{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T02:58:07Z","timestamp":1789441087416,"version":"build-2803163510"},"reference-count":28,"publisher":"Georg Thieme Verlag KG","issue":"S 04","license":[{"start":{"date-parts":[[2024,8,19]],"date-time":"2024-08-19T00:00:00Z","timestamp":1724025600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gesundheitswesen"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background Children and adolescents are significantly tied to their\n                    family's socioeconomic position and living environment. Neighbourhood and\n                    the living environment have been identified as potential risk factors for mental\n                    disorders in this age group.<\/jats:p><jats:p>\n          Aim of the Study The aim of the study was to investigate the distribution\n                    of mental and behavioural disorders (prevalence) and the provision of mental\n                    health services for children and adolescents aged 0\u201319 years in the city of\n                    Cologne. In particular, the study aimed to examine the association of these\n                    factors with area deprivation and the availability of mental health services\n                    covered by statutory health insurance. Finally, possible spatial variations in\n                    these aspects were analysed.<\/jats:p><jats:p>\n          Method Claims data of children and adolescents aged 0 to 19 years included\n                    in four statutory health insurance of the year 2021 were analysed. A deprivation\n                    index using data on the level of the ZIP code area was calculated. Analyses were\n                    carried out descriptively, using ordinary least squares (OLS) and geographically\n                    weighted regression (GWR).<\/jats:p><jats:p>\n          Results The prevalence of mental and behavioural disorders in children and\n                    adolescents varied across ZIP code areas, with higher rates in the northern,\n                    southern, and eastern parts of the city. The results indicated that the use of\n                    services by male children and adolescents with a prevalent diagnosis of mental\n                    and behavioural disorders was higher in areas with a higher density of\n                    healthcare providers. However, prevalence was on the whole lower in areas with a\n                    higher density of healthcare providers. In addition, the density of health care\n                    providers was higher in the city centre with comparatively lower\n                    deprivation.<\/jats:p><jats:p>\n          Conclusion These results indicate inadequate access to care for children\n                    and young people outside the city centre. However, due to the heterogeneity of\n                    the population in these areas, this study provides only preliminary insights.\n                    Data with a finer geographic resolution are needed for further research in order\n                    to analyse the association further.<\/jats:p>","DOI":"10.1055\/a-2326-6768","type":"journal-article","created":{"date-parts":[[2024,8,19]],"date-time":"2024-08-19T23:01:20Z","timestamp":1724108480000},"page":"S267-S274","source":"Crossref","is-referenced-by-count":5,"special_numbering":"S","title":["Spatial and Socioeconomic Patterns of Mental Health and Healthcare\n                    Utilization in Cologne, Germany"],"prefix":"10.1055","volume":"86","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6067-6411","authenticated-orcid":false,"given":"Adriana","family":"Poppe","sequence":"additional","affiliation":[{"name":"PMV forschungsgruppe an der Medizinischen Fakult\u00e4t und Uniklinik K\u00f6ln,\n                    Universit\u00e4t zu K\u00f6ln, K\u00f6ln, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8628-7166","authenticated-orcid":false,"given":"Lena","family":"Ansmann","sequence":"additional","affiliation":[{"name":"Lehrstuhl f\u00fcr Medizinsoziologie, Universit\u00e4t zu K\u00f6ln Institut f\u00fcr\n                    Medizinsoziologie Versorgungsforschung und Rehabilitationswissenschaft, K\u00f6ln,\n                    Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8515-8285","authenticated-orcid":false,"given":"Ingo","family":"Meyer","sequence":"additional","affiliation":[{"name":"PMV forschungsgruppe an der Medizinischen Fakult\u00e4t und Uniklinik K\u00f6ln,\n                    Universit\u00e4t zu K\u00f6ln, K\u00f6ln, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timo-Kolja","family":"Pf\u00f6rtner","sequence":"additional","affiliation":[{"name":"Arbeitsbereich Forschungsmethoden, Humanwissenschaftliche Fakult\u00e4t und\n                    Medizinische Fakult\u00e4t, Universit\u00e4t zu K\u00f6ln, K\u00f6ln, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,8,19]]},"reference":[{"key":"ref2","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1016\/j.puhe.2021.08.009","article-title":"The Dahlgren-Whitehead model of health determinants: 30 years on and still\n                    chasing rainbows","volume":"199","author":"G Dahlgren","year":"2021","journal-title":"Public Health"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1016\/j.socscimed.2012.03.004","article-title":"Use of the Yitzhaki Index as a test of relative deprivation for health outcomes:\n                    a review of recent literature","volume":"75","author":"K Adjaye-Gbewonyo","year":"2012","journal-title":"Soc Sci Med"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"102794","DOI":"10.1016\/j.healthplace.2022.102794","article-title":"Association of regional socioeconomic deprivation and rurality with global\n                    developmental delay in early childhood: Data from mandatory school entry\n                    examinations in Germany","volume":"75","author":"S Hoffmann","year":"2022","journal-title":"Health Place"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1191\/030913299670961492","article-title":"Defining an agenda for the geography of children: review and prospect","volume":"23","author":"H Matthews","year":"1999","journal-title":"Progress in Human Geography"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"113542","DOI":"10.1016\/j.socscimed.2020.113542","article-title":"Neighbourhood deprivation effects on young people's mental health and\n                    well-being: A systematic review of the literature","volume":"270","author":"K Visser","year":"2021","journal-title":"Soc Sci Med"},{"key":"ref7","doi-asserted-by":"crossref","DOI":"10.4159\/9780674028845","volume-title":"The Ecology of Human Development. Experiments by nature and design. Cambridge,\n                    Massachusetts, and London","author":"U Bronfenbrenner","year":"1979"},{"key":"ref8","doi-asserted-by":"crossref","DOI":"10.1525\/9780520325760","volume-title":"Poverty in the United Kingdom. A survey of household resources and standards of\n                    living","author":"P Townsend","year":"1979"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1515\/roe-2019-0001","article-title":"Area Deprivation and its Impact on Population Health: Conceptual Aspects,\n                    Measurement and Evidence from Germany","volume":"70","author":"A Karmann","year":"2019","journal-title":"Review of Economics"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"629","DOI":"10.1002\/0471234311.ch23","volume-title":"The Epidemiology of Child and Adolescent Mental Disorders. In: Tsuang MT, Tohen\n                    M, Hrsg. Textbook in psychiatric epidemiology. 2. Aufl","author":"S L Buka","year":"2010"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"104162","DOI":"10.1016\/j.scs.2022.104162","article-title":"Unequal impact of the COVID-19 pandemic on mental health: Role of the\n                    neighborhood environment","volume":"87","author":"L Ma","year":"2022","journal-title":"Sustain Cities Soc"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.25646\/8896","article-title":"Psychische Gesundheit und Lebensqualit\u00e4t von Kindern und Jugendlichen w\u00e4hrend\n                    der COVID-19-Pandemie \u2013 Ergebnisse der COPSY-Studie","author":"U Ravens-Sieberer","year":"2020"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1111\/1467-9566.13557","article-title":"Impact of COVID-19 inequalities on children: An intersectional analysis","volume":"45","author":"G Lemkow-Tov\u00edas","year":"2023","journal-title":"Sociology of Health & Illness"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"1204","DOI":"10.1186\/s12913-021-07220-7","article-title":"Evaluating the structural reform of outpatient psychotherapy in Germany (ES-RiP\n                    trial) \u2013 a qualitative study of provider perspectives","volume":"21","author":"R Po\u00df-Doering","year":"2021","journal-title":"BMC Health Serv Res"},{"key":"ref15","first-page":"25","article-title":"Die Versorgungssituation seit der Reform der Psychotherapie-Richtlinie 2017:\n                    Ergebnisse der DPtV-Onlineumfragen 2017 und 2018 zu Wartezeiten","author":"C Rabe-Menssen","year":"2019","journal-title":"Psychotherapie Aktuell"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"828","DOI":"10.3238\/arztebl.2020.0828","article-title":"Mental Health and Quality of Life in Children and Adolescents During the\n                    COVID-19 Pandemic-Results of the Copsy Study","volume":"117","author":"U Ravens-Sieberer","year":"2020","journal-title":"Dtsch Arztebl Int"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"57","DOI":"10.5771\/1611-5821-2007-9-10-57","article-title":"Bedarfsgerechte Versorgungsplanung","author":"G F\u00fcl\u00f6p","year":"2007","journal-title":"Gesundheits- und Sozialpolitik"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"1131","DOI":"10.1055\/a-2175-8290","article-title":"Prim\u00e4r\u00e4rztliche Versorgungsungleichheiten zu Ungunsten der Bev\u00f6lkerung sozial\n                    benachteiligter Stadtgebiete \u2013 eine Fallanalyse am Beispiel der Stadt Essen","volume":"85","author":"P Schillen","year":"2023","journal-title":"Gesundheitswesen"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"593","DOI":"10.1055\/s-2007-991174","article-title":"Kleinr\u00e4umige kassen\u00e4rztliche Versorgung und subjektives Standortwahlverhalten\n                    von Vertrags\u00e4rzten in einem \u00fcberversorgten Planungsgebiet","volume":"69","author":"T Kistemann","year":"2007","journal-title":"Gesundheitswesen"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1016\/j.zefq.2020.01.005","article-title":"Regionale Unterschiede zwischen Fach\u00e4rztinnen und Fach\u00e4rzten f\u00fcr\n                    Allgemeinmedizin und haus\u00e4rztlich t\u00e4tigen Internistinnen und Internisten in der\n                    haus\u00e4rztlichen Versorgung","volume":"150-152","author":"C Strumann","year":"2020","journal-title":"Z Evid Fortbild Qual Gesundhwes"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1016\/j.zefq.2017.11.005","article-title":"Bericht aus einem laufenden Forschungsprojekt: CoRe-Net, das K\u00f6lner\n                    Kompetenznetzwerk aus Versorgungspraxis und Versorgungsforschung, und der\n                    Value-based Healthcare-Ansatz","volume":"130","author":"U Karbach","year":"2018","journal-title":"Z Evid Fortbild Qual Gesundhwes"},{"key":"ref23","volume-title":"Verwendung von GKV-Diagnosen in der Sekund\u00e4rdatenforschung. In: Swart E, Ihle P,\n                    Hrsg. Routinedaten im Gesundheitswesen. Handbuch Sekund\u00e4rdatenanalyse:\n                    Grundlagen, Methoden und Perspektiven","author":"I Schubert","year":"2005"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.25646\/10640","article-title":"D-German Index of Socioeconomic Deprivation (GISD): Revision","author":"N Michalski","year":"2022","journal-title":"Aktualisierung und Anwendungsbeispiele"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1186\/s12942-016-0068-2","article-title":"Do the risk factors for type 2 diabetes mellitus vary by location? A spatial\n                    analysis of health insurance claims in Northeastern Germany using kernel density\n                    estimation and geographically weighted regression","volume":"15","author":"B Kauhl","year":"2016","journal-title":"Int J Health Geogr"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1186\/s12889-017-5017-x","article-title":"Exploring the small-scale spatial distribution of hypertension and its\n                    association to area deprivation based on health insurance claims in Northeastern\n                    Germany","volume":"18","author":"B Kauhl","year":"2018","journal-title":"BMC Public Health"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"151","DOI":"10.4054\/DemRes.2012.26.6","article-title":"Mapping the results of local statistics: Using geographically weighted\n                    regression","volume":"26","author":"S A Matthews","year":"2012","journal-title":"Demogr Res"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"461","DOI":"10.1007\/978-3-642-03647-7_22","volume-title":"Geographically Weighted Regression. In: Fischer MM, Getis A, Hrsg. Handbook of\n                    Applied Spatial Analysis","author":"D C Wheeler","year":"2010"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1055\/s-0034-1396815","article-title":"Gute Praxis Sekund\u00e4rdatenanalyse (GPS): Leitlinien und Empfehlungen","volume":"77","author":"E Swart","year":"2015","journal-title":"Gesundheitswesen"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1055\/a-1539-3894","article-title":"Schuleingangsuntersuchungen \u2013 Schuluntersuchungen fallen wegen Corona aus \u2013\n                    soziale Benachteiligung nimmt zu","volume":"26","author":"BV\u00d6GD","year":"2021","journal-title":"Gesundheits\u00f6konomie & Qualit\u00e4tsmanagement"}],"container-title":["Das Gesundheitswesen"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2326-6768.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T14:03:03Z","timestamp":1730815383000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2326-6768"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,19]]},"references-count":28,"journal-issue":{"issue":"S 04","published-online":{"date-parts":[[2024,9,10]]},"published-print":{"date-parts":[[2024,9]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2326-6768","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0941-3790","1439-4421"],"issn-type":[{"value":"0941-3790","type":"print"},{"value":"1439-4421","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,19]]}}}