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European Journal of Public Health

Adilson Marques, Miguel Peralta, Hugo Sarmento, João Martins, Miguel González Valeiro
Background: This study aimed to assess cross-sectional and prospective relationships between vigorous physical activity (VPA) and the risk of major chronic diseases among European older adults. Methods: Participants were 37 524 older adults who responded to the fourth (in 2011) and fifth (in 2013) wave of the SHARE project, from 13 European countries. Participants answered interview questions about the presence of chronic conditions and VPA. The cross-sectional and prospective association between PA and the number of chronic diseases was assessed using logistic regression models...
May 14, 2018: European Journal of Public Health
Petra Kolip, Cornelia Lange
The gender gap in life expectancy (GGLE) varies substantially in EU 28 Member States. This paper addresses the question of whether gender inequality affects the GGLE as well as life expectancy (LE) in both genders. We conducted an ecological study and used the gender inequality index (GII) developed by the United Nations as well as the gender difference in LE in 2015. We found a correlation between GGLE and GII (r2=0.180) and between GII and LE of 0.418 (women) and 0.430 (men). Gender equality policies are still necessary and will have an effect on women's as well as men's health...
May 14, 2018: European Journal of Public Health
Emma Kwegyir-Afful, Reeta Lamminpää, Tuomas Selander, Mika Gissler, Katri Vehviläinen-Julkunen, Seppo Heinonen, Markku Sallmen, Kimmo Räsänen
Background: Negative effects of manual handling of burdens on pregnancy outcomes are not elucidated in Finland. This study examines the association between perinatal outcomes and occupational exposure to manual handling of burdens. Methods: The study cohort was identified from the Finnish Medical Birth Register (MBR, 1997-2014) and information on exposure from the Finnish job-exposure matrix (FINJEM) 1997-2009. The cohort included all singleton births of mothers who were classified as 'service and care workers' representing the exposure group (n=74 286) and 'clerks' as the reference (n=13 873)...
May 10, 2018: European Journal of Public Health
Per Wändell, Axel C Carlsson, Danijela Gasevic, Martin J Holzmann, Johan Ärnlöv, Jan Sundquist, Kristina Sundquist
Background: Preventing ischaemic stroke attracts significant focus in atrial fibrillation (AF) cases. Less is known on the association between socioeconomic factors and mortality and cardiovascular outcomes in patients with AF. Methods: Our study population included adults (n=12 283) ≥45 years diagnosed with AF at 75 primary care centres in Sweden 2001-07. Cox regression was used to calculate hazard ratios (HRs) with 95% confidence intervals (CIs) for the association between the exposures educational level, marital status, neighbourhood socioeconomic status and the outcomes all-cause mortality, after adjustment for age, and comorbid cardiovascular conditions...
May 9, 2018: European Journal of Public Health
Aïda Solé-Auró, Domantas Jasilionis, Peng Li, Anna Oksuzyan
Background: The article examines gender differences in happy life expectancy at age 50 (LE50) and computes the age-specific contributions of mortality and happiness effects to gender differences in happy LE50 in 16 European countries. Methods: Abridged life tables and happy LE50 were calculated using conventional life tables and Sullivan's method. Age-specific death rates were calculated from deaths and population exposures in the Human Mortality Database. Happiness prevalence was estimated using the 2010-11 Survey of Health, Ageing and Retirement in Europe...
May 8, 2018: European Journal of Public Health
Bochen Cao, Catherine Hill, Christophe Bonaldi, Maria E León, Gwenn Menvielle, Pierre Arwidson, Freddie Bray, Isabelle Soerjomataram
Background: The evidence on the carcinogenicity of tobacco smoking has been well established. An assessment of the population-attributable fraction (PAF) of cancer due to smoking is needed for France, given its high smoking prevalence. Methods: We extracted age- and sex-specific national estimates of population and cancer incidence for France, and incidence rates of lung cancer among never smokers and relative risk (RR) estimates of smoking for various cancers from the American Cancer Prevention Study (CPS II)...
May 7, 2018: European Journal of Public Health
Lars L Andersen, Sannie V Thorsen, Mari-Ann Flyvholm, Andreas Holtermann
Background: The working environment plays an important role in public health. This study investigates the risk for long-term sickness absence (LTSA) from the combination of factors related to physical work demands. Methods: Employees (n = 22 740) of the general population (the Danish Work Environment & Health study 2012) were followed for two years in the Danish Register for Evaluation of Marginalisation. Using Cox regression analyses we determined the risk of LTSA from four factors; (i) physical work demands, (ii) physical exertion during work, (iii) fatigue after work and (iv) work-limiting pain...
May 5, 2018: European Journal of Public Health
Sol P Juárez, Rhonda Small, Anders Hjern, Erica Schytt
Background: Prior studies have reported substantial differences in caesarean rates between migrant and non-migrant women. In this study we investigate whether the association between maternal country of birth and caesarean section is modified by length of residence in Sweden. Methods: Population-based register study. A total of 106 760 migrant and 473 881 Swedish-born women having singleton, first births were studied using multinomial multiple regression models to estimate odds ratios (OR) and 95% confidence intervals for mode of birth...
May 4, 2018: European Journal of Public Health
Anne C de Munter, Alma Tostmann, Susan J M Hahné, D Henri Spaan, Rijk van Ginkel, Wilhelmina L M Ruijs
Background: Measles is an infectious disease providing lifelong immunity. Epidemics periodically occur among unvaccinated orthodox Protestants in the Netherlands. During the 2013/2014 epidemic, 17% of the reported patients was over 14 years old. Apparently, they did not catch measles during the previous 1999/2000 epidemic and remained susceptible. We wanted to identify risk factors for this so-called persisting measles susceptibility, and thus risk factors for acquiring measles at older age with increased risk of complications...
April 30, 2018: European Journal of Public Health
An-Li Wang, Zhenhao Shi, Victoria P Fairchild, Catherine A Aronowitz, Daniel D Langleben
Background: Graphic warning labels (GWLs) on cigarette packages, that combine textual warnings with emotionally salient images depicting the adverse health consequences of smoking, have been adopted in most European countries. In the US, the courts deemed the evidence justifying the inclusion of emotionally salient images in GWLs insufficient and put the implementation on hold. We conducted a controlled experimental study examining the effect of emotional salience of GWL's images on the recall of their text component...
April 26, 2018: European Journal of Public Health
André Peralta-Santos, Julian Perelman
Background: The European Union (EU) Directive on Patients' Rights in Cross-border Healthcare clarified the entitlements to medical care in other EU Member states. However, little is known about whether EU citizens have been travelling or are willing to travel to receive care. This study aimed to measure the determinants of cross-border patient mobility and willingness to travel to receive medical care in the EU, before and after the adoption of the Directive. Methods: We used individual data from the Eurobarometer 210 (2007) and 425 (2014)...
April 25, 2018: European Journal of Public Health
Melissa Mialon, Jim McCambridge
Background: There is growing awareness of the detrimental effects of alcohol industry commercial activities, and concern about possible adverse impacts of its corporate social responsibility (CSR) initiatives, on public health. The aims of this systematic review were to summarize and examine what is known about CSR initiatives undertaken by alcohol industry actors in respect of harmful drinking globally. Methods: We searched for peer-reviewed studies published since 1980 of alcohol industry CSR initiatives in seven electronic databases...
April 25, 2018: European Journal of Public Health
Mark R O'Donovan, Christian Gapp, Claudia Stein
Background: The World Health Organization (WHO) and the Institute for Health Metrics and Evaluation (IHME) have produced numerous global burden of disease (GBD) estimates since the 1990s, using disability-adjusted life-years (DALYs). Here we attempt to identify studies that have either independent DALY estimates or build on the work of WHO and IHME, for the WHO European Region, categorize them by scope of disease analysis and geographic coverage, and briefly compare their methodology (age weighting, discounting and disability weights)...
April 25, 2018: European Journal of Public Health
Mireia Diaz, David Moriña, Vanesa Rodríguez-Salés, Raquel Ibáñez, Josep Alfons Espinás, Silvia de Sanjosé
Background: HPV screening has been shown to be more cost-effective than cytology screening under most scenarios. Furthermore, it should be offered only in organized programmes with good quality assurance mechanisms. This study analyses the comparative cost of the current policy of opportunistic cytology screening vs. a hypothetical organized programme based on primary HPV screening. Methods: Total cervical cancer expenditure was defined as the sum of three cost elements: (i) direct (medical and non-medical) costs, obtained from a calibrated Markov model of the natural history of HPV and cervical cancer; (ii) programmatic costs, estimated based on other organized screening programmes; and (iii) indirect costs, extrapolated from previously published data...
April 18, 2018: European Journal of Public Health
Ulf Högberg, Erik Lampa, Göran Högberg, Peter Aspelin, Fredrik Serenius, Ingemar Thiblin
Background: The hypothesis of this study is that the diagnosis of infant abuse is associated with criteria for shaken baby syndrome (SBS)/abusive head trauma (AHT), and that that changes in incidence of abuse diagnosis in infants may be due to increased awareness of SBS/AHT criteria. Methods: This was a population-based register study. Setting: Register study using the Swedish Patient Register, Medical Birth Register, and Cause of Death Register. The diagnosis of infant abuse was based on the International Classification of Diseases, 9th and 10th revision...
April 17, 2018: European Journal of Public Health
André Berchtold, Christina Akre, Yara Barrense-Dias, Grégoire Zimmermann, Joan-Carles Surís
Background: Since 2001, a recommendation of no more than 2 h per day of screen time for children 2 years of age or older was adopted in many countries. However, this recommendation was rarely examined empirically. The goal of the present study was to question this recommendation in today's connected world. Methods: We used data from the survey (spring 2012), a representative sample of 8th graders in the Canton of Vaud, Switzerland (n = 2942, 50.6% female)...
April 17, 2018: European Journal of Public Health
James Chauvin, Nancy Edwards
No abstract text is available yet for this article.
April 16, 2018: European Journal of Public Health
Julie Akkoyun-Farinez, Abdou Y Omorou, Johanne Langlois, Elisabeth Spitz, Philip Böhme, Marie-Hélène Quinet, Laura Saez, Laurent Muller, Edith Lecomte, Karine Legrand, Serge Briançon
Background: There is an evidence of social inequalities in weight status in adolescence but the diversity of family socioeconomic status (SES) indicators can lead to discrepant findings. We aimed to identify how combination of family SES indicators can help measuring weight socioeconomic gradient (WSG) among adolescents. Methods: Cross-sectional data from 2113 adolescents (13-18 years old) of the PRALIMAP-INÈS trial were used. Multiple SES indicators and assessment of weight status including body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR) and self-perception of overweight were used...
April 13, 2018: European Journal of Public Health
Elke Peters, Katja Spanier, Friedrich Michael Radoschewski, Matthias Bethge
Background: The study examined the association of social support with mental health, subjective work ability and psychological consultation. Methods: The cohort study included 1886 German employees (40-54 years) with sickness absence exceeding six weeks in 2012. Postal surveys were carried out in 2013 and 2015. Results: After adjustment for socio-demographic data, work-related characteristics and personality factors, persons with low social support compared to high social support had poorer mental health (b=-4...
April 13, 2018: European Journal of Public Health
Angelique P Vermeiren, Maartje Willeboordse, Marije Oosterhoff, Nina Bartelink, Peter Muris, Hans Bosma
Background: This study assesses socio-economic health inequalities (SEHI) over primary school-age (4- to 12-years old) across 13 outcomes (i.e. body-mass index [BMI], handgrip strength, cardiovascular fitness, current physical conditions, moderate to vigorous physical activity, sleep duration, daily fruit and vegetable consumption, daily breakfast, exposure to smoking, mental strengths and difficulties, self-efficacy, school absenteeism and learning disabilities), covering four health domains (i...
April 9, 2018: European Journal of Public Health
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