Lange Cornelia, Finger Jonas D
Robert Koch Institute, Department for Epidemiology and Health Monitoring, Berlin, Germany.
J Health Monit. 2017 Jun 14;2(2):3-19. doi: 10.17886/RKI-GBE-2017-037. eCollection 2017 Jun.
Demographic change, new health threats, but also inequalities in health and health care provision in and between European Union (EU) member states pose major albeit similar challenges to European health systems. Regular information on health and health-related behaviour is essential if member states' health systems are to respond and develop appropriately to these challenges. The 'European Health Interview Survey' (EHIS) is a vital source of data for indicators of health status and health-related behaviour in the EU. This article presents a comparative review of health-related behaviour at the European level. Health-related behaviour is of particular relevance because an unhealthy diet, physical inactivity, obesity, smoking, and harmful use of alcohol are among the most important determinants associated with non-communicable chronic diseases. Eurostat has used data from EHIS Wave 2 to publish details about the current prevalence of obesity, daily fruit and vegetable intake, health-enhancing aerobic physical activity, smoking and heavy episodic drinking for the EU's member states. In the following, the figures for Germany are compared to the European average. A wide range of prevalences exists between the various EU member states, in some cases stretching to more than 50 percentage points. In Germany, the prevalence of obesity and smoking remains relatively close to the EU average. Moreover, the results on physical activity are especially welcome. In particular, the proportion of women and men who undertake adequate levels of physical activity decreases more slowly with increasing age compared to the EU average. Nevertheless, the low fruit and vegetable intake, especially among younger generations, and the high proportion of women and men who drink six or more alcoholic beverages on one occasion (heavy episodic drinking) at least once a month pose problems for Germany. In summary, the results provided by EHIS offer a basis for sharing experiences between EU member states regarding effective measures in health promotion and disease prevention.
人口结构变化、新的健康威胁,以及欧盟成员国国内和之间在健康及医疗服务提供方面的不平等,给欧洲卫生系统带来了重大且相似的挑战。如果成员国的卫生系统要对这些挑战做出适当反应并发展,定期获取有关健康及与健康相关行为的信息至关重要。“欧洲健康访谈调查”(EHIS)是欧盟健康状况和与健康相关行为指标的重要数据来源。本文对欧洲层面与健康相关的行为进行了比较综述。与健康相关的行为尤为重要,因为不健康的饮食、缺乏体育锻炼、肥胖、吸烟以及有害饮酒是与非传染性慢性病相关的最重要决定因素。欧盟统计局利用EHIS第二轮的数据公布了欧盟成员国肥胖症的当前患病率、每日水果和蔬菜摄入量、促进健康的有氧运动、吸烟和大量饮酒的详细情况。以下将德国的数据与欧洲平均水平进行比较。不同欧盟成员国之间存在广泛的患病率差异,在某些情况下差距超过50个百分点。在德国,肥胖症和吸烟的患病率与欧盟平均水平相对接近。此外,体育锻炼方面的结果尤其令人欣慰。特别是,与欧盟平均水平相比,进行适当体育锻炼的女性和男性比例随年龄增长下降得更慢。然而,德国存在水果和蔬菜摄入量低的问题,尤其是在年轻一代中,而且每月至少有一次饮用六种或更多酒精饮料(大量饮酒)的女性和男性比例较高。总之,EHIS提供的结果为欧盟成员国之间分享健康促进和疾病预防有效措施的经验提供了基础。