European Journal of Public Health最新文献_第4页

Influence of migration status on hysterectomy surgical approach and indications for benign conditions-a nationwide cohort register study. 迁移状态对子宫切除手术入路和良性适应症的影响——一项全国队列登记研究。

IF 5.2 3区医学

European Journal of Public Health Pub Date : 2026-08-04 DOI: 10.1093/eurpub/ckag176

Sukhjeet Bains, Tina Tellum, Dawit Shawel Abebe, Trond Melbye Michelsen, Ingvil Krarup Sørbye

{"title":"Influence of migration status on hysterectomy surgical approach and indications for benign conditions-a nationwide cohort register study.","authors":"Sukhjeet Bains, Tina Tellum, Dawit Shawel Abebe, Trond Melbye Michelsen, Ingvil Krarup Sørbye","doi":"10.1093/eurpub/ckag176","DOIUrl":"10.1093/eurpub/ckag176","url":null,"abstract":"Migration status and socioeconomic factors may influence access to and provision of gynaecological surgical care. However, evidence from European settings remains limited. This study aimed to examine disparities in surgical approach and indications for hysterectomy by migration status, while adjusting for education and income, among women with benign gynaecological conditions in Norway. We conducted a nationwide register-based cohort study using data from the Norwegian Patient Registry, including all women who underwent hysterectomy for benign indications in Norway between 2008 and 2020 (n = 38 913). Surgical approach was categorized as laparoscopic, vaginal, or open abdominal. Multinomial logistic regression was used to estimate odds ratios (OR), 95% confidence intervals (CI) and absolute risk difference for laparoscopic and vaginal hysterectomy compared with open surgery, adjusting for demographic, clinical, and socioeconomic factors. The frequency of surgical indications was assessed by migration status and regional group of birth. Migrants had lower odds of undergoing laparoscopic hysterectomy (OR 0.66, 95% CI: 0.57-0.77) and vaginal hysterectomy (OR 0.60, 95% CI: 0.49-0.75), compared with open surgery. Higher income was associated with increased odds of laparoscopic hysterectomy, with a stronger association observed among migrants. Migrants had lower proportions of hysterectomies performed due to genital prolapse and higher proportions due to fibroid compared with Norwegian-born women. Migration status is associated with surgical approach and hysterectomy indications, suggesting inequities in minimally invasive surgery despite Norway's universal health coverage. These findings highlight the need for efforts to ensure equitable surgical care in gynaecology.","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/PMC13615709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149059387","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

Analysis of intra-annual mortality fluctuations by cause of death in Italy, 2004-19. 2004-19年意大利按死因分列的年度死亡率波动分析。

IF 5.2 3区医学

European Journal of Public Health Pub Date : 2026-08-04 DOI: 10.1093/eurpub/ckag165

Isabella Marinetti, Dmitri A Jdanov, France Meslé, Domantas Jasilionis, Fanny Janssen

{"title":"Analysis of intra-annual mortality fluctuations by cause of death in Italy, 2004-19.","authors":"Isabella Marinetti, Dmitri A Jdanov, France Meslé, Domantas Jasilionis, Fanny Janssen","doi":"10.1093/eurpub/ckag165","DOIUrl":"10.1093/eurpub/ckag165","url":null,"abstract":"Seasonal fluctuations in mortality significantly affect population health and remain an important public health challenge, particularly in the context of climate change and population ageing. Evidence on how different causes of death shape seasonal mortality patterns remains limited. We apply a novel framework to quantify, in a systematic, transparent, and comparable manner, the absolute and relative contributions of 17 cause-of-death groups to seasonal mortality in Italy. We analyzed monthly mortality data from the Italian National Institute of Statistics, disaggregated by cause of death, sex, and 5-year age groups, 2004-19. Excess mortality for 17 major causes of death was quantified by comparing the observed age-standardized death rate (SDR) with the baseline SDR, defined as the average of the 3 months with the lowest mortality each year. Heart and respiratory diseases were the leading contributors to excess mortality, accounting for approximately 40% and 15% of the intra-annual burden, respectively. The summer months exhibited significantly smaller excess mortality. Respiratory diseases showed the highest relative impact compared to the other causes of death. While baseline mortality decreased over time, the relative intra-annual burden remained stable or increased for specific causes, indicating persistent or growing seasonal vulnerabilities. Intra-annual mortality fluctuations in Italy were mainly driven by cardiovascular and respiratory diseases and have remained stable over time despite improvements in overall mortality. These persistent patterns highlight unmet seasonal vulnerabilities and the importance of integrating cause-specific seasonality into health planning, particularly in light of ageing populations and climate change challenges.","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/PMC13596777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149024391","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

Disparities in practice: implementation of health promotion policies in 2883 Hungarian schools with a focus on small-sized institutions. 实践中的差异：在2883所匈牙利学校执行促进健康政策，重点是小型学校。

IF 5.2 3区医学

European Journal of Public Health Pub Date : 2026-08-04 DOI: 10.1093/eurpub/ckag143

Zsuzsa Rákosy, Dorottya Árva, Viktória Anna Kovács

{"title":"Disparities in practice: implementation of health promotion policies in 2883 Hungarian schools with a focus on small-sized institutions.","authors":"Zsuzsa Rákosy, Dorottya Árva, Viktória Anna Kovács","doi":"10.1093/eurpub/ckag143","DOIUrl":"10.1093/eurpub/ckag143","url":null,"abstract":"While Holistic Health Promotion is mandated in Hungary, little is known about its school-level implementation, especially in small schools. We analyzed national data of 2883 elementary schools, and (i) compared the implementation between small (10-99 students) and not-small schools, and (ii) conducted county-level socioeconomic comparisons within the subsample of small schools. Health promotion activities were implemented inconsistently across schools. Small schools (N = 320) reported fewer structured working groups (9.7%) and lower engagement of school health staff in program development (doctors: 3.1%, nurses: 6.9%, psychologists: 0.9%). Participation in national food schemes was markedly higher in low socioeconomic status (SES) areas than in high SES small schools (Milk Scheme: 83.5% vs. 46.5; Fruit & Vegs Scheme: 86.9% vs. 67.3%). Menu planning was aligned with the Public Catering Act in two-thirds of all schools (68.9%), which falls short of full adherence. Coverage of nutrition education was high (95.5%). Experiential learning tools like school gardens (31.7%) and educational kitchens (18.8%) were predominantly found in high SES context. After-school physical activity opportunities were significantly limited in small schools. The availability of bullying (32.2%) and digital addictions (52.2%) prevention measures was limited in low SES context. Parental health literacy programs showed moderate integration across all groups (average score: 6 out of 10). This study provides the first nationwide school-level evidence on variation in the implementation of health promotion policies. Findings highlight modest differences by size and SES, and underscore the need for targeted actions to support small and disadvantaged schools.","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/PMC13472674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148758910","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

Improving mortality rate estimation in 825 European cities: a linear mixed-effects modelling approach using Urban Audit data. 改进825个欧洲城市的死亡率估计：利用城市审计数据的线性混合效应建模方法。

IF 5.2 3区医学

European Journal of Public Health Pub Date : 2026-08-04 DOI: 10.1093/eurpub/ckag155

Georgia M C Dyer, Pierre Masselot, Marta Cirach, Sasha Khomenko, Xuan Chen, Ulrike Gehring, Kees de Hoogh, Sandra Márquez, Noé Moreno, Cathryn Tonne, Xavier Basagaña, Mark Nieuwenhuijsen

{"title":"Improving mortality rate estimation in 825 European cities: a linear mixed-effects modelling approach using Urban Audit data.","authors":"Georgia M C Dyer, Pierre Masselot, Marta Cirach, Sasha Khomenko, Xuan Chen, Ulrike Gehring, Kees de Hoogh, Sandra Márquez, Noé Moreno, Cathryn Tonne, Xavier Basagaña, Mark Nieuwenhuijsen","doi":"10.1093/eurpub/ckag155","DOIUrl":"10.1093/eurpub/ckag155","url":null,"abstract":"Assessing the health of urban populations and its determinants is crucial to ensure sustainable urban living. Burden of disease studies and health impact assessments are often used and city-level baseline mortality rates are a key parameter. However, studies tend to use unrepresentative estimates, with regional or national estimates typically applied at city-level, particularly for large-scale studies. We developed a standardized method for age- and sex-specific mortality rate estimation for 825 European cities, using open-source data. To fill for missing data, linear mixed-effects models with natural cubic splines modelled mortality and population data for 2011-19, based on city-specific trends. By generating a publicly available dataset of city-level mortality rates, and a replicable approach for other years, we sought to overcome many of the existing shortcomings in baseline mortality estimates. The highest age-standardized natural-cause mortality rates in 2018 were observed in cities in Hungary, Poland, Croatia, and Czech Republic while the lowest rates were in cities in Spain, France, and Italy. Variation between city-level and national rates was observed, with a median relative deviation of ∼16%. Our method addresses many of the common data quality and harmonization challenges associated with city-level mortality rate estimation. Advancement of effective policies and interventions necessitates robust baseline health data across cities, with good temporal coverage. To achieve this, requires strengthened efforts to improve data accuracy and consistency from regional sources to ensure accurate city-level representation. We fully documented the process and provide the code and data to be used in other studies.","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/PMC13523850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148850087","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

Assessing the effectiveness of the integrated sample referral system in Tanzania: insights from a nationwide study. 评估坦桑尼亚综合样本转诊系统的有效性：来自一项全国性研究的见解。

IF 5.2 3区医学

European Journal of Public Health Pub Date : 2026-08-04 DOI: 10.1093/eurpub/ckag159

Peter R Torokaa, David Ocheng, Maria E Kelly, Alex S Magesa, Desmond Kileo, Regnald Julius, Bahati Mfaki, Mayala Lushina, Agricola Joachim, Mtebe Majigo

{"title":"Assessing the effectiveness of the integrated sample referral system in Tanzania: insights from a nationwide study.","authors":"Peter R Torokaa, David Ocheng, Maria E Kelly, Alex S Magesa, Desmond Kileo, Regnald Julius, Bahati Mfaki, Mayala Lushina, Agricola Joachim, Mtebe Majigo","doi":"10.1093/eurpub/ckag159","DOIUrl":"10.1093/eurpub/ckag159","url":null,"abstract":"A well-structured laboratory network with a reliable biological sample transportation system ensures timely detection, prevention, and response to public health threats. We evaluated the sample referral system in Tanzania from July to December 2020 to identify key improvement areas. The study involved 97 hubs covering 21 of 26 regions. We collected data on management, financing, data collection, monitoring, human resources, equipment, network design, scheduling, and transportation through interviews, observations, and document reviews. Data were analyzed using Microsoft Excel and presented in tables, graphs, and charts. Overall performance was 63.6% (95% CI: 52.3-75.0). Specialized laboratory hubs scored highest, 79.5% (95% CI: 70.6-89.1). Specialized hospitals performed the best in all components, ranging from 68.8% to 100%. Regional referral hospitals were the second-best performers, ranging from 59.6% to 72.1%. Health centers performed least in management (54.8%), financing and costing (32.7%), and data collection, monitoring, and evaluation (45.2%). We found inconsistencies in the performance of sample referral hubs at various levels and components, highlighting the need for targeted capacity enhancement to improve the sample referral system. We recommend adopting context-specific strategies to address the unique needs of each hub level.","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/PMC13521596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839428","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

Correction: IFPHOR0201 Influence of Socioecological Factors on Well-Being and Food Security of Nigerian Graduate Students in Sheffield. IFPHOR0201社会生态因素对谢菲尔德尼日利亚研究生幸福感和粮食安全的影响。

IF 5.2 3区医学

European Journal of Public Health Pub Date : 2026-08-04 DOI: 10.1093/eurpub/ckag166

引用次数: 0

Evaluation of the Barcelona Superblocks 'Green Corridor' project on the quality of public space from a health determinants perspective. 从健康决定因素的角度对巴塞罗那超级街区“绿色走廊”项目的公共空间质量进行评估。

IF 5.2 3区医学

European Journal of Public Health Pub Date : 2026-08-04 DOI: 10.1093/eurpub/ckag126

Ana M Novoa, Martín González-Calleja, Esther Sánchez-Ledesma, Xavier Continente, María José López, Katherine Pérez

{"title":"Evaluation of the Barcelona Superblocks 'Green Corridor' project on the quality of public space from a health determinants perspective.","authors":"Ana M Novoa, Martín González-Calleja, Esther Sánchez-Ledesma, Xavier Continente, María José López, Katherine Pérez","doi":"10.1093/eurpub/ckag126","DOIUrl":"10.1093/eurpub/ckag126","url":null,"abstract":"Urban design has a direct impact on health and health inequalities. The Barcelona City Council implemented the Green Corridor project in 2022 in several streets of the Eixample district. The objective of the present study was to assess the effect of this project on the quality of public space from a health perspective approach. A quasi-experimental study was performed. The intervention group consisted of a sample of street sections of the intervened streets, and the comparison group consisted of a sample of street sections of a nearby street. The quality of public space was assessed in both groups before (2022) and after (2024) the intervention was implemented using an instrument designed ad hoc, which assessed eight different dimensions and several subdimensions. A difference-in-differences analysis was performed to compare pre-post differences between the intervention and comparison streets. In the intervention streets, significant improvements were observed in all the dimensions assessed. Greatest differences between the intervention and comparison groups were observed in the natural areas dimension (4.94 points difference), followed by the maintenance and cleanliness dimension (2.55 points), architectonic characteristics (2.28 points), safety (1.61 points), and environmental characteristics (1.00 points). Urban design transformations such as the Green Corridor project can improve living conditions in neighbourhoods by increasing urban green spaces and facilities, reducing motorized traffic, improving walkability, enhancing air and noise quality, and promoting social interaction, all of which can have a beneficial impact on residents' physical and mental health.","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/PMC13472673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764780","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

Changes in emotional demands at work and subsequent risk of long-term sickness absence: a nationwide cohort study in Denmark. 工作中情绪需求的变化和随之而来的长期病假风险：丹麦的一项全国性队列研究。

IF 5.2 3区医学

European Journal of Public Health Pub Date : 2026-08-04 DOI: 10.1093/eurpub/ckag161

Nanna P Larsson, Kathrine Sørensen, Louise Dalsager, Jeppe Karl Sørensen, Elisabeth Framke, Ida E H Madsen, Reiner Rugulies

{"title":"Changes in emotional demands at work and subsequent risk of long-term sickness absence: a nationwide cohort study in Denmark.","authors":"Nanna P Larsson, Kathrine Sørensen, Louise Dalsager, Jeppe Karl Sørensen, Elisabeth Framke, Ida E H Madsen, Reiner Rugulies","doi":"10.1093/eurpub/ckag161","DOIUrl":"10.1093/eurpub/ckag161","url":null,"abstract":"High emotional demands at work are associated with risk of poor health; however, it is debated whether the association is causal. To further elucidate the relation between emotional demands and health, we examined if changes in emotional demands were associated with subsequent risk of long-term sickness absence (LTSA) in the Danish workforce. We measured emotional demands in nationwide surveys from 2012 to 2018 among 14 602 workers, aged 18-64. We calculated changes in emotional demands from t0 to t1 (2 years apart) and followed the participants 2 years after t1 in a nationwide register of LTSA (sickness absence >30 days). Using Cox regression, we estimated hazard ratios (HRs) of LTSA among participants with changes in emotional demands, compared to participants without changes. Estimates were adjusted for sex, age, education, job group, depressive symptoms, and self-rated health. Increases in emotional demands were associated with an increased risk of LTSA, whereas decreases were associated with a reduced risk of LTSA. In the fully adjusted model, we observed the highest risk of LTSA among participants who changed from medium to high emotional demands (HR = 1.45, 95% CI: 1.16-1.82), compared to those retaining medium emotional demands. We observed the lowest risk of LTSA among participants who changed from high to low emotional demands (HR = 0.61, 95% CI: 0.40-0.92) compared to those retaining high emotional demands. Changes in emotional demands at work may affect the risk of LTSA. Workplace interventions should be developed and evaluated.","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/PMC13529333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148864278","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

Correction to: The role of psychotropic medication, alcohol, illicit drugs, and suicidal intention in fatal motor vehicle accidents involving drivers with psychotic disorders. 修正：精神药物、酒精、非法药物和自杀意图在涉及精神障碍司机的致命机动车事故中的作用。

IF 5.2 3区医学

European Journal of Public Health Pub Date : 2026-08-04 DOI: 10.1093/eurpub/ckag156

引用次数: 0

Digital engagement and adolescent wellbeing: insights from the UK millennium cohort study. 数字参与和青少年福祉：来自英国千年队列研究的见解。

IF 5.2 3区医学

European Journal of Public Health Pub Date : 2026-08-04 DOI: 10.1093/eurpub/ckag128

Miaoqing Yang, Charles Opondo, Yang Wang, Adam Martin

{"title":"Digital engagement and adolescent wellbeing: insights from the UK millennium cohort study.","authors":"Miaoqing Yang, Charles Opondo, Yang Wang, Adam Martin","doi":"10.1093/eurpub/ckag128","DOIUrl":"10.1093/eurpub/ckag128","url":null,"abstract":"Existing research on screen time and adolescent psychological wellbeing often overlooks how digital engagement interacts with other daily activities. Uncertainty remains about which activities are complemented or displaced by digital use, and whether specific combinations of activities are beneficial or detrimental to wellbeing. We used detailed time-use diary data from 3,288 participants in the UK Millennium Cohort Study, collected during the age-14 survey. Adolescents recorded their activities in 144 consecutive 10-min slots over a 24‑h period, selecting from 44 pre-specified activity types. Latent profile analysis was used to identify distinct time-use patterns. This approach accounts for the interdependence and trade-offs among different activities, rather than examining each of them in isolation. Associations between these profiles and later psychological wellbeing, measured using the Strengths and Difficulties Questionnaire, were examined using multinomial logistic regression. Three time-use profiles emerged: (i) 'Frequent digital users' (21.0%), with high digital engagement, especially gaming, more common among males and those from lower socioeconomic backgrounds, showing poorer psychological wellbeing; (ii) 'Physically active, moderate digital users' (59.7%), who balanced digital and non-digital activities with high physical activity, showing more favourable psychological wellbeing; and (iii) 'In-person socialisers, low digital users' (19.3%), with low digital use and high face-to-face interaction, showing intermediate level of psychological wellbeing. Findings suggest that a balanced mix of daily activities is associated with more favourable adolescent wellbeing, highlighting the importance of promoting overall activity balance rather than focusing on digital time alone.","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/PMC13445974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148677650","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