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Publisher: Oxford University Press   (Total: 370 journals)

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Showing 1 - 200 of 370 Journals sorted alphabetically
Acta Biochimica et Biophysica Sinica     Hybrid Journal   (Followers: 6, SJR: 0.881, h-index: 38)
Adaptation     Hybrid Journal   (Followers: 8, SJR: 0.111, h-index: 4)
Aesthetic Surgery J.     Hybrid Journal   (Followers: 6, SJR: 1.538, h-index: 35)
African Affairs     Hybrid Journal   (Followers: 59, SJR: 1.512, h-index: 46)
Age and Ageing     Hybrid Journal   (Followers: 85, SJR: 1.611, h-index: 107)
Alcohol and Alcoholism     Hybrid Journal   (Followers: 17, SJR: 0.935, h-index: 80)
American Entomologist     Full-text available via subscription   (Followers: 6)
American Historical Review     Hybrid Journal   (Followers: 137, SJR: 0.652, h-index: 43)
American J. of Agricultural Economics     Hybrid Journal   (Followers: 40, SJR: 1.441, h-index: 77)
American J. of Epidemiology     Hybrid Journal   (Followers: 170, SJR: 3.047, h-index: 201)
American J. of Hypertension     Hybrid Journal   (Followers: 23, SJR: 1.397, h-index: 111)
American J. of Jurisprudence     Hybrid Journal   (Followers: 17)
American J. of Legal History     Full-text available via subscription   (Followers: 6, SJR: 0.151, h-index: 7)
American Law and Economics Review     Hybrid Journal   (Followers: 25, SJR: 0.824, h-index: 23)
American Literary History     Hybrid Journal   (Followers: 12, SJR: 0.185, h-index: 22)
Analysis     Hybrid Journal   (Followers: 23)
Annals of Botany     Hybrid Journal   (Followers: 36, SJR: 1.912, h-index: 124)
Annals of Occupational Hygiene     Hybrid Journal   (Followers: 28, SJR: 0.837, h-index: 57)
Annals of Oncology     Hybrid Journal   (Followers: 49, SJR: 4.362, h-index: 173)
Annals of the Entomological Society of America     Full-text available via subscription   (Followers: 8, SJR: 0.642, h-index: 53)
Annals of Work Exposures and Health     Hybrid Journal  
AoB Plants     Open Access   (Followers: 4, SJR: 0.78, h-index: 10)
Applied Economic Perspectives and Policy     Hybrid Journal   (Followers: 19, SJR: 0.884, h-index: 31)
Applied Linguistics     Hybrid Journal   (Followers: 51, SJR: 1.749, h-index: 63)
Applied Mathematics Research eXpress     Hybrid Journal   (Followers: 1, SJR: 0.779, h-index: 11)
Arbitration Intl.     Full-text available via subscription   (Followers: 20)
Arbitration Law Reports and Review     Hybrid Journal   (Followers: 13)
Archives of Clinical Neuropsychology     Hybrid Journal   (Followers: 26, SJR: 0.96, h-index: 71)
Aristotelian Society Supplementary Volume     Hybrid Journal   (Followers: 2, SJR: 0.102, h-index: 20)
Arthropod Management Tests     Hybrid Journal   (Followers: 2)
Astronomy & Geophysics     Hybrid Journal   (Followers: 47, SJR: 0.144, h-index: 15)
Behavioral Ecology     Hybrid Journal   (Followers: 50, SJR: 1.698, h-index: 92)
Bioinformatics     Hybrid Journal   (Followers: 310, SJR: 4.643, h-index: 271)
Biology Methods and Protocols     Hybrid Journal  
Biology of Reproduction     Full-text available via subscription   (Followers: 9, SJR: 1.646, h-index: 149)
Biometrika     Hybrid Journal   (Followers: 19, SJR: 2.801, h-index: 90)
BioScience     Hybrid Journal   (Followers: 30, SJR: 2.374, h-index: 154)
Bioscience Horizons : The National Undergraduate Research J.     Open Access   (Followers: 1, SJR: 0.213, h-index: 9)
Biostatistics     Hybrid Journal   (Followers: 16, SJR: 1.955, h-index: 55)
BJA : British J. of Anaesthesia     Hybrid Journal   (Followers: 150, SJR: 2.314, h-index: 133)
BJA Education     Hybrid Journal   (Followers: 64, SJR: 0.272, h-index: 20)
Brain     Hybrid Journal   (Followers: 61, SJR: 6.097, h-index: 264)
Briefings in Bioinformatics     Hybrid Journal   (Followers: 44, SJR: 4.086, h-index: 73)
Briefings in Functional Genomics     Hybrid Journal   (Followers: 4, SJR: 1.771, h-index: 50)
British J. for the Philosophy of Science     Hybrid Journal   (Followers: 34, SJR: 1.267, h-index: 38)
British J. of Aesthetics     Hybrid Journal   (Followers: 26, SJR: 0.217, h-index: 18)
British J. of Criminology     Hybrid Journal   (Followers: 528, SJR: 1.373, h-index: 62)
British J. of Social Work     Hybrid Journal   (Followers: 83, SJR: 0.771, h-index: 53)
British Medical Bulletin     Hybrid Journal   (Followers: 7, SJR: 1.391, h-index: 84)
British Yearbook of Intl. Law     Hybrid Journal   (Followers: 27)
Bulletin of the London Mathematical Society     Hybrid Journal   (Followers: 3, SJR: 1.474, h-index: 31)
Cambridge J. of Economics     Hybrid Journal   (Followers: 58, SJR: 0.957, h-index: 59)
Cambridge J. of Regions, Economy and Society     Hybrid Journal   (Followers: 11, SJR: 1.067, h-index: 22)
Cambridge Quarterly     Hybrid Journal   (Followers: 11, SJR: 0.1, h-index: 7)
Capital Markets Law J.     Hybrid Journal   (Followers: 1)
Carcinogenesis     Hybrid Journal   (Followers: 2, SJR: 2.439, h-index: 167)
Cardiovascular Research     Hybrid Journal   (Followers: 12, SJR: 2.897, h-index: 175)
Cerebral Cortex     Hybrid Journal   (Followers: 41, SJR: 4.827, h-index: 192)
CESifo Economic Studies     Hybrid Journal   (Followers: 16, SJR: 0.501, h-index: 19)
Chemical Senses     Hybrid Journal   (Followers: 1, SJR: 1.436, h-index: 76)
Children and Schools     Hybrid Journal   (Followers: 6, SJR: 0.211, h-index: 18)
Chinese J. of Comparative Law     Hybrid Journal   (Followers: 3)
Chinese J. of Intl. Law     Hybrid Journal   (Followers: 21, SJR: 0.737, h-index: 11)
Chinese J. of Intl. Politics     Hybrid Journal   (Followers: 9, SJR: 1.238, h-index: 15)
Christian Bioethics: Non-Ecumenical Studies in Medical Morality     Hybrid Journal   (Followers: 11, SJR: 0.191, h-index: 8)
Classical Receptions J.     Hybrid Journal   (Followers: 24, SJR: 0.1, h-index: 3)
Clinical Infectious Diseases     Hybrid Journal   (Followers: 59, SJR: 4.742, h-index: 261)
Clinical Kidney J.     Open Access   (Followers: 4, SJR: 0.338, h-index: 19)
Community Development J.     Hybrid Journal   (Followers: 24, SJR: 0.47, h-index: 28)
Computer J.     Hybrid Journal   (Followers: 7, SJR: 0.371, h-index: 47)
Conservation Physiology     Open Access   (Followers: 2)
Contemporary Women's Writing     Hybrid Journal   (Followers: 11, SJR: 0.111, h-index: 3)
Contributions to Political Economy     Hybrid Journal   (Followers: 5, SJR: 0.313, h-index: 10)
Critical Values     Full-text available via subscription  
Current Legal Problems     Hybrid Journal   (Followers: 26)
Current Zoology     Full-text available via subscription   (SJR: 0.999, h-index: 20)
Database : The J. of Biological Databases and Curation     Open Access   (Followers: 11, SJR: 1.068, h-index: 24)
Digital Scholarship in the Humanities     Hybrid Journal   (Followers: 12)
Diplomatic History     Hybrid Journal   (Followers: 19, SJR: 0.296, h-index: 22)
DNA Research     Open Access   (Followers: 4, SJR: 2.42, h-index: 77)
Dynamics and Statistics of the Climate System     Open Access   (Followers: 3)
Early Music     Hybrid Journal   (Followers: 15, SJR: 0.124, h-index: 11)
Economic Policy     Hybrid Journal   (Followers: 63, SJR: 2.052, h-index: 52)
ELT J.     Hybrid Journal   (Followers: 25, SJR: 1.26, h-index: 23)
English Historical Review     Hybrid Journal   (Followers: 51, SJR: 0.311, h-index: 10)
English: J. of the English Association     Hybrid Journal   (Followers: 13, SJR: 0.144, h-index: 3)
Environmental Entomology     Full-text available via subscription   (Followers: 11, SJR: 0.791, h-index: 66)
Environmental Epigenetics     Open Access   (Followers: 1)
Environmental History     Hybrid Journal   (Followers: 26, SJR: 0.197, h-index: 25)
EP-Europace     Hybrid Journal   (Followers: 2, SJR: 2.201, h-index: 71)
Epidemiologic Reviews     Hybrid Journal   (Followers: 10, SJR: 3.917, h-index: 81)
ESHRE Monographs     Hybrid Journal  
Essays in Criticism     Hybrid Journal   (Followers: 16, SJR: 0.1, h-index: 6)
European Heart J.     Hybrid Journal   (Followers: 49, SJR: 6.997, h-index: 227)
European Heart J. - Cardiovascular Imaging     Hybrid Journal   (Followers: 8, SJR: 2.044, h-index: 58)
European Heart J. - Cardiovascular Pharmacotherapy     Full-text available via subscription   (Followers: 1)
European Heart J. - Quality of Care and Clinical Outcomes     Hybrid Journal  
European Heart J. Supplements     Hybrid Journal   (Followers: 7, SJR: 0.152, h-index: 31)
European J. of Cardio-Thoracic Surgery     Hybrid Journal   (Followers: 8, SJR: 1.568, h-index: 104)
European J. of Intl. Law     Hybrid Journal   (Followers: 159, SJR: 0.722, h-index: 38)
European J. of Orthodontics     Hybrid Journal   (Followers: 4, SJR: 1.09, h-index: 60)
European J. of Public Health     Hybrid Journal   (Followers: 22, SJR: 1.284, h-index: 64)
European Review of Agricultural Economics     Hybrid Journal   (Followers: 11, SJR: 1.549, h-index: 42)
European Review of Economic History     Hybrid Journal   (Followers: 28, SJR: 0.628, h-index: 24)
European Sociological Review     Hybrid Journal   (Followers: 41, SJR: 2.061, h-index: 53)
Evolution, Medicine, and Public Health     Open Access   (Followers: 11)
Family Practice     Hybrid Journal   (Followers: 11, SJR: 1.048, h-index: 77)
Fems Microbiology Ecology     Hybrid Journal   (Followers: 9, SJR: 1.687, h-index: 115)
Fems Microbiology Letters     Hybrid Journal   (Followers: 20, SJR: 1.126, h-index: 118)
Fems Microbiology Reviews     Hybrid Journal   (Followers: 25, SJR: 7.587, h-index: 150)
Fems Yeast Research     Hybrid Journal   (Followers: 13, SJR: 1.213, h-index: 66)
Foreign Policy Analysis     Hybrid Journal   (Followers: 22, SJR: 0.859, h-index: 10)
Forestry: An Intl. J. of Forest Research     Hybrid Journal   (Followers: 16, SJR: 0.903, h-index: 44)
Forum for Modern Language Studies     Hybrid Journal   (Followers: 6, SJR: 0.108, h-index: 6)
French History     Hybrid Journal   (Followers: 32, SJR: 0.123, h-index: 10)
French Studies     Hybrid Journal   (Followers: 20, SJR: 0.119, h-index: 7)
French Studies Bulletin     Hybrid Journal   (Followers: 10, SJR: 0.102, h-index: 3)
Gastroenterology Report     Open Access   (Followers: 2)
Genome Biology and Evolution     Open Access   (Followers: 10, SJR: 3.22, h-index: 39)
Geophysical J. Intl.     Hybrid Journal   (Followers: 34, SJR: 1.839, h-index: 119)
German History     Hybrid Journal   (Followers: 25, SJR: 0.437, h-index: 13)
GigaScience     Open Access   (Followers: 3)
Global Summitry     Hybrid Journal  
Glycobiology     Hybrid Journal   (Followers: 14, SJR: 1.692, h-index: 101)
Health and Social Work     Hybrid Journal   (Followers: 49, SJR: 0.505, h-index: 40)
Health Education Research     Hybrid Journal   (Followers: 12, SJR: 0.814, h-index: 80)
Health Policy and Planning     Hybrid Journal   (Followers: 20, SJR: 1.628, h-index: 66)
Health Promotion Intl.     Hybrid Journal   (Followers: 21, SJR: 0.664, h-index: 60)
History Workshop J.     Hybrid Journal   (Followers: 27, SJR: 0.313, h-index: 20)
Holocaust and Genocide Studies     Hybrid Journal   (Followers: 24, SJR: 0.115, h-index: 13)
Human Molecular Genetics     Hybrid Journal   (Followers: 9, SJR: 4.288, h-index: 233)
Human Reproduction     Hybrid Journal   (Followers: 79, SJR: 2.271, h-index: 179)
Human Reproduction Update     Hybrid Journal   (Followers: 17, SJR: 4.678, h-index: 128)
Human Rights Law Review     Hybrid Journal   (Followers: 60, SJR: 0.7, h-index: 21)
ICES J. of Marine Science: J. du Conseil     Hybrid Journal   (Followers: 53, SJR: 1.233, h-index: 88)
ICSID Review     Hybrid Journal   (Followers: 10)
ILAR J.     Hybrid Journal   (Followers: 1, SJR: 1.099, h-index: 51)
IMA J. of Applied Mathematics     Hybrid Journal   (SJR: 0.329, h-index: 26)
IMA J. of Management Mathematics     Hybrid Journal   (Followers: 2, SJR: 0.351, h-index: 20)
IMA J. of Mathematical Control and Information     Hybrid Journal   (Followers: 2, SJR: 0.661, h-index: 28)
IMA J. of Numerical Analysis - advance access     Hybrid Journal   (SJR: 2.032, h-index: 44)
Industrial and Corporate Change     Hybrid Journal   (Followers: 8, SJR: 1.37, h-index: 81)
Industrial Law J.     Hybrid Journal   (Followers: 30, SJR: 0.184, h-index: 15)
Information and Inference     Free  
Integrative and Comparative Biology     Hybrid Journal   (Followers: 8, SJR: 1.911, h-index: 90)
Interacting with Computers     Hybrid Journal   (Followers: 10, SJR: 0.529, h-index: 59)
Interactive CardioVascular and Thoracic Surgery     Hybrid Journal   (Followers: 5, SJR: 0.743, h-index: 35)
Intl. Affairs     Hybrid Journal   (Followers: 52, SJR: 1.264, h-index: 53)
Intl. Data Privacy Law     Hybrid Journal   (Followers: 28)
Intl. Health     Hybrid Journal   (Followers: 5, SJR: 0.835, h-index: 15)
Intl. Immunology     Hybrid Journal   (Followers: 3, SJR: 1.613, h-index: 111)
Intl. J. for Quality in Health Care     Hybrid Journal   (Followers: 33, SJR: 1.593, h-index: 69)
Intl. J. of Constitutional Law     Hybrid Journal   (Followers: 60, SJR: 0.613, h-index: 19)
Intl. J. of Epidemiology     Hybrid Journal   (Followers: 147, SJR: 4.381, h-index: 145)
Intl. J. of Law and Information Technology     Hybrid Journal   (Followers: 4, SJR: 0.247, h-index: 8)
Intl. J. of Law, Policy and the Family     Hybrid Journal   (Followers: 29, SJR: 0.307, h-index: 15)
Intl. J. of Lexicography     Hybrid Journal   (Followers: 8, SJR: 0.404, h-index: 18)
Intl. J. of Low-Carbon Technologies     Open Access   (Followers: 1, SJR: 0.457, h-index: 12)
Intl. J. of Neuropsychopharmacology     Open Access   (Followers: 3, SJR: 1.69, h-index: 79)
Intl. J. of Public Opinion Research     Hybrid Journal   (Followers: 9, SJR: 0.906, h-index: 33)
Intl. J. of Refugee Law     Hybrid Journal   (Followers: 33, SJR: 0.231, h-index: 21)
Intl. J. of Transitional Justice     Hybrid Journal   (Followers: 13, SJR: 0.833, h-index: 12)
Intl. Mathematics Research Notices     Hybrid Journal   (Followers: 1, SJR: 2.052, h-index: 42)
Intl. Political Sociology     Hybrid Journal   (Followers: 31, SJR: 1.339, h-index: 19)
Intl. Relations of the Asia-Pacific     Hybrid Journal   (Followers: 18, SJR: 0.539, h-index: 17)
Intl. Studies Perspectives     Hybrid Journal   (Followers: 7, SJR: 0.998, h-index: 28)
Intl. Studies Quarterly     Hybrid Journal   (Followers: 39, SJR: 2.184, h-index: 68)
Intl. Studies Review     Hybrid Journal   (Followers: 18, SJR: 0.783, h-index: 38)
ISLE: Interdisciplinary Studies in Literature and Environment     Hybrid Journal   (Followers: 1, SJR: 0.155, h-index: 4)
ITNOW     Hybrid Journal   (Followers: 2, SJR: 0.102, h-index: 4)
J. of African Economies     Hybrid Journal   (Followers: 15, SJR: 0.647, h-index: 30)
J. of American History     Hybrid Journal   (Followers: 43, SJR: 0.286, h-index: 34)
J. of Analytical Toxicology     Hybrid Journal   (Followers: 13, SJR: 1.038, h-index: 60)
J. of Antimicrobial Chemotherapy     Hybrid Journal   (Followers: 13, SJR: 2.157, h-index: 149)
J. of Antitrust Enforcement     Hybrid Journal   (Followers: 1)
J. of Applied Poultry Research     Hybrid Journal   (Followers: 3, SJR: 0.563, h-index: 43)
J. of Biochemistry     Hybrid Journal   (Followers: 43, SJR: 1.341, h-index: 96)
J. of Chromatographic Science     Hybrid Journal   (Followers: 16, SJR: 0.448, h-index: 42)
J. of Church and State     Hybrid Journal   (Followers: 11, SJR: 0.167, h-index: 11)
J. of Competition Law and Economics     Hybrid Journal   (Followers: 35, SJR: 0.442, h-index: 16)
J. of Complex Networks     Hybrid Journal   (Followers: 1, SJR: 1.165, h-index: 5)
J. of Conflict and Security Law     Hybrid Journal   (Followers: 13, SJR: 0.196, h-index: 15)
J. of Consumer Research     Full-text available via subscription   (Followers: 43, SJR: 4.896, h-index: 121)
J. of Crohn's and Colitis     Hybrid Journal   (Followers: 10, SJR: 1.543, h-index: 37)
J. of Cybersecurity     Hybrid Journal   (Followers: 3)
J. of Deaf Studies and Deaf Education     Hybrid Journal   (Followers: 9, SJR: 0.69, h-index: 36)
J. of Design History     Hybrid Journal   (Followers: 16, SJR: 0.166, h-index: 14)
J. of Economic Entomology     Full-text available via subscription   (Followers: 6, SJR: 0.894, h-index: 76)
J. of Economic Geography     Hybrid Journal   (Followers: 39, SJR: 2.909, h-index: 69)
J. of Environmental Law     Hybrid Journal   (Followers: 23, SJR: 0.457, h-index: 20)
J. of European Competition Law & Practice     Hybrid Journal   (Followers: 19)
J. of Experimental Botany     Hybrid Journal   (Followers: 14, SJR: 2.798, h-index: 163)
J. of Financial Econometrics     Hybrid Journal   (Followers: 23, SJR: 1.314, h-index: 27)
J. of Global Security Studies     Hybrid Journal   (Followers: 3)
J. of Heredity     Hybrid Journal   (Followers: 4, SJR: 1.024, h-index: 76)
J. of Hindu Studies     Hybrid Journal   (Followers: 7, SJR: 0.186, h-index: 3)
J. of Hip Preservation Surgery     Open Access  
J. of Human Rights Practice     Hybrid Journal   (Followers: 20, SJR: 0.399, h-index: 10)
J. of Infectious Diseases     Hybrid Journal   (Followers: 39, SJR: 4, h-index: 209)
J. of Insect Science     Open Access   (Followers: 8, SJR: 0.388, h-index: 31)

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Journal Cover European Journal of Public Health
  [SJR: 1.284]   [H-I: 64]   [22 followers]  Follow
    
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Print) 1101-1262 - ISSN (Online) 1464-360X
   Published by Oxford University Press Homepage  [370 journals]
  • Resilience and 21st century public health
    • Authors: Ziglio E; Azzopardi-Muscat N, Briguglio L.
      Pages: 789 - 790
      Abstract: The concept of ‘resilience’ is recently being increasingly used in academia, professional bodies, business, human rights and civil society organizations and in a wide-range of policy sectors. Its use in the field of public health has long been part and parcel of preventive policies designed to promote a long-term, holistic and socio-economic developmental approach to individual, community health and wellbeing. With today’s protracted economic crisis, it is more vital than ever to be clear about its particular significance if we are to foster lasting and meaningful action to strengthen resilience to improve health and well-being.
      PubDate: 2017-09-22
      DOI: 10.1093/eurpub/ckx116
      Issue No: Vol. 27, No. 5 (2017)
       
  • Healthy diets and a healthy planet
    • Authors: Birt CA.
      Pages: 790 - 791
      Abstract: What we eat has always been a central component of culture, wherever in the world we live. Since time immemorial humans have eaten diets based on what was consumed locally, and, whatever they consisted of, diets generally were seen as ‘healthy’ and ‘wholesome’.1 Not until the twentieth century were scientific diet research institutes established, but these were little noticed by other scientists until John Boyd Orr, the first Director of Aberdeen’s Rowett Research Institute (later Lord Boyd Orr, the first Director General of the UN Food and Agriculture Organisation), published in 1936 his considerable study of the appalling levels of malnutrition among the British people, regardless of economic status;2 it was on the basis of this that the wartime coalition government invited Boyd Orr to design a scientifically based diet with the aim of keeping the UK population healthy during the Second World War.
      PubDate: 2017-09-22
      DOI: 10.1093/eurpub/ckx102
      Issue No: Vol. 27, No. 5 (2017)
       
  • What is the future of Public Health Policy within the European Union'
    • Authors: Azzopardi-Muscat N; Czabanowska K, Tamsma N, et al.
      Pages: 792 - 793
      Abstract: The future of Public Health Policy within the European Union (EU) institutions is currently attracting considerable debate. Since achieving a mandate for public health under the Maastricht Treaty in 1993, the EU has been responsible for implementing important public health policies, for example in the area of tobacco control. Much more however remains to be achieved.1 As the commercial and political determinants of health become increasingly shaped at supra-national levels, there is a clear and pressing need and role for an EU that is actively and visibly at the forefront promoting improvement for the health of European citizens. The EU has a vital role to play in enabling and supporting all Member States to reach the targets set by the Sustainable Development Goals—the vast majority of which will improve health—and assisting other countries with Sustainable Development Goal implementation. The goals are interconnected and provide strong support for health in all policies, also at EU level: the European Commission is commitment to mainstream them into their own priorities.
      PubDate: 2017-09-22
      DOI: 10.1093/eurpub/ckx115
      Issue No: Vol. 27, No. 5 (2017)
       
  • Fatal flaws in recent analysis on the risk of premature death following
           teenage abortion and childbirth
    • Authors: Biggs M; Roberts SM.
      Pages: 794 - 794
      Abstract: We commend Jalanko et al.1 for taking advantage of Finnish registry data to answer important policy-relevant questions. However, a fatal flaw in their analysis calls into question the validity of its findings Furthermore, their results conflict with every rigorous study and review examining the effects of abortion on women’s mental health outcomes, including suicidal behaviors and alcohol-related problems.2 It is critical that studies comparing the mental health outcomes of women following abortion and childbirth to never-pregnant women account for selection into these groups, particularly women’s pre-pregnancy mental and physical health and substance use. Women who have abortions have a higher incidence of pre-pregnancy mental health conditions than women without a history of abortion2,3 and the reasons women seek abortion– financial, the desire to end an abusive relationship, and heavy alcohol and drug use4—can affect women’s mental health post-abortion. However, Jalanko et al.1 failed to control for these pre-disposing factors. The higher rates of pre-pregnancy psychiatric illness and substance use disorders among the teenagers who became pregnant,5 likely explains the incongruity of their findings with the latest evidence. Without controls for these factors, it is not possible to attribute the outcomes to the abortion or pregnancy. Given that these are registry data, the authors likely had access to women’s pre-pregnancy mental health and substance use history, and thus should have accounted for these variables. Not including controls for these factors raises serious questions about the legitimacy of the study findings.
      PubDate: 2017-09-22
      DOI: 10.1093/eurpub/ckx101
      Issue No: Vol. 27, No. 5 (2017)
       
  • In reply to the Letter to the Editor
    • Authors: Jalanko E; Leppälahti S, Heikinheimo O, et al.
      Pages: 794 - 795
      Abstract: We wish to thank Drs Biggs and Roberts for their interest in our work. We do not, however, agree that our study contradicts earlier literature, but rather adds to current knowledge. Research on teenage girls who undergo abortion is extremely sparse. Therefore, understanding of the hardships these girls may face before and after pregnancy is far from complete. As earlier, high-quality research shows, abortion itself does not seem to lead to mental health problems or other challenges in later life.3,4
      PubDate: 2017-09-22
      DOI: 10.1093/eurpub/ckx118
      Issue No: Vol. 27, No. 5 (2017)
       
  • Assessment of informal caregiver’s needs by self-administered
           instruments: a literature review
    • Authors: Lefranc A; Pérol D, Plantier M, et al.
      Pages: 796 - 801
      Abstract: AbstractBackgroundClinicians, researchers and politicians are seeking to better assess caregiver’s needs. Challenges exist in broadly implementing this so as to provide appropriate support. The aim of this review was to compile self-administered instruments for assessment of caregiver’s needs that are deemed to be scientifically robust.MethodsThe Medline database was searched for publications reporting self-administered instruments assessing caregiver’s needs with acceptable psychometric properties. These instruments were analyzed in terms of the development context, target population, concept, purpose, structure, content and psychometric properties. The dimensions of the needs were listed and categorized.ResultsA total of nine self-administered instruments were analyzed. They averaged 32 items, they were specifically developed for a targeted subpopulation of caregivers and dedicated to epidemiological research. Response devices were based on Likert scales. The main dimensions of the needs identified were ‘Health and Care’, ‘Psychological – Emotional Support’, ‘Information—Knowledge’, ‘Social Life—Work—Finance’. None was specifically geared toward caregivers for the elderly, children or teenagers. In the absence of transcultural validation, no instrument was directly usable in Europe.ConclusionsAssessing caregivers’ needs is a key part in providing caregivers with appropriate support. The development of self-administered instruments constitutes a complex field that is still underexplored at the international level; strict specifications with psychometric validation are essential. To be efficient, the instrument should be integrated in a larger process including: upstream, recognition, identification and assessment of the overall situation of the caregiver; and downstream, guidance, establishment and follow-up of a suitable action plan.
      PubDate: 2017-07-16
      DOI: 10.1093/eurpub/ckx103
      Issue No: Vol. 27, No. 5 (2017)
       
  • Do hospital characteristics influence Cesarean delivery' Analysis of
           National Health Insurance claim data
    • Authors: Han K; Kim S, Ju Y, et al.
      Pages: 801 - 807
      Abstract: AbstractBackgroundThe rates of Cesarean delivery in South Korea are high among the Organization for Economic Cooperation and Development countries. We analyzed the relationship between hospital characteristics, in particular hospital volume and market competition and Cesarean delivery.MethodsWe used data from National Health Insurance claims (n = 53 591) at 51 hospitals to analyze the relationship between hospital characteristics and Cesarean delivery between 2010 and 2013. We performed logistic regression analysis using generalized estimating equations models that included both inpatient and hospital variables to examine factors associated with Cesarean deliveryResultsAmong 53 591 hospitalization cases, 14 425 (26.9%) patients underwent Cesarean delivery. Hospital volumes for deliveries were inversely associated with Cesarean delivery (per increases 100 deliveries = OR 0.896, 95% CI 0.887–0.905). Market competition had inverse relationship with Cesarean delivery (per increase in 10 Hirschmann–Herfindal index points; OR 0.982, 95% CI 0.979–0.985).ConclusionsOur findings suggest that hospital characteristics affect Cesarean delivery. These situations might be caused by maintaining profit with regard to survival or competition, and protecting themselves against unexpected delivery risks. Therefore, based on our findings, health policy makers must make an effort to implement effective strategies for the optimal management of excessive Cesarean rates in South Korea.
      PubDate: 2017-05-07
      DOI: 10.1093/eurpub/ckx061
      Issue No: Vol. 27, No. 5 (2017)
       
  • Do perceived barriers to clinical presentation affect anticipated time to
           presenting with cancer symptoms: an ICBP study
    • Authors: Donnelly C; Quaife S, Forbes L, et al.
      Pages: 808 - 813
      Abstract: AbstractBackgroundCancer survival in the UK and Denmark are lower when compared with similar countries with late diagnosis a possible cause. We aimed to study the relationship between barriers to attending a primary care physician (GP) and anticipated time to help seeking (ATHS) with four cancer symptoms in six countries.MethodsA population-based survey measuring cancer awareness and beliefs conducted within the International Cancer Benchmarking Partnership in Australia, Canada, Denmark, Norway, Sweden and UK. Data were collected on perceived barriers to GP consultation (including embarrassment, worry about wasting the doctors’ time, fear about what the doctor might find and being too busy) and ATHS for persistent cough, abdominal swelling, rectal bleeding and breast changes. Relationships between perceived barriers and ATHS were investigated using multivariable analysis.ResultsAmong 19 079 respondents, higher perceived barrier scores were associated with longer ATHS intervals for all symptoms studied (P < 0.01) responders with the highest barrier scores (>10.84) had between two and three times the odds of longer ATHS. ATHS was low in Australia for all symptoms and highest in Denmark for abdominal bloating.ConclusionsPerceived barriers to help-seeking have a role in delaying GP presentation. Early diagnosis campaigns should address emotional and practical barriers that reduce early presentation with potential cancer symptoms.
      PubDate: 2017-06-30
      DOI: 10.1093/eurpub/ckx064
      Issue No: Vol. 27, No. 5 (2017)
       
  • Admissions to inpatient care facilities in the last year of life of
           community-dwelling older people in Europe
    • Authors: Overbeek A; Van den Block L, Korfage IJ, et al.
      Pages: 814 - 821
      Abstract: AbstractBackgroundIn the last year of life, many older people rather avoid admissions to inpatient care facilities. We describe and compare such admissions in the last year of life of 5092 community-dwelling older people in 15 European countries (+Israel).MethodsProxy-respondents of the older people, who participated in the longitudinal SHARE study, reported on admissions to inpatient care facilities (hospital, nursing home or hospice) during the last year of their life. Multivariable regression analyses assessed associations between hospitalizations and personal/contextual characteristics.ResultsThe proportion of people who had been admitted at least once to an inpatient care facility in the last year of life ranged from 54% (France) to 76% (Austria, Israel, Slovenia). Admissions mostly concerned hospitalizations. Multivariable analyses showed that especially Austrians, Israelis and Poles had higher chances of being hospitalized. Further, hospitalizations were more likely for those being ill for 6 months or more (OR:1.67, CI:1.39–2.01), and less likely for persons aged 80+ (OR:0.54, CI:0.39–0.74; compared with 48–65 years), females (OR:0.74, CI:0.63–0.89) and those dying of cardiovascular diseases (OR:0.66, CI:0.51–0.86; compared with those dying of cancer).ConclusionsAlthough healthcare policies increasingly stress the importance that people reside at home as long as possible, admissions to inpatient care facilities in the last year of life are relatively common across all countries. Furthermore, we found a striking variation concerning the proportion of admissions across countries which cannot only be explained by patient needs. It suggests that such admissions are at least partly driven by system-level or cultural factors.
      PubDate: 2017-07-28
      DOI: 10.1093/eurpub/ckx105
      Issue No: Vol. 27, No. 5 (2017)
       
  • Effects of home-visit nursing services on hospitalization in the elderly
           with pressure ulcers: a longitudinal study
    • Authors: Lee H; Ju Y, Park E, et al.
      Pages: 822 - 826
      Abstract: AbstractBackgroundThe risk of pressure ulcers in beneficiaries of long-term care insurance is expected to increase in South Korea’s aging society. However, those who stay at home may not be managed appropriately with regard to pressure ulcer development. Here, we examined the relationship between home-visit nursing services and hospitalization related to pressure ulcers among beneficiaries with pressure ulcers in home-care settings.MethodsWe analyzed National Aging Cohort data from 2008 to 2013. The study population was defined as those who required nursing care for pressure ulcers and received home-care services at least once under long-term care insurance. Logistic regression analysis using generalized estimating equation models was performed to examine the association between home-visit nursing services and hospitalization related to pressure ulcers.ResultsAmong 4,807 beneficiaries with pressure ulcers, 859 (17.9%) were admitted to hospitals during the study period. The use of home-visit nursing services was associated significantly with a lower risk of hospitalization (odds ratio = 0.68, 95% confidence interval = 0.49–0.93; reference, no use). This association was especially strong in beneficiaries with mildly impaired mobility and cognitive function.ConclusionsGiven the protective role of home-visit nursing services in the management of long-term care insurance beneficiaries with pressure ulcers who stay at home, healthcare professionals need to consider effective strategies for the activation of home-visit nursing services in South Korea.
      PubDate: 2017-07-19
      DOI: 10.1093/eurpub/ckx110
      Issue No: Vol. 27, No. 5 (2017)
       
  • Lower fragmentation of coordination in primary care is associated with
           lower prescribing drug costs—lessons from chronic illness care in
           Hungary
    • Authors: Lublóy Á; Keresztúri J, Benedek G.
      Pages: 826 - 829
      Abstract: AbstractImproving patient care coordination is critical for achieving better health outcome measures at reduced cost. However, assessing the results of patient care coordination at system level is lacking. In this report, based on administrative healthcare data, a provider-level care coordination measure is developed to assess the function of primary care at system level. In a sample of 31 070 patients with diabetes we find that the type of collaborative relationship general practitioners build up with specialists is associated with prescription drug costs. Regulating access to secondary care might result in cost savings through improved care coordination.
      PubDate: 2017-07-09
      DOI: 10.1093/eurpub/ckx096
      Issue No: Vol. 27, No. 5 (2017)
       
  • Parental break-ups and stress: roles of age & family structure in 44
           509 pre-adolescent children
    • Authors: Dissing AS; Dich N, Andersen A, et al.
      Pages: 829 - 834
      Abstract: AbstractBackgroundParental break-up is wide spread, and the effects of parental break-up on children’s well-being are known. The evidence regarding child age at break-up and subsequent family arrangements is inconclusive. Aim: to estimate the effects of parental break-up on stress in pre-adolescent children with a specific focus on age at break-up and post-breakup family arrangements.MethodsWe used data from the Danish National Birth Cohort. Participants included 44 509 children followed from birth to age 11. Stress was self-reported by children at age 11, when the children also reported on parental break-up and post break-up family arrangements.ResultsTwenty-one percent of the children had experienced a parental break-up at age 11, and those who had experienced parental break-up showed a higher risk of stress (OR:1.72, 95%CI:1.55;1.91) regardless of the child’s age at break-up. Children living in a new family with stepparents (OR = 1.63, 95%CI:1.38;1.92), or shared between the parents (OR = 1.48, 95%CI:1.26;1.75) reported higher stress than children of intact families. Single parent families reported markedly higher stress levels than children in intact families (OR = 2.18, 95%CI:1.90;2.50) and all other family types. Children who were satisfied with their living arrangements post-break-up reported the same stress level as children living in intact families (OR = 1.01, 95%CI:0.86;1.18).ConclusionChildren who experience parental break-up have higher stress levels, also many years after the break-up, and those living in a single parent household post break-up seem to be most vulnerable. Living arrangements post-breakup should be further investigated as a potential protective factor.
      PubDate: 2017-04-25
      DOI: 10.1093/eurpub/ckx040
      Issue No: Vol. 27, No. 5 (2017)
       
  • Trends in the sexual behaviour of 15-year olds in Scotland: 2002–14
    • Authors: Neville FG; McEachran J, Aleman-Diaz A, et al.
      Pages: 835 - 839
      Abstract: AbstractBackgroundEarly sexual initiation and inadequate contraceptive use can place adolescents at increased risk of unplanned pregnancy and sexually transmitted infections. These behaviours are patterned by gender and may be linked to social inequalities. This paper examines trends in sexual initiation and contraceptive use by gender and family affluence for Scottish adolescents.MethodsCross-sectional data from four nationally representative survey cycles (2002, 2004, 2010, 2014) (n = 8895) (mean age = 15.57) were analysed. Logistic regressions examined the impact of survey year on sexual initiation, condom use and birth control pill (BCP) use at last sex; as well as any changes over time in association between family affluence and the three sexual behaviours. Analyses were stratified by gender.ResultsBetween 2002 and 2014, adolescent males and females became less likely to report having had sex. Low family affluence females were more likely to have had sex than high family affluence females, and this relationship did not change over time. Condom use at last sex was reported less by males since 2002, and by females since 2006. Low family affluence males and females were less likely to use condoms than high family affluence participants, and these relationships did not change over time. There were no effects of time or family affluence for BCP use.ConclusionThere has been a reduction in the proportion of 15-year olds in Scotland who have ever had sex, but also a decrease in condom use for this group. Economic inequalities persist for sexual initiation and condom use.
      PubDate: 2017-04-11
      DOI: 10.1093/eurpub/ckx049
      Issue No: Vol. 27, No. 5 (2017)
       
  • Emotional and behavioural problems in young children with divorced parents
    • Authors: Theunissen MC; Klein Velderman M, Cloostermans AG, et al.
      Pages: 840 - 845
      Abstract: AbstractBackgroundThis study examines the link between divorce or separation and emotional and behavioural problems (EBP) in children aged 2–4 years.MethodsWe obtained cross-sectional data for a nationally representative Dutch sample of children aged 2–4 years within the setting of the national system of routine visits to well-child clinics. A total of 2600 children participated (response rate: 70%). Before the visit, parents completed the Child Behaviour Checklist and a questionnaire with questions about divorce or separation. We assessed the associations of children’s EBP with a divorce either in the previous year or at any time in the past after adjustment for other child and family factors.ResultsFour percent of the children had parents who had divorced before the child reached the age of 2–4 years, and 3.4% of these parents had divorced in the previous year. EBP (and particularly behavioural problems) were more likely in children aged 2–4 years old in cases of lifetime divorce or separation. This association was weaker after adjustment for relevant child and family characteristics: it may be partly due to confounding factors such as paternal education level, ethnicity and family size. A divorce in the previous year was not linked to child EBP.ConclusionsThese findings show the importance of identifying care needs and providing care for pre-school children whose parents have divorced since they suggest that there may be negative effects in the longer term.
      PubDate: 2017-06-12
      DOI: 10.1093/eurpub/ckx056
      Issue No: Vol. 27, No. 5 (2017)
       
  • Increased risk of premature death following teenage abortion and
           childbirth–a longitudinal cohort study
    • Authors: Jalanko E; Leppälahti S, Heikinheimo O, et al.
      Pages: 845 - 849
      Abstract: AbstractBackgroundTeenage pregnancy is associated with an increased risk of premature death. However, it is not known whether the outcome of pregnancy, i.e. induced abortion or childbirth, affects this risk.MethodsA Finnish population-based register study involving a cohort of 13 691 nulliparous teenagers who conceived in 1987–89; 6652 of them underwent induced abortion and 7039 delivered. The control group consisted of 41 012 coeval women without teenage pregnancy. Follow-up started at the end of pregnancy and lasted until 6th June 2013.ResultsWomen with teenage pregnancy had a higher risk of overall mortality vs. controls (mortality rate ratio [MRR] 1.6, [95% CI 1.4–1.8]) and were more likely to die prematurely as a result of suicide, alcohol-related causes, circulatory diseases and motor vehicle accidents. A low educational level appeared to explain these excess risks, except for suicide (adj. MRR 1.5, [95% CI 1.1–2.0]). After adjusting for confounders, the childbirth group faced lower risks of suicide (adj. MRR 0.5, [95% CI 0.3–0.9]) and dying from injury and poisoning (adj. MRR 0.6, [95% CI 0.4–0.8]) compared with women who had undergone abortion.ConclusionsA low educational level is associated with the increased risk of premature death among women with a history of teenage pregnancy, except for suicide. Extra efforts should be made to encourage pregnant teenagers to continue education, and to provide psychosocial support to teenagers who undergo induced abortion.
      PubDate: 2017-05-16
      DOI: 10.1093/eurpub/ckx065
      Issue No: Vol. 27, No. 5 (2017)
       
  • Maternal smoking during pregnancy and scholastic achievement in childhood:
           evidence from the LIFECOURSE cohort study
    • Authors: Kristjansson AL; Thorisdottir IE, Steingrimsdottir T, et al.
      Pages: 850 - 855
      Abstract: AbstractBackgroundResearch on the impact of maternal smoking during pregnancy (MSDP) on scholastic achievement in the offspring has shown conflicting findings. The objective of this study was to assess the impact of MSDP on scholastic achievement in a birth cohort of children in 4th, 7th and 10th grades.MethodsWe analysed data from the LIFECOURSE study, a cohort study of risk and protective factors in all children born in Reykjavik, Iceland, in the year 2000 (N = 1151, girls = 49.3%). Retrospective registry data for 2014–2015 were merged with prospective survey data that were collected in April 2016. Data on MSDP were assessed during regular antenatal visits at the end of the first trimester. Standardized academic achievement scores were obtained from official school transcripts. Data were analysed using OLS regressions that were entered in three hierarchical blocks.ResultsChildren of mothers who smoked tobacco during the first trimester consistently revealed between 5% and 7% lower scores on standardized academic achievement in 4th, 7th and 10th grade (∼6–8 points on a normally distributed 120 point scale) than those of mothers who had not smoked tobacco during this period (P < 0.05). These findings held after controlling for several factors associated with the time of birth (e.g. birth weight, maternal age at birth, birth order, parental cohabitation and household income), as well as the year of scholastic assessment (parental cohabitation, household income and parental education).ConclusionsMaternal smoking during pregnancy was negatively related to scholastic achievement in the offspring during 4th, 7th and 10th grade.
      PubDate: 2017-05-28
      DOI: 10.1093/eurpub/ckx074
      Issue No: Vol. 27, No. 5 (2017)
       
  • The increase in symptoms of anxiety and depressed mood among Icelandic
           adolescents: time trend between 2006 and 2016
    • Authors: Thorisdottir IE; Asgeirsdottir BB, Sigurvinsdottir R, et al.
      Pages: 856 - 861
      Abstract: AbstractBackgroundBoth research and popular media reports suggest that adolescent mental health has been deteriorating across societies with advanced economies. This study sought to describe the trends in self-reported symptoms of depressed mood and anxiety among Icelandic adolescents.MethodsData for this study come from repeated, cross-sectional, population-based school surveys of 43 482 Icelandic adolescents in 9th and 10th grade, with six waves of pooled data from 2006 to 2016. We used analysis of variance, linear regression and binomial logistic regression to examine trends in symptom scores of anxiety and depressed mood over time. Gender differences in trends of high symptoms were also tested for interactions.ResultsLinear regression analysis showed a significant linear increase over the course of the study period in mean symptoms of anxiety and depressed mood for girls only; however, symptoms of anxiety among boys decreased. The proportion of adolescents reporting high depressive symptoms increased by 1.6% for boys and 6.8% for girls; the proportion of those reporting high anxiety symptoms increased by 1.3% for boys and 8.6% for girls. Over the study period, the odds for reporting high depressive symptoms and high anxiety symptoms were significantly higher for both genders. Girls were more likely to report high symptoms of anxiety and depressed mood than boys.ConclusionsSelf-reported symptoms of anxiety and depressed mood have increased over time among Icelandic adolescents. Our findings suggest that future research needs to look beyond mean changes and examine the trends among those adolescents who report high symptoms of emotional distress.
      PubDate: 2017-07-27
      DOI: 10.1093/eurpub/ckx111
      Issue No: Vol. 27, No. 5 (2017)
       
  • Avoidable hospitalization among migrants and ethnic minority groups: a
           systematic review
    • Authors: Dalla Zuanna T; Spadea T, Milana M, et al.
      Pages: 861 - 868
      Abstract: AbstractBackgroundThe numbers of migrants living in Europe are growing rapidly, and has become essential to assess their access to primary health care (PHC). Avoidable Hospitalization (AH) rates can reflect differences across migrant and ethnic minority groups in the performance of PHC. We aimed to conduct a systematic review of all published studies on AH comparing separately migrants with natives or different racial/ethnic groups, in Europe and elsewhere.MethodsWe ran a systematic search for original articles indexed in primary electronic databases on AH among migrants or ethnic minorities. Studies presenting AH rates and/or rate ratios between at least two different ethnic minority groups or between migrants and natives were included.ResultsOf the 35 papers considered in the review, 28 (80%) were conducted in the United States, 4 in New Zealand, 2 in Australia, 1 in Singapore, and none in Europe. Most of the studies (91%) used a cross-sectional design. The exposure variable was defined in almost all articles by ethnicity, race, or a combination of the two; country of birth was only used in one Australian study. Most of the studies found significant differences in overall AH rates, with minorities (mainly Black and Hispanics) showing higher rates than non-Hispanic Whites.ConclusionsAH has been used, mostly in the US, to compare different racial/ethnic groups, while it has never been used in Europe to assess migrants’ access to PHC. Studies comparing AH rates between migrants and natives in European settings can be helpful in filling this lack of evidence.
      PubDate: 2017-09-22
      DOI: 10.1093/eurpub/ckx113
      Issue No: Vol. 27, No. 5 (2017)
       
  • Restricted health care entitlements for child migrants in Europe and
           Australia
    • Authors: Stubbe Østergaard L; Norredam M, Mock-Munoz de Luna C, et al.
      Pages: 869 - 873
      Abstract: AbstractBackgroundMore than 300 000 asylum seeking children were registered in Europe alone during 2015. In this study, we examined entitlements for health care for these and other migrant children in Europe and Australia in a framework based on United Nations Convention of the Rights of the Child (UNCRC).MethodsSurvey to child health professionals, NGO’s and European Ombudspersons for Children in 30 EU/EEA countries and Australia, supplemented by desktop research of official documents. Migrant children were categorised as asylum seekers and irregular/undocumented migrants.ResultsFive countries (France, Italy, Norway, Portugal and Spain) explicitly entitle all migrant children, irrespective of legal status, to receive equal health care to that of its nationals. Sweden and Belgium entitle equal care to asylum seekers and irregular non-EU migrants, while entitlements for EU migrants are unclear. Twelve European countries have limited entitlements to health care for asylum seeking children, including Germany that stands out as the country with the most restrictive health care policy for migrant children. In Australia entitlements for health care are restricted for asylum seeking children in detention and for irregular migrants. The needs of irregular migrants from other EU countries are often overlooked in European health care policy.ConclusionPutting pressure on governments to honour the obligations of the UNCRC and explicitly entitle all children equal rights to health care can be an important way of advocating for better access to primary and preventive care for asylum seeking and undocumented children in Australia and the EU.
      PubDate: 2017-06-14
      DOI: 10.1093/eurpub/ckx083
      Issue No: Vol. 27, No. 5 (2017)
       
  • Barriers to cervical cancer screening faced by immigrants: a
           registry-based study of 1.4 million women in Norway
    • Authors: Leinonen MK; Campbell S, Ursin G, et al.
      Pages: 873 - 879
      Abstract: AbstractBackgroundImmigrants from certain low- and middle-income countries are more prone to cancers attributed to viral infections in early life. Cervical cancer is caused by human papillomavirus but is highly preventable by regular screening. We assessed participation among immigrants in a population-based cervical screening programme and identified factors that predicted non-adherence within different immigrant groups.MethodsWe used data from several nationwide registries. The study population consisted of 208 626 (15%) immigrants and 1 157 223 (85%) native Norwegians. Non-adherence was defined as no eligible screening test in 2008–12. We estimated prevalence ratios with 95% confidence intervals (CIs) for factors associated with non-adherence by modified Poisson regression.ResultsIn total, 52% of immigrants were not screened. All immigrants showed 1.72 times higher non-adherence rates (95% CI 1.71–1.73) compared with native Norwegian women when adjusted for age and parity. The proportion of non-adherent immigrants varied substantially by region of origin and country of origin. Being unemployed or not in the workforce, being unmarried, having low income and having a male general practitioner was associated with non-adherence regardless of region of origin. Living <10 years in Norway was an evident determinant of non-adherence among most but not all immigrant groups.ConclusionsAn increasing proportion of immigrants and low screening participation among them pose new public health challenges in Europe. Immigrants are diverse in terms of their sociodemographic attributes and screening participation. Tailored information and service delivery may be necessary to increase cancer screening among immigrants.
      PubDate: 2017-06-30
      DOI: 10.1093/eurpub/ckx093
      Issue No: Vol. 27, No. 5 (2017)
       
  • How strongly related are health status and subjective well-being'
           Systematic review and meta-analysis
    • Authors: Ngamaba K; Panagioti M, Armitage CJ.
      Pages: 879 - 885
      Abstract: AbstractBackgroundHealth status is widely considered to be closely associated with subjective well-being (SWB), yet this assumption has not been tested rigorously. The aims of this first systematic review and meta-analysis are to examine the association between health status and SWB and to test whether any association is affected by key operational and methodological factors.MethodsA systematic search (January 1980–April 2017) using Web of Science, Medline, Embase, PsycInfo and Global health was conducted according to Cochrane and PRISMA guidelines. Meta-analyses using a random-effects model were performed.ResultsTwenty nine studies were included and the pooled effect size of the association between health status and SWB was medium, statistically significant and positive (pooled r = 0.347, 95% CI = 0.309–0.385; Q = 691.51, I2 = 94.99%, P < 0.001). However, the association was significantly stronger: (i) when SWB was operationalised as life satisfaction (r = 0.365) as opposed to happiness (r = 0.307); (ii) among studies conducted in developing countries (r = 0.423) than it was in developed countries (r = 0.336) and (iii) when multiple items were used to assess health status and SWB (r = 0.353) as opposed to single items (r = 0.326).ConclusionImproving people’s health status may be one means by which governments can improve the SWB of their citizens. Life satisfaction might be preferred to happiness as a measure of SWB because it better captures the influence of health status.
      PubDate: 2017-07-02
      DOI: 10.1093/eurpub/ckx081
      Issue No: Vol. 27, No. 5 (2017)
       
  • Standardization of physical measurements in European health examination
           surveys—experiences from the site visits
    • Authors: Tolonen H; Mäki-Opas J, Mindell JS, et al.
      Pages: 886 - 891
      Abstract: AbstractBackgroundHealth examination surveys (HESs) provide valuable data on health and its determinants at the population level. Comparison of HES results within and between countries and over time requires measurements which are free of bias due to differences in or adherence to measurement procedures and/or measurement devices.MethodsIn the European HES (EHES) Pilot Project, 12 countries conducted a pilot HES in 2010–11 using standardized measurement protocols and centralized training. External evaluation visits (site visits) were performed by the EHES Reference Centre staff to evaluate the success of standardization and quality of data collection.ResultsIn general, standardized EHES protocols were followed adequately in all the pilot surveys. Small deviations were observed in the posture of participants during the blood pressure and height measurement; in the use of a tourniquet when drawing blood samples; and in the calibration of measurement devices. Occasionally, problems with disturbing noise from outside or people coming into the room during the measurements were observed. In countries with an ongoing national HES or a long tradition of conducting national HESs at regular intervals, it was more difficult to modify national protocols to fulfil EHES requirements.ConclusionsThe EHES protocols to standardize HES measurements and procedures for collection of blood samples are feasible in cross-country settings. The prerequisite for successful standardization is adequate training. External and internal evaluation activities during the survey fieldwork are also needed to monitor compliance to standards.
      PubDate: 2017-01-24
      DOI: 10.1093/eurpub/ckw271
      Issue No: Vol. 27, No. 5 (2017)
       
  • Additional weighting for education affects estimates from a National
           Health Interview Survey
    • Authors: Van der Heyden J; De Bacquer D, Gisle L, et al.
      Pages: 892 - 897
      Abstract: AbstractBackgroundNational Health Interview Surveys are used to produce country-wide results for a substantial number of health indicators. However, if some educational groups are underrepresented in the sample, estimates may be biased. This study investigated the impact of the use of post-stratification weights that adjust for the population distribution by education on estimates from the Belgian Health Interview Survey 2013.MethodsFor 25 health-related indicators that match the European Core Health Indicator shortlist, estimates were computed using two different sets of post-stratification weights: one based on age group, gender and province only and the other one including also education. The Census 2011 was used as auxiliary data source. Statistical differences between the two estimates were assessed with the Delta method.ResultsIf education is not included as post-stratification weighting factor, low educational groups (ISCED 0-2) represent 31.1% of the total study population aged 25 years and older. If education is taken into account this proportion rises to 40.3%. The use of post-stratification weights adjusting for the population distribution by education has an impact on several survey estimates. The most pronounced effect is an increase in the estimated proportion of people with diabetes (+0.73%; 95% CI 0.19–1.27; relative increase +11.6%), asthma (+0.52%; 95% CI, 0.06–0.98; relative increase +12.4%) and difficulties to cover their health expenses (+2.31%; 95% CI, 1.52–3.10; relative increase +9.4%).ConclusionsIncluding education in the calculation of post-stratification weights reduces bias due to educational differences in survey participation. Auxiliary information used to calculate post-stratification weights for national health surveys should include education.
      PubDate: 2017-02-14
      DOI: 10.1093/eurpub/ckx005
      Issue No: Vol. 27, No. 5 (2017)
       
  • Accuracy of on-line self-reported weights and heights by young adults
    • Authors: Nikolaou C; Hankey C, Lean M.
      Pages: 898 - 903
      Abstract: AbstractBackgrounde-epidemiology, a convenient and low-cost research method, is becoming increasingly popular. This study seeks to validate on-line self-reported heights and weights against objectively measured data in young adults.MethodsYoung adults self-reported heights and weights in an on-line lifestyle survey. These were validated using two methods: (i) measurements by staff at the primary-care clinic and (ii) measurements by a researcher within two weeks of distribution of the survey. Analyses were conducted to determine differences between the self-reported and measured heights and weights and to identify characteristics associated with under- or over-reporting of these.ResultsFrom a total of 23 010 young adults invited to the survey, 24% provided on-line data, mean age = 19.2 (SD 3.2) years, 43% male, 91% EU citizens. Both self-reported and measured data were available for 1446 individuals (547 men, 896 women and mean age 19.2 (SD2.6) years); 1278 validated using medical records, 168 by researcher measurements. Intra-class correlations between self-reported and measured parameters were weight (r = 0.99), height (r = 0.98), with acceptable levels of agreement between measured and self-reported weight, height and BMI using Bland & Altman analyses. Self-reported weight was underestimated uniformly across BMI categories, gender and ethnicity, by a mean −0.4 (SD 0.4) kg (P < 0.001). Height was accurately reported overall across BMI and gender: both self-reported and measured heights =1.72 (SD 0.01) m, P = 0.783. Discrepancies between methods caused misclassification of BMI category for 17 (1.8%) of participants.ConclusionsEngagement of young adults with on-line research is encouraging. On-line self-reporting provides acceptably reliable anthropometric data for young adults, with under-reporting of weight by just 0.4 kg.
      PubDate: 2017-06-15
      DOI: 10.1093/eurpub/ckx077
      Issue No: Vol. 27, No. 5 (2017)
       
  • Is a Health Interview Survey an appropriate tool to assess domestic
           violence'
    • Authors: Drieskens S; Demarest S, D’Hoker N, et al.
      Pages: 903 - 909
      Abstract: AbstractBackgroundThe aim of this study is to assess if a Health Interview Survey (HIS) targeting the general population is an appropriate tool to collect valid data on domestic violence. Studying item non-response on the question on domestic violence and its association with socio-demographic and health characteristics compared with victims of domestic violence can contribute to this.MethodsCross-sectional data from the Belgian HIS 2013 were analysed. A question whether the perpetrator of a violent event was a member of the respondents’ household was embedded in a general topic on violence in the self-administered questionnaire. This study is limited to people aged 15+ that at least completed the first question of this topic. Socio-demographic characteristics of item non-respondents and of victims of domestic violence were explored and the association with health status was assessed through ORs calculated via logistic regression.ResultsThe year prevalence of domestic violence is 1.1%. Although the question on domestic violence yields a high level of non-response (62%), this does not hinder the further completion of the questionnaire. When compared with victims of domestic violence, those not responding on the question on the perpetrator have better (mental) health. When compared with those not being victim of domestic violence, victims report poorer physical and mental health.ConclusionAn HIS can be an appropriate tool to assess domestic violence in the general population and its association with health. However, a solution should be found for the high item non-response on the question on the perpetrator of the violent event.
      PubDate: 2017-06-14
      DOI: 10.1093/eurpub/ckx078
      Issue No: Vol. 27, No. 5 (2017)
       
  • Reasons for non-participation and ways to enhance participation in health
           examination surveys—the Health 2011 Survey
    • Authors: Tolonen H; Lundqvist A, Jääskeläinen T, et al.
      Pages: 909 - 911
      Abstract: AbstractHigh-participation rates to the health examination surveys are needed to obtain representative information about population health. This study aimed to examine reasons for non-participation and factors that could enhance participation using data from the Health 2011 Survey, conducted in 2011–12 in Finland (N = 8135). The most common reason for non-participation was unsuitable timing or location of the health examinations. Older persons also reported that they were too sick to participate. Flexibility on selection of examination times and places and getting feedback on the measurements were most often mentioned as factors which would increase willingness to participate in the future.
      PubDate: 2017-07-06
      DOI: 10.1093/eurpub/ckx098
      Issue No: Vol. 27, No. 5 (2017)
       
  • A systematic review and meta-analysis of the effectiveness of nudging to
           increase fruit and vegetable choice
    • Authors: Broers VV; De Breucker C, Van den Broucke S, et al.
      Pages: 912 - 920
      Abstract: AbstractBackgroundNudging refers to interventions that organize the choice architecture in order to alter people’s behaviour in a predictable way without forbidding any options or significantly changing their economic incentives. As a strategy to encourage healthy behaviour, nudging can serve as a complement to health education. However, the empirical evidence regarding the effectiveness of nudging as a way to influence food choice remains contradictory. To address this issue, a systematic review and meta-analysis was conducted to test the effects of nudging to encourage people to select more fruit and vegetables.MethodsA systematic literature search was performed on PubMed, Medline, PsycInfo, Cochrane library, Scopus and Google Scholar. After quality assessment, 20 articles (23 studies) were retained for narrative synthesis. Twelve articles (14 studies) contained enough information to calculate effect-sizes for meta-analysis using Comprehensive Meta-analysis software.ResultsThe meta-analysis shows that nudging interventions that aim to increase fruit and/or vegetable choice/sales/servings have a moderately significant effect (d = 0.30), with the largest effect for altering placement (d = 0.39) and combined nudges (d = 0.28).ConclusionThe results of this review provide an indication of the effectiveness of nudging on fruit and vegetable choice in terms of actual effect-sizes, while also highlighting the problems that must be addressed before more definitive conclusions can be drawn.
      PubDate: 2017-06-25
      DOI: 10.1093/eurpub/ckx085
      Issue No: Vol. 27, No. 5 (2017)
       
  • Doctor’s enquiry: an opportunity for promoting smoking
           cessation—findings from Global Adult Tobacco Surveys in Europe
    • Authors: Çakir B; Taş A, Şanver T, et al.
      Pages: 921 - 925
      Abstract: AbstractBackgroundEvidence suggests that advice from motivated physicians to their smoking patients is effective in promoting smoking cessation. Yet, detection rate of smokers is often low and, the proportion of smokers receiving special advice to quit varies. This study aimed to detect how frequently European physicians enquire about their patients’ smoking status, and to compare and contrast how (if any) smokers benefit from physicians’ enquiry and/or advice about smoking cessation.MethodsThe study was based on secondary analysis of data from six European countries that conducted Global Adult Tobacco Survey, namely, Greece, Poland, Romania, Russia, Turkey and Ukraine.ResultsOut of Global Adult Tobacco Survey participants who were smoking 12 months preceding the survey and had ‘at least one visit to a physician’ before the survey, half were asked by their physicians about their smoking status and only 37.7% got a brief advice from their physicians to quit smoking. Remarkably, 25% of current smokers did not get any advice from their physicians to quit even when the smoking status was enquired. The adjusted odds ratio was found as 1.55 (95% confidence interval=1.29–1.87) for the association between physician’s enquiry about smoking status of a patient and his/her attempt to quit smoking.ConclusionEven a simple enquiry of the physician about smoking status of a patient could be effective in smoking cessation, yet, enquiry and advice rates are still far below expected. Regardless of the reason for admission, each contact with a patient should be used as an opportunity to combat smoking-related health risks.
      PubDate: 2017-07-04
      DOI: 10.1093/eurpub/ckx094
      Issue No: Vol. 27, No. 5 (2017)
       
  • Can a workplace ‘sit less, move more’ programme help Spanish office
           employees achieve physical activity targets'
    • Authors: Puig-Ribera A; Bort-Roig J, Giné-Garriga M, et al.
      Pages: 926 - 928
      Abstract: AbstractWe evaluated the impact of a workplace ‘sit less, move more’ programme (Walk@WorkSpain, W@WS, 19-week) on self-reported activity-related energy expenditure (AREE) in Spanish office employees (n = 264; 42 ± 10 years; 171 female) randomly assigned to Intervention (IG; used W@WS; n = 129) or comparison groups (CGs; n = 135). A linear mixed model assessed changes in METs-min/wk of total, vigorous, moderate and light physical activity (IPAQ short form) between baseline and 2 months follow-up. Over the CG, IG significantly increased light intensity AREE (P = 0.027). W@WS secured sustained increases on AREE—but not on achieving PA recommendations—providing translational evidence that active living in office employees can be increased.
      PubDate: 2017-07-18
      DOI: 10.1093/eurpub/ckx104
      Issue No: Vol. 27, No. 5 (2017)
       
  • The growth of ‘Dry January’: promoting participation and the
           benefits of participation
    • Authors: de Visser RO; Robinson E, Smith T, et al.
      Pages: 929 - 931
      Abstract: AbstractThis article explores contributors to the rapid growth of the annual UK alcohol abstinence challenge ‘Dry January’ and the benefits of registration. Evidence from four sources is presented: (i) registrations via the Dry January website, (ii) surveys of population-representative samples of drinkers, (iii) surveys of Dry January registrants and (iv) surveys of a control group of drinkers who wanted to change to their drinking behaviour but had not registered for Dry January. The data revealed that Dry January registrations increased 15-fold in 4 years. Participants reported that encouragement received from Dry January helped them to avoid drinking. Comparisons of Dry January registrants to the control group suggest that registering for Dry January reduced problematic drinking and enhanced the capacity to refuse alcohol. The four sources of data suggest that ‘social contagion’ and ‘diffusion’ have aided the growth of the awareness, appeal and practice of Dry January.
      PubDate: 2017-09-22
      DOI: 10.1093/eurpub/ckx124
      Issue No: Vol. 27, No. 5 (2017)
       
  • Reasons to wait or to treat naive patients affected by chronic hepatitis C
           with low fibrosis stage and genotypes 2 or 3
    • Authors: Boglione L; Cusato J, Cariti G, et al.
      Pages: 938 - 941
      Abstract: AbstractBackgroundNew interferon (IFN)-free therapies are not currently available for all patients with chronic hepatitis C due to higher costs; in Italy, patients with genotype 2 (GT2) or GT3 without severe fibrosis can choose between wait or treatment with pegylated (PEG)–IFN and ribavirin. This study wants to examine the real rate of patients that accept or refused this therapy and the reasons related to decision.MethodsThis prospective, observational analysis was performed at our centre between January 2014 and June 2015. Epidemiological, social and clinical data were collected in medical records; reasons for treatment acceptance/refusal were recorded through a questionnaire. Eligible patients were: naïve, with genotypes 2 or 3, fibrosis stage F0–F2.ResultsIn total 132 patients were included: 34 with GT2, 98 with GT3. Patients with GT3 were younger, with prevalent sex male and mostly with active intravenous drug use. 53 patients accepted the treatment option (40.1%): 12 with GT2 (22%), 41 GT3 (41.8%) (P < 0.001). 79 patients refused (59.8%): 22 with GT2 (64.7%), 57 with GT3 (58.2) (P < 0.001). Fear of side-effects (OR = 1.774; 95% CI = 1.089–2.117; P = 0.016) and active alcoholism (OR = 1.144; 95% CI = 1.012–2.006; P = 0.025) were predictive factors for treatment refusal in GT3, whereas the presence of extrahepatic manifestations in GT2 (OR = 1.911; 95% CI = 1.124–2.912; P = 0.019) and the will to eradicate the infection in GT3 (OR = 2.140; 95% CI = 1.120–3.445; P = 0.008) were predictive of treatment acceptance.ConclusionsDual therapy is the only option for these subjects; however the motivation of patients and major socio-economic conditions were strictly related to decision of acceptance or refusal.
      PubDate: 2017-03-10
      DOI: 10.1093/eurpub/ckx025
      Issue No: Vol. 27, No. 5 (2017)
       
  • European Public Health News
    • Authors: Zeegers Paget D.
      Pages: 942 - 945
      Abstract: In this European public health news, we have six contributions all showing the need to work together, look beyond our field of expertise and combine facts with actions. ‘Leaving no one behind’ is addressed by all contributors. Azzopardi Muscat highlights the role national public health associations can play in setting the European agenda by engaging in the design and implementation during the EU presidencies. Jakab emphasizes the need for strong health systems to be able to attain the Sustainable Development Goals (SDGs). Andriukaitis presents the new antimicrobial resilience action plan that is based on a ‘One Health’ approach, where coordination and cooperation is necessary from all sides. Lindert stresses that public health includes public mental health and that action in this area is and should be a top priority. Forsberg and Zeegers both reflect on the Stockholm conference; Forsberg by commemorating Prof. Rosling who always taught to start with the facts, analyse the implications and then engage for change, Zeegers by emphasizing the need for our own positive commitment for resilience and for moving forward with action when needed.
      PubDate: 2017-09-22
      DOI: 10.1093/eurpub/ckx132
      Issue No: Vol. 27, No. 5 (2017)
       
 
 
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