European Journal of Public Health最新文献

{"title":"Parental impact on adherence of young children to 24-h movement behaviour guidelines: the Czech FAMIly Physical Activity, Sedentary behaviour and Sleep study.","authors":"Dagmar Sigmundová, Michal Vorlíček, Jaroslava Voráčová, Jan Dygrýn, Erik Sigmund","doi":"10.1093/eurpub/ckae224","DOIUrl":"https://doi.org/10.1093/eurpub/ckae224","url":null,"abstract":"<p><p>Human movement behaviour typically unfolds in 24-h cycles, with children being additionally influenced by their parents. Therefore, the aim of this study was to investigate the adherence of 3-10-year-old children to the World Health Organization's (WHO) 24-h movement behaviour guidelines in relation to the behaviours of their mothers/fathers. Data from the Czech cross-sectional FAMIly Physical Activity, Sedentary behaviour and Sleep study included 381 families (with at least one child aged 3-10 years) from urban and rural areas across all three regions of Czechia. Twenty four-hour movement behaviour (sleep, sedentary behaviour, and physical activity) was monitored using ActiGraph accelerometers placed on the non-dominant wrists of children and their parents for seven consecutive days. Children's adherence to the WHO guidelines was analysed using logistic regression analysis. 25.9% of girls and 26.7% of boys simultaneously met all three 24-h movement behaviour guidelines (sleep + sedentary + physical activity), and 44.7% of girls and 46.1% of boys met any combination of two of the three guidelines, regardless of the children's gender, weight, or calendar age. Maternal overweight/obesity significantly (P = .05) decreased the odds of children achieving at least two of the three guidelines, while parental university education and maternal adherence to at least two of the three guidelines significantly (P = .05) increased the odds of children complying with these guidelines. Parents, especially mothers, play an important role in influencing their children in meeting 24-h movement behaviour guidelines and in shaping a healthy lifestyle.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142970249","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":"Physical activity partially mediates the association between health literacy and mild cognitive impairment in older adults: cross-sectional evidence from Switzerland.","authors":"Clément Meier, Maud Wieczorek, Damaris Aschwanden, Andreas Ihle, Matthias Kliegel, Jürgen Maurer","doi":"10.1093/eurpub/ckae209","DOIUrl":"https://doi.org/10.1093/eurpub/ckae209","url":null,"abstract":"<p><p>Individuals' health literacy (HL) is positively associated with healthy behaviors and global cognitive functioning. Current evidence also suggests that physical activity may prevent or delay cognitive decline and dementia. This study examines the potential mediating role of physical activity in the association between HL and cognition in a population-based sample of adults aged 58+ in Switzerland. We used data from 1645 respondents to Wave 8 (2019/2020) of the Survey on Health, Ageing, and Retirement in Europe in Switzerland. HL was assessed using the HLS-EU-Q16 questionnaire. Mild cognitive impairment (MCI) was defined as a 1.5 SD below the mean of age- and education-specific global cognition score. The frequency of moderate and vigorous physical activity was self-reported. The associations were assessed using probit regression models, controlling for social, health, and regional characteristics. Structural equation modeling was used to test the mediation hypothesis. Higher HL was associated with a higher likelihood of being engaged in moderate (P < .001) and vigorous (P < .01) physical activity and with a lower likelihood of having MCI (P < .05). In addition, both moderate (P < .05) and vigorous (P < .01) physical activity were associated with a lower probability of having MCI. Mediation analysis indicated that the association between HL and MCI was partially mediated by both moderate (12.9%) and vigorous (6.7%) physical activity. Given that physical activity may partially mediate the association between HL and MCI, improving HL in older adults could potentially foster engagement in physical activity, which could, in turn, act as a protective factor against MCI.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142920808","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":"Telemedicine in cancer care: lessons from COVID-19 and solutions for Europe.","authors":"Anita Gottlob, Tugce Schmitt, Morten Sønderskov Frydensberg, Magdalena Rosińska, Victoria Leclercq, Katharina Habimana","doi":"10.1093/eurpub/ckae206","DOIUrl":"https://doi.org/10.1093/eurpub/ckae206","url":null,"abstract":"<p><p>The COVID-19 pandemic challenged healthcare delivery, especially cancer care. Telemedicine emerged as an important tool to reduce disease transmission risks, maintain continuity of care, and improve accessibility. This study explores temporary measures during the pandemic as well as challenges and facilitators for integrating telemedicine into the European healthcare landscape in five case countries, focusing on cancer care. Expert interviews were conducted in five EU countries with diverse health systems: Austria, Belgium, Denmark, Italy, and Poland. A thematic analysis was performed. Themes were further explored related to regulatory changes during COVID-19 as well as barriers and facilitators to telemedicine implementation. COVID-19 accelerated telemedicine uptake and processes (i.e. regulations, reimbursement) in all case countries. Acceptance of telemedicine increased among healthcare professionals and patients. Post-pandemic telemedicine use and acceptance declined to pre-pandemic levels in some countries and was attributed to several factors including preferences for in-person visits. Overall, persistent barriers were identified by all country experts including lack of standardized policies, data privacy concerns, technological infrastructure issues, and digital literacy gaps. Telemedicine was validated by all country experts as an important tool to enhance cancer care access and efficiency and to help maintaining continuity of cancer care during crises. Our findings highlight some overlapping barriers and suggest solutions to overcome these barriers across the selected countries. Recommendations for policymakers are listed, emphasizing the importance of telemedicine services in improving healthcare access, efficiency, and resilience. Future research should incorporate diverse population studies, patient perspectives, cost-effectiveness, and policy impacts.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142920811","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":"Assessing the diversity of zoonotic bacterial agents in rodents and small mammals in Iran.","authors":"Niloofar Rezaie, Mina Latifian, Ahmad Ghasemi, Ahmad Mahmoudi, Neda Baseri, Amir Hossein Omidi, Parisa Esmaeili, Saber Esmaeili, Ehsan Mostafavi","doi":"10.1093/eurpub/ckae132","DOIUrl":"10.1093/eurpub/ckae132","url":null,"abstract":"<p><p>The purpose of this study was to assess the prevalence of zoonotic bacteria, including Coxiella burnetii, Bartonella spp., Rickettsia spp., Brucella spp., Borrelia spp., and Ehrlichia spp., among small mammalian in Iran. We examined 618 small mammals collected between 2016 and 2020 from different parts of Iran. We extracted DNA from spleen samples and used quantitative real-time PCR to identify specific genes. We found 559 (90.45%) samples infected with at least one of the analyzed pathogens. Among the studied specimens, 86.08% tested positive for Bartonella spp., 2.42% for Ehrlichia spp., 0.80% for Borrelia spp., 0.64% for C. burnetii, 0.48% for Brucella spp., and 0% for Rickettsia spp. Bartonella krasnovii (25.81%) and Bartonella taylorii (25.81%) were the most prevalent among the Bartonella species. This study identified a rodent infected with Brucella abortus. Among the Borrelia-positive samples, four out of five were identified as Borrelia duttonii. Among the positive cases in the Ehrlichia genus, Ehrlichia canis, Candidatus Ehrlichia shimanensis, and Neoehrlichia mikurensis were identified. Meriones persicus was the most prevalent captured rodent with 315 specimens (51.22%). Our study revealed that a large proportion of the small mammals analyzed were infected with one or more of the targeted pathogens. M. persicus exhibited significant infection rates with C. burnetii, Bartonella spp., Ehrlichia spp., Brucella spp., and Borrelia spp. This suggests that this rodent species could serve as a crucial reservoir for zoonotic pathogens in Iran.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"35 Supplement_1","pages":"i41-i47"},"PeriodicalIF":3.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142970274","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":"Epidemiological pattern of dengue fever in Afghanistan in the period 2021-22.","authors":"Mohamed M Tahoun, Mohammad O Mashal, Abdul Rahman Laiq, Abdul Wahid Amiri, Sherein T A Elnossery, Marwa Rashad Salem, Nelly S Hegazy, Sherif E Eldeeb, Fazal Elahi Alizai, Ehsanullah Misbah, Jamshed A Tanoli, Alaa H Abouzeid","doi":"10.1093/eurpub/ckae116","DOIUrl":"10.1093/eurpub/ckae116","url":null,"abstract":"<p><p>Dengue fever is considered as an emerging disease in Afghanistan. Since the first outbreak was reported in 2019, other outbreaks have been reported in the following years. The current study aims to describe the epidemiological features and clinical manifestations of suspected and confirmed cases of dengue fever detected by the National Disease Surveillance and Response (NDSR) Department of the Ministry of Public Health (MoPH) during 2021 and 2022 to prevent further spread and minimize its impact on the country's health system and on the limited number of health workers. Through a retrospective analysis of historical data related to suspected dengue fever cases in Afghanistan detected by the National Disease Surveillance and Response Department during 2021 and 2022, several variables were identified, including demographic characteristics, clinical features, clinical management, the outcome of infection, laboratory data, and epidemiological factors. All statistical analyses were developed using Microsoft 365 (Excel). The mean age of the 1977 reported suspected dengue fever cases was 30.4 ± 14.9 years, with males 70.7%. The epidemic curve showed a steep rise in cases in 2022, starting from week 39, with a peak reached in week 45, which was higher than that observed in 2021. The majority of cases (97.9%) were reported from Nangarhar Province, east of the country. Regarding symptoms, fever, headache, and muscle pain were expressed in nearly all cases. The reverse transcription polymerase chain reaction was positive in 379 cases out of 497 cases (76.3%). For the management of cases, 97.6% received antipyretics. Less than 5% of cases were admitted to health care units, with death reported in only two cases (case fatality rate of 0.1%). The number of suspected cases of dengue fever reported in Afghanistan was increasing. The trends for 2021 and 2022 followed almost the same pattern, with a higher peak in 2022. Understanding the epidemiological and clinical characteristics of dengue fever cases is fundamental for preparedness for upcoming seasons.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"35 Supplement_1","pages":"i23-i26"},"PeriodicalIF":3.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142970281","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":"Achievement of one health multi-sectoral collaboration in containment of Rift Valley Fever outbreak, Sudan, Red Sea State 2019.","authors":"Hanadi E Hussein, Sara Hassanain, Patrick Okwarah, Hanan Mohamedahmed, Omer Elbadri, Zaafran Alzaki, Mohamed Hashim, Babiker Magboul","doi":"10.1093/eurpub/ckae163","DOIUrl":"10.1093/eurpub/ckae163","url":null,"abstract":"<p><p>Rift Valley Fever is endemic in Sudan, with a notable outbreak declared in 2019, affecting multiple states. In this study, we examine the Red Sea State, Sudan's experience in applying the One Health approach, to contain Red-Sea RVF outbreak. A retrospective analysis of national and sub-national data and a review of literature were conducted to assess the application of One Health response and to derive lessons learned. The analysis revealed a total of 576 human cases and two deaths, with a case fatality rate of 0.35%, from 25 September 2019 to 25 January 2020. Most cases (99%) were from the Red Sea and River Nile States, and only six sporadic cases were from other five states. The Red Sea State reported 322 human and 74 animal cases, including 74 abortions and 12 animal deaths. Triggers and risk factors include floods, uncontrolled movement of animal, close contact with animals, poor disposal, and unsafe burial practices for animals. One Health approach was utilized all through the defeat of outbreak. A multi-sectoral response plan was implemented, leading to the declaration of the end of the outbreak in 2020 which was reviewed and lessons were derived. One Health approach provided a coordinated action between health, veterinary, and environmental authorities at national and subnational levels. Synergistic efforts have minimized risk of RVF spreading among human and animal. The experience was leveraged to strengthen response approaches for zoonotic diseases. Structural and capacity gaps and financial constraints were identified as implementation challenges.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"35 Supplement_1","pages":"i66-i72"},"PeriodicalIF":3.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142970179","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":"Emerging and re-emerging disease threats in the Middle East and North Africa region-One Health approaches and potential strategies.","authors":"Sean V Shadomy, Shahul H Ebrahim, Sarah Anne J Guagliardo, Liliana Sánchez-González, Kinda Zureick, Julie R Sinclair, Dana A Schneider, Allison T Walker, Daniel C Payne, Antonio R Vieira, Kristin Heitzinger, Audrey Lenhart, Lisa P Oakley, Jacob Clemente, Colin Basler, Charles B Beard, Paige A Armstrong, Heather Burke","doi":"10.1093/eurpub/ckae122","DOIUrl":"10.1093/eurpub/ckae122","url":null,"abstract":"","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"35 Supplement_1","pages":"i3-i5"},"PeriodicalIF":3.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142970277","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":"Perspectives and future directions on the prevention and control of emerging and re-emerging vector-borne and zoonotic diseases: findings from across the WHO Eastern Mediterranean Region.","authors":"Ziad Memish, Shahul H Ebrahim, Richard Brennan, Chiori Kodama, Sundus Haji-Jama, Thomas Mollet, Abdinasir Abubakar","doi":"10.1093/eurpub/ckae115","DOIUrl":"10.1093/eurpub/ckae115","url":null,"abstract":"","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"35 Supplement_1","pages":"i1-i2"},"PeriodicalIF":3.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142970287","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":"Isolation and characterization of the midgut microbiota of Aedes albopictus to identify suitable candidates for paratransgenesis.","authors":"Mersa Darbandsari, Majid Asgari, Mohammad R Abaei, Zahra Ghorbanzadeh, Maryam Derikvand, Patrick Okwarah, Navid Dinparast Djadid, Abbasali Raz","doi":"10.1093/eurpub/ckae110","DOIUrl":"10.1093/eurpub/ckae110","url":null,"abstract":"<p><p>Aedes albopictus is a widely recognized carrier of various pathogens. Its resilient characteristics enable it to easily spread across diverse climates. The microbiota in the midgut of mosquitoes plays a crucial role in the interactions between the host and pathogens and can either enhance or reduce the ability of the insect to transmit diseases. Hence, determining the microorganisms present in the mosquito's digestive system could be a promising approach to developing an effective method of controlling them. Hence, the aim of this study was to investigate the microbial compositions in the midguts of Ae. albopictus mosquitoes collected from the fields of Sistan and Baluchestan Province. The midguts of 60 female mosquitoes were dissected, and their related bacteria were determined using the culture-dependent method. Different colonies were differentiated using the biochemical tests followed by 16S rRNA gene sequencing. The isolated bacteria were identified as belonging to the Asaia, Delftia, Serratia, Aeromonas, Paracoccus, and Planomicrobium genera based on biochemical and molecular analysis. The findings obtained in this study were largely consistent with earlier studies conducted on mosquitoes gathered from different regions throughout the world. Overall, the findings could enhance our understanding of the microbial diversity in Ae. albopictus and aid in the identification of a potent and widespread bacterium for the development of a paratransgenesis tool to combat Aedes-borne infectious diseases.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"35 Supplement_1","pages":"i60-i65"},"PeriodicalIF":3.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142970285","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":"Epidemiology, transmission dynamics, risk factors, and future directions of rabies in the Arabian Peninsula using one health approach: a review.","authors":"Md Mazharul Islam, Aisha Naeem, Philip P Mshelbwala, Pronesh Dutta, Mohammad Mahmudul Hassan, Ahmed K Elfadl, Chiori Kodama, Susu M Zughaier, Elmoubashar Farag, Devendra Bansal","doi":"10.1093/eurpub/ckae164","DOIUrl":"10.1093/eurpub/ckae164","url":null,"abstract":"<p><p>Despite global initiatives to eliminate dog-mediated human rabies by 2030, the Arabian Peninsula faces challenges due to insufficient data. This review addresses the current rabies situation and knowledge gaps in the region and proposes One Health interventions. Employing a mixed-method approach combining scoping and systematic review, the study commenced with a Delphi discussion to identify knowledge gaps and set objectives. The literature search encompassed published articles and grey literature. The spatial and temporal distribution of rabies was analysed, alongside quantitative meta-analyses to assess prevalence. Rabies virus gene sequences from the NCBI database were examined for reservoir hosts and evolutionary patterns. The final Delphi discussion with experts focused on addressing knowledge gaps and formulating One Health interventions. The first reported human rabies case in this region occurred in Saudi Arabia in 1980. Yemen reported the highest number of cases (439), followed by Iraq (249), Saudi Arabia (91), Jordan (14), and Oman (9). Fox bites accounted for the most cases (47.4%), followed by dog (36.8%) and wild animal (15.8%) bites. The virus was detected in at least 21 animal species. Phylogenetic analysis detected a single strain with two clades, with foxes being the primary virus reservoir. However, the experts expressed scepticism about the accuracy of rabies reports in scientific literature. To achieve the 2030 goal of eliminating dog-mediated human rabies, a stepwise approach towards rabies elimination assessment is crucial in the region. Enhanced surveillance, awareness campaigns, and access to post exposure prophylaxis are essential to address the disease burden.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"35 Supplement_1","pages":"i14-i22"},"PeriodicalIF":3.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142970282","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}