European Journal of Public Health最新文献

{"title":"Protecting Europe's prevention infrastructure in the next EU budget.","authors":"Benedetta Armocida, Knut-Inge Klepp, Hanna Tolonen","doi":"10.1093/eurpub/ckag142","DOIUrl":"10.1093/eurpub/ckag142","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/PMC13390285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148548337","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":"Multidimensional poverty in Scotland and health across adulthood-the paradoxical associations with food, fuel, and financial insecurity in later life.","authors":"Sarah N Champagne, Euan Phimister, Aravinda Meera Guntupalli","doi":"10.1093/eurpub/ckag089","DOIUrl":"10.1093/eurpub/ckag089","url":null,"abstract":"<p><p>Little is known about the impact that older age and the cost-of-living crisis have on health and wellbeing in Scotland, a country with the lowest life expectancy in Western Europe. Using Scotland as a case study, we aim to capture multidimensional poverty across adulthood and study the associations with health. Relying on the Joseph Rowntree Foundation's 2023 Poverty in Scotland Survey, we measured the odds of self-reported food, fuel, and financial insecurities across adulthood. We then assessed the association between these insecurities and self-reported physical, mental, and social domains of health. Overall, older adults (aged 65+) report less food, fuel, and financial insecurity. However, lower-income adults aged 35-74 reported significantly higher odds of fuel insecurity compared to younger, upper-income adults. All dimensions of insecurity are significantly associated with higher odds of poor health outcomes, especially among younger adults. Older adults paradoxically report largely fewer negative health impacts despite existing evidence of the group's health vulnerability to these insecurities. This study shows the importance of analysing poverty multi-dimensionally. It evidences that while pensions are associated with lower reported levels of food and financial insecurity, these associations do not maintain for fuel insecurity, especially among lower-income groups. The results support the reintroduction of non-means-tested winter heating benefits for older adults in Scotland. All three insecurities impact self-reported health, yet reports from older adults do not mirror health across the life course. This may be influenced by survey administration, question framing, understandings of health, problematization of insecurities and stigma.</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/PMC13281941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148283580","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":"Health and care workforce planning must move from technical procedures towards governing a complex ecosystem in uncertain times.","authors":"Ellen Kuhlmann, Michelle Falkenbach, Ivy Lynn Bourgeault, Sarada Das, Marjolein Dieleman, Niamh Humphries, Gareth Rees, Cris Scotter, Tiago Correia","doi":"10.1093/eurpub/ckag071","DOIUrl":"10.1093/eurpub/ckag071","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/PMC13282079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148283573","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":"Behind closed doors: a cross-sectional survey on the health and working conditions of migrant live-in care workers in Germany.","authors":"Judith E Beike, Ulrike Rösler, Agnieszka Skwarek, Johannes Wendsche, Christian Pfeffer-Hoffmann","doi":"10.1093/eurpub/ckag082","DOIUrl":"10.1093/eurpub/ckag082","url":null,"abstract":"<p><p>Despite the vital role migrant live-in care workers play in elder care across Europe, they often confront precarious employment conditions with limited legal protections and low visibility. Quantitative evidence on their work and health has been scarce. This study (i) describes live-in care workers' sociodemographic characteristics and job conditions in German homecare; (ii) compares their job demands, resources and motivational, and health-related outcomes with those of geriatric nurses and the German general working population; and (iii) analyses the extent to which their demands and resources are linked to motivational and health outcomes. The Copenhagen Psychosocial Questionnaire was used to assess the psychosocial working conditions, health-related and motivational outcomes of the participating live-in care workers. The sample comprised 429 migrant live-in care workers, of whom 93% were women and 77% were older than 49 years. Most live-ins originated from Poland (50%), followed by Bulgaria (30%), Croatia (13%), and Romania (4%). Nearly half lack formal contracts. Compared to geriatric nurses and all occupations, they experience higher work-privacy conflicts (d = 0.66; d = 0.93) and emotional demands but lower quantitative and physical demands. They report lower job satisfaction, higher burnout, greater presenteeism, and stronger turnover intentions (d = 0.71; d = 0.81). Job demands and resources are significant predictors of health and motivational outcomes. Our study highlights the importance of work-privacy conflict as a central occupational stressor for live-ins. Policy actions and interventions must improve their working conditions, strengthen job resources and protect their health and well-being.</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/PMC13265372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148249920","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":"Trends in injuries over 20 years: a cross-national study of 954 298 adolescents from 31 European countries.","authors":"William Pickett, Nathan King, Valerie F Pagnotta, Peter D Donnelly, Yossi Harel-Fisch, Sophie D Walsh, Kwok Ng, Marta Malinowska-Cieślik, Dóra Eszter Várnai, Gentiana Qirjako, Michal Molcho","doi":"10.1093/eurpub/ckag080","DOIUrl":"10.1093/eurpub/ckag080","url":null,"abstract":"<p><p>Injuries are a leading public health priority within adolescent populations; however, few cross-national studies have examined their epidemiology over time. We described time trends in adolescent self-reported medically treated injury across 31 mainly European countries over 20 years, then explored whether observed temporal trends varied according to the prevalence of known behavioral risk factors. The data source included six cycles of the Health Behavior in School-aged Children study (2002-22; weighted n = 954 298, participants aged 11-15 years). Outcomes included self-reports of any and multiple medically treated injuries. Measures of behavioral risks included indicators of violence, substance use, and physical activity. Within countries reporting increases in injuries, variations in reported engagement in known behavioral risk factors were examined. Nearly half of adolescents reported at least one medically treated injury (47%-53% of boys; 38%-44% of girls) and nearly one quarter reported multiple injuries (23%-30% of boys; 16%-22% of girls). In the pooled analysis, temporal trends included increases in any medically treated injury for girls (all age groups) and boys (11 years only) and multiple injuries (boys and girls, all age groups). At the country-level, we observed more temporal increases than decreases. Increases in physical activity were observed coincident with observed injury trends. In one of the largest European analyses of its kind, we demonstrated the ongoing burden of adolescent injury. Persistently high rates of adolescent injuries are concerning, and the origins of temporal increases require an initial focus on sport and physical activity.</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/PMC13293065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148316531","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":"'Veni, Vidi, Vaccini': consensus-based vaccination pathway implementation in a paediatric tertiary hospital in Tuscany, Italy.","authors":"Walter Maria Sarli, Matilde Peri, Clementina Canessa, Francesca Lippi, Lorenzo Lodi, Francesca Menegazzo, Francesco Puggelli, Chiara Azzari, Silvia Ricci","doi":"10.1093/eurpub/ckag109","DOIUrl":"10.1093/eurpub/ckag109","url":null,"abstract":"<p><p>Fragile paediatric patients are at higher risk of vaccine-preventable diseases, yet coverage remains suboptimal. Hospitalisation offers an opportunity to review and update immunisation, but fragmented practices create inequities, with access depending more on hospital context than clinical need. This study aimed to design, implement, and evaluate an in-hospital vaccination pathway for these patients. A mixed-methods approach was undertaken at Meyer Children's Hospital IRCCS, Florence, Italy. Baseline assessment included nine focus groups and an online questionnaire with healthcare professionals from units managing fragile patients, exploring practices, barriers, and needs. Findings informed the co-design of a pathway integrating documentation review, catch-up planning, and in-hospital delivery coordinated by the Immunology Unit. Administrative data on non-SARS-CoV-2 vaccinations in fragile patients (2022-2025) were analysed. Most respondents supported hospital-based vaccination (94.2%) but reported gaps in registry access, spaces, and training. Only 67.6% collected vaccination history systematically, 14.4% always mentioned vaccination in discharge letters, and 15.9% always recommended family immunisation. Despite acknowledging low influenza coverage (60.9% declared coverage <50%), 15.9% expressed hesitancy in administering non-live vaccines, mainly due to efficacy concerns (55.9%). After implementation, vaccine administrations increased from 361 in the 2022-2023 season to 752 in the 2024-2025 season (+108.3%; P < .0001). Increases were observed after staff sensitisation, with further growth following the creation of the hospital vaccination centre. A structured hospital-based vaccination pathway for fragile paediatric patients is feasible, well accepted, and associated with increased vaccine administrations within the hospital care pathway. Broader adoption could reduce inequities and strengthen vaccine access for high-risk children.</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/PMC13293060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148316540","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":"Beyond the binary: towards obesity prevention and treatment as a continuum.","authors":"Joreintje D Mackenbach, Harry Rutter","doi":"10.1093/eurpub/ckag112","DOIUrl":"10.1093/eurpub/ckag112","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/PMC13329064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148374865","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":"Social mobility and cancer mortality in Central and Eastern Europe: a multicohort study.","authors":"Yuwei Pan, Hynek Pikhart, Andrzej Pajak, Abdonas Tamosiunas, Tatyana Court, Magdalena Kozela, Anne Peasey, Denes Stefler, Martin Bobak","doi":"10.1093/eurpub/ckag124","DOIUrl":"10.1093/eurpub/ckag124","url":null,"abstract":"<p><p>Social determinants of cancer mortality in Central and Eastern Europe (CEE) have been relatively under-researched. This study investigated associations of socioeconomic status (SES) and intergenerational social mobility with cancer mortality in three countries of the region. Data from the Health, Alcohol and Psychosocial factors In Eastern Europe (HAPIEE) study in the Czech Republic, Poland, and Lithuania were used (23 009 men and women, an average follow-up of 17 years, and a total of 2383 cancer deaths through the end of 2024). Childhood SES was measured by parental education and household amenities at age 10, and adulthood SES was measured by education, employment, household amenities, and material deprivation. Principal component analysis based on polychoric correlation matrix reduced the dimensionality of SES variables. Competing risk models estimated subdistribution hazard ratios (SHRs) for the associations of SES and social mobility with mortality from all cancers and two leading cancer types (lung and colorectal cancers). Compared to low adulthood SES, high adulthood SES was associated with lower total and lung cancer mortality (fully adjusted SHRs were 0.85 (95% confidence interval [CI], 0.76-0.94) and 0.79 (0.62-1.00), respectively). Compared to stable low SES, stable middle or high SES was associated with lower overall cancer mortality (fully adjusted SHR was 0.88 [95% CI, 0.77-1.00]), while associations of downward and upward mobility with cancer mortality varied by cancer type and country. Adulthood SES and intergenerational social mobility, but not childhood SES, were associated with cancer mortality in later life in CEE. These results may help inform cancer prevention and treatment programmes.</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/PMC13356042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148419878","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":"Relevance of prematurity and foetal growth restriction for romantic relationships, health-risk behaviours, and socio-economic outcomes in adulthood.","authors":"Achim Fieß, Sandra Gißler, Alexander K Schuster, Jonas Tesarz, Eva Mildenberger, Elmar Brähler, Michael S Urschitz, Norbert Pfeiffer, Manfred E Beutel, Alica Hartmann, Mareike Ernst","doi":"10.1093/eurpub/ckag105","DOIUrl":"10.1093/eurpub/ckag105","url":null,"abstract":"<p><p>Advances in neonatal care have improved survival rates of preterm and growth-restricted infants. However, concerns remain regarding their long-term psychosocial development. This study investigated psychosocial outcomes in adults born preterm or growth-restricted. The Gutenberg Prematurity Study is a retrospective cohort study including 606 participants (326 women, 53.8%) aged 18-52 years. Participants were categorized by gestational age (GA) as extremely preterm (≤28 weeks), very preterm (29-32 weeks), moderately preterm (33-36 weeks), and term (≥37 weeks), and by birth weight percentile as small for GA (SGA), appropriate for GA, and large for GA. Logistic regression assessed associations of GA and birth weight with romantic relationships and health-risk behaviours. Socio-economic status (SES) parameters were analysed using linear regression. Extremely and very preterm participants reported fewer health-risk behaviours, particularly lower alcohol consumption [extremely preterm: odds ratio (OR) = 0.26; 95% confidence interval (CI): 0.13-0.49; P < 0.001]. Similarly, participants born SGA were less likely to report current alcohol consumption (OR = 0.63; 95% CI: 0.41-0.98; P = 0.04). A trend towards lower odds of ever having been in a romantic relationship was observed (OR = 0.35; 95% CI: 0.11-1.09; P = 0.07). Being born extremely or moderately preterm was associated with lower overall SES (extremely preterm: β = -2.25; 95% CI: -3.22 to -1.27; P < 0.001; moderately preterm: β = -1.04; 95% CI: -1.73 to -0.35; P = 0.003). No significant associations were found for present relationship status, relationship satisfaction, or smoking behaviour. Preterm birth and foetal growth restriction are associated with adult psychosocial outcomes, with preterm birth more strongly affecting socio-economic outcomes, underscoring the need for targeted support.</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/PMC13368824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148445125","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":"Oral cancer large observational screening study in Hungary.","authors":"Edit Marosi, István Kenessey, Éva Székelyhidi, Katalin Nagy, Ferenc Oberna, Zoltán Takácsi-Nagy, András Wéber, Csilla Egri Árváné, Renáta Tamás Bertókné, Orsolya Surján, Péter Nagy, Cecília Müller","doi":"10.1093/eurpub/ckag086","DOIUrl":"10.1093/eurpub/ckag086","url":null,"abstract":"<p><p>Incidence and mortality of oral cancer slightly decreased in recent years in Hungary; however, age-standardized estimated incidence and mortality for both sexes are still among the highest in Europe. The objective of the large observational study was to conduct oral cancer screening in Hungary using mobile screening units to examine 5000 individuals living in converging municipalities with low population density and under challenging socio-economic conditions. The study also aimed to develop related patient pathways, and to educate the population on the prevention of oral malignancies. The population screened for oral cancers using Visual Oral Examination (VOE) between 21 June 2021 and 31 March 2023 included individuals of 18 years of age or older, living in converging municipalities and in other geographical locations across Hungary. In 2024, a retrospective cross-sectional study was carried out to analyze the results. During the studied time period, a total of 8266 people attended the oral cancer screening study from converging municipalities (n = 4275; 51.7%), and from other geographical locations (n = 3991; 48.3%). Oral mucosal lesions were detected in 1725 individuals, of whom only 66 people (3.8%)-13 men and 53 women-visited a specialist, and 6 were diagnosed with malignant neoplasms. Mobile screening units can be an effective tool of secondary prevention for screening high-risk groups in rural, socio-economically challenging settings. However, low compliance of screen positive individuals to attend follow-up visits poses a threat to the effectiveness of the screening programs and it needs to be addressed by optimizing patient pathways.</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/PMC13356807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148430253","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}