• Gezondheidsonderzoek na rampen. Vragenlijsten voor algemene en psychosociale gezondheid

      Grievink L; de Vries M; Yzermans CJ; van der Velden PG; van den Berg B; Smilde-van den Doel DA; MGO (Rijksinstituut voor Volksgezondheid en Milieu RIVMImpactNIVELInstituut voor PsychotraumaPallas, 2008-07-10)
      Of the more than fifty available questionnaires for assessing heath issues, which is the most suitable for monitoring the health of victims following a disaster? Municipal Health Service (GGD) departments and research institutes must be able to answer this question quickly in response to a disaster. The Ministry of Health, Welfare and Sport Affairs (VWS) considers health monitoring to be one of the cornerstones of its follow-up policy for disaster victims. It is also a policy that can be prepared largely in advance. More than twenty questionnaires were shown to be suitable for measuring the general and psychosocial state of the health of adults. An overview is given of these suitable questionnaires for specific aspects of health (post-traumatic stress disorder, depression, anxiety, among others). Each aspect is further categorized in terms of the objectives of the health monitoring programme (individual care, public health, scientific) and the population involved (general population, patients). Both the validity and reliability of the questionnaires were taken into account in the selection as well as the availability of Dutch reference data. The report also indicates the best times for taking health status measurements from victims following a disaster. A preliminary inventory of 13 questionnaires has been made for children and adolescents that have previously been used in health monitoring programmes following disasters in the Netherlands. The diversity of disaster-related health aspects and the distinctive nature of each disaster mean that it is not possible to predict with any certainty which questionnaire is preferable above another at any one time. The specific research objective and the population involved will be determining factors. This report can be used as a practical guide in this process. The Medical Assistance Services for Accidents and Disasters (GHOR) has compiled this report in collaboration with Impact, a national information and advice centre for psycho-social care following a disaster, NIVEL, the Netherlands Institute for Health Services Research, IVP, the Institute for Psycho-trauma and Pallas, a health research and consultancy company.
    • Health effects of breastfeeding: an update : Systematic literature review

      Buijssen M; Jajou R; van Kessel FGB; Vonk Noordegraaf-Schouten MJM; Zeilmaker MJ; Wijga AH; van Rossum CTM; M&B; V&Z (Rijksinstituut voor Volksgezondheid en Milieu RIVMPallas, 2015-04-17)
      Breastfeeding has a beneficial effect on the health of both the child and the mother compared to formula feeding. There is convincing evidence that breastfed infants run a lower risk of contracting certain infectious diseases. The beneficial effect is maintained after breastfeeding is stopped. Breastfeeding may also reduce the risk of developing obesity, asthma and wheezing in children and diabetes, rheumatoid arthritis and hypertension in their mothers. These are some conclusions of an update of a systematic literature review of epidemiological studies on the health effects of breastfeeding. Some ten years ago, RIVM reported for the first time on the health effects of breastfeeding (2005 and 2007). Most of the reported health effects were already reported back then, with only some changes in the strength of the evidence. New is the finding that breastfeeding might have a protective effect on hypertension among mothers. The probable protective effect of breastfeeding on eczema in children could not be confirmed. The present review was commissioned by the Dutch ministry of Health, Welfare and Sport. The Dutch government seeks to provide objective information on breastfeeding and its health effects to be used in the information to pregnant women.
    • Kwaliteit van leven in de VTV. Een haalbaarheidsstudie voor acht ziekten

      Wolleswinkel-van den Bosch JH; Hoeymans N; Treurniet HF; VTV (Rijksinstituut voor Volksgezondheid en Milieu RIVMPallashealth research and consultancyRotterdam, 2001-06-29)
      The Public Health Status and Forecast (PHSF) describes the health status of the Dutch population. Previous editions of the PHSF described diseases in terms of mortality, prevalence and incidence. This pilot-study was conducted to investigate if there is also adequate information available in The Netherlands on health-related quality of life for diseases, and if this can be compared among diseases. This pilot study made use of a literature search on eight selected diseases to find information on generic quality of life and, where available, on patient characteristics, disease characteristics and health care factors. For breast cancer, visual impairments, osteoarthritis, and traffic accidents, the information was very limited. For the remaining half of the selected diseases (anxiety disorders, stroke, COPD/astma, diabetes) it was possible to describe the quality of life. Data on patient characteristics (age, education) were also available, but information on disease characteristics (severity) and health care factors was often lacking. In conclusion, the currently available information on quality of life can be used to complete the descriptions of the diseases in the PHSF. This pilot study will be applied to other diseases, with data being published in the 'National Compass on Public Health'.<br>
    • Kwaliteit van leven in het Nationaal Kompas Volksgezondheid. Een ziektespecifieke benadering

      Wolleswinkel-van den Bosch JH; Hoeymans FHGM; Treurniet HF; VTV (Rijksinstituut voor Volksgezondheid en Milieu RIVMPallashealth and research consultancy, 2003-04-10)
      The goal of the study was to describe the health related quality of life for 53 diseases for publication in the National Public Health Compass, one of the websites of the Public Health Status and Forecast. A literature search on the quality of life conducted for all 53 diseases was confined to generic instruments and to Dutch studies published in the period 1990-2001. The quality of life, based on generic instruments, could be described for 24 diseases (45%). In the case of 6 diseases (11%), the only avalaible information was based on disease-specific instruments. For these diseases, only a reference was made to key publications. For 23 diseases, no information was found. In the future, additional information on quality of life for many diseases will be obtainable from new longitudinal studies. As far as applications for health policy are concerned, it would seem advisable to collect more data on disease characteristics related to quality of life.<br>