Time filter

Source Type

Hollederer A.,Bayerisches Landesamt fur Gesundheit und Lebensmittelsicherheit LGL
Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz

The health-for-all policy framework needs data for action. Results from the German Microcensus can be extrapolated to the population at the country, state ("Bundesländer"), and community levels. Most of the information in the 2009 Microcensus was given under the statutory obligation; providing health information in the supplementary program was optional. The selection rate was 1% of the population. The Microcensus'continuous sampling method during the year, thus, determines illness rates as an average for the year. There are distinct health disparities between not only the states but also between communities in North Rhine-Westphalia. Annual average illness rates for 2009 are associated in NRW with influencing social factors, e.g., education. Illness rates rise with decreasing net income for the past month. Blue-collar workers suffered more often from illness or accident injuries at the time. The levels of illness in the overall employable population increase in the communities of NRW with the proportion of inhabitants who receive governmental financial aid or unemployment benefits to secure their basic livelihood. The Microcensus has the potential to be a source for systematic and harmonized monitoring concerning health in the country, states, and communities of Germany. © Springer-Verlag 2012. Source

Introduction: Tobacco smoking is the single greatest cause of avoidable morbidity and mortality. The official Microcensus is one of the most important sources of systematic reporting about smoking in Germany. Methods: The selection rate of the random sample survey was 1% of the population in the 2009 Microcensus in North Rhine-Westphalia. Most of the information was given under statutory obligations. Providing health information in the health supplementary programme was optional with response of about four-fifths of the interviewees. Results: According to the 2009 Microcensus regional file, 37% of the men and 28% of the women of employable age (15-64 years) are smokers in North Rhine-Westphalia (N=9 219 thousand). Tobacco smoking prevalence is associated with influencing social factors. The probability of current smoking rises with the decrease of the socioeconomic status and the level of education. Job-seekers have a significantly elevated odds ratio for smoking, the chance of quitting smoking is minimised. The analyses show that the percentages of smokers and ex-smokers varied widely between the communities in North Rhine-Westphalia. The prevalence of current tobacco smoking increases highly in the communities with rates of inhabitants who receive government financial aid or unemployment benefits to secure their basic livelihood. Conclusion: The Microcensus reveals distinct disparities in adult smoking prevalence between the regions and additionally strong social disparities in adult smoking prevalence. The nicotine addiction accelerates health inequalities. The Microcensus may have potential for monitoring tobacco use in Germany and in the regions and communities and for evaluating the effectiveness of tobacco control programmes over time. The Microcensus analyses can be used for the development of primary and secondary tobacco prevention strategies. © Georg Thieme Verlag KG Stuttgart • New York. Source

Luber F.,TU Munich | Demmel A.,Bayerisches Landesamt fur Gesundheit und Lebensmittelsicherheit LGL | Hosken A.,TU Munich | Busch U.,Bayerisches Landesamt fur Gesundheit und Lebensmittelsicherheit LGL | Engel K.-H.,TU Munich
Journal of Agricultural and Food Chemistry

The confectionery ingredient marzipan is exclusively prepared from almond kernels and sugar. The potential use of apricot kernels, so-called persipan, is an important issue for the quality assessment of marzipan. Therefore, a ligation-dependent probe amplification (LPA) assay was developed that enables a specific and sensitive detection of apricot DNA, as an indicator for the presence of persipan. The limit of detection was determined to be 0.1% persipan in marzipan. The suitability of the method was confirmed by the analysis of 20 commercially available food samples. The integration of a Prunus-specific probe in the LPA assay as a reference allowed for the relative quantitation of persipan in marzipan. The limit of quantitation was determined to be 0.5% persipan in marzipan. The analysis of two self-prepared mixtures of marzipan and persipan demonstrated the applicability of the quantitation method at concentration levels of practical relevance for quality control. © 2012 American Chemical Society. Source

Hollederer A.,Bayerisches Landesamt fur Gesundheit und Lebensmittelsicherheit LGL | Stuhler K.,Bayerisches Landesamt fur Gesundheit und Lebensmittelsicherheit LGL

Aim of the study: Health conferences offer opportunities for better cooperation and coordination in local health management. The aim of the explorative evaluation study was to assess structures, processes and results of “Regional Health Conferences (RGK)” in 3 model regions, to inform about potential for development and to test their transferability to other regions. Method: After the model project had been up and running for 18 months (08/2013 to 12/2014), a survey of 80 participants of the RGK in 3 regions was conducted, based on a semi-standardized questionnaire. The response rate was 90%. The results were complemented by document analysis and an additional survey of the managers of the RGK. Results: The 3 RGK were established with their agencies and 13 working groups on health care. Almost all participants felt that the number of members was appropriate and that the main stakeholders were represented. According to a large part of the respondents, the majority actively took part in the RGK and usually everyone had the equal opportunity to propose a topic. Although almost half of the respondents reported conflicts, the atmosphere was constructive for 3-quarters of them. Nearly all the interviewees confirmed the importance of a chairman and a manager of the agency, as well as the positive influence of the moderator. Almost everyone agreed that RGK are suited to improve health care and cooperation. From the participants’ point of view, the main problems were identified; 94% of the respondents agreed that the previous work could be regarded as successful and 91% were satisfied or rather satisfied with the processes of the RGK. The level of satisfaction was similar among the three model regions, but it varied among the member groups; 98% of the interviewees would also take part in the future. Conclusion: According to this survey, RGK are an appropriate platform for coordination, exchange und cooperation of stakeholders and a good instrument for cooperation. In Bavaria, the approach will be further improved as well as extended to other regions based on a new concept called “Health Regionsplus”. Copyright ©, Georg Thieme Verlag KG. All rights reserved. Source

Background: According to existing research, unemployment is related to health problems. The causal relationship is not yet fully understood. This secondary data analysis aims to study the interdependencies between unemployment and health. Methods: This study is based on data from the German Labour Market and Social Security (PASS) panel study comprising a sample of beneficiaries of the Federal Employment Agency and their household members as well as a representative household sample. A total of 12,570 persons (aged 15 to 64 years) from 8,392 households were interviewed in wave 7 (2013) of PASS. Results: The employed and unemployed differ substantially in terms of socio-demographic and health-related characteristics. Unemployed persons more often report worse or bad self-rated health (unemployed men: 31.0 % vs. employed men: 14.0 %; unemployed women: 37.7 % vs. employed women: 21.7 %) and feel being rather or much impaired by mental problems (unemployed men: 21.9 % vs. employed men: 7.2 %; unemployed women: 20.4 % vs. employed women: 15.8 %). For the unemployed, the proportion with an officially certified severe disability as well as another severe health impairment is much higher. They also more often report at least one hospital stay in the previous 12 months (unemployed men: 16.3 % vs. employed men: 9.9 %; unemployed women: 19.6 % vs. employed women: 12.2 %) and more contacts with physicians. In spite of that, unemployed persons do less exercise. Multivariate, longitudinal, logistic regression models demonstrate strong health-related selection effects on labour market transitions. Lower self-rated health is associated with a higher unemployment risk for employed persons as well as a lower probability of reintegration for unemployed persons. The most influential determinants of bad self-rated health are self-rated health status in the year before, while job loss and re-employment tend to influence the occurrence of bad self-rated health. Discussion: The analyses show substantial health disparities to the detriment of the unemployed. They also refer to a need for prevention regarding healthcare and employment. © 2016, Springer-Verlag Berlin Heidelberg. Source

Discover hidden collaborations