European Journal of Public Health最新文献_第6页

Perspectives of healthcare professionals on medical care in nursing homes in Germany and The Netherlands: an explorative study using qualitative content analysis. 医疗保健专业人员对德国和荷兰养老院医疗保健的看法：一项使用定性内容分析的探索性研究。

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2025-09-26 DOI: 10.1093/eurpub/ckaf176

Alexander M Fassmer, Adele Grenz, Markus Ennen, Sytse U Zuidema, Kathrin Boerner, Sarah I M Janus, Yvet Mooiweer, Falk Hoffmann

{"title":"Perspectives of healthcare professionals on medical care in nursing homes in Germany and The Netherlands: an explorative study using qualitative content analysis.","authors":"Alexander M Fassmer, Adele Grenz, Markus Ennen, Sytse U Zuidema, Kathrin Boerner, Sarah I M Janus, Yvet Mooiweer, Falk Hoffmann","doi":"10.1093/eurpub/ckaf176","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf176","url":null,"abstract":"The organization of healthcare for nursing home residents varies widely between systems, even between neighbouring countries such as Germany and the Netherlands. This study compares healthcare professionals' perspectives on strengths and challenges in medical care for nursing home residents in Germany and the Netherlands. Semistructured interviews were conducted in Germany with six nursing staff from six nursing homes and six general practitioners (GPs) in private practice and in the Netherlands with one elderly care physician (ECP) and seven nursing staff members from six nursing homes between August 2023 and March 2024. Interviews were audio recorded, transcribed, translated, and analysed using qualitative content analysis. Participants reported that Germany and the Netherlands face rising long-term care demands due to aging populations, however, their nursing home care models differ substantially. In Germany, care is reactive and fragmented, with external professionals, especially GPs, providing care. Challenges include delays, limited communication, and a lack of standardized processes. Conversely, the Netherlands adopts a structured, preventive approach, led by ECPs supported by multidisciplinary teams. This model emphasizes proactive monitoring, team collaboration, and holistic care but faces workload challenges and limited specialist access. Interprofessional collaboration is more hierarchical and record-based in Germany, while it is team-oriented and conversational in the Netherlands. This study highlights key differences in the organization of nursing home care in Germany and the Netherlands, particularly in access to specialists, interprofessional collaboration, and structures. Potential adaptations to improve care must fit within the existing structures of each healthcare system.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145184860","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

Level of education, labor-market marginalization, and alcohol-related mortality: a cohort study of Swedish men. 教育水平、劳动力市场边缘化和酒精相关死亡率：瑞典男性队列研究

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2025-09-25 DOI: 10.1093/eurpub/ckaf163

Emelie Thern, Tomas Hemmingsson, Emma Carlsson, Katarina Kjellberg, Melody Almroth

{"title":"Level of education, labor-market marginalization, and alcohol-related mortality: a cohort study of Swedish men.","authors":"Emelie Thern, Tomas Hemmingsson, Emma Carlsson, Katarina Kjellberg, Melody Almroth","doi":"10.1093/eurpub/ckaf163","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf163","url":null,"abstract":"Social inequalities in alcohol-related morbidity and mortality are well-established, but the reasons are not fully understood. One possible reason is labor market difficulties stemming from lower educational qualifications, leading to alcohol-related harm. The present study aims to investigate the extent to which differences in labour market marginalization (LMM) (including differences in timing and type of LMM) explain educational differences in alcohol-related mortality, and whether this is independent of pre-labor market selection factors. A register-based cohort study included all men born between 1949 and 1951 who underwent Swedish military conscription in 1969/70 and were alive at age 55 (n = 45 168). Nationwide registers provided data on education level and alcohol-related mortality. LMM was measured by unemployment, sickness absence, and disability pension. Pre-labor market factors included health behaviors, cognitive ability, and health from conscription exams. Cox regression analyses were used to obtain hazard ratios (HR) with 95% confidence intervals (CI). The explanatory role of LMM was assessed by percentage attenuation of HR. Men with primary and secondary education had higher risks of alcohol-related mortality (HR: 4.23, HR: 2.92) compared to those with university education. LMM explained a substantial part of these differences (42% and 37%). However, LMM's effect was smaller (18% and 7%) when pre-labor market factors were considered. Men with lower education levels in Sweden are more likely to die from alcohol-related causes compared to higher educated men. While differences in LMM contribute to these disparities, its explanatory power diminishes when considering pre-labor market factors, suggesting potential selection effects.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137056","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

Educational differences in adult body mass index: age-period-cohort analysis using cohort data from 2000 to 2022. 成人身体质量指数的教育差异：使用2000 - 2022年队列数据的年龄-时期队列分析。

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2025-09-23 DOI: 10.1093/eurpub/ckaf157

Jatta Valkonen, Lauri Valkonen, Tea Lallukka

{"title":"Educational differences in adult body mass index: age-period-cohort analysis using cohort data from 2000 to 2022.","authors":"Jatta Valkonen, Lauri Valkonen, Tea Lallukka","doi":"10.1093/eurpub/ckaf157","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf157","url":null,"abstract":"Lower socioeconomic position is linked to higher body mass index (BMI) across the life course, but the contributions of age, period, and cohort in this association are less understood. This study examined age, period, and cohort effects on educational differences in BMI over a 22-year follow-up. We used repeated Helsinki Health Study survey data from 2000 to 2022. In Phase 1 (2000-02 for the 'ageing cohort', aged 40-60, n = 8960; and 2017 for the 'employee cohort', aged 19-39, n = 5898), all participants were employees of the City of Helsinki, Finland. We calculated participants' BMI from their self-reported height and weight in each period and divided participants' educational attainment into high and low. The final sample comprised 11 636 women and 3037 men. We used generalised additive mixed models for the age-period-cohort analyses. Educational differences in BMI mostly widened until late midlife and then stabilised. Younger participants and more recent cohorts had the steepest increases in BMI over periods, and their educational differences moderately narrowed. However, BMI increased in all cohorts, educational groups, and both genders over periods. Although the educational differences in BMI were clear among earlier cohorts, the overall patterns in their BMI trajectories were highly similar between the educational groups. Since age, period, and cohort each affected the development of educational differences in BMI over time, they should be considered when estimating future trends in socioeconomic inequalities in BMI and when planning policy actions to tackle these inequalities.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124494","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

School performance and substance use disorders in early adulthood among non-immigrant and immigrant populations in Sweden. 瑞典非移民和移民人口成年早期的学校表现和物质使用障碍。

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2025-09-23 DOI: 10.1093/eurpub/ckaf164

Kenta Okuyama, Sara Larsson Lönn, Ardavan M Khoshnood, Jan Sundquist, Kristina Sundquist

{"title":"School performance and substance use disorders in early adulthood among non-immigrant and immigrant populations in Sweden.","authors":"Kenta Okuyama, Sara Larsson Lönn, Ardavan M Khoshnood, Jan Sundquist, Kristina Sundquist","doi":"10.1093/eurpub/ckaf164","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf164","url":null,"abstract":"Individuals with immigrant background generally perform less well in school than non-immigrants. Performing well in school may decrease the risk of substance use disorder (SUD). We investigated whether higher school performance is associated with a decreased risk of SUD in early adulthood among immigrants and non-immigrants and whether subsequent educational attainment and employment status partly explain the association. We used nationwide longitudinal Swedish data on 1 365 634 individuals born 1985-2000. Study individuals were categorized as non-immigrants, second-generation immigrants, and first-generation immigrants. School performance was based on the final school grades of compulsory education when most individuals were 16 years old. SUD was assessed between 20 and 30 years old using medical/legal registers. Cox proportional hazard models were used to examine the association between school performance and SUD by immigrant status, and whether it was partly explained by subsequent educational attainment and employment status. Higher school performance was associated with a decreased risk of SUD among all non-immigrant and immigrant groups where most immigrant groups had higher SUD risks. One standard deviation increase in school grades was associated with a 30%-37% decreased hazard of SUD. The significant hazard ratios varied between 0.63 and 0.70. The association between school performance and SUD was partly explained by subsequent educational attainment and employment status. Improving school performance during compulsory education may prevent SUD in early adulthood, particularly among immigrants who had higher risks. Securing subsequent educational attainment and employment could be additional prevention strategies against SUD.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124603","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

The nitazene epidemic in Estonia: a first report. nitazene在爱沙尼亚流行：第一份报告。

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2025-09-23 DOI: 10.1093/eurpub/ckaf160

Katri Abel-Ollo, Mailis Tõnisson, Peep Rausberg, Aime Riikoja, Tarmo Barndõk, Mikk Oja, Gleb Denissov, Don Des Jarlais, Anneli Uusküla

{"title":"The nitazene epidemic in Estonia: a first report.","authors":"Katri Abel-Ollo, Mailis Tõnisson, Peep Rausberg, Aime Riikoja, Tarmo Barndõk, Mikk Oja, Gleb Denissov, Don Des Jarlais, Anneli Uusküla","doi":"10.1093/eurpub/ckaf160","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf160","url":null,"abstract":"Since 2022, Estonia, a north-east European nation of 1.3 million people, has faced challenges with nitazenes, a class of novel synthetic opioids, which present a new threat to public health. The purpose of this article is to provide the timeline of the nitazene epidemic in Estonia, examining the prevalence and health consequences of nitazene use in the country. This case study uses a multifaceted approach. Data sources include administrative statistics, surveillance and research data, national service provision information, and government documentation from 2015 to 2024, with a focus on health consequences from 2019 to 2024. Quantitative data is complemented by qualitative interviews with nitazene users. The number of drug-related deaths in Estonia has more than doubled since 2022 (39 vs. 80 cases), exceeding over 100 cases in 2023. The increasing prevalence of nitazenes from 2022 is confirmed by syringe residue studies and seizure data. Nitazenes are often sold on the drug market, usually with no or limited information to the user about the substance being sold. Users frequently describe the effect of nitazenes as stronger, faster, sharper and more short-lived compared to fentanyl. Harm reduction services have seen increased utilization since 2022, with first responders facing growing challenges linked to the emergence of the nitazene phenomenon. This study provides the first comprehensive description of the nitazene epidemic. Results indicate a need for more evidence-based information on the use of nitazenes and their consequences to effectively address emerging challenges.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145130141","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

Correction to: Remote workers' life quality and stress during COVID-19: a systematic review. 修正：2019冠状病毒病期间远程工作者的生活质量和压力：一项系统综述。

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2025-09-19 DOI: 10.1093/eurpub/ckaf169

引用次数: 0

Geographical and socio-economic inequalities in years of life lost across Norwegian municipalities and city districts in 2019: an ecological registry-based study. 2019年挪威各城市和城市地区寿命损失的地理和社会经济不平等：一项基于生态登记的研究。

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2025-09-18 DOI: 10.1093/eurpub/ckaf086

Hege Breivik, Ingeborg Forthun, Ann K S Knudsen, Lode van der Velde, Carl M Baravelli

{"title":"Geographical and socio-economic inequalities in years of life lost across Norwegian municipalities and city districts in 2019: an ecological registry-based study.","authors":"Hege Breivik, Ingeborg Forthun, Ann K S Knudsen, Lode van der Velde, Carl M Baravelli","doi":"10.1093/eurpub/ckaf086","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf086","url":null,"abstract":"Understanding local level impact of socio-economic and spatial disparities on health outcomes is crucial for informing effective public health interventions. This study examines the association between socio-economic factors, centrality, and premature mortality-measured as years of life lost (YLLs)-across Norwegian municipalities. We conducted an ecological, cross-sectional registry-based study across municipalities and districts, each with populations exceeding 1000 as of 1 January 2019. Data on mortality, demographics, education, income, and centrality were sourced from Statistics Norway. All-cause YLLs were calculated by multiplying age-specific mortality numbers by aspirational life expectancy from the Global Burden of Disease 2019 life tables. Municipalities were divided into quartiles based on a composite socio-economic position (SEP) score that integrated education and income, and grouped into centrality categories. Mixed-effects negative binomial regression models, crude and adjusted for age categories and sex, evaluated both relative and absolute associations. The lowest SEP quartile, assessed with a composite SEP score, had a 15% higher YLL rate compared to the highest quartile [incidence rate ratio (IRR) = 1.15; 95% confidence interval (CI) = 1.07-1.24], amounting to an absolute difference of 2127 YLLs per 100 000 population. Similarly, the least central quartile exhibited a 15% higher YLL rate compared to the most central one (IRR = 1.15; 95% CI = 1.09-1.21), translating to an absolute difference of 2057 YLLs per 100 000 population. There are substantial inequalities in premature mortality across Norwegian municipalities, strongly linked to municipal SEP and centrality.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091466","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

Europe's future is at stake: no Public Health without Occupational Health. 欧洲的未来岌岌可危：没有职业健康就没有公共卫生。

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2025-09-18 DOI: 10.1093/eurpub/ckaf173

Angelique de Rijk, Ute Bültmann

引用次数: 0

Unemployment during life can lead to metabolic syndrome in adult age. A 40-year follow-up of the Northern Swedish Cohort. 生活中失业可导致成年期代谢综合征。对瑞典北部人群的40年随访。

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2025-09-17 DOI: 10.1093/eurpub/ckaf166

Anne Hammarström, Maria Albin, Lars Alfredsson, Sofia Hernnäs, Katarina Kjellberg, Pekka Virtanen

{"title":"Unemployment during life can lead to metabolic syndrome in adult age. A 40-year follow-up of the Northern Swedish Cohort.","authors":"Anne Hammarström, Maria Albin, Lars Alfredsson, Sofia Hernnäs, Katarina Kjellberg, Pekka Virtanen","doi":"10.1093/eurpub/ckaf166","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf166","url":null,"abstract":"Little is known about the physiological outcomes of unemployment during life. The aim of this study is to analyse if exposure to unemployment during different age periods can lead to metabolic syndrome (MetS) in middle-aged men and women. Can sensitive periods be identified? Data from the Northern Swedish Cohort was used, a longitudinal study of school leavers from 1981. Over the 40-year period, the retention rate was 90%. MetS at age 56 was measured with clinical examinations, while the exposure was measured with retrospective matrices between follow-ups. Exposure was cut into tertiles in each age group, the contribution to risk from each month of exposure was also analysed, using logistic regression. Short-term exposure to unemployment in early teens (<12 weeks) as well as long-term exposure to unemployment during life (>24 months) was related to MetS among women. In addition, exposure to unemployment >24 months during age 22-30 was related to MetS in adult life among both men and women. A significant dose-response was found among men and women in the ages 22-30 and among women in the whole age period. All results were controlled for socioeconomic status, obesity and drinking, used as time-dependent confounders. Our study showed that long-term exposure to unemployment during life can lead to MetS in adult age among women. Sensitive periods were identified in young age among both men and women. Our findings can be understood as a maladaptive response to chronic stress over life becoming embodied as MetS in adult life and calls for offensive, age-adjusted gender-sensitive interventions on the labour market.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091677","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

Sociodemographic factors influencing childhood vaccination in Albania: a cross-sectional study. 影响阿尔巴尼亚儿童疫苗接种的社会人口因素：一项横断面研究。

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2025-09-16 DOI: 10.1093/eurpub/ckaf151

Ledia Qatipi, Albana Fico, Ervin Toci, Manjola Shtylla, Mandy Biles

{"title":"Sociodemographic factors influencing childhood vaccination in Albania: a cross-sectional study.","authors":"Ledia Qatipi, Albana Fico, Ervin Toci, Manjola Shtylla, Mandy Biles","doi":"10.1093/eurpub/ckaf151","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf151","url":null,"abstract":"Vaccine hesitancy (VH) is a growing threat to global health. In Albania, VH has increased over the past decade, with childhood immunization rates declining from 94% in 2008-2009 to 75% in 2017-2018. Current literature exploring sociodemographic influences on VH in Albania is limited. This study aims to identify key sociodemographic factors associated with VH among caregivers of children aged 0-18 years. A total of 4082 Albanian parents or legal caregivers participated in this cross-sectional study. A validated, anonymous questionnaire was used to collect sociodemographic data, behaviours and attitudes towards vaccines, and beliefs regarding vaccines safety and efficacy. Caregivers were randomly selected from health centres across Albania. VH and vaccine refusal were self-reported by 27.3% and 17.6% of respondents, respectively. Regression analysis identified significant factors influencingVH: marital status (single, widowed, separated, or divorced) (OR 1.91, 95% CI 1.4-2.7), urban residency (OR 1.7, 95% CI 1.4-2.0), having more than four children (OR 10.02, 95% CI 5.2-19.3), doctorate level education (OR 1.99, 95% CI 1.2-3.4), very poor income (OR 13.82, 95% CI 7.0-27.5), Roma ethnicity (OR 18.03, 95% CI 8.2-39.6), Evangelical Christian affiliation (OR 3.33, 95% CI 2.3-4.8), and Muslim faith (OR 1.33, 95% CI 1.1-1.7). Consulting a paediatrician or healthcare professional increased the odds of VH/refusal by 1.88 and 2.09 times, respectively. Sociodemographic factors are significant factors influencing parental VH in Albania. These insights can lead public health decision-makers in targeting hesitant parent groups and developing educational interventions that address specific barriers and concerns.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091681","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