Are people interested in receiving advice from their general practitioner on how to protect their health during heatwaves? A survey of the German population.

Autor:	Kastaun S; Institute of General Practice, Centre for Health and Society, Patient-Physician Communication Research Unit, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany sabrina.kastaun@med.uni-duesseldorf.de.; Institute of General Practice, Centre for Health and Society, Addiction Research and Clinical Epidemiology Unit, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany., Herrmann A; Institute of General Practice, University of Cologne, Cologne, Germany.; Institute for Global Health (HIGH), Climate, Change, Nutrition and Health, Heidelberg University, Heidelberg, Germany., Müller BS; Institute of General Practice, University of Cologne, Cologne, Germany., Klosterhalfen S; Institute of General Practice, Centre for Health and Society, Addiction Research and Clinical Epidemiology Unit, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany., Hoffmann B; Institute for Occupational, Social and Environmental Medicine, Centre for Health and Society, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany., Wilm S; Institute of General Practice, Centre for Health and Society, Patient-Physician Communication Research Unit, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany., Kotz D; Institute of General Practice, Centre for Health and Society, Addiction Research and Clinical Epidemiology Unit, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.; Department of Behavioural Science and Health, University College London, London, UK.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2023 Sep 28; Vol. 13 (9), pp. e076236. Date of Electronic Publication: 2023 Sep 28.
DOI:	10.1136/bmjopen-2023-076236
Abstrakt:	Objective: Climate change increases the frequency, intensity and length of heatwaves, which puts a particular strain on the health of vulnerable population groups. General practitioners (GPs) could reach these people and provide advice on protective health behaviour against heat. Data is lacking on whether and what topic of GP advice people are interested in, and whether specific person characteristics are associated with such interests. Design: Cross-sectional, nationwide, face-to-face household survey, conducted during winter 2022/2023. Setting: Germany. Participants: Population-based sample of 4212 respondents (aged 14-96 years), selected by using multistratified random sampling (50%) combined with multiquota sampling (50%). Main Outcome Measure: Interest in receiving GP advice on health protection during heatwaves (yes/no), and the topic people find most important (advice on drinking behaviour, nutrition, cooling, cooling rooms, physical activity or medication management). Associations between predefined person characteristics and the likelihood of interest were estimated using adjusted logistic regressions. Results: A total of 4020 respondents had GP contact and provided data on the outcome measure. Of these, 23% (95% CI=22% to 25%) expressed interest in GP advice. The likelihood of expressing interest was positively associated with being female, older age (particularly those aged 75+ years: 38% were interested), having a lower level of educational attainment, having a migration background, living in a more urban area, and living in a single-person household. It was negatively associated with increasing income. Advice on medication management received highest interest (25%). Conclusions: During winter season 2022/2023, around one quarter of the German population with GP contact-and around 40% of those aged 75+ years-was estimated to have a stated interest in receiving GP advice on protective health behaviour during heatwaves, especially on medication management. Climate change is creating new demands for healthcare provision in general practice. This study provides initial relevant information for research and practice aiming to address these demands. Competing Interests: Competing interests: BSM receives an honorarium as a scientific advisor to the insurance company ‘Die Techniker’. AH is member of the German Climate Change and Health Alliance (KLUG e.V.) and speaker of the section climate change and health of the German College of General Practitioners and Family Physicians (DEGAM). She does not receive payments from any of those organisations. The other authors have no competing interests to declare. (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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