European Journal of Public Health最新文献

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Changes in mental health diagnosis and healthcare use in seven European countries before and during the COVID-19 pandemic (2017-21). 在COVID-19大流行之前和期间,七个欧洲国家心理健康诊断和医疗保健使用的变化(2017-21)。
IF 3.7 3区 医学
European Journal of Public Health Pub Date : 2025-06-01 DOI: 10.1093/eurpub/ckaf065
Carmen Rodríguez-Blazquez, Sarah J Aldridge, Enrique Bernal-Delgado, Cristian Calomfirescu, Lorenz Dolanski-Aghamanoukjan, Francisco Estupiñán-Romero, Mika Gissler, Gruber Beate, Jane Idavain, Tricia L Larose, Ronan A Lyons, Stefan Mathis-Edenhofer, Kristiina Miller, Jānis Misiņš, Silviu Radulescu, Merike Rätsep, Sophie Sagerschnig, Petru Sandu, Juris Šitcs, Zane Pavlovska, Martin Thißen, Hanna Tolonen, Cesar Garriga, Maria João Forjaz
{"title":"Changes in mental health diagnosis and healthcare use in seven European countries before and during the COVID-19 pandemic (2017-21).","authors":"Carmen Rodríguez-Blazquez, Sarah J Aldridge, Enrique Bernal-Delgado, Cristian Calomfirescu, Lorenz Dolanski-Aghamanoukjan, Francisco Estupiñán-Romero, Mika Gissler, Gruber Beate, Jane Idavain, Tricia L Larose, Ronan A Lyons, Stefan Mathis-Edenhofer, Kristiina Miller, Jānis Misiņš, Silviu Radulescu, Merike Rätsep, Sophie Sagerschnig, Petru Sandu, Juris Šitcs, Zane Pavlovska, Martin Thißen, Hanna Tolonen, Cesar Garriga, Maria João Forjaz","doi":"10.1093/eurpub/ckaf065","DOIUrl":"10.1093/eurpub/ckaf065","url":null,"abstract":"<p><p>In the framework of the European Population Health Information Research Infrastructure (PHIRI) project, we analysed the healthcare use for depression and/or anxiety during the coronavirus disease 2019 (COVID-19) pandemic. Aggregated monthly number of diagnoses were obtained from electronic health records and databases in Austria, Estonia, Finland, Latvia, Romania, Wales (UK), and Aragon (Spain) and analysed using the PHIRI federated research infrastructure. Rates of diagnosis, prescriptions and visits to primary care, hospital or emergency department were calculated by 10 000 population. Segmented Poisson regression to estimate changes in outcomes after the COVID-19 pandemic declaration was produced controlling for baseline levels and trends for the period January 2017 to December 2021. Following pandemic declaration, level change of incident diagnoses fell in Romania, Aragon (Spain), and Wales (UK) [log rate -0.853 (95% confidence interval -1.045 to -0.661), -0.338 (-0.434 to -0.242), and -0274 (-0.365 to -0.183), respectively]; level change of visits to primary care decreased in Romania and Wales (UK) [-0.347 (-0.555 to -0.138) and -0.272 (-0.368 to -0.177), respectively], and increased in Latvia [0.065 (0.004-0.126)]; level change for hospital admissions diminished in Latvia, Romania and Wales (UK) [-0.206 (-0.393 to -0.019), -0.947 (-1.143 to -0.752) and -0.116 (-0.202 to -0.030), respectively]; and level change of visits to emergency units fell in Latvia and Romania [-0.290 (-0.429 to -0.151) and -0.865 (-1.040 to -0.690), respectively] and increased in Aragon (Spain) [0.880 (0.259 to 1.502)]. COVID-19 pandemic declaration altered the use of mental health resources. This study highlights the potential use of harmonized data for providing evidence for future pandemic preparedness.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"484-490"},"PeriodicalIF":3.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12203164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208018","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
Trends in smoking-attributable cardiovascular mortality in Germany. 德国吸烟导致的心血管疾病死亡率趋势。
IF 3.7 3区 医学
European Journal of Public Health Pub Date : 2025-06-01 DOI: 10.1093/eurpub/ckae215
Ute Mons, Valerie Lohner, Katharina Seuthe
{"title":"Trends in smoking-attributable cardiovascular mortality in Germany.","authors":"Ute Mons, Valerie Lohner, Katharina Seuthe","doi":"10.1093/eurpub/ckae215","DOIUrl":"10.1093/eurpub/ckae215","url":null,"abstract":"<p><p>We quantified the fraction of cardiovascular deaths attributable to smoking in Germany over time, accounting for population ageing. We calculated population-attributable fractions to quantify cardiovascular deaths attributable to smoking for 1992 to 2021, and compared actual with age-standardized figures. We found a significant decline in the number of cardiovascular deaths attributable to smoking: from about 71 900 cases in 1992 to around 42 000 cases in 2021, with a steeper decline in men. Age-standardized figures suggest that population ageing partially offset this trend. Forward projections indicate increasing trends over the next decade. The results highlight the need for targeted smoking cessation programmes.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"35 3","pages":"573-575"},"PeriodicalIF":3.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12187449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144474445","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
Correction to: Prospective relationship between family screen time rules, obesogenic behaviours, and childhood obesity. 更正:家庭屏幕时间规则、致肥行为和儿童肥胖之间的前瞻性关系。
IF 3.7 3区 医学
European Journal of Public Health Pub Date : 2025-06-01 DOI: 10.1093/eurpub/ckae207
{"title":"Correction to: Prospective relationship between family screen time rules, obesogenic behaviours, and childhood obesity.","authors":"","doi":"10.1093/eurpub/ckae207","DOIUrl":"10.1093/eurpub/ckae207","url":null,"abstract":"","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"585"},"PeriodicalIF":3.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12187367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827636","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
Informing prostate cancer screening policy makers in the European Union: lessons from cancer screening governance and policymaking. 告知欧盟前列腺癌筛查决策者:来自癌症筛查治理和政策制定的经验教训。
IF 3.7 3区 医学
European Journal of Public Health Pub Date : 2025-06-01 DOI: 10.1093/eurpub/ckaf066
Sarah Collen, Arunah Chandran, Paolo Guglielmetti, Ondřej Májek, Monique J Roobol, Hendrik Van Poppel, Sergio Torres-Rueda
{"title":"Informing prostate cancer screening policy makers in the European Union: lessons from cancer screening governance and policymaking.","authors":"Sarah Collen, Arunah Chandran, Paolo Guglielmetti, Ondřej Májek, Monique J Roobol, Hendrik Van Poppel, Sergio Torres-Rueda","doi":"10.1093/eurpub/ckaf066","DOIUrl":"10.1093/eurpub/ckaf066","url":null,"abstract":"<p><p>Prostate cancer (PCa) poses a significant global health threat, with high incidence and mortality rates. In 2022, the Council of the European Union (EU) updated its screening recommendations, prioritizing PCa screening. This signals a crucial step towards establishing new early detection programmes in EU member states. This study investigates the role of policy makers and governance in cancer screening to inform the development of PCa screening. We had a mixed-method study design. First, a rapid review was conducted on policy making and governance in EU-funded cancer screening initiatives. Second, a focus group discussion reviewed study concepts and methods. Third, a systematic literature review was performed and, fourth, a series of in-depth interviews with actors involved in PCa screening pilots was conducted. Data were analysed thematically and the findings are used to propose 10 recommendations for policy makers. The results of the rapid review and focus group discussion framed the study in the context of existing cancer screening programmes across the EU, and highlighted what already exists in terms of governance tools and methodology. The literature review and in-depth interviews presented key learnings from the literature and real-life settings. These findings are reported using a pre-existing conceptional framework for effective health system governance. The study underscores the critical importance of governance in effective cancer screening programmes. Ten recommendations are proposed, including: defining cancer screening governance, allocating budgets and defining common approaches and key performance indicators for evaluation, establishing methods to enhance citizen participation, and reinforcing network governance.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"440-446"},"PeriodicalIF":3.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12198752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233594","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
Joint contributions of psychological distress and demanding working conditions to short and long sickness absence among young and early midlife municipal employees. 心理困扰和苛刻的工作条件对年轻和中年早期市政雇员短期和长期病假的共同贡献。
IF 3.7 3区 医学
European Journal of Public Health Pub Date : 2025-06-01 DOI: 10.1093/eurpub/ckaf048
Anna C Svärd, Mari-Liis Kalima, Jaana I Halonen, Minna Mänty, Tero Kujanpää, Eira Roos, Jatta Salmela, Tea Lallukka
{"title":"Joint contributions of psychological distress and demanding working conditions to short and long sickness absence among young and early midlife municipal employees.","authors":"Anna C Svärd, Mari-Liis Kalima, Jaana I Halonen, Minna Mänty, Tero Kujanpää, Eira Roos, Jatta Salmela, Tea Lallukka","doi":"10.1093/eurpub/ckaf048","DOIUrl":"10.1093/eurpub/ckaf048","url":null,"abstract":"<p><p>This register-linked follow-up study examined whether psychological distress and demanding working conditions are jointly associated with short and long sickness absence (SA) periods among young and midlife Finnish public sector employees. We linked the Helsinki Health Study survey (response rate 51.5%, 80% women, ages 19-39 years in 2017) on psychological distress, physically and mentally strenuous work, and hours per day spent in physical work with the employer's SA register (n = 3609, mean follow-up of 2.1 years). We calculated rate ratios (RRs) and their 95% confidence intervals (CIs) for short (1-7 days) and long (8+ days) SA periods using negative binomial regression models. Additionally, we calculated the synergistic interaction between psychological distress and working conditions. Most (88%) participants had at least one short and 31% at least one long SA period. Participants with psychological distress and exposure to demanding working conditions had the highest RRs for long SA periods (physically strenuous work: RR: 2.27, CI: 1.87-2.77; mentally strenuous work: RR: 2.02, CI: 1.66-2.46; ≥3 h per day spent in physical work: RR: 2.41, CI: 1.94-2.99). The interactions for long SA were negative for physically demanding working conditions, but additive for mentally strenuous work. The associations were weaker for short SA periods. Adjusting for other covariates only slightly attenuated these associations. Psychological distress and demanding working conditions were jointly associated with short and long SA periods. Both individual- and workplace-related risk factors for SA need to be considered when planning preventive actions.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"534-540"},"PeriodicalIF":3.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12192422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810782","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
Maternal socioeconomic and physical activity level in pregnancy is associated with offspring's sport-related physical activity at age 14 years in a Danish prospective cohort study. 在丹麦的一项前瞻性队列研究中,母亲在怀孕期间的社会经济和身体活动水平与孩子14岁时的运动相关身体活动有关。
IF 3.7 3区 医学
European Journal of Public Health Pub Date : 2025-06-01 DOI: 10.1093/eurpub/ckaf010
Clara Marie Ottesen, Nikoline Fich, Emma Scheel Basse, Thorhallur Ingi Halldorsson, Charlotta Granstrøm, Sjurdur Frodi Olsen, Marie Pedersen, Anne Ahrendt Bjerregaard
{"title":"Maternal socioeconomic and physical activity level in pregnancy is associated with offspring's sport-related physical activity at age 14 years in a Danish prospective cohort study.","authors":"Clara Marie Ottesen, Nikoline Fich, Emma Scheel Basse, Thorhallur Ingi Halldorsson, Charlotta Granstrøm, Sjurdur Frodi Olsen, Marie Pedersen, Anne Ahrendt Bjerregaard","doi":"10.1093/eurpub/ckaf010","DOIUrl":"10.1093/eurpub/ckaf010","url":null,"abstract":"<p><p>Regular physical activity (PA) protects against several non-communicable diseases. However, there is social inequality in PA and low adherence to PA recommendations. We investigated whether maternal socioeconomic status (SES) and PA in pregnancy are associated with sport-related PA level in 14-year-old offspring. Self-reported PA from 23 753 mother-child dyads in the Danish National Birth Cohort was retrieved from pregnancy and 14-year-old offspring. Weekly hours of PA were dichotomized into fulfilling official recommendations of 30 min/day for adults and 60 min/day for children or not. Information on maternal educational level was categorized into high, medium high, medium low, and low SES. Logistic regressions were applied to evaluate associations between maternal SES and adherence to PA recommendations and offspring adherence to PA recommendations at age 14. Most women did not fulfil PA recommendations in pregnancy (93%). In offspring, this was 79%. There were higher odds of the offspring not fulfilling PA recommendations at age 14 with low vs high maternal SES [adjusted odds ratio (OR): 1.42, 95% confidence interval (CI): 1.28, 1.59] and when mothers did not adhere to PA recommendations during pregnancy (adjusted OR: 1.33, 95% CI: 1.18, 1.49), independently of each other; and more pronounced in girls than in boys. This large prospective cohort study supports findings that socioeconomic background and maternal behaviours in early life may influence the offspring's behaviour, including sport-related PA, in later life. Increasing engagement in PA during pregnancy may not only be beneficial for maternal health but also later offspring health and behaviour.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"541-547"},"PeriodicalIF":3.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12191634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700080","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 associations of different recess types on physical activity and sedentary behaviour in Estonian primary school students. 不同课间休息类型对爱沙尼亚小学生身体活动和久坐行为的影响。
IF 3.7 3区 医学
European Journal of Public Health Pub Date : 2025-06-01 DOI: 10.1093/eurpub/ckaf052
Getter Marie Lemberg, Merike Kull, Jarek Mäestu, Eva-Maria Riso, Evelin Mäestu
{"title":"The associations of different recess types on physical activity and sedentary behaviour in Estonian primary school students.","authors":"Getter Marie Lemberg, Merike Kull, Jarek Mäestu, Eva-Maria Riso, Evelin Mäestu","doi":"10.1093/eurpub/ckaf052","DOIUrl":"10.1093/eurpub/ckaf052","url":null,"abstract":"<p><p>Students' physical activity (PA) levels tend to decrease with increasing age; however, the school day structure can potentially influence students' PA levels. This study aimed to measure and compare objective levels of PA during recess and school time between schools with different recess types. 15 different schools were selected, and accelerometry-based PA levels of 9-13-year-old students were measured. Schools were selected based on the recess types: (i) 'daily outdoor recess'; (ii) 'irregular outdoor recess'; (iii) 'indoor recess'. The 'daily outdoor recess' group reached the highest moderate-to-vigorous PA (MVPA) during recess compared to other groups. 'Indoor recess' group had more sedentary time during recess compared to 'irregular outdoor recess' and 'daily outdoor recess' groups (43.6 ± 1.0%, 34.0 ± 1.0%, 30.8 ± 0.8%, respectively; P < .05). Time in MVPA was unchanged during recess across all grades in the 'daily outdoor recess' group (from 22.8% to 25.6%), while decreased MVPA from 27% to 17% and from 21% to 10% was found in 'irregular outdoor recess' and 'indoor recess' group, respectively; P < .05. Sedentary time increased from 34% to 52% in the 'indoor recess' group and from 26% to 43% in the 'irregular outdoor recess' group (P < .05). There was a positive association between the recess length and MVPA minutes acquired during recess; however, during a 15-25 min outdoor recess, students spent more time in MVPA compared to a 30-50 min outdoor recess (28%-30.5%, 21%-23%, respectively). The findings emphasize that unstructured outdoor recess has a high potential to maintain the MVPA levels with increasing age.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"563-569"},"PeriodicalIF":3.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12192417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802682","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
Determinants of knowledge of risks associated with cigarette smoking among adolescents in Scotland. 苏格兰青少年吸烟相关风险知识的决定因素
IF 3.7 3区 医学
European Journal of Public Health Pub Date : 2025-06-01 DOI: 10.1093/eurpub/ckaf024
Yusuff Adebayo Adebisi, Isaac Olushola Ogunkola, Najim Z Alshahrani, Nafisat Dasola Jimoh, Olayinka Stephen Ilesanmi
{"title":"Determinants of knowledge of risks associated with cigarette smoking among adolescents in Scotland.","authors":"Yusuff Adebayo Adebisi, Isaac Olushola Ogunkola, Najim Z Alshahrani, Nafisat Dasola Jimoh, Olayinka Stephen Ilesanmi","doi":"10.1093/eurpub/ckaf024","DOIUrl":"10.1093/eurpub/ckaf024","url":null,"abstract":"<p><p>Cigarette smoking remains a significant public health concern, particularly among adolescents. This study aimed to assess adolescents' knowledge of the risks associated with smoking in Scotland and explore the factors influencing this knowledge. A cross-sectional analysis was conducted using data from the 2018 Scottish Schools Adolescent Lifestyle and Substance Use Survey. The sample included 23 365 adolescents from Secondary 2 (n = 12 558) and Secondary 4 (n = 10 807). Demographic, behavioural, contextual, and health-related factors were examined as predictors of smoking risk knowledge, with a cumulative knowledge score based on responses to seven smoking-related questions. Poisson regression was used to examine associations between predictors and cumulative knowledge scores, and adjusted incidence rate ratios (IRRs) with 95% confidence intervals (CIs) were reported. Overall, 38.2% (n = 8928) of participants answered all questions correctly, with a median score of 6 (IQR: 5-7). While 83.6% (n = 19 540) scored at least 5, knowledge gaps remained, particularly concerning the risks of light smoking. Boys had lower scores than girls (IRR = 0.97, 95% CI: 0.96-0.97, P < .001), and adolescents from less deprived areas scored higher than those from more deprived areas (IRR = 1.02, 95% CI: 1.01-1.03, P = .006). Non-smokers had higher scores than smokers (IRR = 1.08, 95% CI: 1.05-1.10, P < .001), and adolescents confident in accessing health information scored significantly higher (IRR = 1.13, 95% CI: 1.11-1.15, P < .001). Peer influence was evident, as adolescents with friends who smoked had lower scores (IRR = 0.96, 95% CI: 0.94-0.98, P < .001). Adolescents in Scotland generally understand the risks of cigarette smoking, but notable gaps persist, especially regarding dangers of light smoking.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"491-497"},"PeriodicalIF":3.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188432/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624062","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
Barriers and motivators associated with COVID-19 vaccination-a vaccine acceptance scoring system based on a population survey in southern Sweden. 与COVID-19疫苗接种相关的障碍和激励因素——基于瑞典南部人口调查的疫苗接受度评分系统
IF 3.7 3区 医学
European Journal of Public Health Pub Date : 2025-06-01 DOI: 10.1093/eurpub/ckaf030
Adam Mitchell, Mariam Hassan, Fredrik Kahn, Yana Litins'ka, Matilda Almgren, Ulf Malmqvist, Per-Olof Östergren, Malin Inghammar, Jonas Björk, Louise Bennet
{"title":"Barriers and motivators associated with COVID-19 vaccination-a vaccine acceptance scoring system based on a population survey in southern Sweden.","authors":"Adam Mitchell, Mariam Hassan, Fredrik Kahn, Yana Litins'ka, Matilda Almgren, Ulf Malmqvist, Per-Olof Östergren, Malin Inghammar, Jonas Björk, Louise Bennet","doi":"10.1093/eurpub/ckaf030","DOIUrl":"10.1093/eurpub/ckaf030","url":null,"abstract":"<p><p>Low vaccination coverage against SARS-CoV-2 (COVID-19) is a public health concern. The aim of this study was to identify barriers and motivators associated with COVID-19 vaccination and develop a vaccine acceptance scoring system. From the overall population residing in Skåne county Sweden in 2022 (n = 1 384 531), 3600 randomly selected individuals (aged ≥18 years) received a survey. Questions were grouped into six domains reflecting trust in vaccines and institutions, benefit-risk balance, injunctive and descriptive norms and accessibility. Responses were scored as either assenting (1 p) or dissenting (0 p) in relation to its domain. A score between 1 and 5 p was constructed for each domain and a total vaccine acceptance score was analysed. Internal consistency overall and within domains was assessed with Cronbach's alpha. Associations with vaccination status and vaccine acceptance scores in relation to domains were modelled with logistic regression. 820 responses were received, 646 vaccinated (response rate 36%), and 174 unvaccinated (response rate 10%), with relatively high internal consistency overall (α = 0.76). Domains markedly associated with vaccination were injunctive norms OR 5.06 (95% CI 3.27, 7.83), descriptive norms OR 2.64 (1.63, 4.30) and trust in vaccines OR 1.66 (1.15, 2.40). Vaccine acceptance was measured with sufficient reliability in a Swedish population. Norms, in this context, general perceptions of acceptable/unacceptable behaviours and notion on actual performed behaviours, were together with trust in vaccines most strongly associated with vaccination. Future pandemic responses should consider these aspects in communication strategies and targeted interventions to increase and equalize vaccination uptake.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"477-483"},"PeriodicalIF":3.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143971280","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
Correction to: All-cause and cause-specific mortality among older migrant and non-migrant adults in Finland: a register study on all deaths, 2002-2020. 更正:芬兰老年移民和非移民成年人的全因死亡率和特定原因死亡率:2002-2020年所有死亡的登记研究。
IF 3.7 3区 医学
European Journal of Public Health Pub Date : 2025-06-01 DOI: 10.1093/eurpub/ckaf041
{"title":"Correction to: All-cause and cause-specific mortality among older migrant and non-migrant adults in Finland: a register study on all deaths, 2002-2020.","authors":"","doi":"10.1093/eurpub/ckaf041","DOIUrl":"10.1093/eurpub/ckaf041","url":null,"abstract":"","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"587"},"PeriodicalIF":3.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143980577","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
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