Subjects -> HEALTH AND SAFETY (Total: 1562 journals)
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    - HEALTH AND SAFETY (740 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH FACILITIES AND ADMINISTRATION (390 journals)                  1 2 | Last

Showing 1 - 200 of 397 Journals sorted alphabetically
ACI Open     Open Access  
Acta Bioquimica Clinica Latinoamericana     Open Access   (Followers: 1)
Administration and Policy in Mental Health and Mental Health Services Research     Partially Free   (Followers: 22)
Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi     Open Access   (Followers: 1)
Advanced Healthcare Materials     Hybrid Journal   (Followers: 17)
Advances in Dual Diagnosis     Hybrid Journal   (Followers: 48)
Advances in Human Factors/Ergonomics     Full-text available via subscription   (Followers: 26)
Advances in Medical Education and Practice     Open Access   (Followers: 34)
Advances in Mental Health and Intellectual Disabilities     Hybrid Journal   (Followers: 89)
Advances in Nursing Science     Hybrid Journal   (Followers: 43)
Advances in Simulation     Open Access   (Followers: 7)
African Journal of Primary Health Care & Family Medicine     Open Access   (Followers: 6)
AIDS and Behavior     Hybrid Journal   (Followers: 18)
American Journal of Hospice and Palliative Medicine     Hybrid Journal   (Followers: 48)
American Journal of Managed Care     Full-text available via subscription   (Followers: 13)
Analytical Methods     Full-text available via subscription   (Followers: 14)
Anthropologie et santé     Open Access   (Followers: 5)
Applied Clinical Informatics     Hybrid Journal   (Followers: 5)
Applied Health Economics and Health Policy     Full-text available via subscription   (Followers: 24)
Applied Research in Quality of Life     Hybrid Journal   (Followers: 13)
Archives of Public Health     Open Access   (Followers: 13)
Asian Journal of Health     Open Access   (Followers: 4)
Australasian Journal of Paramedicine     Open Access   (Followers: 7)
Australian and New Zealand Journal of Public Health     Hybrid Journal   (Followers: 17)
Australian Health Review     Hybrid Journal   (Followers: 7)
Australian Journal of Primary Health     Hybrid Journal  
Australian Journal of Rural Health     Hybrid Journal   (Followers: 18)
Autism     Hybrid Journal   (Followers: 350)
Avicenna     Open Access   (Followers: 3)
Balint Journal     Hybrid Journal   (Followers: 2)
Bereavement Care     Hybrid Journal   (Followers: 13)
BJR     Hybrid Journal   (Followers: 21)
BMC Medical Informatics and Decision Making     Open Access   (Followers: 25)
BMC Oral Health     Open Access   (Followers: 7)
BMJ Leader     Hybrid Journal  
BMJ Quality & Safety     Hybrid Journal   (Followers: 69)
BMJ Supportive & Palliative Care     Hybrid Journal   (Followers: 50)
British Journal of Healthcare Assistants     Full-text available via subscription   (Followers: 33)
British Journal of Healthcare Management     Full-text available via subscription   (Followers: 19)
British Journal of Hospital Medicine     Full-text available via subscription   (Followers: 18)
British Journal of Nursing     Full-text available via subscription   (Followers: 298)
British Journal of School Nursing     Full-text available via subscription   (Followers: 14)
Bruce R Hopkins' Nonprofit Counsel     Hybrid Journal   (Followers: 2)
Building Better Healthcare     Full-text available via subscription   (Followers: 1)
Canadian Nurse     Full-text available via subscription   (Followers: 8)
Cardiac Electrophysiology Clinics     Full-text available via subscription   (Followers: 1)
Children and Schools     Hybrid Journal   (Followers: 8)
Chinese Medical Record English Edition     Hybrid Journal  
CIN : Computers Informatics Nursing     Hybrid Journal   (Followers: 11)
Clinical Audit     Open Access   (Followers: 4)
Clinics and Practice     Open Access  
Cognition, Technology & Work     Hybrid Journal   (Followers: 14)
Communication & Medicine     Hybrid Journal   (Followers: 5)
Community Based Medical Journal     Open Access  
Conflict and Health     Open Access   (Followers: 8)
Contemporary Nurse : A Journal for the Australian Nursing Profession     Hybrid Journal   (Followers: 7)
Critical Public Health     Hybrid Journal   (Followers: 26)
Culture, Health & Sexuality: An International Journal for Research, Intervention and Care     Hybrid Journal   (Followers: 17)
Current Opinion in Supportive and Palliative Care     Hybrid Journal   (Followers: 28)
Das Gesundheitswesen     Hybrid Journal   (Followers: 10)
Death Studies     Hybrid Journal   (Followers: 22)
Dental Nursing     Full-text available via subscription   (Followers: 3)
Disaster Health     Hybrid Journal   (Followers: 1)
DoctorConsult - The Journal. Wissen für Klinik und Praxis     Full-text available via subscription  
Droit, Déontologie & Soin     Full-text available via subscription   (Followers: 3)
E-Health Telecommunication Systems and Networks     Open Access   (Followers: 2)
East and Central African Journal of Surgery     Open Access  
Éducation thérapeutique du patient     Full-text available via subscription   (Followers: 1)
eGEMs     Open Access  
Emergency Radiology     Hybrid Journal   (Followers: 10)
Enfermería Clínica     Full-text available via subscription   (Followers: 3)
Epidemiologic Methods     Hybrid Journal   (Followers: 4)
Ergonomics     Hybrid Journal   (Followers: 24)
Escola Anna Nery     Open Access   (Followers: 1)
Ethnicity & Health     Hybrid Journal   (Followers: 15)
European Journal of Public Health     Hybrid Journal   (Followers: 27)
European Journal of Work and Organizational Psychology     Hybrid Journal   (Followers: 35)
European Research in Telemedicine / La Recherche Européenne en Télémédecine     Full-text available via subscription   (Followers: 2)
Evaluation & the Health Professions     Hybrid Journal   (Followers: 11)
Evidence-Based Nursing     Hybrid Journal   (Followers: 74)
Evolution, Medicine, and Public Health     Open Access   (Followers: 12)
Expert Opinion on Therapeutic Patents     Hybrid Journal   (Followers: 12)
Families, Systems, & Health     Full-text available via subscription   (Followers: 9)
Family Practice Management     Full-text available via subscription   (Followers: 5)
Focus on Health Professional Education : A Multi-disciplinary Journal     Full-text available via subscription   (Followers: 7)
Frontiers in Public Health Services and Systems Research     Open Access   (Followers: 5)
Future Hospital Journal     Full-text available via subscription   (Followers: 2)
Gastrointestinal Nursing     Full-text available via subscription   (Followers: 5)
Geron     Full-text available via subscription  
Global & Regional Health Technology Assessment     Open Access   (Followers: 1)
Global Health Action     Open Access   (Followers: 12)
Global Health Management Journal (GHMJ)     Open Access   (Followers: 1)
Global Health Research and Policy     Open Access   (Followers: 4)
Global Journal of Hospital Administration     Open Access   (Followers: 1)
Global Public Health: An International Journal for Research, Policy and Practice     Hybrid Journal   (Followers: 21)
Globalization and Health     Open Access   (Followers: 9)
Handbook of Practice Management     Hybrid Journal   (Followers: 2)
Health     Open Access   (Followers: 5)
Health & Social Care In the Community     Hybrid Journal   (Followers: 54)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 16)
Health and Interprofessional Practice     Open Access   (Followers: 6)
Health and Technology     Hybrid Journal   (Followers: 4)
Health Care Analysis     Hybrid Journal   (Followers: 17)
Health Care Management Review     Hybrid Journal   (Followers: 16)
Health Economics     Hybrid Journal   (Followers: 59)
Health Expectations     Open Access   (Followers: 16)
Health Facilities Management     Free   (Followers: 10)
Health Informatics Journal     Hybrid Journal   (Followers: 28)
Health Information : Jurnal Penelitian     Open Access   (Followers: 5)
Health Information Science and Systems     Open Access   (Followers: 4)
Health Policy and Management     Open Access   (Followers: 7)
Health Policy and Planning     Hybrid Journal   (Followers: 27)
Health Professions Education     Open Access   (Followers: 3)
Health Promotion International     Hybrid Journal   (Followers: 28)
Health Promotion Practice     Hybrid Journal   (Followers: 18)
Health Psychology     Full-text available via subscription   (Followers: 62)
Health Psychology Review     Hybrid Journal   (Followers: 46)
Health Reform Observer : Observatoire des Réformes de Santé     Open Access   (Followers: 2)
Health Research Policy and Systems     Open Access   (Followers: 16)
Health Science Journal of Indonesia     Open Access   (Followers: 2)
Health Services Research and Managerial Epidemiology     Open Access   (Followers: 3)
Health, Risk & Society     Hybrid Journal   (Followers: 14)
Healthcare : The Journal of Delivery Science and Innovation     Full-text available via subscription   (Followers: 1)
Healthcare in Low-resource Settings     Open Access   (Followers: 1)
Healthcare Management Forum     Hybrid Journal   (Followers: 8)
Healthcare Policy / Politiques de Santé     Full-text available via subscription   (Followers: 5)
Healthcare Quarterly     Full-text available via subscription   (Followers: 10)
Healthcare Risk Management     Full-text available via subscription   (Followers: 5)
HealthcarePapers     Full-text available via subscription   (Followers: 2)
Hispanic Health Care International     Full-text available via subscription  
História, Ciências, Saúde - Manguinhos     Open Access   (Followers: 2)
Hong Kong Journal of Social Work, The     Hybrid Journal   (Followers: 3)
Hospital     Open Access   (Followers: 3)
Hospital a Domicilio     Open Access  
Hospital Medicine Clinics     Full-text available via subscription   (Followers: 2)
Hospital Peer Review     Full-text available via subscription   (Followers: 1)
Hospital Pharmacy     Partially Free   (Followers: 18)
Hospital Practice     Hybrid Journal   (Followers: 2)
Hospital Practices and Research     Open Access  
Housing, Care and Support     Hybrid Journal   (Followers: 9)
Human Factors : The Journal of the Human Factors and Ergonomics Society     Full-text available via subscription   (Followers: 39)
Human Resources for Health     Open Access   (Followers: 12)
ICU Director     Hybrid Journal  
Ids Practice Papers     Hybrid Journal  
IEEE Pulse     Hybrid Journal   (Followers: 5)
IISE Transactions on Healthcare Systems Engineering     Hybrid Journal   (Followers: 2)
Independent Nurse     Full-text available via subscription   (Followers: 3)
Index de Enfermeria     Open Access   (Followers: 7)
Indian Journal of Public Health     Open Access   (Followers: 1)
Informatics for Health and Social Care     Hybrid Journal   (Followers: 10)
Innovation and Entrepreneurship in Health     Open Access   (Followers: 1)
INQUIRY : The Journal of Health Care Organization, Provision, and Financing     Open Access   (Followers: 1)
Interface - Comunicação, Saúde, Educação     Open Access   (Followers: 1)
International Archives of Health Sciences     Open Access  
International Journal for Equity in Health     Open Access   (Followers: 9)
International Journal for Quality in Health Care     Hybrid Journal   (Followers: 41)
International Journal of Care Coordination     Hybrid Journal   (Followers: 7)
International Journal of Computers in Healthcare     Hybrid Journal   (Followers: 3)
International Journal of Electronic Healthcare     Hybrid Journal   (Followers: 2)
International Journal of Environmental Research and Public Health     Open Access   (Followers: 27)
International Journal of Health Administration and Education Congress (Sanitas Magisterium)     Open Access  
International Journal of Health Care Quality Assurance     Hybrid Journal   (Followers: 15)
International Journal of Health Economics and Management     Hybrid Journal   (Followers: 12)
International Journal of Health Governance     Hybrid Journal   (Followers: 27)
International Journal of Health Planning and Management     Hybrid Journal   (Followers: 6)
International Journal of Health Sciences Education     Open Access   (Followers: 2)
International Journal of Health Services Research and Policy     Open Access   (Followers: 1)
International Journal of Health System and Disaster Management     Open Access   (Followers: 3)
International Journal of Healthcare     Open Access   (Followers: 1)
International Journal of Healthcare Technology and Management     Hybrid Journal   (Followers: 7)
International Journal of Hospital Research     Open Access  
International Journal of Human Factors and Ergonomics     Hybrid Journal   (Followers: 20)
International Journal of Human Rights in Healthcare     Hybrid Journal   (Followers: 5)
International Journal of Medicine and Public Health     Open Access   (Followers: 6)
International Journal of Migration, Health and Social Care     Hybrid Journal   (Followers: 12)
International Journal of Occupational and Environmental Medicine, The     Open Access   (Followers: 16)
International Journal of Palliative Nursing     Full-text available via subscription   (Followers: 32)
International Journal of Positive Behavioural Support     Full-text available via subscription   (Followers: 38)
International Journal of Prisoner Health     Hybrid Journal   (Followers: 14)
International Journal of Privacy and Health Information Management     Full-text available via subscription   (Followers: 3)
International Journal of Public and Private Healthcare Management and Economics     Full-text available via subscription   (Followers: 4)
International Journal of Qualitative Studies on Health and Well-Being     Open Access   (Followers: 22)
International Journal of Reliable and Quality E-Healthcare     Full-text available via subscription   (Followers: 1)
International Journal of Research in Nursing     Open Access   (Followers: 12)
International Journal of Technology Assessment in Health Care     Hybrid Journal   (Followers: 16)
International Journal of Telemedicine and Clinical Practices     Hybrid Journal   (Followers: 5)
International Journal of Telework and Telecommuting Technologies     Full-text available via subscription  
International Journal of Therapy and Rehabilitation     Full-text available via subscription   (Followers: 42)
International Journal of User-Driven Healthcare     Full-text available via subscription   (Followers: 1)
International Journal on Disability and Human Development     Hybrid Journal   (Followers: 23)
Irish Journal of Paramedicine     Open Access   (Followers: 3)
JAAPA     Hybrid Journal   (Followers: 3)
Jaffna Medical Journal     Open Access  
Joint Commission Journal on Quality and Patient Safety     Hybrid Journal   (Followers: 41)
Journal for Healthcare Quality     Hybrid Journal   (Followers: 28)
Journal of Advanced Nursing     Hybrid Journal   (Followers: 252)
Journal of Advances in Medical Education & Professionalism     Open Access   (Followers: 10)
Journal of Aging and Health     Hybrid Journal   (Followers: 27)
Journal of Ambulatory Care Management, The     Hybrid Journal   (Followers: 4)
Journal of Applied Arts and Health     Hybrid Journal   (Followers: 1)

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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: 27  
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1101-1262 - ISSN (Online) 1464-360X
Published by Oxford University Press Homepage  [416 journals]
  • Inter-species health equity
    • Authors: Mackenbach J.
      Pages: 241 - 241
      Abstract: In his book ‘The Expanding Circle’, bioethicist Peter Singer describes how human altruism began as a drive to protect one’s kin and community members, but has since developed into a consciously chosen ethic with a gradually widening circle of moral concern. In the distant past, humans were only concerned with the well-being of their family and fellow villagers, but in more recent times, this developed into a concern for all their countrymen, and then from a concern with white people only into a concern including people of colour. It is not so long ago that black Africans were not even considered human beings.1
      PubDate: Tue, 23 Feb 2021 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa224
      Issue No: Vol. 31, No. 2 (2021)
  • The bigger, the better' A systematic review on the impact of mergers
           on primary care organizations
    • Authors: Damiani G; Pascucci D, Sindoni A, et al.
      Pages: 244 - 252
      Abstract: BackgroundPrimary care services are the first point of contact in a healthcare system; in the last years, many mergers and reconfigurations have taken place in this setting. The aim of this study is to summarize the literature evidence on the relationship between the increase in the size of these organizations and their performance.MethodsA systematic review of the literature was carried out querying EMBASE, MEDLINE and Web of Science databases, from their inception to January 2020. Articles which quantitatively assessed outcomes and process indicators of merger/structural reorganization of primary care organizations and qualitative articles that assessed staff perception and satisfaction were included in the review.ResultsA total of 3626 articles was identified and another study was retrieved through snowball search; 11 studies were included in the systematic review. Studies about lipid profile evaluation and emergency admissions for chronic conditions showed moderate evidence in supporting the merging of primary care organizations; conversely, clinical outcome studies did not reach a sufficient level of evidence to support merging actions. A moderate evidence of a negative effect on patient’s perspective was found.ConclusionActually, there is no strong evidence in favour or against merging of primary care organizations without equivocation. This review supports the possibility to identify indicators for evaluating a merging process of primary care organizations and for adopting eventual remedies during this process. Further efforts should be made to identify additional indicators to assess merge actions among primary care organizations.
      PubDate: Wed, 24 Feb 2021 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa248
      Issue No: Vol. 31, No. 2 (2021)
  • Public support for European cooperation in the procurement, stockpiling
           and distribution of medicines
    • Authors: Beetsma R; Burgoon B, Nicoli F, et al.
      Pages: 253 - 258
      Abstract: BackgroundThe COVID-19 outbreak has heightened ongoing political debate about the international joint procurement of medicines and medical countermeasures. The European Union (EU) has developed what remains largely contractual and decentralized international procurement cooperation. The corona crisis has broadened and deepened public debate on such cooperation, in particular on the scope of cooperation, solidarity in the allocation of such cooperation, and delegation of cooperative decision-making. Crucial to political debate about these issues are public attitudes that constrain and undergird international cooperation.MethodsOur survey includes a randomized survey experiment (conjoint analysis) on a representative sample in five European countries in March 2020, informed by legal and policy debate on medical cooperation. Respondents choose and rate policy packages containing randomized mixes of policy attributes with respect to the scope of medicines covered, the solidarity in conferring priority access and the level of delegation.ResultsIn all country populations surveyed, the experiment reveals considerable popular support for European cooperation. Significant majorities preferred cooperation packages with greater rather than less scope of medicines regulated; with priority given to most in-need countries; and with delegation to EU-level rather than national expertise.ConclusionJoint procurement raises delicate questions with regard to its scope, the inclusion of cross-border solidarity and the delegation of decision-making, that explain reluctance toward joint procurement among political decision-makers. This research shows that there is considerable public support across different countries in favor of centralization, i.e. a large scope and solidarity in the allocation and delegation of decision-making.
      PubDate: Sun, 17 Jan 2021 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa201
      Issue No: Vol. 31, No. 2 (2021)
  • Impact of winter holiday and government responses on mortality in Europe
           during the first wave of the COVID-19 pandemic
    • Authors: Björk J; Mattisson K, Ahlbom A.
      Pages: 272 - 277
      Abstract: BackgroundThis aggregated population study investigated the impact of the seemingly quasi-randomly assigned school winter holiday in weeks 6–10 (February to early March) on excess mortality in 219 European regions (11 countries) during the COVID-19 pandemic in the spring 2020. A secondary aim was to evaluate the impact of government responses to the early inflow of infected cases.MethodsData on government responses weeks 8–14 were obtained from the Oxford COVID-19 Government Response Tracker. Regional data on total all-cause mortality during weeks 14–23 in 2020 were retrieved from Eurostat and national statistical agencies and compared with the average mortality during same period 2015–2019. Variance-weighted least square regression was used with mortality difference as dependent variable with adjustment for country, population density and age distribution.ResultsBeing a region with winter holiday exclusively in week 9 was in the adjusted analysis associated with 16 weekly excess deaths [95% confidence interval (CI) 13–20] per million inhabitants during weeks 14–23, which corresponds to 38% of the excess mortality in these regions. A more stringent response implemented in week 11, corresponding to 10 additional units on the 0–100 ordinal scale, was associated with 20 fewer weekly deaths (95% CI 18–22) per million inhabitants.ConclusionsWinter holiday in week 9 was an amplifying event that contributed importantly to the excess mortality observed in the study regions during the spring 2020. Timely government responses to the resulting early inflow of cases reduced the excess in mortality.
      PubDate: Wed, 24 Feb 2021 00:00:00 GMT
      DOI: 10.1093/eurpub/ckab017
      Issue No: Vol. 31, No. 2 (2021)
  • Is COVID-19 lockdown associated with vitamin D deficiency'
    • Authors: Lippi G; Ferrari A, Targher G.
      Pages: 278 - 279
      Abstract: All vitamin D tests carried out for outpatients aged 18 years or older during the last 3 years at an Italian University Hospital was reviewed. The serum vitamin D concentrations measured since the Italian coronavirus diseases 2019 (COVID-19) lockdown to present did not significantly differ from the previous 2 years (78 vs. 77 nmol/l; P = 0.277), whilst the prevalence of vitamin D deficiency was found to be even marginally lower in 2020 (16.0% vs. 17.9%; P = 0.003). These results suggest that vitamin D deficiency in our province has not increased during the Italian COVID-19 outbreak or in correspondence with the nationwide lockdown.
      PubDate: Thu, 11 Feb 2021 00:00:00 GMT
      DOI: 10.1093/eurpub/ckab004
      Issue No: Vol. 31, No. 2 (2021)
  • Sixty-day consequences of COVID-19 in patients discharged from hospital:
           an electronic health records study
    • Authors: Islam N; Lewington S, Kharbanda R, et al.
      Pages: 280 - 282
      Abstract: Data on patients discharged following COVID-19 hospitalization is scarce. We conducted an electronic health records study of community-acquired COVID-19 patients discharged between 15 March and 14 July 2020 from hospitals in Oxfordshire, UK. Of 403 discharged patients, 114 (28%) were readmitted or died within 60 days (incidence rate 18/100 person-months). Rates of readmission or death were twice as high among those ≥ 65 years as those < 65 years [standardized rate ratio: 2.21 (95% CI: 1.45–3.56)] and among women than men [2.25 (1.05–4.18)]. These findings suggest important sex differences in 60-day outcomes following COVID-19 hospitalization that have not previously been well described.
      PubDate: Mon, 15 Feb 2021 00:00:00 GMT
      DOI: 10.1093/eurpub/ckab009
      Issue No: Vol. 31, No. 2 (2021)
  • The hydroxychloroquine debate: a therapeutic dilemma for general
    • Authors: Lutaud R; Scronias D, Ward J, et al.
      Pages: 283 - 285
      Abstract: France has been at the epicenter of the worldwide debate about hydroxychloroquine, as the main advocacy for its use to treat COVID-19 comes from a research unit led by Didier Raoult in Marseille. Among a national panel of 2940 general practitioners, we found that physicians in the areas most strongly affected by the epidemic or closest to the epicenter of the controversy reported that the hydroxychloroquine debate had made it difficult for them to deal with patients' treatment requests. Their adherence to official recommendations was also lower. It will be necessary to examine the conditions producing so strong a conflict.
      PubDate: Mon, 15 Feb 2021 00:00:00 GMT
      DOI: 10.1093/eurpub/ckab002
      Issue No: Vol. 31, No. 2 (2021)
  • A data linkage study of the effects of the Great Recession and austerity
           on antidepressant prescription usage
    • Authors: Cherrie M; Curtis S, Baranyi G, et al.
      Pages: 297 - 303
      Abstract: BackgroundInternational literature shows unemployment and income loss during the Great Recession worsened population mental health. This individual-level longitudinal study examines how regional economic trends and austerity related to depression using administrative prescription data for a large and representative population sample.MethodsRecords from a sample of the Scottish Longitudinal Study (N=86 500) were linked to monthly primary care antidepressant prescriptions (2009–15). Regional economic trends were characterized by annual full-time employment data (2004–14). Economic impact of austerity was measured via annual income lost per working age adult due to welfare reforms (2010–15). Sequence analysis identified new cases of antidepressant use, and group-based trajectory modelling classified regions into similar economic trajectories. Multi-level logistic regression examined relationships between regional economic trends and new antidepressant prescriptions. Structural equation mediation analysis assessed the contributory role of welfare reforms.ResultsEmployed individuals living in regions not recovering post-recession had the highest risk of beginning a new course of antidepressants (AOR 1.23; 95% CI 1.08–1.38). Individuals living in areas with better recovery trajectories had the lowest risk. Mediation analyses showed that 50% (95% CI 7–61%) of this association was explained by the impact of welfare benefit reforms on average incomes.ConclusionsFollowing the Great Recession, local labour market decline and austerity measures were associated with growing antidepressant usage, increasing regional inequalities in mental health. The study evidences the impact of austerity on health inequalities and suggests that economic conditions and welfare policies impact on population health. Reducing the burden of mental ill-health primarily requires action on the social determinants.
      PubDate: Sun, 07 Feb 2021 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa253
      Issue No: Vol. 31, No. 2 (2021)
  • The association between migration and smoke-free families: how do migrants
           from different world regions compare'
    • Authors: Mlinarić M; Kohler E, Kunst A, et al.
      Pages: 333 - 340
      Abstract: BackgroundStudies on adolescent secondhand smoke exposure within the family often dichotomously operationalize migration background without paying attention to social and cultural diversity within migrant populations. As a result, little is known about variation within migrant groups in smoke-free family environments (SFFEs). This study analyses the association between SFFEs and parental migration from different world regions.MethodsData from 14- to 16-year-old adolescents (N = 17 144) on SFFEs and parental migration were obtained from cross-sectional repeated SILNE-R surveys. A multivariable multinomial regression was applied, presenting relative risks (RRs) with 95% confidence intervals (CIs) for maternal or paternal tobacco smoking and home smoking bans. Variation in migration background was measured according to parental sex and place of birth.ResultsApproximately 18% of adolescents are exposed to maternal smoking, and 25% are exposed to paternal smoking. Almost half of the respondents do not live in SFFEs but are subject to permissive (5%) or partial (39%) smoking bans at home. We found that adolescents of Eastern European descent are at a higher risk of being exposed to both paternal and maternal smoking. A sex difference in parental smoking was found among Arabic/Islamic migrants, where mothers are less likely to be smokers. Maternal and paternal African origins are associated with prohibitive smoking bans at home. Eastern European mothers show higher odds of permissiveness and freely allowing smoking at home.ConclusionNotable within-differences according to parental sex and place of birth were found for SFFEs and should be taken into account when implementing equity-sensitive tobacco prevention programs.
      PubDate: Wed, 06 Jan 2021 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa241
      Issue No: Vol. 31, No. 2 (2021)
  • Efforts needed for preventing breast and colorectal cancer through changes
           in dietary patterns
    • Authors: Mullie P; Guillot G, Pizot C, et al.
      Pages: 355 - 360
      Abstract: BackgroundProspective cohort studies on diet and cancer report risk associations as hazard ratios. But hazard ratios do not inform on the number of people who need to alter their dietary behaviours for preventing cancer. The objective of this study is to estimate the number of people that need to alter their diet for preventing one additional case of female breast or colorectal cancer.MethodsBased on the largest prospective studies done in the USA and in Europe, we computed the number of subjects who need to alter their diet.ResultsFor preventing one case of breast cancer, European women should increase their fruit consumption by 100 g/day during 33 000 person-years, and US women by 60 g/day during 10 600 person-years. For vegetables, European women should increase their consumption by 160 g/day during 26 900 person-years and US women by 100 g/day during 19 000 person-years. For preventing one case of colorectal cancer, European subjects should decrease their red meat consumption by 20 g/day during 26 100 person-years, and US subjects by 30 g/day during 8170 person-years. For processed meat, European subjects should decrease their consumption by 20 g/day during 17 400 person-years, and US subjects by 10 g/day during 7940 person-years.ConclusionsLarge number of subjects would need to alter their intake of fruits, vegetables, red and processed meat during many years in order to prevent one additional breast or colorectal cancer.
      PubDate: Thu, 07 Jan 2021 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa233
      Issue No: Vol. 31, No. 2 (2021)
  • Association between health literacy and colorectal cancer screening
           behaviors in adults in Northwestern Turkey
    • Authors: Pancar N; Mercan Y.
      Pages: 361 - 366
      Abstract: BackgroundIn this study, aimed to determine the frequency of participation in colorectal cancer (CRC) screenings, the factors affecting participation and the association between CRC screening behaviors and health literacy (HL).MethodsThis community-based cross-sectional study was carried out with 408 people residing in Kirklareli, a province in Northwestern Turkey, between August and November 2019.ResultsCRC screenings participation prevalence was 21.1%. Of them, 17.2% participated in fecal occult blood tests (FOBT) screenings, 7.6% participated in colonoscopy screenings, and 86.5% had inadequate or limited-problematic HL. According to the multivariate logistic regression analysis, the likelihood of not participating in CRC screenings was high in the participants who worked at a paid job (OR: 3.001, 95% CI: 1.018–8.850), who did not do any physical activity regularly (OR: 2.516, 95% CI: 1.251–5.060), who were not aware of the presence of an early diagnosis test for CRC (OR: 32.613, 95% CI: 13.338–79.742), who did not have a person having had CRC screening in their immediate environment (OR: 3.562, 95% CI: 1.752–7.240) and who had sufficient or excellent HL (OR: 3.324, 95% CI: 1.128–9.796). According to adjusted for some characteristics, there was no significant association between participation in CRC screenings and THLS-sub-dimensions and THLS-processes (P>0.05).ConclusionsParticipation in CRC screenings was low, and those with a high HL level were more likely not to participate in CRC screenings. Working status, knowledge and awareness levels affected the participation to CRC screenings. To encourage people to participate in screenings and to improve their HL, awareness-raising attempts for target groups should be increased.
      PubDate: Tue, 19 Jan 2021 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa227
      Issue No: Vol. 31, No. 2 (2021)
  • Effectiveness of a school-based randomized controlled trial aimed at
           increasing physical activity time in adolescents
    • Authors: Morais L; Paravidino V, Mediano M, et al.
      Pages: 367 - 372
      Abstract: BackgroundThis study aimed to evaluate the effectiveness of obesity prevention educational activities, isolated or combined with the modification of the school environment on total physical activity time.MethodsThis is a school-based randomized controlled trial, conducted with 2511 students from fifth and sixth-grade in Brazil, that employed a parallel, three-group experimental arms: control group (CG), PAAPPAS group (PG) and PAAPPAS-environment group (PEG). During the 2016 school year, the PG received educational activities in the classroom, providing a general basis for a healthy lifestyle. The PEG received the same educational activities and also modifications in the school environment to stimulate physical activity practice during one month. Physical activity was evaluated through a validated physical activity questionnaire. Intention-to-treat analysis was performed to evaluate the rate of change of physical activity time between groups using PROC GENMOD procedure. All analyses were performed using SAS.ResultsTotal physical activity time increased by 22% in PEG compared with CG (P = 0.003). No difference was observed between PEG and PG (Δ = 60.20 vs. 36.37, respectively; P = 0.27) and between PG and CG (Δ = 36.37 vs. 9.70, respectively; P = 0.23). The proportion of individuals who attended at least 150 min week−1 of physical activity increased in PEG compared with PG (P = 0.04); however, no difference was observed between PEG and CG (P = 0.19) and between PG and CG (P = 0.26). For 300 min week−1, no difference was observed between groups.ConclusionA school-based multi-component intervention including modification of the school environment was effective for increasing physical activity time among adolescents.
      PubDate: Tue, 13 Apr 2021 00:00:00 GMT
      DOI: 10.1093/eurpub/ckab025
      Issue No: Vol. 31, No. 2 (2021)
  • Exposure to multiple childhood social risk factors and adult body mass
           index trajectories from ages 20 to 64 years
    • Authors: Caleyachetty R; Stafford M, Cooper R, et al.
      Pages: 385 - 390
      Abstract: BackgroundWhile childhood social risk factors appear to be associated with adult obesity, it is unclear whether exposure to multiple childhood social risk factors is associated with accelerated weight gain during adulthood.MethodsWe used the Medical Research Council National Survey of Health and Development, a British population-based birth cohort study of participants born in 1946, height and weight were measured by nurses at ages 36, 43, 53 and 60–64 and self-reported at 20 and 26 years. The 9 childhood socioeconomic risk factors and 8 binary childhood psychosocial risk factors were measured, with 13 prospectively measured at age 4 years (or at 7 or 11 years if missing) and 3 were recalled when participants were age 43. Multilevel modelling was used to examine the association between the number of childhood social risk factors and changes in body mass index (BMI) with age.ResultsIncreasing exposure to a higher number of childhood socioeconomic risk factors was associated with higher mean BMI across adulthood for both sexes and with a faster increase in BMI from 20 to 64 years, among women but not men. Associations remained after adjustment for adult social class. There was no evidence of an association between exposure to childhood psychosocial risk factors and mean BMI in either sex at any age.ConclusionsStrategies for the prevention and management of weight gain across adulthood may need to tailor interventions in consideration of past exposure to multiple socioeconomic disadvantages experienced during childhood.
      PubDate: Tue, 19 Jan 2021 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa237
      Issue No: Vol. 31, No. 2 (2021)
  • Identifying the views of adolescents in five European countries on the
           drivers of obesity using group model building
    • Authors: Savona N; Macauley T, Aguiar A, et al.
      Pages: 391 - 396
      Abstract: BackgroundTo make effective progress towards a global reduction in obesity prevalence, there needs to be a focus on broader structural factors, beyond individual-level drivers of diet and physical activity. This article describes the use of a systems framework to develop obesity prevention policies with adolescents. The aim of this research was to use the group model building (GMB) method to identify young people’s perceptions of the drivers of adolescent obesity in five European countries, as part of the EU-funded Co-Create project.MethodsWe used GMB with four groups of 16–18-year-olds in schools in each of the five European countries (The Netherlands, Norway, Poland, Portugal and the UK) to create causal loop diagrams (CLDs) representing their perceptions of the drivers of adolescent obesity. The maps were then merged into one, using a new protocol.ResultsTwo hundred and fifty-seven participants, aged 16–18 years, engaged in 20 separate system mapping groups, each of which generated 1 CLD. The findings were largely congruent between the countries. Three feedback loops in the merged diagram particularly stand out: commercial drivers of unhealthy diets; mental health and unhealthy diets; social media use, body image and motivation to exercise.ConclusionsGMB provides a novel way of eliciting from young people the system-based drivers of obesity that are relevant to them. Mental health issues, social media use and commercial practices were considered by the young people to be key drivers of adolescent obesity, subjects that have thus far had little or no coverage in research and policy.
      PubDate: Sat, 20 Feb 2021 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa251
      Issue No: Vol. 31, No. 2 (2021)
  • Mid-adolescent ethnic variations in overweight prevalence in the UK
           Millennium Cohort Study
    • Authors: Stennett M; Blokland A, Watt R, et al.
      Pages: 396 - 402
      Abstract: BackgroundThere are stark ethnic inequalities in the prevalence of UK childhood obesity. However, data on adolescent overweight in different ethnic groups are limited. This study assessed ethnic inequalities in overweight prevalence during mid-adolescence using body mass index (BMI) and explored the contribution of socioeconomic and behavioural factors.MethodsWe analyzed data from 10 500 adolescents aged between 13 and 15 years who participated in sweep six of the Millennium Cohort Study. Ethnic inequalities in overweight and mean BMI were assessed using multiple regression models. Results were stratified by sex and adjusted for socioeconomic and behavioural factors.ResultsBlack Caribbean males had significantly higher BMI than White males after full adjustment [excess BMI 2.94, 95% confidence interval (CI) 0.70–5.19] and were over three times more likely to be overweight [odds ratio (OR): 3.32, 95% CI 1.95–5.66]. Black Africans females had significantly higher BMI compared with White females (excess BMI 1.86, 95% CI 0.89–2.83; OR for overweight 2.74, 95% CI 1.64–4.56), while Indian females had significantly lower BMI compared with White females (reduced BMI −0.73, 95% CI −1.37 to −0.09). Socioeconomic and behavioural factors often considered to be associated with overweight were more prevalent in some ethnic minority groups (lower socioeconomic position, lack of breakfast consumption, low fruit and vegetable intake, high sugar-sweetened beverage and fast-food consumption, and infrequent physical activity), but adjustment for these factors did not fully explain ethnic differences in overweight/BMI.ConclusionEthnic inequalities in overweight prevalence are evident in mid-adolescence and vary according to sex. Differences in overweight/BMI between ethnic groups were not fully accounted for by socioeconomic or behavioural factors.
      PubDate: Sat, 24 Apr 2021 00:00:00 GMT
      DOI: 10.1093/eurpub/ckab023
      Issue No: Vol. 31, No. 2 (2021)
  • Correlates of patterns of cannabis use, abuse and dependence: evidence
           from two national surveys in Ireland
    • Authors: Millar S; Mongan D, O’Dwyer C, et al.
      Pages: 441 - 447
      Abstract: BackgroundKnowledge of factors relating to patterns of cannabis use is important for informing drug policy. This study determined factors associated with recent and current cannabis use. In addition, we explored factors related to having a cannabis use disorder (CUD)—defined using the Diagnostic and Statistical Manual of Psychiatric Disorders—among current users.MethodsWe analyzed data from Ireland’s 2010–11 and 2014–15 National Drug Prevalence Surveys, which recruited 5134 and 7005 individuals respectively, aged 15 years or more, living in private households. Multinomial logistic regression was used to identify factors associated with recent (last year) and current (last month) cannabis use compared to experiential use. Binary logistic regression was used to determine factors related to CUD among current users.ResultsThe weighted prevalence of experiential cannabis use was 18.3%, with 3.0% and 3.3% of participants indicating recent or current use, respectively; 41.3% of current users indicated having a CUD. Factors associated with both recent or current cannabis use included younger age, not being married or cohabiting, having no dependent children and current use of tobacco or alcohol. Male gender, younger age and lower educational levels were significantly related to CUD among current users.ConclusionsMales, adolescents/young adults and individuals with lower educational levels are more likely to be current users of cannabis and are at a greater risk of having a CUD. Health professionals should be aware of these factors to improve detection and prevention of CUD.
      PubDate: Wed, 24 Feb 2021 00:00:00 GMT
      DOI: 10.1093/eurpub/ckab007
      Issue No: Vol. 31, No. 2 (2021)
  • Johan P. Mackenbach. A History of Population Health: Rise and Fall of
           Disease in Europe
    • Authors: Delnoij D.
      Pages: 448 - 448
      Abstract: MackenbachJohan P. A History of Population Health: Rise and Fall of Disease in Europe. Leiden – Boston: Brill-Rodopi, 2020. 430 pp. ISBN 978-90-04-42582-8
      PubDate: Sun, 25 Apr 2021 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa258
      Issue No: Vol. 31, No. 2 (2021)
  • The legacy of an ideology: a decade on from benefits as lifestyle choice
    • Authors: Patrick R; Reeves A.
      Pages: 242 - 243
      Abstract: Ten years ago, in October 2010, George Osborne, then Chancellor of the Exchequer for the UK, used his speech at the Conservative Party Conference to deliver a stinging critique of social welfare. Announcing welfare reforms, including the popular Benefit Cap, he promised:
      PubDate: Sun, 29 Nov 2020 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa215
      Issue No: Vol. 31, No. 2 (2020)
  • The role of motivational and legal contexts in understanding support for
           tissue donation across 27 European countries
    • Authors: Nguyen N; Maxwell A, Donnelly M, et al.
      Pages: 259 - 264
      Abstract: BackgroundThere is a mismatch between attitudinal support for tissue donation and its translation into behavioural action (i.e. become registered donor). The legal and motivational context around tissue donation may contribute to better understanding of this mismatch.MethodsData were extracted from the Eurobarometer 82.2 survey (2014). Data included socio-demographic characteristics, motivations underlying attitudes to tissue donation and the legal context within which donation was considered (opt-in and opt-out consent). The sample was partitioned based on contextual information and seemingly unrelated bivariate probit regressions were used to explore the relationship between passive and active support for tissue donation.ResultsApproximately 56% of 25 879 respondents stated a willingness to donate tissue after death (passive support) and 9.1% reported that they were a registered donor (active support). We found evidence of unobserved heterogeneity between active and passive support across contexts. Our findings suggest that contexts in which altruistic motives can be supported by self-interest may increase the probability of converting passive to active support. Factors associated with increased support for tissue donation included: higher levels of education; good knowledge of the healthcare system; confidence in the safety of tissue donation; readiness to be a tissue recipient and knowing a recipient of donated tissue.ConclusionsOur findings demonstrate the value of examining active and passive support for tissue donation together within specific contexts. This more nuanced approach affords clearer insights that may help to guide policy makers confronted with apparently conflicting evidence around strategies intended to promote organ and tissue donation.
      PubDate: Wed, 07 Oct 2020 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa148
      Issue No: Vol. 31, No. 2 (2020)
  • Association between early treatment hospitals, serum cholesterol level and
           cardiovascular disease risk in dyslipidemia patients
    • Authors: Han K; Kim S.
      Pages: 265 - 271
      Abstract: BackgroundStudies have shown the importance of managing chronic diseases, such as cardiovascular disease (CVD), at the primary treatment level. Here, we aimed to evaluate the association between medical treatment institutions and health outcomes in patients with dyslipidemia, a major risk of CVD, to provide evidence for increasing chronic disease management at the primary care level in Korea.MethodsWe used National Health Insurance Sampling cohort data, of which 37 506 patients were newly diagnosed with dyslipidemia during 2009–14. CVD risk and changes in serum cholesterol level after dyslipidemia diagnosis were outcome variable examined. A generalized estimating equation model was used to identify associations between initial medical institution, CVD risk and changes in serum cholesterol levels. The Cox proportional-hazard ratio was used to assess the association between initial medical institutions and detailed CVD risk. Subgroup analyses were conducted to assess CVD risk following treatment with prescription medication.ResultsOur analyses demonstrate that CVD risk was lower at primary care-level community health centers and clinics compared to tertiary hospitals, with a statistically significant difference observed in clinics. Ischemic heart disease was lower at community health centers and clinics. However, all medical institution types were associated with significantly lower serum cholesterol levels compared to the baseline.ConclusionsManagement of patients with dyslipidemia at primary care institutions was associated with reduced CVD risk and decreased serum cholesterol levels. Therefore, policymakers should strengthen the quality of healthcare at primary care institutions and educate patients that these institutions are appropriate for managing chronic disease.
      PubDate: Sat, 10 Oct 2020 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa139
      Issue No: Vol. 31, No. 2 (2020)
  • Drug-related medical hospital admissions during and after a period of head
           shop expansion
    • Authors: Smyth B; O’Farrell A, Cullen W.
      Pages: 285 - 291
      Abstract: BackgroundNew psychoactive substance (NPS) use can negatively impact health and may result in drug-related hospital admissions (DRHAs). Irish youth reported very high rates of NPS use by international standards, the most common being synthetic cannabinoids and cathinones. There was a rapid expansion in specialist shops, called head shops, selling NPS in 2010. Government responded to public protests about head shops by enacting legislation in May and August 2010 to end this trade. Many academics argued that such actions would prove futile. We sought to determine if changes in head shop activity coincided with changes in DRHA.MethodsThe national database on admissions to general hospitals hospital in-patient enquiry was examined focusing on young adults admitted from 2008 to 2012, and all emergency admissions with an International Classification of Diseases-10 diagnosis of mental disorder related to any drug (F11–F19) were identified. Joinpoint regression analysis was utilized to explore for the presence of trend changes in DRHA.ResultsJoinpoint regression analysis identified a significant downward trend change which occurred in June 2010 (95% CI February 2010 to January 2011). DRHA increased by 0.5% (95% CI 0.1–0.9) per month prior to this and then fell by 2.6% (95% CI −1.4 to −3.8) per month over the next 16 months.ConclusionsCessation of NPS sale by head shops coincided with a reversal in the upward trend of emergency hospital admissions related to drugs. Although correlation does not confirm causation, legislation which successfully curtails the commercial sale of NPS may result in reduced hospitalizations.
      PubDate: Wed, 28 Oct 2020 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa171
      Issue No: Vol. 31, No. 2 (2020)
  • Did the introduction and increased prescribing of antidepressants lead to
           changes in long-term trends of suicide rates'
    • Authors: Amendola S; Plöderl M, Hengartner M.
      Pages: 291 - 297
      Abstract: BackgroundEcological studies have explored associations between suicide rates and antidepressant prescriptions in the population, but most of them are limited as they analyzed short-term correlations that may be spurious. The aim of this long-term study was to examine whether trends in suicide rates changed in three European countries when the first antidepressants were introduced in 1960 and when prescription rates increased steeply after 1990 with the introduction of the serotonin reuptake inhibitors (SSRIs).MethodsData were extracted from the WHO Mortality Database. Suicide rates were calculated for people aged 10–89 years from 1951–2015 for Italy, 1955–2016 for Austria and 1951–2013 for Switzerland. Trends in suicide rates stratified by gender were analyzed using joinpoint regression models.ResultsThere was a general pattern of long-term trends that was broadly consistent across all three countries. Suicide rates were stable or decreasing during the 1950s and 1960s, they rose during the 1970s, peaked in the early 1980s and thereafter they declined. There were a few notable exceptions to these general trends. In Italian men, suicide rates increased until 1997, then fell sharply until 2006 and increased again from 2006 to 2015. In women from all three countries, there was an extended period during the 2000s when suicide rates were stable. No trend changes occurred around 1960 or 1990.ConclusionsThe introduction of antidepressants around 1960 and the sharp increase in prescriptions after 1990 with the introduction of the SSRIs did not coincide with trend changes in suicide rates in Italy, Austria or Switzerland.
      PubDate: Wed, 25 Nov 2020 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa204
      Issue No: Vol. 31, No. 2 (2020)
  • Migration or ethnic minority status and risk of autism spectrum disorders
           and intellectual disability: systematic review
    • Authors: Morinaga M; Rai D, Hollander A, et al.
      Pages: 304 - 312
      Abstract: BackgroundThere is an emerging evidence that the migration and the ethnic minority status are associated with the risks of autism spectrum disorder (ASD) and intellectual disability (ID). This systematic review aimed to investigate whether associations are specific to ASD or ID; whether and which migration-related or ethnically determined factors are associated with the risk of ASD and ID; and what mechanisms may explain these risks.MethodsA systematic literature search was conducted using Embase, Medline and PsycINFO for studies reporting on the risks of ASD and/or ID among migrants, descendants of migrants and/or ethnic minorities. Risks of any ASD, ASD + ID, ASD – ID and any ID were reviewed in relation to migration and ethnic minority status, with consideration to the study quality. In addition, possible underlying mechanisms suggested in the included studies were summarized.ResultsThirty-five studies were included. The summarized evidence indicated an increased risk of ASD + ID and a decreased risk of ASD – ID in migrants, descendants of migrants and ethnic minorities. These associations appeared more pronounced among children of migrant mothers, with origin in low-income countries, and among descendants of migrants. Data on ID were scarce. Suggested mechanisms explaining the increased risks of ASD + ID included environmental factors acting in utero and genetic factors (including consanguinity), while ascertainment bias was proposed to account for the lowered risks of diagnosed ASD – ID.ConclusionMigration-related factors acting in utero and/or associated with origin in low-income countries may be important in the ASD + ID aetiology, although further confirmative studies are needed.
      PubDate: Tue, 13 Oct 2020 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa108
      Issue No: Vol. 31, No. 2 (2020)
  • Development and validation of a questionnaire to assess Unaccompanied
           Migrant Minors’ needs (AEGIS-Q)
    • Authors: Di Pietro M; Zaçe D, Sisti L, et al.
      Pages: 313 - 320
      Abstract: BackgroundWhile many studies focus on specific aspects of Unaccompanied Migrant Minors’ (UMMs) health, especially mental well-being, there is a lack of tools comprehensively assessing their needs. To fill this gap, we developed and validated a questionnaire to thoroughly assess unAccompaniEd miGrant mInorS’ physical, psychological, legal, spiritual, social and educational needs (AEGIS-Q).MethodsThis work consisted of three stages. The first one involved an extensive literature review. Given the results of the review, a first draft of the questionnaire was developed and submitted to a panel of experts for validation (Delphi method-second stage). During the third stage, the final version of the questionnaire was pilot-tested in a sample of 18 UMMs.ResultsThe questionnaire, drafted based on the results of the review, consisted of sections covering personal data, migration profile, physical health needs and access to healthcare, psychological needs, legal needs, spiritual needs and educational and social needs of UMMs. After two Delphi rounds, the final version of the questionnaire, consisting of 83 questions, was structured. The pilot study had a response rate of 89–100%. We found substantial reliability for most of the sections in the questionnaire, including physical health (α=0.652), legal (α=0.781), and educational and social (α=0.614) needs. The questions regarding psychological needs had very high reliability (α=0.860).ConclusionsThe questionnaire offers a useful sharable tool to assess and monitor UMMs’ needs, helping the reception system to better know and meet their needs and implement the taking in charge.
      PubDate: Wed, 11 Nov 2020 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa184
      Issue No: Vol. 31, No. 2 (2020)
  • Home and away: mortality among Finnish-born migrants in Sweden compared to
           native Swedes and Finns residing in Finland
    • Authors: Östergren O; Korhonen K, Gustafsson N, et al.
      Pages: 321 - 325
      Abstract: BackgroundMost first-generation migrants have lower mortality compared to the native population. Finnish-born migrants in Sweden instead have higher mortality; possibly because of health behaviours established before migration. To increase our understanding of this excess mortality, we compared the cause-specific mortality of Finnish migrants in Sweden to both the native population of Sweden and the native Finnish population residing in Finland.MethodsWe used Swedish and Finnish register data, applying propensity score matching techniques to account for differences in sociodemographic characteristics between the migrants, Swedes and Finns. The index population were Finnish migrants aged 40–60, residing in Sweden in 1995. We compared patterns of all-cause, alcohol- and smoking-related, and cardiovascular disease mortality across the groups in the period 1996–2007.ResultsFinnish migrant men in Sweden had lower all-cause mortality compared to Finnish men but higher mortality compared to the Swedish men. The same patterns were observed for alcohol-related, smoking-related and cardiovascular disease mortality. Among women, all three groups had similar levels of all-cause mortality. However, Finnish migrant women had higher alcohol-related mortality than Swedish women, similar to Finnish women. Conversely, migrant women had similar levels of smoking-related mortality to Swedish women, lower than Finnish women.ConclusionsFinnish-born migrants residing in Sweden have mortality patterns that are typically in between the mortality patterns of the native populations in their country of origin and destination. Both the country of origin and destination need to be considered in order to better understand migrant health.
      PubDate: Tue, 24 Nov 2020 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa192
      Issue No: Vol. 31, No. 2 (2020)
  • Infant mortality among native-born children of immigrants in France,
           2008–17: results from a socio-demographic panel survey
    • Authors: Wallace M; Khlat M, Guillot M.
      Pages: 326 - 333
      Abstract: BackgroundWithin Europe, France stands out as a major country that lacks recent and reliable evidence on how infant mortality levels vary among the native-born children of immigrants compared with the native-born children of two parents born in France.MethodsWe used a nationally representative socio-demographic panel consisting of 296 400 births and 980 infant deaths for the period 2008–17. Children of immigrants were defined as being born to at least one parent born abroad and their infant mortality was compared with that of children born to two parents born in France. We first calculated infant mortality rates per 1000 live births. Then, using multi-level logit models, we calculated odds ratios of infant mortality in a series of models adjusting progressively for parental origins (M1), core demographic factors (M2), father's socio-professional category (M3) and area-level urbanicity and deprivation score (M4).ResultsWe documented a substantial amount of excess infant mortality among those children born to at least one parent from Eastern Europe, Northern Africa, Western Africa, Other Sub-Saharan Africa and the Americas, with variation among specific origin countries belonging to these groups. In most of these cases, the excess infant mortality levels persisted after adjusting for all individual-level and area-level factors.ConclusionsOur findings, which can directly inform national public health policy, reaffirm the persistence of longstanding inequality in infant mortality according to parental origins in France and add to a growing body of evidence documenting excess infant mortality among the children of immigrants in Europe.
      PubDate: Mon, 30 Nov 2020 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa186
      Issue No: Vol. 31, No. 2 (2020)
  • The influence of marital status and partner concordance on participation
           in colorectal cancer screening
    • Authors: Gram M; Therkildsen C, Clarke R, et al.
      Pages: 340 - 346
      Abstract: BackgroundColorectal cancer screening program using a fecal immunochemical test aims to reduce morbidity and mortality through early detection. Although screening participation is free-of-charge, almost 40% of the invited individuals choose not to participate. To bring new insight into how non-participation can be identified and targeted, we examined the association between marital status and screening participation; with a focus on partner concordance in participation and sex differences.MethodsThis nationwide cross-sectional study included all Danish citizens aged 50–74 years, who were invited to colorectal cancer screening between 2014 and 2017. Logistic regression analysis was used to estimate odds ratio (OR) of participation while adjusting for sociodemographic variables.ResultsA total of 1 909 662 individuals were included in the analysis of which 62.7% participated in the screening program. Participation was highest among women. Stratified by marital status, screening participation was markedly lower in widowed (61.5%), divorced (54.8%) and single (47.3%), while participation reached 68.4% in married individuals. This corresponded to ORs of 0.59 (95% CI 0.58–0.59) for widowed, 0.56 (95% CI 0.55–0.56) for divorced and 0.47 (95% CI 0.47–0.48) for single, compared to married individuals. Individuals married to a participating partner were five times more likely to participate than married individuals with a non-participating partner, regardless of gender.ConclusionsMarital status was strongly associated with participation in colorectal cancer screening, and participation was even higher in married individuals with a participating partner. Future efforts to increase participation in colorectal cancer screening could potentially benefit from considering the role of partner concordance.
      PubDate: Sat, 14 Nov 2020 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa206
      Issue No: Vol. 31, No. 2 (2020)
  • Inequalities and risk factors related to non-participation in colorectal
           cancer screening programmes: a systematic review
    • Authors: Unanue-Arza S; Solís-Ibinagagoitia M, Díaz-Seoane M, et al.
      Pages: 346 - 355
      Abstract: BackgroundColorectal cancer (CRC) screening programmes require high levels of participation in order to reduce mortality. To improve participation rates, it is necessary to identify the health risk factors and social inequalities associated with non-participation.MethodsA systematic review was conducted between June and September of 2019 in six databases: CINHAL, Medline, Scopus, Social Sciences Citation Index, Embase and PsycINFO. Studies assessing the relationship between health risk factors, participation in preventive activities and participation in CRC screening were included. Methodological assessment was carried out according to the Quality Assessment Tools of the National Heart, Lung and Blood Institute.ResultsA total of nine studies that analyze participation in both organized and opportunistic screening programmes using any type of screening method were finally selected. Data were mainly self-reported although in two studies medical records were also studied. We identified several variables: gender, body mass index, consultation with a doctor or a specialist, educational level, employment, health insurance, residence, ethnicity, age, marital status, income, other preventive activities, obesity, physical activity, smoking, family history of CRC and general health status.ConclusionThe scarcity of studies linking risk factors, social inequalities and participation in preventive activities for participation in screening in the same study makes it difficult to reach definitive patterns related to non-participation in CRC screening programmes. Nevertheless, being under 60, obese, smoker and sedentary have shown an association with non-participation as well as not visiting a doctor.
      PubDate: Sat, 12 Dec 2020 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa203
      Issue No: Vol. 31, No. 2 (2020)
  • Trends in active commuting to school from 2003 to 2017 among children and
           adolescents from Germany: the MoMo Study
    • Authors: Reimers A; Marzi I, Schmidt S, et al.
      Pages: 373 - 378
      Abstract: BackgroundInactivity in children and adolescents is a global issue requiring interventions that target different domains of physical activity, such as active transport. The aim of this study was to assess the prevalence, historical trends and socio-demographic correlates of active commuting to school (ACS) in a nationwide sample of girls and boys from Germany.MethodsData of commuting behaviour and socio-demographic factors were collected, covering three measurement points from 2003 to 2017. The MoMo Study derived its data from a representative sample of children and adolescents aged 4–17 years who answered a questionnaire (N = 11 387). Statistically significant differences between Baseline, Wave 1 and Wave 2 were determined via 95% confidence intervals (CIs) for complex samples.ResultsOverall, ACS decreased from 84.4% at the first measurement point to 78.3% in the third measurement point. The proportion of cases in which children opted for passive modes of commuting increased predominantly in those aged 4–5 years, in children with a low-to-medium socio-economic status, and in children residing in small- or medium-sized towns. No gender differences were found in active commuting. The results of multinomial logistic regression identified age, migration background and residential area as correlates of walking for boys. For girls, the likelihood of walking, cycling and taking public transport instead of opting for motorized transport increased with age.ConclusionsIntervention programmes to increase active transport in children and adolescents should target different age groups and also consider parental influence in determining the child’s choice of transport mode.
      PubDate: Sun, 04 Oct 2020 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa141
      Issue No: Vol. 31, No. 2 (2020)
  • Psychosocial health of adolescents in relation to underweight,
           overweight/obese status: the EU NET ADB survey
    • Authors: Drosopoulou G; Sergentanis T, Mastorakos G, et al.
      Pages: 379 - 384
      Abstract: BackgroundBoth deviations from normal weight, namely, underweight and overweight/obese status, have been inversely associated with psychosocial health in adolescents. This study aimed to examine the relationship between psychosocial health and body mass index (BMI) among adolescents in five European countries, while assessing the effect of sociodemographic variables.MethodsA cross-sectional school-based study of adolescents aged 14–17.9 years was conducted in the framework of the European Network for Adolescent Addictive Behavior survey. Self-reported questionnaires from Greece, Iceland, the Netherlands, Romania and Spain were used for the current analysis. Associations between Youth Self-Report (YSR) scales and BMI status were investigated by multiple logistic regression analysis. The effect of sociodemographic variables was also measured.ResultsΤhe sample consisted of 7005 adolescents aged 14–17.9 years. Borderline/clinical scores on some YSR scales were independently associated with overweight/obesity, specifically total problems (OR = 1.52, 95% CI: 1.18–1.96), internalizing ( OR = 1.48, 95% CI: 1.16–1.91), externalizing (OR = 1.36, 95% CI: 1.10–1.68), social (OR = 1.67, 95% CI: 1.19–2.35) and thought problems (OR = 1.62, 95% CI: 1.20–2.20). Among subscales, overweight/obesity specifically correlated with anxiety/depression (OR = 1.83, 95% CI: 1.33–2.51), withdrawal/depression (OR = 1.58, 95% CI: 1.02–2.48) and rule-breaking behavior (OR = 1.55, 95% CI: 1.15–2.08). Underweight was associated with problems on activities (OR = 1.31, 95% CI: 1.01–1.68) and withdrawal/depression (OR = 1.95, 95% CI: 1.27–3.01).ConclusionsLower levels of psychosocial health are associated with both deviations from normal weight. These findings suggest the need for health policies that target health habits and lifestyle, as well as positive attitudes towards the body image, with respect to the different psychosocial characteristics of each body weight status category.
      PubDate: Thu, 05 Nov 2020 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa189
      Issue No: Vol. 31, No. 2 (2020)
  • Electronic cigarette use among 14- to 17-year-olds in Europe
    • Authors: Kinnunen J; Rimpelä A, Lindfors P, et al.
      Pages: 402 - 408
      Abstract: BackgroundStudies comparing adolescent e-cigarette use in different countries are scarce. We study students’ e-cigarette and conventional cigarette ever-use, their social correlates and e-liquid use in seven EU countries.MethodsSILNE-R data (N=12 167, response rate 79.4%) of 14–17-year-olds from Amersfoort (NL), Coimbra (PT), Dublin (IR), Hanover (GE), Latina (IT), Namur (BE) and Tampere (FI) were used. E-cigarette and conventional cigarette ever-use, dual-use, type of e-liquid and social correlates were measured with a school survey and analyzed with cross-tabulations and multinomial logistic regression.ResultsAbout 34% had tried e-cigarettes, but the variation was large between the cities (Latina 50%; Hanover 23%). Of e-cigarette ever-users, 37% had used nicotine e-liquid, 43% exclusively non-nicotine liquid and 20% did not know the content. Nicotine e-liquid was more prevalent among monthly e-cigarette users and weekly smoking e-cigarette users. The social correlates were mainly the same for exclusive e-cigarette ever-use, exclusive conventional cigarette ever-use and dual-use. Boys had greater odds for exclusive e-cigarette and dual-use compared to girls. Of social correlates, low academic achievement and parental smoking were positively associated with all categories of use, but parental education and immigrant background were not. The strongest association was found between peer smoking (most/all best friends smoke) and dual-use (OR 34.29).ConclusionsStudents’ e-cigarette ever-use varies greatly between EU countries. E-cigarettes seem not to be a substitute for conventional cigarettes but more a complementary product. Tobacco control policies might also prevent e-cigarette use but specific regulations on e-cigarettes are needed to prevent nicotine addiction originating from them.
      PubDate: Tue, 20 Oct 2020 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa145
      Issue No: Vol. 31, No. 2 (2020)
  • Mixed evidence for the compression of morbidity hypothesis for smoking
           elimination—a systematic literature review
    • Authors: Dieteren C; Faber T, van Exel J, et al.
      Pages: 409 - 417
      Abstract: BackgroundThere is debate around the composition of life years gained from smoking elimination. The aim of this study was to conduct a systematic review of the literature to synthesize existing evidence on the effect of smoking status on health expectancy and to examine whether smoking elimination leads to compression of morbidity.MethodsFive databases were systematically searched for peer-reviewed articles. Studies that presented quantitative estimates of health expectancy for smokers and non-/never-smokers were eligible for inclusion. Studies were searched, selected and reviewed by two reviewers who extracted the relevant data and assessed the risk of bias of the included articles independently.ResultsThe search identified 2491 unique records, whereof 20 articles were eligible for inclusion (including 26 cohorts). The indicators used to measure health included disability/activity limitations (n=9), health-related quality of life (EQ-5D) (n=2), weighted disabilities (n=1), self-rated health (n=9), chronic diseases (n=6), cardiovascular diseases (n=4) and cognitive impairment (n=1). Available evidence showed consistently that non-/never-smokers experience more healthy life years throughout their lives than smokers. Findings were inconsistent on the effect of smoking on the absolute number of unhealthy life years. Findings concerning the time proportionally spent unhealthy were less heterogeneous: nearly all included articles reported that non-/never-smokers experience relatively less unhealthy life years (e.g. relative compression of morbidity).ConclusionsSupport for the relative compression of morbidity due to smoking elimination was evident. Further research is needed into the absolute compression of morbidity hypothesis since current evidence is mixed, and methodology of studies needs to be harmonized.
      PubDate: Fri, 18 Dec 2020 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa235
      Issue No: Vol. 31, No. 2 (2020)
  • Brief alcohol intervention at a municipal registry office: reach and
    • Authors: Enders C; Staudt A, Freyer-Adam J, et al.
      Pages: 418 - 423
      Abstract: BackgroundThe aim was to investigate the suitability of a municipal registry office for alcohol screening and brief intervention. We analyzed whether trial participation and retention differ by alcohol- and health-related, demographic and socio-economic participant characteristics.MethodsOver 3 months, all 18- to 64-year-old visitors of a registry office were systematically screened. Persons with alcohol consumption in the past 12 months (N = 1646) were randomized to brief alcohol intervention (BAI) or assessment only. BAI was delivered by computer-generated individualized feedback letters at baseline, 3 and 6 months. Logistic and ordered logistic regression models were used to investigate whether the odds of trial participation and retention depended on participant characteristics. Models were rerun separately for low-risk and at-risk drinkers with Alcohol Use Disorder Identification Test-Consumption scores ≥4/≥5 for women/men indicating at-risk drinking.ResultsThe trial participation rate was 67% with higher odds of participation in younger adults (P < 0.001). Retention rates at 3 and 6 months were 85% and 81%, respectively. Higher retention was associated with older age, higher level of school education and non-smoking (all p-values ≤0.05). Low-risk drinkers were more likely to participate in the trial (P < 0.01) and in post-baseline assessments (P < 0.05) than at-risk drinkers.ConclusionOur data suggest that registry offices could be a suitable setting to reach people from the general population for BAI. Especially the understudied group of low-risk drinkers was well reached through BAI and showed high adherence. BAI that addresses alcohol consumers beyond those at risk may be well accepted in proactively recruited people from the general population.
      PubDate: Thu, 05 Nov 2020 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa195
      Issue No: Vol. 31, No. 2 (2020)
  • Trends in adolescent drinking across 39 high-income countries: exploring
           the timing and magnitude of decline
    • Authors: Vashishtha R; Pennay A, Dietze P, et al.
      Pages: 424 - 431
      Abstract: BackgroundEvidence suggests adolescent alcohol consumption has declined since the turn of the millennium in almost all high-income countries. However, differences in the timing and magnitude of the decline have not been explored across countries.MethodsWe examined trends in adolescent past month or monthly alcohol consumption prevalence from cross-national or national survey reports for 39 countries and four US territories. For each country, we calculated the magnitude of the decline in youth drinking as the relative change in prevalence from the peak year to the most recent year available. Heat maps were utilized to present the timing and magnitudes of these declines.ResultsThe timing and extent of youth drinking declines have varied markedly across countries. The decline began in the USA before 1999, followed by Northern European countries in the early 2000s; Western Europe and Australasia in the mid-2000s. The steepest declines were found for Northern Europe and the UK, and the shallowest declines were observed in Eastern and Southern European countries.ConclusionsPrevious analyses of the decline in adolescent drinking have emphasized the wide reach of the changes and their near-coincidence in time. Our analysis points to the other side of the picture that there were limits to the wide reach, and that there was considerable variation in timing. These findings suggest that as well as broader explanations that stretch across countries, efforts to explain recent trends in adolescent drinking should also consider factors specific to countries and regions.
      PubDate: Sat, 14 Nov 2020 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa193
      Issue No: Vol. 31, No. 2 (2020)
  • A scoping review of qualitative research on perceptions of one’s own
           alcohol use
    • Authors: Morris S; Stewart D, Madden M, et al.
      Pages: 432 - 436
      Abstract: BackgroundThis scoping review aims to map the extent, range and nature of qualitative research on people’s ‘perceptions’ of their own alcohol consumption.MethodsA systematic search of five electronic databases was conducted. A total of 915 abstracts were screened and 452 full texts examined, of which 313 papers met the inclusion criteria (including a report of qualitative data on perceptions, experiences or views of people’s own drinking in peer-reviewed journals published in English).ResultsThis study maps the available literature assembled over approximately 30 years, which was found to be extensive and diverse. Many existing studies are focused largely on people’s ‘experiences’ of their own drinking behaviours, particularly when they were drinking in ways commonly understood as heavy, risky or problematic. Fewer studies focused on populations whose drinking was not heavy or was risky in less obvious ways, such as older adults prescribed medications for chronic health conditions. Most studies were conducted since 2010, with the rate of publications increasing since 2014.ConclusionsThis review identifies gaps in the evidence regarding people’s perceptions of their own drinking and opportunities for qualitative studies to make valuable contributions to alcohol research. Gaps discussed include patterns of drinking that are less obviously problematic, and in relation to consumption of alcohol in those parts of the world where overall consumption and harms from alcohol are high. Such studies could usefully be informed by existing studies in the evidence mapping.
      PubDate: Mon, 23 Nov 2020 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa211
      Issue No: Vol. 31, No. 2 (2020)
  • Correlates of the use of electronic devices to vape cannabis in a cohort
           of young Swiss male reporting current cannabis use
    • Authors: Fuster D; Studer J, Gmel G, et al.
      Pages: 437 - 441
      Abstract: BackgroundInformation about correlates of cannabis vaping in Europe is scarce.MethodsIn a cohort of 1613 Swiss young males currently using cannabis, we used logistic regression, adjusting for age, linguistic region and education to assess the association between sensation seeking, substance use and sociodemographic variables with cannabis vaping.ResultsMean age was 25.38 years, 60.4% had post-secondary education and 57.3% lived in French-speaking cantons; 26.3% met criteria for nicotine dependence, 16.0% met criteria for alcohol use disorder and 34.9% used illicit drugs other than cannabis; 27.4% used cannabis at least twice a week and 27.8% met criteria for cannabis use disorder (CUD). Ninety-four participants (5.8%) reported cannabis vaping (of them 87.4% reported infrequent cannabis vaping). In the adjusted analysis, using joints with no tobacco {adjusted odds ratio (aOR) [95% confidence interval (CI)] = 1.45 (1.02–1.76)}, water pipe with [aOR (95% CI) = 1.70 (1.29–2.24)] and without tobacco [aOR (95% CI) = 2.15 (1.60–2.87)], cannabis mixed with food [aOR (95% CI) = 1.61 (1.29–2.02)], using cannabis >2 times a week [aOR (95% CI) = 3.73 (2.40–5.81)], meeting criteria for CUD [aOR (95% CI) = 4.19 (2.70–6.50)], using illicit drugs other than cannabis [aOR (95% CI) = 1.88 (1.23–2.87)], weekly number of alcohol drinks [aOR (95% CI) = 1.01 (1.00–1.03)] and living in the German-speaking area of Switzerland [aOR (95% CI) = 2.70 (1.71–4.25)] were associated with higher odds of cannabis vaping; post-secondary schooling [aOR (95% CI) = 0.37 (0.16–0.86)] and vocational training [aOR (95% CI) = 0.41 (0.17–0.99)] (as opposed to primary schooling) were associated with lower odds of cannabis vaping.ConclusionCannabis vaping might be a marker of riskier behaviours among cannabis users.
      PubDate: Mon, 09 Nov 2020 00:00:00 GMT
      DOI: 10.1093/eurpub/ckaa176
      Issue No: Vol. 31, No. 2 (2020)
  • European Public Health News
    • Authors: Zeegers Paget D; Nagyova I, Zeegers Paget D, et al.
      Pages: 449 - 453
      Abstract: In this European Public Health news, I am happy to present the plans of EUPHA’s next-generation network, called EUPHAnxt. Brinzac presents the new vision of EUPHAnxt: creating a strong and durable network of future public health professionals to ensure that EUPHA’s voice will continue to be loud, clear and unbiased. This is in line with EUPHA’s new strategy and objectives, whereby evidence should be the basis for policy and practice and evidence itself should be easily accessible.
      PubDate: Tue, 24 Nov 2020 00:00:00 GMT
      DOI: 10.1093/eurpub/ckab022
      Issue No: Vol. 31, No. 2 (2020)
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