bluuebunny/crossref_metadata_2025_split huggingface dataset:
Taxing animal-based food products: A qualitative framing analysis of the media debate in Germany
Authors: Leibinger A , Moerschel K S , Hagge A , Hawkins B , von Philipsborn P 
Published: October 2024

Abstract

Background
In most high-income countries, consumption of animal-based food products exceeds levels recommended for health and environmental reasons. Although taxes can reduce the consumption of animal-based products, they are politically controversial. In recent years, various tax models and motivations for these have been discussed. Our study seeks to identify key arguments and policy actors in the German media debate on the taxation of animal-based products, shedding light on emerging narrative frames surrounding tax models and motivations.

Methods
We conducted a qualitative analysis of German media coverage on taxes and levies influencing the price of animal-based foods. We analyzed 488 articles from 10 national newspapers and eight trade press journals published between February 2019 and July 2023. Employing an inductive approach, we identified the actors involved in the debate and common frames and arguments around various tax proposals.

Results
We found broad consensus on a need for change due to inadequate animal welfare conditions, while environmental and health arguments are more contested. Significant debate surrounds the suitability of taxation as the preferred policy instrument. Furthermore, doubts are raised about a tax’s effectiveness and appropriate revenue allocation. Framing of the tax often emphasizes potential negative impacts on domestic production and product affordability. Additionally, concerns about various unintended consequences and the overall unpopularity of taxation emerge as prominent themes.

Conclusions
The taxation of animal-based products for health and environmental reasons is still highly contested in the media debate in Germany. Many, but not all arguments commonly raised against such taxes may be considered spurious from an evidence-based public health perspective. Proponents of such taxes may seek to address existing concerns through appropriate policy design and communication strategies.

Key messages
• Taxation of animal-based foods may help to align consumption with levels recommended for health and environmental reasons, but adoption and implementation is hindered by political controversy.
• Objections common in the public debate on such taxes could be addressed with appropriate policy design alleviating justified concerns, and with communication strategies countering spurious arguments.
A scoping review on sociodemographic inequalities in breast cancer screening attendance in Germany
Authors: Pedrós Barnils N , Härtling V , Singh H , Haug U , Schüz B 
Published: October 2024

Abstract

Background
Organized breast cancer screening (BCS) programs are effective measures among women aged 50-69 for preventing the fifth cause of death in Germany. However, still participation rates have not yet reached EU standards. It is unclear which and how sociodemographic factors are related to BCS attendance. This scoping review aims to identify sociodemographic inequalities in BCS attendance among 50-69-year-old women following implementing the Organized Screening Program in Germany.

Methods
Following PRISMA guidelines, we searched the Web of Science, Scopus, MEDLINE, PsycINFO, and CINAHL. We included primary studies with a quantitative study design and reviews examining BCS attendance among women aged 50-69 with data from 2005 onwards in Germany. Harvest plots depicting effect size direction for the different identified sociodemographic inequalities were developed.

Results
We screened 476 titles and abstracts and 33 full texts. In total, 27 records were analysed, 14 were national reports, and 13 peer-reviewed articles. Eight sociodemographic variables were identified and summarised in the harvest plots: age, education, income, migration status, type of district, employment status, partnership cohabitation and health insurance. Older women, women with lower incomes and migration backgrounds who live in rural areas and lack private insurance, respond more favourably to BCS invitations. However, from a lifetime perspective, these associations only hold for migration background, are reversed for income and urban residency, and are complemented by partner cohabitation. Finally, women living in the federal states of Lower Saxony, Saxony, Mecklenburg-Western Pomerania, Saxony-Anhalt, and Thuringia showed higher attendance rates in the last two years.

Conclusions
High-quality research is needed to identify women at higher risk of not attending BCS in Germany, particularly as the overall attendance rate still falls below European standards.

Key messages
• High-quality research is needed to identify women at higher risk of not attending BCS in Germany, particularly as the overall attendance rate still falls below European standards.
• Women without migration background, high income, living in rural areas, and not cohabitating with their partners are at higher risk of never attending BCS in Germany.
Utilization of paternity and parental leave in Italy: the parents’ perspective
Authors: Zambri F , Di Stefano V , Di Nolfi A , Vatta B , Lubbock A , Marzella M , Chapin E M , Preziosi J , Tambascia G , Giusti A 
Published: October 2024

Abstract

Background
In recent years, there has been a focus on the role of fathers in childcare within public debates and social policies. Maternity, paternity, and parental leaves are essential tools for active father involvement in family life. The study aims to describe the fathers and mothers’ perspective about the use of two types of leave (paternity and parental) by fathers.

Methods
As part of the European project 4E (Early, Equal, Engaged, Empathetic) PARENT (CERV-2022-DAPHNE No. 101095956), a cross-sectional study was carried out using an online questionnaire addressed to parents between August and December 2023.

Results
A total of 3,811 mothers and 720 fathers participated. Sixty percent of mothers and 57% of fathers came from the North, with the majority having a high level of education (74% and 58%, respectively). Seventy-three percent of fathers reported using paternity leave, with most cases from the public welfare system (59%). Overall, most of mothers (91%) and fathers (89%) do not consider the current duration of leave adequate nor do they agree with the traditional division of family roles. Additionally, 69% of mothers and 72% of fathers believe that fathers should have more leave, but also that mothers need more months for breastfeeding. The logistic model shows that for fathers: low education level (ORadj 0.34, 95% CI 0.13-0.86), living in the Center (ORadj 0.49, 95% CI 0.28-0.87) and Southern Italy (ORadj 0.32, 95% CI 0.15-0.64), and acceptance of traditional family role division (ORadj 0.30, 95% CI 0.14-0.65) reduce the likelihood of using paternity leave. Similar results were observed in case of mothers’ responses. Furthermore, living in Southern Italy reduces the likelihood of using parental leave for both fathers (ORadj 0.24, 95% CI 0.09-0.69) and mothers (ORadj 0.67, 95% CI 0.49-0.92).

Key messages
• Maternity, paternity, and parental leaves are crucial for facilitating active father participation in family life.
• It is important to implement inclusive policies that ensure equitable access to paternity and parental leave, thereby promoting active father involvement in childcare.
Identification of different types of nicotine product users: results from a cluster analysis
Authors: Kramer I , van Westen-Lagerweij N A , Cornelissen E , Lize N , Hopman EPC , Croes E A 
Published: October 2024

Abstract

Background
Smoking cessation interventions often target people that use nicotine products as one homogenous group. However, heterogeneity exists among people who smoke and/or use e-cigarettes. The aim of the current study was to characterize clusters of nicotine product users based on their use and motives.

Methods
The study included 2000 people who smoke and/or use e-cigarettes aged ≥18 years in the Netherlands. Respondents were recruited from a large survey-panel between August and October 2023. The questionnaire consisted of questions on demographics, product use/frequency, and motives to use nicotine products and motives to quit. A cluster analysis was used to identify the number and nature of subgroups reporting similar product behavior and/or motives. Analyses were weighted to correct for imbalances between the survey sample and the population of the Netherlands.

Results
Four clusters were identified. Cluster 1 ‘socially-influenced smoker’ (13%) had a greater proportion of men, participants indicated using a variety of products and often try a product if they have seen other people using it. Cluster 2 ‘party smoker’ (5%) was characterized by participants being young, mostly smoke during a social event, and indicated that drinking alcohol is a reason to smoke/use a nicotine product. Participants in cluster 3 ‘coping-driven smoker’ (43%) were more often women, use nicotine products to reduce stress, to relax and regulate mood. Cluster 4 ‘Inveterate smoker’ (39%) mainly contained participants of older age and endorsed smoking due to pleasure and habit and see smoking as part of their identity. The socially-influenced smoker had the highest intention to quit (67%), and the inveterate smoker the lowest (35%). Among all clusters, improving health was reported as most important reason to stop using nicotine products.

Discussion
Classifying nicotine product users into subgroups based on their use and motives could lead to more appropriate smoking cessation interventions.

Key messages
• People who use nicotine products are not a homogenous group, but can be divided into different clusters based on their product use and motives.
• Classifying people that use nicotine products into subgroups based on their use and motives could lead to more appropriate smoking cessation interventions.
Changes of lifestyle and mental health among COVID-19 situation: resident-centered health promotion
Authors: Shibata T , Koyano M , Hiraga C , Shimizu Y 
Published: October 2024

Abstract

Background
Yuzawa town, located in the Niigata prefecture of Japan, is famous for its hot springs and ski resorts. A sustainable action plan for resident-centered regional health promotion (Yuzawa family health plan) was initiated in 2002. Surveys have been conducted every five years. This study aims to evaluate changes of their habits and mental health status between in 2017 and in 2022.

Methods
The survey of Yuzawa family health plan was conducted in 2017 and in 2022. Questionnaires were composed with living alone, living with marriage partner, living with son or daughter, living with grandchildren, living with brother or sister, health consciousness, attention to health, health concern, awakening in a morning, clockwork life, fitness habits, smoking, taking alcohol, anxiety, loneliness, consultation, resolve suffering, economic problem, handle stress, taking a rest, risk breaching, communication, life satisfaction, talking with family, job at home, intercommunion with friends, greeting with neighbors, relationship with neighbors, occupations, good sleep, taking breakfast, nutritional balance, mastication status, confirmation of food compositions, exercise habits, yearly health check-up, dental check-up, brushing teeth habits, and sleep satisfactions. Chi square tests were used to evaluate changes between in 2017 and in 2022. This study was approved by the ethics committee of Tokyo Women’s Medical University.

Results
Passive smoking, intercommunions with neighborhood and friends, exercises, and Salt reduction awareness reduced in 2022. Talking with family, taking a rest, attention to health, clockwork life, and sleep satisfactions increased.

Conclusions
Many changes were shown between in 2017 and in 2022. Because elderly has been able to use a mobile phone, loneliness was not increased. But numbers of elderly living alone have been increased from 2002. Health promotion programs giving health information for elderly is needed.

Key messages
• Many lifestyle changes were shown between in 2017 and in 2022.
• Passive smoking reduced. Taking a rest and attention to health increased.
Citizen needs towards personalised medicine and genetic testing: results from a European survey
Authors: Porcelli M , Beccia F , Causio F A , Proto L , Tona D M , Di Pumpo M , Van El C , Calabrò G E , Pastorino R , Boccia S 
Published: October 2024

Abstract

Introduction
Personalised Medicine (PM) aims to tailor diagnostic and therapeutic pathways for patients. Despite technological advancements in this field, public awareness of PM remains limited, representing a barrier to its clinical integration.

Methods
We conducted a survey across eight European Countries (France, Germany, Hungary, Italy, Netherlands, Poland, Romania, Spain) via the private platform YouGov, in April 2023. Our web questionnaire explored knowledge of PM, willingness to embrace it, and trust in information delivered by mass media.

Results
Of 6,581 respondents, approximately 42% lacked sufficient knowledge of PM and genetic testing, while 36.3% found information about the topic not easily accessible. Healthcare providers were the most trusted source of information (according to 80% of responders), followed by educational institutions (71.4%). Education, age, and gender significantly influenced the acceptance of PM and mass media trust, highlighting the association between high education level, readiness to embrace PM, and high trust in academic sources of information. Additionally, age, gender, and geographical location influenced the perception of PM and genetic tests in various ways across Europe. Despite the geographical differences, 63.2% of respondents want to know more about PM, and 60% support its implementation in clinical practice.

Conclusions
Although the growing interest in PM genetic, and -omics technologies, large sections of the population still lack access to information and understanding, indicating a disconnection between technological advancements and public awareness. The study emphasizes the importance of providing focused citizen engagement initiatives to implement PM approaches. Citizen participation in defining personalised diagnostic and therapeutic pathways is vital to empower individuals and enable them to make informed health choices.

Key messages
• Understanding European citizens’ attitudes and needs regarding Personalised Medicine is crucial for creating policies and facilitating access to new technologies and treatments.
• Despite limited knowledge, European Citizen recognize the importance of Personalised Medicine for their health, seek further understanding, and place trust in Academic Sources of Information.
Uptake of cervical screening and acceptability of HPV self-sampling in Irish Traveller women
Authors: O’Flynn A , Fitzpatrick P , Jalal R , Frazer K , Joye R , Collins M B , Kavanagh L , McCarthy T , McEnery M , Fox P 
Published: October 2024

Abstract

Introduction
Irish Travellers are a minority ethnic group. The 2010 All-Ireland Traveller Health Study noted the life expectancy of Traveller women was 11 years shorter than women in the general population. Coverage of the CervicalCheck, the Irish cervical screening programme, is 78.7% overall, however, there is no recently published data on the attendance of Traveller women. This study sought to determine participation by eligible Traveller women in CervicalCheck and the acceptability of HPV self-sampling.

Methodology
A face-to-face cross-sectional survey, adapted from the National Cancer Control Programme’s 2022 National Survey on Cancer Awareness, was disseminated to Irish Travellers via Primary Health Care Travellers Project peer researchers, following ethical approval, May to December 2023.

Results
451 Travellers participated; 286 (63.4%) were female. Of these, 178 (62.2%) were in the eligible age group for cervical screening. 134 (75.3%) advised they had received an invitation to screening; 121 (68% of all eligible; 90% of all receiving an invitation) advised they had attended at least once (regular attenders 88 (49.4%); 27 (15.2%) irregular attenders). Of all responders in the screening eligible age group, 36 (20.2%) reported HPV self-sampling as acceptable; 18 (50%) of these were non or irregular attenders at screening. Similar proportions of 25-45 year-olds (20.4%) and 46-65 year-olds (20%) reported HPV self-sampling as acceptable.

Conclusions
Irish Traveller women face barriers to accessing mainstream health services. Uptake of cervical screening overall is lower compared to the general population in this study; one issue may be unreliable postal service to Travellers and non-receipt of invitations. While the overall acceptability of HPV self-sampling was low at 20.2%, half of those who would self-sample did not attend or attended irregularly. HPV self-sampling has the potential to improve cervical screening rates among Traveller women.

Key messages
• Irish Traveller women’s uptake of cervical screening is lower than general population.
• HPV self sampling has potential to improve cervical screening rates in Travellers.
Can health communication improve newly settled refugees’ health literacy? A quasi-experimental study
Authors: Al-Adhami M , Durbeej N , Daryani A , Larsson E , Wångdahl J , Salari R 
Published: October 2024

Abstract

Structural and contextual factors such as limited work opportunities, inadequate housing options and discrimination negatively affect the health and well-being of newly settled refugee migrants in European countries. In Sweden, health promotion initiatives aiming at strengthening health, resilience and integration have been tried out within the Introduction Program for refugee migrants. The main component of these interventions has been educational activities in the form of health communication. Generally evaluated from the perspectives of participants and course leaders, longitudinal evaluations remain rare. The current study aimed to compare the effectiveness of a regular and an extended civic orientation course with added health communication and examine whether the latter would improve self-rated health and psychological well-being, health literacy and social capital among newly settled refugee migrants in Sweden. Pre- and post-assessment questionnaires were collected from the intervention group receiving the extended course (n = 143) and a control group receiving the regular course (n = 173). Linear mixed models and chi-square analyses showed a significant increase with a small effect size (0.21) in health literacy in the intervention group. However, there were no significant changes in general self-rated health, psychological well-being or emotional and practical support. The findings indicate that added health communication embedded in the civic orientation course can increase health literacy. However, further longitudinal studies are needed to confirm the sustainability of the observed change in health literacy and its translation into long-term advances in health and integration.

Key messages
• Added health communication provided within the Introduction Program for refugee migrants can increase health literacy.
• Increased health literacy may be beneficial for newly settled refugees as it is linked to improved health-seeking behavior, better health outcomes and empowerment.
Co-creating stigma-prevention strategies for mental health interventions with migrant populations
Authors: Teixeira R , Tol W , Sanna L , Prina E , Thomsen C , Marti Castaner M , de Freitas C 
Published: October 2024

Abstract

Background
The ADVANCE project aims to address mental health disparities among people in a situation of vulnerability in Europe. Through a co-creation approach, workshops were conducted to devise stigma prevention strategies during the implementation of mental health promotion interventions for migrant populations in Italy and Denmark.

Methods
The methodology involved two rounds of scenario-based workshops, a participatory method that elicit expert opinions to solve local problems and anticipate future ones. Round 1 included two separate workshops with (1) end-users and umbrella organizations, and (2) healthcare practitioners and decision-makers, to ensure diverse perspectives and minimize the impact of power imbalances. Participants brainstormed strategies to minimize stigma and optimize the intervention scenario. In Round 2, a mixed-group workshop was held to refine the strategies. Workshops occurred in Copenhagen and Verona in March 2024. Content analysis of the data was carried out.

Results
In Denmark, discussions emphasized tailored presentation of the intervention promoting shared experiences and normalizing mental health challenges, language sensitivity, participation through self-identification, and attention to relational aspects in intervention delivery to combat stigma effectively and enhance acceptability and engagement with the intervention. In Italy, proposed strategies included group exercises to raise awareness and promote open dialogue about cultural differences, language barriers, and discrimination. Discussions also considered the intersectionality of stigma, including factors like gender, socioeconomic status, and sexual orientation. Common themes included language sensitivity, facilitator training, and inclusive and safe spaces.

Conclusions
Scenario-based workshops can be a valuable tool to facilitate the co-creation of stigma-prevention strategies while involving all stakeholders in promoting effective mental health interventions.

Key messages
• Co-creation approach fostered stakeholder collaboration, yielding tailored strategies that promote inclusivity, acceptability and engagement with mental health interventions for migrant populations.
• Context-specific approaches that emphasize trust, confidentiality and cultural sensitivity were prioritised to tackle stigma when implementing interventions and promoting mental health equity.