bluuebunny/crossref_metadata_2025_split huggingface dataset:
Data sharing as a prerogative and as challenge for genomics in personalised health
Authors: Becker R 
Published: October 2021

Abstract
Without data sharing, the approach of personalised healthcare will not work - from secondary opinions to finding similar patients to compiling a reference genome to research. The more data are being used and the more difficult it is as well to anonymise data, where this is ultimately impossible for genomic data related to a person, the more challenges are faced with regard to the privacy and legal frameworks. There is the need for effective arrangements for data-sharing across different institutions, communities, and contexts. There are different legal frameworks around processing health and genetic data across Europe and, there is a difficulty to share data outside the EU in general, which often hampers the data sharing despite the willingness of people to make their data available. It is important to develop common principles and legal frameworks that enable sharing of patient-level data for research in a way that is ethical and acceptable to patients and the public.
Mental wellbeing and engagement in health risk behaviours in German university students during the COVID-19 pandemic: Findings of a cross-sectional study
Authors: Busse H , Fialho P M , Stock C , Pischke CR , Buck C , Spatafora F , Kühne L , Zeeb H , Wendt C , Helmer SM 
Published: October 2021

Abstract

Background
Daily life of higher education students across the world changed profoundly in 2020 with the implementation of governmental and institutional measures to control the COVID-19 pandemic. We investigated mental wellbeing and engagement in health risk behaviours (HRB) in German university students at the start of the COVID-19 pandemic.

Methods
Data stem from the COVID-19 International Student Wellbeing Study (C19 ISWS). The web-based survey was conducted in May 2020 at four German universities. HRBs included tobacco and cannabis use, alcohol consumption, and engagement in physical activity. All HRBs were assessed retrospectively and at the time of data collection. Mental wellbeing was assessed using the 8-item Center for Epidemiologic Studies-Depression Scale (CES-D 8). We conducted multinomial regression analyses to investigate factors associated with changes in HRBs and latent transition analysis to identify substance use profiles.

Results
5021 students completed the survey (69% female; mean age 24.4 years, SD = 5.1). The mean score for depressive symptoms was 9.25 (SD = 0.67, range 0-24). Sixty-one percent of students reported consuming alcohol, 46% binge drinking, 44% inactivity, 19% smoking and 11% cannabis use. While smoking and cannabis use remained unchanged during the COVID-19 pandemic, 24% reported a decrease in binge drinking. Changes to physical activity were frequently reported, with 31% reporting an increase and 19% reporting a decrease in vigorous physical activity. Higher depressive symptoms were found to be associated with changes in HRBs. Five substance use behaviour profiles were identified, which remained fairly unchanged.

Conclusions
Engagement in HRBs remains at high level during the COVID-19 pandemic among German students. Depressive symptoms were found to be associated with changes in HRBs. Efforts to promote student health and wellbeing are needed in times of the COVID-19 pandemic and thereafter to prevent longer-term consequences.
Digital Public Health Role in promoting Mores Sustainable Care practices
Authors: Odone A 
Published: October 2021

Abstract
As digitalization is progressively permeating all aspects of healthcare. Here we will address how can we address the potential of applying digital tools to public health and discuss some key challenges. We have identified the strategic pillars for a successful European strategy for public health digitalization and we outlined how the approach being pursued by the European Public Health Association (EUPHA) applies to digital health. Here we will link these pillars to the impact on climate change. From a public health perspective, digitalization is being touted as providing several potential benefits and advantages, including support for the transition from cure to prevention, helping to put people and patients at the center of care delivery, supporting patient empowerment and making healthcare system more efficient and mitigate climate change.
The diabesity and COVID 19 pandemics association with climate change and the role of Telehealth
Authors: Correia J 
Published: October 2021

Abstract
Diabesity was considered the pandemic of the 3rd millennium until the Covid-19 pandemic. Recent evidence has highlighted how both pandemics are strongly associated: obese and diabetic patients are at increased risk of COVID 19 infection and have a worse prognosis when infected due to the impairment of the immune response to infections and due to the mechanical limits that make the management of these patients more difficult. There is also evidence that both pandemics are the cause and effect of climate change. Indeed, population growth, urbanization, motorized transportation and agricultural productivity increase greenhouse gas emission and consequently global warming. These factors are also incriminated in the diabesity pandemic by the promotion of the nutrition transition and physical inactivity. It has also been suggested that the emergence and dissemination of the COVID 19 outbreak, as well as other zoonosis, could be linked to this population and urban growth, encroaching into wildlife habitats leading to an increased interaction between humans and animals, providing opportunities for inter species infection. Telehealth interventions have proven to be effective in tackling both pandemics, by providing care to both patients with COVID-19 infections and for those with obesity and diabetes, without increasing the risk of potential exposure for patients, clinicians, and staff. Furthermore, these tools have shown to be a potent carbon reduction strategy in the health sector which can significantly reduce greenhouse gas emission. However, several barriers still need to be overcome for a widespread use of eHealth solutions. These require important adaptation on the part of the caregivers and their therapeutic approach, as well as the patient.
Health inequalities -development of a monitoring system in Finland
Authors: Jokela S , Kilpeläinen K , Parikka S , Lumme S , Martelin T , Koponen P , Koskinen S , Rotko T 
Published: October 2021

Abstract

Background
Health in Finland has developed positively in recent decades, but there are still large differences between population groups. Wide inequalities persist between socio-economic groups, for example by education, occupational status and income, in different domains of health such as self-reported health, morbidity, and mortality. Our aim in the sub-project of the Joint Action Health Equity Europe was to describe the status of national health inequality monitoring in Finland, and to present ideas for improving the situation, including the key indicators to be monitored.

Methods
Several nationally representative registers and population surveys are the key sources of health information in Finland. We summarized information on the current state of socioeconomic health inequalities and their development over the past decades to identify research based health topics and indicators, selecting those where clear differences have been identified between education or income groups among the working-aged people.

Results
We recommend 13 indicators to monitor and evaluate socio-economic health inequalities in the Finnish adult population. They cover five topics: health status, functioning, work ability, lifestyles and social factors. The recommended indicators are in line with the Nordic recommendation of inequality indicators and allow comparison between EU countries. This is the first step in developing a full monitoring system. The second step is needed to reach an agreement on the implementation.

Conclusions
High-quality population survey and register data make it possible to monitor health inequalities in Finland. Register-based data need to be supplemented with population surveys, both health interview and health examination surveys, to provide necessary information on risk factors, functioning and perceived health.

Key messages
The key characteristics of successful systematic monitoring of health inequalities are regularity, up-to-date information, validity of selected indicators and coverage of the most important phenomena. Monitoring enables identification of health needs which must be recognized in policy-making, targeting of services, regional benchmarking and support for health impact assessment in policy-making.
Associated factors of newborn mothers hand hygiene in neonatal intensive care
Authors: Sylla A , Soukaina L , Nani S , Hassoune S , Lehlimi M , Badr A , Hajjaji S , Chemsi M , Habzi A , Benomar S 
Published: October 2021

Abstract

Background
Globally infectious diseases remain the leading causes of child hood mortality and morbidity accounting for 65% of all deaths in under-five children which can be prevented if proper sanitation and hygiene measure undertaken. The aim of this study is to determine the factors associated to hand hygiene of newborn mothers in NICU of Ibn Rochd teaching hospital in Casablanca (Morocco).

Methods
A cross-sectional study was performed from 04 January to 15 April 2021. We included Moroccan couple newborn/mother presents in NICU during the study period. We used face to face interview using close ended questionnaire. The number of time per day the mothers used soap or alcohol for hand hygiene(&lt;3; 3-6; &gt;6 times per day) was used to measure the variable “hand hygiene practice” The Khi2 and Kruskal-wallis tests were used to test association between hand hygiene and potential associated factors. Associated factors with p ≤ 0.05 were considered as significantly associated factors of hand washing practice. Data were analyzed using R 3.6.3.

Findings
We included 89 couple mother/newborn. Forty five percent practice adequate hand hygiene (washing with soap or hand rub sanitizer) between 3 and 6 times per day. Factors significantly associated with hand hygiene were: mothers' residence (rural 33.7%; urban 66.3%; p = 0,026); prenatal visit number (visits number mean: &lt; 3 times =3.67; 3-6 times = 3.30; &gt; 6times = 5.08; p = 0,011).

Conclusions
The mothers from urban residence accessing more prenatal visits practice hand hygiene more frequently than single mothers from rural residence with limited access of prenatal visits. So this study suggests the training programs to enhance mothers hand hygiene practice should prioritize the mothers from rural residence who attended less prenatal visits.

Key messages
We can protect the fragile hospitalized newborn from infections by cheapest gestures like hand hygiene. Hand hygiene must be continually promoted targeting all actors involved about newborn care specifically newborn mothers.
Increasing the capacity of community health workers to manage the COVID-19 pandemic
Authors: Brinzac M , Ungureanu M , Ţînțaş C 
Published: October 2021

Abstract

In Romania, during the COVID-19 pandemic, the community healthworkers faced high risks of infection in their efforts to protect communities, due to exposure to psychological distress, fatigue and stigma, especially as they are the grass-root healthcare delivery workers. No proper training had been delivered to community health workers. We describe an intervention aimed at increasing Romanian community health workers skills and competencies. The objective of the training was to increase the capacity of community health workers and health mediators to adequately manage the COVID-19 pandemic in their communities, through the delivery of online training sessions focused on managing their communities and themselves. The courses addressed up-to-date information on SARS-CoV-2 virus, transmission, symptoms and methods of prevention and treatment of COVID-19, to community case management and addressing cross-cutting issues such as: disability, immunization, violence against children. A total of 144 sessions were delivered, totaling 288 hours, divided between eight trainers. During these 288 hours, 1658 community health workers and health mediators were trained, accounting for 75% of the community health workers and health mediators in Romania. The overall feedback was extremely positive, as the training provided the participants very useful information. Nonetheless, several learning points have been made regarding the provision of more hands-on examples and cases, an increase in the length of the course and in the number of courses, the delivery of the course - on site courses were demanded. The training contributed to increasing the capacity of community health workers and health mediators to adequately manage the COVID-19 pandemic. The training offered the basic knowledge and skills for community healthworkers and it offered a basis for offering large scale, online training for the Romanian health workforce, which could be used as a case study for other European settings.

Key messages
COVID-19 doesn’t affect everyone equally! We ought to equip our healthworkforce in the pandemic fight. Grass-root intervention for a better health - training the community health workers.
Symptoms of emotional difficulties and hyperactivity/inattention among children during the COVID-19 epidemic and associated lockdown: data from the SAPRIS project
Authors: Galéra C , Moulin F , Melchior M , Rouquette A 
Published: October 2021

Abstract

Background
COVID-19 limitation strategies led to widespread school closures around the world. The present study aims to provide a description of children's mental health and associated factors during the COVID-19 school closure in France.

Methods
We conducted a cross-sectional analysis in the SAPRIS study during the COVID-19 pandemic in France, relying on 2 ongoing national birth cohorts, ELFE and EPIPAGE 2. Using weighted multinomial logistic regression models, we estimated associations between children's mental health (i.e., hyperactivity/inattention and emotional symptoms; assessed by the Strengths and Difficulties Questionnaire), children's health behaviors, schooling, as well as sociodemographic and socioeconomic characteristics of children family.

Results
The sample consisted of 5702 children aged 8 - 9 years and 49.3% girls. Sleep disturbance and parents' dominant socio-professional category were associated with both hyperactivity-inattention (adjusted Odds Ratio (aOR)=2.10 95%Confidence Interval [1.85-2.38]; aOR=0.45 [0.33-0.61] respectively) and emotional symptoms and (aOR=6.33 [5.26-7.63]; aOR=0.62 [0.39-0.98] respectively). Specifically associated with hyperactivity/inattention were: male sex (aOR=2.51 [2.24-2.82]), presence of regular care and its pursuit during school closure (aOR=1.69 [1.33-2.15]), emotional symptoms (aOR=2.74 [2.23-3.37]), school situation (aOR=2.19 [1.69-2.82]), presence of tutoring and difficulties with it (aOR=2.56 [2.13-3.08]), type of housing (aOR=0.79 [0.70-0.89]). Factors associated with emotional symptoms were: presence of covid cases in the household (aOR=2.33 [1.92-2.82]), hyperactivity/inattention (aOR=2.94 [2.45-3.52]) and financial difficulties (aOR=1.71 [1.39-2.11]).

Conclusions
Policy makers need to balance pros and cons of closing schools, taking into consideration educational and psychological consequences for children and the various factors associated with mental health.
Risk and protective factors related to children’s symptoms of emotional difficulties and hyperactivity/inattention during the COVID-19 related lockdown in France: results from a community sample
Authors: Melchior M , Moulin F , El-Aarbaoui T , Herraz Bustamente J , Héron M , Mary-Krause M , Rouquette A , Galéra C 
Published: October 2021

Abstract

Objective
To contain the COVID-19 epidemic preventive measures including social distancing, economic shutdown, and school closures were introduced, carrying risk of mental health burden in adults and children. Although the knowledge base regarding children's response to trauma and adverse events has broadened, descriptions of their mental health during epidemics remain scarce. In particular, the role of family socioeconomic characteristics and parental mental health are poorly understood.

Methods
We assessed the correlates of children's emotional difficulties and symptoms of hyperactivity/inattention during the COVID-19 lockdown in a French community-based sample. 432 community-based parents (27-46 years, TEMPO cohort) and their children (mean age 6.8 +/- 4.1) were interviewed online. Children's symptoms of emotional difficulties and hyperactivity/inattention were assessed using the parent reported Strengths and Difficulties Questionnaire during the 5th week of home confinement. Family socioeconomic characteristics and parental mental health and substance use were assessed weekly during the first 5 weeks of home confinement. Data were analyzed using multivariate logistic regression models.

Results
7.1% of children presented symptoms of emotional difficulties and 24.7% symptoms of hyperactivity/inattention. The presence of psychological difficulties was significantly associated with family characteristics including financial difficulties (OR = 4.3) and parental symptoms of anxiety and depression (OR = 2.5). Children's sleeping difficulties and screen time were statistically significant in bivariate analyses but lost statistical significance in multivariate models.

Conclusions
Children's emotional and behavioural difficulties are associated with parental mental health and socioeconomic difficulties. In the COVID-19 epidemic, parents and professionals involved in caring for children should pay special attention to mental health needs.
Supporting the development of strategies of suicide prevention based on experience and lessons learned from Austria
Authors: Grabenhofer-Eggerth A , Ladurner J , Pichler M , Gaiswinkler S 
Published: October 2021

Abstract
The Austrian programme “Suicide Prevention Austria (SUPRA)” was selected as a best practice example to be implemented in other European countries as part of the Joint Action ImpleMENTAL. The main objective of the dedicated work package on SUPRA is to develop and/or scale up the suicide prevention strategies of the participating countries based on the best practice example, ensuring that specific components of SUPRA are carefully selected, taking into account the respective country context. To gain an in-depth understanding of the current situation and required resources in the field of suicide prevention in each participating country or region, a Situation and Needs Analysis (SANA) will be conducted. National/regional working groups will be trained and assisted in identifying elements of SUPRA to be pilot implemented, based on the results of the SANA and the priorities within the participating countries. Components of SUPRA include: (i) ensuring that suicide prevention is organisationally embedded and co-ordinated), (ii) support and treatment of high risk groups according to their specific needs, (iii) restriction of access to means of suicide with the aim of making access as difficult as possible), (iv) ensuring that awareness and knowledge of suicidality and about coping with psychosocial crises are widespread among the general population), (v) integrating suicide prevention programmes into other existing health promotion activities and into addiction and violence prevention measures, (vi) quality assurance of suicide prevention on the basis of scientific expertise and evidence. Participating countries are supported in developing draft national/regional strategies and in initiating (first steps towards) pilot-implementation of selected suicide prevention interventions through workshops, training sessions and webinars.
Information access and preventive measures during COVID-19 among migrants and general population
Authors: Skogberg N , Koponen P , Lilja E , Austero S , Castaneda AE 
Published: October 2021

Abstract

Background
Access to information and adherence to preventive measures are crucial for containing the COVID-19 outbreak. This study examines access to information and adherence to preventive measures during the COVID-19 pandemic among migrant origin persons and the general population.

Methods
Data from the Finnish MigCOVID Survey conducted 10/2020 to 2/2021 among persons aged 20 to 66 years was used (n = 3 668). Participants in Health 2017 follow-up survey were the reference group (n = 3 490). We examined age and sex-adjusted access to information by language skills and adherence to preventive measures (staying home if fluish; keeping a safety distance; wearing a face mask; good hand and coughing hygiene; avoiding traveling abroad; avoiding shaking hands with others; downloading the Koronavilkku contact tracing app).

Results
Persons with excellent Finnish/Swedish language skills (96.8%; 95% CI 95.0-97.9) reported receiving sufficient information more often those with intermediate (92.3; 95% CI 88.8-94.8) or basic (91.0%; 95% CI 88.0-93.3) language skills. Overall high adherence to preventive measures was observed both among the migrant origin and the general population. However, significant differences in the migrant origin population by region of origin were observed. More pronounced differences between migrant origin persons and general population persons were observed for avoiding traveling abroad (83.7%; 95% CI 81.1-86.0 vs. 96.6%; 95% CI 95.6-97.3) and downloading the Koronavilkku app (42.8%; 95% CI 39.8-45.9 vs. 64.3%; 95% CI 61.7-66.8).

Conclusions
Poorer perceived access to information by language skills points to the continuous need for use of simple language and multilingual communication materials. Self-reported adherence to key preventive measures campaigned by health authorities was generally high both among persons of migrant origin and the general population, although concerns were noted in adherence to these recommendation in some regional groups.

Key messages
Multilingual and multichannel communication is central in crisis situations to ensure adequate access to information among different population groups. Higher incidence of COVID-19 among migrant origin persons is likely related not only to information access and adherence to preventive measures, but also to various social and structural factors.