Povilas Kavaliauskas, Domantas Jasilionis, Evaldas Kazlauskas, Giedre Smailyte
{"title":"Differences in all-cause and death by suicide mortality between health care and other employees in Lithuania: a census-linked mortality follow-up study, 2011-19.","authors":"Povilas Kavaliauskas, Domantas Jasilionis, Evaldas Kazlauskas, Giedre Smailyte","doi":"10.1093/eurpub/ckaf123","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf123","url":null,"abstract":"<p><p>Lithuania has one of the highest adult mortality rates in Europe. A study analysing three large groups of healthcare employees, physicians, nurses, and assistant nurses, found no significant differences in all-cause mortality compared to other sectors. However, after controlling for education, physicians became the highest-risk group. Nurses and assistant nurses had the lowest risk, but no significant differences were found. Excess all-cause mortality of physicians after controlling for education is striking and needs to be investigated further. Given the low number of deaths by suicide among healthcare workers, more research is required to obtain more statistically robust inferences.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144682267","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}
Johanna J Young, Martine Grosos Aabye, Ondrej Daniel, Michaela Špačková, Theologia Sideroglou, Kassiani Mellou, Anthi Chrysostomou, Ingrid H M Friesema, Eelco Franz, Heidi Lange, Trude M Lyngstad, Lin T Brandal, Nadja Karamehmedovic, Rikard Dryselius, Steen Ethelberg, Therese Westrell
{"title":"Impact of the COVID-19 pandemic on five food- and waterborne diseases in six European countries, 2016-21.","authors":"Johanna J Young, Martine Grosos Aabye, Ondrej Daniel, Michaela Špačková, Theologia Sideroglou, Kassiani Mellou, Anthi Chrysostomou, Ingrid H M Friesema, Eelco Franz, Heidi Lange, Trude M Lyngstad, Lin T Brandal, Nadja Karamehmedovic, Rikard Dryselius, Steen Ethelberg, Therese Westrell","doi":"10.1093/eurpub/ckaf101","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf101","url":null,"abstract":"<p><p>The COVID-19 pandemic required a shift in healthcare and public health focus and led to numerous public health measures also affecting food- and waterborne diseases (FWDs). We describe the impact of the pandemic using the number of confirmed domestically-acquired and travel-related cases of campylobacteriosis, salmonellosis, hepatitis A, shigellosis, and listeriosis notified to ECDC between 2016 and 2021 by Czechia, Denmark, Greece, the Netherlands, Norway, and Sweden. We compared the monthly median number of cases from the pre-pandemic period to those during the pandemic. We used data on international travel controls from the Oxford COVID-19 Government Response Tracker to assess the impact of travel-related measures on these diseases across the countries. This study emphasizes the substantial differences in transmission routes, surveillance, notification and detection methodologies, as well as testing and sampling practices of these diseases across the different countries. Despite these variations, the overall recorded case numbers for most of the five FWDs decreased during the pandemic (March 2020-December 2021), except for the more severe disease listeriosis, suggesting that health-seeking behaviour and healthcare access played a role in the decline of FWDs with milder symptoms. The proportion of travel-associated cases decreased for most diseases in all countries, particularly for campylobacteriosis and salmonellosis, likely due to the travel restrictions. Declines were also observed in the number of domestically-acquired cases. An improved understanding of healthcare-seeking behaviour and testing rates during the pandemic can provide insights into the extent of under-diagnosis in the reduction of cases.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667486","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}
{"title":"Correction to: Public perceptions and engagement in mHealth: a European survey on attitudes toward health apps use and data sharing.","authors":"","doi":"10.1093/eurpub/ckaf118","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf118","url":null,"abstract":"","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144648905","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}
Sebastian Stannard, Simon D S Fraser, Rhiannon K Owen, Ann Berrington, Shantini Paranjothy, Nisreen A Alwan
{"title":"Exploring the relationship between education and academic ability in childhood with healthcare utilization in adulthood: findings from the Aberdeen Children of the 1950s (ACONF).","authors":"Sebastian Stannard, Simon D S Fraser, Rhiannon K Owen, Ann Berrington, Shantini Paranjothy, Nisreen A Alwan","doi":"10.1093/eurpub/ckaf120","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf120","url":null,"abstract":"<p><p>We explored the association between education and academic ability in childhood and both outpatient appointments and hospital admissions in adulthood, accounting for adult factors, including long-term conditions. The analytical sample consisted of 7183 participants in the Aberdeen Children of the 1950s. Three outcomes were measured using routine Scottish medical records over a five-year period (2004-2008): (1) ≥5 outpatient appointments, (2) ≥2 hospital admissions, or (3) ≥3 outpatient appointments plus ≥1 hospital admission. We constructed a childhood (age 6-11) education and academic ability domain and calculated predicted risk scores of the three outcomes for each cohort member. Nested logistic regression models investigate the association between domain predicted risk scores and odds of each of the three outcomes accounting for childhood confounders and self-reported adult mediators. Adjusting for childhood confounders, lower childhood education and academic ability were positively associated with ≥5 outpatient appointments (OR 1.03, 95% CI 1.01-1.05), ≥2 hospital admissions (OR 1.04, 95% CI 1.03-1.6), and ≥3 outpatient appointments plus ≥1 hospital admissions (OR 1.04, 95% CI 1.02-1.06). Accounting for adult mediators, associations remained statistically significant, but their effect sizes were reduced. When school leaving age was included in the model, the association between the exposure and all three outcomes were attenuated. Education and academic ability in early life may be related to the burden of multiple hospital admissions and outpatient appointments later in life. However, the age at which the participant left school seems to substantially mediate this relationship underscoring the positive impact of time spent in education.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642072","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}
Mathieu Jendly, Valérie Santschi, Stefano Tancredi, Viktor von Wyl, Arnaud Chiolero
{"title":"Primary care physician digital health profile and burnout: an international cross-sectional study.","authors":"Mathieu Jendly, Valérie Santschi, Stefano Tancredi, Viktor von Wyl, Arnaud Chiolero","doi":"10.1093/eurpub/ckaf106","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf106","url":null,"abstract":"<p><strong>Background: </strong>Digital health offers promising solutions for enhancing patient care, yet adoption varies among physicians, partly due to concerns about administrative burdens and burnout. This study assessed digital health use and burnout among primary care physicians in 10 OECD countries and examined their relationship. Methods: We conducted a secondary analysis of \"The Commonwealth Fund's 2022 International Health Policy Survey,\" including 9526 randomly selected primary care physicians (general practitioners or pediatricians in ambulatory care) from 10 OECD countries. We created a digital health score based on the use and frequency of digital tools. Self-reported burnout and related outcomes were analyzed. Cross-country differences were assessed using stratified analyses. Associations between digital health and burnout and related outcomes were explored using stratified analyses and logistic regressions. Results: Most physicians used electronic records; video consultations or connected tools for chronic care. Digital health scores were highest in the Netherlands and UK, and lowest in Germany and Switzerland. 35% of physicians reported burnout, with the highest prevalence in New Zealand (49%) and Canada (46%), and lowest in the Netherlands (12%) and Switzerland (18%). Digital health use positively correlated with workload dissatisfaction but not with burnout, stress, satisfaction with administrative work, or work-life balance. Conclusion: Physicians' digital health use and burnout varied substantially across countries but were not correlated. While digital health is often considered a factor linked to physician burnout, our results do not support this view. They also highlight the need to ensure that digital health reduces, rather than exacerbates, physicians' workload.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642073","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}
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":"https://doi.org/10.1093/eurpub/ckaf085","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laura Martín-Manchado, Miriam Sánchez-Sansegundo, Antonio M Moya-Yeste, José A Hurtado-Sánchez, José Tuells, Ana Zaragoza-Martí
{"title":"Associations between adherence to a Mediterranean diet and assisted reproductive techniques outcomes: a systematic review.","authors":"Laura Martín-Manchado, Miriam Sánchez-Sansegundo, Antonio M Moya-Yeste, José A Hurtado-Sánchez, José Tuells, Ana Zaragoza-Martí","doi":"10.1093/eurpub/ckaf100","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf100","url":null,"abstract":"<p><p>Globally, one out of six people of childbearing age experience infertility. Given the high demand for assisted reproductive techniques (ARTs), this systematic review evaluated associations between adherence to the Mediterranean diet (MD) and ART outcomes, as dietary habits can play a significant role. A systematic review was conducted by searching five databases (PubMed, ScienceDirect, Embase, Cochrane Library, and Web of Science) for studies published from 1 January 2010, to 1 January 2024, in English or Spanish. Inclusion criteria targeted patients aged 18-55 and examined intermediate and/or clinical ART outcomes. Systematic reviews, meta-analyses, and animal studies were excluded. Of the eight included articles, four found statistically significant associations between adherence to MD and positive ART outcomes, including increased number of embryos, and higher clinical and biochemical pregnancy and live birth rates. Other studies showed conflicting results. There is a potential association between adherence to the MD and ART outcomes. However, the evidence is limited, emphasizing the need for further investigation.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144616929","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}
Eric Lucas, Nadya Dimitrova, Mariano Tomatis, Brian Sheridan, Marc Arbyn, Evelyne Heijnsdijk, Paola Armaroli, Patrick Martens, Veli-Matti Partanen, Arunah Chandran, Andre L Carvalho, Wendy Yared, Arianna Khatchadourian, Carlo Senore, Partha Basu
{"title":"Creating a data processing warehouse to support performance monitoring of cancer screening programmes in Europe using a common set of indicators.","authors":"Eric Lucas, Nadya Dimitrova, Mariano Tomatis, Brian Sheridan, Marc Arbyn, Evelyne Heijnsdijk, Paola Armaroli, Patrick Martens, Veli-Matti Partanen, Arunah Chandran, Andre L Carvalho, Wendy Yared, Arianna Khatchadourian, Carlo Senore, Partha Basu","doi":"10.1093/eurpub/ckaf119","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf119","url":null,"abstract":"<p><p>The CanScreen-ECIS project implemented by International Agency for Research on Cancer aimed to define indicators to monitor, breast, cervical, colorectal, and lung cancer screening and create a validated mechanism for the European screening programmes to be able to systematically collect and submit performance data for public dissemination through European Cancer Information System (ECIS). Indicators were developed through a stepwise process of literature review, Delphi survey followed by face-to-face interaction. A survey questionnaire to report policies, protocols, and organization of screening programmes and a data collection tool to estimate indicators across the screening continuum were designed. These were integrated into a data warehouse to permit programme managers to access the tools, undergo training, submit data, and estimate the indicators. The same warehouse would allow peer-reviewing of submitted information and data and will ultimately be connected to ECIS for data visualization. Functionalities of the tools and the warehouse were pilot tested through data collection from several European countries. Total 23 indicators were selected based on priority and feasibility. Programme managers from 23 European countries completed the surveys and submitted data from national/regional screening programmes. Data to estimate the indicators were obtained from 17, 13, and 15 breast, cervical, and colorectal cancer screening programmes, respectively. Major challenges identified by the participants included collecting data from opportunistic screening and data disaggregated by socio-economic status and other indicators of inequalities. The data warehouse will facilitate systematic data collection to report the status and performance of cancer screening programmes in the EU.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144599765","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}
Matej Kucera, Dominika Seblova, Judith E Bosmans, Hana Marie Broulikova, Pavla Brennan Kearns
{"title":"Assessing modifiable risk factors for dementia in the Czech Republic: findings from the Survey of Health, Ageing and Retirement in Europe study.","authors":"Matej Kucera, Dominika Seblova, Judith E Bosmans, Hana Marie Broulikova, Pavla Brennan Kearns","doi":"10.1093/eurpub/ckaf112","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf112","url":null,"abstract":"<p><p>The role of modifiable risk factors in the development of dementia in Central and Eastern Europe remains understudied. We aimed to examine the association between 12 risk factors and the incidence of dementia in the Czech Republic and estimate the proportion of new dementia cases that can be attributed to these risk factors. Data of 3805 Czech participants in the Survey of Health, Ageing, and Retirement in Europe (mean age: 70 years, median 6.5-year follow-up) were analyzed. Hazard ratios (HRs) with 95% confidence intervals (CIs) were estimated using Cox hazard models for the association between the risk factors (low education, alcohol use, living alone, obesity, smoking, physical inactivity, high blood pressure, high cholesterol, diabetes mellitus, hearing loss, vision problem, and depression) and probable dementia diagnosis defined based on adapted Lang-Weir algorithm. We estimated the proportion of dementia cases attributable to each risk factor using weighted population attributable fractions (wPAFs). Four risk factors, low education (HR 1.72), depression (HR 1.42), diabetes mellitus (HR 1.53), and physical inactivity (HR 2.13), were significantly associated with dementia and accounted for the largest proportion of attributable risk. The total weighted PAF for all factors was 39.18%. If all risk factors for dementia were eliminated, almost 40% of dementia cases in the Czech Republic could be prevented. More systematic approach is essential for mitigating the adverse impact of risk factors on the incidence of dementia, such as improving education, preventing and treating depression and diabetes mellitus, and promoting physical.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144599764","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}
Sofia Carlsson, Tomas Andersson, Stefan Jansson, Thomas Nyström, Olov Rolandsson, Yuxia Wei
{"title":"Increasing incidence of early-onset type 2 diabetes in Sweden 2006-2021.","authors":"Sofia Carlsson, Tomas Andersson, Stefan Jansson, Thomas Nyström, Olov Rolandsson, Yuxia Wei","doi":"10.1093/eurpub/ckaf114","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf114","url":null,"abstract":"<p><p>Our aim was to provide new data on the incidence, prevalence, and secular trend of type 2 diabetes (T2D) in Sweden, specifically early-onset T2D. We followed the Swedish population 2006 to 2021 and calculated age-standardized incidence (per 100 000) and prevalence (%) of T2D (overall) and early-onset T2D (age 23-39 years) stratified by sex, region of birth, and educational level. We projected the future prevalence of early-onset T2D by combining observed trends with population projections. From 2006 to 2021, the prevalence of T2D rose from 4.87% to 7.50%, and incidence from 477 [95% confidence interval (CI) 471-482] to 574 (CI 568-579). Early-onset T2D incidence increased from 54 to 107 (4.7% annual rise; CI 3.7%-5.7%) during this period. Incidence of early-onset T2D was higher in individuals born outside Europe (211, CI 195-226 vs 89, CI 84-93 in 2021) or low education (204, CI 185-223 vs 71, CI 65-77 in 2021), but a rise in incidence was seen irrespective of educational level, region of origin, and sex. If the incidence of early-onset T2D continues to increase at the same pace, its prevalence is projected to increase from 0.64% in 2021 to 3.2% in 2050. While T2D incidence rose marginally in Sweden 2006 to 2021, there was a significant rise in early-onset T2D, seen across different socioeconomic characteristics, with prevalence more than doubling and incidence nearly doubling. This development calls for targeted preventive efforts.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144599843","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}