Monstadt, Anja https://orcid.org/0009-0006-4872-0340
Friedrich, Yvonne https://orcid.org/0009-0002-8640-0592
Rottstädt, Fabian https://orcid.org/0000-0003-1668-9669
Weiss, Mona https://orcid.org/0000-0003-2414-8336
Behrens, Thomas https://orcid.org/0000-0002-4583-5234
Casjens, Swaantje https://orcid.org/0000-0002-0148-8859
Frost, Jonas https://orcid.org/0009-0007-2068-5958
Massag, Janka https://orcid.org/0000-0002-0995-0593
Moor, Irene https://orcid.org/0000-0003-3245-5176
Opel, Nils https://orcid.org/0000-0003-4749-3298
Pfrommer, Laura R. https://orcid.org/0009-0000-1763-2336
Schüz, Benjamin https://orcid.org/0000-0002-0801-498X
Scherag, André https://orcid.org/0000-0002-9406-4704
Walter, Martin https://orcid.org/0000-0001-7857-4483
Mikolajczyk, Rafael https://orcid.org/0000-0003-1271-7204
Croy, Ilona https://orcid.org/0000-0002-0361-5559
Funding for this research was provided by:
Deutsche Gesetzliche Unfallversicherung
Leibniz-WissenschaftsCampus - Digital Public Health Bremen
Ministerium für Wirtschaft, Wissenschaft und Digitalisierung
Bundesministerium für Bildung und Forschung (01EW2105)
Friedrich-Schiller-Universität Jena
Article History
Received: 17 December 2025
Accepted: 30 April 2026
First Online: 26 May 2026
Declarations
:
: T. B. and S. C., as staff of the Institute for Prevention and Occupational Medicine (IPA), are employed at the German Social Accident Insurance which supported recruitment in southern Northern-Westphalia. IPA is an independent research institute of the Ruhr University Bochum. The authors are independent from the German Social Accident Insurance in study design, access to the collected data, responsibility for data analysis and interpretation, and the right to publish. The views expressed in this paper are those of the authors and not necessarily those of the sponsor.
: The study was approved by the ethics committee of the Universitätsmedizin Halle under the registration number 2020-076.
: All participants gave their written informed consent prior to their inclusion in the study.