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德国成年人健康访谈和体检调查(DEGS)——第一波数据收集的设计、目标和实施。

German health interview and examination survey for adults (DEGS) - design, objectives and implementation of the first data collection wave.

机构信息

Department of Epidemiology and Health Monitoring, Robert Koch Institute, General-Pape-Strasse 62-66, 12101 Berlin, Germany.

出版信息

BMC Public Health. 2012 Sep 1;12:730. doi: 10.1186/1471-2458-12-730.

DOI:10.1186/1471-2458-12-730
PMID:22938722
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3490742/
Abstract

BACKGROUND

The German Health Interview and Examination Survey for Adults (DEGS) is part of the recently established national health monitoring conducted by the Robert Koch Institute. DEGS combines a nationally representative periodic health survey and a longitudinal study based on follow-up of survey participants. Funding is provided by the German Ministry of Health and supplemented for specific research topics from other sources.

METHODS/DESIGN: The first DEGS wave of data collection (DEGS1) extended from November 2008 to December 2011. Overall, 8152 men and women participated. Of these, 3959 persons already participated in the German National Health Interview and Examination Survey 1998 (GNHIES98) at which time they were 18-79 years of age. Another 4193 persons 18-79 years of age were recruited for DEGS1 in 2008-2011 based on two-stage stratified random sampling from local population registries. Health data and context variables were collected using standardized computer assisted personal interviews, self-administered questionnaires, and standardized measurements and tests. In order to keep survey results representative for the population aged 18-79 years, results will be weighted by survey-specific weighting factors considering sampling and drop-out probabilities as well as deviations between the design-weighted net sample and German population statistics 2010.

DISCUSSION

DEGS aims to establish a nationally representative data base on health of adults in Germany. This health data platform will be used for continuous health reporting and health care research. The results will help to support health policy planning and evaluation. Repeated cross-sectional surveys will permit analyses of time trends in morbidity, functional capacity levels, disability, and health risks and resources. Follow-up of study participants will provide the opportunity to study trajectories of health and disability. A special focus lies on chronic diseases including asthma, allergies, cardiovascular conditions, diabetes mellitus, and musculoskeletal diseases. Other core topics include vaccine-preventable diseases and immunization status, nutritional deficiencies, health in older age, and the association between health-related behavior and mental health.

摘要

背景

德国健康访谈和体检调查(DEGS)是罗伯特·科赫研究所最近开展的国家健康监测的一部分。DEGS 将全国代表性定期健康调查与基于调查参与者随访的纵向研究相结合。资金由德国卫生部提供,并根据特定研究主题从其他来源补充。

方法/设计:第一个 DEGS 数据收集波(DEGS1)从 2008 年 11 月持续到 2011 年 12 月。共有 8152 名男性和女性参与。其中,3959 人已经参加了 1998 年德国国家健康访谈和体检调查(GNHIES98),当时他们的年龄在 18-79 岁之间。另外,根据从地方人口登记册进行的两阶段分层随机抽样,2008-2011 年为 DEGS1 招募了 4193 名 18-79 岁的人。使用标准化的计算机辅助个人访谈、自我管理问卷以及标准化的测量和测试收集健康数据和背景变量。为了使调查结果对 18-79 岁人群具有代表性,将使用特定于调查的加权因素对结果进行加权,这些因素考虑了抽样和辍学概率以及设计加权净样本与德国 2010 年人口统计数据之间的偏差。

讨论

DEGS 的目的是建立一个关于德国成年人健康的全国代表性数据库。该健康数据平台将用于持续的健康报告和医疗保健研究。结果将有助于支持卫生政策规划和评估。重复的横断面调查将允许分析发病率、功能能力水平、残疾和健康风险和资源的时间趋势。研究参与者的随访将提供研究健康和残疾轨迹的机会。一个特别关注的焦点是慢性病,包括哮喘、过敏、心血管疾病、糖尿病和肌肉骨骼疾病。其他核心主题包括可预防疫苗的疾病和免疫状况、营养不足、老年健康以及健康相关行为与心理健康之间的关联。

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