bluuebunny/crossref_metadata_2025_split huggingface dataset:
Promoting health information and healthy behaviors: Results from a qualitative study
Authors: Peker S , Topuzoğlu A , Hıdıroğlu S , Tanrıöver O , Saboga-Nunes L , Save D 
Published: October 2024

Abstract

Background and aim
Healthy living behaviors can prevent many chronic diseases. This study aimed to explore qualitative perceptions and behaviors about healthy lifestyles in a district’s residents.

Methods
This qualitative research was conducted through in-depth interviews with 24 participants aged 28 to 63 in Türkiye.

Results
Of the 24 participants, six were men. The themes were daily routines; health information-seeking behavior, beliefs, motivation for healthy living, dietary habits, daily movement, psychological relaxation, unhealthy behaviors, facilitators, and barriers. Individuals’ daily routines were shaped by caregiving duties or work. Health information was preferred from professionals, TV, family health history, and the Internet. Male participants lacked the need to seek health information. Also, some participants believed that diseases are unavoidable and incurable. People with growing children or a family member with a serious illness like cancer often report practicing healthy behaviors. Participants have different healthy eating patterns, including organic eating, home cooking, regular meals, more fruits and vegetables, increased water intake, avoiding late-night eating, and steering clear of packaged foods, salt, and sugar. Many participants walked regularly for physical and mental health; they also expressed avoiding negative people and engaging in hobbies and social activities to maintain psychological well-being. Smoking participants had attempted to quit smoking. Some participants said that adding salt to their food before tasting. Factors cited as hindering healthy behaviors included lack of time, financial constraints, and cultural reasons.

Conclusions
Despite awareness of healthy living, many participants struggle to implement it due to lack of motivation, busy work schedules, social and physical environments, and economic factors. Multisectoral collaboration to create environments that support healthy behaviors can improve public health.
10.Y.1. Energy poverty and public health: insights from the European WELLBASED project
Authors:   Organised by: WELLBASED Consortium,   Chair persons: Amy van Grieken (Netherlands)
Published: October 2024

Abstract
Rising rates of energy poverty in Europe, affecting 11% of households, are a serious public health concern. Being unable to afford basic energy needs can impact both mental and physical health and well-being. The WELLBASED project is a European research project (grant no 945097) in which 19 partners across 10 countries develop, implement and evaluate comprehensive urban programs to tackle energy poverty. We aim to support public health practice by understanding determinants and impacts of energy poverty and develop solutions for policy and practice. This workshop’s main aim is to engage the public health community in the relevance of energy poverty for public health. The workshop participants are introduced to the WELLBASED project and methods used. Two pilot sites will share their story about the implementation of the WELLBASED interventions. Next, findings from the evaluation of the programs on health, well-being and energy poverty across all pilot sites are presented. Implications for policy and practice are shared with the audience. After the workshop, participants are informed about the implications of energy poverty for health, understanding its relevance for public health action.

Key messages
• The WELLBASED project provides a framework to fight energy poverty and promote health and well-being based on studies in six European cities.
• Energy poverty is a public health challenge that requires a health-in-all-policies approach with local evidence-based urban programs.
Valencia and the Right to Energy approach
Authors: Costa Ruiz B , Zea A , Valls J , Garcia-Lepetit N , Jordá P 
Published: October 2024

Abstract

Background
Valencian (Spain) vulnerable households are suffering both winter and summer energy poverty. An increasing number of families have difficulties paying energy bills and are being forced to cut consumption, consequently reducing their well-being and quality of life. This study presents the development and implementation of the Right to Energy urban program in the Valencia pilot city, as part of the larger European WELLBASED project.

Methods
The interventions were designed based on the social ecological model, aiming at impacting the different layers influencing individuals’ health, following co-creation sessions with 6-9 stakeholders from policy, citizens and practice. Implementation efforts were monitored using administration of participation. The experience of the Energy Office was also valuable for the design and implementation phase.

Results
The program consisted of bill optimization and advice, socio-energetic audit at home and the installation of an efficiency kit. On top of that, the Valencia pilot has created the Citizen School for the Right to Energy [CSRE] to empower households and improve their health through education activities. In total, 130 vulnerable households with different profiles were supported. The CSRE has carried out 28 workshops to train people in energy and health topics: energy rights, healthy diet, mental health, sleep quality or preparation for heat waves. These were an opportunity to share experiences among participants, fighting stigmatization and isolation by creating a community. The CSRE has also organized capacity-building sessions for professionals who can identify energy poverty such as healthcare and social workers, teachers or NGO’s.

Conclusions
Energy poverty, both winter and summer, is a major public health issue that impacts people’s health. The CSRE is an innovative way to tackle it and promote the Right to Energy across society by supporting and training people to improve their wellbeing.
Navigating co-creation dynamics: lessons from Denmark
Authors: Ryom Knud 
Published: October 2024

Abstract
Knud will delve into the adaptation of co-creation processes within the Danish context. Drawing from extensive experience Knud will explore collaborative initiatives with both the private/civil sector and municipalities, offering insights into the intricacies of cross-sectoral cooperation. Delegates will gain valuable perspectives on navigating diverse stakeholders and fostering effective partnerships in co-creation endeavours. Don’t miss this opportunity to learn from Denmark’s innovative approach to collaborative problem-solving and community engagement.
Voices from the co-creators: perspectives on collaborative innovation
Authors: McCaffrey Lauren 
Published: October 2024

Abstract
Lauren will offer firsthand accounts from co-creators in Scotland involved in the development of an intervention targeting sedentary behaviour in adults. This presentation provides a unique insight into the co-creation process, highlighting the collaborative journey, challenges encountered, and successes achieved. Don’t miss this opportunity to explore real-world experiences and lessons learned from those immersed in the co-creation of interventions.
Strengthening public health professionals in policymaking in the Eastern WHO European region
Authors: Hein J , Verschuuren M , Aragon De Leon E 
Published: October 2024

Abstract

Background
The collaborative research between EUPHA and WHO aimed to explore factors impacting public health professionals’ (PHP) involvement in health policy processes in the Eastern WHO European Region, addressing barriers, enablers, and capacity-building needs.

Methods
Utilizing a mixed methodology, the study employed document analysis, scoping review, and interviews to triangulate data, with the document analysis focusing on 4 published Essential Public Health Operations Self-Assessment Reports, the scoping review analysing 15 key articles, and 5 semi-structured interviews providing additional insight from key country stakeholders.

Results
Core findings revealed significant barriers impeding PHPs' participation in policy processes. Among others, these included limited intersectoral collaboration, shortage of skilled public health (PH) personnel, financial resource constraints and inadequate governance structures. Conversely, several enablers were identified, such as a positive trend in increased intersectoral collaboration and innovative governance structures during Covid-19, the development of more trained PHPs and the utilization of International Health Organisations. The two main capacity building needs reported were the importance of modernizing PH education and promoting intersectoral collaboration.

Conclusions
This study offers a preliminary overview of how PHPs' involvement in health policy processes in these countries can be enhanced: More intersectoral collaboration, updated PH education curricula and trainings, and governance re-design building on positive trends seen during the pandemic. Following actions are recommended: Creation of an international platform for cross-sectoral PH communication & exchange, direct support for universities and PH researchers, development of comprehensive PH trainings, assistance in forming or strengthening national public health associations and identification & sharing of effective local governance practices.

Key messages
• This research identifies barriers to PHPs’ participation in Eastern WHO European Region's health policy processes, while highlighting enablers like increased collaboration during Covid-19 to build on.
• Recommendations to harness the enablers include clear actions such as creating an international public health platform for interaction and exchange or build-up of national public health associations.
Knowledge, attitudes and practices of Italian general practitioners on food supplements
Authors: Driutti M , Cozzarin F , Celotto S , Arnoldo L , Brunelli L , Menis D 
Published: October 2024

Abstract

Background
Food supplements are widely used, but they can be dangerous if used inappropriately, as they often interaction with patients’ treatment. Their misuse has public health and patient out-of-pocket expenditure implications; general practitioners (GPs) play a central role in managing patient safety. This study aims to investigate the knowledge, attitudes and practices (KAP) of Italian GPs’ toward the use of food supplements.

Methods
From March to April 2024, an online survey was conducted via the EU-Survey platform among Italian GPs invited through their professional organization. The 62-question survey, adapted from a tool used among pharmacists, comprises two sections: A) KAP questions (28 true/false, 34 on a 5-point Likert scale) and B) socio-demographic questions (i.e. age, sex, years of experience, urban/extra-urban environment). Survey reliability was evaluated using Cronbach alfa and responses were analysed to look for differences between sub groups using Kruskal Wallis Test.

Results
202 GPs participated in the survey, 46.0% were male, 53.5% female and 0.5% non-binary, with a mean age of 47±2 years. The majority (70.3%) came from an urban environment and 54.9% worked in group medicine. Only 53.5% of GPs showed an adequate knowledge of the topic (more than 60% of correct answers), with a mean of 18 correct answers. The overall reliability of the test was evaluated as acceptable (alfa&gt;0.7). The 99.5% of GPs interview agreed (score 4 or more on the Likert scale) that they have an important role in food supplements prescription and 98% are involved in life styles counselling activities, but only 66.3% felt they have adequate formation on the topic. No statistically significant differences between population groups were found (p &lt; 0.05).

Conclusions
Although GPs have recognized their key role in prescribing food supplements, there seem to be a general lack of knowledge on the subject that requires targeted educational interventions to ensure patient safety.

Key messages
• Food supplements are often taken by patients because they are under the impression that these products are always and completely safe.
• Clinical recommendations for the use of food supplements are much more limited than their actual use.
Interaction between alcohol intake and employment status changes on mortality among young workers
Authors: Park H , Yun B , Oh J , Sim J , Lee J , Yoon J 
Published: October 2024

Abstract

Background
To investigate the impact of changes in employment status and their interaction with alcohol consumption on health outcomes among young workers. This study aims to explore how employment fluctuations, periodic unemployment, and economic activity levels influence the health of economically active individuals, focusing particularly on the synergistic effects that these employment changes may have when combined with alcohol consumption.

Methods
We conducted a retrospective cohort study using data from the Korean National Health Insurance Service database. The study included individuals aged 25-44 years who underwent health check-ups between 2009 and 2010. We categorized changes in employment status into three groups: continuously employed, economically active with employment fluctuations, and periodically unemployed. We estimated adjusted hazard ratios and 95% confidence intervals using multivariable Cox proportional hazard models to assess the impact of changes in employment status on the risk of all-cause mortality. The relative excess risk due to interaction, a widely accepted indicator of additive interaction, was used to assess the interaction between alcohol consumption and changes in employment status.

Results
Changes in employment status significantly increased the risk of all-cause mortality in both men and women in the economically active with employment fluctuations and periodically unemployed groups compared with the continuously employed group. The synergistic effect of alcohol consumption and changes in employment status on the risk of all-cause mortality was significant only among men.

Conclusions
The findings of this study indicate that changes in employment status, particularly when combined with alcohol consumption, significantly affect all-cause mortality among young workers.

Key messages
• Employment status fluctuations combined with alcohol consumption significantly increase all-cause mortality risks among young workers, especially men.
• This study emphasizes the urgent need for targeted interventions that address the combined impact of employment and lifestyle factors on public health.
Let’s Get Walking: Establishing Workplace Walking Groups in a regional Public Health Department
Authors: Kelly C , O’Kane G , Edwards D , Lee J , McCrossan D , Smith L , Farmer W , Conlan C , Fallon U , Cooney F 
Published: October 2024

Abstract

Maintaining staff health and wellbeing (HWB) is an ongoing priority for the Department of Public Health HSE Dublin and Midlands (PHD). This is particularly important in the context of an ongoing programme of reform for Public Health in Ireland. To support this priority, in November 2023 a pilot Workplace Walking Groups initiative was established to increase workplace physical activity and build team relationships. The initiative was designed following staff feedback on team HWB initiatives in September 2023. The Model for Improvement (which includes the Plan-Do-Study-Act cycle) was used to take a structured quality improvement approach to the development and evaluation of the 4-week pilot, led by the PHD HWB Committee. Staff joined across 3 sites. Lunchtime walks were arranged for 1-2 days per week. WhatsApp groups and email supported group communication. Quantitative data on registration and attendance were collected via Microsoft Excel. A virtual focus group was arranged to gather participant feedback, which was analysed into themes. Group registration (n = 10, n = 9, n = 5) and weekly attendance varied by site (n = 10, n = 9, n = 5). Key benefits noted by participants included physical activity, building relationships with colleagues, and getting fresh air. The main barrier was the impact of work schedules on attendance. There was broad support for re-establishment of Workplace Walking Groups for 2024. This pilot Workplace Walking Groups initiative achieved its dual aim of increasing physical activity and social connection among staff. Learning from this pilot informed the launch of a 3-month Walking Groups term for Spring 2024. The initiative is now established practice and is a component of the Department’s blended working policy, being a feature of on-site working days.

Key messages
• Our successful pilot Workplace Walking Groups project has translated into a sustainable health and well-being initiative for staff, during a time of ongoing reform across Public Health in Ireland.
• A structured approach to designing and implementing staff health promotion initiatives is crucial to support the cycle of learning and improvement, and to sustain change over time.
The Effect of Multidisciplinary Care on Polypharmacy in Advanced Cancer Patients near the End of Life
Authors: Kao Y C , Chen Y Y , Lin K C , Chang H C 
Published: October 2024

Abstract

Objectives
Multidisciplinary Team (MDT) aims to integrate cancer patient care plans and provide holistic care to improve clinical outcomes and quality of life. However, there is a lack of empirical evidence regarding the effect of MDT on polypharmacy in advanced cancer patients near the end of life, which warrants further investigation.

Methods
This retrospective cohort study utilizes the National Health Insurance Research Database (NHIRD), Taiwan Cancer Registry, and Cause of Death Statistics, provided by the Health and Welfare Data Science Center (HWDC), Ministry of Health and Welfare (MOHW). The study subjects were patients who were diagnosed with stage III or IV cancer, aged 65 or above, experienced recurrence or metastasis, and who died between 2014 and 2020. Propensity score matching (PSM) was employed, followed by analysis using the Generalized Estimating Equation (GEE) to examine the differences in the risk of polypharmacy in the last 30 days before death. In addition, to confirm the robustness of the results, we conducted two different sensitivity tests: the first way is to use different ages as sample selection criteria and only include people who died over 75 years old as study subjects; the second way is to use conditional logistic regression models as a multivariate statistical method.

Results
There were 35537 samples before matching, including 4942 who received MDT care and 30595 who did not. After 1:1 matching, 9884 patients were finally included in the analysis. The prevalence of polypharmacy significantly decreased during the study period from 59.90% to 58.80% (p = 0.03; trend test). When examined through different PIM criteria, patients who received care from MDT exhibited a lower risk of polypharmacy (OR = 0.91, 95% CI = 0.84-0.98).

Conclusions
Advanced cancer patients who received care from MDT during the end-of-life period had a significantly lower risk of polypharmacy.

Key messages
• The prevalence of polypharmacy significantly decreased during the study period from 2014 to 2020 among advanced cancer patients.
• Advanced cancer patients who received care from MDT during the end-of-life period had a significantly lower risk of polypharmacy.
Scoping the EU’s health impact in the Southern Neighbourhood: Building resilience and trust
Authors: Perehudoff K 
Published: October 2024

Abstract

Background
The European Neighborhood Policy (ENP) focuses on security, migration, and economic stability. Strengthening health systems can contribute to these aims by building local resilience and institutions; however, little is known about the EU’s health policy and impacts in the Southern Neighborhood (Syria, Lebanon, Jordan, Palestine, Egypt, Libya, Tunisia, Algeria, Morocco). This paper examines the role of health in the ENP and what is known about the health-related impacts of EU actions in this region.

Methods
This is a qualitative case study of the EU’s ENP commitments, outcomes, and impacts (2004-2024) in nine middle-income Southern Neighborhood countries. A scoping review of empirical evidence included 5 scholarly databases and grey literature published. Retrieved publications and the ENP documents were thematically analysed with WHO’s health systems building blocks and the alignment between the ENP and practice was assessed.

Results
ENP health actions have evolved from public health and selected communicable diseases (2004), to health service delivery, vaccine supply, and occupational health (2021). The review included 19 publications (2004-2024). Publications most often addressed the financing (n = 14 papers) and service delivery (n = 9) aspects of health systems (not mutually exclusive), and only once addressed workforce and health information. Publications addressed mostly intentional EU health actions in the region; 4 papers reported unintentional effects.

Conclusions
The limited scope of health actions in the ENPs suggests health may be instrumentalised to pursue the EU’s security and stability goals. The type of EU health actions reported most often in the literature were consistent with the ENP health priorities. There is no systematic evaluation of the impacts of the EU’s health-related commitments in the ENPs. To build resilience and trust in the region, future EU action should support a range of WHO building blocks and mitigate potential negative effects.

Key messages
• The EU’s health commitments in the European Neighborhood Policy evolved from public health & communicable diseases (2004), to health service delivery, vaccine supply, & occupational health (2021).
• There is no systematic empirical evaluation of the impacts of the EU’s health-related commitments in the European Neighborhood Policy.