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2 result(s) for "Butschalowsky, Hans"
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Integration of former child and adolescent study participants into a national health online panel for a longitudinal study on young adult mental health
Background Longitudinal studies are essential for understanding health trajectories and determinants over time. Successfully re-engaging and monitoring participants at key stages such as the transition from adolescence to adulthood is crucial. This stage of life is characterized by many changes and challenges and is considered critical for the manifestation of mental health problems. This study addresses challenges of contacting, re-activation and comparability of individuals in transition to adulthood with the initial population-based sample last contacted up to 9 years ago. Methods In 2024, former participants of the “German Health Interview and Examination Survey for Children and Adolescents” (KiGGS) aged 16–25 years were invited to register in the new online panel infrastructure “Health in Germany” and participate in the “Study on Mental Health in Emerging Adulthood” (JEPSY) via a push-to-online panel approach. Logistic regression models identified predictors of registration and study participation. Weighting adjustments were applied to analyse and correct for selective participation. To assess potential selection bias, life satisfaction of JEPSY participants was benchmarked against a representative sample. Results Among 11,737 invitees, 4,451 (37.9%) registered, and among these, 3,063 (68.8%) completed the JEPSY survey. For participants aged 11 + years, higher probabilities for registration and participation were evident for females (OR = 2.61 [95% CI: 2.37–2.88]); OR = 2.85, [2.56–3.18]), individuals with higher occupational (OR = 1.08, [1.04–1.13]; OR = 1.06, [1.01–1.11]) or educational status (OR = 1.13, [1.08–1.17]; OR = 1.13, [1.08–1.17]). Individuals with higher emotional problems were less likely to register (OR = 0.98, [0.97–0.99]) and participate (OR = 0.98, [0.97–0.99]). Weighting adjustments reduced biases but increased statistical variance. Benchmarking life satisfaction revealed no significant differences between JEPSY participants and their representative counterparts. Conclusions This study demonstrated the feasibility of re-activating former participants and integrating them into a modern online panel. While re-activation was successful for a substantial proportion of invitees, specific challenges (e.g., selective re-participation) remain. The findings provide insights for refining re-contact and retention strategies to improve representativeness and quality of longitudinal mental health research, ultimately enabling more accurate monitoring of health trajectories and their determinants over time.
Nationally representative results on SARS-CoV-2 seroprevalence and testing in Germany at the end of 2020
Pre-vaccine SARS-CoV-2 seroprevalence data from Germany are scarce outside hotspots, and socioeconomic disparities remained largely unexplored. The nationwide representative RKI-SOEP study (15,122 participants, 18–99 years, 54% women) investigated seroprevalence and testing in a supplementary wave of the Socio-Economic-Panel conducted predominantly in October–November 2020. Self-collected oral-nasal swabs were PCR-positive in 0.4% and Euroimmun anti-SARS-CoV-2-S1-IgG ELISA from dry-capillary-blood antibody-positive in 1.3% (95% CI 0.9–1.7%, population-weighted, corrected for sensitivity = 0.811, specificity = 0.997). Seroprevalence was 1.7% (95% CI 1.2–2.3%) when additionally correcting for antibody decay. Overall infection prevalence including self-reports was 2.1%. We estimate 45% (95% CI 21–60%) undetected cases and lower detection in socioeconomically deprived districts. Prior SARS-CoV-2 testing was reported by 18% from the lower educational group vs. 25% and 26% from the medium and high educational group (p < 0.001, global test over three categories). Symptom-triggered test frequency was similar across educational groups. Routine testing was more common in low-educated adults, whereas travel-related testing and testing after contact with infected persons was more common in highly educated groups. This countrywide very low pre-vaccine seroprevalence in Germany at the end of 2020 can serve to evaluate the containment strategy. Our findings on social disparities indicate improvement potential in pandemic planning for people in socially disadvantaged circumstances.