bluuebunny/crossref_metadata_2025_split huggingface dataset:
Southeastern Regional Health Information System: a mapping tool for public health actors
Authors: Jardin M , Kurkdji P , Dagnet L , Tonnaire G , Nauleau S , Verger P , Guagliardo V 
Published: November 2019

Abstract

Issue/problem
Local public health actors often need to identify public health priorities in their territories to guide public health policy and/or action.

Description of the problem
The Southeastern Health Regional Observatory (ORS Paca) has been developing since 2006 a health information system for Southeastern France (SIRSéPACA). The objective of this mapping tool is to give access to regional and local public health actors to public health indicators for various population groups and geographical scales (municipality, districts...) within the region.

Results
Indicators are displayed under the format of maps and tables on the following topics: morbidity, mortality, health social, economic or environmental determinants. Indicators are constructed using national and regional databases (open or accessible through agreements). SIRSéPACA is in free access (www.sirsepaca.org) and regularly updated. A function allows the users to obtain a portrait for a defined geographical area and to obtain in one click a description of various indicators (socio-economic and demographic characteristics, mortality and morbidity causes, health care and prevention, environmental health). Indicators for a given territory can be compared to the regional average (or another area). SIRSéPACA is regularly used to provide a description of the main public health characteristics of territories (“territorial diagnose”), e.g. to help health professionals intending to set up of a multidisciplinary group practice designing their project.

Lessons
Trainings on how to use the tool, interpret the maps produced, and about territorial diagnoses implementation are regularly done. We are also developing a similar tool for all French regions for the Ministry of Health.

Key messages
SIRSéPACA facilitates access to and overview of a lot of indicators and data for local public health actors. This regional experience has been expanded to national level.
Sleep habits and sleep characteristics at 1 year-old in the ELFE birth cohort study
Authors: Messayke S , Franco P , Forhan A , Dufourg M N , Charles M A , Plancoulaine S 
Published: November 2019

Abstract

Infant sleep plays a critical role in his/her normal development. Sleep problems, including sleep onset difficulties (SOD) and night waking (NW), ranges from 20% to 30% in infants and young children and are partially persistent over time up to adulthood. French young children seem to have longer sleep durations and less sleep troubles than their counterparts worldwide. We here aimed at describing infants sleep characteristics (duration/24h (TST), NW, and SOD) and associated sleep habits in infants aged 1 year old from the French nationwide birth cohort ELFE.
This study included 11,571 infants with information on both sleep characteristics and sleep habits (parental presence when falling asleep, eating to fall asleep, sucking pacifier or finger to sleep and the location where the infant falls asleep and ends his/her sleep). Associations were studied using multinomial logistic regressions adjusted for familial and infant characteristics.
Mean TST was 13hrs36 including 2hrs54 of naps, 20% of the infants had TST ≤12hrs/24h. About 46% did not present SOD or NW, while 16% had frequent SOD and 22% had NW &gt; 1 night over 2. Parental presence, feeding to fall asleep and infants sleep location were more frequent in infants having short sleep duration (≤12h/24h), NW and SOD. Non-nutritive sucking was associated with NW, SOD and TST&gt;14h/24h.
This work provides new information regarding infant sleep location and non-nutritive sucking that should be accounted for when considering sleep behaviors. In addition, most of identified sleep habits associated with poor sleep characteristics are accessible to prevention.

Key messages
French infants present better sleep characteristics than their counterparts. Most sleep habits associated with poor sleep are accessible to prevention.
Estimation of direct cost related to asthma among school-age children with asthma
Authors: Dardouri M , Mallouli M , Amara A , Sahli J , Limem M , El Ghardallou M , Zedini C , Bouguila J , Ajmi T , Mtiraoui A 
Published: November 2019

Abstract

Background
Childhood asthma still imposes a substantial burden on the health care system and community. Its management requires a significant direct cost. Several factors can influence the cost of asthma management, particularly severe asthma. There is scant information about the predictors of asthma-related cost. Thus, the purpose of this study was to estimate direct asthma-related cost among children with chronic asthma and to identify factors that have the greatest contribution to change it.

Methods
This cross-sectional study was carried out in Farhat Hached University Hospital in Sousse (Tunisia, Africa) over a period of three months (April-June 2018) among children with asthma aged 7-17 years. The direct cost was defined as the costs of health resources utilization and medication related to asthma in the past 12 months. Purchasing power parity technique was used to convert TND to USD. Multiple linear regression was performed to examine the association between dependent and independent variables.

Results
A total of 90 subjects participated in the study. The mean age was 9.81±2.56 and 55.6% were male. The annual mean of the total direct cost was USD 616.71±454. Multivariate analysis showed that the severity of asthma, inhalation technique and emotional domain of QOL predict asthma cost and that the latter was the best predictor (p = 0.005, p = 0.03, p = 0.004, respectively). This data indicates that for one child with mild asthma, correct inhaler technique, and moderate impairment of emotional function QOL domain, estimated asthma direct cost was equal to 1035.21 USD per 12 months.

Conclusions
This study showed that higher severity of asthma, incorrect inhaler technique and a lower score of emotional function increased direct cost related to asthma. These results are useful for health care providers and community since they provide information about the impact of modifiable risk factors on direct asthma cost.

Key messages
For one child with mild asthma, correct inhaler technique, and moderate impairment of emotional function QOL domain, estimated asthma direct cost was equal to 1035.21 USD per 12 months. Higher severity of asthma, incorrect inhaler technique and a lower score of emotional function increased direct cost related to asthma.
Income-related inequalities in mental health in Sweden and the role of social determinants
Authors: Fritzell S , Källberg H , Busch H , Gustafsson P 
Published: November 2019

Abstract

Background
Mental health is an increasing concern in all European countries as the burden of mental disorders continue to grow and cause substantial suffering and costs to societies. Furthermore, research shows there are social inequalities in the distribution of mental illness. This study aims to increase knowledge on income-related inequalities in mental health in Sweden and the role of social determinants.

Methods
Drawing on a national survey (Health on Equal Terms) representative of the population aged 16-84, years 2010-2015 (n = 57107) we quantify the income-related inequality in mental health and estimate the contribution of social determinants of the inequality. Poor mental health is defined as a value of at least 3, based on the general health questionnaire (GHQ)-12. Income is measured as yearly disposable income. Income related inequalities in mental health are quantified by the concentration index and decomposed using the Wagstaff-type decomposition analysis.

Results
Preliminary results show that the income inequalities in mental health, as measured by the overall concentration index in mental health was - 0,16 (95% CI -0.17 to -0.15), indicating income inequalities to the disadvantage of those less affluent. The determinants that contributed most to the inequalities were employment, financial strain and experiencing harassment. Together they explained 43 % of the income inequalities in mental health. Generally, socio-economic factors had highest importance for the inequalities found, while demographic factors and psychosocial factors were of smaller importance.

Conclusions
The income related inequalities in mental health are substantial in Sweden. Recently, a national target of reducing the preventable inequalities in health within a generation was adopted. To improve surveillance of inequalities and inform policy we need to closely follow the development of inequalities in mental health and to disentangle the contribution of specific social determinants.

Key messages
Income-related inequalities in mental health in Sweden are considerable. Socio-economic factors had highest importance for the inequalities found, while demographic factors and psychosocial factors were of smaller importance.
Trends in the co-occurrence of cardiovascular risk factors by education in Finland, 1997–2017
Authors: Paalanen L , Härkänen T , Kontto J , Tolonen H 
Published: November 2019

Abstract

Background
Understanding on sociodemographic variation of the co-occurrence of cardiovascular disease (CVD) risk factors is crucial for planning public health policy and future prevention strategies. We aimed at examining 1) the co-occurrence of smoking, hypertension, elevated cholesterol and obesity by education, and 2) the trends in educational differences in the co-occurrence of these risk factors in Finland.

Methods
We used cross-sectional health examination surveys carried out every five years among the general adult population: for 1997-2012 the National FINRISK Study and for 2017 the FinHealth 2017 Survey. Respondents aged 25-64 years were included in the analyses (n = 25,036). Current smoking, obesity (BMI≥30 kg/m2), hypertension (≥140/≥90 mmHg or medication) and elevated serum total cholesterol (≥5.0 mmol/l or medication) were used for the risk factor accumulation score with categories 1) zero, 2) one, 3) two, and 4) three or four elevated risk factors. Multinomial logistic regression was used to estimate predicted probabilities for each category.

Results
Overall, the risk factor score was more favourable among women than men, and among high education groups than low education groups in both sexes. The lowest risk factor score class became more prevalent in all education groups in both sexes over time. The change in educational differences was not significant. However, the intermediate education group approached the highest education group over time.

Conclusions
Our data indicate an overall transition towards a more favourable risk factor score in Finland, in 1997-2017. The score among the intermediate education group approached that among the highest education group. The tendency of risk factor accumulation among those with least education remained during the study period, which raises a need to develop and implement interventions and public health policies that would be effective in decreasing the risk factor burden particularly in this group.

Key messages
Overall, a favourable trend of diminishing risk factor prevalence was seen. The tendency of accumulation of major CVD risk factors among the least educated subjects remained from 1997 to 2017.
Recruitment of women from disadvantaged areas to a smoking cessation intervention: preliminary findings from the We Can Quit2 (WCQ2) cluster randomised controlled trial
Authors: Hayes C 
Published: November 2019

Abstract

Background
Recruitment of participants into community randomised controlled trials (RCTs) is problematic; however, recruitment of participants from disadvantaged backgrounds to community smoking cessation trials is especially challenging. This paper will present recruitment and retention rates, successes and challenges in the We Can Quit2 (WCQ2) community intervention trial of smoking cessation in disadvantaged women.

Methods
We Can Quit, is a smoking-cessation behavioural support intervention delivered by community facilitators through 12-weekly group sessions, with free Nicotine Replacement Therapy, against a form of usual care. Sample size was estimated at 194 in total (97 per arm). Four matched pairs of districts of approximately 10,000 women in each (eight clusters) were identified from which eligible women could be recruited. The recruitment target was 24-25 per cluster. Consent was obtained prior to cluster randomisation. Individual participants were recruited via print media such as leaflets, posters, information stands in local facilities e.g. creches as well as through local and social media e.g. radio and targeted Facebook advertisements. A small financial incentive was provided to aid retentions.

Results
208 women registered for the study. Women heard about WCQ2 mainly via Facebook or Twitter (30.4%), and personal networks (16%) 184 (84.5%) were eligible with living outside the area being the most common reason for ineligibility. 125 (67.9% of eligible women; 65.5% of target) consented. Retention rates will be presented. Barriers to recruitment included time of year. Successful strategies included application of in-depth knowledge of local communities to target eligible women. Social media helped target younger women. Recruitment occurred over four waves, allowing for the application of iterative learning.

Conclusions
Recruitment to a community based RCT was challenging however, local community engagement, use of social media, and personal networks were successful strategies. Early and active engagement with local stakeholders with in-depth knowledge of the community is important.

Key messages
Intense planned community mobilisation is needed to recruit disadvantaged women to smoking cessation trials. Social media an important route to recruitment of younger women.
Online health information seeking by parents for their children. A systematic review
Authors: Kubb C , Foran H 
Published: November 2019

Abstract

Background
Parents commonly use the internet to search for information about their child’s health-related symptoms and guide parental health-related decisions. Despite the importance of parental search behaviors, this area of research remains understudied and no comprehensive review of this research area has been conducted. Our aim is to summarize the existing findings on searched topics and search experience of online health information seeking among parents for their children with focus on building an agenda for further research and recommendations for public health.

Methods
We conducted a comprehensive systematic literature review of parental online health information seeking studies in the databases of PsycInfo, JMIR and PubMED. Studies from 1994 to June 2018 were considered.

Results
A total of 33 studies met the eligibility criteria, including 8665 parents. Findings suggest that parents worldwide are heavy online users of health-related information for their children across highly diverse circumstances. Parents report wishing for more guidance especially from their pediatrician on how to find online health information; however, studies found parents rarely report discussing online health information with their healthcare providers. Only five studies investigated health anxiety related to online health information and prevalences ranged from 14% and 52%, three examined theoretical models, and only three examined consequences of search behaviors more in-depth.

Conclusions
Results of this systematic review identify important gaps in theoretical models, risk factors to predict search behaviors, and health outcomes associated with parental search behaviors. An agenda for future research will be presented.

Key messages
Parents are heavy users of the health-related web, but more research is needed to support them in effective use. Tailored digital public health approaches could empower parents to make better use of online resources and improve health-related decision making.
“Patient participation”: Towards a conceptual model and dimensions’ descriptions
Authors: Ortiz Halabi I , Scholtes B , Voz B , Bragard I , Pétré B 
Published: November 2019

Abstract

Background
An extensive body of literature has emerged advocating concepts on the collaboration between patients and healthcare systems, such as patient-centred care, patient engagement and patient participation. Several authors have attempted to provide clear definitions of these concepts but no consensus has been agreed upon. This may have hampered their developments and implementation. We thus aim to propose an integrative conceptual model of “patient participation” and a description of its dimensions.

Methodology
Recently, a scoping review studied transversally the concepts related to this collaboration under a generic term “patient participation”. Based on this review a conceptual model and a description of its dimensions was developed. A summative approach was used to produce the dimensions’ description and consisted in systematically adding every new information mentioned in the 38 articles of the scoping review to the final description. The conceptual model was developed based on the theorization methodology of Paillé & Mucchieli (2016).

Results
The model included 28 dimensions, 6 influencing factors and 4 expected outcomes. They were described and modeled at the three levels of the healthcare system (micro, meso and macro). The model illustrate the relation between: (1) the healthcare professionals’ (HPs) and patients’ attitudes and skills, and the collaboration between these healthcare actors (micro level); (2) the organisational structure of healthcare institutions and the HPs’ and patients’ training and access to resources (meso level); (3) results at the macro level did not provide enough information to relate the retrieved dimensions.
Discussion: The production of a conceptual model and the description of its dimension may allow a consensus on the dimensions related to “patient participation”. Despite its complexity, this model may favour “patient participation’s” implementation and operationalization at all levels of the healthcare system.

Key messages
The results of this study address the confusion existing in the scientific literature on the generic concept of “patient participation”. The results of this study provide a global overview of “patient participation” and may impact clinical practice and can be a base for training programs for healthcare professionals and patients.
Environmental Burden of Disease in the Netherlands
Authors: Hilderink H , Schram D , Plasmans M 
Published: November 2019

Abstract

Background
RIVM-National Institute for Public Health and the Environment published as part of the 2018 Dutch Public Health Foresight report, an update of the Disease Burden, including the Environmental Burden of disease. This report is not only relevant for the Ministry of Health but also for other policy arenas, to support policy making with the objective of improving health.

Methods
Environment factors are distinguished by indoor and outdoor environment. The following environmental factors have been taken into account; Air pollution (PM10/NO2), UV radiation, noise, second-hand smoking, carbon monoxide poisoning and indoor dampness. The effects of chemical substances are not included. Making use of the population attributable fraction, the fraction part of mortality, disease burden and health care expenditures attributable to environmental factors is calculated. For this method, data on exposure as well as the dose-response relationship (relative risks) are used.

Results
Some 4% of the disease burden in the Netherlands is caused by environmental factors and that costs us more than 1 billion euros of care per year. This corresponds with 200,000 DALYs; of which 175,000 by outside environment and 25,000 by indoor environment. In total, almost 13000 deaths can be attributed to environmental factors. Air pollution causes by far most of this disease burden. After that, exposure to UV radiation and second-hand smoking rank highest.

Conclusions
A considerable disease burden, number of deaths and health expenditures is attributable to environmental factors and could at least in theory be avoided by improving our environment. Air pollution in particular plays an important role in this. In addition, even a greater health gain could be achieved if environment factors are tackled and healthy behavior is at the same time stimulated.
Evidence-based decision making for prison health
Authors: Tavoschi L 
Published: November 2019

Abstract
The presentation will provide an overview of the current evidence base on prison health interventions, gaps and challenges for conducting research in prison settings. Evidence based decision making is relevant for prison health, not only in terms of resources allocation, but also in relation to interventions and implementation approaches. Yet scientific literature covering prison health is generally quite limited. Lack of research activities in prison settings may be the results of several factors, partly deriving from structural challenges, and partly from specific features of the prison population. These include supplementary ethical implications, issues related to confidentiality and management of personal information and shortage of health care and other staff trained in conducting research. Low priority attributed to prison health in the sub-national, national or international research agenda may result in less opportunities for funding. Grey literature and programmatic data are regarded as an additional source of information; however accurate or reliable data are rare in Europe. While evidence is limited, there is a growing interest in prison health in Europe. A number of systematic reviews conducted in recent years shed some new light on key aspects of epidemiology and healthcare in prison. At European level various institutions and agencies and national institutions have been engaged in prison health and have produced a number of authoritative documents, including a few guidance documents.
Effects of non-health-targeted policies on migrant health
Authors: Juarez S P , Rostila M 
Published: November 2019

Abstract
This presentation will commence with a brief overview of the field of migration and health with the purpose of contextualizing the need for more policy-oriented research in this area, in so far as policy is a crucial -yet still overlooked- social determinant of health. In this context, we will present the main findings of a systematic review and meta-analysis recently published in the Lancet Global Health which looks at the effects of entry and integration policies on migrant health. The findings will, in turn, serve as a starting point to discuss how migration issues in general, and migration and health in particular, should be framed in relation to economic and human rights. Acknowledging the role of economic arguments in decision making, the presentation will end with a general reflection about the invisible contributions of migrants to wealth creation in a global economy and the difficulties of estimating such contributions.