European Journal of Public Health最新文献

{"title":"Accuracy of parent- and self-reported height and weight data in children: a systematic review.","authors":"Jacqueline A Deurloo, Paula van Dommelen, Renate van Zoonen","doi":"10.1093/eurpub/ckag175","DOIUrl":"10.1093/eurpub/ckag175","url":null,"abstract":"<p><p>Growth monitoring is a key component of preventive youth healthcare (YHC) in the Netherlands and many other countries. Parent- and self-reported height and weight measurements can be used to enhance flexibility and parental involvement, especially during remote visits. While these data are practical, concerns exist about their accuracy, particularly for individual assessment. This literature review aimed to determine the accuracy of parent- or self-reported height and weight data for use in YHC. A systematic review was conducted, including studies from the past 13.5 years comparing parent- or self-reported and measured height and weight data in children. Data on correlation coefficients and mean differences were extracted. Meta-analyses were performed by reporting source, age group, and sex. Twenty-nine studies were included. Correlations between reported and measured values ranged from poor to almost perfect. Parent-reported data were more accurate for children aged 4-11 years than for those aged 0-3 years; self-reported data were more accurate in adolescents aged 12-18 years than for those aged 4-11 years. Systematic underestimation of height and weight was observed in parent-reported data for those aged 4-11 years. Self-reported data showed similar trends, with accuracy increasing with age. We conclude that parent- and self-reported height and weight data lack sufficient accuracy for individual growth monitoring in YHC. If used, the data source should be clearly indicated in health records. Further research is needed to improve the accuracy of reported measurements for potential use in Dutch YHC.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 5","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149073988","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}

{"title":"Disparity in disease, equality in death? Socioeconomic disparities in life expectancy after disease onset: a full-population cohort study over 64 non-communicable diseases in Denmark 2013-2022.","authors":"Anna Vera J Pallesen, Jochen O Mierau, Laust H Mortensen","doi":"10.1093/eurpub/ckag157","DOIUrl":"10.1093/eurpub/ckag157","url":null,"abstract":"<p><p>Individual socioeconomic position is known to affect the progression of disease and mortality after disease onset. Existing studies generally focus on single diseases, making it unclear whether this is a universal pattern or a common characteristic across disease classes. The objective of this study is to examine educational and income inequalities in life expectancy after diagnosis of noncommunicable diseases. Based on full population Danish registers (N = 4 420 226), we created multistate models for 64 noncommunicable diseases according to education, income, age and sex. Transition probabilities from healthy to sick and deceased were estimated with a multinomial logit model and used for the construction of life tables from which we estimated life expectancy after diagnosis. We observed education and income inequalities in life expectancy after diagnosis across all noncommunicable diseases studied for both men and women. For example, a woman diagnosed with cirrhosis of the liver at age 50, has a life expectancy of almost 17 years if she has a high education and 14 years if she has a low education. For men, life expectancy after diagnosis of cirrhosis is 13 years for the high educated and 10 years for the low educated. Our findings show that socioeconomic inequalities in life expectancy after disease onset are consistent across a wide range of noncommunicable diseases. In terms of policy, our study highlights the need for interventions that reduce the accumulation of risk before individuals become patients, and strengthen the healthcare system's ability to mitigate inequalities.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 5","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13552378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148911216","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}

{"title":"Open-source intelligence in public health: a decision-centred framework.","authors":"Martin McKee, Anja Schreijer, Anna Odone","doi":"10.1093/eurpub/ckag173","DOIUrl":"10.1093/eurpub/ckag173","url":null,"abstract":"","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 5","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13615649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149059396","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}

{"title":"Social determinants of mid-life mental health decline: a life-course analysis from the 1970 British Cohort Study.","authors":"Christoph Henking, Aaron Reeves","doi":"10.1093/eurpub/ckag146","DOIUrl":"https://doi.org/10.1093/eurpub/ckag146","url":null,"abstract":"<p><p>Mental well-being has been shown to follow a U-shaped pattern across the life course in cohorts studied to date, with psychological distress worsening as people enter their forties. The reasons for this decline remain a puzzle. This study examined the social determinants associated with this phenomenon and their relative importance as predictors of mid-life mental health. We used data from the 1970 British Cohort Study, aged 26, 34, and 42 (N = 6992, 51.5% female). Mental distress was measured with the nine-item Malaise Inventory. We contrasted a group of those whose mental health declined with those exhibiting stable mental health. Random forest (RF) and logistic regression models explored whether decline was predicted by socio-economic and family factors, physical health, and health behaviours (at ages 26, 34, or birth). Social class at birth (variable importance [VI] = 0.027) and income quintile at 34 (VI = 0.027) were the most important predictors in RF analysis. Regression confirmed that working-class background (odds ratio [OR] = 1.53 [1.27-1.85]) and being in the highest-income quintile at 34 (OR = 0.68 [0.53-0.88]) strongly predicted the mental health decline. The predicted probability of decline was two and a half times higher for those with an unfavourable, compared to a favourable, combination of social determinants (28% vs 11%). Importantly, a working-class background was not associated with mental health decline between ages 26 and 34. Early-life social class and income were among the strongest predictors of mid-life psychological distress. Decline was concentrated among those exposed to economic disadvantage, suggesting that this group should be a particular focus of mid-life mental health prevention and support.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 5","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13472683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762599","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}

{"title":"National palliative care laws in Europe: do they enable access and effectively promote the development of palliative care within health systems? A comparative multimethod analysis.","authors":"Timo P Carpén, Laura Monzón-Llamas, Breffni L Hannon, Leszek Pawłowski, Tiina H Saarto, Reino T Pöyhiä, Carlos Centeno","doi":"10.1093/eurpub/ckag147","DOIUrl":"10.1093/eurpub/ckag147","url":null,"abstract":"<p><p>Access to palliative care (PC) is a fundamental right. While an increasing number of European countries have adopted national PC laws, it remains unclear how effective these laws are in advancing access and enabling development within health systems. This was a comparative multimethod study combining systematic analysis of national PC legislation with semi-structured interviews with national experts. Legal texts were analysed using a standardized extraction framework aligned with the WHO PC development model. Interview data provided interpretive context, contextualized legislative intent, and perceived system-level reach of laws. Fourteen countries had a national legal mandate explicitly addressing PC, either through standalone laws or binding frameworks within the health system. Laws varied widely in their aspiration and operational strength. Although almost half (6/14, 43%) explicitly recognized PC as a right, only France and Italy combined rights-based recognition with explicit mechanisms for implementation, governance, and financial sustainability. National experts linked stronger operational design with greater service development and integration, whereas predominantly declarative laws had limited practical relevance. Across countries, gaps were greatest in provisions related to research, access to essential medicines, and workforce development. National laws can function as important public health instruments to support access to PC and foster system-level development; enforceable implementation mechanisms and integration within health systems are crucial. Legislation should be understood as an enabling instrument whose impact depends on governance, financing, political commitment and health-system implementation.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 5","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13521597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839519","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}

{"title":"Regulating practice at the margins: Türkiye's sequential policy response to unlicensed traditional, complementary, and independent health service provision, 2025-26.","authors":"Sedat Bostan, Ahmet Y Yesildag, Ferit Sevim","doi":"10.1093/eurpub/ckag150","DOIUrl":"10.1093/eurpub/ckag150","url":null,"abstract":"<p><p>Türkiye's foundational health-professions law (1928) concentrates clinical authority in licensed physicians. A 2014 regulation moved traditional and complementary medicine (T&CM) from prosecutable practice into lawful, certified-physician-only provision, centralizing supply. Demand-reported by 14.7%-60.5% of patients nationally-has outgrown this framework. Physicians hold exclusive T&CM authority yet face structural disincentives to exercise it: the public performance-payment system values a 30-minute T&CM session the same as a 2-minute prescription renewal. Unmet demand migrated to unlicensed providers. Interviews with 58 T&CM service providers across Türkiye's seven regions, completed just before these reforms, documented provider-reported harms in unlicensed provision, including scarring from improper cupping, reuse of unsterile instruments (including using a leech across multiple clients), and deaths caused by thermal sulphur gas, as well as a reactive, complaint-driven inspection system. In response, the Ministry issued three sequential regulations: licensed Health Professional Service Units (March 2025), licensed medicinal herbal teas restricted to pharmacies (2 July 2026), and licensed Wellness Centres encompassing T&CM as explicitly non-curative services (4 July 2026). All share one logic: new licensed, traceable channels for contested activity rather than tightening enforcement or deregulating. Early signals include active licensing uptake among allied health professionals; the wellness framework is only weeks old; this article is an early policy analysis, not an impact evaluation. The case offers a transferable instrument for health systems facing tension between physician-centred scope-of-practice law and rising demand at the margins of clinical practice, while suggesting that legal permission without financing reform may leave the underlying supply gap intact.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 5","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148790102","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}

{"title":"Job stressors and incident lipid-lowering medications in the working population: prospective results from the national French ESPS survey.","authors":"Isabelle Niedhammer, Maël Quatrevaux","doi":"10.1093/eurpub/ckag154","DOIUrl":"10.1093/eurpub/ckag154","url":null,"abstract":"<p><p>The objectives were to explore the prospective associations between job stressors and incident lipid-lowering medications in a nationally representative sample of the working population. The data of the periodic national French ESPS survey of 2010, 2012, and 2014 linked to the national health insurance database, were used. The study sample included 8231 workers, without lipid-lowering medications within the 6 months preceding survey wave. Quantitative demands, low freedom at work, job insecurity, and tension with the public predicted incident lipid-lowering medications over a 2-year follow-up. Further investigation of lipid-related pathways linking job stressors to cardiovascular diseases is needed.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 5","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13524436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148850106","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}

{"title":"Cross-country differences in self-rated health: decomposing the influence of depressive symptoms.","authors":"Jacques Wels, Jane Maddock, Praveetha Patalay","doi":"10.1093/eurpub/ckag178","DOIUrl":"10.1093/eurpub/ckag178","url":null,"abstract":"<p><p>Despite extensive research on self-rated health (SRH), the extent to which mental health contributes to SRH and whether this relationship varies across countries remains underexplored. This study quantifies the contribution of depressive symptoms to SRH and examines cross-national variation in this association. Using data from adults aged 55+ from 28 countries in the Survey of Health, Ageing, and Retirement in Europe (SHARE, wave 9, 2022) (N = 69 447), we applied four approaches: (i) country-specific pseudo-R² models assessing the contribution of depressive symptoms (EURO-D) to SRH, adjusting for sociodemographic factors, physical health, and functional limitations; (ii) partial correlation networks to visualize relationships among SRH, depressive symptoms, and physical health; (iii) Blinder-Oaxaca decompositions to quantify cross-country differences in SRH attributable to depressive symptoms; and (iv) stratification by gender. Depressive symptoms explained nearly as much variance in SRH as physical health. Partial correlation networks showed SRH as central to all health measures, with correlations between SRH and depressive symptoms ranging from 0.15 (Israel) to 0.37 (Romania). Decomposition analyses identified three patterns: countries with low prevalence but stronger SRH-depression associations (e.g. Denmark, Sweden), countries with higher prevalence but weaker SRH-depression associations (e.g. Estonia, Lithuania), and countries with both low prevalence and weak associations (e.g. Greece, Spain). Gender differences in SRH were not meaningfully explained by differences in depressive symptoms. In conclusion, this study finds that depressive symptoms independently contribute to SRH, but their influence varies cross-nationally, reflecting culturally shaped understandings of 'health'.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 5","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13622333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080154","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}

{"title":"Correction to: Spatial resolution of exposure to particulate matter (PM2.5) and the impact on the burden of disease in Germany.","authors":"","doi":"10.1093/eurpub/ckag170","DOIUrl":"10.1093/eurpub/ckag170","url":null,"abstract":"","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 5","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13601717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149030119","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}

{"title":"Digital health and rural health workforce retention: mapping workforce retention pathways.","authors":"Tiago Correia, Tomas Zapata, Sulakshana Nandi, David Novillo-Ortiz, James Buchan, Shirin Kiani, Cathal Morgan, Margrieta Langins, Anabela da Conceição Pereira, André Beja, Roberto Esteves, Rita Morais, Mélanie Maia","doi":"10.1093/eurpub/ckag177","DOIUrl":"10.1093/eurpub/ckag177","url":null,"abstract":"<p><p>Digital health is increasingly promoted to address rural health and care workforce shortages. However, its workforce consequences are usually evaluated through implementation or service-delivery outcomes rather than the conditions that enable rural workers to remain, develop, and practice sustainably. We conducted a Joanna Briggs Institute-informed scoping review reported according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. The protocol was prospectively registered on the Open Science Framework. Five databases were searched for studies published between 2015 and 2025 in English, Spanish, and Portuguese. Two reviewers independently screened records and charted data using a prespecified framework. Synthesized entries were verified against full texts, with disagreements resolved by a third reviewer. Fifty-five sources were included. Telehealth or telemedicine was the most common intervention, followed by tele-education or distance education and multicomponent interventions. Direct retention or workforce-stability outcomes were uncommon, whereas most outcomes concerned proximal determinants of retention or implementation-related sustainability. Digital interventions most frequently influenced professional connection, supervision, continuing education, clinical confidence, and workflow support. Interpretive synthesis identified four workforce redistribution pathways (labor, authority, dependency, and infrastructure risk) through which interventions may strengthen or undermine rural workforce sustainability. Current evidence concerns retention pathways more than retention effects. Digital health should therefore be evaluated as a sociotechnical workforce intervention, extending beyond implementation success to examine how interventions redistribute labor, authority, dependency, and infrastructure risk across rural health systems.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 5","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080227","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}