European Journal of Public Health最新文献_第8页

The spatial overlap between risk of intimate partner violence against women and suicide-related emergency calls. 亲密伴侣暴力侵害妇女的风险与自杀相关紧急呼叫之间的空间重叠。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-02-01 DOI: 10.1093/eurpub/ckae166

María Montagud-Andrés, Miriam Marco, Antonio López-Quílez, Pablo Escobar-Hernández, Marisol Lila, Enrique Gracia

{"title":"The spatial overlap between risk of intimate partner violence against women and suicide-related emergency calls.","authors":"María Montagud-Andrés, Miriam Marco, Antonio López-Quílez, Pablo Escobar-Hernández, Marisol Lila, Enrique Gracia","doi":"10.1093/eurpub/ckae166","DOIUrl":"10.1093/eurpub/ckae166","url":null,"abstract":"Intimate partner violence against women (IPVAW) is a global problem, and suicidal behaviour is one of its most serious consequences. However, no study has investigated the spatial overlap between the two. The aim of this paper is to analyse whether there is spatial overlap between IPVAW and suicide-related calls in the same neighbourhoods, and to identify common risk factors. Geocoded data on IPVAW (N = 2060) and suicide-related calls (N = 4916) from the city of Valencia, Spain, between 2019 and 2021 were collected from the 112 emergency service and the Spanish National Police Corps. We used two analytical approaches: (i) a Bayesian spatial Poisson regression modelling analysis to identify the risk factors associated with IPVAW and suicide-related calls; (ii) Bayesian joint spatial modelling to examine the common spatial distribution of these outcomes. Relative risk maps are also displayed and analysed. The study revealed a higher incidence of IPVAW and suicide-related calls in neighbourhoods with lower income and population density, and greater residential instability and immigrant concentration. There was a 70% similarity between high- and low-risk areas for these incidents, with a moderate positive correlation of 0.43. Notably, 98% of IPVAW risk variance was explained by shared factors, while 30% applied to suicide-related calls; high IPVAW risk was also found in peripheral areas, while suicide-related calls were concentrated in the city centre. The findings highlight the need to identify areas with shared risk and neighbourhood characteristics for the development of more effective intervention strategies.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"60-64"},"PeriodicalIF":3.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142617534","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

Evaluating the socioeconomic benefits of heat-health warning systems.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-02-01 DOI: 10.1093/eurpub/ckae203

Shilpa Rao, Prayash Chaudhary, Isabelle Budin-Ljøsne, Susan Sitoula, Kristin Aunan, Matthew Chersich, Francesca De' Donato, Aleksandra Kazmierczak

{"title":"Evaluating the socioeconomic benefits of heat-health warning systems.","authors":"Shilpa Rao, Prayash Chaudhary, Isabelle Budin-Ljøsne, Susan Sitoula, Kristin Aunan, Matthew Chersich, Francesca De' Donato, Aleksandra Kazmierczak","doi":"10.1093/eurpub/ckae203","DOIUrl":"10.1093/eurpub/ckae203","url":null,"abstract":"Heat-health early warning systems (HHWS) are an important collaborative activity between the meteorological and health communities. This study aimed to map the evidence on the socioeconomic assessment of HHWS and their effectiveness in terms of averting heat related health outcomes. It also aimed to map the technical, structural, and societal barriers and facilitators to implementation and use of HHWS. We use two methods: (i) a scoping review of literature on the economic assessment and health benefit of climate services for heat-health adaptation (ii) a set of interviews with climate service developers and providers in Europe and Africa to understand further technical and societal aspects as well as evaluation of such services. We find that HHWS can be a cost-effective adaptation option that can reduce heat-related mortality and morbidity, especially in vulnerable groups like the elderly. We find that challenges such as lack of long-term and reliable funding, difficulties in making the climate data relevant, comprehensible, and accessible to different end-users, cultural differences between climate and health professionals, and limited ability to assess the services' real impact need to be accounted for while implementing these services.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"178-186"},"PeriodicalIF":3.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374090","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

How is health equity considered in policy evaluations employing quasi-experimental methods? A scoping review and content analysis. 在采用准实验方法的政策评估中如何考虑健康公平问题？范围审查和内容分析。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-02-01 DOI: 10.1093/eurpub/ckae188

Kerstin Sell, Setareh Rabbani, Jacob Burns

{"title":"How is health equity considered in policy evaluations employing quasi-experimental methods? A scoping review and content analysis.","authors":"Kerstin Sell, Setareh Rabbani, Jacob Burns","doi":"10.1093/eurpub/ckae188","DOIUrl":"10.1093/eurpub/ckae188","url":null,"abstract":"Public health researchers employ quasi-experimental methods (QEM) to evaluate the effects of policies. Whilst some policies are designed to improve (health) equity, others may intentionally or unintentionally have detrimental effects on disadvantaged populations. We thus sought to investigate how health equity is addressed in policy evaluations which employ QEM. We conducted a content analysis on studies sourced from a scoping review. We drew a random sample of 350 records identified in systematic database searches in Medline, EMBASE, and EconLit (December 2022). Studies that employed QEM labels and examined public policies implemented in the WHO European region were included. We extracted data on study design, policies, and populations; assessed whether outcomes were examined in population sub-groups (as defined by PROGRESS-Plus criteria); and analysed discussion sections for equity-related conclusions. We included 59 studies, of which 39 (66.1%) studies considered health equity-albeit to variable depth. Twenty-five studies were focused exclusively on examining policy outcomes in a disadvantaged population (42.4%), of which 19 studies evaluated policies that targeted disadvantaged groups (e.g. minimum wage, social housing policies). Outcomes were stratified for one or more sub-populations in 22 studies (37.3%), most commonly for gender (n = 15, 25.4%) and a measure of socio-economic status (n = 13, 22%), particularly income and employment. Equity-related results and implications were discussed in 24 studies. While policy evaluations employing QEM have considerable value for informing decision-making in public health and other sectors that influence health, their potential to investigate equity impacts is currently not harnessed.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"42-51"},"PeriodicalIF":3.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142738913","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

Effort-reward imbalance and burnout among German school leaders. Representative study findings and implications for an underserved occupational group. 德国学校领导的努力-回报失衡与倦怠。代表性的研究结果和对服务不足的职业群体的影响。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-02-01 DOI: 10.1093/eurpub/ckae182

Nele Groß, Kevin Dadaczynski, Marcus Pietsch

{"title":"Effort-reward imbalance and burnout among German school leaders. Representative study findings and implications for an underserved occupational group.","authors":"Nele Groß, Kevin Dadaczynski, Marcus Pietsch","doi":"10.1093/eurpub/ckae182","DOIUrl":"10.1093/eurpub/ckae182","url":null,"abstract":"This study examines the relationship between gratification crisis and burnout syndrome in German school leaders and explores how sociodemographic and school-level factors relate to burnout. Additionally, it investigates how these factors influence the likelihood of experiencing burnout and engagement based on sociodemographic and school characteristics. The research design focuses on the relationship between the effort-reward imbalance (ERI) model and latent profiles of the Maslach Burnout Inventory. Statistical analyses include group comparisons and logistic regression to examine the relationships between variables, such as ERI and sociodemographic and school-level characteristics. The ERI ratio significantly associated with burnout, indicating higher risk as the ratio rises. Sociodemographic and school-level factors showed significant variations by student numbers and school type. Regression models revealed a positive relationship between ERI and burnout, while age negatively correlated, suggesting lower burnout risk in older leaders. Logistic regression highlighted associations between age, gender, and engagement, with increasing age positively associated with engagement and lower ERI scores associated with higher engagement. The results of the study demonstrate a significant relationship between perceived reward crisis as measured by the ERI model and burnout syndrome among school leaders in Germany. School leaders who feel undervalued and overburdened are more susceptible to burnout. The reported ERI depends on specific contextual variables, including the type of school, the number of students, and the age of the school principal. It is important for schools and educational institutions to address the multiple factors that influence burnout and work engagement among school leaders.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"79-84"},"PeriodicalIF":3.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832141/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142750498","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

Impact of COVID-19 and related measures on the professional life of school staff based in Switzerland: challenges, strategies, and benefits. 2019冠状病毒病及相关措施对瑞士学校工作人员职业生活的影响：挑战、策略和利益。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-02-01 DOI: 10.1093/eurpub/ckae196

Marta Fadda, Guenda Bernegger, Kleona Bezani, Ilaria Falvo, L Suzanne Suggs, Maria Caiata-Zufferey

{"title":"Impact of COVID-19 and related measures on the professional life of school staff based in Switzerland: challenges, strategies, and benefits.","authors":"Marta Fadda, Guenda Bernegger, Kleona Bezani, Ilaria Falvo, L Suzanne Suggs, Maria Caiata-Zufferey","doi":"10.1093/eurpub/ckae196","DOIUrl":"10.1093/eurpub/ckae196","url":null,"abstract":"To reduce the spread of COVID-19, schools closed and moved to remote learning in many countries and municipalities. At the time of this study, Switzerland maintained the position that schools should be prioritized to remain open. The state of knowledge regarding the challenges that school staff encountered during the pandemic was limited. The aim of this study was to qualitatively explore the impact of COVID-19 and related measures in Switzerland on the professional life of school staff in terms of challenges, strategies, and benefits. Data were collected between November 2021 and March 2022. We conducted interviews with 47 participants working in nurseries, kindergartens, primary, middle, special, and after-schools across Switzerland. The majority were women and part of the teaching staff. Most had received at least one dose of the COVID-19 vaccine. Participants reported various challenges such as isolation, loneliness, and 'dryness' of work, pedagogical alienation and deontological distress, privacy loss, and confusion regarding health measures. They also cited different strategies, namely resuming simple activities, finding the right degree of transgression, recreating normality with children, and continuous adaptation. Finally, they identified some benefits, i.e. improvements in education regarding hygiene standards, greater acceptance of illness and death as a normal part of life, recognition of the privilege of being able to attend school in-person, and valorization of cultural diversity. We highlight the importance of listening to staff's concerns, enacted strategies, and perceived benefits and taking them into account when developing appropriate and effective public health and communication efforts.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"163-170"},"PeriodicalIF":3.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806630","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

Associations of step accelerations and cardiometabolic risk markers in early adulthood. 成年早期台阶加速度与心脏代谢风险指标的关系

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-02-01 DOI: 10.1093/eurpub/ckae199

Ville Stenbäck, Inka Lehtonen, Juhani Leppäluoto, Dominique Gagnon, Marjo-Riitta Järvelin, Mikko Tulppo, Karl-Heinz Herzig

{"title":"Associations of step accelerations and cardiometabolic risk markers in early adulthood.","authors":"Ville Stenbäck, Inka Lehtonen, Juhani Leppäluoto, Dominique Gagnon, Marjo-Riitta Järvelin, Mikko Tulppo, Karl-Heinz Herzig","doi":"10.1093/eurpub/ckae199","DOIUrl":"10.1093/eurpub/ckae199","url":null,"abstract":"Physical activity (PA) has a positive effect on risk factors related to cardiometabolic health yet amount of PA and time of onset is unclear. Therefore, we investigated the relationship of PA estimates and cardiometabolic risk factors in a large healthy population of an understudied age group of young adults using a standard gravity-based method on body adiposity and risk markers. In 856 (532 women, 324 men, 32-35 years) subjects we evaluated the association of PA and cardiometabolic risk factors in early adulthood. PA was measured using accelerometers for a period of two weeks. Step counts were divided into light (LPA), moderate (MPA), and vigorous (VPA) intensity classes. Income of the household was 63 446 ± 46 899€ and 57.5% had higher education. Total daily step numbers were 11962.5 ± 5163.2, LPA 5459.6 ± 2986.6, MPA 5932 ± 3404.6, and VPA 572.3 ± 668. Higher total PA volume was associated with lower weight, BMI, % body fat, smaller visceral fat area (VFA) and waist circumference, lower total cholesterol, LDL, and reflection coefficient of the pulse wave. LPA correlated with weight, BMI, waist circumference, total cholesterol, LDL, and central pulse pressure (cPP). Percent body fat (%BF), VFA, total cholesterol, LDL, reflection coefficient, heart minute index, and heart minute volume were significantly associated with MPA and VPA intensity PA volume. Lower PA in early adulthood correlates with increased cardiometabolic risk markers which should be translated into specific recommendations to thrive for a healthier lifestyle to delay and decrease their onset.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"128-133"},"PeriodicalIF":3.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827694","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

Relationship between symptoms, sociodemographic factors, and general practice help-seeking in 10 904 adults aged 50 and over. 10904例50岁及以上成人症状、社会人口学因素与全科就诊的关系

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-02-01 DOI: 10.1093/eurpub/ckae198

Rosalind Adam, Rute Vieira, Philip C Hannaford, Kathryn Martin, Katriina L Whitaker, Peter Murchie, Alison M Elliott

{"title":"Relationship between symptoms, sociodemographic factors, and general practice help-seeking in 10 904 adults aged 50 and over.","authors":"Rosalind Adam, Rute Vieira, Philip C Hannaford, Kathryn Martin, Katriina L Whitaker, Peter Murchie, Alison M Elliott","doi":"10.1093/eurpub/ckae198","DOIUrl":"10.1093/eurpub/ckae198","url":null,"abstract":"Symptoms are a common reason for contact with primary care. This study investigated associations between symptom-related, demographic, social, and economic factors on general practice (GP) help-seeking. Secondary analysis of responses to a 25-symptom questionnaire, from 10 904 adults aged ≥50 years reporting at least one symptom in the preceding year. Cluster analysis and univariable and multivariable logistic regressions explored associations between self-reported GP help-seeking, symptom-related factors, and respondent characteristics. Most respondents, 7638 (70%), reported more than one symptom in the preceding year. Ten symptom clusters were identified. Most included common symptoms like headache and back or joint pain. There were increased odds of help-seeking in females, those with poorer health status and those unable to work due to illness/disability when multiple symptoms were reported, but not when single symptoms were reported. Age and sex had variable effects on help-seeking, depending on the symptom. Reporting poorer health status, more comorbidities, and being unable to work due to illness or disability increased odds of help-seeking across a diverse variety of symptoms. Single people and those reporting lower social contact had lower odds of help-seeking for some symptoms. Being a current smoker reduced odds of help-seeking for persistent indigestion/heartburn, persistent cough, coughing up phlegm, and shortness of breath. Factors associated with self-reported help-seeking vary for different symptoms. Poorer health and adverse economic and social factors are associated with increased GP help-seeking. These wider determinants of health interact with symptom experiences and will influence GP workload.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"26-34"},"PeriodicalIF":3.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827741","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

Access points to different levels of health care over 13 years. Utilization behaviour in a changing health care system. Results of a three-wave cross-sectional series in Austria. 13 年间不同级别医疗服务的获取点。不断变化的医疗保健系统中的使用行为。奥地利三波横截面系列研究结果。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-02-01 DOI: 10.1093/eurpub/ckae180

Roland Kraxner, Thomas E Dorner, Dominik Roth, Kathryn Hoffmann

{"title":"Access points to different levels of health care over 13 years. Utilization behaviour in a changing health care system. Results of a three-wave cross-sectional series in Austria.","authors":"Roland Kraxner, Thomas E Dorner, Dominik Roth, Kathryn Hoffmann","doi":"10.1093/eurpub/ckae180","DOIUrl":"10.1093/eurpub/ckae180","url":null,"abstract":"Providing health care is a balancing act among human resources, financial pressures and system-intrinsic factors. Understanding the utilization behaviour of primary and secondary care facilities [general practitioners (GPs) vs. specialists, as well as in- and outpatient hospital care] is crucial for a country like Austria, which has free access to all levels of care. The aim of this study was to reassess access point consultations in relation to sociodemographic variables over time. The databases used for this cross-sectional analysis were the Austrian Health Interview Surveys 2006/07, 2014, and 2019, with sample sizes of 15 474, 15 770, and 15 461 persons, respectively. Analyses included patterns of utilization behaviour, multivariable logistic regression models, and diff-in-diff analyses highlighting differences between the observation periods. GP and secondary care consultations increased from 2014 to 2019. While there were fewer GP visits in 2014 than in 2006/07, GP consultation rates grew by 3.2% between 2014 and 2019. Secondary care utilization increased by 5.4%-8.2% between 2006/07 and 2019, with the highest growth in older and less-educated persons. Secondary-level utilization without prior GP visits decreased again in 2019 after peaking in 2014. Utilization of all access points increased over the entire observation period, especially regarding secondary-level care. Higher GP visit rates do not seem to result in a drop in secondary-level consultations. These results emphasize the coordinator role of primary care in ongoing structural health reforms in European countries, such as Austria.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"11-18"},"PeriodicalIF":3.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695293","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

Remote workers' life quality and stress during COVID-19: a systematic review.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-02-01 DOI: 10.1093/eurpub/ckae167

Carraro Elisabetta, Rapisarda Paola, Daniela Acquadro Maran, Sofia Filippetti, Palella Marco, Eliana Pellegrino, Margherita Ferrante, La Torre Giuseppe, Maria Fiore

{"title":"Remote workers' life quality and stress during COVID-19: a systematic review.","authors":"Carraro Elisabetta, Rapisarda Paola, Daniela Acquadro Maran, Sofia Filippetti, Palella Marco, Eliana Pellegrino, Margherita Ferrante, La Torre Giuseppe, Maria Fiore","doi":"10.1093/eurpub/ckae167","DOIUrl":"10.1093/eurpub/ckae167","url":null,"abstract":"COVID-19 pandemic led to the adoption of a different working approach: \"The remote working.\" Evidence about the association of remote working with stress outcomes and life quality is lacking. This systematic review provides an overview of the effects of COVID-19 pandemic on remote-workers' stress and life quality. We conducted systematic literature searches in databases including Pubmed, Scopus and Web of science, from September 2020 to September 2023. Screening of titles, abstracts, and full texts were performed according to the Preferred Reporting Item for Systematic Review and Meta-analyses. The quality of the included studies was assessed using the Newcastle-Ottawa Scale. The review highlighted possible predictors (work-family conflict or a condition of social isolation) associated with improvement or worsening of quality of life and stress. The results highlighted the association between stress and family difficulties (β: -0.02, P-value <0.05), isolation during the first (β: -0.22, P-value <0.05) and second pandemic waves (β: -0.40, P-value <0.05) or due to the advancing age of workers (β:0.19, P-value <0.05) and (β: -0.05, P-value <0.05), furthermore some job categories presented greater stress such as teachers (16.94 ± 5.46). Conversely, remote working positively affected life quality, enhancing factors such as creativity (Average Variance Extracted, AVE: 0.41, R2: 0.17) and self-efficacy (AVE: 0.60, R2: 0.36). Future research should focus more on the relationship between work and family and on interventions that counteract social isolation.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"141-152"},"PeriodicalIF":3.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363880","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

High prevalence of unrecognized chronic kidney disease in the Lolland-Falster Health Study: a population-based study in a rural provincial area of Denmark.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-01-22 DOI: 10.1093/eurpub/ckae208

Ebba Mannheimer, Morten Buus Jørgensen, Kristine Hommel, Anne-Lise Kamper, Randi Jepsen, Knud Rasmussen, Lau Caspar Thygesen, Bo Feldt-Rasmussen, Mads Hornum

{"title":"High prevalence of unrecognized chronic kidney disease in the Lolland-Falster Health Study: a population-based study in a rural provincial area of Denmark.","authors":"Ebba Mannheimer, Morten Buus Jørgensen, Kristine Hommel, Anne-Lise Kamper, Randi Jepsen, Knud Rasmussen, Lau Caspar Thygesen, Bo Feldt-Rasmussen, Mads Hornum","doi":"10.1093/eurpub/ckae208","DOIUrl":"https://doi.org/10.1093/eurpub/ckae208","url":null,"abstract":"Chronic kidney disease (CKD) affects 10-15% globally and is a marked independent risk factor for cardiovascular disease. Prevalence estimations are essential for public health planning and implementation of CKD treatment strategies. This study aimed to estimate the prevalence and stages of CKD in the population-based Lolland-Falster Health Study, set in a rural provincial area with the lowest socioeconomic status in Denmark. Additionally, the study characterized participants with CKD, evaluated the overall disease recognition, including the awareness of CKD and compared it with other common conditions. Cross-sectional data were obtained from clinical examinations, biochemical analyses, and questionnaires. CKD was defined as albuminuria (urine albumin-creatinine ratio ≥30 mg/g), estimated glomerular filtration rate (eGFR) <60 ml/min/1.73 m², or by a diagnosis in the National Patient Register. Patient awareness was assessed by self-reported CKD, and overall disease recognition by either a registered hospital diagnosis or self-reported CKD. Among 16 097 adults (median age 58.6 years), CKD prevalence was 18.0% (n = 2903), with 70.1% identified by albuminuria, 28.4% by reduced eGFR, and 1.5% by a registered diagnosis alone. Of those with CKD, 98.8% had stages 1-3 (eGFR ≥30 ml/min/1.73 m²), and 1.2% had stages 4-5 (eGFR <30 ml/min/1.73 m²). Female sex, comorbidities, smoking, and low socioeconomic parameters were independently associated with CKD. Patient awareness of CKD was 4.4%, compared to >50% for hypertension and >80% for diabetes, and the overall CKD recognition (self-reported or registered diagnosis) was 7.1%. Thus, in this population-based study, CKD was highly prevalent but poorly recognized, indicating great potential for preventing CKD progression and related complications.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022643","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