European Journal of Public Health最新文献_第5页

Sleep difficulties as a consistent risk factor for medically treated injuries among adolescents in 46 countries.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-03-18 DOI: 10.1093/eurpub/ckaf032

Valerie F Pagnotta, Peter D Donnelly, Inese Gobina, Frank Elgar, Kwok Ng, William Pickett

{"title":"Sleep difficulties as a consistent risk factor for medically treated injuries among adolescents in 46 countries.","authors":"Valerie F Pagnotta, Peter D Donnelly, Inese Gobina, Frank Elgar, Kwok Ng, William Pickett","doi":"10.1093/eurpub/ckaf032","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf032","url":null,"abstract":"Adolescent poor sleep is common and has been associated with unintentional injury risks. Yet the comparability of evidence is limited by differences in measures of sleep and injury implemented across studies. We examined the potential cross-national consistency of relationships between poor sleep and unintentional injury using self-reports from 239 816 adolescents (50.8% girls) in 46 countries collected using a common survey procedure. A cross-sectional study was conducted using nationally representative records from the 2017/2018 International Health Behaviour in School-aged Children study. The prevalence of sleep indicators (difficulties in falling asleep, insufficient sleep, social jetlag) and annual medically treated injuries (any, multiple) were described cross-nationally and by gender. Multivariable modified Poisson regression analyses were conducted within and across countries to test the consistency of associations between sleep and injury. 16.3%-48.3% of adolescents reported an indicator of poor sleep and 44.0% sustained any injury. We observed striking cross-national variations in sleep, yet consistent gendered patterns across countries [e.g. sleep difficulties more prevalent among girls vs. insufficient sleep (non-school days) more prevalent among boys]. Country-level models displayed relatively consistent and positive associations. Multi-country (pooled) models demonstrated a consistency of effects, with the strongest association observed between difficulties in falling asleep and multiple injuries (prevalence ratio: 1.58, 95% CI: 1.55-1.61); these effects were especially pronounced in girls. Using standard indicators, this novel cross-national study demonstrated that poor sleep is a consistent risk factor for adolescent injuries. Given the recent epidemic of adolescent sleep problems, sleep hygiene represents a novel target for injury prevention.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656523","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

Proactive automatized multiple health risk behavior change intervention: reach and retention among general hospital patients.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-03-18 DOI: 10.1093/eurpub/ckaf035

Marie Spielmann, Filipa Krolo-Wicovsky, Anika Tiede, Ulrich John, Jennis Freyer-Adam

{"title":"Proactive automatized multiple health risk behavior change intervention: reach and retention among general hospital patients.","authors":"Marie Spielmann, Filipa Krolo-Wicovsky, Anika Tiede, Ulrich John, Jennis Freyer-Adam","doi":"10.1093/eurpub/ckaf035","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf035","url":null,"abstract":"Although behavior change interventions are highly recommended in health care, their reach, a core dimension of the public health impact of interventions, is rarely evaluated. This study aimed to investigate whether an individualized, computer-based brief intervention to reduce co-occurring health risk behaviors (HRBs), namely tobacco smoking, at-risk alcohol use, insufficient physical activity, and unhealthy diet, can reach and retain a sufficiently large part of general hospital patients (>75%) and whether patients with high need, that is with more HRBs, low school education or current unemployment may be sufficiently reached and retained. Over 6 weeks in 2022, all 18-64-year-old patients admitted to 11 wards of five medical departments of a university hospital in Germany were asked to participate in a computer-based HRB screening and in a pre-post intervention study with three further assessments and individualized computer-generated feedback. To investigate associations between intervention reach and retention and patient characteristics, a logistic and a Poisson regression analysis were used. Screening reached 78.9% of all eligible patients (225/285). Of those eligible for the intervention study, 81.8% (175/214) participated in the intervention. Among these, 76.0% (133/175) participated at least once more after hospitalization. Patients' lifestyle and socio-economic characteristics were not significantly associated with reach or retention, Ps ≥ .467. Proactive computer-based multiple-HRB change interventions may reach and retain a sufficiently large part of general hospital patients, including those most in need. When proven efficacious and adequately implemented, this is a promising approach concerning public health impact in the reduction non-communicable diseases.Trial registration: ClinicalTrials.gov NCT05365269, 9 May 2022.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656518","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

Determinants of knowledge of risks associated with cigarette smoking among adolescents in Scotland.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-03-13 DOI: 10.1093/eurpub/ckaf024

Yusuff Adebayo Adebisi, Isaac Olushola Ogunkola, Najim Z Alshahrani, Nafisat Dasola Jimoh, Olayinka Stephen Ilesanmi

{"title":"Determinants of knowledge of risks associated with cigarette smoking among adolescents in Scotland.","authors":"Yusuff Adebayo Adebisi, Isaac Olushola Ogunkola, Najim Z Alshahrani, Nafisat Dasola Jimoh, Olayinka Stephen Ilesanmi","doi":"10.1093/eurpub/ckaf024","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf024","url":null,"abstract":"Cigarette smoking remains a significant public health concern, particularly among adolescents. This study aimed to assess adolescents' knowledge of the risks associated with smoking in Scotland and explore the factors influencing this knowledge. A cross-sectional analysis was conducted using data from the 2018 Scottish Schools Adolescent Lifestyle and Substance Use Survey. The sample included 23 365 adolescents from Secondary 2 (n = 12 558) and Secondary 4 (n = 10 807). Demographic, behavioural, contextual, and health-related factors were examined as predictors of smoking risk knowledge, with a cumulative knowledge score based on responses to seven smoking-related questions. Poisson regression was used to examine associations between predictors and cumulative knowledge scores, and adjusted incidence rate ratios (IRRs) with 95% confidence intervals (CIs) were reported. Overall, 38.2% (n = 8928) of participants answered all questions correctly, with a median score of 6 (IQR: 5-7). While 83.6% (n = 19 540) scored at least 5, knowledge gaps remained, particularly concerning the risks of light smoking. Boys had lower scores than girls (IRR = 0.97, 95% CI: 0.96-0.97, P < .001), and adolescents from less deprived areas scored higher than those from more deprived areas (IRR = 1.02, 95% CI: 1.01-1.03, P = .006). Non-smokers had higher scores than smokers (IRR = 1.08, 95% CI: 1.05-1.10, P < .001), and adolescents confident in accessing health information scored significantly higher (IRR = 1.13, 95% CI: 1.11-1.15, P < .001). Peer influence was evident, as adolescents with friends who smoked had lower scores (IRR = 0.96, 95% CI: 0.94-0.98, P < .001). Adolescents in Scotland generally understand the risks of cigarette smoking, but notable gaps persist, especially regarding dangers of light smoking.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624062","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

Independent and combined effect of sitting time and physical activity on all-cause mortality in Spain: a population-based prospective study.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-03-06 DOI: 10.1093/eurpub/ckaf029

Beatriz Granero-Melcón, Miguel Ángel de la Cámara, Cristina Ortiz, Alejandro Martínez-Portillo, Montserrat Neira-León, Iñaki Galán

{"title":"Independent and combined effect of sitting time and physical activity on all-cause mortality in Spain: a population-based prospective study.","authors":"Beatriz Granero-Melcón, Miguel Ángel de la Cámara, Cristina Ortiz, Alejandro Martínez-Portillo, Montserrat Neira-León, Iñaki Galán","doi":"10.1093/eurpub/ckaf029","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf029","url":null,"abstract":"The extent to which physical activity (PA) may offset the risks associated with sedentarism is not yet well understood. We evaluated the independent and the combined effects of PA and sitting time (ST) on all-cause mortality in the Spanish population. Prospective study with 31 100 participants aged 18-69 years from the 2011-2012 and 2017 National Health Surveys; data were linked to mortality records through December 2022. ST was categorized as ≤4 h/day, >4-6 h/day, and >6 h/day, and PA was assessed using the International Physical Activity Questionnaire. PA was classified as (i) low, moderate, or high and (ii) adherence to World Health Organization (WHO) recommendations. Relative risks (RR) were estimated using Poisson regression models. The median follow-up time was 5.7 years, recording 1128 deaths. Individuals with ST >6 h/day had an RR (95% confidence interval) of 1.60 (1.34; 1.92) compared to those with ST ≤4 h/day. In contrast, those with high vs. low PA had an RR of 0.63 (0.51; 0.79), and those meeting WHO recommendations had an RR of 0.60 (0.50; 0.73). When analyzed jointly, individuals who met recommendations and had low ST, compared to those with moderate and high ST, had estimated RRs of 1.17 (0.75; 1.85) and 1.30 (0.83; 2.05), respectively. Among those who did not meet recommendations, the RR increased to 1.51 (1.19; 1.92), 2.06 (1.59; 2.68), and 2.65 (2.06; 3.42) for low, moderate, and high ST, respectively. PA and ST are independently associated with mortality. The risk associated with sedentarism can be partially offset by being physically active.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143572509","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

Innovation leadership perspective in public health.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-03-01 DOI: 10.1093/eurpub/ckae217

Moredreck Chibi, Gauden Galea

引用次数: 0

Developing evidence-based, values-driven skills: WHO-ISPED European public health leadership course 2023.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-03-01 DOI: 10.1093/eurpub/ckae189

Geneviève Chêne, Mili Spahic, Joao Breda, Katarzyna Czabanowska

引用次数: 0

Public health competencies: what does the next generation of professionals deem important?

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-03-01 DOI: 10.1093/eurpub/ckae201

Monica-Georgiana Brînzac, Marieke Verschuuren, Lore Leighton, Robert Otok

{"title":"Public health competencies: what does the next generation of professionals deem important?","authors":"Monica-Georgiana Brînzac, Marieke Verschuuren, Lore Leighton, Robert Otok","doi":"10.1093/eurpub/ckae201","DOIUrl":"10.1093/eurpub/ckae201","url":null,"abstract":"To adequately address many complex societal challenges, the public health workforce needs to learn new competencies. It is of particular interest to know what young people consider important in this regard, as they represent the future generation of public health professionals. Public health students and early career professionals in Europe were asked by means of an online questionnaire which of the competencies included in the 2020 WHO-ASPHER Competency Framework for the Public Health Workforce in the European Region they deemed most important for their future careers, and how well prepared they felt to execute these competencies in practice. In total, 127 respondents were included from 25 countries. They ranked Promoting health, Science and practice, and Leadership and systems thinking as the most important competency areas for their future careers. The first two were also the competencies for which the respondents felt best prepared, while they felt less prepared for Leadership and systems thinking. Other competencies that they felt less prepared for were Law, policies, and ethics; Governance and resource management; and One health and health security. This study shows a mismatch between what young professionals deem most important and what they feel best prepared for. The respondents did not feel well prepared for several competencies that are vital for a well-equipped future public health workforce. Public health in Europe would benefit from a unified public health curriculum that implies a list of mandatory competencies and a closer collaboration between academia with students and young professionals and the public health sector.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"35 Supplement_2","pages":"ii11-ii16"},"PeriodicalIF":3.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700089","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

Competency-based and problem-based learning methodologies: the WHO and ISS European Public Health Leadership Course.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-03-01 DOI: 10.1093/eurpub/ckae178

Donatella Barbina, Joao Breda, Alfonso Mazzaccara, Alessandra Di Pucchio, Guglielmo Arzilli, Camilla Fasano, Christos Triantafyllou, Thanos Myloneros, Carlo Signorelli, Silvia Stacchini, Stefania Bocci, Lucia Dell' Amura, Gaetano Pierpaolo Privitera, Luigi Bertinato, Natasha Azzopardi-Muscat, Silvio Brusaferro

{"title":"Competency-based and problem-based learning methodologies: the WHO and ISS European Public Health Leadership Course.","authors":"Donatella Barbina, Joao Breda, Alfonso Mazzaccara, Alessandra Di Pucchio, Guglielmo Arzilli, Camilla Fasano, Christos Triantafyllou, Thanos Myloneros, Carlo Signorelli, Silvia Stacchini, Stefania Bocci, Lucia Dell' Amura, Gaetano Pierpaolo Privitera, Luigi Bertinato, Natasha Azzopardi-Muscat, Silvio Brusaferro","doi":"10.1093/eurpub/ckae178","DOIUrl":"10.1093/eurpub/ckae178","url":null,"abstract":"The WHO European Programme of Work, 2020-2025 'United Action for Better Health in Europe', backed up by the Regional Director's vision, recognizes the need to invest in public health leadership towards addressing the multifaceted public health challenges in the WHO European Region. The WHO Regional Office for Europe in collaboration with the Italian National Institute of Health (Istituto Superiore di Sanità-ISS) developed the first European Public Health Leadership Course to support Member States in building their capacity. The course was delivered in blended modality over a period of 3 weeks (7-25 November 2022). It was structured according to the Competency-Based Education model and Problem-Based Learning methodology. Data analyses were conducted on the cohort of the course's 'Completers'. The formative assessment was conducted by a pre-post training questionnaire, while the summative assessment included three evaluation tools, in which participants were required to get a minimum overall mean score of 75/100 to pass the course. Thirty-eight participants passed all the summative tests out of 39 enrolled. The analysis of the multiple-choice questions showed an increase in knowledge. Survey results showed a high level of satisfaction. The course offered a mix of both theoretical and practical approaches, allowing participants to gain in-depth knowledge and develop skills that can be applied in their daily work. The successful completion of the course is expected to promote the development of the public health workforce in the eastern and southern parts of the WHO European Region.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"35 Supplement_2","pages":"ii21-ii28"},"PeriodicalIF":3.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700084","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 future of public health: a vision grounded in data and values.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-03-01 DOI: 10.1093/eurpub/ckae177

Sandro Galea

引用次数: 0

Restoring trust in public health: communications lessons from person-centered health care.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-03-01 DOI: 10.1093/eurpub/ckae151

Robert Steiner, Seema Yasmin

引用次数: 0