Tuuli H Suominen, Tuomas Kukko, Xiaolin Yang, Katja Pahkala, Suvi Rovio, Mirja Hirvensalo, Mika Kähönen, Olli Raitakari, Tuija H Tammelin, Kasper Salin
{"title":"Continuity of active commuting to school across two generations: the Cardiovascular Risk in Young Finns Study.","authors":"Tuuli H Suominen, Tuomas Kukko, Xiaolin Yang, Katja Pahkala, Suvi Rovio, Mirja Hirvensalo, Mika Kähönen, Olli Raitakari, Tuija H Tammelin, Kasper Salin","doi":"10.1093/eurpub/ckaf084","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf084","url":null,"abstract":"<p><p>Active commuting to school (ACS) may markedly contribute to overall physical activity (PA) among youth, but ACS levels have declined in recent decades. Parents significantly influence their children's PA and commuting behaviours, and lifestyle habits are often transferred from parents to offspring. This study investigated whether parents' ACS during their youth was associated with their offspring's ACS at similar ages. In this study, 660 parent-offspring pairs self-reported their mode of school commuting: parents during 1980-86 (generation G1, ages 9-18, 53% female) and offspring in 2018 (generation G2, ages 7-20, 52% female). A path model was constructed to examine the association of ACS in G1 with ACS in G2, adjusted for generation-specific covariates (distance to school, school grade, gender, living area, parental education, and family income). Standardized path coefficients are reported, concentrating on their direction and relative strength. Distance to school was inversely associated with ACS in both generations (β ≤ -0.75; SE = 0.03; P < .001). Family income was directly associated with ACS in G1 (β = 0.18; SE = 0.05; P < .01). ACS in G1 was directly associated with ACS in G2 (β = 0.14; SE = 0.05;P < .01). A positive, albeit modest, link was found between parents' ACS during their youth and their offspring's ACS at similar ages, after adjusting for multiple important covariates. This intergenerational link could inform public health initiatives to foster sustainable and healthy commuting behaviours that benefit current and future generations. Ensuring accessible distances to school remains important.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144215369","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}
Stephanie Hoffmann, Niels Michalski, Nico Dragano, Jacob Spallek
{"title":"Does individual-level socio-economic position modify the association between area-level deprivation and early childhood language development? A multilevel analysis of cross-sectional population data from Germany.","authors":"Stephanie Hoffmann, Niels Michalski, Nico Dragano, Jacob Spallek","doi":"10.1093/eurpub/ckaf082","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf082","url":null,"abstract":"<p><p>Early childhood is a public health priority for enhancing health equity across the life course. Children are susceptible to individual-level socio-economic position (SEP) and the socio-economic deprivation of their place of residence, both of which contribute to differences in psychomotor development, including language. This study investigates whether individual-level SEP modifies the association between area-level deprivation and language development. This study used population-based, cross-sectional data from a School Entry Survey in Germany (2021; female: n = 9751, male: n = 10 623; age in years: ≤6 n = 11 423; 6-≤7 n = 8 746; >7 n = 205; native language: German n = 18 752; not German n = 943; bilingual n = 679), which was linked to the 'German Index of Socioeconomic Deprivation' (GISD). Binary multilevel models [odds ratio (OR), 95% CI] were used to analyse the interaction of GISD (measured continuously) with individual-level SEP (categorized as high/medium/low) according to delayed language development (DLD in % yes/no), which was assessed using validated instruments of 'social-pediatric screening of developmental status for school entry'. Individual SEP was tested as a moderator by stratifying the analyses. The interaction of GISD with SEP was associated with DLD (ORmediumSEP*GISD = 1.13; 1.04-1.24; ORlowSEP*GISD = 1.27; 1.13-1.43), with the main effect of GISD (OR = 0.85; 0.77-0.93). In SEP stratification, GISD was only partially associated with DLD (ORhighSEP = 0.81; 0.73-0.91; ORmediumSEP = 0.97; 0.89-1.07; ORlowSEP = 1.14; 0.99-1.32). This study demonstrates an association between area-level deprivation and DLD that is modified by individual-level SEP. The findings underscore the importance of stratification by individual-level SEP in analysing area-level effects on health, as the area-level effects can be contradictory according to individual-level SEP.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correction to: Prevalent findings on low-dose CT scan lung cancer screening: a French prospective pilot study.","authors":"","doi":"10.1093/eurpub/ckaf050","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf050","url":null,"abstract":"","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208019","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}
Carmen Rodríguez-Blazquez, Sarah J Aldridge, Enrique Bernal-Delgado, Cristian Calomfirescu, Lorenz Dolanski-Aghamanoukjan, Francisco Estupiñán-Romero, Mika Gissler, Gruber Beate, Jane Idavain, Tricia L Larose, Ronan A Lyons, Stefan Mathis-Edenhofer, Kristiina Miller, Jānis Misiņš, Silviu Radulescu, Merike Rätsep, Sophie Sagerschnig, Petru Sandu, Juris Šitcs, Zane Pavlovska, Martin Thißen, Hanna Tolonen, Cesar Garriga, Maria João Forjaz
{"title":"Changes in mental health diagnosis and healthcare use in seven European countries before and during the COVID-19 pandemic (2017-21).","authors":"Carmen Rodríguez-Blazquez, Sarah J Aldridge, Enrique Bernal-Delgado, Cristian Calomfirescu, Lorenz Dolanski-Aghamanoukjan, Francisco Estupiñán-Romero, Mika Gissler, Gruber Beate, Jane Idavain, Tricia L Larose, Ronan A Lyons, Stefan Mathis-Edenhofer, Kristiina Miller, Jānis Misiņš, Silviu Radulescu, Merike Rätsep, Sophie Sagerschnig, Petru Sandu, Juris Šitcs, Zane Pavlovska, Martin Thißen, Hanna Tolonen, Cesar Garriga, Maria João Forjaz","doi":"10.1093/eurpub/ckaf065","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf065","url":null,"abstract":"<p><p>In the framework of the European Population Health Information Research Infrastructure (PHIRI) project, we analysed the healthcare use for depression and/or anxiety during the coronavirus disease 2019 (COVID-19) pandemic. Aggregated monthly number of diagnoses were obtained from electronic health records and databases in Austria, Estonia, Finland, Latvia, Romania, Wales (UK), and Aragon (Spain) and analysed using the PHIRI federated research infrastructure. Rates of diagnosis, prescriptions and visits to primary care, hospital or emergency department were calculated by 10 000 population. Segmented Poisson regression to estimate changes in outcomes after the COVID-19 pandemic declaration was produced controlling for baseline levels and trends for the period January 2017 to December 2021. Following pandemic declaration, level change of incident diagnoses fell in Romania, Aragon (Spain), and Wales (UK) [log rate -0.853 (95% confidence interval -1.045 to -0.661), -0.338 (-0.434 to -0.242), and -0274 (-0.365 to -0.183), respectively]; level change of visits to primary care decreased in Romania and Wales (UK) [-0.347 (-0.555 to -0.138) and -0.272 (-0.368 to -0.177), respectively], and increased in Latvia [0.065 (0.004-0.126)]; level change for hospital admissions diminished in Latvia, Romania and Wales (UK) [-0.206 (-0.393 to -0.019), -0.947 (-1.143 to -0.752) and -0.116 (-0.202 to -0.030), respectively]; and level change of visits to emergency units fell in Latvia and Romania [-0.290 (-0.429 to -0.151) and -0.865 (-1.040 to -0.690), respectively] and increased in Aragon (Spain) [0.880 (0.259 to 1.502)]. COVID-19 pandemic declaration altered the use of mental health resources. This study highlights the potential use of harmonized data for providing evidence for future pandemic preparedness.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208018","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}
Sarah Amele, Eliud Kibuchi, Ronan McCabe, Evangelia Demou, Alastair H Leyland, Kirsten Hainey, Igor Rudan, Amanj Kurdi, Colin R Simpson, Lewis D Ritchie, Colin McCowan, Ting Shi, Patricia Irizar, Laia Becares, Aziz Sheikh, Anna Pearce, Srinivasa Vittal Katikireddi
{"title":"Investigating the contribution of socio-economic position to ethnic inequalities in severe COVID-19 outcomes: population-based mediation analyses of national linked Scottish data.","authors":"Sarah Amele, Eliud Kibuchi, Ronan McCabe, Evangelia Demou, Alastair H Leyland, Kirsten Hainey, Igor Rudan, Amanj Kurdi, Colin R Simpson, Lewis D Ritchie, Colin McCowan, Ting Shi, Patricia Irizar, Laia Becares, Aziz Sheikh, Anna Pearce, Srinivasa Vittal Katikireddi","doi":"10.1093/eurpub/ckaf078","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf078","url":null,"abstract":"<p><p>We quantified the extent to which socio-economic position (SEP) contributed to ethnic inequalities in severe COVID-19 outcomes (hospitalization or death) in Scotland. We used linked 2011 Scottish Census and health records to assess whether ethnic inequalities were mediated by different SEP measures: area deprivation, educational status, household composition, and multigenerational household. We considered disaggregated ethnicities 'White Scottish', 'White British or Irish', 'Other White', 'South Asian', 'African, Caribbean, or Black', and 'Other'. We applied marginal structural models to estimate causal pathways. Of the 3 297 205 individuals analysed, 38 213 (1.2%) had severe COVID-19 outcomes. South Asians had elevated risk of severe COVID-19 compared to White Scottish (hazard ratio: 1.7; 95% confidence interval: 1.5-1.9), while White British or Irish (hazard ratio: 0.7; confidence interval: 0.6-08) and other White (hazard ratio: 0.8; confidence interval: 0.7-0.9) had reduced risk. When holding area deprivation constant, the risk of severe COVID-19 declined by 16.5% for South Asians and 49.2% for White British or Irish; but increased for other White (75.4%). When holding education constant, the risk of severe COVID-19 reduced by 24.8% for White British or Irish and 20.6% for other White; but increased by 74.6% for South Asians. Only a slight change in risk was observed for the South Asians after holding household size and multigenerational household constant. Risk estimates for African, Caribbean or Black, and other groups were underpowered. SEP measures differed substantially in the extent to which they mediated ethnic inequalities in severe COVID-19. This highlights the necessity of addressing multiple dimensions of SEP that drive ethnic inequalities.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144186856","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}
Satu E Ahtiluoto, Timo P Carpén, Pirita T Forsius, Mikko S J Nuutinen, Nelli-Sofia A Nåhls, Pauliina M Kitti, Teija H Hammar, Harriet U Finne-Soveri, Tiina H Saarto
{"title":"Impact of specialist palliative care on utilization of healthcare and social services at the end-of-life: a nationwide register-based cohort study.","authors":"Satu E Ahtiluoto, Timo P Carpén, Pirita T Forsius, Mikko S J Nuutinen, Nelli-Sofia A Nåhls, Pauliina M Kitti, Teija H Hammar, Harriet U Finne-Soveri, Tiina H Saarto","doi":"10.1093/eurpub/ckaf044","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf044","url":null,"abstract":"<p><p>Non-malignant diseases cause 60% of non-communicable diseases requiring palliative care, yet specialist palliative care services primarily focus on cancer. We investigated end-of-life healthcare and social services utilization among cancer and non-malignant patients, and, secondarily, access to specialist palliative care and its effect on services utilization. This retrospective, nationwide register-based study included all adults (n = 38 540) who died from non-communicable life-limiting diseases in Finland in 2019, categorized into neurodegenerative (31%), other non-malignant (36%), and cancer (33%) groups. Hospital was the most common place of death (61%). Healthcare utilization substantially increased during the final weeks of life in all groups but remained highest in cancer patients. Social services utilization was highest in neurodegenerative diseases. Specialist palliative care contact was significantly (P < .001) higher in cancer (30.1%) compared to neurodegenerative (10.9%) and other non-malignant (7%) diseases. Early (>30 days before death) compared to late/no specialist palliative care contact significantly reduced emergency care contacts (47.8% vs. 52.2%) and hospitalizations in secondary hospitals (24.7% vs. 33.7%), and increased specialist palliative care ward (15.5% vs. 1.5%) and hospital-at-home (36.8% vs. 3.4%) utilization during the final month (P < .001). Healthcare utilization was high in all disease groups, highest among cancer patients. Hospital was the most common place of death. Specialist palliative care contact was rare in non-malignant diseases. Early contact with specialist palliative care associated with lower emergency care utilization and secondary hospital inpatient care during the last month of life. These results highlight the necessity for timely equitable specialist palliative care services for all.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144157405","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}
Kuan-Yu Pan, Melody Almroth, Alicia Nevriana, Tomas Hemmingsson, Katarina Kjellberg, Daniel Falkstedt
{"title":"Person-related work and the risk of cardiovascular disease: a Swedish register-based cohort study.","authors":"Kuan-Yu Pan, Melody Almroth, Alicia Nevriana, Tomas Hemmingsson, Katarina Kjellberg, Daniel Falkstedt","doi":"10.1093/eurpub/ckaf080","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf080","url":null,"abstract":"<p><p>Person-related work requires interaction with individuals not employed at the workplace, such as clients and patients, and can result in emotional labour, emotional demands, and confrontation. These stressors may increase workers' risk of cardiovascular disease (CVD), including coronary heart disease (CHD) and stroke, whereas colleagues' support may help buffer their impact. We aimed to examine the association between person-related work and the risk of CVD, and effect modification of social support at work. The study included around two million CVD-free workers aged 40-60 years in Sweden in 2006. Three dimensions of person-related work, including general contact with people, emotional demands, and confrontation, and job control and social support were respectively assessed using job exposure matrices. CVDs in 2007-20 were recorded in patient and death registers. Multivariable Cox regression models were used. A total of 114 404 individuals developed CVD (65 857 CHD and 48 547 stroke). High exposures to the three dimensions were associated with 4%-12% increased risks of CVD (7%-20% for CHD and 2%-7% for stroke) in women and 2%-8% (2%-7% for CHD and 3%-10% for stroke) in men. Adjusting for job control attenuated the associations for general contact with people in women. The increased risks related to emotional demands and confrontation in women and general contact with people and confrontation in men were not present in those more likely to receive high social support. In conclusion, person-related work is associated with an increased risk of CVD, and social support at work seems to modify the magnitude of this association.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144157409","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}
Riccardo Mazzoli, Anna Laura Santunione, Francesca Marezza, Alessandra Sannella, Francesca Berghenti, Tommaso Filippini, Marco Vinceti, Rossana Cecchi
{"title":"Health status of a migrant population: a survey within an Extraordinary Reception Centre in Parma, Northern Italy.","authors":"Riccardo Mazzoli, Anna Laura Santunione, Francesca Marezza, Alessandra Sannella, Francesca Berghenti, Tommaso Filippini, Marco Vinceti, Rossana Cecchi","doi":"10.1093/eurpub/ckaf076","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf076","url":null,"abstract":"<p><p>The steady flow of migrants is an ongoing challenge that requires health systems to adapt to unique health needs and to address inequalities. For this reason, comprehensive screening, early intervention, and culturally sensitive care are vital to improve migrants' health outcomes. We assessed migration history and health status in 536 migrants housed at \"Svoltare ONLUS\", an Extraordinary Reception Centre in Parma (Northern Italy), from 2015 to 2018. The focus was on migration journey characteristics and motivations, and testing for infectious diseases such as hepatitis B (HBV) and C (HCV), HIV, tuberculosis (TB), syphilis, and parasitosis. Migrants were overwhelmingly male (95.9%), with a mean (range) age of 26 (18-50) years. The majority originated from Sub-Saharan Africa (83.2%), with Nigeria as the predominant country. Most migrants entered via Libya (87.1%), disembarking primarily in Southern Italy, particularly Sicily (75.4%). High prevalence rates were found for HBV (48.8%), TB (27.8%), and parasitosis (23.1%), particularly among those from Western Africa. In contrast, HCV (2.61%), chronic hepatitis (5.41%), syphilis (2.99%), and HIV (1.31%) were less common. These trends are consistent with disease epidemiology in migrants' countries of origin as well those visited during the journey. Given the higher prevalence of infectious diseases among migrants compared to the general population in Italy, it is essential to enhance public health measures. This includes implementing timely screening services, targeted surveillance, and prompt treatment upon arrival at reception centers to protect both migrant and community health.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144093193","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}
Ulla K Suulamo, Hanna M Remes, Lasse H Tarkiainen, Pekka T Martikainen
{"title":"Long-term trends in mortality by living arrangements and the role of socioeconomic factors, Finland 1991-2020.","authors":"Ulla K Suulamo, Hanna M Remes, Lasse H Tarkiainen, Pekka T Martikainen","doi":"10.1093/eurpub/ckaf068","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf068","url":null,"abstract":"<p><p>Recent decades have witnessed major changes in living arrangements, potentially impacting their well-established associations with mortality. However, research considering long-term trends in these differentials is scarce. We used individual-level register data on the total Finnish population aged 30 years and over from 1991 to 2020 to examine trends in the association between living arrangements and all-cause, as well as external and alcohol-related mortality. We calculated age-standardized mortality rates, quantified group differentials in absolute and relative terms, and assessed the contribution of socioeconomic factors with Poisson-models. Analyses were conducted separately for men and women in age groups 30-49, 50-69, and 70+. All-cause mortality was consistently lowest among men and women living with a partner. Highest rates were observed in the growing group of individuals living alone or with persons other than a partner or child, who experienced up to a five-fold excess mortality compared to those living with a partner and children. Mortality declined across all living arrangement groups over time. While absolute rate differences mostly narrowed, relative differences widened across all ages. Adjustments for socioeconomic factors somewhat attenuated mortality differentials, with their contribution increasing modestly by the end of the study period. In conclusion, over the past 30 years, relative mortality differences by living arrangement have increased at all ages for both men and women. These widening differentials pose a growing public health burden, particularly for the growing group of individuals living alone. Our results suggest that factors beyond socioeconomic differentiation are contributing to these trends.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988176","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}
Vaida Liutkutė-Gumarov, Claire de Oliveira, Auksė Domeikienė, Lukas Galkus, Ahmed S Hassan, Shannon Lange, Laura Miščikienė, Birutė Peištarė, Janina Petkevičienė, Ričardas Radišauskas, Jürgen Rehm, Pol Rovira, Ilona Tamutienė, Mark James Thompson, Mindaugas Štelemėkas
{"title":"The economic costs of alcohol consumption in Lithuania, 2015-20.","authors":"Vaida Liutkutė-Gumarov, Claire de Oliveira, Auksė Domeikienė, Lukas Galkus, Ahmed S Hassan, Shannon Lange, Laura Miščikienė, Birutė Peištarė, Janina Petkevičienė, Ričardas Radišauskas, Jürgen Rehm, Pol Rovira, Ilona Tamutienė, Mark James Thompson, Mindaugas Štelemėkas","doi":"10.1093/eurpub/ckaf069","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf069","url":null,"abstract":"<p><p>Alcohol per capita consumption in Lithuania among the population 15 years of age and older has been among the highest globally in recent decades. Long-term alcohol consumption trends and drinking patterns signal a significant public health problem, as well as social and economic losses. This study aimed to estimate the economic burden associated with alcohol consumption in Lithuania from 2015 to 2020. We used a cost-of-illness methodology with the human capital approach to estimate the economic burden and applied a prevalence-based approach. Using multiyear data, we estimated both, direct and indirect costs. Direct costs included healthcare and childcare, law enforcement, and justice system costs. Indirect costs included costs of productivity loss due to premature mortality. The total economic cost of alcohol consumption in Lithuania between 2015 and 2020 was estimated at an annual average of €542.958 million (in 2020 Euros) or about 1.18% of the Lithuanian total Gross Domestic Product. The highest proportion (65%) of the estimated costs was associated with productivity losses due to premature mortality. Alcohol use places a considerable burden on Lithuanian society in terms of illness, injury, death, and economic costs. Alcohol control policies, in particular excise taxation increases and availability restrictions have been shown to decrease this burden.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143973206","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}