bluuebunny/crossref_metadata_2025_split huggingface dataset:
Mental health benefit uptake of women before and during the perinatal period in Austria
Authors: Kern J , Zechmeister-Koss I , Edlinger M , Hörtnagl C , Paul J , Lampe A 
Published: October 2024

Abstract

One in five women may experience a perinatal mental illness (PMI) during pregnancy and up to one year after giving birth, during the so-called perinatal period. Although there is strong evidence that this can have a negative effect on the children’s future health, many mothers do not receive any treatment. To determine whether and what type of mental health services women in Austria claim during the perinatal period, the uptake of five key mental health insurance benefits was analysed using pseudonymised health insurance data from Austria’s largest insurance, ÖGK. In 2017 and 2018, 131,025 ÖGK insured women gave birth, representing 80% of all births in Austria in the two years. Of these women, almost 20% claimed at least one benefit during the perinatal period. Including the year before pregnancy this number increased to 25%. Most often, only one benefit was claimed in only one of the analysed periods (the year before pregnancy, pregnancy, and the year after birth). Psychotherapy was claimed most often, while hospital admissions occurred the least. Further, the youngest (≤ 20 years) and the oldest (≥ 41 years) women claimed benefits more frequently than at other ages. After adjustment for the shorter pregnancy period, benefit uptake was generally highest during pregnancy and lowest after giving birth. Considering the shortage of specialised perinatal mental health services in Austria, the uptake of the five analysed types of services was high and corresponds to international prevalence figures on PMI. The actual number may be even higher, considering the services and the women not covered in the available data. As there is a lack of a perinatal mental health infrastructure and specialised healthcare staff in Austria, this warrants further investigations into the quality of care provided to the women and more training and education concerning mental problems occurring during the perinatal period.

Key messages
• Around a quarter of women claim mental health benefits during the perinatal period, most often psychotherapy services.
• Substantial demand for mental health services during the perinatal period calls for comprehensive infrastructure and quality assessments of available options.
Nicotine use in Polish adolescents and sociodemographic factors correlations - PolNicoYouth study
Authors: Miller M , Tyrańska-Fobke A , Balwicki Ł 
Published: October 2024

Abstract

Background & aim
Almost 36% of Polish smokers started their addiction before the age of 17. Polish youth exhibit a higher prevalence of e-cigarette use (29.5%) than traditional cigarettes (26.2%). This study aimed to outline the prevalence of tobacco and nicotine product use based on usage frequency, poly-product use patterns among ever/former/naive users.

Methods
In the 2020 cross-sectional study, secondary school students from 200 schools, were selected nationwide using a stratified and random approach, making the sample representative of the entire Polish population. Data were collected through Computer-Assisted Web Interviews, using a questionnaire based on the Global Youth Tobacco Survey. Bayesian linear regression was used to assess correlations.

Results
The study consisted of 16,712 pupils aged 15-18. Almost 30% of participants admitted to current e-cigarette usage. Questions on parental smoking habits showed that 45.95% of parents smoke traditional cigarettes, 13.89% use e-cigarettes, and 13.80% use heated tobacco products (HTP). There was a very strong positive correlation between the female gender and the initiation of smoking with regular cigarettes (log[BF]=10.76). A very strong positive correlation between those studying in vocational schools and with initiation with regular cigarettes during initiation (log[BF]=18.13), while high school students had a greater association with e-cigarettes (log[BF]=11.08). There was also a very strong positive correlation between adolescents initiating smoking with regular cigarettes when their parents are also regular cigarette smokers (log[BF]=8.11) - no corresponding correlations were observed for e-cigarettes and HTP. There is a moderate positive correlation indicating a relationship between younger age (15 vs 18) and initiation by e-cigarette (log[BF]=1.8).

Key messages
• The type of nicotine product used by adolescents for nicotine initiation correlates differently with various socio-demographic factors and the type of nicotine product used by parents.
• Taking these relationships into consideration enables the development of tailored nicotine prevention.
Vaccination in the post pandemic era - a qualitative study of the experiences of Somali immigrants
Authors: Gleditsch R N , Ofitserova T S , Winje B A , Sheikh N S , Skogheim T S , Hansen B T 
Published: October 2024

Abstract

Background
The Somali population is the largest non-European immigrant group in Norway and past studies have indicated lower coverage for both childhood vaccines and COVID-19. However, little is known about views and experiences of vaccination among this group and how their experiences might impact their vaccination decision-making process. This study explored views and experiences with vaccination among Somali immigrants in Norway.

Methods
We conducted semi-structured interviews with 15 participants in the fall of 2022. To better understand the participants’ perceptions of vaccine information, the data was inductively analyzed using a reflexive thematic analysis.

Results
Based on the thematic analysis, we focused on four sub themes: 1) the impact of COVID-19 on views of vaccines; 2) new versus old vaccines; 3) childhood vaccination; 4) trust in vaccines. The study found that the participants’ experiences during the pandemic have impacted their views on vaccination in general. Many of the participants expressed positive views and high levels of trust in the Norwegian health authorities and their vaccination recommendations. It was found that having sufficient information and trust in vaccination recommendations contributed to higher vaccine readiness. Viewing vaccines as new and insufficiently tested or researched, as well as lacking information about potential side-effects, increased participants’ hesitancy when faced with vaccination decisions. Among the parents in this study, postponing the measles-mumps-rubella-vaccine due to fear of autism was a common occurrence.

Conclusions
The current study fills an important gap in knowledge about views, experiences, and vaccination decisions among the Somali population in Norway. Knowledge from this study can help adapt better vaccine information and further improve the prevention of infectious diseases in Norway in general and for under-vaccinated groups in particular.

Key messages
• Having sufficient information and trust in vaccination recommendations contributed to higher vaccine readiness.
• Viewing vaccines as new and insufficiently tested/researched, as well as lacking information about potential side-effects, increased participants’ vaccine hesitancy.
Satisfaction with maternity care among immigrant women compared to non-immigrant women
Authors: Seidel V , Teschemacher L , Breckenkamp J , Borde T , David M , Abou-Dakn M , Henrich W 
Published: October 2024

Abstract

Introduction
Migration is a worldwide phenomenon leading to challenges for the health care system. There is conflicting evidence on the effect of migration on the satisfaction with obstetric care. Our hypothesis was that satisfaction with obstetric care was lower in immigrant women with and without self-defined (sd) refugee status than in non-immigrant women.

Methods
In the Pregnancy and Obstetric Care for Refugees (PROREF)-study between June 2020 and April 2022 in Berlin women were interviewed 1-3 days after giving birth with the Migrant Friendly Maternity Care Questionnaire (MFMCQ). The interview data was linked to the routine perinatal data of the hospital charts. Descriptive analysis and logistic regression analysis were performed to identify factors influencing satisfaction with obstetric care.

Results
A total of 3420 women (Frauen (247 with sd refugee status, 1356 immigrant women und 1817 non-immigrant women) could be included in the study, with an overall response rate of 77.5%. Satisfaction measured generally high with over 80% of women being satisfied with obstetric care at all three time points: during pregnancy, during labor and birth and after giving birth. We identified two factors associated with an increased chance of being satisfied with obstetric care: sd refugee status (OR 2.57, 95% Cl 1.48 - 4.44, p-value 0.0008) and being multipara (OR 1.40, 95% Ci 1.18 - 1.67, p-value 0.000).

Conclusions
Efforts on improving birth experience should focus on primipara. Among the reasons for non-immigrant women being less satisfied with care than women with sd refugee status might be different expectations and the timing of data collection.

Key messages
• Refugee women might have different expectations regarding birth experience than other immigrant women and non-immigrant women.
• Satisfaction with obstetric care in Berlin is generally high among immigrant women and non-immigrant women.
Self-help groups for people with migration experience
Authors: Weigl M , Ecker Sandra 
Published: October 2024

Abstract

Background
Self-help groups as voluntary associations of people to jointly cope with illnesses or psychological problems are sometimes regarded as the fourth pillar of the health care system. Still, so far people with migration experience do not resp. less participate in self-help groups in Austria. The project aimed therefore on identifying related obstacles and solutions.

Methods
A mixed-methods approach was chosen: a systematic literature search; interviews, focus groups and workshops; including people with migration experience and experts. A concept for self-help groups was delevoped in a participatory way, piloted in Vienna and evaluated.

Results
The study confirmed, that the concept of self-help groups as they are usually implemented in Austria is not known among people with migration experience. But there is a great need for exchange among those with a chronic illness or their relatives. Success factors and obstacles are mainly related to the access to people with a migration experience and the way how such self-help groups are set up. Much time needs to be invested in developing a common understanding of the concept of a self-help group and in maintaining contacts. However, despite the of the personal benefit, the often stressful life situation of people with migration experience is an obstacle for continuous participation or even initiating a self-help group oneself.

Conclusions
The project showed, that, although the concept of self-help groups is often not known, people with a migration experience can benefit from it. But more support is needed than is usually provided by the established self-help organisations. A change in the understanding of self-help groups on the one hand and integrating such activities in services/associations working with migrants on the other hand could improve the access for people with migration experience to this important pillar of the health care system.

Key messages
• Several obstacles hinder people with migration experience in participating in self-help groups in Austria, e.g. the concept itself is unknown to them.
• Implementing a specific concept for self-help groups with support by professionals can facilitate the access of this population group to an important part of the health care system.
Co-producing COVID-19 health education resources with ethnic minority communities in the UK
Authors: Paudyal P , Majeed-Hajaj S , Khapangi Magar N , Hughes L , Keeling D , Armes J , Kulasabanathan K , Sharp R , Cassell J 
Published: October 2024

Abstract

Background
Effective communication of relevant health information is challenging in elderly minority ethnic groups due to language barriers and cultural differences. During the COVID-19 pandemic, much of the public health guidance around COVID-19 was in dominant languages, lacking cultural nuance. This study aimed to co-produce culturally, linguistically, and age-appropriate health education resources in COVID-19, tailored to the needs of older adults from ethnic minority backgrounds.

Methods
This study involved three stages: 1) Semi-structured interviews with Indian and Nepalese older adults (≥65 years), their families (≥18 years) and healthcare professionals (HCPs) (≥18 years) engaging with these communities; 2) Co-production of COVID-19 information resource, and c) Implementation of co-produced resources among the communities.

Results
24 participants took part in the study. There was wide variation in participants’ knowledge of COVID-19; some were knowledgeable, while others had limited information. Participants highlighted the need for information in multiple formats and languages and discussed the importance of culturally avenues for information dissemination. Drawing on these findings and two co-production workshops held with the stakeholders, culturally sensitive information leaflets (electronic and paper) were co-prodcued in Hindi and Nepalese using age-appropriate images and infographics. The leaflets were distributed widely to the Nepalese and Indian communities, healthcare trusts and local authorities using the networks of community members, HCPs, and religious leaders.

Conclusions
The project highlights the significance of participatory methods in the development of culturally relevant public health interventions applicable to the cultural practices of ethnic minority groups. The co-production approach in this study could influence information provision for future public health campaigns for other marginalised groups.

Key messages
• Health information should be co-produced with a representative sample of the community members and relevant stakeholders.
• There is a need on an ongoing basis to identify and fill the information gaps, address misinformation and develop targeted messages.
Determinants of health among Ukrainian refugees in Germany: comparison with other refugee groups
Authors: Biddle L , Marchitto A , Zinn S 
Published: October 2024

Abstract

Background
6.5 million Ukrainian refugees have been displaced globally since 2022, with 1 million seeking asylum in Germany. Little is known about the health determinants for this group, limiting the evidence base for policy intervention.

Methods
We use a nationally representative survey of adult Ukrainian refugees in Germany (IAB-BiB/FReDA-BAMF-SOEP study; n = 5943), conducted in 2023, to analyse the effect of sociodemographic, pre-migration (experienced war intensity, traumatic experiences) and post-migration factors (time since arrival, accommodation, social networks) on self-rated health using multiple logistic regression. We contrast these findings with estimates of identical models obtained from a subset of the IAB-BAMF-SOEP-sample of non-Ukrainian refugees within one year of arrival (n = 1195).

Results
In the Ukrainian sample, post-migration factors are particularly critical for health, with those experiencing discrimination (OR 1.83; 95%CI: 1.51,2.21) and social isolation (OR: 2.70; 95%CI: 2.23, 3.28) affected by ill health, while those with high German proficiency (OR 0.34; 95%CI: 0.18, 0.64) and contact with Germans (OR: 0.66; 95%CI: 0.53,0.83) are protected. Pre-migration factors do not affect self-rated health. Among refugees from other countries of origin, post-migration factors are not associated with health within the first year of arrival, with exception of social isolation (OR: 2.03; 95%CI: 1.32,3.13).

Discussion
Despite the EU Temporary Protection Directive, the health of Ukrainian refugees in Germany is shaped by adverse post-migration circumstances. While other refugee groups may have had riskier escape journeys and worse arrival conditions, this is unrelated to self-rated health in the first year. This underscores the importance of considering pre-migration contexts when evaluating subjective health. Outreach services, communication campaigns and the expansion of medical interpreting services are needed to ensure access to the health system.

Key messages
• Despite the EU Temporary Protection Directive, the health of Ukrainian refugees in Germany is shaped by adverse post-migration circumstances.
• Outreach services, communication campaigns and the expansion of medical interpreting services are needed to ensure access to the health system.
Gestational diabetes and pregnancy outcome in Kurdish, Somali and general population in Finland
Authors: Tähkäpää S , Mohamed F , Pallasmaa N , Grénman S , Mäkikallio K , Lehtoranta L 
Published: October 2024

Abstract

Gestational diabetes (GDM) increases the risk of type II diabetes and cardiovascular morbidity later in life but GDM incidence in women from different cultural backgrounds varies. This study aims to examine treatment of GDM and pregnancy outcomes in Somali, Kurdish and general population women. Patient data of 312 Kurdish, 254 Somali and 508 general population women was collected from Turku University Hospital records from 2008 to 2019. The general population was selected by randomization with matching year, BMI, age, and parity. Singleton deliveries after 34th gestational week with no prior diabetes mellitus were included. Descriptive and comparison analyses (SPSS, version 29.0) were used to identify associations between ethnic background and pregnancy outcomes in women with GDM. The incidence of GDM was 22 % (CI 95 % 17-27) in Somali, 36 % (CI 95 % 31-42) in Kurdish, and 16 % (CI 95 % 13-19) in the general population women. Kurdish women had medication for GDM more often (43 % CI 95 % 34-53) than the Somali (22 % CI 95 % 11-33) and general population women (18 % CI 95 % 9-26). Metformin was more commonly used among Kurdish (30 % CI 95 % 22-39) compared to the general population (12 % CI 95 % 4-18) and Somali women (13 % CI 95 % 4-22). There was no difference in insulin or combined metformin and insulin treatment between the groups. In GDM group, vaginal deliveries were more common in general population (89 % CI % 81-95) than in Somali women (67 % CI % 64-81). Induction of labour (indication GDM or other) and instrumental vaginal delivery rates were similar between the groups. Newborns of all Somali women had a lower weight (SD -0.3 CI 95 % -0.7 - -0.2) compared to the general population (SD 0 CI 95 % -0.1 - 0.3). The prevalence of GDM was increased and dietary treatment decreased in Kurdish women compared to the general population in Finland. In the future, the treatment of GDM should be adjusted to better optimize the care for different cultural background women.

Key messages
• Kurdish women have increased incidence of GDM and less dietary treatment compared to the general population with similar risk factors. The pregnancy outcomes remain good in all groups.
• With Somali women, the birth weight of the child is lower despite GDM status. This might direct clinicians to underestimate the effect of GDM when considering individual treatment.
A framework to guide the commissioning of healthcare services for people seeking asylum in England
Authors: Al-Sharabi I , Deal A , Mackey K , Rangel N , Joseph A , Davies L , Bryant L , Carter J , Knights F , Hargreaves S 
Published: October 2024

Abstract

The increasing number of people seeking asylum (PSA) in England, compounded by delays in processing their cases, has led to an urgent need for tailored practices to overcome barriers to healthcare access. While local examples of excellence in healthcare provision for PSA exist, a national framework to guide healthcare for these groups is lacking, leading to fragmentation and inconsistency in service provision. This collaborative research project with the British Red Cross took a co-production approach, involving three peer researchers with lived experience from the outset. From a literature review of case studies on improving access to healthcare for PSA, a preliminary framework of good practice was developed and explored with participants with lived experience of seeking asylum during three in-person workshops refined this. Finally, two focus groups with policymakers and healthcare professionals (HCPs) explored challenges in commissioning services, ensuring final framework relevance to the policy context. In total, 60 participants with lived experience attended three workshops and 19 policymakers and HCPs attended focus groups. Workshop participants emphasised the critical role of improving communication in healthcare settings and educating HCPs and PSA on entitlements and the NHS system. Policymakers highlighted the importance of robust leadership and a standardised national approach that can be adapted locally. Capacity constraints within the NHS and primary care system were highlighted as barriers to good quality care provision. Findings were collated into a practical framework, describing five pillars of good practice; 1)Working in partnership; 2) Upskilling the healthcare workforce; 3) Including lived experience voices; 4) Improving data on local needs; and 5) Strengthening pathways into healthcare. The framework provides guidance to enhance the accessibility, consistency and quality of healthcare services for PSA, addressing critical gaps in the current system.

Key messages
• A novel framework to guide commissioning and provision of healthcare for people seeking asylum has been developed, drawing from existing pockets of excellence to aid a consistent national approach.
• The framework presents five pillars of systemic good practice, highlighting the importance of strategic partnerships, workforce training and data collection in providing good quality care.
Solutions for reducing the severe economic burden of musculoskeletal diseases
Authors: Sedlak S , Jelenc M 
Published: October 2024

Abstract

Issue
In Slovenia the big group of over 150 musculoskeletal and connective tissue diseases (MSCTD) constitute a serious public health problem, a major burden on health systems and society as a whole. Patients with these diseases have a poorer quality of life and often retire early. Any early retirement that could have been prevented represents a loss of human capital, which is a major social and economic cost to society. The aim of this study was to analyze the economic burden of the six most common MSCTD in Slovenia for the period from 2020 to 2022, to contribute to a better understanding of this problem and suggest solutions.

Methods
At the Slovenian National Institute of Public Health, in collaboration with the Faculty of Economics at the University of Ljubljana, we calculated the burden of six most common MSCTD for the period 2020-2022. We used the National Transfer Accounts (NTA) methodology to calculate the indirect costs; direct costs were calculated based on the national routine health data.

Results
The calculated economic burden of the six most common diagnoses of MSCTD represents 5% of total health expenditure or 0.4% of Slovenian gross domestic product on average. Direct costs amounted to 2% of total health expenditure (hospitalizations 22.5%, costs for medicines 9.3%, first curative visits at the primary level and visits to the outpatient clinic at the secondary level 2.7%). Indirect costs amounted to 3% of total health expenditure.

Conclusions
Despite the reduced access to the health system due to COVID-19 the economic burden of MSCTD is high in Slovenia and would be significantly higher considering all diagnoses from this group of diseases. The research requires interdisciplinary cooperation between medicine and economics regarding demanding NTA methodology which is innovative in our country.

Key messages
• One of the main public health priorities in Slovenia should be to raise awareness of MSCTD.
• In the light of the aging population prevention activities with focus on MSCTD should be intensified as soon as possible.