Sekundäre prävention im kindes- und jugendalter in Deutschland. Die früherkennungsuntersuchungen U1-J2

Translated title of the contribution: Secondary prevention in childhood and adolescence in Germany. The early detection program U1-J2

U. Thyen*

*Corresponding author for this work
6 Citations (Scopus)


Background. Since 1971 a total of eight physical examinations for early recognition of relevant health conditions in children have been implemented in Germany and have since been expanded with three more examinations. The program aims at secondary prevention, aspects of primary prevention or health promotion are desirable but not included as an obligatory part. Objectives. This article describes the aims and development of the program since its implementation, analyzes the changes and inclusion of new methods and target conditions. Methods. This article is based on a review of the literature, analysis of the relevant documents of the Joint Commission of Physicians and Health Insurances, German state legislation and the public health examinations for school entry in Schleswig-Holstein. Results. Limited evidence of beneficial effects is available for most of the target conditions, and screening for hearing and vision in an office-based setting lacks efficacy. Newborn hearing screening and ultrasound for hip dysplasia have been added to the program on the basis of the potential for better health outcomes. An additional examination at the age of 2 years was introduced in 2011 to counteract the increasing numbers of developmental and behavioral problems in childhood. Discussion. Children and families have access to an extensive preventive health supervision program by office-based pediatricians or family physicians. The program appears to serve the family needs and is very well accepted. An integrated public health approach and multidisciplinary cooperation, including social and educational services, appear to be the most promising instruments to improve early preventive services for children and adolescents in Germany. Conclusion. Representative data from large national cohort studies and high quality health services research are required to assess the benefits of early child health supervision for ethical and for health economic reasons.

Translated title of the contributionSecondary prevention in childhood and adolescence in Germany. The early detection program U1-J2
Original languageGerman
JournalMonatsschrift fur Kinderheilkunde
Issue number6
Pages (from-to)518-526
Number of pages9
Publication statusPublished - 06.2014

Research Areas and Centers

  • Academic Focus: Center for Brain, Behavior and Metabolism (CBBM)


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