European Journal of Public Health最新文献

The association between sleep and fecundability: a Danish preconception cohort study.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-03-26 DOI: 10.1093/eurpub/ckaf039

Mai Hougaard Christensen, Ellen Margrethe Mikkelsen, Lauren Anne Wise, Elizabeth Elliott Hatch, Anne Sofie Dam Laursen

{"title":"The association between sleep and fecundability: a Danish preconception cohort study.","authors":"Mai Hougaard Christensen, Ellen Margrethe Mikkelsen, Lauren Anne Wise, Elizabeth Elliott Hatch, Anne Sofie Dam Laursen","doi":"10.1093/eurpub/ckaf039","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf039","url":null,"abstract":"We estimated the effects of sleep duration, trouble sleeping, and job time (day, evening, shift, and night work) on fecundability, the per-cycle probability of conception. We analysed data from a preconception cohort study of 10 475 Danish females aged 18-45 years attempting to conceive. On baseline questionnaires, females reported on sleep duration (hours/day), trouble sleeping (never, sometimes, approx. 50% of the time, most of the time), and job time. Pregnancy status was ascertained from follow-up questionnaires completed every 8 weeks for up to 12 months. We used proportional probabilities regression models to estimate fecundability ratios (FRs), adjusted for potential confounders. Compared with 8 h/day of sleep, FRs were 0.94 for ≤6 h/day (95% CI, 0.83-1.08), 0.97 for 7 h/day (95% CI, 0.89-1.06), and 0.96 for ≥9 h/day (95% CI, 0.81-1.13). Compared with no trouble sleeping, FRs were 1.00 (95% CI, 0.94-1.06) for trouble sleeping sometimes, 0.94 (95% CI, 0.86-1.03) for trouble sleeping approx. 50% of the time, and 0.95 (95% CI, 0.82-1.10) for trouble sleeping most of the time. Relative to day work, FRs were 1.12 for shift work (95% CI, 1.04-1.20), 0.77 for night work (95% CI, 0.49-1.22) and 1.10 for evening work (95% CI, 0.91-1.33). Self-reported sleep duration and trouble sleeping were not appreciably associated with fecundability. Shift work was associated with a slightly higher fecundability, while night work was associated with slightly lower fecundability, although associations were imprecise. Potential limitations include misclassification of sleep and residual or unmeasured confounding.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729573","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

Maternal socioeconomic and physical activity level in pregnancy is associated with offspring's sport-related physical activity at age 14 years in a Danish prospective cohort study.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-03-23 DOI: 10.1093/eurpub/ckaf010

Clara Marie Ottesen, Nikoline Fich, Emma Scheel Basse, Thorhallur Ingi Halldorsson, Charlotta Granstrøm, Sjurdur Frodi Olsen, Marie Pedersen, Anne Ahrendt Bjerregaard

{"title":"Maternal socioeconomic and physical activity level in pregnancy is associated with offspring's sport-related physical activity at age 14 years in a Danish prospective cohort study.","authors":"Clara Marie Ottesen, Nikoline Fich, Emma Scheel Basse, Thorhallur Ingi Halldorsson, Charlotta Granstrøm, Sjurdur Frodi Olsen, Marie Pedersen, Anne Ahrendt Bjerregaard","doi":"10.1093/eurpub/ckaf010","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf010","url":null,"abstract":"Regular physical activity (PA) protects against several non-communicable diseases. However, there is social inequality in PA and low adherence to PA recommendations. We investigated whether maternal socioeconomic status (SES) and PA in pregnancy are associated with sport-related PA level in 14-year-old offspring. Self-reported PA from 23 753 mother-child dyads in the Danish National Birth Cohort was retrieved from pregnancy and 14-year-old offspring. Weekly hours of PA were dichotomized into fulfilling official recommendations of 30 min/day for adults and 60 min/day for children or not. Information on maternal educational level was categorized into high, medium high, medium low, and low SES. Logistic regressions were applied to evaluate associations between maternal SES and adherence to PA recommendations and offspring adherence to PA recommendations at age 14. Most women did not fulfil PA recommendations in pregnancy (93%). In offspring, this was 79%. There were higher odds of the offspring not fulfilling PA recommendations at age 14 with low vs high maternal SES [adjusted odds ratio (OR): 1.42, 95% confidence interval (CI): 1.28, 1.59] and when mothers did not adhere to PA recommendations during pregnancy (adjusted OR: 1.33, 95% CI: 1.18, 1.49), independently of each other; and more pronounced in girls than in boys. This large prospective cohort study supports findings that socioeconomic background and maternal behaviours in early life may influence the offspring's behaviour, including sport-related PA, in later life. Increasing engagement in PA during pregnancy may not only be beneficial for maternal health but also later offspring health and behaviour.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700080","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

Digital health literacy among the Spanish population: a descriptive and latent class analysis study.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-03-18 DOI: 10.1093/eurpub/ckaf016

Eulàlia Hernández Encuentra, Juan Luis González Caballero, Ilaria Montagni, Martina Fernández Gutiérrez, Pilar Bas Sarmiento

{"title":"Digital health literacy among the Spanish population: a descriptive and latent class analysis study.","authors":"Eulàlia Hernández Encuentra, Juan Luis González Caballero, Ilaria Montagni, Martina Fernández Gutiérrez, Pilar Bas Sarmiento","doi":"10.1093/eurpub/ckaf016","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf016","url":null,"abstract":"Spain has been consolidating the implementation of digital healthcare. However, there is not a comprehensive picture of the digital health literacy of the population in relation to existing policies and practices. To identify different profiles of people by analysing their digital health literacy, with the ultimate goal of providing healthcare organizations with indications to improve the relationship between people and the healthcare system. This cross-sectional survey study included 400 people aged ≥18 years from May 2021 to May 2022 in Spain. Participants were stratified by gender, age range, and residential area mirroring the Spanish population, and were recruited by an online panel and in community settings. A self-administered online survey was used, including the eHLQ questionnaire as a main measure and sociodemographic information. The digital health literacy level was medium and balanced among the seven eHLQ dimensions (ranging from 2.60 to 2.77 out of 5). The latent class analysis revealed five profiles based on the scores of the dimensions of the eHLQ questionnaire and taking into account age, technology use, and educational level. Access to digital services that work, together with using digital technology to process health information, is the main challenge identified by the participants. National health institutions and policies should focus not only on educating and training in digital skills but also on providing reliable and useful digital health services. This is the first study to provide a comprehensive digital health literacy profile of the Spanish population using the eHLQ questionnaire.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656513","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

Sleep difficulties as a consistent risk factor for medically treated injuries among adolescents in 46 countries.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-03-18 DOI: 10.1093/eurpub/ckaf032

Valerie F Pagnotta, Peter D Donnelly, Inese Gobina, Frank Elgar, Kwok Ng, William Pickett

{"title":"Sleep difficulties as a consistent risk factor for medically treated injuries among adolescents in 46 countries.","authors":"Valerie F Pagnotta, Peter D Donnelly, Inese Gobina, Frank Elgar, Kwok Ng, William Pickett","doi":"10.1093/eurpub/ckaf032","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf032","url":null,"abstract":"Adolescent poor sleep is common and has been associated with unintentional injury risks. Yet the comparability of evidence is limited by differences in measures of sleep and injury implemented across studies. We examined the potential cross-national consistency of relationships between poor sleep and unintentional injury using self-reports from 239 816 adolescents (50.8% girls) in 46 countries collected using a common survey procedure. A cross-sectional study was conducted using nationally representative records from the 2017/2018 International Health Behaviour in School-aged Children study. The prevalence of sleep indicators (difficulties in falling asleep, insufficient sleep, social jetlag) and annual medically treated injuries (any, multiple) were described cross-nationally and by gender. Multivariable modified Poisson regression analyses were conducted within and across countries to test the consistency of associations between sleep and injury. 16.3%-48.3% of adolescents reported an indicator of poor sleep and 44.0% sustained any injury. We observed striking cross-national variations in sleep, yet consistent gendered patterns across countries [e.g. sleep difficulties more prevalent among girls vs. insufficient sleep (non-school days) more prevalent among boys]. Country-level models displayed relatively consistent and positive associations. Multi-country (pooled) models demonstrated a consistency of effects, with the strongest association observed between difficulties in falling asleep and multiple injuries (prevalence ratio: 1.58, 95% CI: 1.55-1.61); these effects were especially pronounced in girls. Using standard indicators, this novel cross-national study demonstrated that poor sleep is a consistent risk factor for adolescent injuries. Given the recent epidemic of adolescent sleep problems, sleep hygiene represents a novel target for injury prevention.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656523","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

Proactive automatized multiple health risk behavior change intervention: reach and retention among general hospital patients.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-03-18 DOI: 10.1093/eurpub/ckaf035

Marie Spielmann, Filipa Krolo-Wicovsky, Anika Tiede, Ulrich John, Jennis Freyer-Adam

{"title":"Proactive automatized multiple health risk behavior change intervention: reach and retention among general hospital patients.","authors":"Marie Spielmann, Filipa Krolo-Wicovsky, Anika Tiede, Ulrich John, Jennis Freyer-Adam","doi":"10.1093/eurpub/ckaf035","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf035","url":null,"abstract":"Although behavior change interventions are highly recommended in health care, their reach, a core dimension of the public health impact of interventions, is rarely evaluated. This study aimed to investigate whether an individualized, computer-based brief intervention to reduce co-occurring health risk behaviors (HRBs), namely tobacco smoking, at-risk alcohol use, insufficient physical activity, and unhealthy diet, can reach and retain a sufficiently large part of general hospital patients (>75%) and whether patients with high need, that is with more HRBs, low school education or current unemployment may be sufficiently reached and retained. Over 6 weeks in 2022, all 18-64-year-old patients admitted to 11 wards of five medical departments of a university hospital in Germany were asked to participate in a computer-based HRB screening and in a pre-post intervention study with three further assessments and individualized computer-generated feedback. To investigate associations between intervention reach and retention and patient characteristics, a logistic and a Poisson regression analysis were used. Screening reached 78.9% of all eligible patients (225/285). Of those eligible for the intervention study, 81.8% (175/214) participated in the intervention. Among these, 76.0% (133/175) participated at least once more after hospitalization. Patients' lifestyle and socio-economic characteristics were not significantly associated with reach or retention, Ps ≥ .467. Proactive computer-based multiple-HRB change interventions may reach and retain a sufficiently large part of general hospital patients, including those most in need. When proven efficacious and adequately implemented, this is a promising approach concerning public health impact in the reduction non-communicable diseases.Trial registration: ClinicalTrials.gov NCT05365269, 9 May 2022.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656518","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

Determinants of knowledge of risks associated with cigarette smoking among adolescents in Scotland.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-03-13 DOI: 10.1093/eurpub/ckaf024

Yusuff Adebayo Adebisi, Isaac Olushola Ogunkola, Najim Z Alshahrani, Nafisat Dasola Jimoh, Olayinka Stephen Ilesanmi

{"title":"Determinants of knowledge of risks associated with cigarette smoking among adolescents in Scotland.","authors":"Yusuff Adebayo Adebisi, Isaac Olushola Ogunkola, Najim Z Alshahrani, Nafisat Dasola Jimoh, Olayinka Stephen Ilesanmi","doi":"10.1093/eurpub/ckaf024","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf024","url":null,"abstract":"Cigarette smoking remains a significant public health concern, particularly among adolescents. This study aimed to assess adolescents' knowledge of the risks associated with smoking in Scotland and explore the factors influencing this knowledge. A cross-sectional analysis was conducted using data from the 2018 Scottish Schools Adolescent Lifestyle and Substance Use Survey. The sample included 23 365 adolescents from Secondary 2 (n = 12 558) and Secondary 4 (n = 10 807). Demographic, behavioural, contextual, and health-related factors were examined as predictors of smoking risk knowledge, with a cumulative knowledge score based on responses to seven smoking-related questions. Poisson regression was used to examine associations between predictors and cumulative knowledge scores, and adjusted incidence rate ratios (IRRs) with 95% confidence intervals (CIs) were reported. Overall, 38.2% (n = 8928) of participants answered all questions correctly, with a median score of 6 (IQR: 5-7). While 83.6% (n = 19 540) scored at least 5, knowledge gaps remained, particularly concerning the risks of light smoking. Boys had lower scores than girls (IRR = 0.97, 95% CI: 0.96-0.97, P < .001), and adolescents from less deprived areas scored higher than those from more deprived areas (IRR = 1.02, 95% CI: 1.01-1.03, P = .006). Non-smokers had higher scores than smokers (IRR = 1.08, 95% CI: 1.05-1.10, P < .001), and adolescents confident in accessing health information scored significantly higher (IRR = 1.13, 95% CI: 1.11-1.15, P < .001). Peer influence was evident, as adolescents with friends who smoked had lower scores (IRR = 0.96, 95% CI: 0.94-0.98, P < .001). Adolescents in Scotland generally understand the risks of cigarette smoking, but notable gaps persist, especially regarding dangers of light smoking.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624062","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

The validation of the Needs Examination, Evaluation, and Dissemination assessment framework within the European Union: a modified Delphi study.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-03-11 DOI: 10.1093/eurpub/ckaf027

Rani Claerman, Laurence Kohn, Muriel Levy, Irina Cleemput, Claudia Schönborn, Charline Maertens de Noordhout, Robby De Pauw

{"title":"The validation of the Needs Examination, Evaluation, and Dissemination assessment framework within the European Union: a modified Delphi study.","authors":"Rani Claerman, Laurence Kohn, Muriel Levy, Irina Cleemput, Claudia Schönborn, Charline Maertens de Noordhout, Robby De Pauw","doi":"10.1093/eurpub/ckaf027","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf027","url":null,"abstract":"The NEED (Needs Examination, Evaluation, and Dissemination) assessment framework was designed to identify and measure unmet health-related needs of patients and society across various health conditions, aiding the development of needs-driven healthcare policy and innovation. The framework consists of 25 needs criteria and 46 associated indicators that assess whether these needs are met or not. This study aims to validate the framework at the European Union (EU) level using a modified Delphi approach. We selected national and European institutes for the Delphi process based on their roles in public health, health technology assessment (HTA), medicine authorization, pricing and reimbursement (P&R), and patient advocacy. Using a modified Delphi approach, experts provided feedback on the framework's structure (dimensions and domains), health-related needs criteria, and indicators. Two Delphi rounds were conducted via online questionnaires. A panel of 26 experts participated in both rounds of the study. The majority of the participants reported expertise in HTA (50%) and P&R (15%), followed by patient advocacy (15%) and public health (8%). Seventeen EU Member States were represented, with a higher representation of experts from Belgium (12%) and Germany (12%). The NEED framework based on expert consensus consists of 4 dimensions, 3 domains, 24 criteria, and 43 indicators. The modified Delphi technique proved effective for validating the NEED framework at the EU level. This marks a critical first step toward consensus on defining and identifying unmet health-related needs, paving the way for a more needs-driven healthcare policy and innovation landscape.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604388","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

Sex-specific socioeconomic inequalities in trajectories of anthropometry, blood pressure, and blood-based biomarkers from birth to 18 years: a prospective cohort study.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-03-10 DOI: 10.1093/eurpub/ckaf022

Kate N O'Neill, Minhal Ahmed, Linda M O'Keeffe

{"title":"Sex-specific socioeconomic inequalities in trajectories of anthropometry, blood pressure, and blood-based biomarkers from birth to 18 years: a prospective cohort study.","authors":"Kate N O'Neill, Minhal Ahmed, Linda M O'Keeffe","doi":"10.1093/eurpub/ckaf022","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf022","url":null,"abstract":"Evidence on when socioeconomic inequalities in conventional cardiometabolic risk factors emerge and how these change over time is sparse but important in identifying pathways to socioeconomic inequalities in cardiovascular disease (CVD). We examine socioeconomic inequalities in cardiometabolic risk factors trajectories across childhood and adolescence. Data were from the Avon Longitudinal Study of Parents and Children (ALSPAC), born in 1991/1992. Socioeconomic position (SEP) was measured using maternal education from questionnaires at 32-weeks' gestation. Cardiometabolic risk factors measured from birth/mid-childhood to 18 years (y) included fat and lean mass (9-18 y), systolic and diastolic blood pressure (SBP, DBP), pulse rate and glucose (7-18 y), high-density lipoprotein cholesterol (HDL-c), non-HDL-c and triglycerides (birth-18y). Associations were examined using linear spline multilevel models. Among 6517-8952 participants with 11 948-42 607 repeated measures, socioeconomic inequalities in fat mass were evident at age 9 y and persisted throughout adolescence. By 18 y, fat mass was 12.32% [95% confidence interval (CI): 6.96, 17.68] lower among females and 7.94% (95% CI: 1.91, 13.97) lower among males with the highest SEP compared to the lowest. Socioeconomic inequalities in SBP and DBP were evident at 7 y, narrowed in early adolescence and re-emerged between 16 and 18 y, particularly among females. Socioeconomic inequalities in lipids emerged, among females only, between birth and 9 y in non-HDL-c, 7 and 18 y in HDL-c, and 9 and 18 y in triglycerides while inequalities in glucose emerged among males only between 15 and 18 y. Prevention targeting the early life course may be beneficial for reducing socioeconomic inequalities in CVD especially among females who have greater inequalities in cardiometabolic risk factors than males at the end of adolescence.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143596449","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

Modelling annual prevalence of tobacco consumption in Spain, 1991-2020.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-03-10 DOI: 10.1093/eurpub/ckaf015

Carla Guerra-Tort, Esther López-Vizcaíno, María Isolina Santiago-Pérez, Julia Rey-Brandariz, Cristina Candal-Pedreira, Leonor Varela-Lema, Iñaki Galán, Alberto Ruano-Ravina, Mónica Pérez-Ríos

{"title":"Modelling annual prevalence of tobacco consumption in Spain, 1991-2020.","authors":"Carla Guerra-Tort, Esther López-Vizcaíno, María Isolina Santiago-Pérez, Julia Rey-Brandariz, Cristina Candal-Pedreira, Leonor Varela-Lema, Iñaki Galán, Alberto Ruano-Ravina, Mónica Pérez-Ríos","doi":"10.1093/eurpub/ckaf015","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf015","url":null,"abstract":"The aim of this study was to estimate the series of tobacco smoking prevalence year-by-year in Spain, by sex and age group, for the period 1991-2020. Based on smoking prevalence obtained from national surveys and smoking-related auxiliary information from public statistics, we fitted a multinomial logistic mixed model with random area and time effects. Joinpoint regression was used to identify changes in the prevalence series across the period. To analyse the precision of the model-based estimates, we calculated the coefficients of variation. Between 1991 and 2020, the prevalence of smoking in Spain decreased in both sexes. In the 15-24 age group, the prevalence of smokers showed no differences by sex until 2007, after which prevalence in men exceeded that of women. However, in women aged 55 and over prevalence of smoking has been rising since 1991. After applying the model, the precision of smoking prevalence estimates improved. The reconstruction of a detailed series of tobacco smoking prevalence provides insight into the evolution of the tobacco epidemic in Spain. A detailed analysis by sex and age shows different trends in the prevalence of smoking among women that should be considered when control measures are formulated.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143596443","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

Can invitation systems increase participation in preventive health screening among adolescents?-an evaluation of a state-wide intervention in Germany using a difference-in-differences analysis of claims data.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-03-07 DOI: 10.1093/eurpub/ckaf026

Iryna Iashchenko, Wiebke Schüttig, Philip Bammert, Udo Schneider, Jacob Spallek, Petra Rattay, Sven Schneider, Irene Moor, Claudia R Pischke, Leonie Sundmacher

{"title":"Can invitation systems increase participation in preventive health screening among adolescents?-an evaluation of a state-wide intervention in Germany using a difference-in-differences analysis of claims data.","authors":"Iryna Iashchenko, Wiebke Schüttig, Philip Bammert, Udo Schneider, Jacob Spallek, Petra Rattay, Sven Schneider, Irene Moor, Claudia R Pischke, Leonie Sundmacher","doi":"10.1093/eurpub/ckaf026","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf026","url":null,"abstract":"In Germany, routine screenings are used to monitor the health and development of children and adolescents, enabling timely discovery and treatment of health issues. One such screening, called J1, is recommended for adolescents aged 12-14 years, but participation is only 43%. In the state of Bavaria, a lack of awareness is the main reason cited for not attending. 'Your Ticket to J1' was an invitation system implemented across the state to inform adolescents about the screening. Our study investigated whether this intervention increased J1 participation and if its effects varied by family socioeconomic position (SEP). We used pseudonymized data from a large statutory health insurer from 2016 to 2018 and containing 267 650 observations. To investigate the effect of the intervention, we employed a difference-in-differences analysis at the individual level. Assuming parallel trends at the state level, we compared J1 participation rates between Bavaria and other German states before and after the intervention. We additionally stratified analyses by SEP. The intervention led to an increase in J1 participation by about 1%. In the stratified regressions, the effect size was larger for children from families with a lower SEP. J1 participation increased by about 4% among adolescents whose primary insured parent had the lowest occupational status. A state-wide invitation system had a small but statistically significant positive impact on J1 participation and might reduce socioeconomic inequities in healthcare utilization. Informing adolescents about J1 appears to increase participation, particularly among those from families with a lower SEP.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143585212","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