Journal of epidemiology and population health最新文献

{"title":"Traumatic vertebral fracture: impact of vertebroplasty in a 9-year French nationwide study.","authors":"Maxime Pastor, Thierry Boudemaghe, Pierre Viala, Romain Genre Grandpierre, Yann Gricourt, Fabien De Oliveira, Skander Sammoud, Julien Frandon, Catherine Cyteval, Jean Paul Beregi","doi":"10.1016/j.jeph.2025.203130","DOIUrl":"https://doi.org/10.1016/j.jeph.2025.203130","url":null,"abstract":"<p><strong>Objective: </strong>To analyze practices of vertebroplasties in France for traumatic vertebral fractures, changes in the time between diagnosis and treatment, length of hospitalization after the procedure.</p><p><strong>Materials and methods: </strong>A nationwide, exhaustive, population-based cohort study was performed from 2013 to 2021 using the French National Uniform Hospital Discharge Data Set Database (PMSI). The data included several parameters such as age, sex, dates of admission and discharge, length of stay, diagnoses, procedures, and hospital characteristics. A specific analysis was performed for traumatic vertebral fractures, after admission to emergency department.</p><p><strong>Results: </strong>The study included 89 709 people who underwent 102 055 vertebroplasties between 2013 and 2021. The number of vertebroplasties per year increased continuously from 7 189 in 2013 to 15 067 in 2021. Traumatic fracture was the most frequent indication for vertebroplasty. The average time from diagnosis to vertebroplasty decreased from 42.5 days in 2014 to 38.2 days in 2021. There was an increase in same-day hospitalizations and a significant decrease of 36 % in the length of hospitalization after vertebroplasty for traumatic vertebral fractures. The proportion of traumatic vertebral fractures treated by vertebroplasty significantly increased, from 4.4 % to 9 %, while medical treatment decreased.</p><p><strong>Conclusion: </strong>Vertebroplasty is becoming more and more popular for treating stable vertebral fractures, particularly for traumatic causes. The time interval between diagnosis and treatment decreased, and there was a shift towards same-day hospitalization. This study highlights the need for collaboration between clinicians and interventional radiologists for early diagnosis and treatment to efficiently manage patients' pain.</p>","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"73 4","pages":"203130"},"PeriodicalIF":0.0,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Deaths across borders: Trends and challenges in estimating mortality among undocumented migrants on Latin American routes.","authors":"Hisrael Passarelli-Araujo","doi":"10.1016/j.jeph.2025.203125","DOIUrl":"https://doi.org/10.1016/j.jeph.2025.203125","url":null,"abstract":"<p><strong>Introduction: </strong>Undocumented migrants in Latin America face life-threatening conditions during irregular border crossings, yet their mortality remains under-documented and structurally invisible in public health research. This study analyzes migrant deaths and assesses the methodological limitations in estimating mortality for those populations.</p><p><strong>Methods: </strong>Cross-sectional data were drawn from the Missing Migrants Project, covering deaths and disappearances of Latin American migrants within the region from 2014 to 2022. The final sample included 1,817 documented fatalities with complete data on year and origin. The study analyzed spatial and temporal trends by region, migration route, country of origin, and cause of death. Data were grouped into three periods and tested for distributional differences using chi-square tests.</p><p><strong>Results: </strong>From 1,817 deaths, nearly half occurred between 2020 and 2022. Regional patterns shifted over time, with a rising share of deaths in South America, particularly along the Darién Gap. Venezuelan and Haitian migrants accounted for the largest increases in deaths in recent years. Causes varied by route: drowning predominated in maritime crossings, while environmental exposure and violence were prevalent in jungle and borderland routes. Documentation improved over time, yet a large share of deaths remained unattributed to specific routes or causes.</p><p><strong>Conclusions: </strong>Undocumented migrant mortality in Latin America is shaped by structural violence, fragile transit infrastructures, and inadequate data systems. Conventional demographic tools fail to capture these patterns due to missing denominators and fluid migration flows. Addressing these deaths requires new frameworks grounded in human rights, improved data systems, and expanded access to safe migration pathways.</p>","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"73 4","pages":"203125"},"PeriodicalIF":0.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical debt is associated with higher sugar-sweetened beverage consumption among U.S. adults.","authors":"Sohawm Sengupta, Biplab Kumar Datta, Steven S Coughlin","doi":"10.1016/j.jeph.2025.203123","DOIUrl":"10.1016/j.jeph.2025.203123","url":null,"abstract":"<p><strong>Background: </strong>Medical debt is associated with poor mental and physical health outcome among US adults. Extant evidence also suggests an association between psychological distress and sugar-sweetened beverage (SSB) consumption. Building on these two strands of literature, this paper aimed to assess whether medical debt, defined as inability to pay medical bills, was associated with higher SSB consumption in US adults.</p><p><strong>Methods: </strong>Using data on 26,559 adults from the 2022 National Health Interview Survey, we estimated two-part models to assess aggregate monthly frequency of SSB consumption. We used logistic regression to model the binary consumption decision (first part) and a generalized linear model (GLM) with log link and Poisson distribution to model the continuous frequency of consumption (second part). Adjustments were made for demographic, socioeconomic, and other known determinants of SSB consumption along with interview month fixed effects.</p><p><strong>Results: </strong>Around 10.6% of the adults in our sample had medical debt and 6.4% were unable to pay at all. Those who had medical debt were more likely to consume SSBs at both external (i.e., whether consumed) and internal (how much if consumed) margins. On average, frequency of monthly SSB consumption was 4.07 (95% CI: 1.13-7.00) and 6.61 (95% CI: 2.74-10.49) units higher among adults with medical debt in general and those who were unable to pay, respectively, compared to that of adults who did not have problems paying medical bills.</p><p><strong>Conclusions: </strong>These results suggest that US adults with medical debt were more likely to consume SSBs and warrants further research to identify strategies for curbing SSB consumption in this population.</p>","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"73 3","pages":"203123"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contribution of nationwide medico administrative data on congenital anomalies in France: Validation study on congenital diaphragmatic hernia.","authors":"Arthur Lauriot Dit Prevost, Guillaume Clement, Xavier Lenne, Dyuti Sharma, Diane Carriere, Jad Atallah, Kevin Le Duc, Laurent Storme, Amélie Bruandet, Sebastien Mur","doi":"10.1016/j.jeph.2025.203109","DOIUrl":"10.1016/j.jeph.2025.203109","url":null,"abstract":"<p><strong>Introduction: </strong>In France, medico-administrative data are collected through the Programme de Médicalisation des Systèmes d'Information (PMSI), which includes all discharge reports from public and private hospitals, covering more than 20 million hospital stays per year. In parallel, databases on rare diseases are a national priority but remain difficult to implement and maintain. We aimed to assess the validity of PMSI data to identify patients with congenital rare diseases, using congenital diaphragmatic hernia (CDH) as an example. We also aimed to explore the national epidemiological estimates provided by PMSI.</p><p><strong>Methods: </strong>Using PMSI, we identified CDH patients treated in the neonatal intensive care units (NICU) of two French referral centers between 2010 and 2018 based on ICD-10 diagnostic codes. These centers have maintained a prospective database of CDH patients (CDHdb) for over 10 years. We compared PMSI data with CDHdb to assess the accuracy of PMSI in detecting CDH cases. A nationwide extraction was then performed to estimate the incidence and mortality of CDH in France.</p><p><strong>Results: </strong>PMSI identified all 248 CDH patients listed in the CDHdb. However, 37 additional cases were found in PMSI but not in the CDHdb, including 24 neonatal deaths with confirmed CDH. Encoding errors were found in four cases (omphalocele, diaphragmatic eventration), and eight CDH cases were missing from the CDHdb. The sensitivity and specificity of PMSI were estimated at 100 % (98.5 %; 100 %) and 99.9 % (99.9 %; 100 %), respectively. At the national level, 1680 cases were identified, corresponding to an incidence of 2.33 per 10,000 live births, a male-to-female ratio of 1.40, and a 1-year mortality rate of 30.5 % (28.2 %; 32.9 %).</p><p><strong>Discussion: </strong>PMSI appears to be a valid source for identifying CDH patients at birth, with national epidemiological estimates consistent with the literature. However, medico-administrative data require careful validation before being used for rare disease surveillance.</p><p><strong>Conclusion: </strong>Our findings suggest that PMSI could be a valuable tool for studying and monitoring CDH patients-and potentially other congenital anomalies-on a nationwide scale.</p>","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"73 3","pages":"203109"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The lived experience of moral injury in healthcare: a systemic and societal crisis.","authors":"Laurent Boyer, Bastien Boussat, Bruno Falissard","doi":"10.1016/j.jeph.2025.203127","DOIUrl":"https://doi.org/10.1016/j.jeph.2025.203127","url":null,"abstract":"","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"73 3","pages":"203127"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing the potential to publish: Evaluation of a quarterly writing retreat in French Guiana.","authors":"Mathieu Nacher","doi":"10.1016/j.jeph.2025.203103","DOIUrl":"10.1016/j.jeph.2025.203103","url":null,"abstract":"","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"73 3","pages":"203103"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144164415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in radiology requests and emergency admissions: a 10-year retrospective study in a university hospital.","authors":"Ndiaw Goumballa, Fabien de-Oliveira, Julien Frandon, Fabien Coisy, Jean Goupil, Florence Longueville, Catherine Daladouire, Romain Genre Grandpierre, Jean Paul Beregi","doi":"10.1016/j.jeph.2025.203108","DOIUrl":"10.1016/j.jeph.2025.203108","url":null,"abstract":"","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"73 3","pages":"203108"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"19e Conférence francophone d’Épidémiologie Clinique et 32^ème Journées des Statisticiens des Centres de Lutte Contre le Cancer: 19th Francophone Conference on Clinical Epidemiology and 32nd Meeting of the Statisticians from Comprehensive Cancer Centers.","authors":"Carine Bellera, Laura Richert","doi":"10.1016/j.jeph.2025.202991","DOIUrl":"https://doi.org/10.1016/j.jeph.2025.202991","url":null,"abstract":"","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"73 Suppl 2 ","pages":"202991"},"PeriodicalIF":0.0,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"One-year post-intervention effectiveness of a proportionate universal intervention in reducing social inequalities of weight status among adolescents.","authors":"Marcel Uwizeye, Mohamed Dakin, Florian Manneville, Johanne Langlois, Karine Legrand, Elisabeth Spitz, Philip Böhme, Edith Lecomte, Francis Guillemin, Serge Briançon, Abdou Omorou","doi":"10.1016/j.jeph.2025.202977","DOIUrl":"10.1016/j.jeph.2025.202977","url":null,"abstract":"<p><strong>Introduction: </strong>The effectiveness of interventions in reducing social inequalities of weight status among adolescents is challenging. Studies reporting post-intervention effectiveness are scarce. We aimed to evaluate the 1-year post-intervention effectiveness of PRALIMAP-INÈS (PRomotion de l'ALIMentation et de l'Activité Physique - INÉgalité de Santé) trial.</p><p><strong>Methods: </strong>Participants of the PRALIMAP-INÈS trial, a proportionate universal intervention of 1-year in 11-13 years-old children recruited in 35 schools of Nord-Est France which compared socially advantaged to less advantaged children, who had completed data at 1-year (T1) and 2-year follow-up visit (T2=1-year post-intervention) were included. The first group received a standard lifestyle intervention (advantaged with standard care [A.S]) and the second a reinforced lifestyle intervention (less advantaged with standard and strengthened care [LA.S.S]). This proportionate intervention led to similar benefit in the two groups after 1-year of intervention. The present work looked at the retention effect of this proportionate intervention 1-year after the end of the lifestyle program. The main outcome was the change in body mass index z-score (BMIz) from T1 to T2. Between-group outcomes changes analysis involved the t test for equivalence using a Two One-Side Test procedure and hierarchical mixed models. Multiple imputation was performed to handle missing data.</p><p><strong>Results: </strong>This study included 505 adolescents (338 in A.S and 167 in LA.S.S groups) of mean age: 15.2±0.7 years. The equivalence was evidenced for BMIz (0.01[90% confidence interval, -0.05 to 0.07]), BMI (0.02[-0.26 to 0.29]), BMI percent of the 95th percentile of Centers for Disease Control and Prevention (CDC) growth chart reference (0.01[-0.94 to 0.96]), BMI minus 95th Percentile of CDC growth chart reference (0.01[-0.26 to 0.29]) and proportion of obesity (-0.01[-0.04 to 0.04]) from T1 to T2 between LA.S.S and A.S. Nevertheless, we did not show significant difference between the two groups for nutrition behaviors outcomes at 1-year post-intervention.</p><p><strong>Conclusion: </strong>At 1-year post-intervention, we showed equivalence in adolescents' weight status changes whatever the socioeconomic class. Therefore, this proportionate universal intervention applied to adolescents in a school setting seems effective to prevent the worsening of the social inequalities of weight status in response to a lifestyle intervention at 1-year.</p>","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"73 2","pages":"202977"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The anxious generation in France: How the pandemic confirmed and amplified youth vulnerabilities.","authors":"Laurent Boyer, Pierre-Michel Llorca, Dong Keon Yon, Bach Tran, Vanessa Pauly, Bastien Boussat, Guillaume Fond","doi":"10.1016/j.jeph.2025.202967","DOIUrl":"10.1016/j.jeph.2025.202967","url":null,"abstract":"","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"73 2","pages":"202967"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}