European Journal of Public Health最新文献

Joint contributions of psychological distress and demanding working conditions to short and long sickness absence among young and early midlife municipal employees. 心理困扰和苛刻的工作条件对年轻和中年早期市政雇员短期和长期病假的共同贡献。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-08 DOI: 10.1093/eurpub/ckaf048

Anna C Svärd, Mari-Liis Kalima, Jaana I Halonen, Minna Mänty, Tero Kujanpää, Eira Roos, Jatta Salmela, Tea Lallukka

{"title":"Joint contributions of psychological distress and demanding working conditions to short and long sickness absence among young and early midlife municipal employees.","authors":"Anna C Svärd, Mari-Liis Kalima, Jaana I Halonen, Minna Mänty, Tero Kujanpää, Eira Roos, Jatta Salmela, Tea Lallukka","doi":"10.1093/eurpub/ckaf048","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf048","url":null,"abstract":"This register-linked follow-up study examined whether psychological distress and demanding working conditions are jointly associated with short and long sickness absence (SA) periods among young and midlife Finnish public sector employees. We linked the Helsinki Health Study survey (response rate 51.5%, 80% women, ages 19-39 years in 2017) on psychological distress, physically and mentally strenuous work, and hours per day spent in physical work with the employer's SA register (n = 3609, mean follow-up of 2.1 years). We calculated rate ratios (RRs) and their 95% confidence intervals (CIs) for short (1-7 days) and long (8+ days) SA periods using negative binomial regression models. Additionally, we calculated the synergistic interaction between psychological distress and working conditions. Most (88%) participants had at least one short and 31% at least one long SA period. Participants with psychological distress and exposure to demanding working conditions had the highest RRs for long SA periods (physically strenuous work: RR: 2.27, CI: 1.87-2.77; mentally strenuous work: RR: 2.02, CI: 1.66-2.46; ≥3 h per day spent in physical work: RR: 2.41, CI: 1.94-2.99). The interactions for long SA were negative for physically demanding working conditions, but additive for mentally strenuous work. The associations were weaker for short SA periods. Adjusting for other covariates only slightly attenuated these associations. Psychological distress and demanding working conditions were jointly associated with short and long SA periods. Both individual- and workplace-related risk factors for SA need to be considered when planning preventive actions.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810782","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

Socioeconomic inequalities and diabetes complications: an analysis of administrative data from Hungary. 社会经济不平等与糖尿病并发症：匈牙利行政数据分析。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-08 DOI: 10.1093/eurpub/ckaf038

Péter Elek, Balázs Mayer, Orsolya Varga

{"title":"Socioeconomic inequalities and diabetes complications: an analysis of administrative data from Hungary.","authors":"Péter Elek, Balázs Mayer, Orsolya Varga","doi":"10.1093/eurpub/ckaf038","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf038","url":null,"abstract":"Diabetes complications are associated with increased healthcare costs and worsened patient outcomes. In this paper, we analyse how individual-level demographic and territorial-level socioeconomic and healthcare variables influence the presence and severity of diabetes complications and their relationship with mortality. Our study utilizes anonymized administrative healthcare data on all diabetes patients of Hungary between 2010 and 2017. We construct settlement-year level and individual-year level panel datasets to analyse diabetes prevalence, incidence and complications, employing Poisson and logit models to explore associations between complications and the explanatory variables. The adapted Diabetes Complications Severity Index (aDCSI) is employed to quantitatively evaluate the severity of complications by aggregating individual complication scores from ICD-10 diagnosis codes. We find that diabetes prevalence and incidence are higher in settlements with above-median unemployment rates, where patients exhibit more severe complications, as shown by higher average aDCSI scores. Among socioeconomic factors, unemployment rate is particularly associated with increased aDCSI scores, while better healthcare access is associated with lower aDCSI scores in unadjusted but with higher scores in adjusted models. The presence and severity of complications, especially renal, cardiovascular and peripheral vascular ones, substantially increase 5-year inpatient mortality. Most of the mortality difference by settlement-level unemployment rate disappears when complications are accounted for. We conclude that socioeconomic inequalities, particularly higher unemployment rates, are strongly linked to diabetes complications and associated mortality risk. Addressing these disparities through improved healthcare accessibility and targeted public health strategies could play a crucial role in reducing the burden of diabetes-related complications and improving patient outcomes.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810832","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

High-risk HPV prevalence in the Czech cervical cancer screening population: a comparison of clinician-collected and self-collected sampling. 高危HPV患病率在捷克宫颈癌筛查人群：比较临床收集和自我收集的抽样。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-07 DOI: 10.1093/eurpub/ckaf045

Hana Jaworek, Ondrej Bouska, Pavla Kourilova, Marian Hajduch, Vladimira Koudelakova

{"title":"High-risk HPV prevalence in the Czech cervical cancer screening population: a comparison of clinician-collected and self-collected sampling.","authors":"Hana Jaworek, Ondrej Bouska, Pavla Kourilova, Marian Hajduch, Vladimira Koudelakova","doi":"10.1093/eurpub/ckaf045","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf045","url":null,"abstract":"The prevalence of high-risk human papillomavirus (hrHPV) types varies across countries, making it essential to estimate prevalence using nationwide samples. Data on hrHPV prevalence in the Czech Republic are very limited. This study aimed to determine the prevalence of various hrHPV types in an unselected screening population of Czech women aged 30-65 years, using paired clinician-obtained cervical swab (CS) and self-collected cervicovaginal swabs (CVS). A total of 1026 eligible women were recruited into two study arms. In arm A, the digene® HC2 DNA Collection Device was used for both CS and CVS. In arm B, the Evalyn Brush was used for CVS, while the Cervex Brush was used for CS. All samples were tested for hrHPV using the digene® HC2 High-Risk HPV DNA Test and genotyped with the PapilloCheck® HPV-Screening assay. The overall hrHPV prevalence was 14.8%, based on positive results from either CVS or CS samples. hrHPV positivity was detected in 10.8% of clinician-obtained CSs and 11.8% of self-collected CVSs. A combined analysis of CS and CVS samples identified the five most prevalent hrHPV genotypes: HPV16, HPV31, HPV39, HPV56, and HPV68. The comparison of hrHPV detection in paired CS and CVS samples showed an overall concordance of 93%. These findings highlight the importance of detecting hrHPV genotypes alongside conventional Pap testing in national cervical screening programs. Furthermore, the results confirm that self-sampling kits represent a suitable alternative to clinician-collected samples.Clinical trials registration ClinicalTrials.gov Identifier (NCT04133610).","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802738","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

Association of adverse childhood experiences with physical illness and self-rated health in the population-based Tromsø Study. 在以人群为基础的特罗姆瑟研究中，不良童年经历与身体疾病和自评健康的关系

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-07 DOI: 10.1093/eurpub/ckaf031

Safak Caglayan, Anne Høye, Jens C Thimm, Catharina E A Wang, Ole K Grønli

{"title":"Association of adverse childhood experiences with physical illness and self-rated health in the population-based Tromsø Study.","authors":"Safak Caglayan, Anne Høye, Jens C Thimm, Catharina E A Wang, Ole K Grønli","doi":"10.1093/eurpub/ckaf031","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf031","url":null,"abstract":"Adverse childhood experiences (ACEs) are highly prevalent and associated with life-long health consequences. Here, we investigated the relationship of ACEs to adult-onset health outcomes in general population. We conducted a cross-sectional analysis using the seventh survey of the Tromsø Study, including 20 843 participants. Main exposure variables were exposure to at least one ACE, rumination related to adverse experiences, cumulative ACEs, and two clusters of ACEs, i.e. interpersonal and impersonal ACEs. Logistic and ordinal regression models were fitted to estimate the risk of adult-onset physical illness and poor self-rated health adjusted for birth year, sex, smoking, education, and income. We found that exposure to at least one ACE together with rumination was associated with increased risk of hypertension, heart failure, atrial fibrillation, diabetes, obesity, kidney disease, chronic obstructive pulmonary disease, asthma, rheumatoid arthritis, arthrosis, migraine, chronic pain, and poor self-rated health. We observed dose-effect relationships of cumulative ACEs to the aggregated risk of 14 among 16 health outcomes. While increased risk of heart failure, kidney disease, and rheumatoid arthritis was only linked to the interpersonal ACEs, increased risk of coronary artery disease was associated only with the impersonal ACEs. Our findings demonstrate that exposure to ACEs increases the risk of adult-onset physical illness and poor self-rated health in a dose-effect relationship, and rumination related to adverse experiences is associated with an aggravated risk. Inquiry into exposure to ACEs might inform about health risks. Early intervention approaches to promote positive experiences and increase resilience might alleviate life-long health burden.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802558","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 associations of different recess types on physical activity and sedentary behaviour in Estonian primary school students. 不同课间休息类型对爱沙尼亚小学生身体活动和久坐行为的影响。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-07 DOI: 10.1093/eurpub/ckaf052

Getter Marie Lemberg, Merike Kull, Jarek Mäestu, Eva-Maria Riso, Evelin Mäestu

{"title":"The associations of different recess types on physical activity and sedentary behaviour in Estonian primary school students.","authors":"Getter Marie Lemberg, Merike Kull, Jarek Mäestu, Eva-Maria Riso, Evelin Mäestu","doi":"10.1093/eurpub/ckaf052","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf052","url":null,"abstract":"Students' physical activity (PA) levels tend to decrease with increasing age; however, the school day structure can potentially influence students' PA levels. This study aimed to measure and compare objective levels of PA during recess and school time between schools with different recess types. 15 different schools were selected, and accelerometry-based PA levels of 9-13-year-old students were measured. Schools were selected based on the recess types: (i) 'daily outdoor recess'; (ii) 'irregular outdoor recess'; (iii) 'indoor recess'. The 'daily outdoor recess' group reached the highest moderate-to-vigorous PA (MVPA) during recess compared to other groups. 'Indoor recess' group had more sedentary time during recess compared to 'irregular outdoor recess' and 'daily outdoor recess' groups (43.6 ± 1.0%, 34.0 ± 1.0%, 30.8 ± 0.8%, respectively; P < .05). Time in MVPA was unchanged during recess across all grades in the 'daily outdoor recess' group (from 22.8% to 25.6%), while decreased MVPA from 27% to 17% and from 21% to 10% was found in 'irregular outdoor recess' and 'indoor recess' group, respectively; P < .05. Sedentary time increased from 34% to 52% in the 'indoor recess' group and from 26% to 43% in the 'irregular outdoor recess' group (P < .05). There was a positive association between the recess length and MVPA minutes acquired during recess; however, during a 15-25 min outdoor recess, students spent more time in MVPA compared to a 30-50 min outdoor recess (28%-30.5%, 21%-23%, respectively). The findings emphasize that unstructured outdoor recess has a high potential to maintain the MVPA levels with increasing age.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802682","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

Sexually transmitted infections among pre-exposure prophylaxis users in a Swedish multi-centre cohort. 瑞典多中心队列暴露前预防使用者中的性传播感染

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-04 DOI: 10.1093/eurpub/ckaf034

Tobias Herder, Fredrik Månsson, Petra Tunbäck, Karin Sanner, Magnus Gisslén, Ester Fridenström, Minna Dawar, Susanne Strömdahl

{"title":"Sexually transmitted infections among pre-exposure prophylaxis users in a Swedish multi-centre cohort.","authors":"Tobias Herder, Fredrik Månsson, Petra Tunbäck, Karin Sanner, Magnus Gisslén, Ester Fridenström, Minna Dawar, Susanne Strömdahl","doi":"10.1093/eurpub/ckaf034","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf034","url":null,"abstract":"An additional upsurge in bacterial STIs has been observed in Sweden following HIV pre-exposure prophylaxis (PrEP) implementation. From a prevention perspective, it is of relevance to optimize testing strategies within PrEP programmes to identify those most at risk. An open retrospective longitudinal observational cohort study was performed at three STI clinics in Uppsala, Gothenburg, and Malmö. A questionnaire and journal data regarding STI were collected from a sample of 199 MSM enrolled in the PrEP programmes and providing informed consent. Incident bacterial STIs during follow-up were analyzed with descriptive statistics, Poisson regression, and Cox regression. Median follow-up time was 632 days. A total of 270 gonorrhoea or chlamydia infections were recorded during PrEP follow-up, compared to 194 cases in the 2-year period prior to enrolment, giving an incidence rate ratio (IRR) of 1.56 (CI 95% 1.30-1.89). The testing frequency increased by 75% (IRR 1.69, CI 95% 1.60-1.90). For diagnoses of active syphilis, the increase was 108% (IRR 2.08. CI 95% 1.04-4.06), compared with a 5-year period preceding enrolment. The hazard ratio of time (days) until a first STI after PrEP initiation was 2.87 (CI 95% 1.72-4.80) for those having had a STI prior to PrEP initiation and 2.06 (CI 95% 1.03-4.13) for those reporting experience of group sex in the past year compared with those who had not. STI prior to PrEP initiation and group sex were associated with STI after initiation of PrEP, factors that could be considered if needing prioritizing the frequency of STI screening.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788041","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

Intimate partner psychological violence and children's sleep difficulties up to 5 years of age: an ELFE birth cohort. 亲密伴侣心理暴力和5岁以下儿童睡眠困难：ELFE出生队列。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-04 DOI: 10.1093/eurpub/ckaf037

Marion Bailhache, Sabine Plancoulaine, Fabienne El-Khoury, Olivier Leproux, Eloi Chazelas, Ramchandar Gomajee, Judith Van Der Waerden, Marie Aline Charles, Maria Melchior

{"title":"Intimate partner psychological violence and children's sleep difficulties up to 5 years of age: an ELFE birth cohort.","authors":"Marion Bailhache, Sabine Plancoulaine, Fabienne El-Khoury, Olivier Leproux, Eloi Chazelas, Ramchandar Gomajee, Judith Van Der Waerden, Marie Aline Charles, Maria Melchior","doi":"10.1093/eurpub/ckaf037","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf037","url":null,"abstract":"To examine the association between intimate partner psychological violence (P-IPV) from before pregnancy to 2 years after the child's birth and child's sleep patterns, i.e. sleep onset difficulty (SOD), nighttime awakenings (NA), and nighttime sleep duration (NSD) between 2 and 5 years of child's age. Data come from the population-based French birth ELFE cohort launched in 2011. P-IPV was assessed before and during pregnancy, at 2 months and 2 years post-partum. Children's sleep patterns were measured at 2, 3, and 5 years of age. Group-based trajectory modelling was used to identify trajectories of P-IPV and each child's sleep patterns. Associations between P-IPV and children's sleep trajectories were assessed by weighted multivariate logistic regressions. Five P-IPV trajectories were identified: minimal (64%), prenatal (14%), decreasing (9%), increasing (8%), and persistent (5%). Two trajectories of SOD (few 65% and many 35%), three trajectories of NA (few 49%, decreasing 24%, and many 23%), and three trajectories of NSD (short 21%, medium 56%, and long 23%) were identified. About 9513, 9512, and 9499 children were included in comparative analyses, respectively, focused on SOD, NA, and NSD. Increasing and persistent P-IPV trajectories were both associated with the trajectory of many SODs [odds ratio (OR) = 1.53, 95% confident interval (CI) = 1.24-1.91; and OR = 1.71, 95% CI = 1.31-2.22, respectively] and the trajectory of many NA (OR = 1.66, 95% CI = 1.29-2.13); and (OR = 1.95, 95% CI = 1.42-2.69, respectively). Associations between persistent P-IPV and decreasing and many NA were significant among girls (OR = 1.76, 95% CI = 1.12-2.75 and OR = 2.27, 95% CI = 1.39-3.71, respectively), but not among boys. Family interventions in response to IPV should pay particular attention to sleep patterns of children exposed to IPV.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788038","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 effect of the 'Every Mind Matters' campaign on mental health literacy: the moderating roles of socioeconomic status and ethnicity. “人人重要”运动对心理健康素养的影响：社会经济地位和种族的调节作用。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-01 DOI: 10.1093/eurpub/ckaf020

Amy Ronaldson, Kia-Chong Chua, Jane Hahn, Claire Henderson

{"title":"The effect of the 'Every Mind Matters' campaign on mental health literacy: the moderating roles of socioeconomic status and ethnicity.","authors":"Amy Ronaldson, Kia-Chong Chua, Jane Hahn, Claire Henderson","doi":"10.1093/eurpub/ckaf020","DOIUrl":"10.1093/eurpub/ckaf020","url":null,"abstract":"We previously reported short-lived improvements in mental health literacy following the Every Mind Matters campaign, followed by a return to baseline levels. In this study, we aimed to examine whether either socioeconomic status or ethnicity moderated these improvements. We conducted regression analyses on a nationally representative, repeated cross-sectional dataset of nine survey waves from September 2019 to March 2022. Interaction terms (ethnicity*wave, socioeconomic status*wave) were entered into regression models to assess the moderating effect of these variables. Where significant interactions emerged, we obtained marginal estimates and plotted them for ease of interpretation. We found no evidence that improvements seen in mental health literacy following the launch of Every Mind Matters were moderated by ethnicity or socioeconomic status. Over time, there was some evidence of lower scores relating to symptoms recognition, knowledge of actions to improve mental health, and desire for social distance (stigma) among adults of lower socioeconomic status, which converged again for symptom recognition. These findings suggest that while a web resource can empower people and improve mental health literacy, in relation to ethnicity and socioeconomic status, it may be that while this can avoid a widening of inequalities it is insufficient to lead to a narrowing of them.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"366-372"},"PeriodicalIF":3.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143500009","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 inequalities in the effects of school-based well-being interventions: a systematic review. 以学校为基础的福利干预措施影响中的社会不平等：系统回顾。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-01 DOI: 10.1093/eurpub/ckaf005

Eetu Haataja, Heidi Leppä, Mikko Huhtiniemi, Rozenn Nedelec, Tiina Soini, Timo Jaakkola, Mika Niemelä, Tuija Tammelin, Marko Kantomaa

{"title":"Social inequalities in the effects of school-based well-being interventions: a systematic review.","authors":"Eetu Haataja, Heidi Leppä, Mikko Huhtiniemi, Rozenn Nedelec, Tiina Soini, Timo Jaakkola, Mika Niemelä, Tuija Tammelin, Marko Kantomaa","doi":"10.1093/eurpub/ckaf005","DOIUrl":"10.1093/eurpub/ckaf005","url":null,"abstract":"Rising public concern about comprehensive child and adolescent well-being has led to the development of school-based interventions with the potential for high-reaching and effective support. While some interventions have shown effectiveness, limited understanding exists regarding how social inequalities are considered and evidenced in such interventions. This study examines how social inequalities are considered in universal school-based interventions and their potential to affect inequalities through differential effects. A systematic review following the PRISMA protocol was conducted using the following databases: PubMed, Web of Science, CINAHL, Scopus, ProQuest and APA PsycArticles. Studies published between 2014 and 2023 were included. Screening and data extraction were conducted independently by two researchers. Of 10 028 initial articles, 44 were included in the final analysis. These studies primarily involved physical activity and mindfulness interventions in schools. Despite many studies including information regarding students' social backgrounds, such as socioeconomic position and immigrant background, the analysis of differential intervention effects among demographic groups was limited and mostly based on sex. Most differential effect analyses showed no significant differences based on social background, and no clear differences were found based on intervention type. While some universal school-based interventions show promise in reducing social inequalities in students' well-being, more empirical research is needed to explicitly target these questions. This review highlights the critical need for comprehensive intervention studies to consider and report relevant dimensions of social background and their interactions with intervention effects.Trial registration: PROSPERO; registration no. CRD42023423448.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"302-311"},"PeriodicalIF":3.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143467449","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

Screen-detected breast cancer and cancer stage by area-level deprivation: a descriptive analysis using data from the National Cancer Registry Ireland. 按地区贫困程度分列的筛查出的乳腺癌和癌症分期：利用爱尔兰国家癌症登记处的数据进行的描述性分析。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-01 DOI: 10.1093/eurpub/ckae204

Philippa White, Aline Brennan, Joe McDevitt, Deirdre Murray, Caroline Mason Mohan, Patricia Fitzpatrick, Therese Mooney, Alan Smith, Maeve Mullooly, Niamh Bambury

{"title":"Screen-detected breast cancer and cancer stage by area-level deprivation: a descriptive analysis using data from the National Cancer Registry Ireland.","authors":"Philippa White, Aline Brennan, Joe McDevitt, Deirdre Murray, Caroline Mason Mohan, Patricia Fitzpatrick, Therese Mooney, Alan Smith, Maeve Mullooly, Niamh Bambury","doi":"10.1093/eurpub/ckae204","DOIUrl":"10.1093/eurpub/ckae204","url":null,"abstract":"Breast cancer screening programmes can lead to better disease outcomes, but women from deprived backgrounds are less likely to participate and more likely to present with late-stage cancer. This study aimed to explore associations between deprivation and breast cancer screening outcomes in Ireland during 2009-2018. Data on all female breast cancer cases diagnosed in Ireland during 2009-2018 were extracted from the National Cancer Registry Ireland. Associations between area-level deprivation, using the Pobal Haase-Pratschke deprivation index, and detection of breast cancer through BreastCheck, Ireland's breast screening programme, and stage of screen-detected breast cancer were explored. Unadjusted risk ratios (RRs) and 95% confidence intervals (CIs) were calculated. Among screening eligible women in Ireland in 2009-2018, there was no difference in risk of breast cancer detection through BreastCheck across deprivation quintiles (RR for most compared to least deprived group: 1.01, 95% CI: 0.96-1.06). In women with screen-detected breast cancer, the risk of late-stage cancer detection increased with deprivation in 2009-2013 (RR for most compared to least deprived group: 1.45, 95% CI: 1.10-1.93), but no association was observed between deprivation and cancer stage in 2014-2018. Notwithstanding its limitations, including the risk of confounding by uncontrolled variables, this study suggests screening eligible women in Ireland have had similar outcomes from breast cancer screening, regardless of deprivation level, since the national roll-out of BreastCheck. Associations between deprivation and screening outcomes should continue to be monitored to ensure Ireland's breast cancer screening programme is helping to reduce health inequities.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"347-352"},"PeriodicalIF":3.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142823815","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