bluuebunny/crossref_metadata_2025_split huggingface dataset:
Long-term research impact: the case of adolescents having ‘good places to spend free time’ in Ireland
Authors: Nic Gabhainn S , Gavin A , Kelly C , Hanafin S 
Published: October 2021

Abstract

Background
Demonstrating long-term impacts of research can be fraught with methodological challenges, especially when approached retrospectively. Potential accusations of bias or over-interpretation, and a lack of clear and specific causal data, can be real obstacles. This paper presents a case study of research impact, including enablers and context to aid interpretation. To develop a national set of child wellbeing indicators in line with UNCRC commitments, a participative study of children's understandings of wellbeing was undertaken to accompany a Delphi study with experts. The children contributed a number of unique indicators, including having ‘good places to spend free time'.

Methods
Public actions which aimed to meet Irish commitments to child wellbeing were documented. Collected evidence comprised the development of, and reporting on, a national set of wellbeing indictors for children, the development and implementation of two national policies and cyclical monitoring data, collected through the nationally representative data sets of the Health Behaviour in School-aged Children (HBSC) study in Ireland, 2002-2018.

Results
Measurement of stakeholder-informed indicators helped stimulate national policies on play (2004) and recreation (2007). Partnership-based policy implementation led to increases in spaces for play and recreation. Trends data from the HBSC study revealed significant and meaningful increases in ‘good places to go spend free time' for children aged 10-17 from 45.1% in 2002 to 63.5% in 2018, and for all socio-demographic sub-groups. Temporal analyses showed that increases followed policy implementation.

Conclusions
This impact case study links an original participative study, though policy development and implementation, to long-term improvements in Irish children reporting having ‘good places to spend free time'. An understanding of the decision-making context at key points is important to aid interpretation of the evidence under investigation.

Key messages
Commitment to child participation influenced national indicator adoption, policy development and implementation, with subsequent improvements to children’s health-related environments. The quality and specificity of data needed to demonstrate long-term research impact is challenging and interpretation requires contextualisation to avoid leaps of faith.
Information needs in relation to childhood vaccinations in Austria
Authors: Sommer I , Titscher V 
Published: October 2021

Abstract

Background
The internet has facilitated access to health information. However, it remains difficult to locate trustworthy and high-quality health information. Access to trustworthy health information is particulary important for topics that arouse emotions and controversy such as vaccinations. Indeed, results of the European Health Literacy Study show that there is uncertainty about vaccinations in Austria. To address this issue, we aimed to identify the information needs of parents regarding childhood vaccinations.

Methods
The method was based on the current guideline for the development of evidence-based health information of the German Network for Evidence-Based Medicine. To identify the information needs of parents of young children, we conducted an umbrella review and interviews with 13 parents of young children (0-2 years). We used the findings of the umbrella review to inform the topic guide for the face-to-face interviews. The interviews were analyzed using thematic analysis and reflected on in a workshop with the participants.

Results
In terms of content, parents sought information on the function of the immune system, characteristics of diseases, composition of vaccines, benefits and harms of vaccinations, the vaccination schedule and legal regulations. They desired information that is easy to understand, well-structured and neutrally presented. The preferred media were app, brochure and website. Dissemination should take place through various channels, but most importantly during pregnancy, through paediatricians, general practitioners, and via the Internet.

Conclusions
Parents of young children have a wide range of information needs regarding childhood vaccination that goes beyond a simple benefit-harm assessment. The preferred media and dissemination channels are also diverse. Different types of evidence need to be drawn upon for the preparation of evidence-based health information.

Key messages
Parents of young children have a wide range of information needs regarding childhood vaccination that goes beyond a simple benefit-harm assessment. Parents of young children display a range of preferences regarding the delivery of information on childhood vaccination.
Comparison of face-to-face and online mindfulness-based public health interventions for older adults
Authors: Juraga D , Vasiljev V , Bilajac L , Marinović Glavić M , Roviš D , Rukavina T 
Published: October 2021

Abstract

Background
Coping with everyday stress, maintaining well-being and building up personal competencies is essential to handle today's way of living. Additionally, the actual COVID-19 pandemic also impacted the overall health of global population because of reduced social contact and other epidemiological measures. The aim of the study is to compare the effectiveness of two different approaches in conducting mindfulness-based public health interventions focused on quality of life and mental health of older adults as well as their ability to self-manage their health.

Methods
In total, 450 participants aged 65 years and older will participate in the study. Participants will be residents living in the city of Rijeka and the wider urban area consisting of six local municipalities. All engaged participants will be divided into three groups: face-to-face intervention group, online intervention group and control group. Older adults engaged in the face-to-face and online mindfulness-based intervention will participate in a seven-week workshop program base on two existing evidence-based programs: Mindfulness-based Living Programme and The Chronic Disease Self-Management Programme. The study is based on a pre-post-test design which will assess the effectiveness of public health interventions on self-efficacy in health management, social support, stress, depression, sleep, fatigue, medication use, and quality of life.

Results
Research results will provide insight into the difference in effectiveness between two forms of implementation of public health interventions, which can be important in defining health policies regarding quality of life, mental health and health self-management of older adults.

Conclusions
This study will enable policy makers in defining future public health interventions and their adaptation to various epidemiological situations such as the one caused by the COVID-19 pandemic.

Key messages
Mindfulness is known as an efficient tool in maintaining personal well-being. Mindfulness can be an effective tool for improving mental health and resilience even during the COVID-19 pandemic.
Childbearing intentions after a very preterm delivery: a study among Portuguese mothers and fathers
Authors: Alves E , Amorim M , Nogueira C , Silva S 
Published: October 2021

Abstract

Background
Adjustments to intended family size are strongly affected by life-course events, but data on childbearing plans after a very preterm delivery are lacking. This study intends to assess the childbearing intentions of mothers and fathers of very preterm infants, regarding the desired and intended number of children, the factors associated with the intention to have more children and the main reasons for not wanting to have more children.

Methods
Between May and July 2017, mothers and fathers of very preterm infants were invited to participate in a structured online questionnaire through the Portuguese association of parents for support to the premature baby, and 231 mothers and 21 fathers were included. The discrepancy between the ideal and intended number of children was assessed by the McNemar-Bowker test. To assess the main factors associated with the plan to have more children in the future, unconditional logistic regression models were fitted to compute odds ratios (OR) and 95% confidence intervals (95%CI), adjusted for age, number of children and time after the very preterm delivery.

Results
Participants intend to have fewer children than they ideally desired (p &lt; 0.001). Although 69.8% of parents would like to have more children, only 25% actually plan to conceive. After adjustment, participants aged above 34 years (OR = 0.27; 95%CI:0.08-0.86), with more than one offspring (OR = 0.34; 95%CI:0.14-0.69) and who experienced a very preterm delivery 5 or more years ago (OR = 0.28; 95%CI:0.09-0.90) were less likely to report the intention to have more children. The main reasons reported for not wanting to have more children were “having the desired number of children” (38.5%), “financial unavailability” (24.2%) and “being too old to have more children” (20.5%).

Conclusions
This study provides a comprehensive assessment of childbearing intentions after a very preterm delivery, advocating for reproductive counselling policies supportive of family planning.

Key messages
Discrepancy between the ideal and actual childbearing intentions support the enhancement of reproductive healthcare services for family planning. Socioeconomic and age-related constraints were the main motives presented by mothers and fathers of very preterm infants for not wanting to have more children.
Performance-enhancing drugs attitudes among young amateur Croatian athletes
Authors: Miskulin I , Stimac Grbic D , Domacinovic T , Nujic D , Kovacevic J , Miskulin M 
Published: October 2021

Abstract

Background
Recent studies revealed that amateur athletes, especially young ones, have an increasing tendency of performance-enhancing drugs (PEDs) usage. The aim of this study was to explore PEDs attitudes among young, amateur Croatian athletes.

Methods
This cross-sectional questionnaire study was done in convenient sample of young amateur Croatian athletes during the August 2019 to January 2020 at the occupational and sports medicine office in Eastern Croatia. Performance Enhancement Attitudes Scale (PEAS) was used for evaluation of athletes' attitudes towards doping.

Results
There were 306 athletes median age 18.0 (interquartile range (IR) 15.0 - 21.0) years; 62.7% females and 37.3% males. According to the age there were 52.9% of adolescents (aged 13 to 18 years) and 47.1% of young adults (aged 19 to 24 years). Regarding the type of sport there were 19.6% of subjects who played individual sports and 80.4% of them who played team sports. Considering the length of sport engagement 49.7% of subjects were engaged in their sport for 1 to 5 years and 50.3% of them were engaged in their sport for 6 or more years. The prevalence of current PEDs usage was 1.3%, while past PEDs usage prevalence was 3.3%. Current PEDs usage was more frequent among young adults (P = 0.048) and athletes playing individual sports (P = 0.001). Athletes who were engaged in sports for 1 to 5 years had more permissive attitudes toward PEDs (P &lt; 0.001) as measured by the PEAS. The study did not establish any correlation between current or past PEDs usage and attitudes toward PEDs.

Conclusions
PEDs usage is present among young Croatian amateur athletes. There is a need for interventions directed toward the prevention of PEDs usage in an observed subgroup of athletes.

Key messages
In order to be more effective doping prevention strategies should take into account athletes’ attitudes towards doping. Public awareness and knowledge about doping in sports should be increased in order to achieve more efficient anti-doping programs.
Occupational Risk Perception and occupational and work-related diseases prevention
Authors: Madaleno P , Sousa-Uva A 
Published: October 2021

Abstract

Background
It is estimated 6500 daily deaths by occupational diseases with a high social and economic impact. Several studies show that the perception of occupational risks acts as a precursor to preventive attitudes and behaviors of workers. Nevertheless, attention paid to the perception of occupational risks is scarce and even controversial. This study focuses on a model used by behavioral safety programs associating it with the psychometric paradigm, to understand the worker's risk perception of a Portuguese Health Education and Research Institution (Portugal).

Methods
This cross-sectional study covered a total of 84 workers. Of these,73% had a very differentiated academic background (doctorate, and post-doctorate degrees). Workers can carry out their activities in more than one work area.60% work in Research, 49% in the Education, 42% in Laboratories and 47,6% in the General and Administrative Services. Risk perception (cognitive and emotional) was assessed using an online questionnaire that also included sociodemographic and occupational information and perception of exposure to occupational hazards.

Results
95% of participants reported exposure to at least one occupational risk factor, but only 22% perceived the risk (probability of accidents and illnesses associated with the work performed). There was a positive correlation between the perception of exposure to occupational hazards and risk perception (p &lt; 0,001) and that, the greater the perceived risk, the lower the tolerance to it (p &lt; 0,001).While teaching, research and laboratory work is associated with low perception and high-risk tolerance, individual variables such as gender, age, educational qualifications, and professional category did not influence the perception of risk.

Conclusions
Understanding how risk is perceived by workers is determinant for the effective occupational risk management.

Key messages
Occupational risk perception is necessary to prevention of occupational and work-related diseases. Occupational risk perception is determinant for the complementarity of the on-site diagnosis of real work situations and relevant for dynamization of Occupational Health services.
Basic training in “participatory practice” to foster municipal health equity in Germany
Authors: Bär G , Kasberg A , Markert C , Speltz Z , Griebel F , Schaefer I 
Published: October 2021

Abstract

Participation is a key strategy in municipal health promotion and health equity. Short-term trainings for professionals and activists are missing in Germany. Therefore, a curriculum was developed together with experienced health promotion professionals and Public Health scientists.
The course aims at the development of competencies as well as at practical training. Essentials to the curriculum are main principles of participatory approaches, academic and practice-based knowledge on methods of community-based research. The evaluation asked: -Which amount of in-class time and field training is needed?
How can elements of ‘participatory training' be implemented? What support is given to transfer the course contents into practice?
Two pilot series with in sum 25 participants were conducted. This led after evaluation to a five days' curriculum of training, divided on two workshops plus a midterm online-meeting. Training material on participatory approaches and step-by-step-descriptions on six methods were developed. An own practice project is embedded in the program. Experienced trainers introduced the methods and led seminar sessions. Elements of ‘participatory training' were implemented as follows: in the application as teams of two, in telling project stories to introduce new methods, supporting peer-to-peer-reflection and learning from each other. Support was provided through a virtual course platform for the group exchange and individual consulting. After evaluation informal meet-ups and monthly tasks were added to the course. In the pre-pandemic series all teams designed and started own projects.
There is a high need in the field of municipal health promotion to implement community-based participation in Germany. Thus, classes were quickly booked out and evaluation showed a high motivation in working more participatory after the course. The curriculum is going to be published open access. Several health promotion associations are interested in offering the program.

Key messages
There is a high need in the field of municipal health promotion to implement community-based participation in Germany. The curriculum is going to be published open access. Several health promotion associations are interested in offering the program.
Assessment of the level of anti-corruption culture in medical colleges of the Republic of Kazakhstan
Authors: Koikov VV , Derbissalina GA , Akanov AB , Baigozhina ZA , Kabdullina GB , Mergentai A 
Published: October 2021

Abstract

Background
The relevance of the topic lies in the fact that anti-corruption measures in educational institutions today are an acute problem in the education system of the Republic of Kazakhstan. The facts of corruption in the field of education have a destructive effect on the process of training health professionals.

Methods
The study of the level of anti-corruption culture was carried out on the basis of a survey of 13,110 students, 825 teachers and 199 administrators. We have developed 3 types of questionnaires for each category of respondents. The survey was conducted on the SurveyMonkey platform in May-June 2020.

Results
An analysis of the level of anti-corruption culture indicates that the greatest risk of situations in which elements of corruption in college are most common occurs when entering college, passing midterm exams (ratings), and passing final exams and tests. As the main reasons for corruption in college, most respondents point to the low level of teacher salaries, low interest in learning among students. Teachers and administrators give much higher satisfaction with the level of response of the college administration to complaints about corruption and unethical attitudes than the students themselves.

Conclusions
In order to ensure a timely response to the facts of corruption and the formation of an anti-corruption culture, it is necessary to ensure regular feedback from students, questioning of teachers and administrators. Activities aimed at identifying, suppressing and preventing corrupt practices should primarily relate to the process of entering college, passing midterm and final exams.

Key messages
The discrepancy in the assessments of certain categories of respondents indicates the need for regular feedback from students, conducting a survey of college staff. Anti-corruption measures should relate primarily to the process of entering college, passing midterm and final exams.
Sexually Transmitted Infections surveillance among the patient population in Belgian general practice
Authors: Bensemmane S , Vanden Berghe W , De Schreye R 
Published: October 2021

Abstract

Background
In Europe, prevalence of Sexually Transmitted Infections (STI) is continuously increasing. The Belgian public health institute ensures STI surveillance in general practices through the Sentinel General Practitioners (SGP) network. Between 2015 and 2020, the SGP reported cases for 5 STIs: chlamydia, gonorrhoea, syphilis herpes and genital warts. The objective is the surveillance of STI in primary care.

Methods
General practitioners (GPs) report STI cases through the SGP network on a voluntary basis, using an online questionnaire. This questionnaire is developed in cooperation with STI experts, as well as a steering committee group composed of GPs and representatives of regional health agencies.

Results
In total 1009 cases were registered from 2015 until 2020 within the SGP network. 59.8% of patients consulting for STIs were men, of which 63.5% had exclusively heterosexual contacts and 24.8% are Men who have sex with Men (MSM). 91.8% of women had exclusively heterosexual contacts. Chlamydia was the most common STI (57.4%). Women are more likely to be diagnosed with chlamydia (OR 1.6; 95% CI 1.1-2.2) and herpes (OR 1.7; 95% CI 1.0-2.9) than men. Men represented most of the gonorrhoea (79.77%) and syphilis (86.7%) cases. Having bi- or homosexual contacts increases the likelihood of getting gonorrhoea (OR 3.3; 95% CI 2.1-5.1) and syphilis (OR 13.7; 95% CI 7.4-25.3). Incidence of Chlamydia is estimated at 68.81/100000, and incidence of gonorrhoea at 21.11/100000 over 6 years.

Conclusions
We observe a slight increase in chlamydia and gonorrhoea incidence in the Belgian population over the study period. MSM are at higher risk of STI and represent an overwhelming proportion of syphilis cases. Being a woman is associated with higher risk of acquiring chlamydia and herpes infection. We recommend continuing prevention and awareness campaigns targeting high risk groups.

Key messages
MSM and women remain high-risk populations regarding STIs among the patient population of general practitioners. Continuous STI surveillance is necessary to monitor STI related healthcare needs and adapt prevention programs.
Modelling public health policies for influenza vaccination campaigns
Authors: Lopes H 
Published: October 2021

Abstract

Issue/problem
Public health policies (PHP) are crucial for controlling infectious diseases. Namely, those focused on influenza stand out for the permanent threat of seasonal and the risk of pandemic flu. The COVID-19 pandemic revealed many frailties in PHP, part of which may be lessons to improving responses to future flu epidemics and pandemics. Among the tools available to control influenza, vaccination stands out, a matter where much remains to be improved regarding PHP and communication with the public, among others. The Kassianos model (2021) seeks to create a qualitative conceptual tool to optimizing influenza vaccination campaigns, being organized into 5 pillars with 42 categories.

Description of the problem
We seek to take a step forward based on the Kassianos model, making it quantitative. This project is the mathematical modelling and the testing in a country (Sweden). It started in January 2021 and will be completed towards the end of the year.

Results
This work will allow health authorities and similar partners to have a tool to support the optimization of influenza vaccination campaigns in effectiveness and efficiency. The work is expected to be pre-completed in October 2021. The international presentation of results is intended to be simultaneous at the European Parliament and, if possible, at the 14th European Public Health Conference 2021. The results will cover the dimensions of vaccination and relations to VCR:
Campaign accountability Access to vaccination HCP engagement Burden of Disease Awareness Communication with the public

Lessons
It is possible to increase the effectiveness and efficiency of vaccination campaigns through the quantitative modelling of aspects related to influenza vaccination, usually worked as qualitative.

Key messages
It is essential to have PHP as rigorous for supporting public health action. The need for really effective influenza vaccination is critical and must be achieved in the shortest time.