Ist der Datenschatz schon gehoben?

Weyers, Simone; Wahl, Stefanie; Dragano, Nico; Müller-Thur, Kathrin

doi:10.1007/s11553-018-0641-6

Cited by 7 publications

(8 citation statements)

References 83 publications

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“…Participation is mandatory for all children aged 5-7 prior to starting school. During this standard medical exam, the preschoolers are screened by the public health authority to identify health and developmental disorders relevant to attending school (Oldenhage et al 2009;Wahl et al 2018). Individual data is also collected, such as body mass, pathological findings, and participation in routine medical check-ups and therapies.…”

Section: Methodsmentioning

confidence: 99%

“…Based on the standard medical exam in Dusseldorf, a large city in western Germany with over 600,000 inhabitants, we carried out the retrospective cohort study "Gesundheit bei Schuleingang" (Healthy Start to School) from 2016 to 2018 (Wahl et al 2018). During this time, a total of 9894 children who entered school in 2017 and 2018 were examined by the municipal public health authority.…”

Section: Methodsmentioning

confidence: 99%

“…The family's socioeconomic position (SEP) was measured by parental level of education using the academic and occupational training based on the demographic standards. Based on the CASMIN classification (Lechert et al 2006), families were differentiated between those with a low level of education (at most a secondary school diploma and occupational training, CASMIN classification 1a-c) and those with an average/high level of education (Hoffmeyer-Zlotnik 1997;Wahl et al 2018). Both parents were asked to name their place of birth.…”

Section: Methodsmentioning

confidence: 99%

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Doctors as disseminators? Practicing physicians as multipliers for community-based prevention networks in a large city in western Germany

Kreffter

Götz

Lisak-Wahl

et al. 2021

J Public Health (Berl.)

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Aim Practicing physicians have a special position as disseminators of community-based prevention for children. However, it is unclear to what extent physicians inform parents about programs. The study investigated: To what extent do physicians disseminate information about community-based prevention for children aged 0–7? Do differences exist along family’s socioeconomic position (SEP) and immigrant background? Subject and methods We conducted a retrospective cohort study in a German school entrance examination. Parents were invited to participate in a survey on community-based prevention with information about their awareness and information source. SEP was measured by parental education, immigrant background by country of birth. For nine services types, we counted how often parents named physicians and other professional groups as information sources. To estimate social differences, we calculated adjusted odds ratios (OR) with 95% confidence interval (CI). Results Survey participants included 6480 parents (response 65.49%). Compared to other information sources, physicians were mentioned less frequently. For example, regarding language therapy, 31.2% of parents were informed by healthcare/social services, and 4.4% by physicians. Lower educated parents were less frequently informed by physicians about counseling services (OR 0.58; 95% CI 0.46–0.73) compared to higher educated parents. Parents with immigrant background were informed less often about parenting skills courses (OR 0.79; 95% CI 0.70–0.90) compared to parents without immigrant background, but more often about language therapy (OR 1.47; 95% CI 1.13–1.91). No further social differences were observed. Conclusion The role of physicians as disseminators for community-based prevention is expandable. They should promote parenting skills courses in a socially sensitive way.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Doctors as disseminators? Practicing physicians as multipliers for community-based prevention networks in a large city in western Germany

Kreffter

Götz

Lisak-Wahl

et al. 2021

J Public Health (Berl.)

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“…Es zeigt sich weiterhin in einer Studie aus Schleswig-Holstein, dass sich mit jedem Kitabesuchsjahr Auffälligkeiten der Motorik, der Kognition und der Sprache, der Förderbedarf auch unter Berücksichtigung sozialer Determinanten reduzieren [16], wobei besonders sozial benachteiligte Kinder von einem Kitabesuch profitieren. Die Studie zeichnet sich durch die Verwendung von bislang in der Forschung wenig genutzten KJÄD-Routinedaten [17] sowie ein individuelles Datenlinkage mit Primärdaten aus, sodass die Informationen aus beiden Datenquellen genutzt werden können. Bezüglich eines möglichen Response-Bias wurde für die Primärdatenerhebung der Geburtskohortenstudie, die eine Rücklaufquote von 27,3 % erzielte, eine Nonresponderanalyse durchgeführt, die über den Vergleich der zur Verfügung stehenden Parameter wie bspw.…”

Section: Sprachliche Entwicklungunclassified

Zusammenhang zwischen sozioökonomischem Status und Entwicklungsstand – Datenlinkage von Ergebnissen der Kita- und Schulaufnahmeuntersuchung mit einer sächsischen Geburtskohortenstudie

Redemann¹,

Arnold²,

Druschke³

et al. 2021

Gesundheitswesen

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Zusammenfassung Hintergrund Die kindliche Entwicklung ist durch biologische (z. B. Geschlecht, Geburtsreife) und psychosoziale Faktoren (z. B. sozioökonomischer Status, außerfamiliäre Tagesbetreuung) determiniert. Ziel der Arbeit Es wurde die Stärke des Zusammenhanges zwischen dem familiären sozioökonomischen Status (SES) sowie biologischer und weiterer psychosozialer Faktoren und dem Entwicklungsstand von 4- und 6-jährigen Kindern untersucht. Methodik Mittels Datenlinkage von Primärdaten einer Geburtskohortenstudie und Routinedaten der sächsischen Gesundheitsämter zu Kindern der Geburtsjahrgänge 2007 bis 2008, die sowohl die Kita- als auch die Schulaufnahmeuntersuchung durchlaufen hatten (N=615), wurden Auffälligkeiten der Sprache, Feinmotorik und Grobmotorik auf Zusammenhänge mit psychosozialen und biologischen Faktoren geprüft. Potenzielle Assoziationen wurden auf Signifikanz getestet sowie mittels binär logistischer Regression als Chancenverhältnis dargestellt. Ergebnisse Der Großteil sächsischer Kinder entwickelte sich bis zum Schuleintritt unauffällig. Die Sprache zeigte sich jedoch mit Auffälligkeiten bei 37% der Kinder zu beiden Untersuchungszeitpunkten als sensibler Entwicklungsbereich. In beiden Altersgruppen waren Jungen, Frühgeborene und Kinder mit niedrigem SES häufiger von Entwicklungsverzögerungen betroffen. Frühgeborene mit niedrigem SES weisen das höchste Risikopotential auf. Weiterhin scheint dem außerfamiliären Betreuungsbeginn Bedeutung zuzukommen. Schlussfolgerung Die Ergebnisse stehen in Einklang mit nationalen und internationalen Untersuchungsbefunden. Eine wichtige neue Erkenntnis ist die deutlich erhöhte Wahrscheinlichkeit für Entwicklungsauffälligkeiten beim Zusammentreffen biologischer und psychosozialer Risikofaktoren. Zur Betrachtung von Entwicklungsverläufen und zur Evaluation initiierter Maßnahmen sind jedoch Längsschnittanalysen erforderlich.

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“…SHI data and medical data from kindergarten-and school-entryexaminations of Saxon health authorities are two examples of already existing data sources that can complement cost-consuming and medical data from kindergarten-and school-entry-examinations of Saxon health authorities are examples of already existing data sources that can complement cost-consuming primary data collections by valuable data sets and open up opportunities for longitudinal analysis. Using the study EcoCare-PIn as an example, the aim of this article is to systematically outline the methods used and the experiences made during the conduct of a linkage study in the field of pediatric health care research that involved access to and linkage of three different data sources, among them medical data from health authorities, which have previously hardly been used for research [9].…”

Section: Introductionmentioning

confidence: 99%

Individual-Level Linkage of Primary and Secondary Data from Three Sources for Comprehensive Analyses of Low Birthweight Effects

et al. 2020

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Aim of the study The linkage of primary and secondary data is becoming an increasingly popular approach in healthcare research, but involves some challenges for all involved parties, for example due to data protection requirements. The aim of this article is to systematically outline the methods used and experiences made during a cohort study in the field of pediatric health care research (EcoCare-PIn) that involved access to and linkage of three different data sources. Particular focus is placed on the necessary regulatory measures with regard to data access and data linkage as well as on data validation to ensure a correct linkage. Methods While complying with all relevant data protection requirements, the study realized an individual-level linkage of a) pseudonymized administrative health insurance data from a statutory health insurance on Saxon children born between 2007 and 2013, b) primary data collected via postal questionnaires from parents/caregivers and c) medical data from kindergarten- and school-entry-examinations of Saxon health authorities. The fundamental principle of the concept of data linkage was to strictly separate the sites of data collection and data analysis, which was realized through the involvement of a trust center. Results Challenges especially pertained to the extensive regulatory pre-requirements for data access as well as to data protection requirements while performing the study. Technical aspects and data validation also required a considerable share of attention and resources. A number of validation routines were applied to avoid incorrect data linkage and to ensure the high quality of the final dataset. Data validation included both plausibility checks within the primary data and consistency checks of information given in primary and secondary data. Conclusion The linkage of primary and secondary data on the individual level offers great opportunities for using the strengths of different data sources synergistically and overcoming some of their limitations. Statutory health insurance data and medical data from kindergarten- and school-entry-examinations of Saxon health authorities are examples of already existing data sources that can complement cost-consuming primary data collections by valuable data sets and open up opportunities for longitudinal analysis.

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Ist der Datenschatz schon gehoben?

Cited by 7 publications

References 83 publications

Doctors as disseminators? Practicing physicians as multipliers for community-based prevention networks in a large city in western Germany

Doctors as disseminators? Practicing physicians as multipliers for community-based prevention networks in a large city in western Germany

Zusammenhang zwischen sozioökonomischem Status und Entwicklungsstand – Datenlinkage von Ergebnissen der Kita- und Schulaufnahmeuntersuchung mit einer sächsischen Geburtskohortenstudie

Individual-Level Linkage of Primary and Secondary Data from Three Sources for Comprehensive Analyses of Low Birthweight Effects

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