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An assessment of the Chilean COVID-19 surveillance program through the comparison between reported and true SARS-CoV-2 infection prevalence: A case study of three urban centers in southern Chile.
IF 3.9 3区 医学
Public Health Pub Date : 2025-01-29 DOI: 10.1016/j.puhe.2024.12.033
Cristóbal Verdugo, Claudio Verdugo, Alberto Fica, Felipe Hernández, Alfredo Ramírez-Reveco, Anita Plaza, Natalia Castro, Maximiliano Hernández-Riquelme, Gerardo Acosta-Jamett
{"title":"An assessment of the Chilean COVID-19 surveillance program through the comparison between reported and true SARS-CoV-2 infection prevalence: A case study of three urban centers in southern Chile.","authors":"Cristóbal Verdugo, Claudio Verdugo, Alberto Fica, Felipe Hernández, Alfredo Ramírez-Reveco, Anita Plaza, Natalia Castro, Maximiliano Hernández-Riquelme, Gerardo Acosta-Jamett","doi":"10.1016/j.puhe.2024.12.033","DOIUrl":"https://doi.org/10.1016/j.puhe.2024.12.033","url":null,"abstract":"<p><strong>Objectives: </strong>Estimate the detection limits of the COVID-19 surveillance system (SS) in Chile, by estimating the SARS-CoV-2 true prevalence (TP) and the reported official positivity prevalence (OPP) gap.</p><p><strong>Study design: </strong>Randomized cross-sectional.</p><p><strong>Methods: </strong>Two sampling campaigns (SC) were conducted (October-November 2020 and December 2020-January 2021) in the cities of Temuco, Valdivia, and Osorno. Blood was collected from adults from randomly selected households. Sera were analyzed using a commercial later flow test (LFT). A meta-analysis was performed to estimate LFT-performance in asymptomatic-cases. Data were analyzed using a Bayesian latent class model (BLCM) to estimate TP. Finally, BLCM outputs were compared with the OPP, by calculating the TP/OPP rate.</p><p><strong>Results: </strong>1124 and 1017 households were visited during the 1st and 2nd SC, respectively. The BLCM rendered TP estimates of 6.5 %, 3.2 %, and 6.6 % for the cities of Temuco, Valdivia, and Osorno, respectively (1<sup>st</sup>SC), increasing to 9.4 %, 5.0 %, and 7.5 %, 60 days later (2<sup>nd</sup>SC). Depending on the city and SC, TP/OPP rates varied between 2.3 and 5.7.</p><p><strong>Conclusion: </strong>The national SS was unable to detect 70-79 % of all infected cases, suggesting that mild and asymptomatic cases were scarcely detected.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"239 ","pages":"207-214"},"PeriodicalIF":3.9,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069183","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
Trends in psychological distress during and after the COVID-19 pandemic: Findings from a population-based Costa Rican cohort study.
IF 3.9 3区 医学
Public Health Pub Date : 2025-01-29 DOI: 10.1016/j.puhe.2025.01.017
Romain Fantin, Carolina Porras, Henriette Raventós, Alejandro Calderón, Amada Aparicio, Natalia Alba, Viviana Loria, Allan Hildesheim, Rolando Herrero, Cristina Barboza-Solís
{"title":"Trends in psychological distress during and after the COVID-19 pandemic: Findings from a population-based Costa Rican cohort study.","authors":"Romain Fantin, Carolina Porras, Henriette Raventós, Alejandro Calderón, Amada Aparicio, Natalia Alba, Viviana Loria, Allan Hildesheim, Rolando Herrero, Cristina Barboza-Solís","doi":"10.1016/j.puhe.2025.01.017","DOIUrl":"https://doi.org/10.1016/j.puhe.2025.01.017","url":null,"abstract":"<p><strong>Objectives: </strong>The COVID-19 pandemic has resulted in an increase of psychological distress. We hypothesized that the mental health of individuals has improved since the end of the pandemic.</p><p><strong>Study design: </strong>1459 population-based participants of the RESPIRA cohort study (Costa Rica) METHODS: Psychological distress was measured at 6-month intervals using the Mental Health Inventory 5 (MHI-5) during the 2-year follow-up. Visits occurred between June 2021 and November 2023. Age-sex-standardized MHI-5 mean and proportion of individuals living with psychological distress were estimated by calendar time. We evaluated both cross-sectional estimates over time among all cohort participants, and within-individual evolution among the subset of 1341 participants with repeated measures between June 2021-June 2022 and January-November 2023.</p><p><strong>Results: </strong>Standardized prevalence of people living with psychological distress was 13.6 % [10.8-16.8] during the height of the pandemic compared to 8.8 % [6.5-11.6] post-pandemic. The standardized MHI-5 mean increased from 76.3 [74.8-77.9] to 82.9 [81.6-84.3] between the height and post-pandemic periods. 14.5 % of the participants had a much better MHI-5 score (24 points or more) in the post-pandemic period compared to the height of the pandemic, and only 5.3 % had a much worse MHI-5 score. Consistent improvements were observed among sexes and across age, except for 12-17-year-olds.</p><p><strong>Conclusions: </strong>This study showed a decrease in the proportion of people living with psychological distress in Costa Rica since the end of the pandemic.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"240 ","pages":"88-94"},"PeriodicalIF":3.9,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068657","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
Recreational marijuana legalization's impact and opioid death rates: A synthetic control approach.
IF 3.9 3区 医学
Public Health Pub Date : 2025-01-29 DOI: 10.1016/j.puhe.2024.12.047
Elisha Kwaku Denkyirah, Raymond J March, Glenn L Furton, Veeshan Rayamajhee, Ryan M Yonk
{"title":"Recreational marijuana legalization's impact and opioid death rates: A synthetic control approach.","authors":"Elisha Kwaku Denkyirah, Raymond J March, Glenn L Furton, Veeshan Rayamajhee, Ryan M Yonk","doi":"10.1016/j.puhe.2024.12.047","DOIUrl":"https://doi.org/10.1016/j.puhe.2024.12.047","url":null,"abstract":"<p><strong>Objectives: </strong>To develop a more robust understanding of the relationship between increased recreational marijuana access and opioid overdose deaths. Increasing opioid-related deaths in conjunction with the rising popularity of liberalized marijuana laws make additional research examining the interrelation of both a timely and insightful question.</p><p><strong>Study design: </strong>We use synthetic control method to assess the impact of opening recreational marijuana dispensaries via recreational marijuana legalization (RML) on opioid death rates in Colorado, Washington, and Oregon. These states were the first to introduce recreational marijuana legalization, providing a sufficiently long post-treatment period to draw fruitful policy-related insights.</p><p><strong>Methods: </strong>We utilize state-level data collected from the Centers for Disease Control, Bureau of Labor Statistics, US Census Bureau, American Foundation for AIDS Research's Opioid and Health Indicators Database, and other data sources to construct our synthetics.</p><p><strong>Results: </strong>Our analysis shows each synthetic control's average treatment effect is approximately -6.49 for Colorado, -2.89 for Washington, and -4.8 for Oregon. However, these findings were not statistically significant. Additional robustness checks performed on each synthetic yield a consistent negative relationship but non-significance.</p><p><strong>Conclusions: </strong>We did not find significant relationships between recreational marijuana dispensary openings and opioid death rates.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"239 ","pages":"201-206"},"PeriodicalIF":3.9,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067706","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
Health impacts of cold exposure among people experiencing homelessness: A narrative systematic review on risks and risk-reduction approaches.
IF 3.9 3区 医学
Public Health Pub Date : 2025-01-28 DOI: 10.1016/j.puhe.2025.01.006
Rebecca Akhanemhe, Carl Petrokofsky, Sharif A Ismail
{"title":"Health impacts of cold exposure among people experiencing homelessness: A narrative systematic review on risks and risk-reduction approaches.","authors":"Rebecca Akhanemhe, Carl Petrokofsky, Sharif A Ismail","doi":"10.1016/j.puhe.2025.01.006","DOIUrl":"https://doi.org/10.1016/j.puhe.2025.01.006","url":null,"abstract":"<p><strong>Objective: </strong>To systematically review evidence from high income countries on health risks from cold weather exposure among people experiencing homelessness (PEH) and assess evidence on risk-reduction interventions and their effectiveness.</p><p><strong>Study design: </strong>Narrative systematic review.</p><p><strong>Methods: </strong>Keyword-structured searches were performed in CINAHL, Emcare, Medline, SocINDEX, Scopus, OpenGrey, Social Policy and Practice and Web of Science, and supplemented by grey literature searches in a selection of other databases, from 1973 to 2024. Articles were double-screened on title/abstract and full text. Extracted data included information on study setting and population, health risks from cold exposure, intervention characteristics and effect sizes where reported. Studies were critically appraised using Joanna Briggs Institute checklists.</p><p><strong>Results: </strong>24 studies were included, predominantly from the UK and US. People sleeping rough were found to be at greater risk than the general population of mortality due to hypothermia, and of hypothermic injury. Studies assessing health service utilisation indicated higher than population average admission rates due to cold exposure among PEH. Studies on interventions to reduce health risks from cold exposure in these populations all addressed multi-component programmes including shelter provision as a central component. Evidence of effectiveness was very limited.</p><p><strong>Conclusion: </strong>PEH are at greater risk of death from hypothermia, and of hypothermic injury due to cold exposure than the general population. The use of overnight shelters and severe weather emergency plans are established approaches in high income settings for reducing risks from cold exposure among those sleeping rough, but further evidence on effectiveness is needed.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"240 ","pages":"80-87"},"PeriodicalIF":3.9,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068539","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
Development and validation of a prediction model of frailty risk in community-dwelling older adults: From a national longitudinal survey.
IF 3.9 3区 医学
Public Health Pub Date : 2025-01-27 DOI: 10.1016/j.puhe.2024.12.055
Yongfei Dong, Qianqian Wang, Ke Zhang, Xichao Wang, Huan Liu, Yanjie Chen, Zaixiang Tang, Liping Tan
{"title":"Development and validation of a prediction model of frailty risk in community-dwelling older adults: From a national longitudinal survey.","authors":"Yongfei Dong, Qianqian Wang, Ke Zhang, Xichao Wang, Huan Liu, Yanjie Chen, Zaixiang Tang, Liping Tan","doi":"10.1016/j.puhe.2024.12.055","DOIUrl":"https://doi.org/10.1016/j.puhe.2024.12.055","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to develop and validate a risk prediction model for frailty in elderly using a nationally representative longitudinal survey database.</p><p><strong>Study design: </strong>Longitudinal study based on public databases.</p><p><strong>Methods: </strong>Three continuous cohorts of elderly aged 65 years or older from the Chinese Longitudinal Healthy Longevity Survey, with the 2008-2018 cohort as the development cohort. 2005-2014 and 2002-2011 cohort as validation sets. Frailty was assessed using the FI constructed from 46 indicators of health deficits, with FI ≥ 0.25 considered frailty. Prediction models were constructed using Cox regression model. We assessed the predictive performance of the models using the concordance statistic and calibration accuracy.</p><p><strong>Results: </strong>4,878 participants from the development cohort were enrolled with a median follow-up of 65 months. The prediction model contained 9 predictors: age, BMI, cognitive function, gender, ethnicity, education, natural teeth status, smoking status, and occupation. In the development cohort, the AUCs were 0.74, 0.78, and 0.80 at 36, 60, and 96 months. The AUCs were 0.68, 0.84, 0.85, and 0.70, 0.72, and 0.76 for two validation sets, respectively. Calibration performed well in the development and two validation sets, with a Brier score of <0.25. The prediction models constructed using machine learning algorithms showed similar predictive performance.</p><p><strong>Conclusions: </strong>We developed and validated a model to predict the risk of incident frailty in elderly. The model provides insights to enable early screening and risk stratification for frailty in elderly, and to frame the development of individualized prevention of frailty.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"240 ","pages":"63-70"},"PeriodicalIF":3.9,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061255","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
Evaluating the impact of minimum unit alcohol pricing on purchasing behaviour by different social class and age groups in Wales: A controlled interrupted time series study.
IF 3.9 3区 医学
Public Health Pub Date : 2025-01-27 DOI: 10.1016/j.puhe.2024.12.051
Sonam Billan, Colin Angus, Brendan Collins
{"title":"Evaluating the impact of minimum unit alcohol pricing on purchasing behaviour by different social class and age groups in Wales: A controlled interrupted time series study.","authors":"Sonam Billan, Colin Angus, Brendan Collins","doi":"10.1016/j.puhe.2024.12.051","DOIUrl":"https://doi.org/10.1016/j.puhe.2024.12.051","url":null,"abstract":"<p><strong>Objectives: </strong>Alcohol consumption and its associated harms pose a significant challenge to public health in the UK. To address this issue, Wales implemented a Minimum Unit Price policy (MUP) in February 2020, setting a minimum price of 50p per UK unit of alcohol (10 ml/8 g). In this study we evaluate the policy's impact on alcohol sales metrics to gauge its effectiveness in improving public health outcomes.</p><p><strong>Study design: </strong>Controlled interrupted time series study.</p><p><strong>Methods: </strong>Analysis was conducted on alcohol sales data from February 2016 to February 2022, using the Kantar WorldPanel dataset, which tracks household alcohol purchases. The study employed a difference-in-difference and dynamic differences approach with controls for year fixed effects and a control for COVID-19, comparing the impact of the MUP in Wales to England, where no policy was introduced. Key outcomes included mean spend on alcohol per shopping trip, mean price per litre, proportion of households purchasing each type of alcohol (penetration), and average volume of alcohol purchased (average weekly purchase in volume and spend).</p><p><strong>Results: </strong>MUP was associated with reduced alcohol purchases, notably among drinkers under 28 favouring cheap high-strength alcohol like cider. Effects varied by demographics and alcohol type. Those aged under 28 decreased cider consumption by 50 % compared to England, possibly switching to lager, which saw a 33 % spending increase. Older consumers exhibit short-term price insensitivity. Additionally, there was a 1.33 percentage point rise in wine consumption among lower socioeconomic groups.</p><p><strong>Conclusions: </strong>MUP in Wales changed purchasing behaviour, which should lead to public health benefits in the longer term. There were some interesting effects by age group and alcohol type.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"240 ","pages":"71-79"},"PeriodicalIF":3.9,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061262","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
The effects of socio-economic and environmental factors on Korean suicidal ideation: A Bayesian multilevel analysis.
IF 3.9 3区 医学
Public Health Pub Date : 2025-01-27 DOI: 10.1016/j.puhe.2025.01.001
H W Jung, H J Park
{"title":"The effects of socio-economic and environmental factors on Korean suicidal ideation: A Bayesian multilevel analysis.","authors":"H W Jung, H J Park","doi":"10.1016/j.puhe.2025.01.001","DOIUrl":"https://doi.org/10.1016/j.puhe.2025.01.001","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated how socio-economic and environmental factors contribute to suicidal ideation in South Korea.</p><p><strong>Study design: </strong>This was a cross-sectional study.</p><p><strong>Methods: </strong>Using a Bayesian multilevel analysis, the study highlights the impact of housing insecurity, financial burden, and subjective health perceptions on mental health. Data from the 2018 Korea Health Panel and regional statistics were used to analyze variables at the individual, household, and regional levels.</p><p><strong>Results: </strong>The results suggest that poor subjective health perception, depression, and a precarious financial situation increase suicidal ideation. Regions with high housing vacancies exhibit lower suicide ideation rates, implying that reduced housing competition may alleviate mental stress.</p><p><strong>Conclusions: </strong>Targeted mental health interventions and improved housing policies are required to help vulnerable populations.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"239 ","pages":"193-200"},"PeriodicalIF":3.9,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061238","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
Development and validation of a county deprivation index for assessing socio-economic disparities in the United States: Implications for public health outcomes and mitigation strategies.
IF 3.9 3区 医学
Public Health Pub Date : 2025-01-27 DOI: 10.1016/j.puhe.2025.01.002
W D Irish, A E Burch, A Landry, M D Honaker, J Wong
{"title":"Development and validation of a county deprivation index for assessing socio-economic disparities in the United States: Implications for public health outcomes and mitigation strategies.","authors":"W D Irish, A E Burch, A Landry, M D Honaker, J Wong","doi":"10.1016/j.puhe.2025.01.002","DOIUrl":"https://doi.org/10.1016/j.puhe.2025.01.002","url":null,"abstract":"<p><strong>Objective: </strong>To develop and validate a county deprivation index (CDI) that assesses socio-economic disparities and their impact on health outcomes at the county level.</p><p><strong>Study design: </strong>A retrospective, cross-sectional study using publicly available county-level data.</p><p><strong>Methods: </strong>Hierarchical cluster analysis was used to group 18 county-level socio-economic indicators into three clusters: economic well-being and technical connectivity, socio-economic disadvantage and vulnerability, and housing affordability and quality of life. The CDI was derived from model coefficients and validated by comparing its performance to established county deprivation measures, including the Social Deprivation Index (SDI) and the Multidimensional Deprivation Index (MDI), in predicting disease-specific mortality rates. We also assessed the CDI's ability to explain variability in Robert Wood Johnson Foundation (RWJF) county health scores across eight randomly selected states.</p><p><strong>Results: </strong>The analysis included 3107 counties from the contiguous US. The CDI explained 45 % of the variance in age-adjusted avoidable heart disease and stroke death rates, 20 % in cancer mortality rates, 19 % in lung cancer mortality rates, and 52 % in all-cause mortality rates, outperforming the SDI and MDI. It also accounted for 63-91 % of the variance in RWJF health outcome and factor scores across selected states.</p><p><strong>Conclusions: </strong>The CDI demonstrates superior predictive accuracy compared to existing indices, making it a valuable tool for identifying health disparities and guiding targeted public health interventions. Regular updates of the CDI will be necessary to maintain its relevance and effectiveness in capturing evolving socio-economic conditions.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"240 ","pages":"56-62"},"PeriodicalIF":3.9,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061239","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
Vaccine hesitancy relates to vaccine hesitancy? Discovering nonlinear relations between differing operationalizations of vaccine hesitancy.
IF 3.9 3区 医学
Public Health Pub Date : 2025-01-27 DOI: 10.1016/j.puhe.2025.01.012
Matt C Howard
{"title":"Vaccine hesitancy relates to vaccine hesitancy? Discovering nonlinear relations between differing operationalizations of vaccine hesitancy.","authors":"Matt C Howard","doi":"10.1016/j.puhe.2025.01.012","DOIUrl":"https://doi.org/10.1016/j.puhe.2025.01.012","url":null,"abstract":"<p><strong>Objectives: </strong>Vaccine hesitancy is often conceptualized as negative perceptions regarding vaccines, but recent authors have increasingly argued that the construct should instead be conceptualized as indecision in the vaccination decision-making process. This has caused authors to reevaluate the placement of vaccine hesitancy in associated models and frameworks, and it has caused uncertainty regarding how these two conceptualizations relate to each other. In the current article, we argue that the relation between these two conceptualizations of vaccine hesitancy is best understood via nonlinear effects. Specifically, we argue that this relation takes an inverted U-shape.</p><p><strong>Study design: </strong>We utilized a cross-sectional survey design.</p><p><strong>Methods: </strong>We recruited 273 participants from Prolific who completed two measures of vaccine hesitancy: an eight-dimension measure reflecting negative perceptions of vaccines and a unidimensional measure reflecting indecision in the vaccine decision-making process.</p><p><strong>Results: </strong>We performed eight quadratic regression analyses (one for each dimension) to assess our proposed nonlinear relation. The quadratic term was significant in all eight regression analyses (all p < .01), supporting our proposed inverted U-shape relation.</p><p><strong>Conclusions: </strong>Our results provide reasoning for future authors to test whether vaccine hesitancy as negative perceptions impacts vaccination via vaccine hesitancy as indecision, and researchers must now recognize their nonlinear relation in any developed models and frameworks.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"240 ","pages":"52-55"},"PeriodicalIF":3.9,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061313","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
Prioritizing performance and outcome indicators for quality assessment of cancer screening programs in the EU.
IF 3.9 3区 医学
Public Health Pub Date : 2025-01-26 DOI: 10.1016/j.puhe.2024.12.010
Brian Sheridan, Abyan Irzaldy, Eveline A M Heijnsdijk, Nadya Dimitrova, Carlo Senore, Partha Basu, Harry J de Koning
{"title":"Prioritizing performance and outcome indicators for quality assessment of cancer screening programs in the EU.","authors":"Brian Sheridan, Abyan Irzaldy, Eveline A M Heijnsdijk, Nadya Dimitrova, Carlo Senore, Partha Basu, Harry J de Koning","doi":"10.1016/j.puhe.2024.12.010","DOIUrl":"https://doi.org/10.1016/j.puhe.2024.12.010","url":null,"abstract":"<p><strong>Objectives: </strong>A key element in ensuring appropriate balance of harms and benefits in cancer screening is to develop a priority set of performance and outcome indicators to be used in screening data evaluation systems. These indicators need to be equity-focused, aligned to new screening approaches and broad-based to cover possible opportunistic screening, but at the same time as limited as possible.</p><p><strong>Study design: </strong>Indicators for breast, colorectal and cervical cancer screening programs were chosen through a consensus building Delphi methodology involving a panel of cancer screening experts.</p><p><strong>Methods: </strong>The list of indicators was developed using a multistage process. First, a systematic search was performed along with an extensive grey literature search to identify all potential existing indicators. Next, these indicators were refined by two expert groups, definitions and calculations were agreed upon, redundant indicators removed. A final list of 38 indicators was put forward into a Delphi study. 33 cancer screening experts were invited to take part. The Delphi study consisted of two rounds of an online survey and an online facilitated discussion between the cancer screening experts.</p><p><strong>Results: </strong>23 indicators were chosen covering 10 predefined indicator categories with detection rate, examination coverage and interval cancer rate deemed most important. Outcome indicators such as crude incidence rate and time from screen to result notification, while ultimately reaching consensus were deemed of less importance.</p><p><strong>Conclusion: </strong>23 priority indicators cover the entire screening pathway including harms, barriers and inequalities. These indicators have been piloted by the CanScreen-ECIS project.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"239 ","pages":"185-192"},"PeriodicalIF":3.9,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054049","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
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