European Journal of Public Health最新文献_第10页

Employment in low-skilled jobs as trigger and consequence of poor health-a longitudinal perspective from Germany. 从事低技能工作是健康状况不佳的诱因和后果--来自德国的纵向视角。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2024-12-01 DOI: 10.1093/eurpub/ckae157

Arthur Kaboth, Lena Hünefeld, Ralf Himmelreicher

{"title":"Employment in low-skilled jobs as trigger and consequence of poor health-a longitudinal perspective from Germany.","authors":"Arthur Kaboth, Lena Hünefeld, Ralf Himmelreicher","doi":"10.1093/eurpub/ckae157","DOIUrl":"10.1093/eurpub/ckae157","url":null,"abstract":"Despite evidence of correlations between low-skilled jobs and poor health, the longitudinal perspective on this research topic has been neglected in Germany for decades. Therefore, we investigate (i) the causal relationship between accumulated employment in low- or medium-skilled jobs on self-rated health and (ii) the selective association of self-rated health on transitions from medium- to low-skilled jobs. About 26 313 dependent employees and persons aged 25-50 from 2010 to 2020 in the German Socio-Economic Panel were included. Linear fixed-effects models were used to analyse the impact of accumulated employment in low- or medium-skilled jobs on self-rated health. Linear probability models with fixed effects were calculated to identify the effect of self-rated health on transitions between low- and medium-skilled jobs. Accumulated employment in low-skilled jobs impacts self-rated health significantly. There is no confirmation for accumulated employment in medium-skilled jobs concerning health. Poor self-rated health increases the probability of transitioning from medium- to low-skilled jobs but does not impact the reverse transition. Poor self-rated health can push employees into low-skilled jobs. Against the background of extended working lives and preserving the labour force potential, there is a need for action and research concerning employees in low-skilled jobs.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"1052-1058"},"PeriodicalIF":3.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590379","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

Addressing public health in times of conflict. 在冲突时期处理公共卫生问题。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2024-12-01 DOI: 10.1093/eurpub/ckae171

Charlotte Marchandise, Gauden Galea, Ilmo Keskimäki, Floris Barnhoorn

引用次数: 0

Impact of the use of small-area models on estimation of attributable mortality at a regional level. 使用小区域模型对区域一级可归因死亡率估算的影响。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2024-12-01 DOI: 10.1093/eurpub/ckae104

Julia Rey-Brandariz, María I Santiago-Pérez, Cristina Candal-Pedreira, Leonor Varela-Lema, Alberto Ruano-Ravina, Esther López-Vizcaíno, Carla Guerra-Tort, Jasjit S Ahluwalia, Agustín Montes, Mónica Pérez-Ríos

{"title":"Impact of the use of small-area models on estimation of attributable mortality at a regional level.","authors":"Julia Rey-Brandariz, María I Santiago-Pérez, Cristina Candal-Pedreira, Leonor Varela-Lema, Alberto Ruano-Ravina, Esther López-Vizcaíno, Carla Guerra-Tort, Jasjit S Ahluwalia, Agustín Montes, Mónica Pérez-Ríos","doi":"10.1093/eurpub/ckae104","DOIUrl":"10.1093/eurpub/ckae104","url":null,"abstract":"The objective of this study is to assess the impact of applying prevalences derived from a small-area model at a regional level on smoking-attributable mortality (SAM). A prevalence-dependent method was used to estimate SAM. Prevalences of tobacco use were derived from a small-area model. SAM and population attributable fraction (PAF) estimates were compared against those calculated by pooling data from three national health surveys conducted in Spain (2011-2014-2017). We calculated the relative changes between the two estimates and assessed the width of the 95% CI of the PAF. Applying surveys-based prevalences, tobacco use was estimated to cause 53 825 (95% CI: 53 182-54 342) deaths in Spain in 2017, a figure 3.8% lower obtained with the small-area model prevalences. The lowest relative change was observed in the Castile-La Mancha region (1.1%) and the highest in Navarre (14.1%). The median relative change between regions was higher for women (26.1%), population aged ≥65 years (6.6%), and cardiometabolic diseases (9.0%). The differences between PAF by cause of death were never greater than 2%. Overall, the differences between estimates of SAM, PAF, and confidence interval width are small when using prevalences from both sources. Having these data available by region will allow decision-makers to implement smoking control measures based on more accurate data.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"1218-1224"},"PeriodicalIF":3.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141436751","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

Patients like any others? Providing coverage to undocumented migrants in France: effects on access to care and usual source of care. 病人和其他人一样吗？在法国为无证移民提供保险：对获得医疗服务和通常医疗来源的影响。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2024-12-01 DOI: 10.1093/eurpub/ckae143

Antoine Marsaudon, Florence Jusot, Jérôme Wittwer, Paul Dourgnon

{"title":"Patients like any others? Providing coverage to undocumented migrants in France: effects on access to care and usual source of care.","authors":"Antoine Marsaudon, Florence Jusot, Jérôme Wittwer, Paul Dourgnon","doi":"10.1093/eurpub/ckae143","DOIUrl":"10.1093/eurpub/ckae143","url":null,"abstract":"Medical State Assistance is a French public health insurance programme that allows undocumented migrants (UM) to access primary, secondary, and tertiary care services free of user charge, either premium or out-of-pocket. The objective of this study is to assess the effect of Medical State Assistance on access to healthcare services and on usual source of care (USC). We rely on representative data of 1,223 UM attending places of assistance to vulnerable populations in Paris and in the greater area of Bordeaux (France). In this sample, 51% of UM are covered by Medical State Assistance. We use probit and ordinary least square regressions to model healthcare uses of undocumented migrants. The results show that UM covered by Medical State Assistance are more likely to access outpatient healthcare services (by +22.4 percentage points) and less likely to do so on non-governmental organizations (by -6.7 percentage points) than their eligible but uncovered counterpart. Additionally, covered undocumented migrants made 36.9% more medical visits in outpatient healthcare services and 65.4% fewer visits in non-governmental organizations than eligible but uncovered ones. Moreover, covered UM are also more likely to report that primary care services are their USC, in preference to emergency departments and other outpatient care services. UM covered by Medical State Assistance are more likely to consult in outpatient healthcare services.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"1157-1162"},"PeriodicalIF":3.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142282589","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 frailty and subsequent disability trajectories among older adults: a growth curve longitudinal analysis from the Survey of Health, Ageing and Retirement in Europe (2004-19). 老年人体弱与后续残疾轨迹之间的关系：欧洲健康、老龄化和退休调查（2004-19 年）的增长曲线纵向分析。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2024-12-01 DOI: 10.1093/eurpub/ckae146

Selam Woldemariam, Moritz Oberndorfer, Viktoria K Stein, Sandra Haider, Thomas E Dorner

{"title":"Association between frailty and subsequent disability trajectories among older adults: a growth curve longitudinal analysis from the Survey of Health, Ageing and Retirement in Europe (2004-19).","authors":"Selam Woldemariam, Moritz Oberndorfer, Viktoria K Stein, Sandra Haider, Thomas E Dorner","doi":"10.1093/eurpub/ckae146","DOIUrl":"10.1093/eurpub/ckae146","url":null,"abstract":"Frailty is associated with adverse health outcomes in ageing populations, yet its long-term effect on the development of disability is not well defined. The study examines to what extent frailty affects disability trajectories over 15 years in older adults aged 50+. Using seven waves of data from the Survey of Health, Ageing and Retirement in Europe (SHARE), the study estimates the effect of baseline frailty on subsequent disability trajectories by multilevel growth curve models. The sample included 94 360 individuals from 28 European countries. Baseline frailty was assessed at baseline, using the sex-specific SHARE-Frailty-Instrument (SHARE-FI), including weight loss, exhaustion, muscle weakness, slowness, and low physical activity. Disability outcomes were the sum score of limitations in activities of daily living (ADL) and Instrumental ADL (IADL). Analyses were stratified by sex. Over 15 years, baseline frailty score was positively associated with disability trajectories in men [βADL = 0.074, 95% confidence interval (CI) = 0.064; P = .083; βIADL = 0.094, 95% CI = 0.080; P = 0.107] and women (βADL = 0.097, 95% CI = 0.089; P = .105; βIADL = 0.108, 95% CI = 0.097; P = .118). Frail participants showed higher ADL and IADL disability levels, independent of baseline disability, compared with prefrail and robust participants across all age groups. Overall, participants displayed higher levels of IADL disability than ADL disability. Study findings indicate the importance of early frailty assessment using the SHARE-FI in individuals 50 and older as it provides valuable insight into future disability outcomes.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"1184-1191"},"PeriodicalIF":3.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631492/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142307394","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

Predicting population-level vulnerability among pregnant women using routinely collected data and the added relevance of self-reported data. 利用常规收集的数据预测人群中孕妇的脆弱性，以及自我报告数据的附加意义。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2024-12-01 DOI: 10.1093/eurpub/ckae184

Joyce M Molenaar, Ka Yin Leung, Lindsey van der Meer, Peter Paul F Klein, Jeroen N Struijs, Jessica C Kiefte-de Jong

{"title":"Predicting population-level vulnerability among pregnant women using routinely collected data and the added relevance of self-reported data.","authors":"Joyce M Molenaar, Ka Yin Leung, Lindsey van der Meer, Peter Paul F Klein, Jeroen N Struijs, Jessica C Kiefte-de Jong","doi":"10.1093/eurpub/ckae184","DOIUrl":"10.1093/eurpub/ckae184","url":null,"abstract":"Recognizing and addressing vulnerability during the first thousand days of life can prevent health inequities. It is necessary to determine the best data for predicting multidimensional vulnerability (i.e. risk factors to vulnerability across different domains and a lack of protective factors) at population level to understand national prevalence and trends. This study aimed to (1) assess the feasibility of predicting multidimensional vulnerability during pregnancy using routinely collected data, (2) explore potential improvement of these predictions by adding self-reported data on health, well-being, and lifestyle, and (3) identify the most relevant predictors. The study was conducted using Dutch nationwide routinely collected data and self-reported Public Health Monitor data. First, to predict multidimensional vulnerability using routinely collected data, we used random forest (RF) and considered the area under the curve (AUC) and F1 measure to assess RF model performance. To validate results, sensitivity analyses (XGBoost and Lasso) were done. Second, we gradually added self-reported data to predictions. Third, we explored the RF model's variable importance. The initial RF model could distinguish between those with and without multidimensional vulnerability (AUC = 0.98). The model was able to correctly predict multidimensional vulnerability in most cases, but there was also misclassification (F1 measure = 0.70). Adding self-reported data improved RF model performance (e.g. F1 measure = 0.80 after adding perceived health). The strongest predictors concerned self-reported health, socioeconomic characteristics, and healthcare expenditures and utilization. It seems possible to predict multidimensional vulnerability using routinely collected data that is readily available. However, adding self-reported data can improve predictions.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"1210-1217"},"PeriodicalIF":3.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142738916","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

Reach and public health implications of proposed new food marketing regulation in Germany: an updated analysis. 德国拟议的新食品营销法规的覆盖范围和对公共健康的影响：最新分析。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2024-12-01 DOI: 10.1093/eurpub/ckae087

Anna Leibinger, Nicole Holliday, Oliver Huizinga, Carmen Klinger, Elochukwu Okanmelu, Karin Geffert, Eva Rehfuess, Peter von Philipsborn

引用次数: 0

Factors associated with intent to stay in the profession: an exploratory cluster analysis across healthcare professions in Switzerland. 与继续从业意向相关的因素：对瑞士医疗保健行业的探索性聚类分析。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2024-12-01 DOI: 10.1093/eurpub/ckae100

Leonard Roth, Ingrid Gilles, Emilie Antille, Jonathan Jubin, Vladimir Jolidon, Annie Oulevey-Bachmann, Isabelle Peytremann-Bridevaux

引用次数: 0

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2024-12-01 DOI: 10.1093/eurpub/ckae135

Thomas Grochtdreis, Hans-Helmut König, Judith Dams

引用次数: 0

Trajectories of satisfaction with work-family reconciliation among midlife employees: the role of family-related factors and quality of life. 中年雇员对工作与家庭协调满意度的轨迹：家庭相关因素和生活质量的作用。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2024-12-01 DOI: 10.1093/eurpub/ckae117

Subas Neupane, Tea Lallukka, Aino Salonsalmi, Eija Haukka, Päivi Leino-Arjas

{"title":"Trajectories of satisfaction with work-family reconciliation among midlife employees: the role of family-related factors and quality of life.","authors":"Subas Neupane, Tea Lallukka, Aino Salonsalmi, Eija Haukka, Päivi Leino-Arjas","doi":"10.1093/eurpub/ckae117","DOIUrl":"10.1093/eurpub/ckae117","url":null,"abstract":"We studied the developmental trajectories of satisfaction with work-family reconciliation (WFS) and their associations with family-related factors and quality of life measures among municipal employees. The study was based on the Helsinki Health Study of municipal employees of the City of Helsinki in 2001-02 and its follow-up surveys in 2007, 2012, and 2017. Employees aged 40-50 at baseline and working at all timepoints were analysed (n = 1681, 84% women). Growth Mixture Models were applied to identify trajectories of WFS (dissatisfied vs. satisfied). Associations of family-related and quality-of-life factors (physical functioning and emotional well-being) with the WFS trajectories were studied using log-binomial regression models, adjusting for sociodemographic and lifestyle variables. Two WFS trajectories, low (women 45%; men 53%) and high were identified. In a fully adjusted model among women, having ≥1 children aged 0-6 years was associated with increased odds of belonging to the low WFS trajectory (OR 1.52, 95% CI 1.19-1.95). Among men, having ≥1 children aged 7-18 was associated with decreased odds (0.39, 0.19-0.80). High emotional well-being was inversely associated with the low WFS trajectory among both genders (women 0.32, 0.23-0.45; men 0.20, 0.09-0.46). High physical functioning (0.59, 0.42-0.83) was inversely associated with the low WFS trajectory among women only. Less than half of the women and more than half of the men participants belonged to a low WFS trajectory, which associated with the age of children in the family and quality-of-life measures.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"1059-1065"},"PeriodicalIF":3.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141758015","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