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

Opinion of Polish doctors on the use of futile therapy. 波兰医生对无效治疗的看法。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-01 DOI: 10.1093/eurpub/ckae202

Maria Damps, Maksymilian Gajda, Łukasz Wiktor, Elżbieta Byrska-Maciejasz, Beata Rybojad, Małgorzata Kowalska, Alicja Bartkowska-Śniatkowska, Anna Paprocka-Lipińska, Ewa Kucewicz-Czech

{"title":"Opinion of Polish doctors on the use of futile therapy.","authors":"Maria Damps, Maksymilian Gajda, Łukasz Wiktor, Elżbieta Byrska-Maciejasz, Beata Rybojad, Małgorzata Kowalska, Alicja Bartkowska-Śniatkowska, Anna Paprocka-Lipińska, Ewa Kucewicz-Czech","doi":"10.1093/eurpub/ckae202","DOIUrl":"10.1093/eurpub/ckae202","url":null,"abstract":"The discontinuation of futile therapy is increasingly discussed in Polish clinical practice. Given the need to ensure patient well-being, it is essential to consider whether all clinical options resulting from medical progress should be used for every patient and on what grounds decisions to limit therapy should be based. The aim of our study was to determine the opinions of Polish medical doctors on this topic. We anonymously surveyed physicians across various specialties. An analysis of the collected data was carried out using descriptive and analytical methods. A total of 323 physicians participated in the study; 93% of them were aware of the problem of futile therapy in adults, with intensivists being significantly more aware (P = 0.002). Additionally, 95% of respondents supported the idea of discontinuing futile therapy, and over 68% used the therapy discontinuation protocol. Among the most common reasons for undertaking futile therapy, respondents cited fear of legal liability (93.5%), as well as fear of being accused of unethical behavior (62.2%) and fear before talking to the patient/patient's family and their reactions (57.9%). Respondents also identified factors that would facilitate making decisions about limiting futile therapy, including precise qualification criteria for limiting therapy and education in this area (95.3%), the patient's declaration of will (87.5%), and a clear legal act (81.3%). The majority of study participants supported the idea of limiting futile therapy, and this issue is well known among Polish physicians.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"201-208"},"PeriodicalIF":3.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142871774","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

Intermarriage and mortality among Finnish migrants in Sweden: a prospective register study using binational data. 在瑞典的芬兰移民的通婚和死亡率：利用两国数据进行的前瞻性登记研究。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-01 DOI: 10.1093/eurpub/ckae179

Kaarina Korhonen, Agneta Cederström, Pekka Martikainen, Olof Östergren

{"title":"Intermarriage and mortality among Finnish migrants in Sweden: a prospective register study using binational data.","authors":"Kaarina Korhonen, Agneta Cederström, Pekka Martikainen, Olof Östergren","doi":"10.1093/eurpub/ckae179","DOIUrl":"10.1093/eurpub/ckae179","url":null,"abstract":"Conjugal ties may contribute to a convergence of health behaviours between migrants and natives, but the association between intermarriage and health outcomes remains understudied. We investigated mortality patterns among Finnish migrants in Sweden according to the spouse's country of birth and compared these patterns with those observed in the native populations of both Sweden and Finland. Leveraging register data from Sweden and Finland, we identified all married Finnish migrants aged 40-64 and their spouses in Sweden in 1999 and corresponding reference groups in both countries. We used a combination of direct matching and inverse probability weighting to adjust for sociodemographic differences between the groups. We followed individuals for all-cause, alcohol-related, smoking-related, and cardiovascular disease (CVD) mortality during 2000-17. Accounting for sociodemographic characteristics, Finnish migrant men married to Swedish-born as opposed to Finnish-born spouses showed lower all-cause [incidence rate ratio (IRR) 0.94, 95% confidence interval (CI) 0.90-0.98], and CVD mortality (IRR 0.88, 95% CI 0.81-0.95), levels more akin to native Swedes. Migrant women with Swedish-born spouses instead had higher smoking-related mortality (IRR 1.41, 95% CI 1.24-1.61) than those married to Finnish-born spouses, mirroring the higher smoking-related mortality of native Swedish women. Individual-level regression analysis on migrants further indicated lower alcohol-related mortality for intermarried men, adjusted for duration of marriage (IRR 0.74, 95% CI 0.56-0.98). These findings suggest that intermarriage with a native spouse can facilitate the convergence of health behaviours and behaviour-related mortality between migrants and natives.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"386-394"},"PeriodicalIF":3.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142681225","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

Modelling annual prevalence of tobacco consumption in Spain, 1991-2020. 1991-2020年西班牙烟草消费年度流行率模型。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-01 DOI: 10.1093/eurpub/ckaf015

Carla Guerra-Tort, Esther López-Vizcaíno, María Isolina Santiago-Pérez, Julia Rey-Brandariz, Cristina Candal-Pedreira, Leonor Varela-Lema, Iñaki Galán, Alberto Ruano-Ravina, Mónica Pérez-Ríos

{"title":"Modelling annual prevalence of tobacco consumption in Spain, 1991-2020.","authors":"Carla Guerra-Tort, Esther López-Vizcaíno, María Isolina Santiago-Pérez, Julia Rey-Brandariz, Cristina Candal-Pedreira, Leonor Varela-Lema, Iñaki Galán, Alberto Ruano-Ravina, Mónica Pérez-Ríos","doi":"10.1093/eurpub/ckaf015","DOIUrl":"10.1093/eurpub/ckaf015","url":null,"abstract":"The aim of this study was to estimate the series of tobacco smoking prevalence year-by-year in Spain, by sex and age group, for the period 1991-2020. Based on smoking prevalence obtained from national surveys and smoking-related auxiliary information from public statistics, we fitted a multinomial logistic mixed model with random area and time effects. Joinpoint regression was used to identify changes in the prevalence series across the period. To analyse the precision of the model-based estimates, we calculated the coefficients of variation. Between 1991 and 2020, the prevalence of smoking in Spain decreased in both sexes. In the 15-24 age group, the prevalence of smokers showed no differences by sex until 2007, after which prevalence in men exceeded that of women. However, in women aged 55 and over prevalence of smoking has been rising since 1991. After applying the model, the precision of smoking prevalence estimates improved. The reconstruction of a detailed series of tobacco smoking prevalence provides insight into the evolution of the tobacco epidemic in Spain. A detailed analysis by sex and age shows different trends in the prevalence of smoking among women that should be considered when control measures are formulated.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"263-269"},"PeriodicalIF":3.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143596443","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

Social listening applied to tailor communication on immunization in the Republic of Moldova. 在摩尔多瓦共和国，将社会倾听应用于免疫接种的定制传播。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-01 DOI: 10.1093/eurpub/ckae161

Alina Timotin, Adriana Paladi, Valentin Mita, Valeria Chihai, Oleg Lozan

{"title":"Social listening applied to tailor communication on immunization in the Republic of Moldova.","authors":"Alina Timotin, Adriana Paladi, Valentin Mita, Valeria Chihai, Oleg Lozan","doi":"10.1093/eurpub/ckae161","DOIUrl":"10.1093/eurpub/ckae161","url":null,"abstract":"Although the Republic of Moldova had good vaccination rates, anti-vax messages have recently begun to spread, eroding the population's confidence. Vaccination coverage against measles, mumps, and rubella at the target age of 12 months decreased from 95% in 2008 to 83% in 2021. The recent measles outbreak in Romania and three confirmed cases in Moldova, combined with the refugee crisis, have highlighted the importance of vaccination and sparked online conversations on this subject. A mixed-methods study was conducted, involving social listening activities on immunization using the Talkwalker software and qualitative analysis of the identified narratives. Out of 450 identified comments, 30 were selected for further analysis. Over 5 months, a total of 865 results were obtained, with an engagement rate of 6300. The peak in results occurred between 11 and 18 December, driven by the recent measles outbreak in Romania, which saw several confirmed cases and one death, as well as the first cases of measles in Moldova after 3 years. However, no significant increase in the engagement rate was recorded. Comments on immunization tended to reflect distrust in authorities and doctors, political and ideological views, and a lack of knowledge about the risks of vaccine-preventable diseases. The analysed conversations are assessed as having a low risk of spreading, though some employ techniques to influence or manipulate behaviours. The topic of vaccination is used to promote political ideologies through messages issued by the mass media. The information vacuum must be filled with messages designed to produce attitude change regarding vaccination.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"270-275"},"PeriodicalIF":3.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142521363","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

Effects of changes to income tax and devolved benefits in Scotland on health inequalities: a modelling study. 苏格兰所得税和下放福利变化对健康不平等的影响：一项模型研究。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-01 DOI: 10.1093/eurpub/ckaf009

Elizabeth Richardson, David Walsh, Gerry McCartney, Andrew Pulford, Mark Robinson

{"title":"Effects of changes to income tax and devolved benefits in Scotland on health inequalities: a modelling study.","authors":"Elizabeth Richardson, David Walsh, Gerry McCartney, Andrew Pulford, Mark Robinson","doi":"10.1093/eurpub/ckaf009","DOIUrl":"10.1093/eurpub/ckaf009","url":null,"abstract":"There is a well-understood relationship between inequalities in income and health. We assessed how changes to income tax and social security-options recently devolved to the Scottish Government-could affect income and life expectancy inequalities. We used the microsimulation model UKMOD to estimate policies' effects on household income distribution by socioeconomic deprivation, compared to baseline (Scottish income tax schedule for 2022/23). We then used the 'Triple I' (Informing Interventions to reduce health Inequalities) scenario modelling approach to estimate mortality effects for the income changes and calculated inequalities in life expectancy at birth. Scenario health impacts were determined largely by how much money they gave or took from households in the most deprived areas. Policies that increased incomes for households in deprived areas tended to reduce inequalities in life expectancy. Although we found this also applied to tax-cutting policies that increased income inequality, our estimates did not account for the public spending cuts that these costly policies would necessitate and their likely widening effect on health inequalities. Combining the best-performing (i.e. greatest positive impact) revenue-generating and revenue-spending policies we modelled-tax increases targeted at high earners and a doubling the value of social security benefits-would generate net revenue while reducing income inequality by approximately 10% and inequalities in life expectancy by 8% to 9%, but sizeable inequalities would remain. A multifaceted approach based on combinations of policies-including, but not limited to, bolder income tax measures-is required to achieve meaningful reductions in inequalities.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"242-248"},"PeriodicalIF":3.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398694","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

Excess healthcare utilization and costs linked to chronic conditions: a comparative study of nine European countries. 与慢性病相关的过度医疗使用和成本：九个欧洲国家的比较研究。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-01 DOI: 10.1093/eurpub/ckaf012

Boris Polanco, Ana Oña, Armin Gemperli, Diana Pacheco Barzallo

{"title":"Excess healthcare utilization and costs linked to chronic conditions: a comparative study of nine European countries.","authors":"Boris Polanco, Ana Oña, Armin Gemperli, Diana Pacheco Barzallo","doi":"10.1093/eurpub/ckaf012","DOIUrl":"10.1093/eurpub/ckaf012","url":null,"abstract":"The increasing prevalence of chronic conditions is a significant challenge for healthcare systems worldwide, not only from a public health perspective but also for the aggregate cost that these represent. This paper estimates the additional use of healthcare services due to chronic health conditions and their associated costs in nine European countries. We analyzed inpatient and outpatient healthcare utilization using longitudinal data (Survey of Health, Ageing and Retirement in Europe [SHARE]). We implemented a difference-in-differences approach across multiple time periods. Monetary estimates were derived using WHO-CHOICE healthcare service costs. To compare countries, we calculated the healthcare cost burden of chronic conditions as a percentage of total health expenditure. People with chronic conditions require significantly more healthcare services than those without such conditions, averaging three additional outpatient visits and one extra overnight inpatient stay annually. These patterns vary across countries. In Germany, outpatient care usage is particularly high, with an average of four additional visits, while Switzerland leads in inpatient care with two extra overnight stays. The associated costs also differ widely, influenced by variations in healthcare demand, service pricing, and the prevalence of chronic conditions in each country. Chronic conditions significantly increase healthcare utilization, and demographic trends suggest this demand will continue to grow steadily. This rising pressure poses serious challenges for healthcare systems, necessitating a shift toward more efficient service delivery models.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"216-227"},"PeriodicalIF":3.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398699","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 different definitions of multimorbidity and their implications for research, surveillance, and policy. 多病症的不同定义及其对研究、监测和政策的影响。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-01 DOI: 10.1093/eurpub/ckae193

Sarah Cuschieri, Saverio Stranges, Tatjana T Makovski

引用次数: 0

Drinking guidelines: balancing between science and popular opinion. 饮酒指南：科学与民意之间的平衡。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-01 DOI: 10.1093/eurpub/ckae194

Sven Andreasson

引用次数: 0

The need for sustainable innovation in an era of political uncertainty. 在一个政治不确定的时代，可持续创新的必要性。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-01 DOI: 10.1093/eurpub/ckaf021

Tit Albreht, Charlotte Marchandise, Ilmo Keskimäki, Floris Barnhoorn

引用次数: 0

Women's physical health around live births and pregnancy losses: a longitudinal study. 活产和流产对妇女身体健康的影响：一项纵向研究。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-01 DOI: 10.1093/eurpub/ckaf013

Alessandro Di Nallo

{"title":"Women's physical health around live births and pregnancy losses: a longitudinal study.","authors":"Alessandro Di Nallo","doi":"10.1093/eurpub/ckaf013","DOIUrl":"10.1093/eurpub/ckaf013","url":null,"abstract":"This study examines the long-term physical health impacts of pregnancy outcomes, comparing women who experienced live births to those who had pregnancy losses (miscarriages or stillbirths). While previous research has documented short-term links between pregnancy outcomes and physical health, fewer studies have explored these associations over the long term, particularly considering women's preconception health. Data were drawn from the Understanding Society Survey [UK Household Longitudinal Study (UKHLS)] from 2009 to 2023. The sample included 2386 women who reported their first pregnancy and were observed over multiple time points, both before and after pregnancy. Physical health was assessed using the Physical Component Summary (PCS) from the 12-item Short Form Survey (SF-12) questionnaire. Linear fixed-effects models were used to analyze changes in physical health relative to pregnancy outcomes, adjusting for socioeconomic, demographic, and mental health covariates. The analysis revealed a sharp decline in physical health (PCS score) at the end of pregnancy for both groups, with a more pronounced decline among women experiencing pregnancy losses. Post-pregnancy, these women continued to report lower PCS scores compared to those with live births, particularly in the 2 years following pregnancy. The confounders did not fully explain the observed differences. Pregnancy losses are associated with a significant and lasting decline in women's physical health, even after controlling for socio-demographic factors. Women who experience losses often report worse health than those transitioning to motherhood, with symptoms potentially including fatigue, pain, and cardiovascular diseases. These findings underscore the importance of long-term health monitoring and support for women following miscarriage or stillbirth.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"335-341"},"PeriodicalIF":3.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398704","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