical detection methods are currently under development, ranging from PCR (Polymerase Chain Reaction) to high-resolution mass spectrometry to clustered regularly interspaced short palindromic repeat (CRISPR) and CRISPR-associated (CRISPR/Cas)-based detection methods. Due to the diverse approaches in gene therapy clinical research, it can be assumed that a wide variety of methods will also be needed to detect cases of gene doping. The increasing availability of unapproved gene doping-related products on the open consumer market underscores the urgent need to establish new detection methods for routine doping control analysis.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"767-773"},"PeriodicalIF":1.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13323523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148155528","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":"[Institutional initiatives of the International Olympic Committee's anti-doping policies: historical and contemporary perspectives].","authors":"Stephan Wassong","doi":"10.1007/s00103-026-04248-0","DOIUrl":"10.1007/s00103-026-04248-0","url":null,"abstract":"<p><p>The use of performance-enhancing substances can be traced back to before the first modern Olympic Games were held. The International Olympic Committee (IOC), founded in 1894, issued its first guidelines on doping in 1938. These guidelines condemned doping and proposed the exclusion of athletes who consumed performance-enhancing substances. Since the 1960s, institutions dedicated to combating doping in sport have been continuously established. Regulations became more precise, and in 1968, doping controls were conducted for the first time at the Winter Olympics in Grenoble.This article provides an overview of the development of the institutional anti-doping network, with a particular focus on the IOC's Doping Subcommittee, the IOC Medical Commission (MC), the World Anti-Doping Agency (WADA), the National Anti-Doping Agencies (NADAs), and the International Testing Agency (ITA). In addition, the article examines the current challenges facing the anti-doping network in connection with the privately organized \"Enhanced Games,\" in which doping is explicitly permitted.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"736-743"},"PeriodicalIF":1.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13323186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147980738","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":"[Media coverage of doping: subjective perceptions, evaluations, and perceived effects among elite athletes].","authors":"Michael Schaffrath, Thorsten Schulz","doi":"10.1007/s00103-026-04250-6","DOIUrl":"10.1007/s00103-026-04250-6","url":null,"abstract":"<p><strong>Introduction: </strong>Media coverage of doping almost always focuses solely on athletes. But do they even read reports on doping? How do athletes evaluate doping coverage? And what impact can doping reports have on elite athletes?</p><p><strong>Method: </strong>In 2025, a quantitative online survey was conducted among German national team athletes. Using descriptive and inferential statistics, 349 questionnaires were analyzed.</p><p><strong>Results: </strong>Of the athletes, 85% read doping reports to learn how a doping case arises and how the media handles it. Of the respondents, 62% are pleased when doping offenders are caught and subsequently exposed through media coverage. Disappointment sets in for 60% because doping reports can damage the image of their own sport, and 38% of athletes expressed frustration with the media's tendency to almost exclusively criticize athletes but not other groups who share responsibility for doping. Approximately 15% of respondents believe doping reports can influence mental or physical performance, with some respondents suggesting increased training intensity and greater motivation in competition, while others suspect reduced training and demotivation in competition. The variables of age and gender do not play a role in the response patterns.</p><p><strong>Discussion: </strong>The majority of athletes follow doping reports primarily out of a need for information and support the media's role in providing normative criticism and control. While doping reports are perceived as damaging to the image of their own sport, the media's educational efforts and the exposure of doping offenders are also seen as an important contribution to maintaining fair competition in sports.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"750-758"},"PeriodicalIF":1.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13323818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148148366","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}
Sven Schneider, Susanna Sophie Hinn, Juliane Mirow, Andrea Nakoinz
{"title":"[The Federal Ministry of Health's \"Model Heat Protection Plan for Organized Sport\"-background, structure, and content].","authors":"Sven Schneider, Susanna Sophie Hinn, Juliane Mirow, Andrea Nakoinz","doi":"10.1007/s00103-026-04222-w","DOIUrl":"10.1007/s00103-026-04222-w","url":null,"abstract":"<p><p>Both in competitive sports and in recreational and school sports, exposure to high outdoor temperatures often cannot be avoided. In 2025, the Federal Ministry of Health published the \"Model Heat Protection Plan for Organized Sport\", which aims to protect athletes from heat-related health risks. The plan is aimed at sports clubs, sports associations, and sports facility operators, and is intended to help them use structural preventive measures not only to protect athletes, but also coaches, referees, officials, service staff, and spectators from the health hazards caused by heat. It is designed to ensure that not every club has to develop its own heat protection concept from scratch. This article reports on the development process of the plan and discusses its structure, content, and its place within the existing prevention landscape.Based on recommendations from the World Health Organization and the Federal Ministry for the Environment, Climate Action, Nature Conservation and Nuclear Safety, the heat protection plan includes measures 1) to prepare for summer, 2) to protect during summer, 3) for acute heat waves, and 4) for medium- and long-term adaptation. Preparation should include drawing up process plans and designating responsible persons. Technical and structural measures include installing sunshades and shading substitute benches. During acute heat waves, misting systems can provide cooling. In addition, training and match times can be rescheduled, and extra substitutions and drink breaks may be allowed during competitions. Long-term measures include reorganizing competitions and league operations, and establishing clear cancellation and rescheduling regimes.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"831-839"},"PeriodicalIF":1.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13323785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147590222","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}
Manuel Döhla, Fabian Feil, Ricarda Maria Schmithausen
{"title":"[Development and pilot testing of the Lower Saxony drinking water incident register NITRIS to enhance situational awareness and provide a knowledge base].","authors":"Manuel Döhla, Fabian Feil, Ricarda Maria Schmithausen","doi":"10.1007/s00103-026-04244-4","DOIUrl":"10.1007/s00103-026-04244-4","url":null,"abstract":"<p><p>To protect critical infrastructure and improve situational awareness and knowledge of drinking-water incidents in Lower Saxony, the State Health Office (NLGA), commissioned by the Ministry of Social Affairs, Health and Equality, developed the Lower Saxony Drinking-Water Incident Register (NITRIS) as a password-protected web application. It is currently in a pilot phase that has been running since September 2025. NITRIS enables municipal public health offices to record drinking-water incidents directly and in a standardized manner. Once an incident is closed, all health offices in Lower Saxony can access the case, fostering knowledge exchange and networking across jurisdictions. In addition, NITRIS provides centrally curated resources-such as guidance documents, press-release templates, and operational checklists-to support consistent communication and response.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"693-697"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147833519","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":"Emissionsarme Bauprodukte im Innenraum: Zur Arbeit des Ausschusses zur gesundheitlichen Bewertung von Bauprodukten (AgBB).","authors":"Ana Maria Scutaru, Ole Johanns","doi":"10.1007/s00103-026-04247-1","DOIUrl":"10.1007/s00103-026-04247-1","url":null,"abstract":"","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":"69 6","pages":"621-622"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13212384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148027218","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}
Marleen Bug, Carmen Koschollek, Bianka Detering, Veronika Wiemker, Julia Weiss, Kayvan Bozorgmehr, Claudia Hövener
{"title":"[Inventory and evaluation of data sources on the mental health of children and adolescents with a history of migration in Germany : Results of the STRONGDATA-Kids project].","authors":"Marleen Bug, Carmen Koschollek, Bianka Detering, Veronika Wiemker, Julia Weiss, Kayvan Bozorgmehr, Claudia Hövener","doi":"10.1007/s00103-026-04246-2","DOIUrl":"10.1007/s00103-026-04246-2","url":null,"abstract":"<p><strong>Background: </strong>Up-to-date and representative data across all populations, as well as inclusive data systems, are essential for evidence-based health policy. However, there are considerable gaps in the availability and linkage of migration-related health data. Using the example of the mental health of children and adolescents (ChAd) with a history of migration, this analysis provides an overview of available data sources in Germany and evaluates their usability for public health reporting (PHR).</p><p><strong>Methods: </strong>Within the STRONGDATA-Kids project, data sources since 2000 were mapped if they included information on the mental health of ChAd with a history of migration and a sample size of n ≥ 1000. Data quality and barriers to access and use were assessed using a scorecard comprising eight dimensions.</p><p><strong>Results: </strong>A total of 37 data sources were identified. Since 2019, a diversification in the use of migration-related indicators can be observed, particularly with regard to country of birth (including that of parents). Personal resources and resilience, as well as emotional and behavioural problems, were most frequently assessed. Routine data show strengths in standardisation and reliability, while surveys ensure timely provision of data and flexibility. The main access barriers to routine data and surveys occur at the structural level, partly due to decentralised responsibilities.</p><p><strong>Discussion: </strong>Routine data and surveys are complementary and both indispensable for PHR. Despite broader use of migration-related indicators, further methodological and structural developments, such as standardised indicator sets, diversity-oriented research strategies and systematic data linkage are needed to validly represent the mental health of ChAd.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"623-634"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13212762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147962250","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":"[Access to healthcare for undocumented migrants in Germany-a scoping review].","authors":"Carolin Ochs, Maike Grube, Anja Dieterich","doi":"10.1007/s00103-026-04210-0","DOIUrl":"10.1007/s00103-026-04210-0","url":null,"abstract":"<p><strong>Background: </strong>Undocumented migrants in Germany face significant challenges in accessing healthcare. Although they are entitled to limited health services under the Asylum Seekers' Benefits Act, they cannot utilize these services without risking detection and deportation due to reporting obligations of social authorities. This study systematically reviews the existing research on healthcare access in this population in Germany for the first time.</p><p><strong>Methods: </strong>The literature research was conducted following the PRISMA-ScR standard in the databases Medline, CINAHL, PSYNDEX, SocINDEX, and Juris, with additional information gathered through supplementary email inquiries and manual searches. Studies from the years 2005-2024 were included. The data were analyzed regarding legal, structural, and practical access barriers and treatment gaps as well as recommended measures.</p><p><strong>Results: </strong>A total of 88 studies were included, most of which are based on quantitative data collection. The studies reveal that access to healthcare for people without valid residence permits is usually limited to emergency care and is characterized by treatment interruptions and a lack of continuity in care. Humanitarian healthcare provision and anonymous healthcare vouchers partially compensate for existing gaps, but do not offer an adequate alternative to regular care.</p><p><strong>Discussion: </strong>Despite civil society initiatives, undocumented migrants are underserved, and the right to health is not implemented. Future research should be aligned with the research ethics principles of care, harm minimization, and the self-determination of those affected.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"657-665"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13212376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147442465","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}