bluuebunny/crossref_metadata_2025_split huggingface dataset:
Moving out of the silos: from nursing homes clinical narratives to salient features of care
Authors: Delespierre T , Sabbar H , Haÿ P-E 
Published: October 2020

Abstract

Background
Korian® group is specialized in care and support for fragile people. Its professional data warehouse (DWH) is operational today in 300 French nursing homes (NH). The transmissions' table, daily-fed by caregivers, contains key data about residents' care and health. Thanks to long-term stays and substantial available data, we can build residents' life trajectories. In the past, we designed syndromes such as falls, flu, acute gastro enteritis and emergency calls by using the standard query language (SQL) but now we want to go further, analyzing the caregiver's feelings about residents' health. We will show here that our method involving syndromes' approach and then, sentiment analysis can improve residents' life prediction and achieve transparency and interpretability of the whole data flow process.

Methods
First, we selected all residents with at least one transmission over the last six weeks of 2014. Second, we extracted among them those having at least one transmission over the last six weeks of 2018, the 'survivors', and those found dead before, the 'deceased'. Third, we extracted both groups' transmissions over a 60 days period, removed the 'syndromic' ones and gave small subsets of the remaining ones, after anonymization and random sampling, to the Korian® physicians' network to classify into four features. Then, we completed this qualitative data with scores such as the autonomy level (AL = 1-6 higher the better), to build sentiment analysis but also new 'opinion' syndromes with SQL.

Results
We found, among 12,278 residents living in 155 NH in 2014: 3,075 survivors with 82% women (mean age = 85.3, AL = 3), 18% men (mean age=79.7, AL = 3.2) with 9,687 syndromes among 84,416 transmissions.2,900 deceased with 72% women (mean age = 88.7, AL = 2.3), 28% men (mean age=86.5, AL = 2.3) with 11,305 syndromes among 109,073transmissions.

Conclusions
We are confident that our interdisciplinary sentiment analysis will deepen the quantitative aging process understanding.

Key messages
After SQL procedures to extract syndromes, we moved health-transmissions data out of the silos and gave it to our physicians’ network for further analysis designing a truly interdisciplinary approach. The transmissions’ table with its nursing care narratives textual content can help us track every resident through time and space, define health features and deepen residents’ aging process knowledge.
Home and workplace neighborhood SES and behavior-related health: a within-individual analysis
Authors: Raza A , Hanson L M , Westerlund H , Halonen J 
Published: October 2020

Abstract

Background
Although the influence of individual and home neighborhood socioeconomic status (SES) on health-related behaviors has been widely studied, majority of the evidence is from cross-sectional studies. Moreover, studies on associations of workplace SES with health-related behaviors are almost non-existent.

Objective
To investigate associations between home and work neighborhood SES and behavior-related health in gainfully employed individuals.

Methods
Participants were from the Swedish Longitudinal Occupational Survey of Health with response to minimum two surveys between 2012 and 2018. We had 13163 individuals with complete data on exposure and covariates with total of 36925 observations. Neighborhood SES was determined as an index using mean income, education attainment, and unemployment rate within a 500 m buffer around home and workplace address. We used fixed effects method with conditional logistic regression to investigate longitudinal within-individual associations for home, workplace and their weighted summary neighborhood SES with self-reported obesity, physical activity, smoking, excessive alcohol consumption, sedentary lifestyle, and sleep problems. We included age, marital status, individuals' occupational position, presence of children, chronic disease, depressive symptoms, and work strain as covariates.

Results
The workers were more likely to consume alcohol excessively when their workplace was located in the highest SES area compared to time when their workplace was located in the lowest SES area (adjusted odds ratio 1.98; 95% confidence interval 1.12-3.49). Contrarily, socioeconomic status of home neighborhood was observed to be associated with low alcohol consumption. We observed no associations for other behavior-related health outcomes.

Conclusions
These within-individual comparisons suggest that having workplace in a high SES area may be favorable for excessive alcohol consumption.

Key messages
Workplace in a high socioeconomic area may be favorable of excessive alcohol consumption, while such association were not observed for home neighborhood. Consideration of work neighborhood SES along with home neighborhood SES and individual variables can enhance our understanding of the influence of environments on health behaviors.
Alcohol-related mortality in Czechia in a comparative view of European countries
Authors: Kulhánová I , Kážmér L , Lustigová M 
Published: October 2020

Abstract

Background
Alcohol consumption is an important risk factor of mortality. Czechia is a country with one of the highest alcohol intake in Europe. The severity of the alcohol-related consequences depends on the volume of alcohol consumption over time, the pattern of drinking and the quality of alcoholic beverages. The aim was to analyse the temporal changes of premature mortality related to alcohol in Czechia and compare these changes with other European countries.

Methods
Mortality data by sex, age and cause of death were obtained from the Czech Statistical Office and the WHO Mortality Database for the years 1999-2016. The main alcohol-related causes of death investigated in this study were alcoholic psychosis, dependence, and abuse, alcoholic liver cirrhosis, accidental poisoning by alcohol, and alcoholic cardiomyopathy. We calculated the age-standardized mortality rates (per 100,000) using the European Standard Population. The analysis was limited to the age group of 25-64 years.

Results
Relatively stable rates of premature mortality related to alcohol were observed in the last decade in Czechia. With respect to gender, mortality rates of alcohol-related causes were about three times higher among Czech males, as compared to Czech females. Alcoholic liver disease accounted for more than half of the alcohol-related mortality in both sexes.

Conclusions
Compared to other European countries, Czechia has high burden of alcohol-related mortality. However, it follows similar patterns as other central and eastern European countries. In order to reduce this burden, it is necessary to strengthen alcohol-related policies to decrease the alcohol consumption in Czechia.

Key messages
The high intake of alcohol in Czechia implies the high alcohol-related mortality. The alcohol-related mortality remained stable in Czechia over the observed period.
Education, experienced harm from others’ drinking and personal alcohol consumption
Authors: Berg-Beckhoff G , Stock C , Bloomfield K 
Published: October 2020

Abstract

Background
Risky alcohol consumption is associated not only with harm to the drinker, but also to those in the drinker's environment. Recent research has begun to examine the extent of such harm from others' drinking. In this study, we examined whether education functions as an effect modifier on the association between experienced harm from others' drinking (EHFOD) and risky alcohol use.

Methods
Data from the 2011 Danish national alcohol and drug survey (n = 5133) were linked with data from Statistics Denmark. Survey response rate was 64%. Data on various alcohol use indicators were collected via internet questionnaires or telephone interviews. EHFOD was based on 8 indicators of harm from drunken people (e.g. being insulted, property damaged, being physically harmed). We grouped EHFOD into hassles, harassment or harm/damage. Multiple logistic regression was used to examine the association between EHFOD and own drinking behavior, stratified by sex and education. Covariates included age, employment status, rural residence, income and civil status.

Results
One-year prevalence of EHFOD was 50%. We found a positive and significant relationship between own alcohol consumption and harassment as well as harm/damage. Effect modification of education was significant for harassment. Odds ratios for risky drinking behavior and harassment was 5.50 (95%CI: 3.49-8.65) in low educational group among men, and 1.42 (95%CI: 0.98-2.07) in the high educational group among men.

Conclusions
Our study confirms an overall positive relationship between EHFOD and drinking behavior but varies by type of EHFOD. Furthermore, education modified this effect, but only for harassment. More research is necessary to better understand how drinking patterns diverge between low and high educational groups, and how this differentially affects risk for alcohol-related harms including the experience of harm from others' drinking.

Key messages
One-year prevalence of experienced harm from others’ drinking is high (50%) in Denmark. There is positive relationship between EHFOD and drinking behavior but it varies by type of EHFOD; education is an effect modifier.
Strengthening Lao TPHI
Authors: Kounnavoung S 
Published: October 2020

Abstract
With support from the European Union, the Lao Tropical and Public Health Institute developed policy advice in the area of reproductive health and rights and in the area of nutrition. The institute published its findings in a special edition of the journal Global Health Action in July 2020. The institute was able to communicate with decision-makers in government to improve policies in nutrition and reproductive health. The institute was also able to work together with youth groups to improve their understanding. The Lao TPHI organised meetings, conferences and produced policy briefs, which contributed to the exchange.
Most important lesson learned: more emphasis on knowledge translation in the institute was an important step forward in improving the dialogue between researchers and policy makers and non-governmental stakeholders.
Roadmap for Universal Health Coverage
Authors: Ssengooba F 
Published: October 2020

Abstract
With support of the European Union, the Makerere School of Public Health in Uganda developed the SPEED project in collaboration with local (civil society) organisations and research institutes. In the project the partners developed the Roadmap for developing a strategy for Universal Health Coverage in Uganda. Through conferences, workshops, social media, policy briefs the researchers interacted with decision makers. The Ministry of Health Adopted to Roadmap as the guidance for further strategic development of UHC.
Most important lesson learned: collaboration between academics, administrators, and activists can have a positive impact on health policy development, if built on trust and mutual understanding.
Use of artificial intelligence to estimate population health indicators in France
Authors: Haneef R , Fuentes S , Hrzic R , Fosse-Edorh S , Kab S , Gallay A , Cosson E 
Published: October 2020

Abstract

Background
The use of artificial intelligence is increasing to estimate and predict health outcomes from large data sets. The main objectives were to develop two algorithms using machine learning techniques to identify new cases of diabetes (case study I) and to classify type 1 and type 2 (case study II) in France.

Methods
We selected the training data set from a cohort study linked with French national Health database (i.e., SNDS). Two final datasets were used to achieve each objective. A supervised machine learning method including eight following steps was developed: the selection of the data set, case definition, coding and standardization of variables, split data into training and test data sets, variable selection, training, validation and selection of the model. We planned to apply the trained models on the SNDS to estimate the incidence of diabetes and the prevalence of type 1/2 diabetes.

Results
For the case study I, 23/3468 and for case study II, 14/3481 SNDS variables were selected based on an optimal balance between variance explained and using the ReliefExp algorithm. We trained four models using different classification algorithms on the training data set. The Linear Discriminant Analysis model performed best in both case studies. The models were assessed on the test datasets and achieved a specificity of 67% and a sensitivity of 62% in case study I, and a specificity of 97 % and sensitivity of 100% in case study II. The case study II model was applied to the SNDS and estimated the prevalence of type 1 diabetes in 2016 in France of 0.3% and for type 2, 4.4%. The case study model I was not applied to the SNDS.

Conclusions
The case study II model to estimate the prevalence of type 1/2 diabetes has good performance and will be used in routine surveillance. The case study I model to identify new cases of diabetes showed a poor performance due to missing necessary information on determinants of diabetes and will need to be improved for further research.
I am a psycho if I need to take pills: Stigma experience in Russian youth with affective disorders
Authors: Cantarero-Arévalo L , Kingod N , Bakshinskayte M 
Published: October 2020

Abstract

Background
Living with an affective disorder is often a cause for stigma and self-stigma. Mental health problems among adolescents and young adults is a problem in Russia but little is known on young Russian adolescents' perceptions and attitudes living with affective disorders.

Methods
This study is based on online observations of 11 Russian social media communities combined with semi-structured telephone or Skype interviews. Finally, 16 Russian-speaking men and women aged 17-25 who live with affective disorder were recruited. The data were coded into two overall themes of 'self-stigma' and 'enacted stigma' with sub-themes such as 'relationship with doctor', 'relationship and support from friends', 'relationship and support from family', 'attitudes towards medicines', 'side effects', and 'coping with the illness'.

Results
The fear of negative reactions and labelling from the social surrounding where seen as a factor that both stopped informants from seeking out timely help or forced them to leave the treatment regime when finally diagnosed. The fear of stigma where often related to the psychiatric diagnosis, and although symptoms of mental illness often had been prevalent years before the informants got their diagnosis, it was a shocking event to be diagnosed with a mental health condition such as bipolar disorder.

Conclusions
By exploring in-depth the perceptions that Russian-speaking young people have on the stigma and self-stigma when living with an affective disorder, we have been able to better understand how stigma affects their everyday lives.
5.M. Workshop: Sexual minorities' mental health and their experiences of stigma and minority stress across settings
Authors:   Organised by: EUPHA Sexual and gender minority health, EUPHA Public mental health section,   Chair persons: Arjan van der Star – EUPHA-SGMH, Jutta Lindert – EUPHA-PMH
Published: October 2020

Abstract
Over the past decades, public health research has started to examine the higher risk of mental health concerns among sexual minorities (e.g., lesbian, gay, or bisexual individuals) when compared with heterosexual individuals. Until more recently, most of this research has been coming from North America and focused on theories of stigma and minority stress in their attempt to explain these elevated rates of mental health problems.
Minority stress theory posit stigma to be a root cause of the higher risk of mental health problems among sexual minorities and that stigma results in victimization, discrimination, internalized homonegativity, and identity concealment, which erodes mental health.
Exposure to such minority stressors may differ across structural climates, based on population attitudes, discriminatory legislation, and unequal policies. In this way, such structural forms of stigma toward sexual minorities may foster increased exposure to minority stressors and elevated levels of mental health problems among sexual minorities. However, the evidence on these mechanisms remains limited as they have only recently become a topic of research.
This workshop includes five empirical presentations from various structural contexts. It focuses on the elevated risk of mental health problems among sexual minorities across these settings, on identifying minority stressors in high-stigma countries, and on linking country-level structural stigma to experiences of minority stressors to explain poor mental health among sexual minorities. First, Michal Pitonak will present results from the first Czech population-based study showing higher rates of substance use, psychological distress, and low life satisfaction among sexual minorities compared to heterosexual individuals. Second, Giuseppina Lo Moro will present results from Italy showing a higher likelihood of depressive symptoms and mental health treatment among sexual minority medical students compared to their heterosexual peers. Next, Guillermo Martínez-Pérez will present findings on experiences of minority stress among Senegalese bisexual men and linkages to mental health. Finally, Arjan van der Star will extend these findings with data showing how the mental health effects of structural stigma and minority stress may be related to time both before and since migrating among migrant sexual minority men in the low-structural-stigma context of Sweden.

Key messages
Sexual minorities across the globe are at an increased risk for mental health problems and stigma-based minority stress experiences compared with heterosexual individuals. Structural forms of stigma, such as country-specific negative societal attitudes and discriminatory laws, may drive this elevated risk depending on length of exposure.
Digital maternal health booklets – do they help reaching migrant populations
Authors: Zysset A , Dratva J 
Published: October 2020

Abstract

Background
Societies and health systems are increasingly digitally transformed. Digital communication is considered a means to reach persons in vulnerable contexts, such as migrant families. We performed a scoping literature review to evaluate the assumption in the context of maternal and child health (MCH) and validate results qualitatively.

Methods
Jan. 2020 a literature search was conducted (Web of Science, MEDLINE, CINAHL) using synonyms for migrants, health, digital media and information seeking, limited to publications in English. Two researchers independently rated titles and then abstracts for suitability, obtaining consensus at each step. Primary target group, health topic and related life phase, country of data origin, and primary study question were extracted from remaining manuscripts. Data on digital health information seeking (impact, reasons, barriers, context) will be extracted from full texts and discussed. A focus group with mothers with migrant background in Switzerland will be held in Sept. to validate findings.

Results
After title and abstract screening 41 from 315 articles remained. 25 articles focused primarily on migrant populations and information seeking behavior. Dominant populations were Latinos, Hispanics and Asians. Studies were performed in North America (n = 32), Europe, Asia and Australia (each n = 3); seven were on MCH, four on child and adolescent and 30 on adult health (mainly general health and health access). Further results extracted from manuscripts and focus group validation results will be presented at the conference.

Conclusions
Few studies on health information seeking behavior of migrants and MCH exist. Evidence on digital information seeking overall is scarce. The many North American studies indicate an advanced digital transformation of health promotion and care. The discussion will focus on the generalizability of literature findings and potential of digital health promotion via MCH in vulnerable populations.
Digital support systems to improve child health and development in low income settings
Authors: Wallenborn J , Mäusezahl D , Castellanos A , McCoy D , Zhang C e , Fink G 
Published: October 2020

Abstract
About 250 million children under age five are at risk of not reaching their developmental potential due to continued exposure to ill health, malnutrition and lack of appropriate learning environments. A large number of initiatives have been launched in recent years to support early childhood development, with home visiting programs increasingly being recognized as a key strategy for improving child wellbeing. However, the most effective ways to reach families in low income settings remain unclear due to the large expense associated with personal family visits. In this project, we assess the effectiveness and equity of a newly developed digital platform designed to deliver evidence-based, individualized parenting support through automated services. The Afinidata platform uses state-of-the art machine learning algorithms to allow caregivers to get answers to questions about child health and development, while also identifying and promoting age- and development-appropriate activities for parents to support their children. We will collaborate with partners in Peru to rigorously assess the reach, impact and cost effectiveness of this digital platform in a poor rural population through a randomized controlled trial. Our work will follow a mixed-methods evaluation approach with repeated feedback into the Afinidata system. A total of 2,400 newborns will be enrolled in a randomized controlled trial in San Marcos, Peru, and followed up for two years. The primary study outcome will be children's healthy development at 24 months of age assessed through the Bayley Scales of Infant and Toddler Development (BSID-III). Secondary outcomes will be systems utilization, program coverage and cost-effectiveness, as well as caregiver satisfaction. If proven effective, this innovative digital platform may increase global access to low-cost parental support -a widely recognized key strategy for improving child well-being.