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

The associations of different recess types on physical activity and sedentary behaviour in Estonian primary school students. 不同课间休息类型对爱沙尼亚小学生身体活动和久坐行为的影响。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-07 DOI: 10.1093/eurpub/ckaf052

Getter Marie Lemberg, Merike Kull, Jarek Mäestu, Eva-Maria Riso, Evelin Mäestu

{"title":"The associations of different recess types on physical activity and sedentary behaviour in Estonian primary school students.","authors":"Getter Marie Lemberg, Merike Kull, Jarek Mäestu, Eva-Maria Riso, Evelin Mäestu","doi":"10.1093/eurpub/ckaf052","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf052","url":null,"abstract":"Students' physical activity (PA) levels tend to decrease with increasing age; however, the school day structure can potentially influence students' PA levels. This study aimed to measure and compare objective levels of PA during recess and school time between schools with different recess types. 15 different schools were selected, and accelerometry-based PA levels of 9-13-year-old students were measured. Schools were selected based on the recess types: (i) 'daily outdoor recess'; (ii) 'irregular outdoor recess'; (iii) 'indoor recess'. The 'daily outdoor recess' group reached the highest moderate-to-vigorous PA (MVPA) during recess compared to other groups. 'Indoor recess' group had more sedentary time during recess compared to 'irregular outdoor recess' and 'daily outdoor recess' groups (43.6 ± 1.0%, 34.0 ± 1.0%, 30.8 ± 0.8%, respectively; P < .05). Time in MVPA was unchanged during recess across all grades in the 'daily outdoor recess' group (from 22.8% to 25.6%), while decreased MVPA from 27% to 17% and from 21% to 10% was found in 'irregular outdoor recess' and 'indoor recess' group, respectively; P < .05. Sedentary time increased from 34% to 52% in the 'indoor recess' group and from 26% to 43% in the 'irregular outdoor recess' group (P < .05). There was a positive association between the recess length and MVPA minutes acquired during recess; however, during a 15-25 min outdoor recess, students spent more time in MVPA compared to a 30-50 min outdoor recess (28%-30.5%, 21%-23%, respectively). The findings emphasize that unstructured outdoor recess has a high potential to maintain the MVPA levels with increasing age.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802682","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}

引用次数: 0

Sexually transmitted infections among pre-exposure prophylaxis users in a Swedish multi-centre cohort. 瑞典多中心队列暴露前预防使用者中的性传播感染

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-04 DOI: 10.1093/eurpub/ckaf034

Tobias Herder, Fredrik Månsson, Petra Tunbäck, Karin Sanner, Magnus Gisslén, Ester Fridenström, Minna Dawar, Susanne Strömdahl

{"title":"Sexually transmitted infections among pre-exposure prophylaxis users in a Swedish multi-centre cohort.","authors":"Tobias Herder, Fredrik Månsson, Petra Tunbäck, Karin Sanner, Magnus Gisslén, Ester Fridenström, Minna Dawar, Susanne Strömdahl","doi":"10.1093/eurpub/ckaf034","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf034","url":null,"abstract":"An additional upsurge in bacterial STIs has been observed in Sweden following HIV pre-exposure prophylaxis (PrEP) implementation. From a prevention perspective, it is of relevance to optimize testing strategies within PrEP programmes to identify those most at risk. An open retrospective longitudinal observational cohort study was performed at three STI clinics in Uppsala, Gothenburg, and Malmö. A questionnaire and journal data regarding STI were collected from a sample of 199 MSM enrolled in the PrEP programmes and providing informed consent. Incident bacterial STIs during follow-up were analyzed with descriptive statistics, Poisson regression, and Cox regression. Median follow-up time was 632 days. A total of 270 gonorrhoea or chlamydia infections were recorded during PrEP follow-up, compared to 194 cases in the 2-year period prior to enrolment, giving an incidence rate ratio (IRR) of 1.56 (CI 95% 1.30-1.89). The testing frequency increased by 75% (IRR 1.69, CI 95% 1.60-1.90). For diagnoses of active syphilis, the increase was 108% (IRR 2.08. CI 95% 1.04-4.06), compared with a 5-year period preceding enrolment. The hazard ratio of time (days) until a first STI after PrEP initiation was 2.87 (CI 95% 1.72-4.80) for those having had a STI prior to PrEP initiation and 2.06 (CI 95% 1.03-4.13) for those reporting experience of group sex in the past year compared with those who had not. STI prior to PrEP initiation and group sex were associated with STI after initiation of PrEP, factors that could be considered if needing prioritizing the frequency of STI screening.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788041","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}

引用次数: 0

Intimate partner psychological violence and children's sleep difficulties up to 5 years of age: an ELFE birth cohort. 亲密伴侣心理暴力和5岁以下儿童睡眠困难：ELFE出生队列。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-04 DOI: 10.1093/eurpub/ckaf037

Marion Bailhache, Sabine Plancoulaine, Fabienne El-Khoury, Olivier Leproux, Eloi Chazelas, Ramchandar Gomajee, Judith Van Der Waerden, Marie Aline Charles, Maria Melchior

{"title":"Intimate partner psychological violence and children's sleep difficulties up to 5 years of age: an ELFE birth cohort.","authors":"Marion Bailhache, Sabine Plancoulaine, Fabienne El-Khoury, Olivier Leproux, Eloi Chazelas, Ramchandar Gomajee, Judith Van Der Waerden, Marie Aline Charles, Maria Melchior","doi":"10.1093/eurpub/ckaf037","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf037","url":null,"abstract":"To examine the association between intimate partner psychological violence (P-IPV) from before pregnancy to 2 years after the child's birth and child's sleep patterns, i.e. sleep onset difficulty (SOD), nighttime awakenings (NA), and nighttime sleep duration (NSD) between 2 and 5 years of child's age. Data come from the population-based French birth ELFE cohort launched in 2011. P-IPV was assessed before and during pregnancy, at 2 months and 2 years post-partum. Children's sleep patterns were measured at 2, 3, and 5 years of age. Group-based trajectory modelling was used to identify trajectories of P-IPV and each child's sleep patterns. Associations between P-IPV and children's sleep trajectories were assessed by weighted multivariate logistic regressions. Five P-IPV trajectories were identified: minimal (64%), prenatal (14%), decreasing (9%), increasing (8%), and persistent (5%). Two trajectories of SOD (few 65% and many 35%), three trajectories of NA (few 49%, decreasing 24%, and many 23%), and three trajectories of NSD (short 21%, medium 56%, and long 23%) were identified. About 9513, 9512, and 9499 children were included in comparative analyses, respectively, focused on SOD, NA, and NSD. Increasing and persistent P-IPV trajectories were both associated with the trajectory of many SODs [odds ratio (OR) = 1.53, 95% confident interval (CI) = 1.24-1.91; and OR = 1.71, 95% CI = 1.31-2.22, respectively] and the trajectory of many NA (OR = 1.66, 95% CI = 1.29-2.13); and (OR = 1.95, 95% CI = 1.42-2.69, respectively). Associations between persistent P-IPV and decreasing and many NA were significant among girls (OR = 1.76, 95% CI = 1.12-2.75 and OR = 2.27, 95% CI = 1.39-3.71, respectively), but not among boys. Family interventions in response to IPV should pay particular attention to sleep patterns of children exposed to IPV.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788038","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}

引用次数: 0

Screen-detected breast cancer and cancer stage by area-level deprivation: a descriptive analysis using data from the National Cancer Registry Ireland. 按地区贫困程度分列的筛查出的乳腺癌和癌症分期：利用爱尔兰国家癌症登记处的数据进行的描述性分析。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-01 DOI: 10.1093/eurpub/ckae204

Philippa White, Aline Brennan, Joe McDevitt, Deirdre Murray, Caroline Mason Mohan, Patricia Fitzpatrick, Therese Mooney, Alan Smith, Maeve Mullooly, Niamh Bambury

{"title":"Screen-detected breast cancer and cancer stage by area-level deprivation: a descriptive analysis using data from the National Cancer Registry Ireland.","authors":"Philippa White, Aline Brennan, Joe McDevitt, Deirdre Murray, Caroline Mason Mohan, Patricia Fitzpatrick, Therese Mooney, Alan Smith, Maeve Mullooly, Niamh Bambury","doi":"10.1093/eurpub/ckae204","DOIUrl":"10.1093/eurpub/ckae204","url":null,"abstract":"Breast cancer screening programmes can lead to better disease outcomes, but women from deprived backgrounds are less likely to participate and more likely to present with late-stage cancer. This study aimed to explore associations between deprivation and breast cancer screening outcomes in Ireland during 2009-2018. Data on all female breast cancer cases diagnosed in Ireland during 2009-2018 were extracted from the National Cancer Registry Ireland. Associations between area-level deprivation, using the Pobal Haase-Pratschke deprivation index, and detection of breast cancer through BreastCheck, Ireland's breast screening programme, and stage of screen-detected breast cancer were explored. Unadjusted risk ratios (RRs) and 95% confidence intervals (CIs) were calculated. Among screening eligible women in Ireland in 2009-2018, there was no difference in risk of breast cancer detection through BreastCheck across deprivation quintiles (RR for most compared to least deprived group: 1.01, 95% CI: 0.96-1.06). In women with screen-detected breast cancer, the risk of late-stage cancer detection increased with deprivation in 2009-2013 (RR for most compared to least deprived group: 1.45, 95% CI: 1.10-1.93), but no association was observed between deprivation and cancer stage in 2014-2018. Notwithstanding its limitations, including the risk of confounding by uncontrolled variables, this study suggests screening eligible women in Ireland have had similar outcomes from breast cancer screening, regardless of deprivation level, since the national roll-out of BreastCheck. Associations between deprivation and screening outcomes should continue to be monitored to ensure Ireland's breast cancer screening programme is helping to reduce health inequities.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"347-352"},"PeriodicalIF":3.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142823815","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

The effect of the 'Every Mind Matters' campaign on mental health literacy: the moderating roles of socioeconomic status and ethnicity. “人人重要”运动对心理健康素养的影响：社会经济地位和种族的调节作用。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-01 DOI: 10.1093/eurpub/ckaf020

Amy Ronaldson, Kia-Chong Chua, Jane Hahn, Claire Henderson

{"title":"The effect of the 'Every Mind Matters' campaign on mental health literacy: the moderating roles of socioeconomic status and ethnicity.","authors":"Amy Ronaldson, Kia-Chong Chua, Jane Hahn, Claire Henderson","doi":"10.1093/eurpub/ckaf020","DOIUrl":"10.1093/eurpub/ckaf020","url":null,"abstract":"We previously reported short-lived improvements in mental health literacy following the Every Mind Matters campaign, followed by a return to baseline levels. In this study, we aimed to examine whether either socioeconomic status or ethnicity moderated these improvements. We conducted regression analyses on a nationally representative, repeated cross-sectional dataset of nine survey waves from September 2019 to March 2022. Interaction terms (ethnicity*wave, socioeconomic status*wave) were entered into regression models to assess the moderating effect of these variables. Where significant interactions emerged, we obtained marginal estimates and plotted them for ease of interpretation. We found no evidence that improvements seen in mental health literacy following the launch of Every Mind Matters were moderated by ethnicity or socioeconomic status. Over time, there was some evidence of lower scores relating to symptoms recognition, knowledge of actions to improve mental health, and desire for social distance (stigma) among adults of lower socioeconomic status, which converged again for symptom recognition. These findings suggest that while a web resource can empower people and improve mental health literacy, in relation to ethnicity and socioeconomic status, it may be that while this can avoid a widening of inequalities it is insufficient to lead to a narrowing of them.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"366-372"},"PeriodicalIF":3.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143500009","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

The impact of reminders on representativeness and survey estimates among web-mode invited in the Danish National Health Survey. 提醒对丹麦全国健康调查中网络模式受邀者的代表性和调查估计值的影响。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-01 DOI: 10.1093/eurpub/ckae176

Andrea Huber Jezek, Ola Ekholm, Lau Caspar Thygesen, Anne Illemann Christensen

{"title":"The impact of reminders on representativeness and survey estimates among web-mode invited in the Danish National Health Survey.","authors":"Andrea Huber Jezek, Ola Ekholm, Lau Caspar Thygesen, Anne Illemann Christensen","doi":"10.1093/eurpub/ckae176","DOIUrl":"10.1093/eurpub/ckae176","url":null,"abstract":"Declining response proportions in health surveys may lead to increased non-response bias. Multiple reminders are often used to increase response proportions, and, thus, we aimed to determine if the use of reminders decreased the magnitude of non-response bias among web-mode invited in the Danish National Health Survey 2023. In the Danish National Health Survey 2023, a national random sample of 23 467 individuals (aged ≥16 years) with residence in Denmark were invited by a secure electronic mail service. Invited individuals received up to five inquiries: (i) web invitation, (ii) web reminder, (iii) paper invitation including a questionnaire and a prepaid return envelope, (iv) paper reminder, and (v) paper reminder including a questionnaire and a prepaid return envelope. The cumulative response proportions after first-, second-, third-, fourth-, and fifth inquiries were 19.1%, 28.9%, 37.2%, 39.3%, and 42.0%, respectively. In general, third, fourth, and fifth mailing respondents were more often men, at younger ages, with non-Western backgrounds, and unmarried compared to first mailing respondents. Furthermore, third, fourth, and fifth mailing respondents were in general found to have less favorable health behavior than first mailing respondents, but also a lower prevalence of fair or poor self-rated health and long-standing health problems. In conlusion, reminders are an effective way to increase the response proportion. Furthermore, the use of reminders was found to decrease the magnitude of non-response bias; however, the decrease was small due to the low number of individuals responding after fourth and fifth inquiries.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"256-262"},"PeriodicalIF":3.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142617533","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

The Community Acute Respiratory Infection surveillance programme: an evaluation of a newly established surveillance programme in Scotland. 社区急性呼吸道感染监测方案：对苏格兰新建立的监测方案的评价。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-01 DOI: 10.1093/eurpub/ckae200

Tonje S Laird, Mark Hamilton, Catriona Oliver, Fatima Sadiq, Yomna Moawad, Josie Evans

{"title":"The Community Acute Respiratory Infection surveillance programme: an evaluation of a newly established surveillance programme in Scotland.","authors":"Tonje S Laird, Mark Hamilton, Catriona Oliver, Fatima Sadiq, Yomna Moawad, Josie Evans","doi":"10.1093/eurpub/ckae200","DOIUrl":"10.1093/eurpub/ckae200","url":null,"abstract":"The Community Acute Respiratory Infection (CARI) surveillance programme, established by Public Health Scotland (PHS) in November 2021, aims to monitor respiratory infections in communities, replacing prior schemes to ensure early detection of outbreaks and inform public health interventions. Positioned as a cornerstone of PHS's national infectious respiratory diseases plan, CARI is pivotal for safeguarding public health. This study presents key findings from the 2022/23 CARI season and evaluates the programme's performance during this period. CARI uses a network of sentinel general practitioner (GP) practices across Scotland to monitor patients with acute respiratory infection symptoms, employing multiplex polymerase chain reaction testing for 10 common pathogens. Results are linked to enhanced surveillance data, providing insights into infection trends during the season. The evaluation comprised an online GP survey and a quantitative assessment of programme performance. In the 2022/23 season, 180 GP practices participated in CARI, testing 15,823 samples. Swab positivity peaked in December 2022, driven by a large spike in influenza A activity. The evaluation showed that CARI is highly useful, with positive feedback on simplicity, flexibility, and acceptability. Representativeness varied across health boards and age groups. Despite occasional laboratory processing delays, data quality remained good, with timely reporting and stable participation. CARI reflected patterns in infections observed in secondary care in Scotland and Europe, providing valuable insights into disease patterns and impact. It also provided timely intelligence to key decision-makers, enabling prompt public health response. Changes for the 2023/24 season aim to further optimize the programme.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"282-289"},"PeriodicalIF":3.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142750499","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

Advancing personalized medicine: key priorities for clinical studies and funding systems based on a Europe-China collaborative Delphi survey. 推进个体化医疗：基于中欧合作德尔菲调查的临床研究重点和资助体系。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-01 DOI: 10.1093/eurpub/ckaf004

Tommaso Osti, Cosimo Savoia, Sara Farina, Flavia Beccia, Francesco Andrea Causio, Lily Wang, Wenya Wang, Carmen Fotino, Chiara Cadeddu, Walter Ricciardi, Stefania Boccia

{"title":"Advancing personalized medicine: key priorities for clinical studies and funding systems based on a Europe-China collaborative Delphi survey.","authors":"Tommaso Osti, Cosimo Savoia, Sara Farina, Flavia Beccia, Francesco Andrea Causio, Lily Wang, Wenya Wang, Carmen Fotino, Chiara Cadeddu, Walter Ricciardi, Stefania Boccia","doi":"10.1093/eurpub/ckaf004","DOIUrl":"10.1093/eurpub/ckaf004","url":null,"abstract":"Personalized medicine (PM) has the potential to revolutionize healthcare by delivering treatments tailored to individual patients based on their unique characteristics. However, ensuring its effective implementation presents complex challenges, particularly in terms of long-term sustainability. To address these challenges, the IC2PerMed project fosters collaboration between the European Union and China. This study, building on insights from the project, aims to identify key priorities for advancing PM, focusing on Clinical Studies and Funding Systems, with special attention to optimizing resource management, distribution, and protection to support sustainable development. A two-round Delphi survey was conducted to achieve consensus on common priorities among China and Europe related to Clinical Studies and Funding Systems. Consensus was measured using the Content Validity Index, requiring an agreement level of 80% or higher for item inclusion. The survey identified 20 key priorities in PM research, split evenly between research initiatives and funding mechanisms. Notable priorities include developing technology for deep phenotyping, standardizing methodological approaches, and fostering public-private collaborations. In funding, the emphasis was placed on involving patient voices in research design and establishing synergies among funders to support larger projects. The findings underscore the importance of structured collaboration between Europe and China in advancing personalised medicine. By addressing identified priorities in research and funding, this initiative can significantly enhance the efficacy of PM, ultimately improving healthcare outcomes globally. The study sets a precedent for future international partnerships aimed at fostering innovation in health sciences.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"209-215"},"PeriodicalIF":3.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143002142","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

Stillbirth rate trends across 25 European countries between 2010 and 2021: the contribution of maternal age and multiplicity. 2010年至2021年25个欧洲国家的死产率趋势：产妇年龄和多胎性的影响

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-01 DOI: 10.1093/eurpub/ckae214

Maxi S Kniffka, Jonas Schöley, Susie Lee, Loes C M Bertens, Jasper V Been, Jóhanna Gunnarsdóttir

{"title":"Stillbirth rate trends across 25 European countries between 2010 and 2021: the contribution of maternal age and multiplicity.","authors":"Maxi S Kniffka, Jonas Schöley, Susie Lee, Loes C M Bertens, Jasper V Been, Jóhanna Gunnarsdóttir","doi":"10.1093/eurpub/ckae214","DOIUrl":"10.1093/eurpub/ckae214","url":null,"abstract":"Stillbirth rates have stalled or increased in some European countries during the last decade. We investigate to what extent time-trends and between-country differences in stillbirth rates are explained by the changing prevalence of advanced maternal age and teenage pregnancies or multiple births. We analysed data on stillbirths and live births by maternal age and multiplicity from 2010 to 2021 in 25 European countries using Kitagawa decomposition to separate rate differences into compositional and rate components. Rates significantly decreased in six countries, but increased in two. Changes in maternal age structure reduced national stillbirth rates by a maximum of 0.04 per 1000 in the Netherlands and increased rates by up to 0.85 in Cyprus. Changes in the prevalence of multiple births decreased rates by up to 0.19 in the Netherlands and increased rates by up to 0.01 across multiple countries. Maternal age differences explained between 0.11 of the below-European average stillbirth rate in Belgium and 0.13 of the above-average rate in Ireland. Excluding Cyprus, differences in multiple births explained between 0.05 of the below-average rate in Malta and 0.03 of the above-average rate in Ireland. For most countries, the increase in advanced-age pregnancies contributed to rising stillbirth rates over time, while reductions in multiples led to decreases in rates. However, large parts of the trends remain unexplained by those factors. By 2021, neither factor explained the differences between countries, due to increased compositional uniformity and declining stillbirth risk for advanced maternal age.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"319-327"},"PeriodicalIF":3.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143002631","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

The effect on attendance of the requirement to confirm a pre-scheduled appointment in a population-based mammography screening programme. 在以人群为基础的乳房x光检查项目中，确认预先预约的要求对出勤率的影响。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-01 DOI: 10.1093/eurpub/ckaf028

Mathijs Goossens, Thuy Ngan Tran

{"title":"The effect on attendance of the requirement to confirm a pre-scheduled appointment in a population-based mammography screening programme.","authors":"Mathijs Goossens, Thuy Ngan Tran","doi":"10.1093/eurpub/ckaf028","DOIUrl":"10.1093/eurpub/ckaf028","url":null,"abstract":"The European Commission Initiative on Breast Cancer recommends pre-scheduled appointments to enhance attendance in population-based mammography screening programmes (PMSP). Pre-scheduled appointments often lead to no-shows, resulting in inefficient use of time and staff in screening units. Requiring women to confirm their appointments can reduce no-shows but might negatively impact attendance. We conducted a non-interventional study to assess the impact of requiring confirmation on attendance rates. The study involved 291 127 women aged 50-69 invited to PMSP between 1 June 2022 and 31 May 2023. Propensity scores were used to match women who were required to confirm their pre-scheduled appointments (exposure) 1:1 with those who were not required to confirm (comparator). This was done separately in four strata based on screening history: first-time invitees, regular attendees, irregular attendees, and non-attendees. Logistic regression with generalized estimating equations was used to analyse the effect of the exposure on attendance within 60 days, separately for each stratum. If first-time invitees were obliged to confirm their pre-scheduled appointment, their attendance was 19% lower [odds ratio (OR) 0.81, 95% confidence interval (CI) 0.76-0.86]. The impact on regular attendees (OR 0.95, 95% CI 0.92-0.99), irregular attendees (OR 0.94, 95% CI 0.89-0.99), and non-attendees (OR 0.96, 95% CI 0.90-1.01) was minimal or non-significant. Requiring confirmation poses a barrier for first-time invitees but has little effect on those with previous screening history. Limiting confirmation requirements to women with prior invitations could optimize resource use in screening units without a notable decrease in attendance rates.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"353-358"},"PeriodicalIF":3.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143556384","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