European Journal of Public Health最新文献

{"title":"Human dignity, technology, and solidarity in a fractured world: why Magnifica Humanitas matters for public health.","authors":"Tiago Correia, Walter Ricciardi, Martin McKee","doi":"10.1093/eurpub/ckag108","DOIUrl":"10.1093/eurpub/ckag108","url":null,"abstract":"","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 4","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13283443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148294070","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}

{"title":"Autonomous clinical Artificial Intelligence and the validation gap: structural risks and regulatory priorities for European health systems.","authors":"Răzvan Cherecheș","doi":"10.1093/eurpub/ckag068","DOIUrl":"10.1093/eurpub/ckag068","url":null,"abstract":"","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 4","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13282706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148294001","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}

{"title":"Parental violent discipline and adolescent health: is there a different effect when one or both parents are involved?","authors":"Mariana Amorim, Milton Severo, Sílvia Fraga","doi":"10.1093/eurpub/ckag104","DOIUrl":"10.1093/eurpub/ckag104","url":null,"abstract":"<p><p>Children's exposure to parental violence increases the risk of adverse health outcomes. We aimed to examine how combinations of maternal and paternal violent disciplinary practices at ages 7 and 13 years shape adolescents' health-related behaviors and depressive symptoms. This cohort study included 4,610 participants from the Portuguese Generation XXI birth cohort, enrolled at birth (2005-2006) and followed up at ages 7 and 13 years. Maternal and paternal disciplinary tactics were reported using the Parent-Child Conflict Tactics Scale, assessing psychological aggression, corporal punishment, and severe physical assault. Outcomes at age 13 years included health-related behaviors (fighting and substance use) and depressive symptoms. Combined effects of maternal and paternal discipline were assessed using multiplicative and additive interaction models. Mothers used corporal punishment and severe physical assault more frequently with boys, whereas fathers used all types of violent discipline more often with boys than with girls. The use of either corporal punishment or psychological aggression by both mothers and fathers was associated with a multiplicative effect on adolescent substance use. Psychological aggression by both parents also showed an additive effect on risky health-related behaviors and depressive symptoms. The use of severe physical violence by both parents was associated with an additive interaction on health-related bahaviors and depressive symptoms. The combined use of violent discipline by fathers and mothers was associated with a multiplicative increase in the likelihood of adolescent negative health-related behaviors and depressive symptoms, suggesting a synergistic effect with significant implications for early interventions and prevention strategies.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 4","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13265381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148249870","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}

{"title":"Patterns of multimorbidity and their association with edentulism: the moderating role of health literacy in the Lifelines Cohort.","authors":"Trishnika Chakraborty-Groot, Josue Almansa, Andrea F de Winter, Fernando Gregorio Linares-Jimenez, Annemarie A Schuller, Sijmen A Reijneveld","doi":"10.1093/eurpub/ckag099","DOIUrl":"10.1093/eurpub/ckag099","url":null,"abstract":"<p><p>Multimorbidity may affect oral health, especially in individuals with limited health literacy (HL), or specific multimorbidity patterns; however, evidence remains scarce. Understanding these associations could improve early detection and prevention, both in clinical care and public health strategies. This study aimed to assess the association of multimorbidity and multimorbidity patterns with complete tooth loss, i.e. edentulism, and whether HL moderates this association. A total of 42 357 participants from the prospective multigenerational Dutch Lifelines Cohort Study were included. Multimorbidity was defined by ≥2 affected disease domains. Multimorbidity patterns were constructed with latent class analysis. Associations between multimorbidity (and patterns) with edentulism were assessed using logistic regression, with HL as a potential moderator. Models were adjusted for age, household income, and education. Edentulism prevalence was 9.5% and was higher among limited than adequate HL (14.5% vs. 7.9%) and among multimorbid vs. absent (19.5% vs. 7.7%). We identified five patterns: (1) Endocrinological + Psychiatry; (2) Cardiovascular + Endocrinological; (3) Neurological + Otorhinolaryngologic; (4) Endocrinological + Otorhinolaryngologic, and (5) Otorhinolaryngologic + Psychiatric. The odds of edentulism were 2.26 higher (95% CI: 2.06-2.47) in multimorbid. Pattern 2 (Cardiovascular + Endocrinological) had the highest odds ratio of edentulism (OR: 3.52, 95% CI: 3.03; 4.08) compared to multimorbidity absent. HL did not moderate the associations between multimorbidity and edentulism. Edentulism is more likely in the case of multimorbidity, especially if cardiovascular and endocrinological conditions co-occur, an explanation being the shared risk factors. This association remains the same across different HL levels. Our findings support collaborative medical and oral healthcare.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 4","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13275122/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148270959","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}

{"title":"From awareness to action: building monitoring capacity for tobacco and nicotine industry interference-experience from the JA PreventNCD project.","authors":"Taija Voutilainen, Silke Cnockaert, Viðar Jensson, Zala Jeras, Helena Koprivnikar, Anneli Sammel, Stefanie Vandevijvere, Hanna Ollila","doi":"10.1093/eurpub/ckag131","DOIUrl":"10.1093/eurpub/ckag131","url":null,"abstract":"<p><p>Industry interference remains a major barrier to effective tobacco control. WHO Framework Convention on Tobacco Control (FCTC) Article 5.3 obliges Parties to protect public health policies from industry influence, yet systematic monitoring of interference is often lacking. The emergence of new nicotine products and actors further complicate implementation and monitoring. Within Joint Action PreventNCD, we assessed monitoring and information exchange practices related to tobacco and nicotine industry interference in five European countries (Belgium, Estonia, Finland, Iceland, and Slovenia). Partner organizations (n = 5) completed an online questionnaire (July-September 2024) and the responses were descriptively analysed. To supplement the questionnaire data, we continued and expanded the search for recent interference examples until January 2025, covering examples from 2019 to 2024 through a review of publicly available sources; these were categorized by known interference tactics. Although all partners acknowledged the importance of monitoring, most countries lacked protocols, designated entities, or registries for industry interference. While some disclosure measures existed, such as policies requiring disclosure of meetings with industry and potential conflicts of interest, comprehensive safeguards were rare. Interference examples underscored the need for stronger monitoring, as known interference tactics-lobbying, harm-reduction narratives, corporate social responsibility campaigns, and use of front groups-were consistently employed, particularly around regulatory blind spots and new nicotine products. Systematic monitoring of tobacco and nicotine industry interference is essential to safeguard public health policies under WHO FCTC Article 5.3. Building national capacity, fostering collaboration between governments and civil society, and using international benchmarking tools are important steps toward this goal.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 4","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13387598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148548379","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}

{"title":"Use of population-based cancer registry data to evaluate organized breast cancer screening programmes in Europe by mode of detection: a scoping review.","authors":"Wendy Kam, Elodie Guillaume, Quentin Rollet, Dafina Petrova, Nicolás Francisco Fernández-Martínez, Koen van Herck, Marià Carulla, Claudia Pla, Francina Saladié, Cristina Miracle, Vesna Zadnik, Sonja Tomšič, Anne Cowppli-Bony, Guy Launoy, Claudine Backes","doi":"10.1093/eurpub/ckag090","DOIUrl":"10.1093/eurpub/ckag090","url":null,"abstract":"<p><p>Organized breast cancer screening programmes are a cornerstone of cancer control policy across Europe. Population-based cancer registries (PBCRs) play a central role in monitoring screening performance, outcomes, and programme quality. However, the extent and methodological approaches of registry-based evaluations across Europe have not been comprehensively synthesized. Following PRISMA-ScR guidelines, we conducted a scoping review of peer-reviewed studies evaluating organized breast cancer screening programmes in Europe using PBCR data. Studies were identified through systematic database searches and screened using predefined eligibility criteria. Data were extracted on study design, definitions of detection mode, outcome measures, and approaches to bias adjustment. The Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework guided the methodological analysis. Twenty-six studies were included, mainly from Western and Northern Europe, with most published before 2010. Screen-detected cancers consistently showed lower mortality, better survival, and more favourable tumour characteristics than interval or non-screened cancers. However, reporting of screening indicators was inconsistent. Definitions of detection modes, particularly interval cancers, and approaches to bias adjustment varied widely, limiting comparability. Few studies applied comprehensive bias correction or clearly reported registry-screening data linkage. Registry-based evaluations provide valuable evidence on the impact of breast cancer screening programmes, However, the evidence is limited by methodological heterogeneity and limited analytical standardization, reducing its comparability and policy relevance. Strengthening standardized definitions, improving transparency in analytical approaches, and better integrating programme monitoring with research could enhance the public health value of registry-based screening evaluation.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 4","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13275118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148270948","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}

{"title":"Reshaping the social meaning of smoking: the UK's tobacco-free generation policy.","authors":"Britta K Matthes, Jon Berrick","doi":"10.1093/eurpub/ckag107","DOIUrl":"10.1093/eurpub/ckag107","url":null,"abstract":"","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 4","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13356805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148430296","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}

{"title":"National impact of ICD-11 stroke reclassification on projected incidence across the United Kingdom.","authors":"Camila Pantoja-Ruiz, Eva S Emmett, Evelyn Lim, Wasana Kalansooriya, Sophie Rowland-Coomber, Svetlana Mamac, Tayla Schaapveld, Abdel Douiri, Julia Fox-Rushby, Yanzhong Wang, Ajay Bhalla, C D A Wolfe, Matthew D L O'Connell, Iain J Marshall","doi":"10.1093/eurpub/ckag133","DOIUrl":"10.1093/eurpub/ckag133","url":null,"abstract":"<p><p>The ICD-11 stroke definition expands stroke diagnosis by including neuroimaging-confirmed brain lesions regardless of symptom duration. Using directly age- and sex-standardized rates from the South London Stroke Register applied to UK Census 2021/2022 populations, we projected that ICD-11 to increase UK stroke incidence by ∼4.2%, yielding an estimated 2771 additional cases annually (England +2313; Scotland +241; Wales +142; Northern Ireland +75). Ethnicity-adjusted estimates suggested a 6.2% increase for England and Wales. These projections are scenario estimates that assume South London rates apply uniformly across the UK, their central limitation, and their realization will depend on local imaging and referral practice. Many additional cases will likely be managed in outpatient settings, requiring expanded provision, improved MRI, and strengthened cardiovascular prevention.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 4","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13391154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148561176","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}

{"title":"Measuring vision loss beyond blindness: a severity transition in an ageing world.","authors":"Henry Bair","doi":"10.1093/eurpub/ckag137","DOIUrl":"10.1093/eurpub/ckag137","url":null,"abstract":"","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 4","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13391152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148561198","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}

{"title":"Associations between elective inpatient treatment and monthly earnings and employment: a national linked data study in England.","authors":"Hannah Aston, Hannah Bunk, Thomas Henstock, Anushka Madhukar, Svetlana Batrakova, Adam Memon, Vahé Nafilyan, Daniel Ayoubkhani","doi":"10.1093/eurpub/ckag096","DOIUrl":"10.1093/eurpub/ckag096","url":null,"abstract":"<p><p>Poor health is strongly linked to reduced employment, lower earnings, and long-term labour market disengagement. While elective inpatient treatments may improve health, their broader economic impact is not well understood. This study aimed to estimate the long-term relationship between elective inpatient treatment and labour market outcomes across a wide range of specialties in England. We conducted a retrospective, longitudinal study using linked administrative data, combining Hospital Episode Statistics, the 2011 Census, death registrations, and HMRC Pay As You Earn records. Adults aged 25-64 who received elective inpatient care between April 2015 and March 2023 across 32 specialties were included. Monthly earnings and employment status were measured before and after treatment and standardized for age. Interrupted timeseries models with data-driven breakpoints were used to estimate counterfactual labour market trajectories had treatment not occurred. Treatment effects were calculated as the difference between observed and modelled outcomes. Among 4.9 million patients, elective treatment was associated with improved earnings and employment relative to a counterfactual of continued health deterioration. At 60 months after treatment, the largest effects were observed in haematology, oncology, and renal medicine. Across all specialties, cumulative 5-year treatment effects ranged from £47.2 billion to £73.7 billion in additional earnings and from 198 918 to 745 262 person-years of employment. Elective inpatient treatment is associated with substantial and sustained labour market benefits. Receiving treatment may improve individuals' ability to participate in work, with benefits persisting for many years after treatment, relative to the counterfactual.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 4","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148283518","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}