Damerow Stefan, Rommel Alexander, Prütz Franziska, Beyer Ann-Kristin, Hapke Ulfert, Schienkiewitz Anja, Starker Anne, Richter Almut, Baumert Jens, Fuchs Judith, Gaertner Beate, Müters Stephan, Lemcke Johannes, Allen Jennifer
Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring.
J Health Monit. 2020 Dec 9;5(4):3-20. doi: 10.25646/7172.2. eCollection 2020 Dec.
SARS-CoV-2, the novel coronavirus, has posed major challenges in Germany in 2020. It is unclear whether the pandemic and containment measures will have an impact on the health of the population beyond the point of infection. The German Health Update (GEDA 2019/2020-EHIS) is a nationwide survey of the population aged 15 years and older (n=23,001) that was conducted between April 2019 and September 2020. The focus of the analysis was on indicators for which pandemic-related changes could be expected. Based on regression models, adjusted proportions and mean values were estimated as trends over time. Any differences in the values found for the time period of containment measures in spring 2020 and the reference period 2019 were statistically tested. Since the implementation of containment measures, both body weight and body mass index (BMI) have increased. The utilisation of general and specialist medical services decreased temporarily. The number of tobacco smokers during the observation period also decreased, yet without revealing a clear link to the pandemic situation. No differences were found in the general population for depressive symptoms and household assistance received and provided. During the period of containment measures, changes to the health situation beyond the occurrence of infections can be observed. However, a more differentiated explanation of these findings will require further analyses.
新型冠状病毒SARS-CoV-2在2020年给德国带来了重大挑战。目前尚不清楚这场大流行及防控措施是否会对感染点之外的人群健康产生影响。《德国健康更新》(GEDA 2019/2020 - EHIS)是一项针对15岁及以上人群(n = 23,001)的全国性调查,于2019年4月至2020年9月期间进行。分析重点在于那些可能出现与大流行相关变化的指标。基于回归模型,将调整后的比例和平均值作为随时间变化的趋势进行估计。对2020年春季防控措施实施期间与2019年参考期所发现的值之间的任何差异进行了统计学检验。自实施防控措施以来,体重和体重指数(BMI)均有所增加。全科和专科医疗服务的利用率暂时下降。观察期内吸烟人数也有所减少,但未显示出与大流行情况有明显关联。在一般人群中,抑郁症状以及接受和提供的家庭援助方面未发现差异。在防控措施实施期间,可以观察到感染发生之外的健康状况变化。然而,要对这些发现进行更细致的解释还需要进一步分析。