European Journal of Public Health最新文献

Healthcare renunciation among Italian older adults during the COVID-19 pandemic: insights from the PASSI d'Argento surveillance system. COVID-19大流行期间意大利老年人放弃医疗保健：来自pasi d'Argento监测系统的见解

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2025-10-13 DOI: 10.1093/eurpub/ckaf182

Benedetta Contoli, Daniela Marotta, Valentina Pettinicchio, Federica Asta, Valentina Possenti, Valentina Minardi, Massimo Oddone Trinito, Maria Masocco

{"title":"Healthcare renunciation among Italian older adults during the COVID-19 pandemic: insights from the PASSI d'Argento surveillance system.","authors":"Benedetta Contoli, Daniela Marotta, Valentina Pettinicchio, Federica Asta, Valentina Possenti, Valentina Minardi, Massimo Oddone Trinito, Maria Masocco","doi":"10.1093/eurpub/ckaf182","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf182","url":null,"abstract":"During the COVID-19 pandemic, a noticeable decrease in medical care utilization occurred which may contribute to increased morbidity and mortality rates associated with treatable conditions. In Italy, severely impacted by the pandemic, a comprehensive data source on healthcare renunciation is essential for policy formulation and intervention strategies. This study used data from the PASSI d'Argento (PdA) surveillance system to investigate healthcare renunciation among people aged ≥65 years in Italy from August 2020 to December 2021 and to estimate the health and sociodemographic profiles associated with barrier-renunciation (due to service disruption) and refusal-renunciation (because of fear of contagion). A total of 4364 out of 10 827 individuals needing healthcare reported foregoing at least one medical visit or diagnostic test, with the major reasons being fear of COVID-19 contagion (33%) and service disruptions (29%). Sociodemographic inequalities existed: regression analysis revealed significant associations between healthcare renunciation and being female [adjusted prevalence ratio (aPR) 1.17, 95% CI: 1.08-1.26], reporting economic difficulties (aPR 1.15, 95% CI: 1.02-1.28), having two or more chronic conditions (aPR 1.18, 95% CI: 1.04-1.34), and having at least one sensory problem (aPR 1.13, 95% CI: 1.06-1.22). Compared to 2020, healthcare renunciation decreased in 2021. The relevant healthcare renunciation among elderly in Italy during the pandemic highlights widening health gaps and barriers to care access. Long-term monitoring tools are crucial to mitigate the pandemic's impact on public health, especially for vulnerable populations.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145285758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pathways into and out of temporary disability retirement: an 8-year sequence analysis study in Finland. 进入和退出暂时残疾退休的途径：芬兰8年序列分析研究。

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2025-10-10 DOI: 10.1093/eurpub/ckaf183

Anu Polvinen, Aart-Jan Riekhoff, Riku Perhoniemi

{"title":"Pathways into and out of temporary disability retirement: an 8-year sequence analysis study in Finland.","authors":"Anu Polvinen, Aart-Jan Riekhoff, Riku Perhoniemi","doi":"10.1093/eurpub/ckaf183","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf183","url":null,"abstract":"Every year, a significant number of people in Finland retire on a disability pension. Half of them are granted a temporary disability pension. Our study examines the different pathways into and out of temporary disability retirement and analyses how individual-level factors are associated with these pathways. We used comprehensive register data on Finns aged 30-58 who received a temporary disability pension in 2018 and followed them for 4 years before and after their pension claim. Sequence analysis in combination with clustering was used to identify typical patterns in and out of temporary disability pension. In addition, we examined the association between individual-level factors and the observed pathways. We identified nine distinct clusters with unique pathways. Two-thirds of the study population belonged to five clusters in which receipt of a disability pension continued for several years. The majority had been employed before receiving the pension. Only 18% belonged to a single cluster characterized by return to work, while persons in the remaining three clusters (20%) ended up in unemployment or unknown labour market states. The different pathways also differed by individual-level factors.We identified several different pathways into and out of temporary disability pensions. Most of them were characterized by long-term disability retirement rather than return to work. A better understanding of these pathways and associated individual factors is crucial to developing more effective strategies to facilitate return to work and prevent long-term disability.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Responses to the AUDIT questionnaire in the population-based Tromsø surveys as predictor of a diagnosis of alcohol use disorder in Norwegian central health registries-an NCDNOR study. 对基于人群的特罗姆瑟调查中审计问卷的回答作为挪威中央卫生登记中心酒精使用障碍诊断的预测因子-一项ndnor研究

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2025-10-10 DOI: 10.1093/eurpub/ckaf131

Jørgen G Bramness, Vidar Hjellvik, Wenche Nystad, Anne Høye, Torgeir Gilje Lid

{"title":"Responses to the AUDIT questionnaire in the population-based Tromsø surveys as predictor of a diagnosis of alcohol use disorder in Norwegian central health registries-an NCDNOR study.","authors":"Jørgen G Bramness, Vidar Hjellvik, Wenche Nystad, Anne Høye, Torgeir Gilje Lid","doi":"10.1093/eurpub/ckaf131","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf131","url":null,"abstract":"Alcohol use and alcohol use disorder (AUD) are major contributors to global morbidity and mortality. The Alcohol Use Disorders Identification Test (AUDIT) is often used for screening of alcohol use and potential alcohol problems, but less is known whether AUDIT can predict a diagnosis of AUD. Responses to the AUDIT questionnaire (N = 29 278) from two waves of a population health survey (The Tromsø study) were used to predict a diagnosis of AUD in national health registries over the following three years. Covariates included age, sex, educational level, family income, and mental health score. Overall, 13%-15% scored above the lowest level on AUDIT, with slightly higher figures in males and younger adults, among those with higher education, or with higher mental distress. Few were represented in national health registries (2.1% and 2.7% of these cases in the primary and specialist healthcare, respectively), but with higher figures among those with the highest AUDIT scores. Being female, of older age, having a lower income, and reporting more mental health symptoms increased the probability of receiving an AUD diagnosis. Younger age, male gender, higher education, and higher mental health score predicted higher AUDIT scores, but few, even with high AUDIT scores, were represented in national health registries with an AUD diagnosis. Furthermore, with a high AUDIT score, factors such as older age, lower income, and lower education increased the likelihood of receiving an AUD diagnosis. This suggests that relying on national health registries to monitor alcohol morbidity may be challenging.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Multimorbidity and the indirect cost of productivity loss from health-related work absenteeism in Belgium. 比利时与健康有关的旷工造成的多重发病率和生产力损失的间接成本。

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2025-10-08 DOI: 10.1093/eurpub/ckaf063

Phuong Bich Tran, Finaba Berete, Bart De Clercq, Johan Van der Heyden, Josefien van Olmen, Lander Willem

{"title":"Multimorbidity and the indirect cost of productivity loss from health-related work absenteeism in Belgium.","authors":"Phuong Bich Tran, Finaba Berete, Bart De Clercq, Johan Van der Heyden, Josefien van Olmen, Lander Willem","doi":"10.1093/eurpub/ckaf063","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf063","url":null,"abstract":"This cross-sectional observational study aims to estimate the number of days absent from work due to health-related problems among employed individuals with multimorbidity and to quantify the lost productivity value from these absences. Data were obtained from the Belgian Health Interview Survey 2018, comprising employed individuals aged 15-64 (N = 4096). We examined 12 chronic conditions and 57 dyads. The Human Capital Approach was used by multiplying the reported number of days absent by the average wage per person per day, utilizing stratified gross wages from the Belgian Statistical Office. Approximately one-third of the study population reported multimorbidity. For individuals with zero to four+ chronic conditions, mean days of absence were 5.5 (95% CI: 2.3-8.8), 6.8 (95% CI: 2.9-10.7), 14.8 (95% CI: 10-19.6), 24 (95% CI: 17.8-30.2), and 36.2 (95% CI: 30.4-42), respectively. Depression (€3089; 95% CI: 2129-4049), diabetes (€2315; 95% CI: 962-3668), arthropathies (€1972; 95% CI: 1101-2844), and cancer (€1848; 95% CI: 598-3099), as standalone conditions, were associated with the greatest productivity losses. The effects were amplified up to seven times with the co-occurrence of multiple chronic conditions. We estimated 34.2 million days absent or €7.5 billion in lost productivity due to health-related work absenteeism among working-age employed individuals with multimorbidity in 2018. At the population level, the coexistence of two musculoskeletal disorders was linked to the highest aggregated productivity loss. At the individual level, the coexistence of a mental health condition and a somatic condition was associated with the highest average productivity loss per capita. The indirect cost due to health-related absence from work for individuals with multimorbidity in Belgium is high, and in many cases, exceeds the direct cost of treatment.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145250156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing the effects of social media based anti-tobacco campaigns on tobacco use among youth in Virginia: an agent-based simulation approach. 评估基于社交媒体的反烟草运动对弗吉尼亚州青少年烟草使用的影响：基于代理的模拟方法。

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2025-10-01 DOI: 10.1093/eurpub/ckaf085

Shuo-Yu Lin, J Randy Koch, Andrew J Barnes, Rashelle B Hayes, Hong Xue

{"title":"Assessing the effects of social media based anti-tobacco campaigns on tobacco use among youth in Virginia: an agent-based simulation approach.","authors":"Shuo-Yu Lin, J Randy Koch, Andrew J Barnes, Rashelle B Hayes, Hong Xue","doi":"10.1093/eurpub/ckaf085","DOIUrl":"10.1093/eurpub/ckaf085","url":null,"abstract":"Anti-tobacco campaigns contributed to the great decline of adolescent cigarette smoking in the United States from 2000 to 2022. However, studies on the ways in which campaigns are designed and disseminated on social media to generate optimal impact are limited. We aim to examine the effect of various campaign designs implemented under different structures of social-network influencers on reducing tobacco use among youth in Virginia. An agent-based model (ABM) was deployed from bottom-up to project the influence of anti-tobacco media campaign intervention and social media influencers on students' smoking decisions. High school students in ninth grade reporting never smoking were followed for 48 months through 12th grade. Simulation models assessed student smoking behaviors, accounting for potential interactions with assigned micro/macro factors, social-network structures, and interventions. We found that an anti-tobacco campaign is more likely to reduce smoking intensity than prevalence. A 10% increase in the state-wide campaign reach was associated with 1.31 fewer cigarettes consumed monthly [95% confidence interval (CI): 1.06-1.56], with the effects more substantial in the central and southwest regions of Virginia. For campaigns utilizing five social-media influencers per 1000 youth, a 10% increase in reach was associated with 2.60 fewer cigarettes consumed monthly (95% CI: 2.34-2.87), where the effect of the campaign reach was maximized at 15.13%. Our pioneer study suggests that engaging social media influencers in anti-tobacco social media campaigns is one potentially effective strategy for tobacco use control and prevention. Future research is needed to validate findings in other samples.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"924-929"},"PeriodicalIF":3.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12529265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144616928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Examining systemic differences in mortality after hip repair: a comparative analysis of 30- and 180-day adjusted mortality rates in five health systems. 检查髋关节修复后死亡率的系统性差异：对五个卫生系统中30天和180天调整死亡率的比较分析。

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2025-10-01 DOI: 10.1093/eurpub/ckaf074

Francisco Estupiñán-Romero, Santiago Royo-Sierra, Javier González-Galindo, Jinru Wei, Tania Sawaya, Astrid Van Wilder, Yu Qing Bai, Clas Rehnberg, Nils Janlöv, Reijo Sund, Walter P Wodchis, Irene Papanicolas, Enrique Bernal-Delgado

{"title":"Examining systemic differences in mortality after hip repair: a comparative analysis of 30- and 180-day adjusted mortality rates in five health systems.","authors":"Francisco Estupiñán-Romero, Santiago Royo-Sierra, Javier González-Galindo, Jinru Wei, Tania Sawaya, Astrid Van Wilder, Yu Qing Bai, Clas Rehnberg, Nils Janlöv, Reijo Sund, Walter P Wodchis, Irene Papanicolas, Enrique Bernal-Delgado","doi":"10.1093/eurpub/ckaf074","DOIUrl":"10.1093/eurpub/ckaf074","url":null,"abstract":"Outcomes after a hip repair in the older adult population are highly dependent on patients' characteristics. However, contextual factors such as the hospital of treatment may have an impact not sufficiently studied. We aimed to elicit the effect of hospital providers on all-cause-adjusted mortality rates after hip fracture repair. Observational study on virtually all potentially eligible hip fracture patients treated in 2240 hospitals from Ontario (Canada), Aragon (Spain), Finland, Sweden, and the USA (40 states). The primary endpoint was the risk-adjusted all-cause mortality after hip repair measured 30 days and 180 days after surgery. Following a federated approach, GAMM-logit models were run for each region. Median odds ratio (MOR) were estimated to elicit the variation at hospital level. The study included 535 519 hip repairs. The overall predicted 30-day adjusted mortality rate was 40.5 per 1000 hip repair episodes; 136.3 per 1000 hip repair episodes in the 180-day adjusted mortality rate. 30- and 180-day adjusted mortality rates were larger within the regions than across regions. Variance in patients' mortality at the hospital provider accounted for MOR: 1.43 in 30-day mortality and MOR: 1.35 in 180-day mortality. Beyond differences in the individual risk of death, our study found wide systemic variations in mortality rates in older adult patients exposed to hip fracture repair attributable to the hospital of treatment. Our results call for a reorientation of care pathways after hip repair in frail patients, both in the short- and the long-term.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"855-861"},"PeriodicalIF":3.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12529295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144505193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Which women go for screening? 哪些女性会去做筛查？

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2025-10-01 DOI: 10.1093/eurpub/ckaf128

Christine Sevilla-Dedieu, Morgane Le Guern, Céline Coquoz, Nathalie Billaudeau, Alain Paraponaris

{"title":"Which women go for screening?","authors":"Christine Sevilla-Dedieu, Morgane Le Guern, Céline Coquoz, Nathalie Billaudeau, Alain Paraponaris","doi":"10.1093/eurpub/ckaf128","DOIUrl":"10.1093/eurpub/ckaf128","url":null,"abstract":"Cancer accounts for approximately one-third of deaths in developed countries. Preventing cancer, notably by detecting new cases early, is thus crucial. In the European Union (EU), screening rates have been recommended for several types of cancer; however, most EU countries are still not meeting them. Determining how we can improve people's adherence to screening is necessary. This study aimed to explore the characteristics of women associated with being up-to-date on mammograms or Pap smears; notably, we wanted to determine the extent to which women's attitudes towards risk play a role in their adherence to screening. The sample comprised 1411 women who responded to a telephone survey. The survey data, including sociodemographic characteristics, health information, attitudes towards the future, and attitudes towards risk, collected via the Domain-Specific Risk-Taking (DOSPERT) scale, were supplemented by medico-administrative data. The factors associated with undergoing either a mammogram or a Pap smear in a timely manner were similar. Two favourable factors were found: the number of children and a high level of education. In contrast, being older or having a higher DOSPERT score for risk-taking appeared to be negatively associated with timely screening. The fact that women's attitudes towards risk seem to have a strong impact on their adherence to medical recommendations is a finding that should be considered (e.g. by health professionals or in prevention campaigns) regarding increasing women's awareness of the importance of regular cancer screening.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"992-998"},"PeriodicalIF":3.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12529260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144947956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Social vulnerability indices for proactively identifying at-risk individuals in healthcare: a systematic review. 社会脆弱性指数主动识别在医疗保健中的风险个人：一个系统的审查。

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2025-10-01 DOI: 10.1093/eurpub/ckaf067

Gitte Valentin, Pernille Pedersen, Thomas Maribo, Per Kallestrup, Nicolaj Meldgaard, Louise Stenholt, Mette B Larsen

{"title":"Social vulnerability indices for proactively identifying at-risk individuals in healthcare: a systematic review.","authors":"Gitte Valentin, Pernille Pedersen, Thomas Maribo, Per Kallestrup, Nicolaj Meldgaard, Louise Stenholt, Mette B Larsen","doi":"10.1093/eurpub/ckaf067","DOIUrl":"10.1093/eurpub/ckaf067","url":null,"abstract":"Social vulnerability indices (SVIs) have the potential to guide risk stratification and support socially differentiated interventions to improve healthcare equity. However, their applicability in clinical settings remains uncertain. This systematic review synthesizes evidence from individual-level SVIs, focusing on (1) how social vulnerability is defined, (2) the domains and items covered, and (3) their ability to predict poor health outcomes. We searched the Medline, PsycInfo, Embase, and Web of Science databases from inception to 31 January 2024 for studies linking individual-based SVIs with poor health outcomes in adult populations in Europe, North America, and Australasia. Data were extracted independently by two authors, and the certainty of evidence was assessed using the GRADE approach. A narrative synthesis addressed the review's aims, with thematic synthesis for the first two and a vote-counting approach for the third. Most SVIs included domains like income, social support, living situation, and educational attainment, with over 50% covering these factors. A consistent association was found between higher social vulnerability and poorer health outcomes. However, none of the identified SVIs were prospectively tested in clinical settings. The overall certainty of evidence was assessed as low due to retrospective study designs and significant heterogeneity. This review highlights the potential of SVIs to predict poor health outcomes, though their lack of prospective validation limits current use. Future research should focus on adapting and testing SVIs that prioritize key socioeconomic and social support domains while adopting a simple and pragmatic approach.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"844-854"},"PeriodicalIF":3.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12529279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144527055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adverse childhood experiences and prevalence of type 2 diabetes in a nationwide study of women. 儿童期不良经历和2型糖尿病在一项全国妇女研究中的流行

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2025-10-01 DOI: 10.1093/eurpub/ckaf079

Elísabet U Gísladóttir, Hilda B Daníelsdóttir, Huan Song, Marín D Bjarnardóttir, Arna Hauksdóttir, Arna Guðmundsdóttir, Diego Yacamán-Méndez, Edda B Thordardottir, Gunnar Tomasson, Harpa Rúnarsdóttir, Jóhanna Jakobsdóttir, Fang Fang, Unnur A Valdimarsdóttir, Thor Aspelund

{"title":"Adverse childhood experiences and prevalence of type 2 diabetes in a nationwide study of women.","authors":"Elísabet U Gísladóttir, Hilda B Daníelsdóttir, Huan Song, Marín D Bjarnardóttir, Arna Hauksdóttir, Arna Guðmundsdóttir, Diego Yacamán-Méndez, Edda B Thordardottir, Gunnar Tomasson, Harpa Rúnarsdóttir, Jóhanna Jakobsdóttir, Fang Fang, Unnur A Valdimarsdóttir, Thor Aspelund","doi":"10.1093/eurpub/ckaf079","DOIUrl":"10.1093/eurpub/ckaf079","url":null,"abstract":"We aimed to examine the association between adverse childhood experiences (ACEs) and type 2 diabetes in a nationwide cohort of Icelandic women, and to assess the mechanisms through which it is mediated. We used cross-sectional data from the nationwide-representative Stress-And-Gene-Analysis cohort, including 26 952 Icelandic women aged 18-69 years who self-reported exposure to 13 types of ACEs and adult diagnosis of type 2 diabetes. Modified Poisson regression was used to quantify the association between ACEs and type 2 diabetes, adjusting for age and childhood deprivation. We used causal mediation analysis to test whether adult body mass index (BMI), smoking, and socioeconomic factors mediated the association. Among a sample with a mean age of 44.2 (13.6), 780 (2.9%) women reported a diagnosis of type 2 diabetes. We observed a dose-response relationship between the number of ACEs and type 2 diabetes, of which women with five or more ACEs had almost double the prevalence compared to those with no ACEs (2.0% vs. 3.9%; prevalence ratio 1.90 [1.50-2.42]). Mediation analysis suggested adult BMI, smoking, and socioeconomic factors collectively explained 35.3% (16.5-53.6%) of the association but ACEs remained directly associated with type 2 diabetes (natural direct effect odds ratio 1.64 [1.25-2.26]). Bullying and sexual abuse were independently associated with a higher prevalence of type 2 diabetes. These findings suggest that adverse childhood experiences are associated with type 2 diabetes in adult women, partially mediated through adult BMI, smoking, and socioeconomic factors.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"882-888"},"PeriodicalIF":3.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12529292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association between household secondhand tobacco smoke exposure and regular e-cigarette use among adolescents: evidence from a national school-based survey. 家庭二手烟暴露与青少年经常使用电子烟之间的关系：来自全国学校调查的证据。

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2025-10-01 DOI: 10.1093/eurpub/ckaf150

Yusuff Adebayo Adebisi, Najim Z Alshahrani, Abdulrakib Abdulrahim, Don Eliseo Lucero-Prisno

{"title":"Association between household secondhand tobacco smoke exposure and regular e-cigarette use among adolescents: evidence from a national school-based survey.","authors":"Yusuff Adebayo Adebisi, Najim Z Alshahrani, Abdulrakib Abdulrahim, Don Eliseo Lucero-Prisno","doi":"10.1093/eurpub/ckaf150","DOIUrl":"10.1093/eurpub/ckaf150","url":null,"abstract":"Adolescent e-cigarette use is of public health interest in England, yet the influence of household environmental factors remains poorly understood. This cross-sectional study examined the association between secondhand tobacco smoke exposure in the home and regular e-cigarette use among adolescents. We analysed data from 12 297 adolescents aged 11-15 years who participated in the 2023 wave of the Smoking, Drinking and Drug Use among Young People in England (SDD) survey. The primary exposure was self-reported frequency of secondhand smoke exposure in the home or someone else's home, categorized into five levels. The outcome was regular e-cigarette use, defined as vaping at least once per week. Logistic regression models estimated crude and adjusted associations, controlling for age, gender identity, ethnicity, family affluence, and household or peer smoking. Regular e-cigarette use was reported by 5.8% (n = 716) of the sample. Compared to those never exposed, adolescents exposed to secondhand smoke 'daily or most days' had significantly higher odds of regular e-cigarette use [adjusted odds ratio (aOR) = 7.25; 95% confidence interval (CI): 5.62-9.34; P < .001]. A clear dose-response relationship was observed across exposure categories (P for trend <.001), with increasing exposure linked to progressively higher odds of vaping. Among adolescents who had never smoked cigarettes, daily or near‑daily exposure to household secondhand smoke was still strongly associated with regular e‑cigarette use (aOR = 5.04; 95% CI: 3.64-6.99; P < .001). Frequent secondhand tobacco smoke exposure in the home is a strong and independent correlate of regular e-cigarette use among adolescents in England.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"938-943"},"PeriodicalIF":3.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12529290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0