bluuebunny/crossref_metadata_2025_split huggingface dataset:
Availability and integration of health data on refugee and migrants in health information systems
Authors: Bozorgmehr K , Jahn R , Biddle L , Rohleder S , Puthopparambil S 
Published: October 2020

Abstract
This presentation discusses the findings of a Health Evidence Network synthesis report on availability and integration of refugee and migrant health data in health information systems in the WHO European Region. Based on an analysis of 41 full-text studies and 696 abstracts, the report found that refugee and migrant health data were available in less than half of the Region's Member States, and that data availability and integration, data collection systems, as well as indicators on migration varied markedly between states. From these findings, the report derived key policy considerations regarding the strengthening and harmonization of migrant health data collection, as well as governance and monitoring of health information systems.
Aim and purpose of Consensus Conference follow up Task-Force
Authors: Szilárd I 
Published: October 2020

Abstract

Background
Experts of the high-level Consensus Conference (Pécs, 7-8 October 2019) agreed that there is a need for greater harmonisation and international cooperation on migrant health information systems. In order to facilitate the realization of this goal the formation of a multi-stakeholder scientific task force (TF) was proposed.

Objectives
The Consensus Conference Follow up Task-Force is an informal, voluntary scientific body, aiming to assist and facilitate the realization of the Statement of the Conference. More specifically: Calling the attention about the needfor reliable, migrants/migration related health, public health and occupational health data;for the harmonisation of the migrants/migration related health information systems;for the establishment of international cooperation;Design and work out unified definitions and technical guidance on taxonomy and methodologies of data collection;Facilitate and assist both individual researchers' and teams' endowers for the international harmonisation of target group variables and indicators in order to ensure comparability of data;Call the attention for and initiate the establishment of a European level migrant health database, and provide scientific and technical assistance for its realization.

Results
The WHO Collaborating Centre at the University of Pécs Medical School (UPMS) has offered to coordinate this initiative, worked out the Terms of Reference (ToR) of this new body and asked the leading international organizations and individual experts to participate in the work of this innovative endower. WHO, IOM, ECDC and the European Union Agency for Fundamental Rights has appointed delegates and twelve experts joint to the initiative. On 11 February an internet-based conference was organized where participants approved the ToR and with consensus Prof. Dr. Kayvan Bozorgmehr has been elected for president. UPMS runs its secretariat. The work plan of the TF will be presented during the conference.
Regulations and fiscal policies
Authors: Neveux M , Allais O 
Published: October 2020

Abstract
The food environments in which people develop their dietary behaviour and make their food choices have significant influence on what they purchase and, in turn, what they eat. Food prices, food labelling and food marketing are one of the determinants of food choices. They influence, to a certain degree, what and how much food people buy, and policies based on these determinants have been effective in promoting desirable dietary changes. However, these assessments of dietary changes have been exclusively conducted at the adult level, and not at children level. What are the impacts of such policies on children's overall diet? Do these effects substantially differ between European countries? To answer these outstanding questions, the work package will conduct a contextual review looking at (i) fiscal policies (food and non-alcoholic beverages), (ii) the regulation of food labelling and (iii) the regulation of the marketing of food products to children.
Evaluation of a digital health gamification platform with older adults: An observational cohort study with a pre-test/post-test design
Authors: Hurmuz M , Jansen-Kosterink S M , van Velsen L 
Published: October 2020

Abstract

Background
Older adults are usually less physically active than younger adults. Physical inactivity can lead to frailty, which can increase the possibility of being admitted in a hospital and, being functional limited. To handle frailty Stranded is developed. Within this platform the user will be shipwrecked and has to build a boat to leave an uninhibited island. The user can leave the island by executing physical exercises and playing cognitive games. The primary aim focussed on differences in quality of life and perceived health status after using Stranded (TRL7). The secondary aim focussed on the usability of and user experience with Stranded. This study was conducted within the FRAIL-project (Eurostars-2 10.824).

Methods
An observational cohort study with a pre-test/post-test design was carried out. The pre-test measurements were performed before the use of Stranded, and the post-test measurements after using it for four weeks. The study population consisted of older adults, 55 years of age or older and each subject signed an informed consent form.

Results
One hundred and eleven older adults were included in this study (64.9% female and 35.1% male) and 91 participants started using Stranded. In total, 59 subjects dropped out. Two health variables significantly increased (n = 52), the subjects' perceived health state on a visual analogue scale and the subjects' quality of life viewed from the positive health perspective. Stranded's usability scored an average of 61.3 (SD = 21.6). The average scores on the user experience domains were all between 3.3 and 3.9 on a 7-point scale. The subjects did not have a strong negative or positive opinion about these domains.

Conclusions
The average quality of life increased slightly. It is hard to find an appropriate population to investigate the effects of these innovations, because of not willing to include too frail older adults for whom participating could be intensive. The usability was perceived as acceptable.
HESRi potential for action
Authors: Brown C 
Published: October 2020

Abstract
Resolution on Health Equity (EUR/RC69/R5) puts equity, gender equality, human rights and social determinants as high priority for action of all 53 WHO EURO Member States (MS) and partners. The resolution was unanimously adopted following a year of extensive consultation and dialogue with MS and partners: NGOs, scientific community, professional associations and UN and bilateral agencies. WHO scientific leadership role in health equity in EURO was key to success as it brought forward innovations in health equity analysis and solutions which were also presented and debated at the high-level regional conference. Together with member states WHO is now developing Health Equity Solutions Platform to connect innovative life policy sites with the latest available evidence and practical tools to accelerate development of solutions. New narrative, set of tools and innovative methodology in data analysis were taken up globally, represent a model for the global report on health inequities and feed into global strategy on social determinants of health.
HESRi country impact and uptake in Slovenia
Authors: Gabrijelčič Blenkus M 
Published: October 2020

Abstract
Equity and solidarity are strongly embedded in Slovene society from the second half of the 20th century on. Questions, exploring equity issues date in 1964, as a part of the Slovene Public Opinion (SPO) Survey. Slovenia is reporting on health equity and wellbeing in three strands. The first one is regular Human Development Report, based on Slovene Development Strategy since 2007, delegated partially to Institute of Economic Research (IER). Second one is regular Inequalities in Health Report, led by National Institute of Public Health (NIPH), and based on the National Health Strategy, since 2011. The third one is regular Poverty Report, led by Institute of Social Protection (ISP), based on the decision of the Parliamentarian Commission for Health and Social Affairs in 2013.
NIPH comprehensively reported on Inequalities in Health in 2011, at that time based on direct measures of socio-economic status (SES) like education, or indirect measures or indexes (as development index or deprivation index of the municipality). In the second, 2018 report, several developments enabled for reporting health equity gap based on the individual SES status and first few cases of policy influences on equity status were described. In line with the WHO Rio SDH declaration 2011, in the third Health Equity Report, planned for 2021, further shift is foreseen and focus will be given to the policies influencing the equity gaps.
For the 2021 Health Equity Report for Slovenia, three national key institutions (NIJZ, IER and ISP) decided to work together, based on the established multisectoral competences. WHO HESRi was developed and launched in best possible timing for the Slovene national initiative, to provide the international support, insights and facilitate further national development. Slovene priorities will be defined according to the national interests, Slovene presidency to EU in 2021 and Country Specific Recommendations in the frame of the European Semester.
Migrants and refugees’ children’s role in promoting the family health literacy in second language courses
Authors: Harsch S , Bittlingmayer U 
Published: October 2020

Abstract

Background
Recent research on health literacy (HL) stresses the importance of the social context for children's HL, especially among vulnerable groups such as migrants and refugees. However, reaching migrant is difficult, so experts recommend adult second language courses (SLC) as promising settings to promote HL of migrants and their families. Yet, empirical evidence of promoting family health literacy (FHL) in SLC is scarce. The project SCURA, funded by the German Federal Ministry of Education and Research, therefore aimed at exploring how FHL is addressed in SCL and to develop an FHL promoting intervention.

Methods
We conducted a mixed-method study, including a scoping study on empirical evidence of HL in SLC (N = 17), analyses of international curricula (N = 22) and of German textbooks (N = 24), participant observation in two SLC (100 hours), expert interviews (N = 15) triangulated the findings and conceptualized an FHL intervention.

Results
Whereas health is a preferred topic in SLC because it is interesting, and engaging and included in the standard SLC curricula, FHL is rarely targeted and not defined. Qualitative data reveal a vast scope of FHL related occasions offering possibilities to improve parents' health knowledge, communication skills and health literacy. Based on the results, we developed and implemented a multi-modal diversity sensitive FHL program, integrated into SCL, that targets
parents' and children's physical, mental and social health topics, promotes FHL, and empowers migrant families to make good health decisions within their new context.

Conclusions
Currently, standard SLC rarely target FHL in the curriculum, but FHL topics are informally discussed. Hence, training teachers to use the upcoming FHL topics to teach the second language is a win-win-solution for it achieves both aims: increasing HL and language skills.
NCDs, gender, intersectionality and the World Health Organization
Authors: Somerville C 
Published: October 2020

Abstract
Claire Somerville, PhD (Gender Centre, Graduate Institute of International and Development Studies, Geneva) will present research that investigates how gender and intersectionality analysis of NCDs is integrated into different levels of health policy and programming and within country level health systems and services by the World Health Organization (WHO). The research is the first of its kind and is based on a WHO document analysis and key informant interviews with key representatives working on issues of gender and NCDs within WHO. The findings of Somerville's investigation reveal how gender and its intersections is understood and mainstreamed at all three organizational levels of the WHO (headquarters (HQ), regions, and country level offices) and what the key impediments are not only in terms of mainstreaming a more relational and intersectional understanding of gender in general, but specifically in relation to NCDs.
Tailored intervention with peer-to-peer as a tool to promote childhood vaccination in migrants
Authors: Jama A , Godoy-Ramirez K , Byström E , Burström B , Roth A , Lindstrand A , Kulane A 
Published: October 2020

Abstract

Background
A tailored intervention about childhood vaccination in Stockholm, Sweden, has focused on different activities with the aim to improve vaccination confidence and in particular Measles, Mumps and Rubella (MMR) vaccination coverage. The intervention included provided peer education focusing on vaccination information, the vaccine-preventable diseases, child development and communication skills in Somali and Swedish language and for the peers to further inform other parents in their communities.

Aim
This study aims to explore peers’ experiences of the interventions and their role to promote vaccination confidence.

Methods
This study follows a qualitative methodology with in-depth interviews and the data collection is ongoing. The study participants consist of seven peers who participated in the program. The interviews aimed to explore how the peers used the training in real life. All interviews conducted were tape-recorded and transcribed verbatim in order to facilitate deep content analysis. The analysis followed a content analysis, by first coding the data and then developing categories and emerging themes.

Results
Preliminary findings show that peers expressed the importance of having a training that equipped them with knowledge and confidence to discuss fact-based information with hesitant parents. The peers shared that after the training they had several opportunities to talk about childhood vaccinations in particular MMR vaccination with other parents. Some peers took an active role in reaching other parents by utilising the film and the cards to facilitate their dialogue. Other also acknowledged that when they could not answer a specific question, they encouraged the parents to address the query with the child health clinic nurses.

Conclusions
The use of a peer-to-peer concept to increase vaccination confidence provides additional forums for parents to dialogue about their concerns and receive correct vaccination information.

Key messages
Tailored interventions in close collaboration with communities are crucial for sustainable improvements of vaccination acceptance and coverage. The peer-to-peer concept provides a new arena to reach vaccination hesitant parents and can complement the communication on vaccination from health care provides.
Physical activity and body weight of breast cancer survivors – VICAN national survey
Authors: Rey D , Touzani R , Monet A , Bendiane M K , Bouhnik A D , Mancini J 
Published: October 2020

Abstract

Background
Cancer recurrence and poor quality of life are major challenges of the growing population of breast cancer (BC) survivors. International guidelines encourage survivors to engage in regular physical activity (PA) and to maintain a healthy body weight (BW), as both have a proven benefit on survival. Our aims were (1) to describe PA and BW 5 years after a BC diagnosis and (2) to define the predictors of long-term engagement in healthy lifestyle, in a representative sample of French survivors.

Methods
The French National VICAN surveys were implemented in 2012 and 2015 among cancer survivors. This analysis focused on 723 women with BC, without progression at 5 years, and who participated in both surveys. The questionnaires dealt with several topics including socioeconomic status, treatments and side effects, psychometric scales and lifestyle habits.

Results
Five years after diagnosis, 26% of women reported regular PA, 61% occasional PA and 14% no PA. Moreover, 27% reported a weight gain ≥5kg, and 10% a weight loss ≥5kg. Half of the women had decreased or stopped PA since diagnosis. In logistic regression, long-term regular PA was associated with better mental quality of life (aOR=1.04; 1.01-1.07), no depression (aOR=3.42; 1.21-9.65), higher Post Traumatic Growth Inventory score (aOR=1.02; 1.01-1.04), normal arm mobility (aOR=3.7; 1.6-8.4) and healthy and stable BW since diagnosis (aOR=4.47; 1.61-12.37). Weight gain ≥5kg was associated with younger age (aOR=0.96; 0.93-0.99), higher BW at diagnosis (aOR=1.02; 1.01-1.04), and lymphedema 5 years after diagnosis (aOR=1.69; 1.02-2.83).

Conclusions
For BC survivors, mental well-being is essential for successful long-term investment in healthy habits. More psychological and dietary support, and a better management of sequelae are needed in this population.

Key messages
For breast cancer survivors, mental well-being is essential for successful long-term investment in healthy habits. More psychological and dietary support, and better sequelae management are needed to help breast cancer survivors to persist in healthy lifestyle.
A health inequality impact assessment of leveling down overweight and obesity
Authors: Bender A , Sørensen J , Diderichsen F 
Published: October 2020

Abstract

Background
Social differences in the proportion of overweight and obesity have increased in recent decades. Health impact assessments provide population-level valuations of changes in disease prevalence related to scenarios with different risk factors levels. These scenarios can be focused on reducing overweight and obesity among people with low socioeconomic position.

Methods
This study included the projected population of Copenhagen, Denmark in year 2040 (n = 742,130). Using the DYNAMO-HIA tool we conducted a health inequality impact assessment. Future prevented disease prevalence (IHD, diabetes, stroke, and multi-morbidity) and change in life expectancy related to an equalized scenario were estimated in a scenario where the prevalence of overweight/obesity (OWOB) in the group of people with short and medium educational attainment was reduced to the levels of people with long education.

Results
A higher proportion of people with short and medium education were OWOB than among people with long education and they had higher prevalence of cardiometabolic diseases. The diabetes prevalence among people with short education was reduced by 8-10% for men and 12-13% for women and life expectancy with diabetes decreased by one year in the group of women with short education. No notable effect of the equalized OWOB was seen regarding life expectancy with and prevalence of stroke and IHD.

Conclusions
Reaching the low prevalence of OWOB observed among people with high educational level, will reduce future cardiometabolic disease, increase life expectancy and meanwhile reduce the social inequality in health. These findings can serve as relevant references points for public health planners.

Key messages
This study is the first to combine advanced mathematical modelling and population data to assess changes in health from reducing socioeconomic inequality in obesity and overweight. These results propose valuable reference values for outcome assessments of interventions on inequalities in health.
Leisure-time physical activity among adults in Estonia 2000 − 2016
Authors: Pärna K , Mikk M 
Published: October 2020

Abstract

Background
Leisure-time physical activity (LTPA) can be an effective tool in the prevention and treatment of the majority of noncommunicable diseases, which are the leading cause of death worldwide. Therefore, the knowledge on the level and trends of LTPA is an important task for the public health sector and enables identification of adults at high risk of hypokinetic diseases. The aim of this study was to describe LTPA trend among adults in Estonia in 2000-2016 and to analyze the association between LTPA and sociodemographic, -economic, health- and work-related factors, and risk behaviours.

Methods
This study was based on 25 − 64-year-old adults (n = 16,903) of the postal cross-sectional surveys of Health Behaviour among Estonian Adult Population in 2000-2016. For data analysis, LTPA was divided into two categories: physically active (at least 2 − 3 times per week) and physically inactive (less than 2 times a week). Chi-square test was used to analyze changes in prevalence trend of LTPA over the study period. Logistic regression analysis was used to test associations between LTPA and different factors.

Results
The prevalence of LTPA increased from 26.2% to 42.6% among men (p &lt; 0.001) and from 28.0% to 43.6% among women (p &lt; 0.001) in Estonia in 2000-2016. Odds to be physically active during leisure time was significantly associated with marital status, education, income, economic activity, self-rated health, body mass index and smoking status among men and women. Compared to adults with basic education, men and women with higher education had higher odds (OR = 1.61, 95% CI 1.30 − 2.01; OR = 1.36, 95% CI 1.10 − 1.68, respectively) to be physically active. LTPA was associated with age among men and with nationality and alcohol use among women only.

Conclusions
Based on the study results, health promotion activities should be addressed in particular to the adults with lower LTPA paying attention to the factors associated with LTPA.

Key messages
LTPA increased significantly among men and women in Estonia in 2000 − 2016 being higher among women than men. Health promotion activities should be addressed in particular to the adults with lower LTPA paying attention to the different factors associated with LTPA.