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Kolossa-Gehring, Marike

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Kolossa-Gehring
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Marike
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2022 - 20232
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Autor:in: Moore, Sonja × Thema: Human-Biomonitoring ×

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    Veröffentlichung
    What is required to combine human biomonitoring and health surveys?
    (2022) Tolonen, Hanna; Kolossa-Gehring, Marike; Moore, Sonja; Lermen, Dominik
    Obtaining holistic information about health and health determinants at the population level should also include data on environmental risk factors of health. So far, only a few countries have combined, at the national level, health and human biomonitoring (HBM) surveys to collect extensive information on health, lifestyles, biological health determinants and environmental exposures. This paper will provide guidelines on how to combine health and HBM surveys and what is the added value of doing so. Health and HBM surveys utilize similar infrastructure and data collection methods including questionnaires, collection and analysis of biological samples, and objective health measurements. There are many overlapping or comparable steps in these two survey types. At the European level, detailed protocols for conducting a health examination survey or HBM study exists separately but there is no protocol for a combined survey available by now. Our recommendations for combined health and HBM surveys focus on a cross-sectional survey on general population aged 6-79 years. To avoid unnecessary participant burden, for the selection of included measurements basic principle would be to ensure that results of the measurements have a public health relevance and clear interpretation. Combining health and HBM surveys into one survey would produce an extensive database for research to support policy decisions in many fields such as public health and chemical regulations. Combined surveys are cost-effective as only one infrastructure is needed to collect information and recruit participants. © 2022 The Author(s).
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    HBM4EU feasibility studies: Lessons learned in combining health and human biomonitoring studies
    (2023) Elonheimo, Hanna; David, Madlen; Uusitalo, Karoliina; Moore, Sonja; Kolossa-Gehring, Marike
    Background: The European Human Biomonitoring Initiative (HBM4EU) is a joint program evaluating humans-exposure to several environmental substances and their potential health effects. One of the main objectives ofHBM4EU is to make use of human biomonitoring (HBM) to assess human exposure to chemicals in Europe tobetter understand the associated health impacts and to improve chemical risk assessment. In parallel to HBMstudies, health examination surveys (HESs), nutrition/dietary surveys, and disease specific health surveys areconducted in many European countries. In HESs, information collected by questionnaire(s) is supplemented withphysical examinations and analysis of clinical and biological biomarkers in biological samples. HBM and healthexamination survey (HES) use similar data collection methods and infrastructures hence the feasibility ofcombining these two is explored in this paper. Methods: Within HBM4EU, three feasibility studies (in Finland, Germany, and UK/England) were conducted toevaluate opportunities and obstacles of combining HBM and health studies. In this paper we report lessonslearned from these feasibility studies. Results: The Finnish feasibility study called KouBio-KUOPIO study was a new initiative without links to existingstudies. The German feasibility study added a HBM module to the first follow-up examination of the LIFE-Adult-Study, a population-based cohort study. The UK feasibility integrates a sustainable HBM module into the HealthSurvey for England (HSfE), an annual health examination survey. Benefits of combining HBM and HESs includethe use of shared infrastructures. Furthermore, participants can receive additional health information from HES,and participation rates tend to be higher due to the potential to obtain personal health information. Preparatoryphases including obtaining ethical approval can be time-consuming and complicated. Recruitment of participantsand low participation rates are common concerns in survey research and therefore designing user-friendly. 2022 The Authors