bluuebunny/crossref_metadata_2025_split huggingface dataset:
Artificial intelligence to predict estimates of physical activity in small geographic areas
Authors: Carvalho Malta D , Faria T R , de Almeida Célio F , Bottoni de Souza J , Saar Gomes C , Tomie Ivata Bernal R , Velásquez Meléndez J G , Cardoso L , Gonçalves M A , Almeida J M 
Published: October 2024

Abstract

Background
Artificial intelligence (AI) predictive models have been used to estimate the risk of a certain outcome occurring, using all available variables.

Methods
Using AI methods we have developed a small area estimation (SAE) technique to estimate the prevalence of leisure-time physical activity (LTPA), or who practices 150 minutes of LTPA per week, in small areas, in Belo Horizonte, Brazil, between 2009 and 2018, by the usage of k-means clustering. The VIGITEL, national telephone survey of Risk Factors for non-communicable diseases, was the main source. We applied available data to estimate prevalence of LTPA in 3300 census tracts, aggregated in 150 Primary Health Care (PHC) areas. The prevalence of PA was analyzed between two time periods, due to the low number of census tract interviews. With the available data, we estimate vulnerability clusters, derived from a Health Vulnerability Index (IVS), for the city of Belo Horizonte, according to socioeconomic, sanitation and health indicators, which measure the percentage of the population living in areas of vulnerability in the city. The index main purpose is to support public policy implementation.

Results
Nine clusters were identified according to the Silhouette coefficient analysis, i.e.: low (LO-0, LO-1), medium (ME-0, ME-1), high (HI-0, HI-1, HI-2) and very high) vulnerability (VH-0, VH-1. The prevalence of physical activity ranged from 23.7% (worst prevalence), in area of high vulnerability cluster (VH-1) to 45.5% in a low-risk cluster (LO-1) in period from 2009 to 2014. The prevalence of physical activity increased to 31.4% (high vulnerability cluster) to 52.81% (low-risk cluster) from 2014 to 2018.

Conclusions
The use of AI to estimate the prevalence of physical activity in small areas proved to be effective and highlighted important differences in the city. Thus, national surveys, with a small number of interviews per census sector, can be used to predict risks and health outcomes for small areas.

Key messages
• The study highlights the importance of using artificial intelligence to predict estimates of risk factors for chronic non-communicable diseases in small geographic areas.
• The study showed less physical activity (PA) in areas of greater vulnerability. This can support health promotion policies and programs that encourage PA.
Document Indigenous Food Ingredients in China through Youth Participation
Authors: Wang Z , Ma M , Li Y 
Published: October 2024

Abstract

Problem
Indigenous food systems can affect multiple aspects of Indigenous people’s health and contribute to more efficient, sustainable, resilient, and equitable food systems. However, although tens of Indigenous groups live in China, very few projects have targeted their traditional or Indigenous food systems and ingredients.

Description of the problem
The main purposes include documenting traditional and Indigenous foods and medicine, building multiple social media for public impact, encouraging Indigenous youth participation, and advocating a more sustainable food system in China

Results
With the collaboration of Good Food Fund China, the project recruited 257 volunteers from 27 ethnic groups. The project collected 418 traditional food ingredients, produced 18 TikTok short videos to introduce Indigenous ingredients with the maximum number of views in a single post of more than 100,000, organized 16 Indigenous food culture knowledge webinars, translated 14 international case studies in Indigenous food systems with the permission of authors, and published 16 articles about Indigenous food ingredients and culture in the writing camp. The online lives also received more than a million total views. The results were presented at COP26 and COP28. More results will continue to be presented to the public through articles, books, academic papers, documentaries, short videos, online webinars, and other forms.

Lessons
The project demonstrates the potential to use online platforms to advocate and document sustainable food systems and biodiversity through youth participation. More similar projects can be designed in different parts of the world to support sustainable food systems transformation and ignite down-to-earth changes. However, funding and publication channels are still difficulties in the project.

Key messages
• The first national level youth participation project to document Indigenous food biodiversity in China.
• Take advantage of social media and the internet for public impact.
Bias analysis on socioeconomic status and lung cancer in a pooled international case-control study
Authors: Hovanec J , Kendzia B , Olsson A , Siemiatycki J , Jöckel K-H , Straif K , Schüz J , Kromhout H , Brüning T , Behrens T 
Published: October 2024

Abstract

Background
Low socioeconomic status (SES) groups showed increased lung cancer risks even after adjustment for smoking habits and other exposures to lung carcinogens. Although several biases were often indicated and discussed, only few studies quantified the impact of potential biases.

Methods
We conducted a bias analysis on the association of lung cancer and SES using data from the SYNERGY project, including 12 case-control studies with 18 study centres from Europe and Canada (16,550 cases, 20,147 controls). SES in quartiles was derived from the International Socio-Economic Index of occupational status (ISEI). Odds ratios (OR) with 95% confidence intervals (CI) were estimated by logistic regression adjusting for age, study centre, and smoking. In addition, we estimated natural direct SES effects and natural indirect smoking effects by inverse odds ratio weighting. In a multiple quantitative bias analysis, we considered impacts of misclassification of smoking status, selection bias, and unmeasured mediator-outcome confounding by a protective genetic factor, and created 95% simulation intervals (SI) by bootstrap. All analyses were stratified by sex.

Results
Adjustment for smoking as well as natural effects estimation showed that nearly half of lung cancer risks of lower SES groups in men and up to one third in women were attributable to smoking. Consideration of all types of bias reduced lung-cancer risks in the fully adjusted logistic regression models, with the strongest impact by selection bias: For the 4th versus 1st (highest) ISEI quartile OR decreased from 1.83 (1.69-1.98 CI) to 1.50 (1.30-1.73 SI) in men, and OR 1.48 (1.27-1.72 CI) to 1.20 (0.96-1.53 SI) in women.

Conclusions
Smoking is the main target for prevention of lung cancer, along with occupational and environmental exposures, in particular in lower SES groups. This finding remains, though our analysis revealed reduced lung-cancer risks of lower SES groups after multiple bias adjustment.

Key messages
• Impact of potential biases was quantified in the association of SES and lung cancer.
• Lung cancer risks were partially attributable to smoking and multiple biases.
Co-creating the intervention ‘MAMAACT’ for improved care for pregnant migrant women in Denmark
Authors: Villadsen S F 
Published: October 2024

Abstract

Background
The MAMAACT intervention was developed as a response to documentation of ethnic and social inequities in stillbirth in Denmark, despite free and universal access to antenatal care. The MAMAACT intervention aimed to reduce stillbirth in migrant families by improving communication about pregnancy complication during antenatal care.

Methods
The intervention consisted of a training program for midwives and health education materials. It was implemented at a structural level (training of midwives) and, through strengthened needs-based communication during antenatal care, the aim was to improve the health literacy of the women. 19 of the 20 Danish maternity wards participated in the study in 2018-19 and a comprehensive evaluation was conducted. The intervention was co-created with midwifery managers, midwives, and migrant women.

Results
The management and selected clinical midwives participated in the design of the midwifery training and the health education material as well as the intervention’s implementation and recruitment strategies for the evaluation. As representatives of the target group, a partnership with the non-profit organization Bydelsmødre was initiated. Bydelsmødre trains migrant mothers living in socially deprived areas to help vulnerable migrant women. Evening sessions were conducted with a specific group of women in their community, where the intervention components, the recruitment to the evaluation, and the interpretation of evaluation findings were discussed. A significant contribution was a video explaining the migrant experiences of becoming a mother in Denmark used in the midwifery training. MAMAACT researchers were invited to present the evaluation at the annual assembly for Bydelsmødre organization in 2019.

Conclusions
The partnership with Bydelsmødre provided a strong voice for migrant women, enhancing engagement with the intervention, recruitment for the trial, and its real-world relevance.
Planetary Health: a public health answer to climate change and other Anthropocene challenges
Authors: Cadeddu C 
Published: October 2024

Abstract
Although in the last century, humanity achieved extraordinary outcomes in terms of health, social and economic improvements, the Earth ecosystems around us suffer of high levels of degradation. This issue poses our recent public health and development gains at risk. The Anthropocene, a new geological era we are living in since mid 20th century, is indeed characterized by humanity’s dramatic impact on Earth’s biophysical conditions. Planetary Health is a relatively new field, oriented to solutions, based on transdisciplinarity and social movement, focused on analyzing and addressing the impacts of human disruptions to Earth’s natural systems on human health and all life on Earth. In this presentation, a brief overview of the main issues related to the Anthropocene in the public health perspective will be provided and new tools for the analysis of planetary health challenges will be proposed, citing relevant case studies for discussion.
Climate change perception and mental health: the public health perspective
Authors: Gianfredi V 
Published: October 2024

Abstract
Climate change is increasingly recognized as a critical environmental stressor with significant psychological impacts. Despite consolidated evidence describing the impact of various aspects of climate change on numerous physical and mental health outcomes, a novel and burgeoning area of research is now assessing the association between climate change perception/awareness and health. In fact, the increasing awareness of climate change and its impacts on natural and human systems is not only a matter of environmental concern but also of significant psychological importance. Awareness of climate change involves understanding its causes, foreseeing its long-term global and local impacts, and recognizing the limited window available for effective mitigation and adaptation. This level of awareness, while necessary for proactive behavior, has been linked to various psychological responses, including chronic stress, anxiety, and feelings of helplessness and despair, collectively referred to as ‘eco-anxiety.’ The association between climate change awareness and mental health is complex and mediated by various individual and social factors. As the reality of climate change becomes more integrated into the public consciousness, it is imperative to address the accompanying psychological impacts. In this presentation, the main issues related to climate change perception/awareness and mental health will be discussed through the lens of public health.
Association of park renovation with park use in New York City
Authors: Kodali H P , Wyka K E , Costa S A , Evenson K R , Thorpe L R , Huang TTK 
Published: October 2024

Abstract

Background
Equity-driven citywide park redesign and renovation, such as the Community Parks Initiative (CPI), has the potential to increase park use and opportunities for physical activity in underserved communities. The objective of this study was to evaluate changes in patterns of park use following park redesign and renovation in low-income New York City (NYC) neighborhoods.

Methods
The Physical Activity and Redesigned Community Spaces study was a prospective quality improvement pre-post intervention study design with 33 intervention and 21 matched control neighborhood parks. Data were collected at baseline (prerenovation) and 2 follow-up points (3 months and 1-year post renovation) between 2016 to 2022 summers. Main outcomes encompassed park use and physical activity levels assessed using the well-validated System for Observing Play and Recreation in Communities. Park use was quantified by total number of park users, categorized by age group (≤20 years vs ≥ 21 years), sex, and physical activity level (sitting or standing vs walking or vigorous activity). Changes in outcomes between groups were compared via the generalized estimation equation.

Results
A total of 28,322 park users were observed across 1,458 scans. At baseline, 59.7% were 20 years or younger, 46.3% were female, and 43.8% were sitting or standing. Intervention parks showed more net park users compared with control parks from baseline to the final follow-up (difference-in-difference relative rate ratio, 1.69 [95% CI, 1.22-2.35] users/scan). The association was driven by a significant increase in adult users at intervention parks and an overall decrease in all users at control parks.

Conclusions
In this quality improvement study, park redesign and renovation were positively associated with park use in low-income neighborhoods. However, park renovations may need to be accompanied by other programmatic strategies to increase physical activity.
Impact of park renovation on children’s quality of life in New York City
Authors: Hong H , Kodali H P , Dunlap A , Wyka K E , Thorpe L E , Evenson K R , Huang TTK 
Published: October 2024

Abstract

Background
Despite increasing interest in the role of parks on children’s health, research on the impact of park interventions is limited. This study uses a quasi-experimental pre-post design with matched controls to evaluate the effects of park redesign and renovation on children’s quality of life (QoL) in underserved New York City (NYC) neighborhoods with predominantly Hispanic and Black populations.

Methods
Utilizing longitudinal data from the Physical Activity and Redesigned Community Spaces (PARCS) Study, we examined the parent-reported QoL of children aged 3-11 years living within a 0.3-mile radius of 13 renovated parks (N = 201) compared to 11 (N = 197) control parks before and after the park intervention. QoL was measured using the modified KINDL questionnaire, a health-related QoL scale that assessed children’s physical and emotional well-being, self-esteem, and well-being in home, peer, and school settings. A difference in difference (DID) linear mixed model was used to compare QoL between intervention and control groups.

Results
We found a significant improvement in the physical well-being subscale of KINDL in the intervention vs. control group (DID=6.35, 95% CI = 0.85-11.85, p = 0.024). The differential improvement was strongest among girls (DID=7.88, p = 0.023) and children with parents in the lowest socioeconomic background (education high school or less DID=8.38, p = 0.024; Not employed DID=7.53, p = 0.048; Single/Widowed/Divorced DID=8.67, p = 0.025). No significant differences were found in other subscales.

Conclusions
Our study indicated a beneficial impact of improving park quality on the physical well-being of children residing in underserved neighborhoods. These findings support investments in neighborhood parks to advance health equity.
Lessons learned and new approaches to stockpiling for public health emergencies
Authors: Burke E , Norris M , Power V , Spillane S , Ryan M , O’Neill M 
Published: October 2024

Abstract

Background
The COVID-19 pandemic highlighted the need to improve preparedness for emerging health threats. This includes reserving assets for use in health emergencies, such as, shelters, energy supply items, and a stockpile of medical countermeasures (MCMs). Learnings from the recent pandemic are key to improving future strategies for preparedness in Ireland and across Europe.

Methods
Semi-structured interviews were conducted with key representatives in France, Latvia, Lithuania, the Netherlands, and Norway. These countries were chosen as they have a similar threat profile to Ireland. The interviews aimed to understand the national approach taken in each country to stockpiling of MCMs for public health emergencies. Interview summaries were developed and reviewed by key representatives for clarity. Thematic analysis was conducted.

Results
All of the key representatives interviewed were working within their associated Department of Health, or a government affiliated public health agency. Themes and key findings identified included scope and current stockpiling approaches; cost considerations and efficiency, and an understanding of how stockpiling approaches have evolved overtime. While some countries stockpiled items such as facemasks, gloves and ventilators during the COVID-19 pandemic, this is being reviewed, due to the high costs involved. Additionally, all countries reported that waste due to unused stock was a challenge, however, the use of stock rotation can reduce stock waste. Choice of supplier is also key for security of supply. Using indigenous suppliers can facilitate a scale up of supply in times of crises.

Conclusions
National MCMs stockpiles are a key resource that may be deployed as part of a response to health emergencies and disasters. Reducing waste was a key priority and challenge for all countries. Measures identified to reduce waste in future included active management of stockpiles, stock rotation and the use of indigenous suppliers.

Key messages
• As a result of the COVID-19 pandemic, many countries are reviewing their current approach to stockpiling.
• Key issues for countries included preventing waste and ensuring security of MCM supply.
Digital health literacy and health behaviour of schoolchildren: A representative study in Germany
Authors: Stauch L , Renninger D , Fischer L , Hartmann A , Rangnow P , Dadaczynski K , Okan O 
Published: October 2024

Abstract

Background
Health information is increasingly available and plays a crucial role in making health decisions and developing healthy behaviours. Digital health literacy (DHL) enables one to distinguish between true and false health information online. Studies have found higher health literacy to be associated with healthier behaviour. However, there is no research on child DHL and health behaviour. This study aims to investigate the relationship between DHL and selected health behaviour of schoolchildren in Germany.

Methods
This cross-sectional study is based on a representative sample of (N = 1448) secondary schoolchildren (aged 9-18 years) in Germany across all 16 federal states and school forms. DHL was assessed using the child and adolescent version of the Digital Health Literacy Instrument developed and pretested in this study. Selected health behaviours (eating, teeth brushing, smoking, and alcohol consumption) were measured using self-report scales. Chi-square tests were conducted to measure differences between DHL and health behaviour.

Results
Associations were found between DHL and all eating behaviours (fruits; vegetables and salad; whole-grain products; other animal-based products; chocolate or other sweets; sugary drinks; fast food), except for eating meat and sausages. Schoolchildren with higher levels of DHL reported more often about regular consumption of fruits and vegetables (X2 (2)=17.06, p = &lt;.001). salads (X2 (2)=56.54 p = &lt;.001) and whole-grain-products (X2 (2)=98.81 p = &lt;.001). While DHL was associated with teeth brushing (X2 (2)=44.46, p = &lt;.001), no differences were observed for smoking (X2 (2)=1.93, p=.381) and drinking alcohol within the last 30 days (X2 (2)=2.62, p=.270).

Conclusions
These findings indicate that most health behaviours of schoolchildren may benefit from enhancing DHL in schools. Programs should build around these topics. However, more research is needed to investigate associations between DHL and health behaviours comprehensively.
Joint associations of psychological distress and working conditions with sickness absence in Finland
Authors: Svärd A , Kalima M L , Halonen J I , Mänty M , Roos E , Salmela J , Lallukka T 
Published: October 2024

Abstract

Background
Psychological distress has increased remarkably, especially among younger age groups, during the last years. Both psychological distress and exposure to strenuous working conditions are known risk factors for sickness absence (SA). We examined whether psychological distress and working conditions are jointly associated with SA periods of 1-7 days and 8+ days among young and midlife Finnish employees.

Methods
We linked survey data from the Helsinki Health Study cohort from 2017 (response rate 51.5%) with the employer’s SA register for the City of Helsinki, Finland (82% consented to the linkage; n = 3949, 80% women, age 19-39 years). Mean follow-up time was 2.1 years. We calculated rate ratios (RR) and 95% confidence intervals (CI) for SA periods of 1-7 days and 8+ days using negative binomial regression models among participants with and without psychological distress, and with and without exposure to strenuous working conditions. Psychological distress was measured with the emotional wellbeing subscale of RAND-36 (cut-off 60 points). Working conditions included physical and mental strenuousness of work and hours per day spent in heavy physical work.

Results
Participants with psychological distress and exposure to strenuous working conditions had the highest age- and gender-adjusted RRs for SA periods of ≥ 8 days (physically strenuous work: RR: 2.38, CI: 1.97-2.88; mentally strenuous work: RR: 2.08, CI: 1.72-2.53; ≥3 h per day spent in physical work: RR: 2.48, CI: 2.01-3.06), the interactions being additive. The associations were weaker for SA periods of 1-7 days. Adjusting for marital and employment status, education, alcohol use, smoking and body mass index only slightly attenuated these associations.

Conclusions
Psychological distress and exposure to strenuous working conditions were additively associated with SA. Both individual- and workplace-related risk factors for SA are important to be considered when planning preventive actions.

Key messages
• Young and early midlife Finnish employees with simultaneous psychological distress and exposure to strenuous working conditions had the highest rates of SA periods, the interactions being additive.
• Both psychological distress and exposure to strenuous physical and mental working conditions should be considered when planning preventive actions to reduce employees’ SA.