title: [Utilization of Physiotherapy Services by Children and Adolescents - Results of the KiGGS- Baseline Survey].
abstract: Aim of the study:The use of physical therapy in German children and adolescents has so far solely been analyzed on the basis of health insurance data, which can neither consider case history nor social factors. Using the KiGGS-baseline survey it is possible to examine the use of physical therapy on the basis of parental reported health problems and social factors.Methodology:Identifiable determinants for the use of physical therapy in the last 12 months in the KiGGS-baseline survey were examined bivariate and multivariate in logistic regression models with mutual adjustment. The following determinants were considered: social factors, somatic disorders and psychological abnormalities. The proportion of the use of physical therapy, which can be explained by these determinants, was estimated using population-attributable risk fraction.Results:The frequency of the use of physical therapy in the last 12 months in the 0 to 17-year-olds in the KiGGS-baseline survey was 6,4% with higher use during infancy and adolescence. The socio-economic status of parents was not associated with the use of physical therapy. A migration background decreased the probability of the use of physical therapy, for example, among children aged 0 to 2 years (ORadjusted: 0,5 [95% CI: 0,2-1,0]). In those with scoliosis, the use of physical therapy was almost twice as frequent in infancy as in adolescence (58,4 vs. 34,4%). A maximum of 15% of all children and adolescents with back pain reported the use of physical therapy. When ADHD was diagnosed at preschool age, the probability of using physical therapy was increased (ORadjusted: 5,1 [95% CI: 1,4-18,6]). The health problems, which were assessed in the KiGGS-baseline survey and considered for this analysis could explain 37% of the use of physical therapy in the 0 to 2-year-olds. In the other age groups, 59 to 62% could be explained.Conclusion:Comparison of the KiGGS-baseline survey with health insurance data shows similar frequencies and patterns of the use of physical therapy and can therefore be used for the analysis of healthcare questions on the use of physical therapy. The data point to potential deficits in treatment in population segments and for some conditions. An examination of these hypotheses based on analyses of health insurance data seems to be reasonable.
authors.affiliation: Institut für soziale Pädiatrie und Jugendmedizin, Ludwig-Maximilians-Universität, München.
authors.forename: A
authors.initials: A
authors.lastname: Weber
authors.affiliation: Institut für soziale Pädiatrie und Jugendmedizin, Ludwig-Maximilians-Universität, München.
authors.forename: D
authors.initials: D
authors.lastname: Karch
authors.affiliation: Klinik für Kinder- und Jugendmedizin, Universität Lübeck.
authors.forename: U
authors.initials: U
authors.lastname: Thyen
authors.affiliation: Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert-Koch-Institut, Berlin.
authors.forename: A
authors.initials: A
authors.lastname: Rommel
authors.affiliation: Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert-Koch-Institut, Berlin.
authors.forename: R
authors.initials: R
authors.lastname: Schlack
authors.affiliation: Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert-Koch-Institut, Berlin.
authors.forename: H
authors.initials: H
authors.lastname: Hölling
authors.affiliation: Institut für soziale Pädiatrie und Jugendmedizin, Ludwig-Maximilians-Universität, München.
authors.forename: R
authors.initials: R
authors.lastname: von Kries
mesh_terms: D000293:Adolescent; D000067697:Adolescent Health / Q000706:statistics & numerical data; D017677:Age Distribution; D002648:Child; D000067576:Child Health / Q000706:statistics & numerical data; D002675:Child, Preschool; D006233:Persons with Disabilities / Q000534:rehabilitation*; D005260:Female; D005858:Germany / Q000453:epidemiology; D017048:Health Care Costs / Q000706:statistics & numerical data*; D019538:Health Care Surveys; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009313:National Health Programs / Q000191:economics* / Q000706:statistics & numerical data*; D026741:Physical Therapy Modalities / Q000706:statistics & numerical data*; D055656:Prescriptions / Q000706:statistics & numerical data; D017678:Sex Distribution; D014600:Utilization Review; D055815:Young Adult