bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison of the difference between income quintiles with the slope index of inequality
Authors: Khang Y H , Lim D , Bahk J , Kim I , Kang H Y , Chang Y , Jung-Choi K 
Published: November 2019

Abstract

Background
The difference between income quintiles in health is relatively well accepted by the general public as a measure of health inequality. However, the slope index of inequality (SII) in health reflects the patterns of all social groups, including the middle 60%, and it could therefore be considered more academically desirable. If these two measures are closely correlated, the widespread use of the difference between income quintiles in health would be better supported. This study was conducted to compare differences between income quintiles in life expectancy (LE) and healthy life expectancy (HLE) with the SII.

Methods
Data on LE and HLE by income quintile from all 252 subnational districts of Korea were obtained using the National Health Information Database of the National Health Insurance Service and the Korea Community Health Survey. The SII was estimated with linear regression analysis, and Pearson correlation coefficients between differences between income quintiles and the SII were computed.

Results
The correlation coefficients between differences between income quintiles and the SII were generally high: 0.97 (95% CI: 0.96-0.98) for LE in men and women combined and 0.96 (95% CI: 0.94-0.97) for HLE in men and women combined. In most districts, the SII was greater than the difference between income quintiles.

Conclusions
Differences between income quintiles were closely correlated with the SII. The widespread use of differences between income quintiles in health as a measure of health inequality may be preferable for communicating results of health inequality measurements to the public.

Key messages
Differences in life expectancy and health life expectancy between income quintiles were closely correlated with the slope index of inequality in life expectancy and healthy life expectancy. The widespread use of differences between income quintiles in health as a measure of health inequality may be preferable for communicating results of health inequality measurements to the public.
Does diet quality mediate socioeconomic differences in metabolic syndrome in the French West Indies?
Authors: Colombet Z , Perignon M , Salanave B , Landais E , Martin-Prével Y , Allès B , Drogue S , Amiot-Carlin M-J , Méjean C 
Published: November 2019

Abstract

Background
Obesity and metabolic diseases represent a major health burden in the Caribbean, particularly since a large part of the population is disadvantaged. However, socioeconomic inequalities in chronic diseases are poorly explored in this region, and the contribution of diet to explain these inequalities has not yet been studied. We investigated the association between socioeconomic position and the prevalence of metabolic syndrome (MetS), and explored whether this association was mediated by diet quality in the French West Indies.

Methods
This cross-sectional analysis included 1,144 adults (≥16 y) from a multistage sampling survey, representative of the Guadeloupean and Martinican population. The prevalence of MetS was assessed using the Joint Interim Statement. Dietary intakes were estimated using 24hours dietary recalls, and diet quality was assessed through the Diet Quality Index-International (DQI-I). Associations between socioeconomic indicators (education, employment, social assistance benefits) and prevalence of MetS, and the potential mediating effect of diet quality in this association were assessed using multivariable logistic regression models adjusted for sociodemographic factors.

Results
MetS prevalence adjusted for age and sex was 21% and 30% among Guadeloupean and Martinican, respectively. Compared to those with a high education level, low- and middle-educated subjects were more likely to be at risk of MetS (OR = 1.9; 95%CI = [1.0-3.6] and OR = 2.7; 95%CI = [1.4-5.1], respectively), as were recipients of social assistance benefits compared to non-recipients (OR = 2.2; 95%CI = [1.1-4.2]). The DQI-I explained 11% of the overall variation in MetS due to education.

Conclusions
Socioeconomic inequalities in MetS prevalence were found in a Caribbean population but diet quality contributed only to socioeconomic inequalities due to education. Future public health measures need to target specifically populations with limited financial resources and low education.

Key messages
Our work identified subgroups with higher risk of MetS, which is needed when implementing public health measures, particularly in this Caribbean population with of high poverty rates. Diet quality contributed only to socioeconomic inequalities due to education underlining that education may impact health through the ability to generate overall dietary behavior, long-term beneficial.
Determinants of self-rated general health among men and women 70 years or older in Sweden 2017
Authors: Persson C , Molarius A , Lindström J 
Published: November 2019

Abstract

Background
Goal 3 of the 2030 Agenda for Sustainable Development states that ensuring healthy lives and promoting the well-being at all ages is essential. But health and well-being still vary between different groups. The aim of this study was to find factors associated with self-rated health that can explain the differences among people 70 years or older in Sweden.

Methods
The study is based on a cross-sectional population survey conducted in five counties in Mid-Sweden in 2017. An age-specific questionnaire for persons 70 years or older was used. The response rate was 65% and the study population included 9 482 persons who answered all questions used in the study. Multivariate binomial logistic regression with outcome good or very good self-rated general health was used for the analysis.

Results
The overall prevalence of good or very good self-rated health was 54%. The factors with the strongest positive associations with good/very good self-rated health were: good appetite (OR: 4.48; 95% CI: 3.41-5.88) and physical activity (2.07; 1.87-2.2 9). The strongest negative associations were found for: need for help in everyday life (0.37; 0.24-0.57), troubled by loneliness once a week or more often (0.40; 0.34-0.47), obesity (0.55; 0.48-0.63), troubled by loneliness some times a month (0.59; 0.50-0.71), sedentary 10 hours/day or more (0.61; 0.52-0.72), and being patronized (0.65; 0.55-0.76). Other statistically significant positive factors were e.g. to have someone to confide in, participation in activities with others, trust in people in general, feeling safe in residential neighbourhood and access to personal support. Included in the analysis, but not statistically significant, were sex, country of birth and care of relatives.

Conclusions
Good self-rated health is more common among persons 70 years or older who have good appetite, are physically active and have good social relations.

Key messages
To promote good self-rated health in persons 70 years or older it is essential to enhance possibilities for social interaction and social support. Also promoting healthy lifestyle in form of physical activity and healthy eating habits is important.
Alcohol use among 15–16-year-old adolescents in Estonia, 2003–2015
Authors: Pärna K , Kudre D , Vorobjov S 
Published: November 2019

Abstract

Background
Alcohol is one of the most common psychoactive substances used by adolescents. The aim of the study was to describe the prevalence of alcohol use in 2003-2015 and to analyse association of alcohol use with family- and school-related factors, other risk behaviors, and perceived alcohol availability.

Methods
This study was based on data of 15-16-year-old adolescents (n = 9559) from the cross-sectional studies of European School Survey Project on Alcohol and Other Drugs conducted in Estonia in 2003-2015. Prevalence of past 30-day alcohol use was calculated for each study year. Chi-square test for trend was used to assess statistically significant changes of alcohol use over the study period. Logistic regression analysis was used to analyse association between alcohol use and study year, family- and school-related factors, risk behaviors, and perceived alcohol availability. Fully adjusted odds ratios with 95% confidence intervals were calculated.

Results
In 2003-2015, alcohol use decreased significantly among adolescents in Estonia (p &lt; 0.001). In 2015, the prevalence of alcohol use was 36.1% (95% CI 33.4 − 38.8) among boys and 39.1% (95% CI 36.3 − 41.8) among girls. Fully adjusted logistic regression models showed that alcohol use among boys and girls was statistically significantly associated with study year, lower parental awareness where the child spends Saturday evenings, skipping the lessons, smoking, cannabis use and easy access to alcohol. Alcohol use was associated with lower socioeconomic status of the family and with unusual family structure among girls only. Compared to the first study year, alcohol use was lower in the last study year (OR = 0.52, 95% CI 0.43 − 0.64 among boys, OR = 0.46, 95% CI 0.38 − 0.56 among girls).

Conclusions
In order to continue reduction of alcohol use among adolescents, the health promotion interventions should take into account the factors related to alcohol use in Estonia.

Key messages
Alcohol use decreased among adolescents in Estonia in 2003–2015. Alcohol use was associated with study year, family- and school-related factors, other risk behaviors and perceived alcohol availability.
Implementation of a national epidemiological surveillance of prison suicide in France
Authors: Chan Chee C 
Published: November 2019

Abstract

Context
Worldwide, suicide is a leading cause of death in prison. In France, suicide of prisoners accounts for more than 100 deaths per year representing about half of the total deaths in prison. Moreover, suicide rates in French prisons are seven times higher than in the community and are among the highest in Europe. Reducing prison suicide is a public health priority inscribed in a joint action plan of both the Ministries of health and of justice. In order to prevent this tragic loss of life, prison services and health services must collaborate for the monitoring and understanding of the risk factors involved. The aims of an epidemiologic surveillance of prison suicide are to gather information about the medical factors and factors related to prison environment, analyze them and eventually produce recommendations for prevention.

Methods
After months of consultation between Santé publique France, different administrations and professionals working in prison, a common methodology was set up. As from January 2017, whenever a suicide or suspected death occurs in prison, the Direction of the Prison Administration (DAP) informs Santé publique France, who in turn sends to the medical practitioner in charge of the prison health services a questionnaire including the history before detention: morbidity, addiction, attempted suicide, and during detention: contact with prison health services, diagnosis and final contact prior to death. Each year, the DAP sends to Santé publique France the sociodemographic, administrative, judiciary and prison environmental data of the persons.

Results
In 2017, data were collected for 106 suicides from 71 prisons: 95% males, 49% remand, 44% murder or sexual assault, median incarceration time 96 days. Questionnaires were returned from prison practitioners for 100 cases (94%): regular contact 83%, prior suicide attempt 23%.

Conclusions
Feasibility of a prison suicide surveillance is only possible with the implication of both prison and health services.

Key messages
Reducing death by suicide in prison is a public health priority. Feasibility of a prison suicide surveillance is only possible with the implication of both prison and health services.
Tetralogy of Fallot in infants less than one year old in the Valencia Region (Spain)
Authors: Cavero Carbonell C , Barrachina Bonet L , Fernández Rojas T , Moreno Marro S , Páramo Rodríguez L , Guardiola-Vilarroig S , Zurriaga O 
Published: November 2019

Abstract

Background
Tetralogy of Fallot (TF) is a rare disease characterized by the presence of 4 congenital heart defects (CHD). Objective: to describe the temporal trend and distribution of the TF in the Valencia Region (VR), in less than one year old, during the period 2007-2016.

Methods
Live births, stillbirths and termination of pregnancy due to fetal anomaly (TOPFA) between 2007-2016 with TF (code Q21.3 of the ICD10-BPA) were selected from the Congenital Anomalies (CA) population-based Registry of VR. The cases were confirmed through the review of clinical documentation. The prevalence of 10000 births with 95% confidence intervals (95%CI) was calculated for the period and for each year, and a descriptive analysis of sociodemographic and clinical variables was made.

Results
146 cases were identified (45.2% male, 31.5% female and 23.3% unknown), 89.0% were simple pregnancies and 54.8% were diagnosed prenatally. The overall prevalence of TF was 3.0/10000 births (95%CI: 2.5-3.5), being 2015 the year with the highest prevalence (4.3/10000 births) and 2011 with the lowest (1.8/10000 births). These changes were mainly due to the increase and decrease in the number of TOPFA respectively. 74.7% were live births, 22.6% TOPFA and 2.7% stillbirths. The prevalence in live births was 2.2/10000 births (95%CI: 1.8-2.6) and in TOPFA it was 0.7/10000 births (95%CI: 0.4-0.9), identifying an increasing trend during the period in the last one. 11.0% of live births died during the first year of life. 45.9% of the cases had another CA associated with the TF, being CHD in 52.7% of cases. 66.4% of the mothers were over 30 years of age, being the most frequent those between 30-34 years (30.1%).

Conclusions
The prevalence obtained in the VR was lower than that of EUROCAT 3.5/10000 births (95%CI: 3.3-3.6) during the same period. EUROCAT has also identified the difference between the prevalence in live births (2.9 (95%CI: 2.8-3.0)) and TOPFA (0.5 (95%CI: 0.5-0.6)), and the increasing trend in the last one.

Key messages
The prevalence of Tetralogy of Fallot obtained in the VR was lower than that of EUROCAT (European network of population-based registries for the epidemiologic surveillance of congenital anomalies). EUROCAT has also identified the difference between the prevalence of Tetralogy of Fallot in live births and termination of pregnancy due to fetal anomaly, and the increasing trend in the last one.
Autochthonous chikungunya and dengue fever outbreak in Mainland France, 2010-2018
Authors: Franke F , Giron S , Cochet A , Jeannin C , Leparc-Goffart I , de Valk H , Jourdain F , de Lamballerie X , L’Ambert G , Paty M C 
Published: November 2019

Abstract

Background
Aedes albopictus, vector of dengue and chikungunya viruses, is implanted in mainland France, exposing to the risk of autochthonous transmission. Since 2006, epidemiological and entomological surveillance activities aim to prevent or limit the occurrence of autochthonous cases. We aimed to describe episodes of transmission and control measures implemented in order to reflect on surveillance activities.

Methods
We reviewed all publications and documents produced on autochthonous transmission episodes in France and surveillance protocols. We reviewed surveillance activities, investigation methods and control measures implemented.

Results
Between 2010 and 2018, eight episodes of autochthonous dengue fever transmission and three of chikungunya were recorded in mainland France. All of them occurred in the South east of France, between July and October, when vector density was the highest. Transmission areas were limited to single domestic houses located in discontinuous urban areas. Only two episodes happened in two distinct areas. Chikungunya episodes led to 31 cases and dengue fever episodes to 23 cases. Most cases were identified by door-to-door investigations set-up in transmission areas. We isolated serotypes 1 and 2 for dengue and East Central South Africa lineage for chikungunya in autochthonous cases. Adulticide vector control measures were effective in controlling transmission.
Seven episodes of transmission were due to failure in identifying primary imported cases. Four episodes occurred because of the absence or the lack of vector controls measures around primary imported cases.

Conclusions
Surveillance activities, and autochthonous cases investigations, were effective in limiting the extent of transmission, but were highly demanding for surveillance actors. Identified causes of transmission highlight the need of regular awareness campaigns targeting physicians and biologists.

Key messages
Effectiveness of the surveillance system of dengue, chikungunya and zika viruses, and autochthonous cases investigations. Needs of awareness and training courses targeting health professionals to the risk represented by these viruses.
Self-rated health and attitude to cardiovascular prevention in male population in Russia/Siberia
Authors: Gafarov V , Gromova E , Panov D , Gagulin I , Gafarova A 
Published: November 2019

Abstract

Objective
To establish the dynamics of the relationship to the prevention of cardiovascular disease, awareness, attitude to their health for 32 years (1984 -2016 yy.) In the open population among males 25-44 years in Russia / Siberia (Novosibirsk).

Methods
Within the framework of WHO’s MONICA-psychosocial program random representative samples of the male population aged 25-64 years in Novosibirsk were examined: 1984-85 (n = 753); 1988-89 (n = 739); 1994-95 (n = 657); 2013-2016 (n = 427), used the ’Knowledge and attitude to one’s health’ scale.

Results
During the observation period from 1984 to 2016, the number of men 25-44 years old believed that they are ’healthy’ or have ’good health’, but at the same time, the number of those who believe that their health they care clearly is not enough. Most men were of the opinion that a healthy person can develop a serious illness within the next 5-10 years. The number of those who believed that preventive measures will help to avoid some serious diseases has increased. Men began to stop working more often, if they did not feel well, the number of those who reduced their work and had a rest increased. The number of men has grown, who believe that a preventive health check is useful and who has started to observe proper nutrition. The number of men who smoke has decreased.

Conclusions
The dynamics of attitude towards the prevention of cardiovascular diseases, awareness, attitude to their health for 32 years indicates that at present health has become a value dominant due to a new understanding of the importance of health in terms of adapting to modern economic requirements.

Key messages
The purpose of our study was to study the dynamics of awareness and attitudes towards one’s health for 32 years (from 1984 to 2016) in an open population of working-age men 25–44 years old. The purpose of our study was to study the dynamics of awareness and attitudes towards one’s health for 32 years (from 1984 to 2016) in an open population of working-age men 25–44 years old.
Long-term trends in adherence to prevention in female population aged 25-44 years in Russia/Siberia
Authors: Gafarov V , Panov D , Gromova E , Gagulin I , Gafarova A 
Published: November 2019

Abstract

Objective
To determine the 23-year trends 1994-2016 yy of adherence towards cardiovascular diseases prevention, behavioral characteristics and awareness about the health in general female population aged 25-44 years in Russia / Siberia.

Methods
Under the third screening of the WHO program MONICA and sub-program ’MONICA-psychosocial’ (MOPSY) random representative sample of women aged 25-64 years (n = 870) were surveyed in Novosibirsk in 1994; 284 persons in group 25-44y. In 2016 within the framework of the screening studies covered by state task reg.# 01201282292 a random representative sample of women aged 25-44 years was examined in the same district of Novosibirsk (n = 540). Questionnaire MOPSY ‘Awareness and attitude towards the health’ was used to estimate adherence towards cardiovascular diseases prevention, behavioral characteristics and awareness about the health.

Results
The analysis showed there is a positive trend in self-rated health in female population aged 25-44 years. Despite this 50% of women rate their health negatively and 96% consider the existence of high chance to be ill with serious disease within next 5-10 years. Majority of women believed in the possibilities of modern medicine for the prevention of heart disease but there is extremely low level of healthcare utilization as prevention measure and it doesn’t exceed 10% in those women (p &lt; 0.05). There is a growth of job stress levels and upward trends in family status changes over 23 years in an open population of women aged 25-44 years. Some changes in behavioral status were found over 1994-2016 yy: increased share of people quit smoking and doing regular physical exercises, improved diet behavior.

Conclusions
We showed a positive trend in CVD risk factors prevention in women 25-44y. In spite of this, half of the women negatively evaluate their health and using of healthcare resources is deficient. There are adverse changes in the social gradient over the follow-up period.

Key messages
The purpose of this survey was to study the trends in awareness and attitudes towards cardiovascular prevention over 28 years (from 1988 to 2016) in an open female population of 25-44 years old. The purpose of this survey was to study the trends in awareness and attitudes towards cardiovascular prevention over 28 years (from 1988 to 2016) in an open female population of 25-44 years old.
Singular death-causes contribution to temporal trend-shifts of its major causes in Spain, 1975-2016
Authors: Cirera L , Ballesta M , Salmerón D 
Published: November 2019

Abstract

Background
Mortality is the arrow of aggregated individual’s life style of living beside the national public health and health care system outcomes. The contribution of specified death-causes to the temporal evolution of its great cause, is targeting the community framework for public health action reduction.

Objective
To assess yearly contribution of specified death-causes to temporal trend-shifts of its major death- cause in Spain, 1975 to 2016.

Methods
causes of death were selected based on magnitude and relevance in public health. Coding-linkage was established between ICD-9 to 10 revisions. Annual-standardized rates were calculated by the direct method according to the European Standard Population from 1975 to 2016. Linear trend period changes were measured through Joinpoint regression models as annual percentage change (APC) and 95% confidence intervals (CI). Joinpoint v4.0.4 and R v3.2.2 software were used at p &lt; 0.05 for statistically significance level.

Results
Neoplasm rates have been going downwards (extreme years came from 162.2/100,000 inhabitants to 145.5) on ending year-periods of 1995-2008-2016. Lung and colorectal cancers replicated neoplasm shape in lower magnitudes. Cardiovascular displayed two decreasing trajectories in 1975-1993 and 1993-2013, and a last flat stage in 2013-2016, while cardiac ischaemia and ictus crossed their trend periods. Ictus has evolved quite in parallel to cardiovascular disease. Influenza and pneumonia conformed a close profile to respiratory great cause contribution, in different periods: 1975-1988 [-8.03% (-9.08, -6.96%)] and 1988-2016 [-2.38% (-2.85, -1.91%)]. Traffic accidents have been modulating external causes dropping shape with a nonsignificant slope period- trend in the 1994-2001 years.

Conclusions
The contribution of any singular causes of death into temporal development of its great causes, is a plausible tool for public health surveillance issues addressed to action.

Key messages
The great cause of death in temporal evolution is a moving aggregate result of its singular causes of death components over last time. Inflection-trends years-period of death causes are a plausible tool to public health surveillance.