Hans-Helmut König
Biographic Data
| ID | 1725261 |
|---|---|
| NAME | Hans-Helmut König |
| GIVEN NAMES | Hans-Helmut |
| FAMILY NAME | König |
| SIGNATURE | KONIG H |
| AFFILIATIONS | University Medical Center Hamburg-Eppendorf |
| VERIFIED | No |
| TOTAL WORKS | 25 |
| TOTAL CITATIONS | 14 |
| AUTHOR COUNT | 25 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2009 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 3 |
Determinants of willingness to pay for health insurance in later stages of the Covid-19 pandemic
Objective: The aim was to examine which factors contribute to the willingness to pay (WTP) for health insurance in Germany. Methods: Cross-sectional data are taken from a large, population-based study (GESIS panel, wave 50, n = 4,447; November 2022 to January 2023). Willingness to pay for health insurance served as outcome measure. Socioeconomic, health-related, coronavirus-related, and political spectrum-related factors were included as independ…
Beyond words
Background: Thus far, no studies have focused on hugging and social disconnectedness outcomes comprehensively (loneliness, social isolation, social withdrawal) in the post-pandemic era. Our aim was to examine whether hugging is associated with loneliness, social isolation, and social withdrawal and whether these associations vary by gender. Methods: We used cross-sectional data collected via an online survey conducted in January 2025 (N = 3,270 a…
The intergenerational transmission of filial norms and children’s provision of long-term care to parents
In the light of an increasing future demand for long-term care services in ageing societies, families’ provision for current and future long-term care needs has been subject to debate. Within this context, there is little discussion about parents’ incentives to socialise their children to their own traits to achieve a desired child behaviour. Our study contributes to the literature by analysing to what extent parents transmit filial norms to thei…
Migration-related determinants of health-related quality of life of persons with direct migration background in Germany
Introduction Persons with a direct migration background made up a share of around 17% of the total German population in the year 2020. Not much is known about migration-related determinants of health-related quality of life (HrQoL) of persons with direct migration background. This study aimed to analyze the associations between HrQoL, sociodemographic, and migration-related characteristics of persons with direct migration background in Germany. M…
Covid-19 government measures and their impact on mental health
Background With the outbreak of COVID-19, government measures including social distancing and restrictions of social contacts were imposed to slow the spread of the virus. Since older adults are at increased risk of severe disease, they were particularly affected by these restrictions. These may negatively affect mental health by loneliness and social isolation, which constitute risk factors for depressiveness. We aimed to analyse the impact of p…
Fear of Covid-19 among homeless individuals in Germany in mid-2021
Aims To investigate the prevalence and the correlates of fear of COVID-19 among homeless individuals. Methods We used data from the “national survey on psychiatric and somatic health of homeless individuals during the COVID-19 pandemic” (NAPSHI-study) which took place in several large cities in Germany in Mid-2021 ( n = 666 in the analytical sample). Mean age equaled 43.3 years (SD: 12.1 years), ranging from 18 to 80 years. Multiple linear regres…
Gender Specifics of Healthy Ageing in Older Age as Seen by Women and Men (70+)
(1) The rising proportion of older adults in the population represents a challenge for the healthcare system. Women and men age differently. This study aims to examine gender-specific characteristics of health in old age from male and female perspectives. (2) Two focus groups were formed in this qualitative study of older (70+) women ( n = 10) and men ( n = 8) in accordance with the theoretical framework of the World Health Organization (WHO) on …
Social Support for Informal Caregivers of Spouses and Parents(-in-Law) Aged 60 Years and Older During the Covid-19 Pandemic
Informal caregivers seemed to have a supportive informal network during the pandemic. However, spousal caregivers only had similar levels of support as adult child caregivers if they strongly perceived restrictions of the pandemic, and had the lowest support level of all 3 groups-in particular from friends. Thus, spousal caregivers may benefit most from support actions, and these should focus on their wider social network
Dementia care-giving and employment
Many persons with dementia live at home and are cared for by their relatives. If the relatives are still employed, this can lead to higher burden and losses in their work-life. The interplay between informal care-giving and working is complex. Different studies have explored this issue, but the results have not been yet synthesised. In this mixed-studies review, we elucidate the underlying complexity. Our objective is to identify the factors rela…
Cultural Differences in the Intended Use of Long-Term Care Services in the United States
We conclude that cultural differences in family ties shape immigrants' intention to use certain LTC services. If policymakers aim at increasing the provision of specific LTC services or support to family caregivers, there should be a careful evaluation of demand-side factors in an increasingly culturally diverse society
Determinants of Willingness to Pay for Health Insurance in Germany—Results of the Population-Based Health Study of the Leipzig Research Centre for Civilization Diseases (Life-Adult-Study)
Objective: To investigate which factors are associated with the willingness to pay (WTP) for health insurance. Methods: The analysis (n=1,248 individuals) is based on data of a large population-based study - the Health Study of the Leipzig Research Centre for Civilization Diseases (LIFE-Adult-Study). With regard to WTP for health insurance, a contingent valuation method with a payment card was used. Several explanatory variables were included. Fo…
Psychometric Properties of the EQ-5D for the Assessment of Health-Related Quality of Life in the Population of Middle-Old and Oldest-Old Persons
Changes in Social Network Size Are Associated With Cognitive Changes in the Oldest-Old
Social isolation is highly prevalent among oldest-old individuals, being a risk factor for decreases in cognitive function. Consequently, it is important to maintain a socially active lifestyle into very old age. Likewise, this calls for effective ways to prevent social isolation
Psychosocial consequences of transitioning into informal caregiving in male and female caregivers
Not Getting What You Want? The Impact of Income Comparisons on Subjective Well-Being—Findings of a Population-Based Longitudinal Study in Germany
Previous studies have mainly focused on interindividual income comparisons (e.g., comparisons with colleagues or neighbors), whereas intraindividual income comparisons (i.e., difference between factual income and expectations) have rarely been investigated in well-being research. Thus, the aim of this study was to investigate the role of intraindividual income comparisons on subjective well-being (negative/positive emotions and life satisfaction)…
Determinants of Postponed Dental Visits Due to Costs
High costs are an important reason patients postpone dental visits, which can lead to serious medical consequences. However, little is known about the determinants of postponing visits due to financial constraints longitudinally. Thus, the purpose of this study was to examine the determinants of postponing dental visits due to costs in older adults in Germany longitudinally. Data from wave 5 and 6 of the Survey of Health, Ageing, and Retirement i…
The link between sexual satisfaction and subjective well-being
Stated preferences for long-term care
Person-centred provision of long-term care (LTC) requires information on how individuals value respective LTC services. The literature on LTC preferences has not been comprehensively reviewed, existing summaries are contradictory. An explorative, scoping review was conducted to provide a thorough methodological description and results synthesis of studies that empirically investigated LTC preference outcomes based on respondents’ statements. A wi…
The impact of different types of informal caregiving on cognitive functioning of older caregivers
Effectiveness of a Stepped, Collaborative, and Coordinated Health Care Network for Somatoform Disorders (Sofu-Net)
OBJECTIVE: Stepped, collaborative, and coordinated approaches have been proposed as the optimal treatment strategy for somatic symptom and related disorders, but evidence supporting this strategy is lacking. The aim of this study was to assess the effectiveness of a guideline-based health care network for patients who are at high risk of somatoform disorder (Sofu-Net). METHODS: In a controlled, prospective, observer-blinded cluster cohort study, …
Economic evaluation of vitamin D and calcium food fortification for fracture prevention in Germany
Objective The study evaluates the economic benefit of population-wide vitamin D and Ca food fortification in Germany. Design Based on a spreadsheet model, we compared the cost of a population-wide vitamin D and Ca food-fortification programme with the potential cost savings from prevented fractures in the German female population aged 65 years and older. Setting The annual burden of disease and the intervention cost were assessed for two scenario…
Significance and Costs of Complex Biopsychosocial Health Care Needs in Elderly People
OBJECTIVE: To improve health care for the elderly, a consideration of biopsychosocial health care needs may be of particular importance-especially because of the prevalence of multiple conditions, mental disorders, and social challenges facing elderly people. The aim of the study was to investigate significance and costs of biopsychosocial health care needs in elderly people. METHODS: Data were derived from the 8-year follow-up of the ESTHER stud…
P1-221 Epidemiology of depression in old age
Background Depression is one of the most common mental disorders in old age. In order to assess future needs of the healthcare system for prevention and treatment, information on epidemiology of depression among the highest age groups is required. However, most previous studies just focused on prevalence and incidence rates of late life depression across the entire old age. Methods For a population-based sample of 1265 elderly individuals aged 75…
P1-224 Impact of impairment in instrumental activities of daily living and mild cognitive impairment on time to incident dementia
Background Early diagnosis of dementia requires knowledge about associated predictors. The aim of this study was to determine the impact of mild cognitive impairment (MCI) and impairment in instrumental activities of daily living (IADL) on the time to an incident dementia diagnosis. Methods Data were derived from the Leipzig Longitudinal Study of the Aged (LEILA75+), a population-based study of individuals aged 75 years and older. Kaplan-Meier su…
Comparison of Population Health Status in Six European Countries
BACKGROUND: The EQ-5D questionnaire is an instrument for describing and valuing health states. OBJECTIVES: To compare general population health status measured by the EQ-5D in 6 European countries. METHODS: In the European Study of the Epidemiology of Mental Disorders representative population samples in Belgium (n = 2411), France (n = 2892), Germany (n = 3552), Italy (n = 4709), the Netherlands (n = 2367), and Spain (n = 5473) completed the EQ-5…
Psychosocial consequences of transitioning into informal caregiving in male and female caregivers
Cultural Differences in the Intended Use of Long-Term Care Services in the United States
We conclude that cultural differences in family ties shape immigrants' intention to use certain LTC services. If policymakers aim at increasing the provision of specific LTC services or support to family caregivers, there should be a careful evaluation of demand-side factors in an increasingly culturally diverse society
The impact of different types of informal caregiving on cognitive functioning of older caregivers
Comparison of Population Health Status in Six European Countries
BACKGROUND: The EQ-5D questionnaire is an instrument for describing and valuing health states. OBJECTIVES: To compare general population health status measured by the EQ-5D in 6 European countries. METHODS: In the European Study of the Epidemiology of Mental Disorders representative population samples in Belgium (n = 2411), France (n = 2892), Germany (n = 3552), Italy (n = 4709), the Netherlands (n = 2367), and Spain (n = 5473) completed the EQ-5…
P1-221 Epidemiology of depression in old age
Background Depression is one of the most common mental disorders in old age. In order to assess future needs of the healthcare system for prevention and treatment, information on epidemiology of depression among the highest age groups is required. However, most previous studies just focused on prevalence and incidence rates of late life depression across the entire old age. Methods For a population-based sample of 1265 elderly individuals aged 75…
P1-224 Impact of impairment in instrumental activities of daily living and mild cognitive impairment on time to incident dementia
Background Early diagnosis of dementia requires knowledge about associated predictors. The aim of this study was to determine the impact of mild cognitive impairment (MCI) and impairment in instrumental activities of daily living (IADL) on the time to an incident dementia diagnosis. Methods Data were derived from the Leipzig Longitudinal Study of the Aged (LEILA75+), a population-based study of individuals aged 75 years and older. Kaplan-Meier su…
Significance and Costs of Complex Biopsychosocial Health Care Needs in Elderly People
OBJECTIVE: To improve health care for the elderly, a consideration of biopsychosocial health care needs may be of particular importance-especially because of the prevalence of multiple conditions, mental disorders, and social challenges facing elderly people. The aim of the study was to investigate significance and costs of biopsychosocial health care needs in elderly people. METHODS: Data were derived from the 8-year follow-up of the ESTHER stud…
Effectiveness of a Stepped, Collaborative, and Coordinated Health Care Network for Somatoform Disorders (Sofu-Net)
OBJECTIVE: Stepped, collaborative, and coordinated approaches have been proposed as the optimal treatment strategy for somatic symptom and related disorders, but evidence supporting this strategy is lacking. The aim of this study was to assess the effectiveness of a guideline-based health care network for patients who are at high risk of somatoform disorder (Sofu-Net). METHODS: In a controlled, prospective, observer-blinded cluster cohort study, …
Economic evaluation of vitamin D and calcium food fortification for fracture prevention in Germany
Objective The study evaluates the economic benefit of population-wide vitamin D and Ca food fortification in Germany. Design Based on a spreadsheet model, we compared the cost of a population-wide vitamin D and Ca food-fortification programme with the potential cost savings from prevented fractures in the German female population aged 65 years and older. Setting The annual burden of disease and the intervention cost were assessed for two scenario…
The impact of different types of informal caregiving on cognitive functioning of older caregivers
Not Getting What You Want? The Impact of Income Comparisons on Subjective Well-Being—Findings of a Population-Based Longitudinal Study in Germany
Previous studies have mainly focused on interindividual income comparisons (e.g., comparisons with colleagues or neighbors), whereas intraindividual income comparisons (i.e., difference between factual income and expectations) have rarely been investigated in well-being research. Thus, the aim of this study was to investigate the role of intraindividual income comparisons on subjective well-being (negative/positive emotions and life satisfaction)…
Determinants of Postponed Dental Visits Due to Costs
High costs are an important reason patients postpone dental visits, which can lead to serious medical consequences. However, little is known about the determinants of postponing visits due to financial constraints longitudinally. Thus, the purpose of this study was to examine the determinants of postponing dental visits due to costs in older adults in Germany longitudinally. Data from wave 5 and 6 of the Survey of Health, Ageing, and Retirement i…
The link between sexual satisfaction and subjective well-being
Stated preferences for long-term care
Person-centred provision of long-term care (LTC) requires information on how individuals value respective LTC services. The literature on LTC preferences has not been comprehensively reviewed, existing summaries are contradictory. An explorative, scoping review was conducted to provide a thorough methodological description and results synthesis of studies that empirically investigated LTC preference outcomes based on respondents’ statements. A wi…
Determinants of Willingness to Pay for Health Insurance in Germany—Results of the Population-Based Health Study of the Leipzig Research Centre for Civilization Diseases (Life-Adult-Study)
Objective: To investigate which factors are associated with the willingness to pay (WTP) for health insurance. Methods: The analysis (n=1,248 individuals) is based on data of a large population-based study - the Health Study of the Leipzig Research Centre for Civilization Diseases (LIFE-Adult-Study). With regard to WTP for health insurance, a contingent valuation method with a payment card was used. Several explanatory variables were included. Fo…
Psychometric Properties of the EQ-5D for the Assessment of Health-Related Quality of Life in the Population of Middle-Old and Oldest-Old Persons
Changes in Social Network Size Are Associated With Cognitive Changes in the Oldest-Old
Social isolation is highly prevalent among oldest-old individuals, being a risk factor for decreases in cognitive function. Consequently, it is important to maintain a socially active lifestyle into very old age. Likewise, this calls for effective ways to prevent social isolation
Psychosocial consequences of transitioning into informal caregiving in male and female caregivers
Dementia care-giving and employment
Many persons with dementia live at home and are cared for by their relatives. If the relatives are still employed, this can lead to higher burden and losses in their work-life. The interplay between informal care-giving and working is complex. Different studies have explored this issue, but the results have not been yet synthesised. In this mixed-studies review, we elucidate the underlying complexity. Our objective is to identify the factors rela…
Cultural Differences in the Intended Use of Long-Term Care Services in the United States
We conclude that cultural differences in family ties shape immigrants' intention to use certain LTC services. If policymakers aim at increasing the provision of specific LTC services or support to family caregivers, there should be a careful evaluation of demand-side factors in an increasingly culturally diverse society
Fear of Covid-19 among homeless individuals in Germany in mid-2021
Aims To investigate the prevalence and the correlates of fear of COVID-19 among homeless individuals. Methods We used data from the “national survey on psychiatric and somatic health of homeless individuals during the COVID-19 pandemic” (NAPSHI-study) which took place in several large cities in Germany in Mid-2021 ( n = 666 in the analytical sample). Mean age equaled 43.3 years (SD: 12.1 years), ranging from 18 to 80 years. Multiple linear regres…
Gender Specifics of Healthy Ageing in Older Age as Seen by Women and Men (70+)
(1) The rising proportion of older adults in the population represents a challenge for the healthcare system. Women and men age differently. This study aims to examine gender-specific characteristics of health in old age from male and female perspectives. (2) Two focus groups were formed in this qualitative study of older (70+) women ( n = 10) and men ( n = 8) in accordance with the theoretical framework of the World Health Organization (WHO) on …
Social Support for Informal Caregivers of Spouses and Parents(-in-Law) Aged 60 Years and Older During the Covid-19 Pandemic
Informal caregivers seemed to have a supportive informal network during the pandemic. However, spousal caregivers only had similar levels of support as adult child caregivers if they strongly perceived restrictions of the pandemic, and had the lowest support level of all 3 groups-in particular from friends. Thus, spousal caregivers may benefit most from support actions, and these should focus on their wider social network
Covid-19 government measures and their impact on mental health
Background With the outbreak of COVID-19, government measures including social distancing and restrictions of social contacts were imposed to slow the spread of the virus. Since older adults are at increased risk of severe disease, they were particularly affected by these restrictions. These may negatively affect mental health by loneliness and social isolation, which constitute risk factors for depressiveness. We aimed to analyse the impact of p…
Migration-related determinants of health-related quality of life of persons with direct migration background in Germany
Introduction Persons with a direct migration background made up a share of around 17% of the total German population in the year 2020. Not much is known about migration-related determinants of health-related quality of life (HrQoL) of persons with direct migration background. This study aimed to analyze the associations between HrQoL, sociodemographic, and migration-related characteristics of persons with direct migration background in Germany. M…
The intergenerational transmission of filial norms and children’s provision of long-term care to parents
In the light of an increasing future demand for long-term care services in ageing societies, families’ provision for current and future long-term care needs has been subject to debate. Within this context, there is little discussion about parents’ incentives to socialise their children to their own traits to achieve a desired child behaviour. Our study contributes to the literature by analysing to what extent parents transmit filial norms to thei…
Determinants of willingness to pay for health insurance in later stages of the Covid-19 pandemic
Objective: The aim was to examine which factors contribute to the willingness to pay (WTP) for health insurance in Germany. Methods: Cross-sectional data are taken from a large, population-based study (GESIS panel, wave 50, n = 4,447; November 2022 to January 2023). Willingness to pay for health insurance served as outcome measure. Socioeconomic, health-related, coronavirus-related, and political spectrum-related factors were included as independ…
Beyond words
Background: Thus far, no studies have focused on hugging and social disconnectedness outcomes comprehensively (loneliness, social isolation, social withdrawal) in the post-pandemic era. Our aim was to examine whether hugging is associated with loneliness, social isolation, and social withdrawal and whether these associations vary by gender. Methods: We used cross-sectional data collected via an online survey conducted in January 2025 (N = 3,270 a…
Medicine (18 works) · Population (14 works) · Psychology (14 works) · Gerontology (13 works) · Psychiatry (10 works) · Demography (9 works) · Environmental health (9 works) · Health disparities and outcomes (9 works) · Intergenerational Family Dynamics and Caregiving (7 works) · Demography (6 works)