bluuebunny/crossref_metadata_2025_split huggingface dataset:
Luxury depiction in posts of the most popular Lithuanian influencers on Instagram and Facebook
Authors: Basijokas R , Austys D 
Published: October 2024

Abstract

Background
Studies show that depiction of high living standards in social media is related to mental health problems. Influencers in social networks are those who might publish such content and reach high numbers of people. We aimed to assess the prevalence of luxury depiction in posts published by Lithuanian influencers on Facebook and Instagram.

Materials and methods
All publicly available posts created by 21 most popular Lithuanian influencers on Facebook and Instagram in 2022 were included. The content analysis of the posts was performed and information about luxury and other lifestyle factors was registered. Distribution of the posts depicting luxury was compared according to social networks where they were published and characteristics of the influencers: gender, age, number of followers, and the target audience.

Results
A total number of 6425 posts were analysed. Every fifth (18.2%) post depicted luxury. Posts depicting luxury were published on Facebook and Instagram with a similar frequency (p = 0.066). Among these posts, luxury brands were presented in 7.5%, luxury hotels and restaurants - in 7.1%, luxurious trips - in 63.0%, luxurious cars - in 27.6%, luxurious activities - in 0.8%, and jewellery - in 0.5%. Overall, men, older influencers, influencers with higher number of followers more frequently posted content depicting luxury (respectively, 29.0% vs. 10.6%, 20.2% vs. 14.5%, 20.3% vs. 15.4%, p-value less than 0.001). Luxury was more frequently depicted in posts targeted to male audience than targeted to female or unisex audiences (respectively, 46.6% vs. 10.5% vs. 20.7%, p-value less than 0.001).

Conclusions
Every fifth post of Lithuanian influencers depicts luxury. Luxurious trips are depicted most frequently. Male and older influencers, and those with more followers more frequently depict luxury-related content. Luxury is most frequently depicted in posts targeted to male audience.

Key messages
• Every fifth post of Lithuanian influencers depicts luxury – this might be considered as an important risk factor for public mental health.
• Higher prevalence of luxury depiction targeted to male audience should be taken into account when implementing public health interventions.
Stigma towards people with mental conditions in healthcare workers: an Italian cross-sectional study
Authors: Cerino E , Lo Moro G , Mimmo R , Giacobbe A , Scaioli G , Bert F , Siliquini R 
Published: October 2024

Abstract

Background
Stigma towards people with mental disorders (MD) in healthcare workers (HCWs) can negatively influence the quality of care provided and hinder patients from accessing healthcare.
The aim of this study was to analyze stigma and its determinants among physicians and nurses in Italy, as a basis for future strategies to reduce its extent.

Methods
A cross-sectional study was conducted from April to September 2023. A sample of 1053 physicians and nurses working in Italy answered an online 52-item questionnaire. Variables explored demographic data, work context, burnout symptoms, and personal or family history of MD. The Opening Minds Scale for Health Care Providers (OMS-HC) was used to assess the level of stigma (score from 20 to 100, higher scores represent higher levels). Descriptive analysis and multivariable linear regression were performed.

Results
Females were 69.5% and median age was 48 years (IQR=37-58). Physicians were 60.5%. A total of 20% of the sample worked in psychiatric settings. Burnout symptoms were reported by 23.5%. Results showed a median OMS-HC score of 49 (IQR=43-54). Positive associations with stigmatizing attitudes were found for being a nurse (p = 0.020) and being in burnout (p = 0.017), while working in a psychiatric setting (p &lt; 0.001) and having personal or family history of MD (p &lt; 0.001) had negative associations.

Conclusions
This research unveiled a notable amount of stigma among Italian HCWs towards individuals with MD. Since people with MD experience higher rates of disability and mortality, it has to be a public health priority to develop targeted strategies to reduce stigma in HCWs, as it discourages patients from accessing healthcare. Future interventions should be tailored for different professionals and dealing with HCWs burnout.

Key messages
• Future interventions should consider that healthcare workers in burnout and nurses tend to have more stigma toward patients with mental conditions.
• Healthcare professionals working in psychiatric settings and having personal or family history of mental disorders showed lower stigma.
Factors affecting ageism and depression levels in individuals aged 65 and over living in society
Authors: Erol S , Nevin Sisman F , Aydoğmuş A , Cengiz S 
Published: October 2024

Abstract

Background
The aging process is perceived negatively by some people. This perception prevents/reduces the happiness that can be gained from the aging process. As a result, depressive symptoms may occur. Therefore, this study aimed to examine the factors affecting ageism and depression levels in individuals aged 65 and over living in society.

Methods
The sample of the research, which was conducted with a cross-sectional, descriptive design, consisted of 287 individuals aged 65 and over living in a neighborhood on the Anatolian side of Istanbul. Data were collected with socio-demographic form, Ageism Questionnaire and Yesavage Geriatric Depression Scale-15. T test, variance analysis and chi-square test were used to analyze the data. Ethical permissions were obtained.

Results
Moderate depression was found in 27.5% of individuals with a mean age of 70.80±5.42. Individuals scored below the average (18.48±8.14) on the ageism survey. Ageism scores were higher for men, those aged 85 and over, those with poor economic conditions, those with chronic diseases, those hospitalized in the last year, those with severe and moderate depression, and those who needed help with daily tasks (p &lt; 0.05). A statistically significant difference was found between age groups, chronic disease, continuous medication use, hospitalization in the last year, working status, need for help with daily tasks, economic status and depression levels (p &lt; 0.05). Ageism scores of those with severe and moderate depression were found to be high (F = 3.43;p=0.017).

Conclusions
Variables that are effective in ageism and depression are being aged 85 and over, having a poor economic situation, having a chronic disease, needing help with daily tasks, and receiving inpatient treatment in the last year. The results of this study show that more efforts and resources are needed within the scope of political and social services to reduce ageism in society and the level of depression in older individuals.

Key messages
• As the level of depression in elderly individuals increases, ageism increases.
• Advanced age, economic status, chronic disease, hospitalization and dependence on daily tasks affect depression and ageism.
Examining the link between age of alcohol initiation, adolescent alcohol use and adult substance use
Authors: Brennan M M , Doyle A , Mongan D , Millar S R , Galvin B , Nixon E , Smyth B , Zgaga L , Ivers J H , McCarthy N 
Published: October 2024

Abstract

Background
Understanding the relationship between adolescent alcohol use and adult substance use is important for prevention programmes. Existing evidence presents divergent findings and potential mechanisms are debated.

Methods
We estimated associations between the age of alcohol initiation and alcohol use at age 17 and substance use at age 20 in a nationally representative cohort (n = 4554). Weighted logistic regression models were fitted using Generalised Estimating Equations in multiply imputed and complete case data.

Results
Our analysis identified that 27% of participants reported first alcohol use at ≤ 14 years old, with 37% engaging in risky alcohol use by age 17. At age 20, 14% reported hazardous alcohol use, while 38% used tobacco, 24% cannabis, and 28% other drugs. The age at which alcohol was initiated and risky alcohol use at 17 years old were both strongly associated with alcohol, tobacco, cannabis and other illicit drug use at 20 years old. Sequential change in effect estimates coupled with non-overlapping confidence intervals suggest a dose-response relationship between age of alcohol initiation and tobacco and other drug use at age 20.

Conclusions
First use of alcohol at 14 or younger was common. Earlier alcohol initiation and risky alcohol use are each associated with substantially elevated risk for substance use at 20 years old even after accounting for common liability factors. Acknowledgement: Growing Up in Ireland (GUI) is funded by the Department of Children, Equality, Disability, Integration and Youth (DCEDIY). It is managed by DCEDIY in association with the Central Statistics Office (CSO). Results in this report are based on analyses of data from Research Microdata Files provided by the CSO. Neither the CSO nor DCEDIY take any responsibility for the views expressed or the outputs generated from these analyses.

Key messages
• Delaying alcohol initiation and preventing risky alcohol use during adolescence may reduce levels of substance use in young adults.
• Self-reported early use of alcohol remains common.
Public health prevention programmes for mental illness in school-age children and adolescents
Authors: Serazzi F , Barbic F , Stranges S 
Published: October 2024

Abstract

Background
Psychiatrists, psychotherapists and other mental health professionals have long stated the importance of adequate social groups and early intervention for the prevention of severe mental diseases. With psychiatric illness incidence increasing most in the adolescent and young adult populations, we propose the use of school-age directed public mental health initiatives to combat remaining social stigma and promote mental wellbeing, as well as educate children and adolescents in how to recognise symptoms and ask for help.

Methods
We conducted a systematic review on PubMed as well as government and NGO websites to identify public health initiatives in the prevention and early identification of mental illness among young individuals.

Results
Preliminary results show that, while certain countries have delineated guidelines on how to support students’ mental health, very few have implemented nation-wide, or even region-wide programmes that directly target prevention and education. A particular note should be made regarding substance abuse and addiction, one of the few illnesses for which many countries have already enacted in-school programmes, that however often overlook the medical aspect of such diseases. Of further note are certain local programmes aimed at offering quality and accessible care to adolescents struggling with mental diseases.

Conclusions
With psychiatric diseases projected to become one of the greatest contributors to the global burden of disease by 2030, and the importance of early intervention in preventing severe psychiatric illness, we advocated for European public health initiatives implemented in schools, which could be crucial in curbing the spread of mental illness.

Key messages
• Adolescent and young adults are those most affected by the rising prevalence of mental illness. Consequently, we advocate for in-school programmes to aid in early identification and intervention.
• Early identification of mental diseases is crucial in the prevention of severe psychiatric illness, but little has been done so far in terms of public health interventions to tackle such problems.
Beyond Numbers: Investigating the Impact of COVID-19 on Suicide Rates in Austria
Authors: Roesler D 
Published: October 2024

Abstract

During the COVID-19 pandemic, individuals’ mental health faced substantial challenges. This study aims to provide a comprehensive examination of the pandemic’s impact on suicide rates in Austria, with a particular focus on variations by gender, region, and age. The study employs a regression discontinuity in time design and an interrupted time series analysis, utilising monthly death records from January 2015 to December 2021. To account for seasonal variations and potential underreporting of suicides, harmonic Fourier terms are incorporated into the analysis, and both suicides with intended self-harm and self-harm with undetermined intent are included. While existing research offers valuable insights into the impact of the pandemic on suicidal behaviour, it does not yet allow for specific conclusions to be drawn for Austria. In contrast to the methods typically employed in previous research on other countries, this approach enables a comprehensive examination of the temporal effects surrounding the implementation and lifting of pandemic-related measures. The study reveals a significant negative trend in Austria’s suicide rates before the start of the pandemic and more suicides than expected after its onset. In particular, the number of suicides among men aged 64-85 and women in the age groups 0-19, 20-34, and 65-84 was significantly higher than expected. Conversely, the data indicated a positive impact among women aged 35-64. This study contributes to understanding the impact of the pandemic on suicide rates in Austria. It demonstrates that, even within the same country, the impact can differ by gender, age, and region, thereby supporting the need for subgroup analysis. It also highlights that potential underreporting of suicides may result in an underestimation of the impact of the pandemic on suicides in previously conducted studies. Understanding these nuances is crucial for suicide prevention and informing policy decisions to improve health system resilience.

Key messages
• The study found higher than expected suicide rates in Austria during the COVID-19 pandemic, especially among men aged 64-85 and women aged 0-19, 20-34, and 65-84.
• The underreporting of suicides may result in an underestimation of the impact of COVID-19 on suicides in previously conducted studies.
Factors influencing delay in cancer diagnosis: a qualitative study in Chile, Colombia and Ecuador
Authors: Vargas I , Vázquez M L , Eguiguren P , Mogollón-Pérez A S , Torres A L , Peralta A , Rubio-Valera M , Aznar-Lou I , Jervelund S S , Dias S 
Published: October 2024

Abstract

Background
Although the greatest delays in cancer diagnosis in Latin America occur in the provider interval, little is known about related factors. This study, part of EquityCancer-LA, aims to analyse the factors influencing access to cancer diagnosis from key stakeholders’ perspective in healthcare networks of Chile, Colombia, and Ecuador.

Methods
A qualitative, descriptive-interpretative study was conducted in two networks per country in 2023, using semi-structured individual interviews (n = 114) with a criterion sample of primary care (PC) (n = 40) and secondary/tertiary hospitals (n = 44) health/administrative professionals, managers, and policy makers (n = 30). Thematic analysis was performed, segmented by country.

Results
The analysis revealed interacting factors that cause cumulative delays, with differences between countries. In all, participants identified networks structural characteristics (deficits in diagnostic resources; geographical accessibility), organizational factors (long waiting times, especially after referral), and limited knowledge of PC doctors, which all lead to delayed referral. In Chile and Colombia, barriers related to care rationing/prioritization policies hampered access to tests, and in Chile, increased delays for non-prioritized conditions. Barriers related to the health system organization also emerged: in Chile, problems related to private services subcontracting and the voucher system for using them; in Colombia, the management of care by insurers (authorizations; fragmented and short-term contracting of providers); and in Ecuador, health system underfunding. The barriers mostly affected the elderly, those with low socioeconomic status, limited social support networks, and rural areas residents.

Conclusions
The results reveal significant barriers in access to timely cancer diagnosis, which can and should be addressed with specific cancer diagnosis policies and general measures that strengthen public healthcare systems and networks.

Key messages
• Key health system factors influencing provider delays in cancer diagnosis are identified.
• Evidence is provided for the design of policies to improve timely cancer diagnosis in studied countries.
Social inequalities in the prevalence and treatment of depressive symptoms in Czechia
Authors: Kuklová M , Lustigová M 
Published: October 2024

Abstract

Background
Depressive symptoms are associated with achieved socioeconomic status (SES) in men and women. The aim of the analysis is to verify this association between severity of depressive symptoms and socioeconomic status in the Czech context. Another aim is to examine the use of psychiatric and psychological treatment among men and women.

Methods
The data come from the 2019 European Health Interview Survey (EHIS). The Patient Health Questionnaire (PHQ-8) was used to measure the symptoms and severity of depressive symptoms among respondents. Participants were aged 20 and above and resided in households. Binary logistic regression was used to test the relationship for using of treatment and depressive symptoms.

Results
The weighted prevalence of mild depressive symptoms is determined to be 10.5% (8.0 % in men; 12.8% in women), with severe depressive symptoms recorded at 3.1% (2.6% in men; 3.7% in women) within the Czech population. The psychiatric or psychological treatment is utilized by 3.8% (2.8% in men; 4.7% in women) of the Czech population. Respondents with severe depressive symptoms (37.4%) use care the most, followed by those with mild symptoms (11.9%), and the least by those with none (1.6%). Individuals with tertiary education utilize treatment the most among respondents with moderate and severe depressive symptoms. Respondents differ in the utilization of treatment; however, after stratifying the model only for respondents with mild or severe depressive symptoms, these respondents do not differ in the utilization of treatment.

Conclusions
SES level is reflected differently in the prevalence and severity of depressive symptoms for men and women. But no difference was found in the use of psychiatric or psychological care in men and women. A treatment gap was found for depressive symptoms in the Czech population.

Key messages
• The results confirmed the relationship between the utilization of care and depressive symptoms.
• It was revealed that respondents did not differ in the utilization of care after the stratification.
Digital strategies of public youth mental health services to raise awareness of their existence
Authors: Hernández Encuentra E , Casañas Sánechez R , Boixadós Anglès M , Merino Rubio L 
Published: October 2024

Abstract

Background
Data from a survey of the first part of the eHealthLit4teen Project show that adolescents in the city of Barcelona (12-16 years old) are not aware of the public youth mental health services (YMHS) available in the city. Considering the intensive use that young people make of digital platforms, YMHS might leverage these channels to raise young people’s awareness of available resources, which would impact on the help-seeking behaviours. The aim of this work is to analyse the social media strategies for the dissemination of public YMHS and emotional well-being services (promoted by the city council and the regional government) in Barcelona.

Methods
Identification of public YMHS and emotional wellbeing services, and interview on the use of social networks for dissemination with those responsible for the services and communication (March-April 2024). Analysis of the use of persuasive design and behavioural design techniques by the social media profiles of these services and, by way of contrast, the influencers who publish mental health content identified by the adolescents in the previous survey of the Project (March 2023).

Results
Public YMHS mainly rely on outreach through face-to-face visits to high schools. This format makes it easier for reluctant young people to access formal support, but more difficult for them to seek support because of stigma. In general, public YMHS do not show a clear strategy to disseminate their service on social media, and the information provided confusion between the characteristics of the services offered. Likewise, there is no widespread use of behavioural design or persuasive design techniques in the publications of health services on social media, nor in those of influencers.

Conclusions
Public YMHS do not make efficient use of the digital platforms that young people use intensively to raise awareness of their existence and increase usage.

Key messages
• There is no clear digital strategy for communicating public youth mental health services (YMHS), although they recognise that digital platforms can be a good means of dissemination.
• YMHS need to be accessible on digital platforms to young people’s adults of reference (especially for younger teens), as they are the ones who seek out online the existence of this type of services.
Examining Lifestyle Risk Factor Clusters and Mental Health in Adults
Authors: Gunay E , Torun P , Duzcan S , Kizilyel E , Okan H 
Published: October 2024

Abstract

Background
Lifestyle risk factors often cluster, impacting both physical and mental health. Studies reveal bidirectional relationships between lifestyle factors and health. The aim of this study is to examine the relationship between mental health problems, self-reported depression, and lifestyle risk factors in a sample of the adult population in Turkey.

Methods
2022 Turkey Health Survey (THS) data were used. The sample group was made using cross-sectional data of approximately 22742 individuals in the adult population over 15 years of age. Two-stage clustering method was used to determine vital risk factor clusters. Regression analysis was used to determine the relationship between vital risk factor clusters and self-reported depression and mental health problems.

Results
Lifestyle risk factors were grouped into 4 clusters. It was observed that unhealthy diet, inadequate physical activity, and smoking, which are modifiable lifestyle risk factors, were together in the clusters. It was also observed that self-reported depression and mental problems were more associated with clusters with more than one lifestyle risk factor. In addition, women, married individuals, and individuals over 65 years of age were more associated with mental problems.

Conclusions
As a result of the findings, there was an association between people with mental problems and lifestyle risk factors such as smoking, unhealthy diet, and insufficient physical activity. These findings may help to plan and implement more effective health policies and individual interventions targeting groups with multiple lifestyle risk factors in the future.

Key messages
• The target group was determined to improve community mental health and to make necessary interventions.
• Since inadequate physical activity, which is one of the vital risk factors, and unhealthy nutrition and smoking tend to cluster together, it was determined that these problems should be prioritised