title: [Medical and inpatient care in childhood and adolescence : Representative results of the federal state module Thuringia in KiGGS wave 1].
abstract: At a young age, health care is mainly provided by doctors in private practice. In this study, the health care of children and adolescents in Thuringia is analysed. Data base is the federal state module Thuringia (2010-2012, n = 4884; 0-17 years), which was conducted by the Robert Koch Institute as part of KiGGS wave 1 (2009-2012). The health care of children and adolescents is described based on 7 indicators: total medical visits, paediatrician visits, general practitioner visits, hospitalisation, health screening examinations and vaccination against human papillomavirus (HPV). Prevalence and mean values with 95 % confidence intervals were reported, and with logistic and linear regressions, the significance of the group differences was examined. Results show that 93.9 % of children and adolescents aged 0-17 years in Thuringia went in the last 12 months to doctors in private practice; the average number of doctor visits was 6.6 contacts. 75.1 % of 0‑ to 17-year-olds were treated by a paediatrician, and 29.9 % visited a general practitioner. In addition, 13.1 % of 0‑ to 17-year-olds in Thuringia have spent at least one night in hospital in the last 12 months; the average number of hospital nights was 7.2. With 90.5 %, the majority of the children aged 7-13 years completed the health screening program for children (U3-U9, without U7a). 67.5 % of the 14- to 17-year-old girls were vaccinated against HPV with at least one dose (lifetime prevalence), and 56.3 % have received a full vaccination with 3 doses. In addition, 62.0 % of 14- to 17-year-old girls went at least once to a gynaecologist. There are significant differences by gender, age, socio-economic status and place of residence (urban/rural). In summation, the results indicate a high utilisation rate by children and adolescents in Thuringia. Additionally, the findings point out prevention potentials such as the vaccination against HPV.
authors.affiliation: Robert Koch-Institut, Abteilung für Epidemiologie und Gesundheitsmonitoring, General-Pape-Str. 62-66, 12101, Berlin, Deutschland. krausel@rki.de.
authors.forename: Laura
authors.initials: L
authors.lastname: Krause
authors.affiliation: Referat "Medizinische Grundsatzfragen, Heilberufe, Pharmaziewesen", Thüringer Ministerium für Arbeit, Soziales, Gesundheit, Frauen und Familie, Erfurt, Deutschland.
authors.forename: Christine
authors.initials: C
authors.lastname: Anding
authors.affiliation: Robert Koch-Institut, Abteilung für Epidemiologie und Gesundheitsmonitoring, General-Pape-Str. 62-66, 12101, Berlin, Deutschland.
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Kamtsiuris
mesh_terms: D000293:Adolescent; D000067697:Adolescent Health; D016497:Adolescent Health Services / Q000706:statistics & numerical data*; D002648:Child; D002654:Child Care / Q000706:statistics & numerical data*; D000067576:Child Health; D002675:Child, Preschool; D005260:Female; D005858:Germany; D019538:Health Care Surveys; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D032541:Mass Vaccination / Q000706:statistics & numerical data*; D009819:Office Visits / Q000706:statistics & numerical data; D030361:Papillomavirus Infections / Q000453:epidemiology / Q000517:prevention & control*; D053918:Papillomavirus Vaccines / Q000627:therapeutic use; D011331:Private Practice / Q000706:statistics & numerical data*; D014600:Utilization Review
chemical_list: D053918:Papillomavirus Vaccines
keywords: Federal state module Thuringia; HPV vaccination; Health screening program; Hospitalisation; KiGGS wave 1; Total medical visits