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Ms. Petra Rattay
Robert Koch Institute, Berlin, Germany

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Research Keywords & Expertise

0 Health Promotion
0 Family and Health
0 Public health and social epidemiology specifically examining social determinants of health
0 Social determinants
0 Family and child health

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Family and Health

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Short Biography

Petra Rattay has a diploma in Sociology and a master in Public Health. She works as a social epidemiologist at the Robert Koch Institute (Germany) in the Research Unit "Social Determinants of Health". Her research focuses on familial determinants of health (e.g., family structure, compatibility of family and work, family biographies, family poverty, parenting, health inequalities).

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Journal article
Published: 02 August 2021 in Children
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Few studies from Germany have investigated the associations between parenting style and children’s and adolescents’ health. Little attention has been directed to whether these associations vary with familial socioeconomic or migration status. The aim of this analysis was to investigate the association between parenting style and the mental health of children and adolescents aged 11–17 years using data from the KiGGS cohort study (second follow-up). We calculated mean Strengths and Difficulties Questionnaire (SDQ) total difficulties scores stratified by parenting style (authoritative, permissive, demanding–controlling, emotional distancing). Linear regression analyses adjusted for age, gender, socioeconomic status, migration status, and family status were performed. We also analyzed moderating effects of socioeconomic and migrations status on associations between parenting style and SDQ scores. There were only small differences between the permissive and the authoritative parenting styles. Significantly higher mean scores were observed for the demanding–controlling and emotional distancing styles for both the mother and father. These associations persisted after full adjustment and did not vary by socioeconomic or migration status. Parenting behavior is an important predictor of children’s and adolescents’ mental health. The promotion of good relationships within families and improving parenting skills offer promising approaches for health promotion in young people.

ACS Style

Özge Azman; Elvira Mauz; Matthias Reitzle; Raimund Geene; Heike Hölling; Petra Rattay. Associations between Parenting Style and Mental Health in Children and Adolescents Aged 11–17 Years: Results of the KiGGS Cohort Study (Second Follow-Up). Children 2021, 8, 672 .

AMA Style

Özge Azman, Elvira Mauz, Matthias Reitzle, Raimund Geene, Heike Hölling, Petra Rattay. Associations between Parenting Style and Mental Health in Children and Adolescents Aged 11–17 Years: Results of the KiGGS Cohort Study (Second Follow-Up). Children. 2021; 8 (8):672.

Chicago/Turabian Style

Özge Azman; Elvira Mauz; Matthias Reitzle; Raimund Geene; Heike Hölling; Petra Rattay. 2021. "Associations between Parenting Style and Mental Health in Children and Adolescents Aged 11–17 Years: Results of the KiGGS Cohort Study (Second Follow-Up)." Children 8, no. 8: 672.

Review
Published: 21 July 2021 in International Journal of Environmental Research and Public Health
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This scoping review systematically mapped evidence of the mediating and moderating effects of family characteristics on health inequalities in school-aged children and adolescents (6–18 years) in countries with developed economies in Europe and North America. We conducted a systematic scoping review following the PRISMA extension for Scoping Reviews recommendations. We searched the PubMed, PsycINFO and Scopus databases. Two reviewers independently screened titles, abstracts and full texts. Evidence was synthesized narratively. Of the 12,403 records initially identified, 50 articles were included in the synthesis. The included studies were conducted in the United States (n = 27), Europe (n = 18), Canada (n = 3), or in multiple countries combined (n = 2). We found that mental health was the most frequently assessed health outcome. The included studies reported that different family characteristics mediated or moderated health inequalities. Parental mental health, parenting practices, and parent-child-relationships were most frequently examined, and were found to be important mediating or moderating factors. In addition, family conflict and distress were relevant family characteristics. Future research should integrate additional health outcomes besides mental health, and attempt to integrate the complexity of families. The family characteristics identified in this review represent potential starting points for reducing health inequalities in childhood and adolescence.

ACS Style

Miriam Blume; Petra Rattay; Stephanie Hoffmann; Jacob Spallek; Lydia Sander; Raphael Herr; Matthias Richter; Irene Moor; Nico Dragano; Claudia Pischke; Iryna Iashchenko; Claudia Hövener; Benjamin Wachtler. Health Inequalities in Children and Adolescents: A Scoping Review of the Mediating and Moderating Effects of Family Characteristics. International Journal of Environmental Research and Public Health 2021, 18, 7739 .

AMA Style

Miriam Blume, Petra Rattay, Stephanie Hoffmann, Jacob Spallek, Lydia Sander, Raphael Herr, Matthias Richter, Irene Moor, Nico Dragano, Claudia Pischke, Iryna Iashchenko, Claudia Hövener, Benjamin Wachtler. Health Inequalities in Children and Adolescents: A Scoping Review of the Mediating and Moderating Effects of Family Characteristics. International Journal of Environmental Research and Public Health. 2021; 18 (15):7739.

Chicago/Turabian Style

Miriam Blume; Petra Rattay; Stephanie Hoffmann; Jacob Spallek; Lydia Sander; Raphael Herr; Matthias Richter; Irene Moor; Nico Dragano; Claudia Pischke; Iryna Iashchenko; Claudia Hövener; Benjamin Wachtler. 2021. "Health Inequalities in Children and Adolescents: A Scoping Review of the Mediating and Moderating Effects of Family Characteristics." International Journal of Environmental Research and Public Health 18, no. 15: 7739.

Research article
Published: 12 May 2021 in PLOS ONE
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The main strategy for combatting SARS-CoV-2 infections in 2020 consisted of behavioural regulations including contact reduction, maintaining distance, hand hygiene, and mask wearing. COVID-19-related risk perception and knowledge may influence protective behaviour, and education could be an important determinant. The current study investigated differences by education level in risk perception, knowledge and protective behaviour regarding COVID-19 in Germany, exploring the development of the pandemic over time. The COVID-19 Snapshot Monitoring study is a repeated cross-sectional online survey conducted during the pandemic in Germany from 3 March 2020 (waves 1–28: 27,957 participants aged 18–74). Differences in risk perception, knowledge and protective behaviour according to education level (high versus low) were analysed using linear and logistic regression. Time trends were accounted for by interaction terms for education level and calendar week. Regarding protective behaviour, interaction terms were tested for all risk perception and knowledge variables with education level. The strongest associations with education level were evident for perceived and factual knowledge regarding COVID-19. Moreover, associations were found between low education level and higher perceived severity, and between low education level and lower perceived probability. Highly educated men were more worried about COVID-19 than those with low levels of education. No educational differences were observed for perceived susceptibility or fear. Higher compliance with hand washing was found in highly educated women, and higher compliance with maintaining distance was found in highly educated men. Regarding maintaining distance, the impact of perceived severity differed between education groups. In men, significant moderation effects of education level on the association between factual knowledge and all three protective behaviours were found. During the pandemic, risk perception and protective behaviour varied greatly over time. Overall, differences by education level were relatively small. For risk communication, reaching all population groups irrespective of education level is critical.

ACS Style

Petra Rattay; Niels Michalski; Olga Maria Domanska; Anna Kaltwasser; Freia De Bock; Lothar H. Wieler; Susanne Jordan. Differences in risk perception, knowledge and protective behaviour regarding COVID-19 by education level among women and men in Germany. Results from the COVID-19 Snapshot Monitoring (COSMO) study. PLOS ONE 2021, 16, e0251694 .

AMA Style

Petra Rattay, Niels Michalski, Olga Maria Domanska, Anna Kaltwasser, Freia De Bock, Lothar H. Wieler, Susanne Jordan. Differences in risk perception, knowledge and protective behaviour regarding COVID-19 by education level among women and men in Germany. Results from the COVID-19 Snapshot Monitoring (COSMO) study. PLOS ONE. 2021; 16 (5):e0251694.

Chicago/Turabian Style

Petra Rattay; Niels Michalski; Olga Maria Domanska; Anna Kaltwasser; Freia De Bock; Lothar H. Wieler; Susanne Jordan. 2021. "Differences in risk perception, knowledge and protective behaviour regarding COVID-19 by education level among women and men in Germany. Results from the COVID-19 Snapshot Monitoring (COSMO) study." PLOS ONE 16, no. 5: e0251694.

Journal article
Published: 03 June 2020 in International Journal of Environmental Research and Public Health
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The combination of work and family roles can lead to work-to-family conflict (WTFC), which may have consequences for the parents’ health. We examined the association between WTFC and self-reported general health among working parents in Germany over time. Data were drawn from wave 6 (2013) and wave 8 (2015) of the German family and relationship panel. It included working persons living together with at least one child in the household (791 mothers and 723 fathers). Using logistic regressions, we estimated the longitudinal effects of WTFC in wave 6 and 8 on self-reported general health in wave 8. Moderating effects of education were also considered. The odds ratio for poor self-reported general health for mothers who developed WTFC in wave 8 compared to mothers who never reported conflicts was 2.4 (95% CI: 1.54–3.68). For fathers with newly emerged WTFC in wave 8, the odds ratio was 1.8 (95% CI: 1.03–3.04). Interactions of WTFC with low education showed no significant effects on self-reported general health, although tendencies show that fathers with lower education are more affected. It remains to be discussed how health-related consequences of WTFC can be reduced e.g., through workplace interventions and reconciliation policies.

ACS Style

Lea-Sophie Borgmann; Petra Rattay; Thomas Lampert. Longitudinal Analysis of Work-to-Family Conflict and Self-Reported General Health among Working Parents in Germany. International Journal of Environmental Research and Public Health 2020, 17, 1 .

AMA Style

Lea-Sophie Borgmann, Petra Rattay, Thomas Lampert. Longitudinal Analysis of Work-to-Family Conflict and Self-Reported General Health among Working Parents in Germany. International Journal of Environmental Research and Public Health. 2020; 17 (11):1.

Chicago/Turabian Style

Lea-Sophie Borgmann; Petra Rattay; Thomas Lampert. 2020. "Longitudinal Analysis of Work-to-Family Conflict and Self-Reported General Health among Working Parents in Germany." International Journal of Environmental Research and Public Health 17, no. 11: 1.

Journal article
Published: 02 May 2020 in International Journal of Environmental Research and Public Health
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Does the health of women and men living with and without minor children differ, and are age differences evident in the association? For self-rated general health, depression, back pain, overweight, smoking and sporting inactivity, the GEDA data 2009–2012 (18–54 years, n = 39,096) were used to calculate prevalence for women and men stratified by parental status (living with children: yes/no) and age. Moreover, we calculated odds ratios and predictive margins, performing logistic regressions with interaction terms of parental status and age. Women and men aged 45–54 living with children are healthier than those not living with children. Parents aged 18–24 smoke more frequently and do less sport; young mothers are also more likely to be overweight and suffer from back pain than women not living with children. In multivariable analysis, the interaction of living with children and age is significant for all outcomes (except depression and back pain in men). Living with children is an important social determinant of health, highly dependent on age. It is to be discussed whether the bio-psycho-social situation has an influence on becoming a parent, or whether parenthood in different phases of life strains or enhances health.

ACS Style

Petra Rattay; Elena Von Der Lippe. Association between Living with Children and the Health and Health Behavior of Women and Men. Are There Differences by Age? Results of the “German Health Update” (GEDA) Study. International Journal of Environmental Research and Public Health 2020, 17, 3180 .

AMA Style

Petra Rattay, Elena Von Der Lippe. Association between Living with Children and the Health and Health Behavior of Women and Men. Are There Differences by Age? Results of the “German Health Update” (GEDA) Study. International Journal of Environmental Research and Public Health. 2020; 17 (9):3180.

Chicago/Turabian Style

Petra Rattay; Elena Von Der Lippe. 2020. "Association between Living with Children and the Health and Health Behavior of Women and Men. Are There Differences by Age? Results of the “German Health Update” (GEDA) Study." International Journal of Environmental Research and Public Health 17, no. 9: 3180.

Research article
Published: 05 December 2019 in Journal of Environmental and Public Health
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Introduction. Risky alcohol consumption (RAC) and heavy episodic drinking (HED) by parents can have negative effects on their children. At present, little is known about these forms of alcohol consumption among parents in Germany. The aim of this analysis is to estimate the percentage of parents living in Germany who practise RAC and HED and to study associations between these consumption patterns and sociodemographic factors. Material and Methods. The data basis comprises the data of the nationwide studies “Gesundheit in Deutschland aktuell” (GEDA) of 2009, 2010, and 2012. The data were collected by means of computer-assisted telephone interviews (CATI). Our analysis included all participants living in a household with at least one child of their own under 18 years of age (n = 16,224). Information on RAC and HED was collected using the AUDIT-C screening instrument. Logistic regression models were used to study the relationship between parental alcohol consumption and sociodemographic variables. Results. 18.4% of the mothers and 29.6% of the fathers exhibited RAC; 8.4% of the mothers and 21.0% of the fathers practised HED. After mutual adjustment, RAC showed a significant association with the level of education, income (only mothers), employment status (only mothers), migration background, relationship status (only mothers), and the age of the youngest child. HED showed a significant association with income (only mothers), the age of the youngest child (only mothers), and the level of education (only fathers). Conclusions. The presented analysis emphasizes the relevance of preventive measures to reduce parental alcohol consumption. In addition to universal interventions, risk group-specific measures (e.g., for parents with high income) are needed to reduce parental alcohol consumption and thus support a healthy development of children.

ACS Style

Gianni Varnaccia; Kristin Manz; Johannes Zeiher; Petra Rattay; Cornelia Lange. Risky Alcohol Consumption and Heavy Episodic Drinking among Parents in Germany: Results of a Nationwide Cross-Sectional Study. Journal of Environmental and Public Health 2019, 2019, 1 -13.

AMA Style

Gianni Varnaccia, Kristin Manz, Johannes Zeiher, Petra Rattay, Cornelia Lange. Risky Alcohol Consumption and Heavy Episodic Drinking among Parents in Germany: Results of a Nationwide Cross-Sectional Study. Journal of Environmental and Public Health. 2019; 2019 ():1-13.

Chicago/Turabian Style

Gianni Varnaccia; Kristin Manz; Johannes Zeiher; Petra Rattay; Cornelia Lange. 2019. "Risky Alcohol Consumption and Heavy Episodic Drinking among Parents in Germany: Results of a Nationwide Cross-Sectional Study." Journal of Environmental and Public Health 2019, no. : 1-13.

Originalarbeit
Published: 15 October 2018 in Das Gesundheitswesen
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The lives of single mothers and fathers are associated with specific demands, which may result in higher psychosocial and physical strain compared to parents sharing their household with a partner. In this context, social support is known to function as a protective resource. The present article examines how different levels of social support interrelate with levels of mental health in single mothers and fathers in Germany. The data is drawn from the surveys 2009, 2010 and 2012 of the study "German Health Update" (GEDA) by the Robert Koch Institute. The sample includes 2062 single mothers and 242 single fathers. Logistic and negative binomial regressions estimate the interrelation between social support and psychosocial strain (self-reported number of unhealthy days due to psychological strain in the last 4 weeks) and depression (12-month prevalence) for single parents (adjusted for family and socio-economic factors). Single mothers with low social support have a 2-fold statistical odds (OR=2.0, 95% CI: 1.35–2.87) for at least one unhealthy day due to psychosocial strain compared to single mothers with strong social support. The odds for single fathers with low social support are 3.3-fold (95%-CI: 1.09–10.23). Furthermore, the number of unhealthy days increased by a factor of 1.4 (95%-CI: 1.20–1.66) for single mothers with low social support (IRR). The IRR for single fathers of the same group was 1.7-fold (95%-KI: 0.97–3.01). The odds of reported depression in the past twelve months is 1.8-fold (95%-CI: 1.18–2.67) for single mothers and 2.1 (95%-CI: 0.51-8.83) for single fathers with low social support compared to single parents with high social support. The results show that social support is an important resource for the mental health of single parents, regardless of other social circumstances. The results identify key populations to target for future health interventions. However, the correlations between social support and socio-economic status have to be explored further.

ACS Style

Lea-Sophie Borgmann; Petra Rattay; Thomas Lampert. Alleinerziehende Eltern in Deutschland: Der Zusammenhang zwischen sozialer Unterstützung und psychosozialer Gesundheit. Das Gesundheitswesen 2018, 81, 977 -985.

AMA Style

Lea-Sophie Borgmann, Petra Rattay, Thomas Lampert. Alleinerziehende Eltern in Deutschland: Der Zusammenhang zwischen sozialer Unterstützung und psychosozialer Gesundheit. Das Gesundheitswesen. 2018; 81 (12):977-985.

Chicago/Turabian Style

Lea-Sophie Borgmann; Petra Rattay; Thomas Lampert. 2018. "Alleinerziehende Eltern in Deutschland: Der Zusammenhang zwischen sozialer Unterstützung und psychosozialer Gesundheit." Das Gesundheitswesen 81, no. 12: 977-985.

Research article
Published: 07 March 2018 in PLOS ONE
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This study’s aim was to investigate the association between family structure and different health-related outcomes in adolescence (self-rated health, emotional and behavioural problems, health-related quality of life, regular smoking, and heavy episodic drinking). Furthermore, we analysed the extent to which socio-economic status, family cohesion and the pre-transition health status explain family structure-related health disparities. We used longitudinal data from the first two waves of the German KiGGS cohort study carried out by the Robert Koch Institute (baseline: 2003–2006, follow-up: 2009–2012). The sample comprised 4,692 respondents aged 11 to 17 years. Using data from both waves, effects of family structure on health status at follow-up were calculated applying linear and logistic regression models. We found that adolescents continuously living with both birth parents were in good health. Adolescents whose parents separated after the baseline survey, reported poorer health and were more likely to smoke. The transition from stepfamily to single parent family was also associated with a higher risk of regular smoking. Lower health-related quality of life as well as higher scores for emotional and behavioural problems occurred in almost all non-nuclear family structures, although not all effects were statistically significant. No significant effects of family structure on heavy episodic drinking were found. While family cohesion mediated the effects of family structure on adolescents’ health, the mediating effect of socio-economic status was small. After controlling for pre-transition health, the effects were even lower. Because the direct effects of family structure on adolescents’ health were small and family cohesion was found to be an important mediator in the association between family structure and adolescents’ health, prevention programmes and interventions should be directed towards the parent–adolescent relationship rather than just the family structure, in order to minimize the psychosocial stress of adolescents during the period of family transition.

ACS Style

Petra Rattay; Elena Von Der Lippe; Elvira Mauz; Felicitas Richter; Heike Hölling; Cornelia Lange; Thomas Lampert. Health and health risk behaviour of adolescents—Differences according to family structure. Results of the German KiGGS cohort study. PLOS ONE 2018, 13, e0192968 .

AMA Style

Petra Rattay, Elena Von Der Lippe, Elvira Mauz, Felicitas Richter, Heike Hölling, Cornelia Lange, Thomas Lampert. Health and health risk behaviour of adolescents—Differences according to family structure. Results of the German KiGGS cohort study. PLOS ONE. 2018; 13 (3):e0192968.

Chicago/Turabian Style

Petra Rattay; Elena Von Der Lippe; Elvira Mauz; Felicitas Richter; Heike Hölling; Cornelia Lange; Thomas Lampert. 2018. "Health and health risk behaviour of adolescents—Differences according to family structure. Results of the German KiGGS cohort study." PLOS ONE 13, no. 3: e0192968.

Chapter
Published: 13 February 2018 in A Demographic Perspective on Gender, Family and Health in Europe
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Beginning living with a partner and becoming a parent are major life events for both men and women, bringing important changes. These life changes may translate to a more responsible concern with lifestyle and health, and alterations in the evaluation of health behaviours. From the perspective of health behaviour, the transition to marriage exerts a positive influence—in marriage, an enhanced sense of obligation inhibits harmful behaviours and encourages healthy ones. Parenting similarly increases responsibility and greater self-regulation. Based on the theoretical background and the previous empirical research, the chapter investigates whether there is an association between health behaviour and either partner or parental status insofar, that partnered persons and persons living with children display healthier behaviours than individuals without a partner or without children, respectively. Because of higher levels of social control, parents of preschool-aged children and/or a higher number of children may show healthier behaviours than parents of older children or lower number of children, respectively; and single parents may display higher risk behaviour than do partnered parents because of higher levels of stress and lower levels of social support. These relationships should strongly depend on gender and may depend on SES and/or employment status. The chapter tests these hypotheses by using pooled data from the German Health Update (GEDA) survey for the years 2009 and 2010 for ages 18–45. Health behaviour is defined by tobacco consumption, at-risk alcohol consumption, fruit and vegetable consumption, and physical activity.

ACS Style

Elena Von Der Lippe; Petra Rattay. Health-Risk Behaviour of Women and Men—Differences According to Partnership and Parenthood. Results of the German Health Update (GEDA) Survey 2009–2010. A Demographic Perspective on Gender, Family and Health in Europe 2018, 233 -261.

AMA Style

Elena Von Der Lippe, Petra Rattay. Health-Risk Behaviour of Women and Men—Differences According to Partnership and Parenthood. Results of the German Health Update (GEDA) Survey 2009–2010. A Demographic Perspective on Gender, Family and Health in Europe. 2018; ():233-261.

Chicago/Turabian Style

Elena Von Der Lippe; Petra Rattay. 2018. "Health-Risk Behaviour of Women and Men—Differences According to Partnership and Parenthood. Results of the German Health Update (GEDA) Survey 2009–2010." A Demographic Perspective on Gender, Family and Health in Europe , no. : 233-261.

Journal article
Published: 28 May 2016 in SSM - Population Health
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The association of partner, parental, and employment statuses with health is usually discussed in terms of either the multiple role burden hypothesis or the multiple role attachment hypothesis. The first hypothesis states that combining work and family roles increases the burden of responsibility, which in turn increases the pressure and stress associated with competing roles, leading to poorer health. The multiple role attachment hypothesis argues that multiple responsibilities provide attachment to broader networks, which then provide social support and resources that enhance health. We analyzed pooled data from the German Health Update carried out by the Robert Koch Institute in 2009, 2010, and 2012. The data were collected by computer-assisted telephone interviews. The sample comprised 28,086 people aged 30–54 years. The data were assessed with logistic regression analysis and interaction models. The gender-differentiated analysis of partnership, parenthood, and employment, after adjusting for social and demographic characteristics, revealed small interaction effects among all three social roles with self-rated health in women and men. Non-employment showed the strongest relationship with poor self-rated health. It was significantly associated with lower self-rated health in both men and women in most of the family arrangements. These associations were higher in men than in women. Furthermore, in all family arrangements, female part-time employees were as healthy as female fulltime employees. A more subtle association was found in men: the odds of reporting poorer self-rated health were greater among non-parents employed part time than among those employed full time, but lower than among those who were non-employed. Among fathers, part-time employees did not have statistically better health than full-time employees.The findings support somewhat the multiple role attachment hypothesis, rather than the multiple role burden hypothesis. Because employment has great importance for both women's and men's health, the compatibility of work and family roles should be improved.

ACS Style

Elena von der Lippe; Petra Rattay. Association of partner, parental, and employment statuses with self-rated health among German women and men. SSM - Population Health 2016, 2, 390 -398.

AMA Style

Elena von der Lippe, Petra Rattay. Association of partner, parental, and employment statuses with self-rated health among German women and men. SSM - Population Health. 2016; 2 ():390-398.

Chicago/Turabian Style

Elena von der Lippe; Petra Rattay. 2016. "Association of partner, parental, and employment statuses with self-rated health among German women and men." SSM - Population Health 2, no. : 390-398.

English abstract
Published: 21 June 2014 in Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz
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Der Beitrag untersucht anhand der Daten von KiGGS Welle 1, ob sich die gesundheitliche Lage von 3- bis 17-jährigen Kindern und Jugendlichen aus Kern-, Eineltern- und Stieffamilien (n = 10.298) unterscheidet und ob die Unterschiede auch nach Kontrolle für Alter, Geschlecht, Wohnregion sowie den elterlichen Sozialstatus und das familiäre Miteinander Bestand haben (Prävalenzen, Odds Ratios). Analysiert wird dies für die allgemeine Gesundheit, chronische Erkrankungen, emotionale und Verhaltensprobleme, die gesundheitsbezogene Lebensqualität sowie den täglichen Obst- und Gemüseverzehr. Während die allgemeine Gesundheit unabhängig von der Familienform ist, zeigen sich in den Prävalenzen der anderen Outcomes signifikante Unterschiede zwischen Kern-, Stief- und Einelternfamilien. In der multivariaten Analyse lassen sich auch nach Kontrolle für Alter, Geschlecht, Wohnregion, den elterlichen Sozialstatus sowie das familiäre Miteinander emotionale und Verhaltensprobleme häufiger bei Heranwachsenden aus Einelternfamilien (OR 1,62; 95 %-KI 1,17–2,26) und Stieffamilien (OR 2,36; 95 %-KI 1,63–3,41) als bei Heranwachsenden aus Kernfamilien feststellen. Kinder und Jugendliche aus Einelternfamilien sind zudem häufiger chronisch krank (OR 1,53; 95 %-KI 1,20–1,96) als Gleichaltrige, die mit beiden leiblichen Elternteilen zusammenleben. Kinder und Jugendliche aus Stieffamilien unterscheiden sich von Gleichaltrigen aus Kernfamilien durch das höhere Risiko für eine geringe gesundheitsbezogene Lebensqualität (OR 2,91; 95 %-KI 1,76–4,80) sowie für einen geringen Obst- und Gemüseverzehr (OR 1,30; 95 %-KI 1,01–1,67). Die Ergebnisse weisen auf die Bedeutung des familiären Kontextes für die Gesundheit von Kindern und Jugendlichen hin. On the basis of data from KiGGS Wave 1, the following manuscript investigates potential differences in the health status of children and adolescents aged 3–17 years according to the family form they live in: nuclear, single-parent, or stepfamily (n = 10,298). Additionally, we investigate whether differences persist after controlling for age, gender, living area, parental social status, and getting along in the family. Parent-rated health, chronic diseases, emotional or behavior problems, health-related quality of life, and daily consumption of fruits and vegetables were analyzed (prevalence, odds ratios). While the parent-rated health was independent of the family form, the prevalence of the other outcomes differed significantly according to the family form. Emotional or behavior problems were measured more often among children and adolescents growing up in single-parent families (OR 1.62; 95 % CI 1.17–2.26) or stepfamily households (OR 2.36; 95 % CI 1.63–3.41) than among those growing up in nuclear families, after adjusting for age, gender, living area, social status, and getting along in the family. Additionally, children and adolescents from single-parent families had chronic diseases (OR 1.53; 95 % CI 1.20–1.96) more often than their counterparts who lived together with both parents. Compared with those growing up in nuclear families, children and adolescents from stepfamilies showed a greater risk of lower health-related quality of life (OR 2.91; 95 % CI 1.76–4.80) and of lower daily consumption of fruits and vegetables (OR 1.30; 95 % CI 1.01–1.67). The results indicate the importance of the family context for the health of children and adolescents.

ACS Style

P. Rattay; KiGGS Study Group; E. Von Der Lippe; T. Lampert. Gesundheit von Kindern und Jugendlichen in Eineltern-, Stief- und Kernfamilien. Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz 2014, 57, 860 -868.

AMA Style

P. Rattay, KiGGS Study Group, E. Von Der Lippe, T. Lampert. Gesundheit von Kindern und Jugendlichen in Eineltern-, Stief- und Kernfamilien. Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz. 2014; 57 (7):860-868.

Chicago/Turabian Style

P. Rattay; KiGGS Study Group; E. Von Der Lippe; T. Lampert. 2014. "Gesundheit von Kindern und Jugendlichen in Eineltern-, Stief- und Kernfamilien." Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz 57, no. 7: 860-868.

Comparative study
Published: 21 June 2014 in Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz
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This article provides information on trends in the utilization of outpatient medical care in childhood and adolescence in Germany on the basis of data from two waves of the KiGGS study (prevalences and odds ratios). In the period 2009-2012, 91.9% (95% CI 91.1-92.7%) of children and adolescents used outpatient medical services at least once a year. In the 12 months prior to the interview, 67.9% (95% CI 65.9-69.8%) of the 0- to 17-year-olds consulted a pediatrician and 34.1% (95% CI 31.6-36.3%) a general practitioner. Whereas there was no change in the use of either overall outpatient or general practice medical care compared to 2003-2006, a significant increase of 8.7% points in the utilization of pediatricians was found. This could be explained by, among other factors, an expansion of pediatric services (additional vaccinations and health screening examinations) in recent years. It may also be related to a significantly greater participation in the health screening program in early childhood (U3-U9 examinations), which was seen especially when comparing the youngest birth cohorts and in children from families with low social status (from U7 onwards). The increased use of health screening examinations can probably be attributed to the invitation, reminding and reporting procedures that have been introduced in recent years. Whereas at KiGGS baseline urban-rural differences in participation in health screening examinations could be seen, these were no longer apparent in KiGGS Wave 1. Similarly, differences between rural and urban regions in the use of general and pediatric medical services have also diminished. Nevertheless, currently children and young people in rural areas use outpatient general medical care to a greater extent than those in urban areas.

ACS Style

P. Rattay; KiGGS Study Group; A. Starker; O. Domanska; Hans Butschalowsky; J. Gutsche; P. Kamtsiuris. Trends in der Inanspruchnahme ambulant-ärztlicher Leistungen im Kindes- und Jugendalter. Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz 2014, 57, 878 -891.

AMA Style

P. Rattay, KiGGS Study Group, A. Starker, O. Domanska, Hans Butschalowsky, J. Gutsche, P. Kamtsiuris. Trends in der Inanspruchnahme ambulant-ärztlicher Leistungen im Kindes- und Jugendalter. Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz. 2014; 57 (7):878-891.

Chicago/Turabian Style

P. Rattay; KiGGS Study Group; A. Starker; O. Domanska; Hans Butschalowsky; J. Gutsche; P. Kamtsiuris. 2014. "Trends in der Inanspruchnahme ambulant-ärztlicher Leistungen im Kindes- und Jugendalter." Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz 57, no. 7: 878-891.

Journal article
Published: 22 June 2013 in Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz
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Im oben genannten Beitrag wurde Tab. 1 fehlerhaft abgedruckt. In der Altersgruppe „18 bis 29 Jahre“, Spalte 4, fehlen ab Zeile 5 bis Zeile 34 die Prozentwerte. Die vollständige Tabelle ist auf den folgenden Seiten dargestellt. Die ergänzten Werte sind kursiv hervorgehoben.

ACS Style

P. Rattay; H. Butschalowsky; A. Rommel; F. Prütz; S. Jordan; Enno Nowossadeck; O. Domanska; P. Kamtsiuris. Erratum zu: Inanspruchnahme der ambulanten und stationären medizinischen Versorgung in Deutschland. Ergebnisse der Studie zur Gesundheit Erwachsener in Deutschland (DEGS1). Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz 2013, 56, 952 -954.

AMA Style

P. Rattay, H. Butschalowsky, A. Rommel, F. Prütz, S. Jordan, Enno Nowossadeck, O. Domanska, P. Kamtsiuris. Erratum zu: Inanspruchnahme der ambulanten und stationären medizinischen Versorgung in Deutschland. Ergebnisse der Studie zur Gesundheit Erwachsener in Deutschland (DEGS1). Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz. 2013; 56 (7):952-954.

Chicago/Turabian Style

P. Rattay; H. Butschalowsky; A. Rommel; F. Prütz; S. Jordan; Enno Nowossadeck; O. Domanska; P. Kamtsiuris. 2013. "Erratum zu: Inanspruchnahme der ambulanten und stationären medizinischen Versorgung in Deutschland. Ergebnisse der Studie zur Gesundheit Erwachsener in Deutschland (DEGS1)." Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz 56, no. 7: 952-954.

Journal article
Published: 25 May 2013 in Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz
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Der vorliegende Beitrag liefert auf Basis der Studie zur Gesundheit Erwachsener in Deutschland (DEGS1) und des Bundes-Gesundheitssurveys (BGS98) aus den Jahren 2008–2011 und 1997/98 repräsentative Eckdaten und Trends zur Inanspruchnahme ärztlicher und therapeutischer Leistungen der 18- bis 79-jährigen Wohnbevölkerung in Deutschland. Die DEGS1-Daten zeigen, dass Frauen viele der einbezogenen medizinischen Leistungen häufiger in Anspruch nahmen als Männer. Mit dem Alter werden die Unterschiede nach Geschlecht geringer. Bei fast allen Leistungen ist mit zunehmendem Alter ein Anstieg der Inanspruchnahme zu verzeichnen. Große Unterschiede in der Inanspruchnahme bestehen in Abhängigkeit von der selbst eingeschätzten Gesundheit, geringere Unterschiede nach Sozialstatus, Krankenversicherung und Region. Zu beiden Erhebungszeitpunkten ist der Anteil der Bevölkerung, der mindestens 1-mal im Jahr ärztliche Hilfe (ambulant oder stationär) in Anspruch nahm, nahezu unverändert hoch. Gleichzeitig sind in diesem Zeitraum ein signifikanter Rückgang der Kontakte zu Arztpraxen pro Jahr und der Krankenhausverweildauer sowie eine Zunahme der konsultierten Facharztgruppen zu verzeichnen. Dies verweist auf Steuerungswirkungen früherer Reformen. The article provides representative benchmarks and trends for the use of medical and therapeutic services in Germany on the basis of the German Health Interview and Examination Survey for Adults (DEGS1) and the German National Health Interview and Examination Survey 1998 (GNHIES98) from the years 2008–2011 and 1997/98, respectively. DEGS1 shows that women seek most medical services more often than men. Differences by gender decreased with age. In almost all services, an increase in utilisation is recorded with age. There are large differences in utilisation depending on self-rated health, as opposed to fewer differences by social status, health insurance and region. At both time points, the proportion of the population that utilised outpatient or inpatient medical assistance at least once a year, is almost unchanged high. At the same time, a significant reduction in the annual number of contacts with medical practices and the length of hospital stay was recorded as well as an increase of the consulted specialist groups. This may be explained due to regulation effects of earlier reforms. An English full-text version of this article is available at SpringerLink as supplemental.

ACS Style

P. Rattay; Hans Butschalowsky; Alexander Rommel; Franziska Prutz; Susanne Jordan; Enno Nowossadeck; O. Domanska; P. Kamtsiuris. ­­­Inanspruchnahme der ambulanten und stationären medizinischen Versorgung in Deutschland. Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz 2013, 56, 832 -844.

AMA Style

P. Rattay, Hans Butschalowsky, Alexander Rommel, Franziska Prutz, Susanne Jordan, Enno Nowossadeck, O. Domanska, P. Kamtsiuris. ­­­Inanspruchnahme der ambulanten und stationären medizinischen Versorgung in Deutschland. Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz. 2013; 56 (5-6):832-844.

Chicago/Turabian Style

P. Rattay; Hans Butschalowsky; Alexander Rommel; Franziska Prutz; Susanne Jordan; Enno Nowossadeck; O. Domanska; P. Kamtsiuris. 2013. "­­­Inanspruchnahme der ambulanten und stationären medizinischen Versorgung in Deutschland." Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz 56, no. 5-6: 832-844.

Journal article
Published: 11 February 2012 in Zeitschrift für Erziehungswissenschaft
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Family is the central place of socialization during childhood and adolescence. What are the determining factors of family life that are important for the health of children and adolescents and in which stages of their life do these factors take effect? The question is answered with reference to the general health of children and adolescents as rated by their parents. The analysis is conducted with data from the KiGGS study 2003–2006 which is representative of Germany (n = 17641, age: 0–17 years). The gender-specific effects of different family factors on good health are analysed in five age groups using binary logistic regression analysis including structural, socioeconomic and origin-related factors of family as well as housing conditions and family cohesion. Bivariate analysis indicates significant effects on general health for almost all included factors (at least in some age groups). Multivariate analysis shows family cohesion to be the most important factor for good health. In boys a bilateral migration background also has an adverse effect on good general health until the beginning of adolescence.

ACS Style

Petra Rattay; Thomas Lampert; Hannelore Neuhauser; Ute Ellert. Bedeutung der familialen Lebenswelt für die Gesundheit von Kindern und Jugendlichen. Zeitschrift für Erziehungswissenschaft 2012, 15, 145 -170.

AMA Style

Petra Rattay, Thomas Lampert, Hannelore Neuhauser, Ute Ellert. Bedeutung der familialen Lebenswelt für die Gesundheit von Kindern und Jugendlichen. Zeitschrift für Erziehungswissenschaft. 2012; 15 (1):145-170.

Chicago/Turabian Style

Petra Rattay; Thomas Lampert; Hannelore Neuhauser; Ute Ellert. 2012. "Bedeutung der familialen Lebenswelt für die Gesundheit von Kindern und Jugendlichen." Zeitschrift für Erziehungswissenschaft 15, no. 1: 145-170.