European Journal of Public Health最新文献

{"title":"Interpersonal violence injuries among children and adolescents in the European Union from 1990 to 2023, a Global Burden of Disease study.","authors":"Angelo Capodici, Giulia Zamagni, Benedetta Armocida, Giulio Castelpietra, Barbara Corso, Giovanni Damiani, Davide Golinelli, Carlo La Vecchia, Luca Ronfani, Francesco Sanmarchi, Dario Tedesco, Eugenio Traini, Giovanni Trisolino, Francesco Violante, Lorenzo Monasta","doi":"10.1093/eurpub/ckag078","DOIUrl":"10.1093/eurpub/ckag078","url":null,"abstract":"<p><p>Interpersonal violence against children and adolescents constitutes a significant public health issue associated with substantial morbidity and long-term disability. This study utilizes Global Burden of Disease (GBD) 2023 estimates to quantify the burden of interpersonal violence injuries among the population <20 years of age across the 27 European Union countries (EU27). We analysed incidence and Years Lived with Disability (YLDs) for injury types and age groups (<5, 5-14, and 15-19 years). A 'Disability Drivers' analysis compared injury frequency against disability burden to identify priority areas. Long-term (1990-2023), mid-term (2010-2023), and short-term trends (2020-2023) were analysed to distinguish systemic risks from emerging threats. The analysis reveals geographical and temporal heterogeneity. In 2023, Hungary reported the highest incidence rate (1085.7 per 100 000; 95% UI: 917.6-1295.5), while Italy reported the lowest (131.9 per 100 000; 95% UI: 94.3-175.5). Despite low overall incidence, Italy exhibited short-term spikes (2020-2023) in severe trauma among children aged <5, with severe chest injuries rising by 79.1% (95% UI: 66.4%-92.3%). Long-term analysis identified systemic worsening in Eastern Europe, notably in Romania, where poisoning in children <5 years increased by 77.9% (95% UI: 55.5%-96.0%) since 1990. Violence-related injuries among children in the EU27 show a polarized pattern, with chronic burdens in Eastern Europe and emerging acute escalations in Southern Europe. Prevention strategies should consider both injury frequency and disability burden to effectively allocate resources.</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/PMC13275158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148270975","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":"Unmet needs and fall risk among older adults: evidence from Europe using SHARE data.","authors":"Aimée Kingsada, John P McHugh, Thomas Rapp, Jonathan Sicsic","doi":"10.1093/eurpub/ckag088","DOIUrl":"10.1093/eurpub/ckag088","url":null,"abstract":"<p><p>Falls are a significant cause of disability, hospitalization, and loss of autonomy in older adults. Although unmet care needs are known to worsen health outcomes (e.g. reduced quality of life, disability), their association with fall risk among frail community-dwelling older adults remains unclear. This study examines this relationship. We used panel data from waves 6-9 (2015-22) of the Survey of Health, Ageing and Retirement in Europe for adults aged 50+. The analytic sample included 872 non-frail individuals (3001 observations) and 1061 frail individuals (3552 observations). We examined the association between unmet needs for assistance with activities of daily living and falls among frail and non-frail individuals. Two-way fixed effects models with lagged exposures were estimated to account for time-invariant individual heterogeneity and reduce reverse causality. Analyses distinguished between unmet formal and informal care needs. Among frail individuals, unmet needs (compared to met needs) for formal care were associated to 18.8 percentage point increase in fall risk (95% CI, 0.1-37.6; P = .049), while unmet needs for informal care raised the risk by 22 percentage points (95% CI, 0.1-45.1; P = .049). No significant associations were found among non-frail individuals. Effects were particularly pronounced among women, those living alone, and adults aged 70+. Unmet care needs significantly increase the risk of falls among frail older adults. Targeted public health strategies are essential to prevent falls, preserve autonomy, and limit long-term care burdens in the frail population.</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/PMC13250731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148210672","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":"Variation in presenteeism by generosity of statutory sick pay: a multilevel analysis in 35 European countries.","authors":"Marvin Reuter, Tabea Gau, Sophie-Charlotte Meyer, Sascha A Ruhle","doi":"10.1093/eurpub/ckag093","DOIUrl":"10.1093/eurpub/ckag093","url":null,"abstract":"<p><p>Attending work despite illness (sickness presenteeism) is common in many workplaces. While most research has focused on individual and workplace determinants, less is known about country-level factors. This study examines (i) the association between national sick pay policies and presenteeism, (ii) the extent to which these policies contribute to cross-country variation in presenteeism, and (iii) whether associations differ by sociodemographic and occupational characteristics. We used data on 19 657 employees in 35 countries from the 2015 European Working Conditions Survey combined with country-level information on sick pay regulations. Countries were classified as offering 'generous' sick pay if they compensated from the first day of illness with ≥80% wage replacement for at least 2 weeks (43% of the countries met this criterion). Presenteeism was measured by the fraction of days worked while ill out of all illness days in the past 12 months (presenteeism propensity). We estimated multilevel models that controlled for individual characteristics (sociodemographics, job characteristics, health) and country features (unemployment, gross domestic product, and population density). Generous sick pay was associated with an 8-percentage-point lower presenteeism propensity (average marginal effect: -0.08; SE: 0.04; P < .05), explaining 12.4% of the between-country variance in presenteeism propensity. The association appeared more pronounced among older workers, low-income employees, routine occupations, and those in industry or public administration. National sick pay regulations may shape presenteeism, particularly among groups where financial motives are central. Adequate sick pay may help prevent workers from engaging in presenteeism and mitigate its consequences.</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/PMC13262657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148238985","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":"SARS-CoV-2 testing uptake and its determinants in six ethnic groups living in Amsterdam, the Netherlands: a registry-based study within the HELIUS cohort.","authors":"Sophie L Campman, Anders Boyd, Nina van Wilgen, Felix P Chilunga, Liza Coyer, Janke Schinkel, Charles Agyemang, Henrike Galenkamp, Anitra D M Koopman, Jelle Koopsen, Matthijs Welkers, Karien Stronks, Maria Prins","doi":"10.1093/eurpub/ckag081","DOIUrl":"10.1093/eurpub/ckag081","url":null,"abstract":"<p><p>Diagnostic testing was key in preventing transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the pre-vaccination era of the coronavirus disease 2019 pandemic. This study compared SARS-CoV-2 polymerase chain reaction (PCR) testing uptake and its determinants across six ethnic groups in Amsterdam, the Netherlands. We analyzed data from the population-based Healthy Life in an Urban Setting cohort linked to SARS-CoV-2 testing registry data from the Public Health Service of Amsterdam. Testing uptake was defined as completing at least one SARS-CoV-2 PCR test before 6 September 2021. We examined the association between ethnicity and testing uptake, and assessed determinants of testing uptake per ethnic group, using logistic regression while correcting for ethnic-specific age and sex distributions in Amsterdam. We included 19 006 participants (median age 53 years; 57% female). Testing uptake ranged from 25.3% (95% confidence interval (CI) = 23.1%-27.5%) in the Ghanaian to 52.2% (95% CI = 50.3%-54.1%) in the Turkish group. Individuals of Turkish origin [adjusted odds ratio (aOR) = 1.12, 95% CI = 1.01-1.23] were more likely, while those of African Surinamese (aOR = 0.88, 95% CI = 0.79-0.97) and particularly Ghanaian (aOR = 0.35, 95% CI = 0.30-0.40) origin less likely to be tested compared to those of Dutch origin. Younger age and perceived work or home-related stress were associated with testing uptake across most ethnic groups. Other determinants were specific to certain groups. SARS-CoV-2 testing uptake varied slightly across most ethnic groups in Amsterdam with the highest uptake among individuals of Turkish origin but was remarkably lower among individuals of Ghanaian origin. Given the diversity of identified determinants, testing strategies should be tailored to the needs of specific groups.</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/PMC13344431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148410963","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":"Cancer prevention literacy in Europe: a cross-sectional study.","authors":"Paula Romeo-Cervera, Mercedes Vanaclocha-Espí, Mireia Gandía-Prat, Óscar García-Sauret, Marina Pinto-Carbó, Teresa de Pablo-Pardo, Furqan Ahmed, Teresa Seum, Cristiana Fonseca, Stephan Van den Broucke, Helena Ros Comesana, Wendy Yared, Maria-Jose Lopez-Espinosa, Ana Molina-Barceló","doi":"10.1093/eurpub/ckag132","DOIUrl":"10.1093/eurpub/ckag132","url":null,"abstract":"<p><p>This study aimed to assess cancer prevention literacy (CPL) levels and awareness of the European Code Against Cancer (ECAC) among the adult population in the European Union (EU), as well as identify social determinants associated with CPL. A cross-sectional study was conducted (February-March 2024) via an online survey across 23 EU-countries (n = 2312). Multivariate logistic regression models examined associations between explanatory variables (age, gender, educational level, history of cancer, region, and digital health literacy [DHL] quartiles) and knowledge outcomes (CPL, ECAC awareness, and cancer prevention specific knowledge topics). Although 81.4% of participants demonstrated sufficient CPL, 61.1% were unaware of the ECAC. Men were less likely to have sufficient CPL than women (OR = 0.66, [0.49-0.89]), and participants with an education below the university level had lower odds of CPL than those with higher education (OR = 0.50, [0.39-0.64]). DHL was the strongest predictor of CPL, with, participants in the highest DHL quartile being more than three times more likely to have sufficient CPL than those in the lowest quartile (OR = 3.11, [2.12-4.67]). Having a personal or family history of cancer also increased the odds of sufficient literacy (OR = 1.47, [1.10-1.94]). The findings reveal that while overall CPL appears sufficient, ECAC awareness remains alarmingly low. Persistent social and gender inequalities exist; lower educational level, male gender, and older age were consistently associated with lower CPL. DHL emerged as a key CPL determinant. Coordinated and targeted interventions are required to address these social inequalities and maximize the ECAC's preventive impact across Europe.</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/PMC13401476/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148591247","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":"Work arrangements, food-related time scarcity, and meal delivery use: a cross-sectional analysis of the 2024 Belgian Meal Delivery Survey.","authors":"Laura Helena Oostenbach, Maartje P Poelman, Lukar Thornton","doi":"10.1093/eurpub/ckag144","DOIUrl":"10.1093/eurpub/ckag144","url":null,"abstract":"<p><p>Demanding work arrangements may contribute to food-related time scarcity and influence food practices, including meal delivery use. This study investigated links between work arrangements, time scarcity in food shopping and cooking, and meal delivery use and motivations. Complete-case (94%) analysis included 674 paid workers from the 2024 Belgian Meal Delivery Survey. Generalised ordered logit models examined associations between weekly work hours, workweek length, schedule, and onsite workdays with time scarcity and meal delivery use. Amongst users, logistic regression examined associations between work arrangements and reasons for ordering delivery. Models adjusted for socio-demographic and household characteristics. Longer hours were associated with higher odds of lacking time to shop [odds ratio (OR) = 1.03, 95% confidence interval (CI): 1.00, 1.06] and cook (OR = 1.05, 95% CI: 1.02, 1.07). A ≥5-day workweek was associated with higher odds of lacking time to shop (OR = 2.21, 95% CI: 1.09, 4.51) and cook (OR = 3.02, 95% CI: 1.46, 6.27). Non-regular schedules were associated with meal delivery use ≥3/month (OR = 1.75, 95% CI: 1.09, 2.80). More days onsite were linked to higher odds of lacking time to shop (OR = 1.18, 95% CI: 1.01, 1.37). Amongst users, longer hours and ≥5-day workweeks were linked to ordering meals to support work tasks (OR = 1.06, 95% CI: 1.03, 1.09; OR = 2.15, 95% CI: 1.19, 3.91) but not for household, leisure or healthy-activity reasons. Demanding work arrangements were consistently associated with food-related time scarcity but not with more frequent meal delivery use, except for non-regular schedules. When used, meal delivery served to facilitate completing work demands.</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/PMC13424439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148629787","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":"The long crisis of Italy's National Health Service: universalism on paper, inequity in practice.","authors":"Nicola Abrescia, Adelaide Maddaloni, Gabriella Molinaro, Antonio Capponi, Maurizio D'Abbraccio","doi":"10.1093/eurpub/ckag138","DOIUrl":"10.1093/eurpub/ckag138","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/PMC13424430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148629795","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":"Identifying barriers and policy priorities for rare disease research in underrepresented European countries.","authors":"Baiba Lace, Inna Inashkina, Dorica Dan, Ariane Weinman, Pauline Adam, Oleg Kvlividze, Birute Tumiene, Anabela Isidro, Carlos Almeida Pereira, Gonçalo Teixeira, Rachel K Crowley","doi":"10.1093/eurpub/ckag103","DOIUrl":"10.1093/eurpub/ckag103","url":null,"abstract":"<p><p>The European Joint Programme on Rare Diseases successfully advanced rare disease research and also revealed challenges for underrepresented countries, those less frequently holding or leading grants. This study aimed to survey Rare Disease researchers in these countries, identify barriers to participation in research, and propose solutions. A modified Delphi approach without formal consensus thresholds of 186 respondents highlighted fragmented or outdated policies and heterogeneous funding. Nearly all participants prioritized the need for EU-wide policies defining minimum quality standards for Rare Disease care. Key priorities include access to genetic testing and essential services to support uniform care and shared research capacity.</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/PMC13265805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148249867","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":"Childhood social characteristics and drug-related mortality by age 41: a register-based study of Finnish birth cohorts 1982-2004.","authors":"Sini P Laakso, Lauren Bishop, Juha Luukkonen, Lasse Tarkiainen, Pekka Martikainen","doi":"10.1093/eurpub/ckag083","DOIUrl":"10.1093/eurpub/ckag083","url":null,"abstract":"<p><p>Attained socioeconomic position is associated with drug-related deaths, but whether social characteristics in childhood predict drug-related mortality remains unclear. We estimated differences in drug-related mortality between ages 16 and 41 by parental education, household income, and household type. We used administrative data on all Finnish residents born 1982-2004 (N = 1 446 548). Underlying and contributory causes of drug-related mortality (1997-2023) were drawn from Causes of Death Register records and parental education, household income and household type (age 15) were derived from administrative records. Differences in drug-related mortality by childhood social characteristics and their co-occurrence were estimated using sex-stratified Cox regression. Birth cohort differences were estimated using Kaplan-Meier failure curves. The drug-related mortality rate per 100 000 person-years for men (21.9, 95% CI: 21.1-22.8) was over 3× higher than that of women (5.7, 5.3-6.2). Among both men and women, respectively, lower parental education (basic: HR 1.86, 1.63-2.11; HR 1.78, 1.37-2.32) and non-nuclear household type (single-parent households: HR 2.10, 1.89-2.33; HR 3.06, 2.46-3.79) independently predicted higher mortality hazards net of all predictors, whereas the estimates for household income greatly attenuated. Interaction analyses between parental education and household type suggested larger relative increases in mortality hazards by lower parental education among individuals from non-nuclear families. Mortality differences were consistently observed across birth cohorts. Childhood household type and parental education independently predicted subsequent drug-related mortality among men and women. Children of lower educated parents from non-nuclear families had the highest excess risk.</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/PMC13271240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148263072","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":"A Strategic Research and Innovation Agenda for personalized prevention: towards a European implementation Roadmap.","authors":"Stefania Boccia, Roberta Pastorino","doi":"10.1093/eurpub/ckag111","DOIUrl":"10.1093/eurpub/ckag111","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/PMC13335471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148396141","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}