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Publisher: Oxford University Press   (Total: 406 journals)

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Showing 1 - 200 of 406 Journals sorted alphabetically
ACS Symposium Series     Full-text available via subscription   (SJR: 0.189, CiteScore: 0)
Acta Biochimica et Biophysica Sinica     Hybrid Journal   (Followers: 5, SJR: 0.79, CiteScore: 2)
Adaptation     Hybrid Journal   (Followers: 9, SJR: 0.143, CiteScore: 0)
Advances in Nutrition     Hybrid Journal   (Followers: 53, SJR: 2.196, CiteScore: 5)
Aesthetic Surgery J.     Hybrid Journal   (Followers: 6, SJR: 1.434, CiteScore: 1)
Aesthetic Surgery J. Open Forum     Open Access  
African Affairs     Hybrid Journal   (Followers: 66, SJR: 1.869, CiteScore: 2)
Age and Ageing     Hybrid Journal   (Followers: 90, SJR: 1.989, CiteScore: 4)
Alcohol and Alcoholism     Hybrid Journal   (Followers: 19, SJR: 1.376, CiteScore: 3)
American Entomologist     Full-text available via subscription   (Followers: 8)
American Historical Review     Hybrid Journal   (Followers: 169, SJR: 0.467, CiteScore: 1)
American J. of Agricultural Economics     Hybrid Journal   (Followers: 44, SJR: 2.113, CiteScore: 3)
American J. of Clinical Nutrition     Hybrid Journal   (Followers: 174, SJR: 3.438, CiteScore: 6)
American J. of Epidemiology     Hybrid Journal   (Followers: 198, SJR: 2.713, CiteScore: 3)
American J. of Health-System Pharmacy     Full-text available via subscription   (Followers: 52, SJR: 0.595, CiteScore: 1)
American J. of Hypertension     Hybrid Journal   (Followers: 25, SJR: 1.322, CiteScore: 3)
American J. of Jurisprudence     Hybrid Journal   (Followers: 19, SJR: 0.281, CiteScore: 1)
American J. of Legal History     Full-text available via subscription   (Followers: 9, SJR: 0.116, CiteScore: 0)
American Law and Economics Review     Hybrid Journal   (Followers: 27, SJR: 1.053, CiteScore: 1)
American Literary History     Hybrid Journal   (Followers: 16, SJR: 0.391, CiteScore: 0)
Analysis     Hybrid Journal   (Followers: 22, SJR: 1.038, CiteScore: 1)
Animal Frontiers     Hybrid Journal   (Followers: 1)
Annals of Behavioral Medicine     Hybrid Journal   (Followers: 16, SJR: 1.423, CiteScore: 3)
Annals of Botany     Hybrid Journal   (Followers: 38, SJR: 1.721, CiteScore: 4)
Annals of Oncology     Hybrid Journal   (Followers: 56, SJR: 5.599, CiteScore: 9)
Annals of the Entomological Society of America     Full-text available via subscription   (Followers: 10, SJR: 0.722, CiteScore: 1)
Annals of Work Exposures and Health     Hybrid Journal   (Followers: 34, SJR: 0.728, CiteScore: 2)
Antibody Therapeutics     Open Access  
AoB Plants     Open Access   (Followers: 4, SJR: 1.28, CiteScore: 3)
Applied Economic Perspectives and Policy     Hybrid Journal   (Followers: 17, SJR: 0.858, CiteScore: 2)
Applied Linguistics     Hybrid Journal   (Followers: 59, SJR: 2.987, CiteScore: 3)
Applied Mathematics Research eXpress     Hybrid Journal   (Followers: 1, SJR: 1.241, CiteScore: 1)
Arbitration Intl.     Full-text available via subscription   (Followers: 21)
Arbitration Law Reports and Review     Hybrid Journal   (Followers: 14)
Archives of Clinical Neuropsychology     Hybrid Journal   (Followers: 30, SJR: 0.731, CiteScore: 2)
Aristotelian Society Supplementary Volume     Hybrid Journal   (Followers: 3)
Arthropod Management Tests     Hybrid Journal   (Followers: 2)
Astronomy & Geophysics     Hybrid Journal   (Followers: 44, SJR: 0.146, CiteScore: 0)
Behavioral Ecology     Hybrid Journal   (Followers: 52, SJR: 1.871, CiteScore: 3)
Bioinformatics     Hybrid Journal   (Followers: 338, SJR: 6.14, CiteScore: 8)
Biology Methods and Protocols     Hybrid Journal  
Biology of Reproduction     Full-text available via subscription   (Followers: 9, SJR: 1.446, CiteScore: 3)
Biometrika     Hybrid Journal   (Followers: 20, SJR: 3.485, CiteScore: 2)
BioScience     Hybrid Journal   (Followers: 29, SJR: 2.754, CiteScore: 4)
Bioscience Horizons : The National Undergraduate Research J.     Open Access   (Followers: 1, SJR: 0.146, CiteScore: 0)
Biostatistics     Hybrid Journal   (Followers: 17, SJR: 1.553, CiteScore: 2)
BJA : British J. of Anaesthesia     Hybrid Journal   (Followers: 186, SJR: 2.115, CiteScore: 3)
BJA Education     Hybrid Journal   (Followers: 65)
Brain     Hybrid Journal   (Followers: 68, SJR: 5.858, CiteScore: 7)
Briefings in Bioinformatics     Hybrid Journal   (Followers: 50, SJR: 2.505, CiteScore: 5)
Briefings in Functional Genomics     Hybrid Journal   (Followers: 3, SJR: 2.15, CiteScore: 3)
British J. for the Philosophy of Science     Hybrid Journal   (Followers: 36, SJR: 2.161, CiteScore: 2)
British J. of Aesthetics     Hybrid Journal   (Followers: 25, SJR: 0.508, CiteScore: 1)
British J. of Criminology     Hybrid Journal   (Followers: 605, SJR: 1.828, CiteScore: 3)
British J. of Social Work     Hybrid Journal   (Followers: 86, SJR: 1.019, CiteScore: 2)
British Medical Bulletin     Hybrid Journal   (Followers: 6, SJR: 1.355, CiteScore: 3)
British Yearbook of Intl. Law     Hybrid Journal   (Followers: 34)
Bulletin of the London Mathematical Society     Hybrid Journal   (Followers: 4, SJR: 1.376, CiteScore: 1)
Cambridge J. of Economics     Hybrid Journal   (Followers: 70, SJR: 0.764, CiteScore: 2)
Cambridge J. of Regions, Economy and Society     Hybrid Journal   (Followers: 12, SJR: 2.438, CiteScore: 4)
Cambridge Quarterly     Hybrid Journal   (Followers: 10, SJR: 0.104, CiteScore: 0)
Capital Markets Law J.     Hybrid Journal   (Followers: 2, SJR: 0.222, CiteScore: 0)
Carcinogenesis     Hybrid Journal   (Followers: 2, SJR: 2.135, CiteScore: 5)
Cardiovascular Research     Hybrid Journal   (Followers: 14, SJR: 3.002, CiteScore: 5)
Cerebral Cortex     Hybrid Journal   (Followers: 47, SJR: 3.892, CiteScore: 6)
CESifo Economic Studies     Hybrid Journal   (Followers: 22, SJR: 0.483, CiteScore: 1)
Chemical Senses     Hybrid Journal   (Followers: 1, SJR: 1.42, CiteScore: 3)
Children and Schools     Hybrid Journal   (Followers: 6, SJR: 0.246, CiteScore: 0)
Chinese J. of Comparative Law     Hybrid Journal   (Followers: 5, SJR: 0.412, CiteScore: 0)
Chinese J. of Intl. Law     Hybrid Journal   (Followers: 22, SJR: 0.329, CiteScore: 0)
Chinese J. of Intl. Politics     Hybrid Journal   (Followers: 10, SJR: 1.392, CiteScore: 2)
Christian Bioethics: Non-Ecumenical Studies in Medical Morality     Hybrid Journal   (Followers: 10, SJR: 0.183, CiteScore: 0)
Classical Receptions J.     Hybrid Journal   (Followers: 27, SJR: 0.123, CiteScore: 0)
Clean Energy     Open Access   (Followers: 1)
Clinical Infectious Diseases     Hybrid Journal   (Followers: 69, SJR: 5.051, CiteScore: 5)
Communication Theory     Hybrid Journal   (Followers: 24, SJR: 2.424, CiteScore: 3)
Communication, Culture & Critique     Hybrid Journal   (Followers: 27, SJR: 0.222, CiteScore: 1)
Community Development J.     Hybrid Journal   (Followers: 27, SJR: 0.268, CiteScore: 1)
Computer J.     Hybrid Journal   (Followers: 9, SJR: 0.319, CiteScore: 1)
Conservation Physiology     Open Access   (Followers: 3, SJR: 1.818, CiteScore: 3)
Contemporary Women's Writing     Hybrid Journal   (Followers: 9, SJR: 0.121, CiteScore: 0)
Contributions to Political Economy     Hybrid Journal   (Followers: 6, SJR: 0.906, CiteScore: 1)
Critical Values     Full-text available via subscription  
Current Developments in Nutrition     Open Access   (Followers: 2)
Current Legal Problems     Hybrid Journal   (Followers: 29)
Current Zoology     Full-text available via subscription   (Followers: 3, SJR: 1.164, CiteScore: 2)
Database : The J. of Biological Databases and Curation     Open Access   (Followers: 8, SJR: 1.791, CiteScore: 3)
Digital Scholarship in the Humanities     Hybrid Journal   (Followers: 14, SJR: 0.259, CiteScore: 1)
Diplomatic History     Hybrid Journal   (Followers: 21, SJR: 0.45, CiteScore: 1)
DNA Research     Open Access   (Followers: 5, SJR: 2.866, CiteScore: 6)
Dynamics and Statistics of the Climate System     Open Access   (Followers: 4)
Early Music     Hybrid Journal   (Followers: 17, SJR: 0.139, CiteScore: 0)
Econometrics J.     Hybrid Journal   (Followers: 32, SJR: 2.926, CiteScore: 1)
Economic J.     Hybrid Journal   (Followers: 111, SJR: 5.161, CiteScore: 3)
Economic Policy     Hybrid Journal   (Followers: 46, SJR: 3.584, CiteScore: 3)
ELT J.     Hybrid Journal   (Followers: 24, SJR: 0.942, CiteScore: 1)
English Historical Review     Hybrid Journal   (Followers: 56, SJR: 0.612, CiteScore: 1)
English: J. of the English Association     Hybrid Journal   (Followers: 17, SJR: 0.1, CiteScore: 0)
Environmental Entomology     Full-text available via subscription   (Followers: 11, SJR: 0.818, CiteScore: 2)
Environmental Epigenetics     Open Access   (Followers: 2)
Environmental History     Hybrid Journal   (Followers: 26, SJR: 0.408, CiteScore: 1)
EP-Europace     Hybrid Journal   (Followers: 3, SJR: 2.748, CiteScore: 4)
Epidemiologic Reviews     Hybrid Journal   (Followers: 9, SJR: 4.505, CiteScore: 8)
ESHRE Monographs     Hybrid Journal  
Essays in Criticism     Hybrid Journal   (Followers: 19, SJR: 0.113, CiteScore: 0)
European Heart J.     Hybrid Journal   (Followers: 66, SJR: 9.315, CiteScore: 9)
European Heart J. - Cardiovascular Imaging     Hybrid Journal   (Followers: 10, SJR: 3.625, CiteScore: 3)
European Heart J. - Cardiovascular Pharmacotherapy     Full-text available via subscription   (Followers: 2)
European Heart J. - Quality of Care and Clinical Outcomes     Hybrid Journal  
European Heart J. : Case Reports     Open Access  
European Heart J. Supplements     Hybrid Journal   (Followers: 8, SJR: 0.223, CiteScore: 0)
European J. of Cardio-Thoracic Surgery     Hybrid Journal   (Followers: 9, SJR: 1.681, CiteScore: 2)
European J. of Intl. Law     Hybrid Journal   (Followers: 199, SJR: 0.694, CiteScore: 1)
European J. of Orthodontics     Hybrid Journal   (Followers: 5, SJR: 1.279, CiteScore: 2)
European J. of Public Health     Hybrid Journal   (Followers: 20, SJR: 1.36, CiteScore: 2)
European Review of Agricultural Economics     Hybrid Journal   (Followers: 10, SJR: 1.172, CiteScore: 2)
European Review of Economic History     Hybrid Journal   (Followers: 30, SJR: 0.702, CiteScore: 1)
European Sociological Review     Hybrid Journal   (Followers: 43, SJR: 2.728, CiteScore: 3)
Evolution, Medicine, and Public Health     Open Access   (Followers: 12)
Family Practice     Hybrid Journal   (Followers: 16, SJR: 1.018, CiteScore: 2)
Fems Microbiology Ecology     Hybrid Journal   (Followers: 16, SJR: 1.492, CiteScore: 4)
Fems Microbiology Letters     Hybrid Journal   (Followers: 28, SJR: 0.79, CiteScore: 2)
Fems Microbiology Reviews     Hybrid Journal   (Followers: 32, SJR: 7.063, CiteScore: 13)
Fems Yeast Research     Hybrid Journal   (Followers: 13, SJR: 1.308, CiteScore: 3)
Food Quality and Safety     Open Access   (Followers: 1)
Foreign Policy Analysis     Hybrid Journal   (Followers: 24, SJR: 1.425, CiteScore: 1)
Forest Science     Hybrid Journal   (Followers: 8, SJR: 0.89, CiteScore: 2)
Forestry: An Intl. J. of Forest Research     Hybrid Journal   (Followers: 16, SJR: 1.133, CiteScore: 3)
Forum for Modern Language Studies     Hybrid Journal   (Followers: 6, SJR: 0.104, CiteScore: 0)
French History     Hybrid Journal   (Followers: 33, SJR: 0.118, CiteScore: 0)
French Studies     Hybrid Journal   (Followers: 21, SJR: 0.148, CiteScore: 0)
French Studies Bulletin     Hybrid Journal   (Followers: 10, SJR: 0.152, CiteScore: 0)
Gastroenterology Report     Open Access   (Followers: 2)
Genome Biology and Evolution     Open Access   (Followers: 16, SJR: 2.578, CiteScore: 4)
Geophysical J. Intl.     Hybrid Journal   (Followers: 39, SJR: 1.506, CiteScore: 3)
German History     Hybrid Journal   (Followers: 23, SJR: 0.161, CiteScore: 0)
GigaScience     Open Access   (Followers: 5, SJR: 5.022, CiteScore: 7)
Global Summitry     Hybrid Journal   (Followers: 1)
Glycobiology     Hybrid Journal   (Followers: 13, SJR: 1.493, CiteScore: 3)
Health and Social Work     Hybrid Journal   (Followers: 57, SJR: 0.388, CiteScore: 1)
Health Education Research     Hybrid Journal   (Followers: 16, SJR: 0.854, CiteScore: 2)
Health Policy and Planning     Hybrid Journal   (Followers: 24, SJR: 1.512, CiteScore: 2)
Health Promotion Intl.     Hybrid Journal   (Followers: 22, SJR: 0.812, CiteScore: 2)
History Workshop J.     Hybrid Journal   (Followers: 33, SJR: 1.278, CiteScore: 1)
Holocaust and Genocide Studies     Hybrid Journal   (Followers: 28, SJR: 0.105, CiteScore: 0)
Human Communication Research     Hybrid Journal   (Followers: 15, SJR: 2.146, CiteScore: 3)
Human Molecular Genetics     Hybrid Journal   (Followers: 9, SJR: 3.555, CiteScore: 5)
Human Reproduction     Hybrid Journal   (Followers: 72, SJR: 2.643, CiteScore: 5)
Human Reproduction Open     Open Access   (Followers: 1)
Human Reproduction Update     Hybrid Journal   (Followers: 20, SJR: 5.317, CiteScore: 10)
Human Rights Law Review     Hybrid Journal   (Followers: 62, SJR: 0.756, CiteScore: 1)
ICES J. of Marine Science: J. du Conseil     Hybrid Journal   (Followers: 58, SJR: 1.591, CiteScore: 3)
ICSID Review : Foreign Investment Law J.     Hybrid Journal   (Followers: 10)
ILAR J.     Hybrid Journal   (Followers: 2, SJR: 1.732, CiteScore: 4)
IMA J. of Applied Mathematics     Hybrid Journal   (SJR: 0.679, CiteScore: 1)
IMA J. of Management Mathematics     Hybrid Journal   (SJR: 0.538, CiteScore: 1)
IMA J. of Mathematical Control and Information     Hybrid Journal   (Followers: 2, SJR: 0.496, CiteScore: 1)
IMA J. of Numerical Analysis - advance access     Hybrid Journal   (SJR: 1.987, CiteScore: 2)
Industrial and Corporate Change     Hybrid Journal   (Followers: 9, SJR: 1.792, CiteScore: 2)
Industrial Law J.     Hybrid Journal   (Followers: 39, SJR: 0.249, CiteScore: 1)
Inflammatory Bowel Diseases     Hybrid Journal   (Followers: 47, SJR: 2.511, CiteScore: 4)
Information and Inference     Free  
Innovation in Aging     Open Access  
Integrative and Comparative Biology     Hybrid Journal   (Followers: 9, SJR: 1.319, CiteScore: 2)
Integrative Biology     Full-text available via subscription   (Followers: 6, SJR: 1.36, CiteScore: 3)
Integrative Organismal Biology     Open Access  
Interacting with Computers     Hybrid Journal   (Followers: 11, SJR: 0.292, CiteScore: 1)
Interactive CardioVascular and Thoracic Surgery     Hybrid Journal   (Followers: 7, SJR: 0.762, CiteScore: 1)
Intl. Affairs     Hybrid Journal   (Followers: 66, SJR: 1.505, CiteScore: 3)
Intl. Data Privacy Law     Hybrid Journal   (Followers: 26)
Intl. Health     Hybrid Journal   (Followers: 6, SJR: 0.851, CiteScore: 2)
Intl. Immunology     Hybrid Journal   (Followers: 3, SJR: 2.167, CiteScore: 4)
Intl. J. for Quality in Health Care     Hybrid Journal   (Followers: 36, SJR: 1.348, CiteScore: 2)
Intl. J. of Constitutional Law     Hybrid Journal   (Followers: 64, SJR: 0.601, CiteScore: 1)
Intl. J. of Epidemiology     Hybrid Journal   (Followers: 247, SJR: 3.969, CiteScore: 5)
Intl. J. of Law and Information Technology     Hybrid Journal   (Followers: 5, SJR: 0.202, CiteScore: 1)
Intl. J. of Law, Policy and the Family     Hybrid Journal   (Followers: 28, SJR: 0.223, CiteScore: 1)
Intl. J. of Lexicography     Hybrid Journal   (Followers: 10, SJR: 0.285, CiteScore: 1)
Intl. J. of Low-Carbon Technologies     Open Access   (Followers: 1, SJR: 0.403, CiteScore: 1)
Intl. J. of Neuropsychopharmacology     Open Access   (Followers: 3, SJR: 1.808, CiteScore: 4)
Intl. J. of Public Opinion Research     Hybrid Journal   (Followers: 11, SJR: 1.545, CiteScore: 1)
Intl. J. of Refugee Law     Hybrid Journal   (Followers: 38, SJR: 0.389, CiteScore: 1)
Intl. J. of Transitional Justice     Hybrid Journal   (Followers: 11, SJR: 0.724, CiteScore: 2)
Intl. Mathematics Research Notices     Hybrid Journal   (Followers: 1, SJR: 2.168, CiteScore: 1)
Intl. Political Sociology     Hybrid Journal   (Followers: 40, SJR: 1.465, CiteScore: 3)
Intl. Relations of the Asia-Pacific     Hybrid Journal   (Followers: 23, SJR: 0.401, CiteScore: 1)
Intl. Studies Perspectives     Hybrid Journal   (Followers: 9, SJR: 0.983, CiteScore: 1)
Intl. Studies Quarterly     Hybrid Journal   (Followers: 49, SJR: 2.581, CiteScore: 2)
Intl. Studies Review     Hybrid Journal   (Followers: 25, SJR: 1.201, CiteScore: 1)
ISLE: Interdisciplinary Studies in Literature and Environment     Hybrid Journal   (Followers: 2, SJR: 0.15, CiteScore: 0)
ITNOW     Hybrid Journal   (Followers: 1, SJR: 0.103, CiteScore: 0)
J. of African Economies     Hybrid Journal   (Followers: 17, SJR: 0.533, CiteScore: 1)
J. of American History     Hybrid Journal   (Followers: 46, SJR: 0.297, CiteScore: 1)
J. of Analytical Toxicology     Hybrid Journal   (Followers: 14, SJR: 1.065, CiteScore: 2)
J. of Antimicrobial Chemotherapy     Hybrid Journal   (Followers: 15, SJR: 2.419, CiteScore: 4)
J. of Antitrust Enforcement     Hybrid Journal   (Followers: 1)
J. of Applied Poultry Research     Hybrid Journal   (Followers: 5, SJR: 0.585, CiteScore: 1)
J. of Biochemistry     Hybrid Journal   (Followers: 41, SJR: 1.226, CiteScore: 2)
J. of Breast Imaging     Full-text available via subscription  
J. of Burn Care & Research     Hybrid Journal   (Followers: 10, SJR: 0.768, CiteScore: 2)

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Similar Journals
Journal Cover
European Journal of Public Health
Journal Prestige (SJR): 1.36
Citation Impact (citeScore): 2
Number of Followers: 20  
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1101-1262 - ISSN (Online) 1464-360X
Published by Oxford University Press Homepage  [406 journals]
  • European-wide monitoring of sexual and gender minority health: a necessary
           and feasible task for advancing health equity
    • Authors: Bränström R; Star A, Pachankis J.
      Pages: 199 - 200
      PubDate: Wed, 20 Mar 2019 00:00:00 GMT
      DOI: 10.1093/eurpub/ckz007
      Issue No: Vol. 29, No. 2 (2019)
  • Comparing alcohol with tobacco indicates that it is time to move beyond
           tobacco exceptionalism
    • Authors: McCambridge J; Morris S.
      Pages: 200 - 201
      Abstract: Tobacco is distinct in the harm to health it causes, and is produced by an industry which requires a special form of regulation. Such recognition has been crucial to advances in tobacco control and is known as tobacco exceptionalism.1 Paradoxically, this idea may now limit progress in global health by obscuring how hard won lessons may apply to other commercial sectors that damage people’s health.1
      PubDate: Wed, 20 Mar 2019 00:00:00 GMT
      DOI: 10.1093/eurpub/cky227
      Issue No: Vol. 29, No. 2 (2019)
  • Erratum
    • Pages: 380 - 380
      Abstract: Cost-effectiveness and cost-benefit of worksite health promotion programs in Europe: a systematic review
      PubDate: Mon, 11 Feb 2019 00:00:00 GMT
      DOI: 10.1093/eurpub/ckz014
      Issue No: Vol. 29, No. 2 (2019)
  • European Public Health News
    • Authors: Zeegers Paget D; Azzopardi Muscat N, Zeegers Paget D, et al.
      Pages: 381 - 384
      Abstract: In this European Public Health News, collaboration, as mentioned in the Sustainable Development Goals, stands at the forefront. Both Azzopardi-Muscat and Andriukaitis highlight the need for collaboration in digital health. Azzopardi-Muscat advises the public health community to step up to take a proactive role in shaping the development of a digital health system that truly leaves no one behind. To achieve this, more needs to be done on the impact of digital technology (DT) on population health outcomes and health equity. EUPHA will step up to this challenge by publishing a supplement on digital health later this year.
      PubDate: Wed, 20 Mar 2019 00:00:00 GMT
      DOI: 10.1093/eurpub/ckz032
      Issue No: Vol. 29, No. 2 (2019)
  • Stan Tarkowski: an appreciation
    • Authors: Ricciardi W; Muscat N, McKee M, et al.
      Pages: 385 - 385
      Abstract: The 21st January 2019 brought the sad news that Stanislaw (Stan) Tarkowski had passed away that morning. Stan was a tremendous supporter of EUPHA. He served as our President in 2009/10 and hosted an extremely successful European Public Health Conference in his home city of Łódź, Poland. He had returned there after serving for 7 years as Director of the Division of Environment and Health at WHO EURO, taking up a post as Professor of Public Health at the Nofer Institute of Occupational Health. Łódź had been a major manufacturing centre, sometimes called the Manchester of Poland, and its experience of industrialisation had highlighted the important contribution of occupational and environmental health to the wellbeing of the wider population.
      PubDate: Wed, 20 Mar 2019 00:00:00 GMT
      DOI: 10.1093/eurpub/ckz015
      Issue No: Vol. 29, No. 2 (2019)
  • Re-admission patterns in England and the Netherlands: a comparison based
           on administrative data of all hospitals
    • Authors: Hekkert K; van der Brug F, Keeble E, et al.
      Pages: 202 - 207
      Abstract: BackgroundExamining variation in patterns of re-admissions between countries can be valuable for mutual learning in order to reduce unnecessary re-admissions. The aim of this study was to compare re-admission rates and reasons for re-admissions between England and the Netherlands.MethodsWe used data from 85 Dutch hospitals (1 355 947 admissions) and 451 English hospitals (5 260 227 admissions) in 2014 (96% of all Dutch hospitals and 100% of all English NHS hospitals). Re-admission data from England and the Netherlands were compared for all hospital patients and for specific diagnosis groups: pneumonia, urinary tract infection, chronic obstructive pulmonary disease, coronary atherosclerosis, biliary tract disease, hip fracture and acute myocardial infarction. Re-admissions were categorized using a classification system developed on administrative data. The classification distinguishes between potentially preventable re-admissions and other reasons for re-admission.ResultsEngland had a higher 30-day re-admission rate (adjusted for age and gender) compared to the Netherlands: 11.17% (95% CI 11.14–11.20%) vs. 9.83% (95% CI 9.77–9.88%). The main differences appeared to be in re-admissions for the elderly (England 17.2% vs. the Netherlands 10.0%) and in emergency re-admissions (England 85.3% of all 30-day re-admissions vs. the Netherlands 66.8%). In the Netherlands, however, more emergency re-admissions were classified as potentially preventable compared to England (33.8% vs. 28.8%).ConclusionsThe differences found between England and the Netherlands indicate opportunities to reduce unnecessary re-admissions. For England this concerns more expanded palliative care, integrated social care and reduction of waiting times. In the Netherlands, the use of treatment plans for daily life could be increased.
      PubDate: Thu, 15 Nov 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky199
      Issue No: Vol. 29, No. 2 (2018)
  • Views and experiences of ethnic minority diabetes patients on dietetic
           care in the Netherlands – a qualitative study
    • Authors: Jager M; van der Sande R, Essink-Bot M, et al.
      Pages: 208 - 213
      Abstract: BackgroundDiabetes type 2 is more prevalent in people from ethnic minorities in the Netherlands, and outcomes of care are worse compared with other Dutch people. Dieticians experience difficulties in managing these groups in self-management and adherence to dietary advice. The aim of this study was to explore the views regarding a healthy diet and dietetic care among ethnic minority type 2 diabetes patients.MethodsSemi-structured interviews were held with 12 migrants with diabetes from Turkey, Morocco, Iraq and Curacao, who visited a dietician. Inclusion went on until saturation was reached. The interview guide was based on the Attitudes, Social influence and self-Efficacy (ASE) model and Kleinman’s explanatory model of illness. Interviews were held in the language preferred by the respondent. Transcripts were coded and thematically analyzed.ResultsSeveral respondents expected a more rigorous, directive and technical approach of the dietician. All respondents acknowledged the importance of a healthy diet. What they considered healthy was determined by culturally influenced ideas about health benefits of specific foods. Important hindrances for dietary change were lack of self-efficacy and social support. Social influences were experienced both as supportive and a hindrance.ConclusionsMigrant diabetic patients’ opinions about healthy food are determined by culturally influenced ideas rather than by dietary guidelines. Dutch dietary care is not tailored to the needs of these patients and should take into account migrants’ expectations, cultural differences in dietary habits and specifically address the role of family.
      PubDate: Tue, 11 Sep 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky186
      Issue No: Vol. 29, No. 2 (2018)
  • Admissions for ambulatory care sensitive conditions: a national
           observational study in the general and COPD population
    • Authors: Paul M; Dik J, Hoekstra T, et al.
      Pages: 213 - 219
      Abstract: BackgroundHospital admissions for ambulatory care sensitive conditions (ACSCs) may be prevented by effective ambulatory management and treatment. ACSC admissions is used as indicator for primary care quality and accessibility. However, debate continues to which extent these admissions are truly preventable. The aim of this study was to provide more objective insight into the preventability of ACSC admissions.MethodsObservational study using 2012–15 health insurer claim data of 13 182 602 Dutch insured inhabitants. Logistic multilevel regression analyses were conducted to investigate factors (ambulatory care and characteristics of inhabitants) possibly associated with ACSC admissions. Prior ambulatory care use was examined for patients with an ACSC contributing to the highest number of ACSC admissions: chronic obstructive pulmonary disease (COPD).ResultsIn 2014, 89.8 hospital admissions for ACSCs per 10 000 insured inhabitants were claimed. Percentage of inhabitants with ACSC admissions varied between general practices from 0.58–0.84%. ASCS admissions were hardly associated with ambulatory care. One month prior to admission, 97% of admitted COPD patients had at least one ambulatory care contact.ConclusionsVariation in ACSC admissions between general practitioners was observed, indicating that certain hospital admissions may be prevented. However, we found no indication that ACSC admissions were preventable, as no link was found with the provision of ambulatory care and ACSC admissions. This may indicate that this indicator is country and health care system specific. Before including ACSC admission as quality indicator of primary care in the Netherlands, more insight into the causes of variation is required.
      PubDate: Wed, 12 Sep 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky182
      Issue No: Vol. 29, No. 2 (2018)
  • Cost-effectiveness of strategies to improve delivery of brief
           interventions for heavy drinking in primary care: results from the ODHIN
    • Authors: Angus C; Li J, Romero-Rodriguez E, et al.
      Pages: 219 - 225
      Abstract: BackgroundScreening and brief interventions (SBIs) for heavy drinking are an effective and cost-effective approach to reducing alcohol-related harm, yet delivery rates remain low. This study uses trial data to estimate the cost-effectiveness of alternative strategies to increase SBI delivery.MethodsData from a large cluster-randomized trial were combined with the Sheffield Alcohol Policy Model, a policy appraisal tool, to estimate the cost-effectiveness of eight strategies to increase SBI delivery in primary care in England, Poland and the Netherlands: care as usual (control), training and support (TS), financial reimbursement (FR), referral of patients to an online brief intervention (eBI) and all combinations of TS, FR and eBI. cost-effectiveness was assessed from a healthcare perspective by comparing health benefits (measured in Quality-Adjusted Life Years) with total implementation costs and downstream healthcare savings for each strategy over a 30-year horizon and calculating Incremental cost-effectiveness ratios (ICERs).ResultsAll trialled strategies were cost-effective compared to control. TS combined with FR was the most cost-effective approach in England (more effective and less costly than control) and Poland (ICER €4632 vs. next-best strategy). This combination is not cost-effective in the Netherlands, where TS alone is the most cost-effective approach (ICER €3386 vs. next-best strategy).ConclusionsStructured TS, financial incentives and access to online interventions are all estimated to be cost-effective methods of improving delivery of alcohol brief interventions. TS and FR together may be the most cost-effective approach, however this is sensitive to country characteristics and alternative BI effect assumptions.Trial trial identifier: NCT01501552
      PubDate: Mon, 17 Sep 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky181
      Issue No: Vol. 29, No. 2 (2018)
  • Disparities in avoidable hospitalization by income in South Korea: data
           from the National Health Insurance cohort
    • Authors: Chun S; Kim W, Park E.
      Pages: 225 - 231
      Abstract: BackgroundAvoidable hospitalizations can act as an indicator for primary health care quality, in particular ambulatory care sensitive conditions (ACSCs) as hospitalizations for these conditions are generally considered avoidable through successful management. This study aimed to examine whether differences exist between income levels in rates of avoidable hospitalization.MethodsThe South Korea National Health Insurance claims data from 2002 to 2013 were used. All hospitalizations were included and categorized into avoidable and non-avoidable cases. The independent variable was income level classified into quartiles and the dependent variable rates of avoidable hospitalization. Analysis was conducted using the generalized estimating equation (GEE) Poisson model. Subgroup analysis was performed based on chronic versus acute disease status and urban versus rural region.ResultsA total of 1 310 492 cases were included, in which the crude rate of avoidable hospitalizations was 1444.5 per 100 000 person years. Compared to the Q4 highest income group set as reference, the Q3 (RR 1.07, 95% CI 1.04–1.09), Q2 (RR 1.16, 95% CI 1.13–1.19) and Q1 (RR 1.20, 95% CI 1.17–1.24) income groups showed higher rates of avoidable hospitalizations.ConclusionRisks of avoidable hospitalizations for ACSCs was higher in lower than higher income groups, implying that socioeconomic status is related to disparities in avoidable hospitalizations. The findings suggest the importance of monitoring the vulnerable groups identified in managing avoidable hospitalizations.
      PubDate: Wed, 26 Sep 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky198
      Issue No: Vol. 29, No. 2 (2018)
  • Satisfaction of physicians working in hospitals within the European Union:
           state of the evidence based on systematic review
    • Authors: Domagała A; Bała M, Peña-Sánchez J, et al.
      Pages: 232 - 241
      Abstract: BackgroundDespite the wide range of studies concerning physician satisfaction in different European countries, there is a lack of literature reviews synthesizing and analyzing current evidence evaluating satisfaction of physicians working in European hospitals. The goal of our research was to provide a general overview of the studies in this area and their results.MethodsWe searched MEDLINE, Embase, PsycINFO, CINAHL and the Cochrane Library from January 2000 to January 2017 including both MESH/Emtree terms and free text words related to the subject with no language restrictions. The eligibility criteria included: (i) target population: physicians working in European hospitals, (ii) quantitative research aimed at assessing physician satisfaction and (iii) validated tools. We performed a narrative synthesis and meta-analysis.ResultsA total of 8585 abstracts and 368 full text articles were independently screened by 2 reviewers against inclusion/exclusion criteria. Finally 61 studies were eligible for qualitative analysis. Included studies enrolled a total of 50 001 physicians from 17 countries. Sample sizes varied between 54 and 7090 participants (median: 336). According to our review ∼59% of physicians working in European hospitals are overall satisfied, 3.54 was the mean satisfaction among studies reporting data on a scale from 1 to 5, 4.81 for studies with a scale from 1 to 7, 6.12 among studies reporting data on a scale from 1 to 10, and 59.65 among studies with a scale from 0 to 100.ConclusionsThe level of physician satisfaction in Europe is moderate. There is a large variety of tools and scales used to assess it.
      PubDate: Mon, 09 Jul 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky117
      Issue No: Vol. 29, No. 2 (2018)
  • Hepatitis C prevalence and associated risk factors among individuals who
           are homeless and diagnosed with mental illness: At Home/Chez Soi Study,
           Vancouver, BC
    • Authors: Nikoo N; Javidanbardan S, Akm M, et al.
      Pages: 242 - 247
      Abstract: BackgroundThere is scarce evidence on prevalence of hepatitis C virus (HCV) infection among individuals who are homeless and diagnosed with severe mental illness. We aimed to investigate the prevalence of HCV infection and associated risk factors in a representative sample of adults from At Home study.MethodsThe Vancouver At Home study is part of the At Home/Chez Soi (AH/CS) project—a pragmatic randomized controlled trial of a Housing First intervention among homeless persons with mental illness in five Canadian cities between 2009 and 2013 with a 2-year follow-up period.ResultsOf 497 participants, 28% reported positive HCV serostatus. Educational level equal or less than eighth grade (AOR: 2.3, 95% CI: 1.1, 4.8), history of incarceration (AOR: 2.1, 95% CI: 1.2, 3.5), substance dependence (AOR: 2.0, 95% CI: 1.1, 3.7) and injection drug use during one month prior to the recruitment (AOR: 7.8, 95% CI: 4.0, 15.0) were associated with an increased risk of HCV infection. Having a psychotic disorder (AOR: 0.6, 95% CI: 0.3, 1.0) and age < 25 (AOR: 0.2, 95% CI: 0.0, 0.7) were associated with a lower risk. Blood tests performed on 30 participants agreed with self-report in 97% of cases [Kappa = 0.9 (95% CI: 0.6, 1.3), PABAK = 0.9].ConclusionThe high prevalence of HCV among individuals who were homeless with mental illness underlies the importance of prevention and treatment of HCV in this population, especially those with concurrent substance use disorders. Self-report seems to be a valid tool for evaluation of the HCV status in this population.
      PubDate: Tue, 31 Jul 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky142
      Issue No: Vol. 29, No. 2 (2018)
  • What factors explain socioeconomic inequalities in adults’
           television-related sitting time'
    • Authors: Mackenbach J; de Groot R, Lakerveld J, et al.
      Pages: 248 - 254
      Abstract: BackgroundThere are considerable socioeconomic inequalities in television-related sitting time, but there is little evidence for the explanatory mechanisms. We used a cohort of Belgian adults (25–60 years) and older adults (≥65 years) to examine the social cognitive, home environmental and health-related factors contributing to socioeconomic differences in television-related sitting.MethodsWe included 301 adults and 258 older adults (total n = 559). Linear regression analyses were used to examine the associations of education and occupational status with television-related sitting time, adjusted for age and gender. We assessed the explanatory power of social cognitive, home environmental and health-related factors using the traditional ‘change-in-estimation method’.ResultsThose with low and medium education, respectively, engaged in 54 and 28 minutes per day more television-related sitting time than those with high education. We found no association between occupational status and television-related sitting time. Social cognitive factors explained 54% of the difference in television-related sitting time between those with low and high education, while home environmental factors only explained 6%, and health-related variables explained 10% of these differences.ConclusionWe found no occupational inequalities in television-related sitting time. Social cognitive variables such as attitude and modelling of the partner explained a large part of the educational inequalities in television-related sitting time. If confirmed by future studies, a focus on social cognition may help reduce sedentary behaviours in low-educated adults and diminish inequalities in sedentary behaviours.
      PubDate: Fri, 31 Aug 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky170
      Issue No: Vol. 29, No. 2 (2018)
  • Examining gender health inequalities in Europe using a Synthetic Health
           Indicator: the role of family policies
    • Authors: Pinillos-Franco S; Somarriba N.
      Pages: 254 - 259
      Abstract: BackgroundFamily policies have been shown to affect men’s and women’s health throughout the European Union, though particularly in the case of women. This paper seeks to analyze this effect by creating two Synthetic Health Indicators (SHIs) differentiated by gender applying the P2 distance method. We also aim to compare the results obtained by means of our SHI and the Self-rated health (SRH) indicator, as it is the most common indicator used to approach individuals’ health.MethodsThe 2012 European Quality of Life Survey was used to construct the SHI. Dimensions such as physical health, mental health, psychosocial resources, the capacity of health services and community health status were included in our SHI. All proved to be relevant when measuring individuals’ health.ResultsGender health inequalities differed depending on the indicator used in each European country. When considering family policy, we found significant gender health gaps that favoured men in traditional countries, regardless of the indicator used (SHI or SRH). Moreover, with our SHI we found significant gender health inequalities in market-oriented and dual-earner countries that were not revealed by the SRH indicator, highlighting the fact that current equality policies are necessary but insufficient to overcome the gender health gap.ConclusionsThe SHI was more sensitive to gender differences and evidenced certain advantages compared to the SRH. The SHI includes a wide range of variables that incorporated large amounts of fresh information, allowing men and women to have a personalized design of their own health.
      PubDate: Tue, 11 Sep 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky177
      Issue No: Vol. 29, No. 2 (2018)
  • Heterogeneity/granularity in ethnicity classifications project: the need
           for refining assessment of health status
    • Authors: Villarroel N; Davidson E, Pereyra-Zamora P, et al.
      Pages: 260 - 266
      Abstract: BackgroundIdentifying ethnic inequalities in health requires data with sufficiently ‘granular’ (fine detailed) classifications of ethnicity to capture sub-group variation in healthcare use, risk factors and health behaviors. The Robert Wood Johnson Foundation (RWJF), in the USA, commissioned us to explore granular approaches to ethnicity data collection outside of the USA, commencing with the European Union.MethodsWe examined official data sources (population censuses/registers) within the EU-28 to determine the granularity of their approach to ethnicity. When ethnic information was not available, related variables were sought (e.g. country of birth).ResultsWithin the EU-28, we found 55% of countries collected data on ethnicity. However, only 26% of these countries (England, Wales, Northern Ireland, Scotland, Republic of Ireland, Hungary, Poland and Slovakia) had a granular approach, with half of these being within the UK. Estonia, Lithuania, Croatia, Bulgaria, Republic of Cyprus and Slovenia collected one to six categories. A ‘write-in’ option only was found in Latvia, Romania and the Czech Republic. Forty-five percent of countries did not collect ethnicity data but collected other related variables.Conclusions(i) Although there is reasonable attention to the diversity of ethnic groups in data collection, a granular approach does not predominate within EU-28 classifications. (ii) Where ethnicity is collected, it is conceptualized in different ways and diverse terminology is used. (iii) A write-in option provides the most granular approach. (iv) Almost half of the countries did not collect data on ethnicity, but did collect related variables that could be used as a proxy.
      PubDate: Wed, 26 Sep 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky191
      Issue No: Vol. 29, No. 2 (2018)
  • Socioeconomic differences in healthy and disease-free life expectancy
           between ages 50 and 75: a multi-cohort study
    • Authors: Head J; Chungkham H, Hyde M, et al.
      Pages: 267 - 272
      Abstract: BackgroundThere are striking socioeconomic differences in life expectancy, but less is known about inequalities in healthy life expectancy and disease-free life expectancy. We estimated socioeconomic differences in health expectancies in four studies in England, Finland, France and Sweden.MethodsWe estimated socioeconomic differences in health expectancies using data drawn from repeated waves of the four cohorts for two indicators: (i) self-rated health and (ii) chronic diseases (cardiovascular, cancer, respiratory and diabetes). Socioeconomic position was measured by occupational position. Multistate life table models were used to estimate healthy and chronic disease-free life expectancy from ages 50 to 75.ResultsIn all cohorts, we found inequalities in healthy life expectancy according to socioeconomic position. In England, both women and men in the higher positions could expect 82–83% of their life between ages 50 and 75 to be in good health compared to 68% for those in lower positions. The figures were 75% compared to 47–50% for Finland; 85–87% compared to 77–79% for France and 80–83% compared to 72–75% for Sweden. Those in higher occupational positions could expect more years in good health (2.1–6.8 years) and without chronic diseases (0.5–2.3 years) from ages 50 to 75.ConclusionThere are inequalities in healthy life expectancy between ages 50 and 75 according to occupational position. These results suggest that reducing socioeconomic inequalities would make an important contribution to extending healthy life expectancy and disease-free life expectancy.
      PubDate: Wed, 10 Oct 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky215
      Issue No: Vol. 29, No. 2 (2018)
  • Differential self-report error by socioeconomic status in hypertension and
           hypercholesterolemia: INSEF 2015 study
    • Authors: Kislaya I; Tolonen H, Rodrigues A, et al.
      Pages: 273 - 278
      Abstract: BackgroundThis study aimed to compare self-reported and examination-based prevalence of hypertension and hypercholesterolemia in Portugal in 2015 and to identify factors associated with the measurement error in self-reports.MethodsWe used data from the Portuguese National Health Examination Survey (n = 4911), that combines personal interview, blood collection and, physical examination. Sensitivity and specificity of self-reported hypertension and hypercholesterolemia were calculated. Poisson regression was used to estimate prevalence ratios (PRs) of underreport of hypertension and hypercholesterolemia according to sex, age, socioeconomic status (education and income) and general practitioner (GP) consultation in the past year.ResultsSensitivity of self-reports was 69.8% for hypertension and 38.2% for hypercholesterolemia. Underreport of hypertension was associated with male gender (PR = 1.54), lack of GP consultation (PR = 1.70) and being 25–44 years old (PR = 2.45) or 45–54 years old (PR = 2.37). Underreport of hypercholesterolemia was associated with lack of GP consultation (PR = 1.15), younger age (PR = 1.83 for 25–44 age group and PR = 1.52 for 45–54 age group), secondary (PR = 1.30) and higher (PR = 1.27) education.ConclusionSelf-reported data underestimate prevalence of hypertension and hypercholesterolemia. Magnitude of measurement error in self-reports varies by health conditions and population characteristics. Adding objective measurements to self-reported questionnaires improve data accuracy allowing better understanding of socioeconomic inequalities in health.
      PubDate: Wed, 31 Oct 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky228
      Issue No: Vol. 29, No. 2 (2018)
  • The impact of the economic recession on inequalities in induced abortion
           in the main cities of Spain
    • Authors: Perez G; Gotsens M, Cevallos-García C, et al.
      Pages: 279 - 281
      Abstract: The aim of this study was to analyse the trends in socioeconomic inequalities in induced abortion during the pre-crisis and crisis periods in the postcodes of two major cities of Spain. Ecological regression model showed that rates of induced abortion tended to increase between the two pre-crisis periods, but remained stable between the second pre-crisis period and the crisis period. In addition, we observed socioeconomic inequalities in induced abortion in both cities and in all age groups, and that these inequalities persisted across the three study periods.
      PubDate: Fri, 30 Nov 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky250
      Issue No: Vol. 29, No. 2 (2018)
  • Effects of a community-based exercise and motivational intervention on
           physical fitness of subjects with type 2 diabetes
    • Authors: Gallé F; Di Onofrio V, Miele A, et al.
      Pages: 281 - 286
      Abstract: BackgroundThis study aimed to analyze the effects of a long-term community-based combined exercise program consisting of aerobic, resistance, flexibility and agility/balance training associated with motivational interviewing on physical fitness, physiological parameters and Physical Activity (PA) levels in middle-aged and older patients with Type 2 Diabetes (T2D).MethodsSixty-nine diabetic subjects (mean age 63 ± 5.2 y, 62.3% M) underwent a 9-month exercise program and 12 motivational group meetings focused on PA, while 90 diabetic controls (mean age 64 ± 6.4 y, 58% M) underwent usual PA recommendations. Changes in physical fitness measured by Senior Fitness Tests, BMI, HbA1c, waist circumference (WC) and habitual PA expressed in Metabolic Equivalent of Tasks (METs)-min/week were evaluated in each group through the International PA Questionnaire and compared between groups.ResultsAt the end of the intervention participants showed significant improvements in BMI (29.3 to 27.6 kg/m2, P < 0.03), HbA1c (6.5 to 6.1%, P < 0.01), WC (104.2 to 95.6 cm, P < 0.01) and all the physical fitness parameters (P < 0.01) but lower body flexibility (P = 0.82), while only upper body strength (P = 0.04) and agility (P ≤ 0.01) improved significantly in controls. Habitual PA increased in participants and controls (+67 and +19 METs-min/week, respectively, P ≤ 0.01). Changes in physical fitness and PA levels registered in the two groups differed significantly (P < 0.01), while improvements in BMI, HbA1c and WC did not (P = 0.40, P = 0.52, P = 0.05, respectively).ConclusionsA long-term motivational exercise-based intervention may be more effective than PA recommendations only in improving physical fitness and PA levels in individuals with T2D and produce similar health improvements.
      PubDate: Mon, 23 Jul 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky140
      Issue No: Vol. 29, No. 2 (2018)
  • Mapping a measure of physical ability for persons with long-term
           musculoskeletal pain to the ICF and ICF Core Sets
    • Authors: Fresk M; Brodin N, Grooten W, et al.
      Pages: 286 - 291
      Abstract: BackgroundTest Instrument for Profile of Physical Ability (TIPPA) is used in the Swedish sickness certification process for patients with long-term musculoskeletal pain. The aim was to explore the content of TIPPA in the context of work-ability assessments.MethodsThe full protocol of TIPPA was linked to the in relation to the International Classification of Functioning, Disability and Health (ICF) and evaluated in relation to the ICF Core Sets for Chronic Widespread Pain (CWP).ResultsTwenty-two unique meaningful concepts were identified in TIPPA. Eighteen of those could be linked to ICF, yielding 27 third-level ICF-categories. Ten of these categories fitted the domains of ‘body function’, 16 were ‘activity and participation’, while one was related to ‘environmental factors’. Perspective and aim varied between the parts of the test. When assessed against Brief ICF Core Set for CWP, TIPPA covered three of nine ‘body function’ categories and 2 out of 10 ‘activity and participation’ categories. The coverage of the subgroup ‘activity’ was two out of five. TIPPA did not cover three categories, i.e. ‘d175 solving problems’, ‘d230 carrying out daily routine’ and ‘d240 handling stress and other psychological demands’, in the subgroup of ‘activity’.ConclusionsTIPPA could be a useful measure for the assessment of physical ability. However, additional condition-specific items/measures are required to obtain full coverage of core aspects of functioning and disability in a comprehensive work-ability assessment for patients with long-term musculoskeletal pain.
      PubDate: Mon, 30 Jul 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky135
      Issue No: Vol. 29, No. 2 (2018)
  • Validation and calibration of self-reported height and weight in the
           Danish Health Examination Survey
    • Authors: Neermark S; Holst C, Bisgaard T, et al.
      Pages: 291 - 296
      Abstract: BackgroundBody mass index (BMI) derived from self-reported information is widely used and the validity is therefore crucial. We aim at testing the validity of self-reported height and weight, and to test if the accuracy of self-reported information can be improved by calibration by testing if calibration improved the ability to predict diabetes.MethodsData from Danish Health Examination Survey (DANHES) was used. 15 692 participants who had both filled out questionnaire and participated in health examination, and 54 725 participants with questionnaire alone, were included. Data was analyzed using Pearson’s R, Cohens Kappa, linear regression and Cox-regression. Self-reported values of height and weight were calibrated using coefficients obtained from linear regression analysis. To evaluate if the calibration improved the ability to predict diabetes, Akaike’s information criterion was used.ResultsSelf-reported height, weight and BMI were highly correlated with measured values (R ≥ 0.92). BMI was under-reported by 0.32 kg m−2 and 0.38 kg m−2 in women and men. The hazard ratio (HR) (95% confidence interval) for diabetes according to measured BMI was 2.09 (1.89–2.27) and for self-reported BMI was 1.60 (1.50–1.70) per 5 kg m−2. Calibrated values of self-reported BMI improved the predictive value of BMI for the risk of diabetes.ConclusionsSelf-reported height and weight correlated highly with physical measurement of height and weight. Measured values of BMI were more strongly associated with diabetes risk as compared to self-reported values. Calibration of the self-reported values improved the accuracy of self-reported height and weight
      PubDate: Tue, 18 Sep 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky187
      Issue No: Vol. 29, No. 2 (2018)
  • Physical activity, BMI and oral health behaviour among adolescents:
           Finnish School Health Promotion Study
    • Authors: Virtanen J; Muikku T, Similä T, et al.
      Pages: 296 - 302
      Abstract: BackgroundTo assess associations between oral health behaviour and physical activity and related factors among adolescents.MethodsThe study population (n = 76 529) consisted of a representative sample of 16- to 18-year-old Finnish adolescents (boys: 37 211, girls: 39 318). An anonymous, confidential and voluntary classroom-administered questionnaire included questions about tooth brushing frequency, physical activity, BMI and eating habits. Moderate-to-vigorous physical activity (MVPA) was used to assess the adolescents’ physical activity. The chi-square test and multiple binary logistic regression were used for statistical analyses. Adjusted odds ratios (OR) and their 95% confidence intervals (CI) were calculated for MVPA, BMI, breakfast, smoking and socioeconomic factors as parents’ education and school type.ResultsThe prevalence of twice daily tooth brushing was highest among adolescents reporting 4 hours or more of MVPA (51–77%). Obese and smoking adolescents exercised less often than normal weighted and non-smokers. Girls brushed their teeth twice daily significantly more often than boys (P < 0.001), and high-school students brushed their teeth significantly more often than vocational school students (P < 0.001). Logistic regression models showed that obesity (OR = 2.14, 95% CI 1.92–2.37) and irregular breakfast eating (OR = 2.35, 95% CI 2.19–2.52) among boys, and obesity (OR = 2.81, 95% CI 2.48–3.17), physical inactivity (OR = 1.89, 95% CI 1.78–2.00) and irregular breakfast eating (OR = 1.91, 95% CI 1.79–2.04) among girls were strong predictors for poor tooth brushing.ConclusionsPhysically active adolescents had better oral health behaviour than less active adolescents. Obesity and smoking were associated with infrequent tooth brushing.
      PubDate: Mon, 24 Sep 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky193
      Issue No: Vol. 29, No. 2 (2018)
  • Cross-sectional associations between body mass index and
           social–emotional wellbeing among differentially active children
    • Authors: Noonan R; Fairclough S.
      Pages: 303 - 307
      Abstract: BackgroundThis study assessed gender-specific associations between body mass index (BMI) and social–emotional wellbeing (SEW) among differentially active seven-year-old children.MethodsData are from wave four of the UK Millennium Cohort Study, collected in 2007–08. Children wore an ActiGraph accelerometer for seven consecutive days and measures of stature and body mass were taken. BMI was calculated from stature and body mass (kg/m2). Parents/carers completed the strengths and difficulties questionnaire (SDQ). A total of 6011 children (3073 girls) had completed data. Mean minutes per day spent in moderate-to-vigorous intensity physical activity (MVPA) were calculated for each child. Gender-specific MVPA quartile cut-off values categorized boys and girls separately into four graded groups representing the least (Q1) through to the most active (Q4) children. Adjusted linear regression analyses examined associations between BMI and SDQ scores. Gender-specific analyses were conducted separately for MVPA quartiles.ResultsBMI was positively associated with peer problems for Q1 and Q2 boys and girls, conduct problems for Q2 and Q4 boys, emotional problems and prosocial behaviour for Q2 boys and total difficulty scores for Q1 girls and Q2 boys (P < 0.05).ConclusionsOur results revealed that BMI was positively associated with SEW difficulties among the low active children but not the high active children. Further research examining the concurrent effect of diet and MVPA on child weight status and SEW is needed.
      PubDate: Mon, 08 Oct 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky208
      Issue No: Vol. 29, No. 2 (2018)
  • Long-term effects of a preconception lifestyle intervention on
           cardiometabolic health of overweight and obese women
    • Authors: Wekker V; Huvinen E, van Dammen L, et al.
      Pages: 308 - 314
      Abstract: BackgroundThe global prevalence of obesity in women keeps increasing. The preconception period may be a window of opportunity to improve lifestyle, reduce obesity and improve cardiometabolic health. This study assessed the effect of a preconception lifestyle intervention on long-term cardiometabolic health in two randomized controlled trials (RCTs).MethodsParticipants of the LIFEstyle and RADIEL preconception lifestyle intervention studies with a baseline body mass index (BMI) ≥29 kg/m2 were eligible for this follow-up study. Both studies randomized between a lifestyle intervention targeting physical activity, diet and behaviour modification or usual care. We assessed cardiometabolic health 6 years after randomization.ResultsIn the LIFEstyle study (n = 111) and RADIEL study (n = 39), no statistically significant differences between the intervention and control groups were found for body composition, blood pressure, arterial stiffness, fasting glucose, homeostasis model assessment of insulin resistance, HbA1c, lipids and high sensitive C-reactive protein levels 6 years after randomization. Participants of the LIFEstyle study who successfully lost ≥5% bodyweight or reached a BMI <29 kg/m2 during the intervention (n = 22, [44%]) had lower weight (−8.1 kg; 99% CI [−16.6 to −0.9]), BMI (−3.3 kg/m2; [−6.5 to −0.8]), waist circumference (−8.2 cm; [−15.3 to −1.3]), fasting glucose (−0.5 mmol/L; [−1.1 to −0.0]), HbA1c (−4.1 mmol/mol; [−9.1 to −0.8]), and higher HDL-C (0.3 mmol/L; [0.1–0.5]) compared with controls.ConclusionWe found no evidence of improved cardiometabolic health 6 years after a preconception lifestyle intervention among overweight and obese women in two RCTs. Women who successfully lost weight during the intervention had better cardiometabolic health 6 years later, emphasizing the potential of successful preconception lifestyle improvement.
      PubDate: Tue, 30 Oct 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky222
      Issue No: Vol. 29, No. 2 (2018)
  • The effects of cigarette smoking on the associations between sitting time
           and all-cause mortality: a meta-analysis
    • Authors: Chen X; Zhang L, Zhang Q, et al.
      Pages: 315 - 319
      Abstract: BackgroundSedentary behavior is recognized as an independent risk factor for mortality, but it remains unclear whether cigarette smoking will aggravate the detrimental effects of prolonged sitting on mortality. This study examined the impact of cigarette smoking on the relationship between sitting time and all-cause mortality in adults.MethodsElectronic database searches were conducted in PubMed, Web of Science, and the EMBASE up to 1 June 2017. Prospective studies that reported sitting time, percent of current smokers, and all-cause mortality were included. Data were extracted independently by two authors.ResultsTen prospective studies met the inclusion criteria. These studies included 850990 adults who were followed up for 2–15.7 years, during which 64 781 died (7.6%). Generally, during follow-up sitting time showed a dose-response relationship with all-cause mortality, with each 1 h increment of sitting time per day accounting for hazard ratio (HR) of mortality 1.02 (95%CI, 1.02–1.03). The relationship remained significant when stratified by the quartiles of smoking populations (≤8.4%, 8.5%–12.6%, 12.7%–27.9%, and ≥28.0%), and the risk of sitting time-related mortality increased parallel to the increment of the percent of smoking populations, with HRs 1.02 (95%CI, 1.02–1.03), 1.03 (95%CI, 1.02–1.03), 1.04 (95%CI, 1.03–1.04) and 1.06 (95%CI, 1.06–1.06), respectively. The associations between the risk of prolonged sitting-related mortality and the percent of smoking populations were linear (P = 0.032).ConclusionsCigarette smoking significantly aggravated the detrimental effects of sitting time on all-cause mortality. Our findings provided further evidence on the harmful effects of smoking combing prolonged sitting on adult health.
      PubDate: Mon, 02 Jul 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky121
      Issue No: Vol. 29, No. 2 (2018)
  • Impact of digital technologies for communicating messages on weight loss
           maintenance: a systematic literature review
    • Authors: Holmes W; Moorhead S, Coates V, et al.
      Pages: 320 - 328
      Abstract: BackgroundResearch into the use of digital technology for weight loss maintenance (intentionally losing at least 10% of initial body weight and actively maintaining it) is limited. The aim of this article was to systematically review randomized controlled trials (RCTs) reporting on the use of digital technologies for communicating on weight loss maintenance to determine its’ effectiveness, and identify gaps and areas for further research.MethodsA systematic literature review was conducted by searching electronic databases to locate publications dated between 2006 and February 2018. Criteria were applied, and RCTs using digital technologies for weight loss maintenance were selected.ResultsSeven RCTs were selected from a total of 6541 hits after de-duplication and criteria applied. Three trials used text messaging, one used e-mail, one used a web-based system and two compared such a system with face-to-face contact. From the seven RCTs, one included children (n = 141) and reported no difference in BMI Standard Deviation between groups. From the seven trials, four reported that technology is effective for significantly aiding weight loss maintenance compared with control (no contact) or face-to face-contact in the short term (between 3 and 24 months).ConclusionsIt was concluded that digital technologies have the potential to be effective communication tools for significantly aiding weight loss maintenance, especially in the short term (from 3 to 24 months). Further research is required into the long-term effectiveness of contemporary technologies.
      PubDate: Tue, 18 Sep 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky171
      Issue No: Vol. 29, No. 2 (2018)
  • Socioeconomic and psychosocial determinants of adherence to the
           Mediterranean diet in a general adult Italian population
    • Authors: Ruggiero E; Di Castelnuovo A, Costanzo S, et al.
      Pages: 328 - 335
      Abstract: BackgroundTo evaluate the adherence to Mediterranean diet (MD) and its major socioeconomic and psychosocial determinants in a large sample of the Italian population, covering three main geographical areas of the Country (Southern, Central and Northern).MethodsData were obtained from the Italian Nutrition & Health Survey (INHES), including a total of 7, 430 participants (age >20) recruited from all over Italy (2010–13). Dietary information was collected by the European Food Propensity Questionnaire. Adherence to MD was assessed by using the MedDietScore based on 11 food groups. Associations were tested by multivariable logistic regression analysis (Odds ratio [OR] with 95% CI).ResultsAdherence to MD was higher in Southern Italy as compared with the Northern (OR = 1.34; 95% CI 1.18–1.53), and was closely associated with adult age (OR= 2.40; 1.61–3.58 for those aged > 75 years as compared with 20–34 years) and higher educational level (OR = 1.77; 1.40–2.24 for post-secondary education as opposed to lowest educational attainment). Subjects reporting adverse life events and those with family-related stress were less likely to show an optimal adherence to MD (OR = 0.55; 0.46–0.67 and OR = 0.44; 0.28–0.69, for highest vs. lowest tertile, respectively) as compared with adequate controls. A number of eating behaviours were also inversely associated with MD, such as consuming higher amount of alcohol in the weekend than in week days.ConclusionsAdherence to MD is strongly determined by age, geographical area and educational level. Psychosocial factors and several eating behaviours are also closely associated.
      PubDate: Tue, 17 Jul 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky127
      Issue No: Vol. 29, No. 2 (2018)
  • Association between dietary patterns and metabolic syndrome in the
           selected population of Polish adults—results of the PURE Poland Study
    • Authors: Czekajło A; Różańska D, Zatońska K, et al.
      Pages: 335 - 340
      Abstract: BackgroundDietary pattern (DP) analysis is a statistical method used to evaluate the comprehensive effect of the diet on health. The aim of the study was to assess the relationship between DPs derived in selected population of Lower Silesia and the prevalence of metabolic syndrome (MS) and its components.MethodsStudy group consisted of 1634 individuals enrolled in the Prospective Urban and Rural Epidemiological Study Poland. Dietary intake was estimated using the data from the Food Frequency Questionnaire. DPs were identified using principal component analysis. MS prevalence was evaluated based on the criteria accepted by International Diabetes Federation, American Heart Association and National Heart, Lung and Blood Institute in 2009.ResultsThree DPs were identified. The percentage of individuals with MS was lower in the upper quartile (Q) of the ‘fruit & vegetables’ DP in comparison with Q1 (40.4 vs. 48.9%). Inverse relationship was observed for ‘Western’ (Q4 vs. Q1: 50.7 vs. 40.8%) and ‘traditional’ DPs (51.0 vs. 38.3%). After adjusting for potential confounders, in Q4 of ‘traditional’ DP higher risk for central obesity was observed compared to Q1 (OR 1.52; 95% CI: 1.10–2.12). Individuals in Q3 of ‘fruit & vegetables’ DP had lower risk for raised blood pressure in comparison with the bottom Q (OR 0.54; 95% CI: 0.36–0.82).ConclusionsDP analysis allows to evaluate the synergistic effect of the diet on the MS prevalence. ‘Fruit & vegetables’ DP, in contrast to ‘Western’ and ‘traditional’ DPs, was negatively associated with the prevalence of MS and its components in the study group.
      PubDate: Thu, 04 Oct 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky207
      Issue No: Vol. 29, No. 2 (2018)
  • Lifestyle and cancer—a joint pairwise association of lifestyle habits
           with subsequent cancer diagnosis
    • Authors: Roos E; Lahti J, Rahkonen O.
      Pages: 340 - 345
      Abstract: BackgroundUnhealthy behaviours increase cancer risk. However, lifestyle habits co-occur and their joint association with cancer is not known.MethodsA survey among midlife employees included data on lifestyle habits and covariates (N = 8960, response rate 67%, 80% women). The joint variables of lifestyle habits were prospectively linked with register data on cancer diagnosis (mean follow-up time 12.1 years). Cox proportional hazard model was used to calculate hazard ratios (HR), and their 95% confidence intervals.ResultsSmoking was associated with subsequent cancer risk and the association was strengthened by inactivity (HR 1.94, 1.46–2.59) and unhealthy diet (HR 1.92, 1.43–2.57). Smoking combined with both low (HR 1.70, 1.19–2.41) and moderate (HR 1.68, 1.27–2.23) alcohol consumption was also associated with increased cancer risk, as was unhealthy diet combined with moderate alcohol consumption (HR 1.55, 1.17–2.06) and inactivity (HR 1.44, 1.10–1.88). Inactivity combined with either low (HR 1.44, 1.06–1.96) or moderate (HR 1.47, 1.11–1.95) alcohol use was associated with subsequent cancer risk.ConclusionsKey unhealthy behaviours have additive effects. Preventive measures should be targeted to especially smokers and those having several adverse lifestyle habits.
      PubDate: Fri, 07 Sep 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky184
      Issue No: Vol. 29, No. 2 (2018)
  • The legal framework for European cervical cancer screening programmes
    • Authors: Májek O; Anttila A, Arbyn M, et al.
      Pages: 345 - 350
      Abstract: BackgroundA comprehensive legal framework needs to be developed to run the health services and to regulate the information systems required to manage and to ensure the quality of cancer screening programmes. The aim of our study was to document and to compare the status of legal basis for cervical screening registration in European countries.MethodsAn electronic questionnaire including questions on governance, decision-making structures and legal framework was developed. The primary responses were collected by September 2016.ResultsWe sent the questionnaire to representatives of 35 European countries (28 countries of the EU, with the United Kingdom included as 4 countries; 4 EFTA member countries: Iceland, Liechtenstein, Norway, and Switzerland); responses were collected from 33 countries. The legal framework makes it possible to personally invite individuals in 29 countries (88%). Systematic screening registration in an electronic registry is legally enshrined in 23 countries (70%). Individual linkage of records between screening and cancer registries is allowed in 19 of those countries. Linkage studies involving cancer and screening registries have been conducted in 15 countries.ConclusionAlthough the majority of EU/EFTA countries have implemented population-based screening, only half of them have successfully performed record linkage studies, which are nevertheless a key recommendation for quality assurance of the entire screening process. The European legislation is open to the possibility of using health data for these purposes; however, member states themselves must recognize the public interest to create a legal basis, which would enable all the necessary functions for high-quality cancer screening programmes.
      PubDate: Thu, 27 Sep 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky200
      Issue No: Vol. 29, No. 2 (2018)
  • Firearm deaths in Sweden
    • Authors: Junuzovic M; Rietz A, Jakobsson U, et al.
      Pages: 351 - 358
      Abstract: BackgroundSweden’s firearm legislation obligates physicians to report patients that are deemed unsuitable to possess a firearm. This study aimed to explore the involvement of firearm use in firearm fatalities and to evaluate physician reporting concerning cases of firearm deaths.MethodsFatal firearm suicides and homicides in Sweden were studied for the years 2012–2013, accidental deaths and undetermined manner of deaths for the period 1987–2013. Police reports and autopsy protocols were collected from the National Board of Forensic Medicine, health care data in 1 year before the fatality from the National Board of Health, and information about physician reports and firearm licences from the Swedish Police.ResultsA total of 291 firearm deaths (213 suicides, 52 accidental deaths, 23 solved homicides and 3 cases with undetermined manner of death) were identified. Firearm suicides were positively correlated with the number of licensed firearm owners. Legal firearm use predominated in firearm suicides and accidental deaths, illegal in homicides. No suicide victim or shooter in an accidental death was previously reported by a physician to the police according to the firearm law. The majority of the shooters in accidental deaths and suicides had no registered health care visits. Less than half (42%) of all suicide victims had a previous health care contact due to mental health problems.ConclusionsNot one single suicide victim nor any shooter in accidental deaths in the present study had been reported according to the firearm law, bringing the evidence of a suboptimal framework.
      PubDate: Fri, 27 Jul 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky137
      Issue No: Vol. 29, No. 2 (2018)
  • The impact of intimate partner violence on forgone healthcare: a
           population-based, multicentre European study
    • Authors: Costa D; Hatzidimitriadou E, Ioannidi-Kapolo E, et al.
      Pages: 359 - 364
      Abstract: BackgroundTo examine the relationship between forgone healthcare and involvement in intimate partner violence (IPV) as victims, perpetrators or both.MethodsThis cross-sectional multicentre study assessed community non-institutionalized residents (n = 3496, aged 18–64) randomly selected from six European cities: Athens, Budapest, London, Östersund, Porto, Stuttgart. A common questionnaire was used, including self-reports of IPV and forgone healthcare (‘Have you been in need of a certain care service in the past year, but did not seek any help'’). Odds ratios (ORs), 95% confidence intervals (CIs) were computed fitting logistic regression models adjusted for city, chronic disease, self-assessed health status and financial strain.ResultsParticipants experiencing past year IPV (vs. no violence) reported more often to forgone healthcare (n = 3279, 18.6% vs. 15.3%, P = 0.016). IPV experienced as both a victim and perpetrator was associated with forgone healthcare (adjusted OR, 95%CI: 1.32, 1.02–1.70).ConclusionIPV was associated with forgone healthcare, particularly for those experiencing violence as both victims and perpetrators. Results suggest that preventing IPV among adults may improve timely healthcare uptake.
      PubDate: Tue, 28 Aug 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky167
      Issue No: Vol. 29, No. 2 (2018)
  • Antidepressant medication might increase the risk of self-harm injuries:
           findings in 17 OECD countries
    • Authors: Högberg G; Bremberg S.
      Pages: 365 - 367
      Abstract: Clinical trials suggest that antidepressants increase the risk of self-harm injuries (SHI). The aim was to investigate associations between antidepressants’ use and the rate of change of SHI in 17 countries over the period 2000–16, with initial levels of SHI taken into account. The rate of change of SHI seems mainly (81%) determined by initial rates. The rate of SHI decreased in most countries. The decrease was slower in countries with a high level of antidepressants’ use and in countries with an increase of depressive disorders. The study indicates that the use of antidepressants might increase the risk of SHI.
      PubDate: Mon, 24 Dec 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky268
      Issue No: Vol. 29, No. 2 (2018)
  • Application of EASY-Care Standard 2010 instrument in a population-based
           survey in transitional Kosovo
    • Authors: Jerliu N; Burazeri G, Toçi E, et al.
      Pages: 367 - 371
      Abstract: BackgroundThe aim of this study was to assess the health needs and priorities of older people in Kosovo, the newest state in Europe striving for a functional democracy after the breakdown of former Yugoslavia and the following war in the region.MethodsA cross-sectional study was conducted in Kosovo in 2011 including a nationwide representative sample of 1890 individuals aged ≥65 years (949 men, mean age: 73 ± 6 years; 941 women, mean age: 74 ± 7 years; overall response rate: 84%). All individuals were administered the full version of EASY-Care Standard 2010 instrument, inquiring about the need for support in activities of daily living (‘independence’), the ‘risk of breakdown in care’ (leading to emergency admission to hospital) and the ‘risk of falls’.ResultsThe degree of ‘independence’ was lower, whereas the ‘risk of breakdown in care’ and the ‘risk of falls’ were significantly higher in: older women; the oldest individuals (≥85 years); rural residents; participants living alone; those perceiving themselves as poor; participants who could not access medical care; those who perceived their general health status as poor; and older people who reported at least one chronic condition.ConclusionsThis is one of the very few reports from Southeast European region informing about the health needs and priorities of older people in a large and representative population-based sample of older men and women. The poor health status of older people, especially evident in the socio-demographic disadvantaged categories, should raise the awareness of policymakers and decision-makers for appropriate health and social care of elderly in Kosovo and in other European countries.
      PubDate: Fri, 31 Aug 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky172
      Issue No: Vol. 29, No. 2 (2018)
  • How to reduce biases coming from a before and after design: the impact of
           the 2007–08 French smoking ban policy
    • Authors: Chyderiotis S; Beck F, Andler R, et al.
      Pages: 372 - 377
      Abstract: BackgroundSmoke-free laws aim at protecting against second-hand smoke and at contributing to change smoking behaviors. Impact evaluation studies can help understand to what extent they reach their goals. Simple before and after designs are often used but cannot isolate the effect of the policy of interest.MethodsThe short-term impact of the French smoking ban (2007–08) on smoking behavior outcomes was evaluated among smokers with data from the ITC project. We first conducted a before and after design on the French sample. Second, we added the UK (excluding Scotland) as a control group and finally used external pre-policy data from national surveys to control for bias arising from pre-policy trends.ResultsAfter one year post-implementation, the smoking ban led to a decrease in seeing people smoking in bars, restaurants and workplaces [estimated risk ratios (RR) of 8.81 IC95% (5.34–14.71), 2.02 (1.79–2.31) and 1.24 (1.16–1.33), respectively], as well as an increase in support for the smoke-free policy, but only in bars and restaurants [RR of 1.35 (1.15–1.61) and 1.25 (1.16–1.35)], respectively. No impact was found on smoking behaviors and on having a strict no smoking policy at home. The simple before and after design systematically overestimated the smoking ban’s impact [e.g. RR of 29.9 (20.06–44.56) for observed smoking in bar, compared to 13.21 (7.78–22.42) with the control group, and 8.81 (5.34–14.71) with the correction from external data].ConclusionWhen data are lacking to conduct quasi-experimental designs for impact evaluation, the use of external data could help understand and correct pre-policy trends.
      PubDate: Thu, 06 Sep 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky160
      Issue No: Vol. 29, No. 2 (2018)
  • Urban road traffic noise and noise annoyance—a study on perceived noise
           control and its value among the elderly
    • Authors: Riedel N; Köckler H, Scheiner J, et al.
      Pages: 377 - 379
      Abstract: Noise annoyance may reflect a pro-participatory attitude towards public information and consultation according to the European Environmental Noise Directive. However, noise annoyance is also indicative of a stress response to perceived uncontrollable noise exposure. Using cross-sectional data on a sample of elderly citizens (n = 1772), we investigated whether the value residents ascribed to being able to control noise exposure at home moderated the potential indirect effect of road traffic noise on annoyance through perceived noise control. Our results confirmed the presence of such a moderated mediation, which may justify studying the impact of residents’ valuing perceived noise control on participation readiness.
      PubDate: Thu, 26 Jul 2018 00:00:00 GMT
      DOI: 10.1093/eurpub/cky141
      Issue No: Vol. 29, No. 2 (2018)
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