bluuebunny/crossref_metadata_2025_split huggingface dataset:
A health equity focused National Prevention Plan 2020-2025 and related capacity building (CCM, 201)
Authors: Mattioli B , Bucciardini R , Falzano L , Bena A , Gilardi L , Capra P , Falcone U , Marra M 
Published: October 2020

Abstract
In Italy there are significant differences in life expectancy, morbidity and disability between different social groups: the wealthiest and educated people are better off, get sick less and live longer. The poorer Italian Regions show less favourable health indicators. However, Italy aims to reduce health inequalities (HI) among the priorities of its agenda. The 2014-2018 National Prevention Plan (NPP) had already instructed the Regions to include the fight against HI in the guiding principles of the regional prevention plans (RPP). The new NPP 2020-2025 confirms the need to strengthen the fight against HI and the reduction of the main social and geographical inequalities that are observed in our country represents a priority to all the objectives of the NPP, which requires the disclosure of scientific data, validated methods and tools to guarantee equity in the action. In this scenario, there is a project coordinated by the Istituto Superiore di Sanità with the contribution of DORS, the Documentation Centre for Health Promotion of Piedmont Region. The main objective of this project is to support the Ministry of Health (MoH) and the Regions in order to consolidate the introduction of the equity lenses approach in the new NPP, in particular the project aims at: promoting a health equity-oriented approach in priority and target setting, choice of a strategy, and in the design of the monitoring and evaluation system;investing in a capacity building process for regional officers responsible of the elaboration and implementation of the RPP in each Italian region.
20 Italian Regions participate to this two-year project (2019-2020). Two face-to-face training modules and the sharing of a web community of practice have been planned. The project involves developing support tools that provide equity-oriented practices. The main expected result is the increase of the equity-oriented actions and their dissemination across the country.
Linking health and social data in Brazil: challenges and potentials for public health research
Authors: Barreto M 
Published: October 2020

Abstract
Health research using linked routine population-based data collected for non-research purposes has increased in recent years. In Brazil, the Centre for Data and Knowledge Integration for Health (CIDACS-Fiocruz) was created in 2016 in Salvador with the objective of integrating data to answer research questions related to public health. In CIDACS, efforts are made to obtain high-quality linked data while adhering to security, ethical use and privacy issues. Efforts have been made to conduct operations with respect to implementing the appropriate structures, processes and controls over the original and integrated datasets in order to provide relevant data for research purposes. Two different cohorts have been constructed. The “100 Million Brazilian Cohort” comprises of individuals registered in a National Social Register from 2001 linked to data from different social protection programs ('exposures') and outcomes from various health-related Brazilian National databases (deaths, births, infectious diseases). The main aim is to explore the impact of social protection programs on health using natural experiment approaches. By studying the effect of social policies, they increase our possibilities to explore links between the social and economic determinants and health. The CIDACS Birth Cohort is also a population-based cohort derived from linked data, developed to investigate the relationships between prenatal and early life events on health-related outcomes for infants and children, in the context of social inequalities. The overall objective is to research the effect of obstetric and prenatal conditions on birth, growth, morbidity, and survival in a dynamic cohort. CIDACS is expected to be an important resource for researchers and policymakers interested in enhancing the evidence base pertaining to different aspects of health, as well as investigating the role of social determinants of health and the potential effects of social and environmental policies on health.
Using electronic health records to monitor, augment and evaluate patient care in Singapore
Authors: Tan C S 
Published: October 2020

Abstract
The advent of electronic health records (eHRs) has opened up many opportunities for researchers and practitioners in healthcare to improve human lives. The opportunity to monitor and evaluate events or processes in real time on a large scale is feasible with big data, thereby facilitating timely information and the practice of proactive care. Predictive analytics allows the re-engineering of processes by augmenting them with predictive scores to identify individuals at high risk of adverse events for early intervention. However, to seize these opportunities to improve patient care, alleviating the challenges faced when utilizing eHRs to generate actionable insights is important to unleash the full potential of eHRs. With better access to eHRs and relevant domain experts, it facilitates the appropriate use of eHRs and analytical approaches. To illustrate some of these opportunities and challenges, the following two case studies will be discussed during this presentation: (i) programs developed at an academic health system in Singapore that aim to improve the experience and outcomes of inpatients, and (ii) a nationwide Predictive Model for Admission Prevention in Singapore that identifies suitable discharged inpatients for enrolment into a community-centric program.
The development and evaluation of an evidence-based suicide prevention strategy in Flanders (Belgium)
Authors: Dumon E , Portzky G 
Published: October 2020

Abstract

Background
Suicide rates in Belgium have been consistently high, with a current prevalence of 15.1 suicides per 100.000 inhabitants, which is 1.5 times higher than the European average. In Flanders (northern part of Belgium) more than 10.000 suicide attempts are being registered every year and studies show that 13 % of the population reports a lifetime history of suicidal thoughts. Since 2006 an extensive Suicide Prevention Strategy has been implemented in Flanders, aiming to decrease the Flemish suicide rate by 20% by 2020 (baseline year 2000).

Methods
The Suicide Prevention Strategy has been developed by a team of experts, involving multiple stakeholders and the lay public. The 'Flemish Centre of Expertise in Suicide Prevention' (VLESP) was launched by the government to coordinate and monitor the prevention campaigns, tools and interventions included in the strategy, and to study their effectiveness.

Results
The Suicide Prevention Strategy includes five key strategies namely: 1) mental health promotion, 2) providing helplines and online help, 3) educating health professionals and community facilitators, 4) developing programs targeting high risk groups, 5) developing and implementing targeted suicide prevention guidelines for health professionals and other key gatekeepers. A range of innovative suicide prevention tools and interventions, such as an e-learning course for health professionals, smartphone applications and group therapies for suicidal individuals, have been developed and positively evaluated. In 2017 (in comparison with the year 2000) suicide rates in men decreased with 27% and suicide rates in women with 26%. For suicide attempts, a decrease of 19% was noted.

Conclusions
Suicide prevention is a public health priority in Flanders. A combination of evidence-based tools and interventions have been developed and assessed in the past years, resulting in a decrease in suicide rates.
2.K. Workshop: Measuring population health literacy. Results of the European health literacy survey 2019
Authors:   Organised by: EUPHA Health promotion section, GOeG (Austria),   Chair persons: Diane Levin-Zamir - Israel, Øystein Guttersrud - Norway
Published: October 2020

Abstract
As experience in many countries has shown, measuring population health literacy is important for putting health literacy on the agenda of health policy, practice and research and to inform health policy where there is specific need for improving health literacy by interventions.
There is growing evidence that there exists limited comprehensive health literacy for considerable proportions of the general population, that there is a social gradient for health literacy and that limited health literacy has problematic consequences for healthy lifestyles, self-reported health and utilization of professional health services. It was also shown that distributions and associations of health literacy differ considerable between countries. WH&Oacute;s Solid Facts - Health Literacy (2013) recommended that health literacy should be monitored regularly by standardized measures in as many countries as possible. Therefore WHO-Europe has initiated the Action Network Measuring Population and Organizational Health Literacy (M-POHL) of national policy experts and researchers. M-POHL has initiated as its first project the European Health Literacy Survey 2019 (HLS19). Based on the European Health Literacy Survey HLS-EU (2011), HLS19 has further developed instruments for measuring general comprehensive health literacy and specific measures for measuring e.g. digital health literacy. This survey is taking place in more than 15 countries of the WHO Europe Region and will have available preliminary first results in October 2020. Therefore the workshop is intended to present first internally comparative results and exemplary national results for health literacy and its correlates and discuss possible consequences of these results for health policy.
The workshop will focus on measuring comprehensive health literacy and digital health literacy in general populations of selected member states of the WHO European Region.
Design of the workshop: Introduction (5′), Presentation 1: Results of measuring comprehensive health literacy in general populations - An international comparison (20′), Statements of Panelists (10′), Discussion with audience (10′), Presentation 2: Results of measuring digital health literacy in general populations - An international comparison (20′), Statements of Panelists (10′), Discussion with audience (10′), Closing (5′).

Key messages
Distributions of comprehensive health literacy of general populations and associations with its social determinants and health consequences differ considerably between countries of WHO-Europe. A new measure for digital health literacy in general populations is related to comprehensive health literacy and varies considerably between countries of the WHO-Europe Region.
Multilateral action to harmonise migrant health data in the WHO European region
Authors: Severoni S , Bartovic J 
Published: October 2020

Abstract
Member states in the WHO European region have made significant progress towards the implementation of the Regional Strategy and Action plan. The presentation includes the regional situation analysis on migration health data collection and results of the second survey on implementation of the Strategy WHO EURO Member States. It will also cover the policy landscape vis a vis migration health data in WHO EURO region and current gaps in migrant health data collection. Challenges and barriers for migrant health data collection and sharing will also be explored. Country examples for possible way forward including strengthening of national systems and coordination; harmonization of markers and definitions; mutual exchange between states & relevant stakeholders; strengthen data linkages in health information systems and provision of technical guidance will be presented.
Mission impossible? Harmonising migration health data across countries
Authors: Zenner D 
Published: October 2020

Abstract
Despite significant efforts, for example within the EU/ EEA, there are currently only few Health information systems (HIS) which are standardized across international borders, and even within countries there can be significant variations. Modalities, technologies and terminologies differ. In the field of migration health, challenges and variations can be more significant. This talk will explore the specific challenges in migration health related HIS, provide an overview of the current HIS landscape pertaining to migration health and sketch out some potential solution to achieve greater harmonization and data sharing across countries.
Physical activity
Authors: Sorić M 
Published: October 2020

Abstract
The focus within this policy area was on the effectiveness of available school-based policies that aim at increasing energy expenditure. A special focus is directed to the type and content of the implemented interventions. In turn, interventions that were designed to increase physical activity were contrasted with the programmes that strived to improve physical fitness as well as with the strategies to reduce sedentary time. The moderation of the effects by gender, with a specific focus on socially vulnerable groups of children (e.g. socially disadvantaged children, ethnic minorities) was also examined.
The current contribution of sedentary behaviours and physical activity to the current obesity epidemic are poorly understood, the STOP project looked at comparing the effectiveness of interventions that aimed to increase energy expenditure by reducing sedentary behaviour with interventions that targeted physical activity or physical fitness, with a special attention directed towards evidence involving disadvantaged groups of children.
Design thinking and public health: importance and applications
Authors: Rachadell J 
Published: October 2020

Abstract
The first presentation will focus on the theoretical basis for DT and how it can be useful when applied to Public Health. It will review how knowledge coming from the entrepreneurial sector can help Public Health professionals and how the increasing pace of technological and social change globally requires Public Health professionals to adapt with new strategies that can tackle complex problems. The presentation will conclude highlighting the importance for PH to learn from other fields of knowledge
How to arrive at good questions and test them
Authors: Do Amparo N 
Published: October 2020

Abstract
The second presentation will focus on the actual process of arriving at the right question. To achieve that, it will highlight the importance of not pursuing one unique idea dogmatically, the balance between an exploitation and exploration mindsets in the workplace, the concept of innovation and the basic principles that should guide it (desirability, viability and feasibility). It will also focus on the DT framework based on inspiration, debate and implementation that allows for a design challenge to be “right sized”, meaning both inspirationable and actionable, people oriented and without jumping into conclusions. The psychological aspect of what clients or people say, think and feel and why those dimensions might differ.
The acceptance of clinical decision support systems among clinicians in the treatment of neck and/or back pain
Authors: Jansen-Kosterink S M , Cabrita M , Flierman I 
Published: October 2020

Abstract

Background
Clinical Decision Support Systems (CDSSs) are computerized systems using case-based reasoning to assist clinicians in making clinical decisions. Despite the proven added value to public health, the implementation of CDSS clinical practice is scarce. Particularly, little is known about the acceptance of CDSS among clinicians. Within the Back-UP project (Project Number: H2020-SC1-2017-CNECT-2-777090) a CDSS is developed with prognostic models to improve the management of Neck and/or Low Back Pain (NLBP). Therefore, the aim of this study is to present the factors involved in the acceptance of CDSSs among clinicians.

Methods
To assess the acceptance of CDSSs among clinicians we conducted a mixed method analysis of questionnaires and focus groups. An online questionnaire with a low-fidelity prototype of a CDSS (TRL3) was sent to Dutch clinicians aimed to identify the factors influencing the acceptance of CDSSs (intention to use, perceived threat to professional autonomy, trusting believes and perceived usefulness). Next to this, two focus groups were conducted with clinicians addressing the general attitudes towards CDSSs, the factors determining the level of acceptance, and the conditions to facilitate use of CDSSs.

Results
A pilot-study of the online questionnaire is completed and the results of the large evaluation are expected spring 2020. Eight clinicians participated in two focus groups. After being introduced to various types of CDSSs, participants were positive about the value of CDSS in the care of NLBP. The clinicians agreed that the human touch in NLBP care must be preserved and that CDSSs must remain a supporting tool, and not a replacement of their role as professionals.

Conclusions
By identifying the factors hindering the acceptance of CDSSs we can draw implications for implementation of CDSSs in the treatment of NLBP.
HESR innovation in analysis that supports decision making and action
Authors: Barr B 
Published: October 2020

Abstract
The European Health Equity Status Report makes innovative use of microdata, at the level of the individual, to decompose the relative contributions of five essential underlying conditions to inequities in health and well-being. These essential conditions comprise: (1) Health services (2) Income security and social protection (3) Living conditions (4) Social and human capital (5) Employment and working conditions. Combining microdata across over twenty sources, the work of HESRi has also produced disaggregated indicators in health, well-being, and each of the five essential conditions. In conjunction with indicators of policy performance and investment, the HESRi Health Equity Dataset of over 100 indicators is the first of its kind, as a resource for monitoring and analysing inequities across the essential conditions and policies to inform decision making and action to reduce gaps in health and well-being.
Health literacy impact on nutrition status and water intake in children
Authors: Saboga-Nunes L , Medeiros M , Bittlingmayer U 
Published: October 2020

Abstract

Background
Health literacy (HL), water intake (WI) and nutrition status (NS) are a growing field of interest in the determinants of health and health promotion. Nevertheless, research focusing HL, WI and NS targeting children is sparse. Therefore, the aim of this study (a component of the CrAdLiSa - developing ChildRen and ADolescents' health Literacy), is to explore the relationship between nutritional status (e.g. BMI), WI and HL levels in Portuguese children towards their HL increment while fighting health disparities.

Methods
A population cross-sectional study included (n = 725) children enrolled in the school year 2018/2019 of four schools in Santarem and Lisbon. Indicators of anthropometric data, WI, HL levels (using the HLS-EU-PT questionnaire) were collected with the CrAdLiSa online self-administered questionnaire.

Results
Preliminary results show that the instrument to measure HL (HLS-EU-PT) show satisfactory internal consistency (Cronbach's alpha coefficient 0,94). The older the age, the lower the amount of WI perception as adequate (p = 0.03); male children (p = 0,02) and children that attend schools in urban area (p = 0,01) drink more water; the older the age, the lower the levels of HL (p = 0.000); children with higher levels of HL have greater WI (p = 0.01) as they have a broader perception of the adequate amount of water needed to be healthy.

Conclusions
These results of CrAdLiSa study showed the usability of the HLS-EU-PT questionnaire adapted for children to assess their HL levels. Children's perception of WI are the first ever results collected from such a population and are part of a seminal research that is needed to improve quality of life of the Portuguese children.
Gender Responsiveness of NCD and tobacco control policies
Authors: Hawkesv S 
Published: October 2020

Abstract
Sarah Hawkes will discuss recent analyses of the gender-responsiveness of NCD policies in general in 6 European countries and tobacco-control policies in particular in a further 4 LMICs. Tobacco use is the world's leading preventable cause of illness and death and the most important risk factor for NCDs and thus developing effective and transformative tobacco control policies remains a pressing priority. Evidence for the sex-disaggregated burden of disease will be supplemented with gendered and intersectional analysis that explains why differences in health outcomes persist, and discussions will centre on how policies and programmes to address NCDs, including those specifically linked to tobacco, can be made more responsive to gender and its intersections.
Different settings of violence and risk factor for suicide: a case-control study in Campinas, Brazil
Authors: Komoda D , Cordeiro R C , Ruiz A M P , Fernández M R B 
Published: October 2020

Abstract

Background
According to WHO, “800,000 people die due to suicide every year” and “is the third leading cause of death in 15-19-years-old”. And although the main risk factor to suicide is a prior attempt, this study tried to find other risk factors, which can guide a broader discussion amongst global and local communities as well as policy makers and healthcare professionals effort against all forms of violence. The aim of the study is to measure the risk of suicide in different sets of violence.

Methods
This is a case-control study held in Campinas-SP, by epiGeo research group on violence during 2019. Cases are defined as people who commited suicide; information on child abuse were collected through verbal autopsy interviews with kinships. For controls, R randomly selected addresses for interview with someone randomly selected. Odds Ratio was obtained by generalized logistic regression. Confidence Interval was set to 95%.

Results
Final analysis shows that suicides represented 14.2% of death due to external causes in 2019. A relation between male sex and suicide was observed (OR: 4.35; CI 2.55 - 7.41; p &lt; 0.0001). Abuse during childhood also showed positive relation (RR: 2.16; CI 1.09 - 4.27; p = 0.0001). Another relation were observed in people with disabilities and suicide risk (RR: 2.04; CI 1.26 - 3.31; p = 0.004).

Conclusions
People who suffered child abuse and people with disabilities are amongst the ones who suffer higher risks of suicide, and the most probable hypothesis relating both conditions is violence. Action must be taken by the global and local communities, policy makers in a broad sense, against maltreatment, bullying, youth violence, intimate partner violence, sexual violence, emotional and psychological violence, and gender-based violence.

Key messages
Strengthening protective policy to overcome violence and abuse against child and other vulnerable people is of major importance to fight suicide risk. Accessibility and protective policies are of utmost importance to a more inclusive and welcoming society.