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European Journal of Public Health

Heidi P Fransen, Jolanda M A Boer, Joline W J Beulens, G Ardine de Wit, H Bas Bueno-de-Mesquita, Jeljer Hoekstra, Anne M May, Petra H M Peeters
BACKGROUND: Unhealthy dietary patterns have been associated with other unhealthy lifestyle factors such as smoking and physical inactivity. Whether these associations are similar in high- and low-educated individuals is currently unknown. METHODS: We used information of the EPIC-NL cohort, a prospective cohort of 39 393 men and women, aged 20-70 years at recruitment. A lifestyle questionnaire and a validated food frequency questionnaire were administered at recruitment (1993-97)...
October 15, 2016: European Journal of Public Health
Valentina Barletta, Francesco Profili, Rosa Gini, Leonardo Grilli, Carla Rampichini, Daniela Matarrese, Paolo Francesconi
BACKGROUND: In 2010, Tuscany (Italy) implemented the Chronic Care Model (CCM), to improve general practitioner (GP) management of chronic diseases. AIM: assessing how the introduction of CCM affected GPs' compliance with standards of care for diabetes patients. METHODS: A controlled before-after study was performed. Two exposed groups of GPs, one entering the study in 2010 and one in 2011, were considered. Patients with diabetes assisted by GPs of the groups were identified through the healthcare administrative data of the Regional Healthcare System and followed up from 2009 to 2012...
October 15, 2016: European Journal of Public Health
Behrooz Behbod, Paolo Lauriola, Giovanni Leonardi, Helen Crabbe, Rebecca Close, Brigit Staatsen, Lisbeth E Knudsen, Kees de Hoogh, Sylvia Medina, Jan C Semenza, Tony Fletcher
No abstract text is available yet for this article.
October 15, 2016: European Journal of Public Health
Stephanie Schoeppe, Corneel Vandelanotte, Elling Bere, Nanna Lien, Maïté Verloigne, Éva Kovács, Yannis Manios, Mona Bjelland, Frøydis Nordgård Vik, Wendy Van Lippevelde
BACKGROUND: Parents play an important role in modelling healthy behaviours to their children. This study investigated associations between parent and child physical activity and screen time behaviours across specific domains, including moderating effects by parent and child gender. METHOD: The sample comprised 3300 school children and 2933 parents participating in the UP4FUN project (mean ages: child 11.2 ± 0.8 years, mother 40.0 ± 4.9 years, father 43.4 ± 5...
October 15, 2016: European Journal of Public Health
Paola A Mosquera, Miguel San Sebastian, Anneli Ivarsson, Lars Weinehall, Per E Gustafsson
BACKGROUND: Early life is thought of as a foundation for health inequalities in adulthood. However, research directly examining the contribution of childhood circumstances to the integrated phenomenon of adult social inequalities in health is absent. The present study aimed to examine whether, and to what degree, social conditions during childhood explain income inequalities in metabolic syndrome in mid-adulthood. METHODS: The sample (N = 12 481) comprised all 40- and 50-year-old participants in the Västerbotten Intervention Program in Northern Sweden 2008, 2009 and 2010...
October 15, 2016: European Journal of Public Health
Martin McKee, David Stuckler, Dineke Zeegers Paget, Thomas Dorner
No abstract text is available yet for this article.
October 15, 2016: European Journal of Public Health
Charles Agyemang
No abstract text is available yet for this article.
October 13, 2016: European Journal of Public Health
Tim Johansson, Sophie Keller, Andreas C Sönnichsen, Raimund Weitgasser
BACKGROUND: This study aimed to explore if group-based peer support as an additional component to a disease management programme (DMP) in type 2 diabetes can reduce the number of prescribed drugs; hospital admissions; and length of hospital stay and therefore be a cost-effective model. METHODS: Controlled study based on a secondary data analysis of a cluster randomized trial. Our study population was general practitioners and patients in the province of Salzburg...
October 2, 2016: European Journal of Public Health
Dimitris Papamichail, Ioanna Petraki, Chrisoula Arkoudis, Agis Terzidis, Emmanouil Smyrnakis, Alexis Benos, Takis Panagiotopoulos
BACKGROUND: Research on Roma health is fragmentary as major methodological obstacles often exist. Reliable estimates on vaccination coverage of Roma children at a national level and identification of risk factors for low coverage could play an instrumental role in developing evidence-based policies to promote vaccination in this marginalized population group. METHODS: We carried out a national vaccination coverage survey of Roma children. Thirty Roma settlements, stratified by geographical region and settlement type, were included; 7-10 children aged 24-77 months were selected from each settlement using systematic sampling...
October 2, 2016: European Journal of Public Health
W Mazzucco, R Pastorino, T Lagerberg, M Colotto, E d'Andrea, C Marotta, C Marzuillo, P Villari, A Federici, W Ricciardi, S Boccia
BACKGROUND: A need for a governance of genomics in healthcare among European Union (EU) countries arose during an international meeting of experts on public health genomics (PHG). We have conducted a survey on existing national genomic policies in healthcare among Chief Medical Officers (CMOs) of the 28 EU member states, plus Norway. METHODS: A questionnaire was sent to CMOs after a meeting on the policy implications of PHG held during the Italian presidency of the Council of EU in 2014...
September 29, 2016: European Journal of Public Health
Brenda B León-Gómez, Esther Colell, Joan R Villalbí, Gregorio Barrio, Antonia Domingo-Salvany
BACKGROUND: Studies assessing Spanish smoke-free laws have found a decrease in second-hand smoke exposure, but the impact of such laws on general smoking trends is not clear. This study proposes to analyse trends in the prevalence of smoking in Spain, including changes by educational level, following the implementation of smoke-free regulations (2005 and 2010). METHODS: Seven editions of the Spanish Household Survey on Alcohol and Drugs from 1999 to 2011 were used to analyse the standardised prevalence of daily smokers, the proportion of ex-daily smokers, and the average cigarettes smoked daily in both sexes and by educational level, among the population aged 15-64...
September 28, 2016: European Journal of Public Health
Coral E Gartner, Karl E Lund, Jan J Barendregt, Norashidah Mohamed Nor, Heidy Hassan, Tord F Vedøy, Elisabeth Kvaavik
BACKGROUND: Norway has achieved a noteworthy reduction in smoking prevalence over the past forty years. In 2015, 13% of Norwegians aged 13-74 smoked daily and a further 9% smoked occasionally. One of the objectives of the Norwegian 2013-16 national strategy for tobacco control is to achieve a reduction in the daily smoking prevalence to < 10% by 2016. This paper aims to estimate how long it will take for Norway to achieve the 10% smoking prevalence. METHODS: A dynamic forecasting model using smoking prevalence data from national survey data on the prevalence of current, former and never smokers in the Norwegian population from 1985 to 2012 was used to estimate future smoking prevalence in the Norwegian population based on a continuation of current patterns in smoking cessation and initiation rates...
September 28, 2016: European Journal of Public Health
Gianlorenzo Scaccabarozzi, Fabrizio Limonta, Emanuele Amodio
BACKGROUND: Over one quarter of the health care expenditures is estimated to be spent for patients in the last year of life (LYL). For these patients, palliative care (PC) has been suggested as a response for improving the standards of care and reducing health costs. The aim of this study was to analyze a cohort of LYL people, in terms of comparing hospitalised patients who had been referred for PC to patients receiving usual care (UC). METHODS: Retrospective study carried out on patients resident in Lecco (Italy) who died between 2012 and 2013...
September 28, 2016: European Journal of Public Health
Mirjam Stuij, Agnes Elling, Tineke A Abma
According to medical guidelines counselling on sports and physical activity should be part of diabetes treatment. Using an online questionnaire (n = 181), we explored how people with both type 1 and type 2 diabetes experienced this counselling in the Netherlands. Most respondents were critical, indicating that they did not receive proper guidance or helpful advices. A third of the respondents mentioned that there was hardly any attention for the subject during their treatment. This conflict between guidelines and experiences point towards the need for more insight in critical issues in counselling regarding taking up sports and physical activity (again) after diagnosis...
September 27, 2016: European Journal of Public Health
Joreintje D Mackenbach, Jeroen Lakerveld, Yavanna van Oostveen, Sofie Compernolle, Ilse De Bourdeaudhuij, Helga Bárdos, Harry Rutter, Ketevan Glonti, Jean-Michel Oppert, Helene Charreire, Johannes Brug, Giel Nijpels
BACKGROUND: Neighbourhood income inequality may contribute to differences in body weight. We explored whether neighbourhood social capital mediated the association of neighbourhood income inequality with individual body mass index (BMI). METHODS: A total of 4126 adult participants from 48 neighbourhoods in France, Hungary, the Netherlands and the UK provided information on their levels of income, perceptions of neighbourhood social capital and BMI. Factor analysis of the 13-item social capital scale revealed two social capital constructs: social networks and social cohesion...
September 27, 2016: European Journal of Public Health
Thomas Czypionka, Gerald Röhrling, Susanne Mayer
BACKGROUND: Coordinated health service utilisation in the ambulatory care sector is of major interest from a health policy perspective. This ecological study investigates the interplay between medical care utilisation in hospital outpatient departments and in freestanding physician practices by drawing on the example of the Austrian healthcare system, which is standing out due to three features: ambulatory care is provided by both free-standing public (contract) and private (non-contract) practitioners; medical specialists operate in free-standing physician practices and in hospital outpatient departments; essentially, no gatekeeping is in place...
September 27, 2016: European Journal of Public Health
Giny Norder, Claartje A van der Ben, Corné A M Roelen, Martijn W Heymans, Jac J L van der Klink, Ute Bültmann
BACKGROUND: Mental disorders are increasing and account for one-third of all disability benefits in OECD countries. This study investigated the work status after mental sickness absence (SA). METHODS: Five-year longitudinal cohort study of 6678 male production workers. Work status, work schedule and work hours/week were retrieved from employer records in five years following RTW from mental SA. Longitudinal analysis was done with linear and logistic generalized estimating equations estimating relative risks (RRs) and odds ratios (ORs), respectively, controlled for age, marital status and occupational grade...
September 22, 2016: European Journal of Public Health
Raziye Salari, Anna Backman
BACKGROUND: For parenting programs to achieve a public health impact, it is necessary to develop more effective marketing strategies to increase public awareness of these programs and promote parental participation. In this article, we compared a promotion-focused and a prevention-focused strategy via two studies. METHOD: We designed two ads inviting parents to participate in a universal parenting program; one ad focused on the program increasing the likelihood of positive outcomes for children (promotion-focused) and the other on the program reducing the likelihood of negative outcomes (prevention-focused)...
September 18, 2016: European Journal of Public Health
Vendula Blaya-Nováková, Francisco J Prado-Galbarro, Antonio Sarría-Santamera
The objective was to evaluate the effect of influenza vaccine on all-cause mortality in a cohort of patients with heart failure followed up in primary care centres of the Community of Madrid, Spain, during the period 2006-10. Results of the Cox proportional-hazard model were adjusted for age and sex and, after 1:1 nearest neighbour matching, for propensity score. The analysis was further stratified by season. Having received annual influenza vaccine was associated with a decreased risk of death during the influenza season (hazard ratio = 0...
September 10, 2016: European Journal of Public Health
Massimo Mirandola, Lorenzo Gios, Ruth Joanna Davis, Martina Furegato, Michele Breveglieri, Cinta Folch, Danica Staneková, Irina Nita, Džamila Stehlíková
BACKGROUND: HIV testing is generally accepted as being the lynchpin of a prevention strategy to tackle the HIV epidemic among MSM. However, few studies have analysed in detail the factors that influence HIV test seeking behaviour. METHODS: The objective of this article is to analyse the relationship between HIV test seeking behaviour and individual, social and demographic factors in a sample of MSM recruited though a multi-centre bio-behavioural cross-sectional study...
September 10, 2016: European Journal of Public Health
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