Sigrid M. Mohnen

Sigrid M. Mohnen
National Institute for Public Health and the Environment (RIVM) | RIVM · Centre for Prevention and Health Services Research (PZO)

PhD

About

31
Publications
3,478
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830
Citations
Citations since 2017
4 Research Items
429 Citations
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2017201820192020202120222023020406080
2017201820192020202120222023020406080
2017201820192020202120222023020406080

Publications

Publications (31)
Article
Full-text available
Background: We propose using neighborhood characteristics as demand-related morbidity adjusters to improve prediction models such as the risk equalization model. Results: Since the neighborhood has no explicit 'place' in healthcare demand models, we have developed the "Neighborhood and healthcare utilization model" to show how neighborhoods matt...
Article
Full-text available
Background: The financial burden of chronic kidney disease (CKD) is increasing due to the ageing population and increased prevalence of comorbid diseases. Our aim was to evaluate age-related differences in health care use and costs in Stage G4/G5 CKD without renal replacement therapy (RRT), dialysis and kidney transplant patients and compare them...
Article
Full-text available
Background: The aim of this study is to present average annual healthcare costs for Dutch renal replacement therapy (RRT) patients for 7 treatment modalities. Methods: Health insurance claims data from 2012-2014 were used. All patients with a 2014 claim for dialysis or kidney transplantation were selected. The RRT related and RRT unrelated avera...
Article
Objective: Is the simple mean of the costs per diabetes patient a suitable tool with which to compare care groups? Do the total costs of care per diabetes patient really give the best insight into care group performance? Design: Cross-sectional, multi-level study. Method: The 2009 insurance claims of 104,544 diabetes patients managed by care g...
Article
Objective: The introduction of bundled payment for diabetes care in the Netherlands led to the origination of care groups. This study explored to what extent variation in health care costs per patient can be attributed to the performance of care groups. Furthermore, the commonly applied simple mean aggregation was compared with the more advanced g...
Chapter
Im Mittelpunkt dieses Buches stehen soziale Bedingungen der privaten Lebensführung. Zu den sozialen Lebensbedingungen eines jeden Individuums zählt ein Bereich, der in den bisherigen Beiträgen zu diesem Buch kaum berücksichtigt wurde, in dem wir aber einen erheblichen Teil unserer Lebenszeit verbringen: unsere Wohnumgebung.
Article
Full-text available
Om de financiële houdbaarheid van de langdurige zorg te kunnen garanderen gaat per 1 januari 2015 de Algemene Wet Bij-zondere Ziektekosten (Awbz) op in vier verschillende wetten; de 'Wet maatschappelijke ondersteuning 2015' (Wmo), de Jeugd-wet (Jw), de Wet langdurige zorg (Wlz) en de Zorgverzekerings-wet (Zvw). De zorg die wordt overgeheveld naar d...
Article
Full-text available
Background Social capital in the living environment, both on the individual and neighbourhood level, is positively associated with people’s self-rated health; however, prospective and longitudinal studies are rare, making causal conclusions difficult. To shed more light on the direction of the relationship between social capital and self-rated heal...
Article
We examined the influence of both individual and neighbourhood social capital on individual health and analysed whether effects of one type of social capital are contingent upon the other. The Dutch ‘Housing and Living Survey’ (WoON 2006, n = 53,269) was used and combined with information on neighbourhoods (n = 3,273). Using an ecometric approach t...
Article
Einleitung Seit 2007 ist es in den Niederlanden möglich, um DMPs integriert zu vergüten. Integrierte Vergütung soll zu qualitativ besserer Versorgung sowie Aufgabenverteilgung und –delegation führen. Das „National Institute of Public Health and the Environment (RIVM)“ erforschte die Auswirkung dieser Vergütungsreform auf Diabetes Versorgung hinsich...
Article
Full-text available
The aim of this study is to explore whether availability of sports facilities, parks, and neighbourhood social capital (NSC) and their interaction are associated with leisure time sports participation among Dutch adolescents. Cross-sectional analyses were conducted on complete data from the last wave of the YouRAction evaluation trial. Adolescents...
Book
Full-text available
The implementation of disease management programs (DMP’s) for type 2 diabetes and vascular risk management (VRM) in the Netherlands and the effects of bundled payment on curative health care costs of diabetes patients are described in this report. It is hypothesized that bundled payment will improve the quality of care and encourages task delegatio...
Article
Full-text available
Background: Several studies have shown the positive effect of neighbourhood social capital on health. Existing research, however, has hitherto not studied whether the duration and intensity of exposure to neighbourhood social capital conditions and its effect on health. The aim of this study was to examine whether neighbourhood social capital affe...
Article
Full-text available
Although various studies have found a positive association between neighborhood social capital and individual health, the mechanism explaining this direct effect is still unclear. Neighborhood social capital is the access to resources that are generated by relationships between people in a friendly, well-connected and tightly knit neighborhood comm...
Data
Model 5 of Table 3 with control variables.
Article
Does it matter for my health in which neighborhood I live? The fact is, health is determined not only by individual characteristics but also by the neighborhood in which someone lives. This thesis shows that health clusters in Dutch neighborhoods and that this is not only a composition effect (that people with healthy characteristics cluster into o...
Article
Neighborhood social capital is increasingly considered to be an important determinant of an individual's health. Using data from the Netherlands we investigate the influence of neighborhood social capital on an individual's self-reported health, while accounting for other conditions of health on both the level of the neighborhood and the individual...
Article
A precise knowledge of the risk factors for childhood and adolescent smoking is crucial for the development of appropriate preventive measures. This study investigated current smoking prevalence and the social and regional correlates for smoking among minors (children and adolescents aged 12-17 years) in Germany. Bivariate data analysis was perform...
Article
Aim: The Federal Republic of Germany is the European Member state with the largest population and is also one of the countries with the highest prevalences of tobacco use. Initiation of smoking takes place in the large majority of cases in the early adolescent years. The purpose of this study is therefore to describe initiation of smoking in young...
Article
Germany is rated among the countries with the highest prevalence of tobacco use in Europe. This paper analyzes whether the age of smoking onset has decreased in recent years. Multivariable event data analyses were performed on the basis of the representative national cross-sectional study "Drug Affinity among Young People in the Federal Republic of...
Article
Unlike other biopsychosocial risk factors, the role of comorbidity in low back pain is largely unknown. The purpose is (1) to generate prevalence data on back pain in the total adult population and (2) to identify the most common physical comorbidities in subjects with back pain. This paper also (3) analyses the gender-specific and age-specific com...
Article
Every year over 3,300 non-smokers in Germany die from diseases caused by passive smoking. It was the aim of this study to obtain country-wide representative opinions about a smoking ban in restaurants. Data were obtained from a cross-sectional sample of the population, 2,008 men and women aged 16 years or over. Opinions on smoking ban in restaurant...
Article
In 2004, the German Cancer Research Center ("Deutsches Krebsforschungszentrum" [DKFZ]), collaborating with the Federal Center for Health Education ("Bundeszentrale für gesundheitliche Aufklärung" [BZgA]) and supported by the World Health Organization (WHO), carried out a population-related smoking cessation campaign entitled "Rauchfrei 2004" ("Smok...
Article
Full-text available
The aim of this study was to determine representative nationwide data on differences in the prevalence of specific diseases between socioeconomic groups. The "First National Health Survey for the Federal Republic of Germany" was conducted from October 1997 to March 1999 in the form of a standardized cross-sectional questionnaire study. The data wer...
Article
Hintergrund und Fragestellung: Jedes Jahr sterben in Deutschland über 3300 Nichtraucher an den gesundheitlichen Folgen des Passivrauchens. Ziel dieser Arbeit war die Ermittlung eines bundesweit repräsentativen Meinungsbildes zu einem Rauchverbot in Gaststätten. Daten und Methodik: Im Frühjahr 2006 wurde eine Befragungsstudie an einem Bevölkerungsqu...
Article
Full-text available
Hintergrund und Fragestellung: Ziel war es, bundesweit repräsentative Daten zu Prävalenzunterschieden einzelner Erkrankungen zwischen den Sozialschichten zu ermitteln und zu evaluieren. Methoden: Im Rahmen des „Ersten Bundes-Gesundheitssurvey für die BRD” wurden zwischen Oktober 1997 und März 1999 in einer standardisierten schriftlichen Querschnitt...
Article
Hintergrund: Das Deutsche Krebsforschungszentrum führte gemeinsam mit der Bundeszentrale für gesundheitliche Aufklärung und mit Unterstützung der Weltgesundheitsorganisation (WHO) im Jahr 2004 eine bevölkerungsbezogene Tabakentwöhnungskampagne mit dem Titel „Rauchfrei 2004“ durch. Mittels massenmedialer Kommunikation sollten möglichst viele Raucher...

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Der Begriff der Obesogenic Environments erlangte Ende der 1990er Jahre insbesondere durch Swinburn und Kollegen (1999) Popularität: Demnach seien Obesogenic Environments die Summe aller Einflüsse aus den Umgebungen, den Gelegenheitsstrukturen und den Lebensbedingungen auf die Entstehung von Übergewicht bei Individuen und Bevölkerungsgruppen (Swinburn et al., 1999); Gauthier & Krajicek, 2013). Obesogenic Environments begünstigen insbesondere ein ungesundes Ernährungsverhalten und körperliche Inaktivität.