bluuebunny/crossref_metadata_2025_split huggingface dataset:
Men's health promotion in waiting rooms: an observational study
Authors: Whitehead M , Ng Chok H , Whitehead C , Luck L 
Published: October 2020

Abstract

Thesis Statement
Men experience poorer health outcomes than females and gender specific targeted health promotion needs to adequately address this gender bias.

Methodology
This prospective observational study audited all printed health promotional materials in all health facility waiting rooms within a defined geographic region. A total of 24 sites were surveyed which included general practice centres, community health centres and hospitals. The surveyed health literature included posters, brochures, and booklets.

Results
There were 1143 health materials audited across the sites. Of these, 3.15% (n = 36) were male-specific literature, 15.31% (n = 175) were female specific health literature and 81.54% (n = 932) were gender neutral. Literature which had a gendered focus was overwhelmingly female to male with a ratio of approximately 5:1.

Conclusions and Implications
This research highlighted that despite the known outcomes of lower male life expectancy and higher burden of disease, male specific literature is significantly under-represented within health facility waiting spaces. There remains potential for health clinicians to provide targeted male health education and thereby improve male health literacy.

Key messages
Men's health both within Australia and globally remains under-represented despite lower health expectancy and higher burden of disease. Health facilities ought to actively control the health promotion messaging to vulnerable population groups.
It’s all about trust: Women's compliance with influenza and pertussis vaccinations during pregnancy
Authors: Satran C , Bord S , Schor A , Offer M , Ohana N , Sagi S 
Published: October 2020

Abstract

Background
Although vaccination against pertussis and seasonal influenza during pregnancy is the safest and most efficient strategy to protect mothers and infants from related morbidity and mortality, maternal vaccination is unfortunately suboptimal. The aim of the current study is to assess vaccination compliance during pregnancy and the factors associated with adherence with the relevant Ministry of Health recommendations.

Methods
The study included 344 women in a maternity ward of a hospital in northern Israel. After receiving approval from the Helsinki Commission and with the mothers' consent, data was collected through a self-administrated questionnaire from June to September 2019.

Results
Eighty-three percent of participants reported having been vaccinated against pertussis during pregnancy, and 44% reported having been vaccinated against influenza. The main reasons for not being vaccinated were distrust in vaccine efficiency, fear of vaccination during pregnancy, and lack of recommendations from health professionals. Multivariate logistic regressions analysis showed that compliance with influenza and pertussis vaccinations were significantly explained by women's attitudes (influenza: OR 2.88; 99% CI: 2.05, 4.05; pertussis: OR 4.77; 99% CI: 3.04, 7.47) and norms (influenza: OR 1.55; 95% CI: 1.15, 2.08; pertussis: OR 2.09; 99% CI: 1.46, 2.99). Process procedure for mediation reveals that the greater the level of trust in the healthcare system, the more positive the attitudes and subjective norms toward vaccination during pregnancy, and the greater the likelihood of complying with both vaccination requirements during pregnancy.

Conclusions
Efforts should focus on raising women's trust in the healthcare system as an important part of shaping attitudes and creating a supportive environment for vaccination.

Key messages
Trust in the healthcare system is associated with positive attitudes and norms, which in turn contribute to vaccination compliance. Explicit recommendations for vaccinations among pregnant women made by health professionals are needed, including reassurance of vaccine safety and effectiveness.
An intervention of physical activity promotion in an university hospital. A prospective cohort study
Authors: Ladner J , Mihailescu S D , Cerasuolo D 
Published: October 2020

Abstract

Background
Rouen University Hospital implements a policy of health promotion hospital since 2016. The objective of this study was to evaluate prospectively the impact of physical activity promotion in hospital health workers (HW), using pedometers over a period of six months.

Methods
Physical activity was measured by electronic pedometers distributed to HW, with the aim to improve their physical activity and to measure it during six months. Online questionnaires collected at different points of follow-up, from inclusion to sixth month (a total of seven points of follow-up). Socio-demographic and characteristics on type of health work were collected as well as the number of steps and the behavior regarding their routine physical activity.

Results
A total of 680 HW were included in the cohort. The sex ratio M:W was 0.16. The mean age was 41.6 years (SD = 10.7). 44.0% were non-medical caregivers, 32.1% were in administrative section, 14.3% were technical workers and 9.7% were physicians or pharmacists; 53.7% of HW reported doing sport regularly. At inclusion the mean number of daily steps was 8662. The mean progression for all professional profiles between first week and sixth month was of 1082 steps daily, with difference according to position: 1319 in physicians, 1234 in non-medical caregivers, 1106 in administrative workers and 314 in technical workers. In linear regression model, the mean number of progression of daily steps was 964 in physicians, 752 in non-medical caregivers.

Conclusions
The study shows a significant increase in the number of daily steps measured objectively using an incentive tool, as pedometer during six months of intervention. Further researches are needed to determine if these changes are sustainable over a long period of time

Key messages
Despite high level of daily steps at baseline, the longitudinal study shows an increase of daily steps over a 6-month period. Such public health intervention is a relevant method to engage people in self-monitoring their physical activity.
Trends in tobacco use among children and adolescents in Israel, 1998–2015
Authors: Tesler R , Kolobov T , Korn L , Shuval K , Levin Zemer D , Marques A , Harel Fisch Y 
Published: October 2020

Abstract

Objectives
This study aims to measure trends in cigarette smoking among children and adolescents in Israel, focusing on school grade, sex, and ethnicity. We hypothesized that smoking would be higher among boys and Arab-Israelis, rates would grow with age, and there would be a decline over time.

Methods
Data were derived from the Health Behavior in School-aged Children study between 1998-2015 in Israel. The total sample included 56,513 students in grades 6, 8, and 10, with 29,411 girls and 27,102 boys. Descriptive analysis described trends of smoking behavior according to grade, sex, ethnicity, family affluence, and year of study. Multivariate logistic regression analysis examined predicting variables.

Results
Smoking was higher among boys in all grades, ethnic groups, and years of study, with the highest frequencies among Arab-Israelis. Trends over the years show a decline from 1998-2004, followed by an increase for both sexes. The increase was more prominent among girls. Logistic regression analysis revealed strong associations between smoking and grade, sex, ethnicity, and year of study.

Conclusions
The results of this study can significantly enhance the development and implementation of smoking prevention and control programs among students in Israel.

Key messages
Our calibrated results engender important policy implications for the development of cigarette smoking prevention programs for Israeli youth, specifically in the school environment. health inequities needs to be a key part of a comprehensive strategy when discussing health promotion and development.
Work health promotion (WHP) and salutogenesis: application of soc-13 in a company
Authors: Serratore C , Caricato M , Abbafati E , Masanotti G 
Published: October 2020

Abstract

Background
Workplace Health Promotion (WHP) is the combined efforts of employers, employees and society to improve the health and well-being of people at work. Sense of Coherence (SOC) is the ability to perceive and manage stressful events. The aims of this study are: to prove the SOC-13 scale sensitivity and, using this tool, to investigate employers' welfare in a company promoting ENWHP model.

Methods
We selected an Italian company, that, since 2017, is carrying out a WHP project. We sent to all the workers (n = 358) the SOC scale-13 items, which investigates three dimensions: comprehensibility (C), manageability (Ma) and meaningfulness (Me), at T0 (October 2018) and T1 (April 2019). Each item is scored on a 7-point Likert scale, ranging 13-91, with higher score corresponding to a more developed SOC. Total score for C, Ma and Me subscales were calculated. The scores were compared using paired “T” tests.

Results
The response rate was 29% (n = 104) and 25% (n = 89) at T0 and at T1, respectively. At T1 SOC score and its three dimensions were higher (mean SOC ± SD: T0 =57,23 ± 11,00 vs T1= 61,90 ± 12,03 p = 0,005; mean C ± SD: T0=21,97±4,46 vs T1=23,02±5,16 p = 0,124; mean Ma ± SD: T0=16,64± 4,27 vs T1=17,96±4,36 p = 0,033; mean Me ± SD: T0=18,62 ±5,01 vs T1=20,92±4,89 p = 0,002).

Conclusions
Our findings suggest that a WHP project can promote healthy workplace environments, enhance workers quality of life and improve the individual capacity to cope successfully with stress. We showed that SOC-13 scale is an easy and appropriate tool to evaluate the employers' wellbeing, thanks to its high sensitivity.

Key messages
SOC scale-13 can record the quality of workplace health promotion measures and continually improve them. WHP good practices enhance workers’ welfare.
How much general practitioners empathize with patients?
Authors: Fineschi D , Acciai S , Scarafuggi G , Napolitani M , Bedogni C , Messina G , Nante N 
Published: October 2020

Abstract

Introduction
Thanks to the privileged relationship that the general practitioner establishes with patients, he well knows their personal background and assesses the disorders as a whole, without focusing only on unique pathology. The aim of the work were: I) to assess the level of concordance between the health profile (HP) of the patient measured by the doctor and that measured by the patient, and II) to and assess which variables influence the perception.

Methods
A cross-sectional study was conducted between Aug 2019-Jan 2020 in a primary care setting. To assess health-related quality of life we administered the EuroQol 5d-5L to patients (EQ-p). Simultaneously, we asked the doctors to fill in the questionnaire 'from the patient's point of view' (EQ-d), also based on data collected in the computerized clinical diary. Data was collected anonymously and the statistical analysis was carried out using Stata 14 (Cohen's kappa; Fisher test).

Results
The sample consisted of 223 patients (46% men). The mean age was 56.5±19.6 (min 18-max95). The mean BMI was 25.5±5 (28% overweight; 18% obese). Significant differences by gender were found in Pain and Anxiety/Depression dimensions (44% of men had not pain vs 33% of women (p = 0.03) and 56% of men had no Anxiety/Depression vs 36% of women (p &lt; 0.01)). These differences were not detected by doctors; As regards the concordance between EQ-p and EQ-d, it was moderate for Mobility (k = 0.45; p &lt; 0.01) and Self-Care (k = 0.46; p &lt; 0.01). The agreement was fair for usual activities (k = 0.39; p &lt; 0.01) and it was poor for Pain/Discomfort (k = 0.14; p &lt; 0.01), Anxiety/Depression (K = 0.19; p &lt; 0.01) and EQ Index (k = 0.11 p &lt; 0.01).

Conclusions
Our analysis shows a greater concordance especially for the dimensions that appear more objective (Mobility and self-care) than the subjective ones (Pain, Anxiety). The physicians do not seem to take into account the differences in perception between men and women when they empathize with patients.

Key messages
The general practitioner knows the personal history of his patients and assesses the disorders as a whole, without focusing only on the specific pathology. In the exercise of the identification, he seems to understand mainly dimensions that appear more objective without grasping the differences in perception between men and women.
Prevention of dental caries by eating vegetables at the beginning of a meal in Japanese children
Authors: Ito K , Isumi A , Doi S , Ochi M , Fujiwara T 
Published: October 2020

Abstract

Backgrounds
Dental caries is still a worldwide serious problem among children. Previous studies showed that higher consumption of vegetables prevents dental caries. Eating order habits, such as eating vegetables at the beginning of a meal, called “Vege-first”, may increase the amount of vegetable consumption, and in turn, prevent dental caries. We used cross-sectional data in our previous study to show the association between “Vege-first” and dental caries. However, the causal relationship of “Vege-first” on dental caries is not clear. The aim of this study to investigate the effect of “Vege-first” on dental caries, using cohort data of Japanese elementary students.

Methods
We used cohort data from 2015 to 2016 by the Adachi Child Health Impact of Living Difficulty (A-CHILD) study, a population-based study of all first- and Second- grade students in Adachi City, Tokyo, Japan. The number of DMFT (decayed, missed due to decay, and filled teeth) in 2016 was used as an outcome. Poisson regression analyses were applied to determine the independent association between keeping the “Vege-first” habit over one year and the number of DMFT in 2016 after controlling for the effects of a child's sex, parental marital status, socioeconomic status, and child's dental caries status in 2015.

Results
Of 3,164 valid participants, 45.0% had dental caries and 6.3% kept the “Vege-first” habit. Children who kept the “Vege-first” habit had fewer DMFTs in 2016 than children who did not (p &lt; 0.001). After controlled for covariates, children with having a continuous “Vege-first” habit were still significantly and independently decreased the number of DMFT in 2016 (Incidence-rate ratios=0.87 (95% confidential interval [0.75-0.98])).

Conclusions
This study showed that having the continuous “Vege-first” habit was associated with preventive dental caries even after accounting for socioeconomic status. Health policy introducing the “Vege-first” habit may be effective to prevent pediatric dental caries.

Key messages
The practice of eating vegetables at the beginning of a meal, called “Vege-first” may increase vegetable consumption and reduce dental caries. The continuous habit of 'Vege-first' was effective in preventing a child’s dental caries even if after accounting for socioeconomic status.
Towards an impactful intervention in a food retail setting - insights from transition management
Authors: Mackenbach J , Middel C , Beulens J , Lakerveld J , Broerse J , Schuitmaker-Warnaar T J 
Published: October 2020

Abstract

Issue
Socioeconomic inequalities in diet and health form a persistent public health problem. Environmental, non-agentic interventions are most likely to be equitable, but have to be implemented in a wider system with interests other than health promotion.

Description of the Problem
The Supreme Nudge project (2017-2022) implements a health promotion intervention (niche experiment) in a supermarket setting (regime context). As a sufficiently impactful intervention is likely to conflict with interests of the setting, the Transition Management (TM) framework is used to guide design and implementation. Following the four steps in this cyclical model, we explore the context of the food retail system and identify key players; develop coalitions, shared visions and transition agendas; mobilize actors and implement the intervention; and evaluate, monitor and learn from the intervention. Interviews and focus groups were held to address these steps.

Results
The Dutch supermarket context consists of multiple chains that, after several price wars, are shifting competition from price to corporate social responsibility goals, including health promotion. Together with key supermarket players, a shared vision was defined: making healthy dietary choices easier while striving for neutral business outcomes. Transition paths towards this vision, including their barriers and facilitators, were explored. Additional actors were mobilized to adapt and refine intervention components, and the intervention will be implemented mid-2020. The intervention will be monitored and evaluated to facilitate upscaling.

Lessons
Applying the TM framework facilitated the development of coalitions and a shared vision, the co-creation of intervention components and identification of transition paths. This is likely to also benefit implementation and upscaling of the intervention. Applying the TM framework will also be useful for transferring successful interventions to other contexts.

Key messages
Implementing a health promotion in a food retail setting is challenging because of the conflicting interests. The Transition Management framework can facilitate successful implementation through creating a shared vision and foreseen transition paths.
Teachers' opinion about the need for health promotion information
Authors: Maceinaitė R , Šurkienė G , Sketerskienė R 
Published: October 2020

Abstract

Background
School is the most appropriate place for health promotion of pupils, which enables them to increase control over their health and improve it. Health promotion gives the best results when not only pupils but also their teachers are involved in the process, it is obvious that the success of health promotion depends on the teacher's attitude towards this process and his knowledge in this field. Aim of the study - to assess teachers' perceptions of the need for information on health promotion for themselves and their pupils.

Methods
1247 teachers from 110 different schools in Lithuania were surveyed. Estimate of prevalence were calculated at 95% CI, logistic regression models were concluded, 95% CIs of adjusted odds ratio were calculated.

Results
44.3% of teachers received sufficient amount of information on health promotion and 43.3% of them wanted more information on this subject. The odds of getting enough information on pupils health promotion were significantly related to teachers education, schools membership in Health Promoting Schools Network (HPSN) and location of school, the odds of wishing to get more information - with age and the subject teacher teaches. The most necessary information for teachers was information about healthy diet. They indicated that this information is most relevant to their pupils. In the opinion of the teachers, their pupils lack information on mental health. 71.6% of teachers were interested in information about health promotion. Interest in this subject was significantly related to gender, the subject teacher teaches and schools membership in HPSN.

Conclusions
Less than half of the respondents have received a sufficient amount of health promotion information and most of them are interested in this information, so it is important to provide teachers with health information that meets their needs. Providing teachers with health information it is important to take into consideration individual and school characteristics.

Key messages
Only less than half of teachers received sufficient amount of health promotion information. The majority of teachers were interested in information about health promotion.
Education for health promotion: the challenges of centrality and decentralization in southern Brazil
Authors: Lopes Gomide P , Frantz Krug S B 
Published: October 2020

Abstract

Background
The research starts at the possible invisibility of the theme of Health Promotion (PS) in Health education, its curricular propositions as well as its teaching strategies, and when visible, questions arise: What is the concept of Promotion in Health underpinning the training actions implemented? The concealment of the theme makes it impossible to produce the Health Promotion within the scope of a Residency Program?

Methods
To analyze the dynamics of the conduct of the Health Promotion Policy, present in the relationship between the centrality of the guidelines formulated at national and global level and the decentralization of Health Education strategies. This proposal presents a qualitative and systemic approach, which intends to analyze four in-service training programs (three national and one international), with regard to the conceptual conceptions of Health Promotion and Health System users. the subjects of the research, conduct semi-structured interviews and documentary analysis when necessary.

Results
This proposal presents as a reference the expanded concept of health and its social determinants, the responsibility of the State in sanitary regulation, universality, population participation and integrality, accessibility to information as a right and territorialization.

Conclusions
This study will feed the elaboration, in two Brazilian municipalities, through the School of Public Health of the state of Rio Grande do Sul, of a training proposal for health workers, guided by the conceptual and political framework of Health Promotion.

Key messages
The dynamics of the Health Promotion Policy, present in the relationship between the centrality of the guidelines formulated at global level and the decentralization of Health Education strategies. The importance of Health Promotion in interprofessional training in health services.
Future orientation in context of school support, and the Unplugged program among Slovak children
Authors: Orosova O , Benka J , Gajdosova B 
Published: October 2020

Abstract

Background
Recent literature has highlighted the crucial role of schools in creating a psychologically healthy environment. The aim of this study was to explore the changes in schoolchildren's positive future orientation (PFO) following their participation in the school-based Unplugged program (PU).

Methods
This study was carried out as a cluster randomized controlled trial (1292 participating schoolchildren, Mean age=11.52; 46.8% boys) with data collection conducted immediately before PU implementation(T1), immediately after implementation(T2) and then 3 months(T3), 12 months(T4) and 18 months after the implementation(T5). The schools were randomly assigned to either an experimental (EG, n = 639) or control group (CG, n = 653). The EG was exposed to PU (http://www.eudap.net/). The effect of PU, gender, and school social support (SSS/T1) was explored through the changes in PFO. GLM Repeated Measures were used for the data analyses.

Results
There was a significant main effect of time on PFO, F(4, 968)=8.38, p &lt; 0.001. Pairwise comparisons revealed that PFO was significantly lower at every follow-up when compared to PFO/T1. There were significant interaction effects TimexGender, F(4, 968)=2.65, p &lt; 0.05, TimexSSS/T1, F(4, 968)=3.73, p &lt; 0.01, Timex GenderxSSS/T1, F(4, 968)=2.73, p &lt; 0.05. This effect indicates that the level of PFO was higher among schoolchildren with a higher level of SSS/T1 across the five measurement points. However, the decrease of PFO was stronger among the boys than among the girls from T1 to T5. The contrast analysis revealed a higher level of PFO only among schoolchildren in the EG with a lower level of SSS/T1 at T5 when compared to CG, F(1, 242)=3.93, p &lt; 0.05.

Conclusions
The findings suggest a main effect of time measures on PFO and a moderation effect of gender and SSS/T1.

Key messages
Schoolchildren’s positive future orientation (PFO) was found to generally decrease over time during the 22-month period. However, Unplugged was able to encourage schoolchildren with a lower level of SSS/T1 and to increase their PFO within the 18 months following the implementation of the program.