TY - GEN A1 - Fischer, Stefanie A1 - Hoffmann, Stephanie A1 - Löffler, Antje A1 - Spallek, Jacob T1 - Ergebnisse einer Querschnittsanalyse zur ärztlichen Gesundheitsversorgung im ländlichen Raum T2 - Das Gesundheitswesen N2 - Hintergrund: Herausforderungen, wie die geringste Hausarztdichte Deutschlands und eine ungünstige Altersstruktur beeinflussen die ärztliche Versorgung in strukturschwachen Regionen Brandenburgs. Das Forschungsprojekt DIGILOG untersucht im Rahmen des Gesundheitscampus Brandenburg die Zufriedenheit der älteren Bevölkerung mit dem Zugang zur Haus- und Facharztversorgung. Methoden: Anfang 2018 wurden per standardisiertem Fragebogen mit sowohl geschlossenen als auch offenen Fragen 3.006 zufällig ausgewählte 50 – 70-jährige Einwohner im Landkreis Oberspreewald-Lausitz zu soziodemografischen Merkmalen sowie zur aktuellen und künftigen Haus- und Facharztversorgung befragt. Die Response beträgt 17,5% und ergibt eine Stichprobe mit einem Durchschnittsalter von 62 Jahren (51% weiblich). Ergebnisse: Der Zugang gilt als zufriedenstellend (Hausarzt (HA) 93%, Facharzt (FA) 87,8%). Es werden künftig Berentung, mangelnde Nachfolge und lange Wartezeiten befürchtet. 84% haben im letzten Jahr einen FA konsultiert (häufigste: Augenarzt (93 ×), Urologe, Orthopäde (je 74 ×). Der HA ist in rund x̃ = 4 km [0 – 64] und 10 Min. [0 – 90], der FA in x̃ = 15 km [0 – 338] und 20 Min. [0 – 338] überwiegend mit dem Auto (HA 60,9%; FA 77%) erreichbar. Beim HA wird 59 Min. [0 – 180], beim FA 57 Min. [0 – 240] gewartet. Schlussfolgerungen: Obwohl derzeit der Zugang trotz offener Arztstellen insgesamt noch zufriedenstellend ist, drohen in naher Zukunft Versorgungsdefizite, zeitnah besonders in der fachärztlichen Versorgung. Neue Versorgungskonzepte, wie Community Nurses oder digitale Lösungen, könnten diese z.T. auffangen und Wartezeiten bei akuten Beschwerden verkürzen. Y1 - 2018 U6 - https://doi.org/10.1055/s-0038-1667814 SN - 1439-4421 VL - 80 IS - 08/09 SP - S. 833 ER - TY - GEN A1 - Berens, Eva-Maria A1 - Mohwinkel, Lea-Marie A1 - Eckert, Sandra van A1 - Reder, Maren A1 - Kolip, Petra A1 - Spallek, Jacob T1 - Uptake of Gynecological Cancer Screening and Performance of Breast Self-Examination Among 50-Year-Old Migrant and Non-migrant Women in Germany: Results of a Cross-Sectional Study (InEMa) T2 - Journal of Immigrant and Minority Health N2 - Our aim was to provide data regarding uptake of gynecological early detection measures and performance of breast self-examinations among migrant women in Germany. Cross-sectional self-reported data were collected using paper-and-pencil questionnaires. Descriptive analyses, Chi square-tests, and logistic regression were applied. Results were adjusted for educational level. Of 5387 women, 89.9% were autochthonous, 4.1% German resettlers, 2.8% Turkish, 3.1% other migrants. Participation rates regarding cancer screening differed significantly, with the lowest proportion in Turkish migrants (65.0%), resettlers (67.8%), other migrants (68.2%) and autochthonous population (78.2%). No differences in performance of breast self-examinations were detected. When adjusted for education, results indicated only slight changes in the odds to participate in screening irregularly or not at all. Results support existing evidence by showing lower participation rates in cancer screening among migrant women, but there were no differences regarding breast self-examinations. Migrant women form a potential high-risk group for late-stage diagnosis of cervical or breast cancer. KW - Migrants KW - Non-migrants KW - Cervical and breast cancer KW - Cancer screening KW - Participation KW - Performance KW - Uptake Y1 - 2019 U6 - https://doi.org/10.1007/s10903-018-0785-7 SN - 1557-1920 VL - 21 IS - 3 SP - 674 EP - 677 ER - TY - CHAP A1 - Spallek, Jacob A1 - Schumann, Maria A1 - Yildirim, Tülan ED - Hurrelmann, Klaus ED - Klotz, Theodor ED - Richter, Matthias ED - Stock, Stephanie ED - Hurrelmann, Klaus T1 - Prävention und Gesundheitsförderung bei Menschen mit Migrationshintergrund T2 - Referenzwerk Prävention und Gesundheitsförderung : Grundlagen, Konzepte und Umsetzungsstrategien Y1 - 2018 SN - 3-456-85590-7 SN - 978-3-456-85590-5 SP - 433 EP - 448 PB - Hogrefe CY - Bern ET - 5., vollständig überarbeitete Auflage ER - TY - CHAP A1 - Spallek, Jacob A1 - Schumann, Maria A1 - Reeske-Behrens, Anna ED - Haring, Robert T1 - Migration und Gesundheit – Gestaltungsmöglichkeiten von Gesundheitsversorgung und Public Health in diversen Gesellschaften T2 - Gesundheitswissenschaften N2 - Der Zusammenhang zwischen Migration und Gesundheit ist vielschichtig. In aktuellen Erklärungsmodellen werden verschiedene Determinanten und Dimensionen angeführt, die über den Lebenslauf von Migranten zu gesundheitlichen Vor- und Nachteilen führen können. Gesundheitsversorgung und Public Health in einem Einwanderungsland wie Deutschland müssen diese gesundheitlichen Unterschiede beachten und – neben den bei besonderen Risikokonstellationen notwendigen gezielten Maßnahmen für Migranten – sich insgesamt so ausrichten, dass sie der Diversität der Bevölkerung gerecht werden. Besondere Chancen bieten dabei Ansätze, die im Rahmen von integrierten kommunalen Strategien zur Gesundheitsförderung die Bedarfe der Menschen in ihren Lebenswelten aufgreifen. Y1 - 2018 SN - 978-3-662-54179-1 U6 - https://doi.org/10.1007/978-3-662-54179-1 SP - 1 EP - 12 PB - Springer CY - Berlin ER - TY - GEN A1 - Spallek, Jacob A1 - Breckenkamp, Jürgen A1 - Kraywinkel, Klaus A1 - Schwabe, Wolfgang A1 - Krieg, Volker A1 - Greiner, Wolfgang A1 - Damm, Oliver A1 - Razum, Oliver T1 - Need for nursing care support in cancer patients: Registry-linkage study in Germany T2 - South Eastern European Journal of Public Health N2 - Aim: In Germany, very little is known about the need for assistance and nursing care support among cancer patients after hospitalization. The aim of this study was to describe nursing care support for cancer patients and to analyse whether these patients need more care assistance than other persons in need for care. Methods: This was a registry linkage study conducted in 2011. Cases were identified from the population-based cancer registry for the Muenster District in north-western Germany and in factually anonymised form linked by a semi-automatic probabilistic procedure (the standard procedure of the cancer registry) with medical examination records of patients applying for assistance and nursing care support from the regional statutory health insurance. The application records of 4,029 patients with colon, breast and prostate cancer were compared to a reference group of 13,104 non-cancer patients. Results: In only 41.7% of colon, 45.8% of breast and 37.4% of prostate cancer patients was the malignancy the main underlying diagnostic cause for the application of assistance and nursing care. These patients were on average younger (mean age 71.1 vs. 76.8 years) than the non-cancer reference group, required higher levels of support (79.5 vs. 58.1% “considerable” or higher level care need) and their applications were less likely to be rejected (odds ratios [ORs] 0.26, 0.28, and 0.31, respectively). By contrast, the proportion of successful applications and the level of support granted did not differ between multimorbid cancer patients with other main diagnoses as compared to non-cancer applicants. Conclusion: Patients with colon, breast or prostate cancer do not need per se more nursing care than non-cancer patients. Only if cancer is the main underlying diagnosis for nursing care support, higher levels of support are needed. KW - cancer patients KW - nursing care Y1 - 2018 U6 - https://doi.org/10.4119/UNIBI/SEEJPH-2018-204 SN - 2197-5248 IS - 11 SP - 1 EP - 10 ER - TY - GEN A1 - Weckmann, Gesine A1 - Stracke, Sylvia A1 - Haase, Annekathrin A1 - Spallek, Jacob A1 - Ludwig, Fabian A1 - Angelow, Aniela A1 - Emmelkamp, Jetske M. A1 - Mahner, Maria A1 - Chenot, Jean-François T1 - Diagnosis and management of non-dialysis chronic kidney disease in ambulatory care: a systematic review of clinical practice guidelines T2 - BMC Nephrology N2 - Background: Chronic kidney disease (CKD) is age-dependent and has a high prevalence in the general population. Most patients are managed in ambulatory care. This systematic review provides an updated overview of quality and content of international clinical practice guidelines for diagnosis and management of non-dialysis CKD relevant to patients in ambulatory care. Methods: We identified guidelines published from 2012-to March 2018 in guideline portals, databases and by manual search. Methodological quality was assessed with the Appraisal of Guidelines for Research and Evaluation II instrument. Recommendations were extracted and evaluated. Results: Eight hundred fifty-two publications were identified, 9 of which were eligible guidelines. Methodological quality ranged from 34 to 77%, with domains “scope and purpose” and “clarity of presentation” attaining highest and “applicability” lowest scores. Guidelines were similar in recommendations on CKD definition, screening of patients with diabetes and hypertension, blood pressure targets and referral of patients with progressive or stage G4 CKD. Definition of high risk groups and recommended tests in newly diagnosed CKD varied. Conclusions: Guidelines quality ranged from moderate to high. Guidelines generally agreed on management of patients with high risk or advanced CKD, but varied in regarding the range of recommended measurements, the need for referrals to nephrology, monitoring intervals and comprehensiveness. More research is needed on efficient management of patients with low risk of CKD progression to end stage renal disease. KW - Chronic kidney disease KW - Management KW - Clinical practice guideline KW - Systematic review Y1 - 2018 U6 - https://doi.org/10.1186/s12882-018-1048-5 SN - 1471-2369 IS - 19 ER - TY - GEN A1 - Weckmann, Gesine A1 - Haase, Annekathrin A1 - Spallek, Jacob A1 - Chenot, Jean-François A1 - Stracke, Sylvia A1 - Angelow, Aniela T1 - Public health implications of referral criteria for chronic kidney disease, population based analysis T2 - European Journal of Public Healt N2 - Background: Chronic Kidney Disease (CKD) has an age-dependent prevalence of 10% in adults. The majority of CKD patients are treated in general practice. Although international guidelines recommend referral in patients with GFR <30, the German Societies for Nephrology and Internal Medicine recommend specialist referral for all subjects with estimated glomerular filtration rate (eGFR) <45 or eGFR 45-59 ml/min/ 1,73m2 with additional risk factors. This analysis was performed to evaluate the public health implications of lowering the threshold value for referral. Methods: Data of the population based cohort Study of Health in Pomerania (SHIP-2) were analysed to estimate the proportion of subjects who meet different referral criteria, billing data to estimate actual referral rate and public health implications of implementing different referral criteria were estimated with regard to cost and health resources utilization. Results: Data of 2328 subjects from SHIP-2 (53% female; age M = 57 Jahre, SD = 14)were analyzed. 3% of subjects had eGFR<45ml/min/1,73m2. 6% had an eGFR between 45-59 ml/min/1,73m2. Proposed German referral criteria were met by 8% of subjects, with 41% in the age group 80+ meeting referral criteria, wheras NICE and KDIGO criteria limited referral to 1-2%. Yearly referral as estimated from billing data was ca.2%. Results are preliminary and data comparing cost and health resources utilization will be available at the conference. Conclusions: Adherence to the proposed German referral criteria would greatly increase the number of referrals, especially in the elderly. This can lead to a major increase in cost, as well as serious problems with respect to the capacity of the nephrological workforce. Because of lack of a specific nephrological therapy in earlier stages of CKD in patients without additional risk factors, the benefit of increasing referrals in this group seems doubtful. Referral criteria for common medical conditions should be evaluated rigorously. KW - patient referral KW - public health medicine KW - kidney failure KW - chronic Y1 - 2018 U6 - https://doi.org/10.1093/eurpub/cky218.167 SN - 1101-1262 SN - 1464-360X VL - 28 IS - 4 SP - 466 EP - 466 ER - TY - GEN A1 - Scholaske, Laura A1 - Brose, Annette A1 - Spallek, Jacob A1 - Entringer, Sonja T1 - The role of discrimination for the risk of preterm birth among Turkish immigrant women T2 - European Journal of Public Health N2 - Background: Preterm birth (PTB) is one of the most severe risk factors for early child death and developmental impairment. Epidemiological research suggests that immigrants from lower to higher income countries exhibit a health decline over time that is transmitted to the offspring generation in which health disparities become prevalent already at a very early age in terms of adverse birth outcomes. Perceived discrimination (PD) is discussed in the context of health disparities related to migration. The relationship between PD and health outcomes is still understudied among Turkish immigrants in Germany. We examined whether PD contributes to PTB risk in Turkish immigrant women. Methods: We used data from the German Socio-Economic Panel (SOEP). The newborn questionnaire (“Mother-Child: Age 0-1”, 2003 – 2016, v33) provided information on birth outcomes and we included information on maternal socioeconomic situation, migration background and PD due to origin (for Turkish immigrant women only) that were collected in the survey before birth. The final sample comprised N = 2,525 (8.60% Turkish immigrant women). A dummy variable indicating occurrence of PTB (0 = non PTB, i.e. ≥ 37 wks of gestation, 1 = PTB, i.e. < 37 weeks of gestation) was used as the outcome variable in logistic regression models. Results: Logistic regression models on the whole sample indicated a higher risk of PTB among Turkish compared to German native women (OR: 2.75) that remained after adjusting for socioeconomic status. Within the subsample of Turkish women, prenatal PD was related to a higher risk for PTB (OR: 4.91). Conclusions: Unlike in other studies we found evidence for a higher prevalence of PTB among Turkish immigrant women in the SOEP data. PD may explain the prevalence of PTB among Turkish immigrant women in Germany. There is a need for further research examining the impact of discrimination on the intergenerational transmission of health disparities among Turkish immigrants in Germany. KW - premature birth KW - immigrants KW - turkish Y1 - 2018 U6 - https://doi.org/10.1093/eurpub/cky213.566 SN - 1464-360X SN - 1101-1262 VL - 28 IS - 4 SP - 192 EP - 192 ER - TY - GEN A1 - Lampert, Thomas A1 - Kuntz, Benjamin A1 - Schneider, Sven A1 - Spallek, Jacob T1 - Soziale Ungleichheit und Gesundheit: die Entwicklung sozialepidemiologischer Forschung in Deutschland T2 - Public Health Forum N2 - Die Sozialepidemiologie befasst sich mit der sozialen Verteilung von Erkrankungsrisiken und Gesundheitschancen und den daraus resultierenden gesundheitlichen Ungleichheiten. Für die letzten 20 Jahre lässt sich ein kontinuierlicher Zuwachs an sozialepidemiologischen Forschungsbefunden in Deutschland konstatieren. Mit den gesundheitlichen Ungleichheiten und den sozialen Determinanten der Gesundheit adressiert die Sozialepidemiologie Kernbereiche von Public Health, deren Bearbeitung auch in Zukunft erheblichen Einfluss auf die wissenschaftlichen, politischen und praxisorientierten Perspektiven des Fachs haben dürfte. KW - gesundheitliche Ungleichheiten KW - Public Health KW - Sozialepidemiologie KW - soziale Ungleichheit Y1 - 2018 U6 - https://doi.org/10.1515/pubhef-2018-0062 SN - 0944-5587 SN - 1876-4851 VL - 26 IS - 3 SP - 212 EP - 215 ER - TY - GEN A1 - Hoffmann, Stephanie A1 - Spallek, Jacob T1 - Migration, Gesundheit und soziale Lage T2 - Public Health Forum N2 - Das Zusammenspiel zwischen Migration, Gesundheit und sozialer Lage ist durch verschiedene Wirkmechanismen gekennzeichnet. Die soziale Lage beeinflusst gesundheitliche Chancen und Risiken sowie die Migration selbst und trägt dazu bei, ob migrationsbedingte Einflüsse auf die Gesundheit verstärkt oder abgeschwächt werden. Migration ist bedeutend für die Erklärung gesundheitlicher Ungleichheit, obgleich Verzerrungen und Messartefakte bei Interpretationen berücksichtigt werden müssen. KW - Gesundheitliche Ungleichheit KW - Migration KW - Sozialstatus Y1 - 2018 U6 - https://doi.org/10.1515/pubhef-2018-0107 SN - 1876-4851 SN - 0944-5587 VL - 26 IS - 4 SP - 345 EP - 348 ER - TY - CHAP A1 - Zeeb, Hajo A1 - Hübner, W. A1 - Spallek, Jacob ED - Pundt, Johanna ED - Cacace, Mirella T1 - Migration und gesundheitliche Ungleichheit T2 - Diversität und gesundheitliche Chancengleichheit Y1 - 2019 SN - 978-3-943001-40-2 SN - 978-3-943001-45-7 PB - APOLLON University Press CY - Bremen ET - 1. Auflage ER - TY - GEN A1 - Reder, Maren A1 - Berens, Eva-Maria A1 - Spallek, Jacob A1 - Kolip, Petra T1 - Development of the Informed Choice in Mammography Screening Questionnaire (IMQ): factor structure, reliability, and validity T2 - BMC Psychology N2 - Background: Informed choice is of ethical and practical importance in mammography screening. To assess the level to which decisions regarding such screening are informed is thus imperative, but no specific instrument has been available to measure informed choice in the German mammography screening programme. The aims of this study were to develop the Informed Choice in Mammography Screening Questionnaire (IMQ) and to find first evidence for the factor structure, reliability and validity of its different components. Methods: The IMQ was sent to 17.349 women aged 50 in Westphalia-Lippe, Germany. The instrument has been developed after consideration of (1) the results of qualitative interviews on decision making in the mammography screening programme, (2) relevant literature on other informed choice instruments and (3) a qualitative study on influencing factors. The IMQ comprises 3 scales (attitude, norms, and barriers), 1 index (knowledge) and singular items covering intention to participate and sociodemographic variables. To assess the psychometric properties of the components of the IMQ, confirmatory factor and item response theory analyses were conducted. Additionally, reliability, validity and item statistics were assessed. Results: 5.847 questionnaires were returned (response rate 33.7%). For attitude, the confirmatory factor analysis supported a one-factor structure. For norms, the model fit was not acceptable. Reliability levels were good with a Cronbach‘s α of.793 for attitude (4 items) and.795 for norms (5 items). For barriers, 9 items were deleted because of low discrimination indices; 6 items remained. The hypothesised assumption-subscale and the importance-subscale were confirmed, but these subscales showed poor reliabilities with Cronbach‘s α=.525 (4 items) and.583 (2 items). For the knowledge index, item response theory analysis showed that 6 out of 7 items were suitable. Hypotheses concerning the correlations between the different components were confirmed, which supported their convergent and divergent validity. Conclusion: The results of this study demonstrated that the IMQ is a multidimensional instrument. Further development of the barriers and norms scales is necessary. The IMQ can be utilised to assess the level of informed choices as well as influencing factors. KW - Mammography screening KW - Informed choice KW - Confirmatory factor analysis KW - Reliability KW - Validity Y1 - 2019 U6 - https://doi.org/10.1186/s40359-019-0291-2 SN - 2050-7283 VL - 7 IS - 1 ER - TY - GEN A1 - Berens, Eva-Maria A1 - Kaucher, Simone A1 - Eckert, Sandra van A1 - Reder, Maren A1 - Kolip, Petra A1 - Spallek, Jacob T1 - Knowledge about mammography screening in Germany by education and migrant status – results of a cross-sectional study (InEMa) T2 - Applied Cancer Research N2 - Background: The population-based mammography screening program (MSP) is aimed to reduce breast cancer mortality, to detect breast cancer at an early stage, and to allow for less invasive treatment. However, it also has some potential harms, such as overdiagnosis and overtreatment. Therefore, it is necessary that women receive sufficient and balanced information to enable informed decision-making. We examined knowledge about benefits and harms of the MSP in Germany among first-time invitees of different socio-demographic backgrounds. Methods: This observational study assessed knowledge about benefits and harms of the MSP among women who were invited to the MSP for the first time by six multiple choice items, using a postal survey. We investigated (i) single items of knowledge, (ii) the distribution of sufficient knowledge stratified by education, migration status and invitation, and (iii) possible determinants of sufficient knowledge by analyzing Odds Ratios (ORs) using bivariate and multivariate logistic regression. Results: In total, 5397 women included in the analyses. 46.1% of the study population had sufficient knowledge about benefits and harms of the MSP. However, women with low educational level and migration background had higher proportions of insufficient knowledge and used most frequently the option “don’t know”. Women had the most difficulties answering the numeric question and the question about the target group correctly. Results from the logistic regression showed that the odds of having sufficient knowledge were higher among well-educated women (OR 3.84, 95%CI 3.24–4.55), among women who already received the MSP invitation (OR 1.38, 95%CI 1.20–1.59) and lowest among Turkish women (OR 0.14, 95%CI 0.07–0.25). Conclusions: Women with low education and migration background need adapted information regarding benefits and harms of the MSP and are important target groups for further developing the information material about mammography screening to reduce disparities in knowledge and enable informed decision-making. KW - Mammography screening program, Knowledge, Education, Migrants, Benefits, Harms Y1 - 2019 U6 - https://doi.org/10.1186/s41241-019-0076-1 SN - 1980-5578 VL - 39 IS - 6 ER - TY - GEN A1 - Scholaske, Laura A1 - Brose, Annette A1 - Spallek, Jacob A1 - Entringer, Sonja T1 - Perceived discrimination and risk of preterm birth among Turkish immigrant women in Germany T2 - Social Science & Medicine N2 - Background: Health disparities, including adverse birth outcomes, exist between Turkish immigrants and the autochthonous population in Germany. The state of research on the risk of preterm birth (PTB, defined as <37 weeks of gestation), the leading cause of infant mortality and morbidity, among Turkish immigrant women is mixed. Perceived discrimination is discussed in the context of health disparities related to migration. We examined whether PTB risk is also increased in Turkish immigrant women in Germany and whether perceived discrimination due to origin contributes to this risk. Methods: We selected a sample from the German Socio-Economic Panel (SOEP) study of German autochthonous and Turkish immigrant women who recently gave birth (between 2002 and 2016) (N = 2,525, incl. n = 217 Turkish immigrant women of which n = 111 completed an item on perceived discrimination). The included variables of central interest were immigrant status, perceived discrimination, gestational age, and socioeconomic situation. Results: Logistic regression models indicated that PTB risk was significantly higher for Turkish immigrant women than autochthonous women (OR: 2.75, 95% CI [1.79–4.16]), even when adjusting for socioeconomic status. Within the subsample of Turkish immigrant women, perceived discrimination was related to a significantly higher PTB risk (OR: 4.91, 95% CI [1.76–15.06]). Conclusions: Our study provides evidence for a higher PTB risk in Turkish immigrant women compared to autochthonous women in Germany. Perceived discrimination may contribute to this higher risk. The findings represent an important first step towards developing targeted interventions to improve pregnancy and birth outcomes in minority groups. KW - Perceived discrimination KW - Preterm birth KW - Turkish immigrants KW - Health disparities Y1 - 2019 U6 - https://doi.org/10.1016/j.socscimed.2019.112427 SN - 0277-9536 SN - 1873-5347 SN - 0037-7856 VL - 236 ER - TY - GEN A1 - Löffler, Antje A1 - Grosser, Angelique A1 - Miani, Celine A1 - Doyle, Ina-Merle A1 - Razum, Oliver A1 - Spallek, Jacob T1 - Einflussfaktoren auf die Einführung von Beikost bei Säuglingen – Ergebnisse der BaBi-Geburtskohorte in Deutschland T2 - Gesundheitswesen 2019 N2 - Hintergrund: Im ersten Lebensjahr erfolgt ein schrittweiser Übergang von Muttermilch bzw. Säuglingsmilchnahrung zur Familienkost, wobei die erste Gabe von Beikost zwischen 5. und 7. Lebensmonat erfolgen soll. Es ist wenig bekannt über soziodemographische bzw. klinische Einflussfaktoren auf die Beikosteinführung. Methodik: Datengrundlage der vorliegenden Untersuchung waren Baseline und erstes Follow-Up der Bielefelder Geburtskohorte BaBi (2013 – 2016, n = 777). Angaben zur Stilldauer, Einführung von Beikost sowie der Getränkegabe vor und während der Einführung von Beikost wurden telefonisch erhoben, als die Säuglinge zwischen neun und 12 Monaten alt waren. Einflussfaktoren auf die Beikosteinführung wurden mittels bi-und multivariater Datenanalyse untersucht. Ergebnisse: Bei Einführung der Beikost waren die Säuglinge im Mittel 5,4 ± 1,2 Monate alt. 2,6% der Säuglinge waren jünger als vier Monate, 12,5% der Säuglinge waren älter als 6,5 Monate. Lineare Regressionsanalysen zeigten eine direkte Assoziation zwischen der ausschließlichen Stilldauer bzw. dem Säuglingsalter bei letzter Mutter-/Säuglingsmilchgabe und dem Beikostbeginn (b = 0,31 [95%KI = 0,26 – 0,36; p ≤ 0,001; b = 0,12 [95% KI 0,07 – 0,18], p ≤ 0,001). Mütterliche Determinanten wie Alter, Bildungsstatus, Migrationsstatus, Familienstand, Parität, pränataler BMI und Rauchstatus vor und während der Schwangerschaft hatten keinen Einfluss auf den Beginn der Beikostgabe. 73,6% der befragten Frauen gaben an, schon einmal Probleme mit dem Füttern seit Beginn der Beikosteinführung gehabt zu haben. Diskussion: In der vorliegenden Analyse erfolgte der Beikostbeginn unabhängig von soziodemographischen und klinischen Parametern, jedoch führte längeres ausschließliches Stillen bzw. längere Mutter-/Säuglingsmilchgabe zu einem späteren Beikostbeginn. Weitere Untersuchungen sind notwendig, um Art, Umfang und mögliche Auswirkungen berichteter Probleme bei der Beikosteinführung bzw. eines verzögerten Beikostbeginns auf Mutter und Kind zu quantifizieren. KW - Beikost Y1 - 2019 U6 - https://doi.org/10.1055/s-0039-1694423 VL - 81 IS - 08/09 SP - 686 EP - 686 PB - Georg Thieme Verlag KG CY - Stuttgart ER -