bluuebunny/crossref_metadata_2025_split huggingface dataset:
5.Y.2. Alcohol intoxication among adolescents in Italy, Belgium and The Netherlands
Authors:   Organised by: EUPHA-PMH,   Chair persons: Johan Bilsen (EUPHA-PMH), Guido Van Hal (Belgium)
Published: October 2024

Abstract

Excessive drinking behavior poses a significant risk to the health of adolescents and contributes to high social and health costs. It is also well-documented that engaging in risky drinking behavior at a young age increases the likelihood of developing alcohol use disorders and other mental health disorders later in life. Therefore, the timely development of adequate interventions to prevent and reduce such behavior is an important public health task. The initial step here is to gather comprehensive data on the phenomenon. Studying alcohol intoxication data among adolescents is an important source in this context. In the Netherlands, data on alcohol intoxication in adolescents have been routinely collected for several years, leading to a successful transmural framework aimed at supporting these young individuals and their parents. As countries are at varying stages in addressing this issue, the objective of this workshop is to facilitate mutual learning about effective prevention initiatives targeting problematic alcohol use in young people. The workshop will feature presentations from four studies representing three countries: Italy, Belgium, and the Netherlands. Allegra Ferrari from Italy will discuss alcohol-related emergencies among adolescents admitted to an emergency department in Genoa, emphasizing the importance of urgent interventions to mitigate adolescent alcohol use. Hanna van Roozendaal from Belgium will present data from both retrospective and prospective studies on adolescents with acute alcohol intoxication in Antwerp hospitals, exploring the feasibility of follow-up interventions. Louise Pigeaud from the Netherlands will share data from a cohort of individuals under 18 years presented with acute alcohol intoxication symptoms at an emergency department between 2015-2023 to monitor trends in admission characteristics. Finally, Guido van Hal will focus more in depth on the differences and similarities in adolescents accessing emergency care for acute alcohol intoxication in Italy, Belgium and The Netherlands. The workshop will conclude with an open discussion on topics such as the necessary data to be registered for minors with acute alcohol intoxication, the most effective methods for preventing/reducing alcohol intoxication in these age groups, and the potential transferability of the successful Dutch transmural framework to other countries.

Key messages
• Acute alcohol intoxication and problematic alcohol use in minors can lead to significant alcohol-related issues in adulthood.
• Collecting and analyzing high-quality data can facilitate the development of interventions aimed at reducing and preventing alcohol-related issues in adolescents.
Differences and similarities in adolescents accessing emergency care for acute alcohol intoxication in three urban regions in Italy, Belgium, and The Netherlands
Authors: Van Hal G , Pigeaud L , van Roozendaal H , Ferrari A , de Veld L , Orsi A , van der Lely N 
Published: October 2024

Abstract

Background
Excessive drinking among adolescents in Western Europe is prevalent, posing significant health risks and societal costs. Early initiation of alcohol use and binge drinking are associated with adult alcohol use disorders. Collecting comprehensive data on adolescent drinking patterns is crucial for developing effective prevention strategies.

Methods
To gain insight into the demographic and clinical characteristics of acute alcohol intoxication (AAI), we analysed emergency department access data of adolescents aged 14-17 years presenting with AAI symptoms from 2015-2023. Three urban regions were included: the Reinier de Graaf Gasthuis in Delft (The Netherlands), eight combined hospitals in Antwerp (Belgium) and the IRCCS San Martino Hospital in Genoa (Italy).

Results
A total of 1841 patients with symptoms of AAI were included. The mean age of patients in the Netherlands was statistically significant younger than in Italy and Belgium (15.7 compared to 15.9 and 16.0 years old, respectively). Moreover, the blood alcohol concentration was higher in the Netherlands and Belgium compared to Italy (2.0‰ compared to 1.95‰ and 1.8‰ respectively). The distribution of sex was nearly equal in the Netherlands, while statistically significant differences were observed with a higher proportion of males in Italy (54.8%) and Belgium (56.8%). Combined drug use was lower in Belgium with 10.0%, compared to 13.4% in The Netherlands and 14.7% in Italy. The most common reason for admission was ‘reduced consciousness’ in the total population (45.2%).

Conclusions
This is one of the first international studies which combines data on AAI in minors. In the future, efforts should be made to establish a common European database where records of AAI can be stored and analysed more efficiently for prevention purposes.
6.X.2. Food Insecurity in Europe: Voices from across Europe
Authors:   Organised by: EUPHA-ENV,   Chair persons: Christina Lampl (Austria), Anja Simmet (Germany)
Published: October 2024

Abstract

Food insecurity (FI), “lack of regular access to enough safe and nutritious food for normal growth and development and an active and healthy life”, is a global public health issue. The United Nations (UN) have identified achieving food security as a key Sustainable Development Goal (SDG), where all people should “have access to safe, nutritious, and sufficient food all year round.” However, disasters related to the consequences of changing climates, pandemics, wars, displacement of populations, high inflation rates, changes in social protection systems, and food system changes challenge the achievement of this SDG. FI persists even in high-income countries including Europe. This workshop session will foster a knowledge, research and experience exchange on the situation of individuals / different population groups in the context of FI in different European countries. Starting with a contribution from Austria, the term food poverty is introduced and considered from a food system perspective / from an equity perspective. The second contribution illuminates the relationships between FI, shopping behaviours and social support among food bank users in Germany during the COVID-19 pandemic. The final third contribution comes from the Netherlands and explores the needs and perceptions regarding healthy eating among people at risk of FI. In all three studies, standardized measurement tools were applied to measure FI but recruiting methods and data collection methods varied considerably between and within the studies. The session enhances the knowledge on FI in Europe from different perspectives.

Key messages
• Food insecurity does exist in Europe: there is a need for regular, consistent monitoring across European countries.
• Food insecurity involves more than just access to food; it also considers nutritious and climate-friendly options, addressing the link between climate, health, and equity.
Defining, measuring, and reducing low-value care – proposing a new comprehensive definition and framework
Authors: Achstetter K , Steinbeck V , Panteli D , Busse R 
Published: October 2024

Abstract

Despite intensified efforts to address waste and inefficiencies in healthcare in the last decade, the ability of health systems in Europe to identify and reduce low-value care varies. Through the EU Expert Group on Health System Performance Assessment’s work, a new comprehensive definition was proposed and a framework to distinguish different types of low-value care was developed as a basis for identifying and tackling low-value care in EU Member States. Indicators to measure low-value care as well as measures to reduce it were collected. This presentation will provide a brief introduction on the definition, framework, obstacles and solutions for reducing the use of low-value care in Europe.

Speakers/Panelists
Reinhard Busse
Berlin University of Technology, Berlin, Germany
Isabel de La Mata
DG SANTE, European Commission, Luxembourg, Luxembourg
Pacal Meeus
Institut National d’assurance Maladie-Invalidité, Brussels, Belgium
Ingrid Schmidt
National Board of Health and Welfare, Sweden
Burden of disease and socioeconomic deprivation in Germany – regional patterns and variations
Authors: Wengler A , Rommel A , Porst M , Leddin J , Anton A , von der Lippe E 
Published: October 2024

Abstract
Within the scope of the BURDEN 2020 project (Burden of disease in Germany at the National and Regional Level) carried out by Robert Koch Institute (RKI) in collaboration with the German Environmental Agency and AOK Scientific Institute, burden of disease estimates for Germany and its regions become available for the first time. The national estimates of YLL, YLD and DALY are provided not only stratified by age and sex, but also by detailed regional level (96 spatial planning regions). The regional estimates provide valuable information and support the evidence-based decisions in health policies aiming at reducing the burden of disease in the country. To facilitate further the interpretation and usability of these estimates, the provided indicators were linked to the regional information on deprivation. For this purpose, the German index of socioeconomic deprivation (GISD) was used. The index was developed at the RKI and the last revised version was published in 2022. It is based on nine indicators which reflect the three subdimensions of deprivation: education, employment, and income. That is why GISD is a very suitable index for evaluating regional health disparities. Connecting both informations on BoD and deprivation, gives deeper insides in the regional differences within the country. Some diseases exhibit east/west differences, while others show north/south patterns or rural/urban distinctions. These differences reflect the variation in the prevention and health care needs for the different diseases in Germany. The results underline the necessity to study the regional inequalities separately for each disease. Different health conditions are connected to variations in settings and outline different needs in intervention programs and allocation of means.
7.Y.1. Health Literacy in a multi-modal world: innovation challenges
Authors:   Organised by: HeLiCA, EUPHA-HP, Freiburg University of Education (Germany), IPC of Coimbra (Portugal),   Chair persons: Luís Saboga-Nunes (EUPHA-HP), Sukran Peker (Türkiye)
Published: October 2024

Abstract

Good Governance, Healthy Cities and Health Literacy (HL) (The Shanghai Declaration, WHO 2016) are presented as the three pillars of Health Promotion. In order to pursue these pillars as a global strategy to ensure that citizens can make healthy choices, there is a need to explore innovative ways that are accessible and affordable to all, that will ensure that all have the right to health. In this workshop five presentations will trigger a discussion that is proposed to be developed around the consequences of innovating from the health literacy perspective: Floriane Silvestri from Portugal, will focus on health literacy and health coaching as a node towards health promotion; Juliana Bertani from Basil will address Health literacy & somatic education from a salutogenic self-resource critical health intervention; Alcina Ilharco will focus on mental health and the health literacy of university students; Paula Vital will consider the role of social prescription multi-modal approach and Sukran Peker from Turkey will present a qualitative study of the relationship between health information and behaviors. The discussion that will follow these presentations is aimed at providing new perspectives on the topic of health literacy with participants interaction and networking.

Key messages
• Innovative ways to bring health promotion into effectiveness needs to be established from health literacy focused initiatives.
• Salutogenesis is a structural paradigm to drive innovative mechanisms to help improve wellbeing and quality of life by health literacy innovative approaches.
Co-creation in public health: innovations and considerations
Authors: Agnello Danielle 
Published: October 2024

Abstract
Danielle will delve into the essence of co-creation and its application in navigating the complexities of public health challenges. Delegates will gain insights into how co-creation fosters innovative solutions and discover key considerations essential when designing co-creation projects. Join us to explore the transformative potential of co-creation in addressing the pressing issues of public health.
Social Cohesion in Different Periods of the Pandemic: What Works in Reducing COVID-19 Mortality
Authors: Chuang Y 
Published: October 2024

Abstract

Background
Inconsistent results were reported regarding the effects of social cohesion dimensions on COVID-19 mortality rate (MR). Most studies have indicated that trust in civil services, but not participating in social activities, reduces COVID-19 MR, possibly because of the highly contagious nature of this disease. In this study, we investigated how the effects of various dimensions of social cohesion on COVID-19 MR vary across different phases of the pandemic.

Methods
This longitudinal study was conducted using data from 86 countries that participated in the 2017-2020 World Values Survey. The measures of social cohesion were identified by aggregating survey responses to the country level. COVID-19 MR was calculated-using data from the European Centre for Disease Prevention and Control-separately for three distinct periods during the pandemic (January 2021-June 2022). A factor analysis was conducted to identify the dimensions of social cohesion, and negative binomial regression models were constructed to analyze data for each period.

Results
The factor analysis revealed three dimensions of social cohesion: social participation and inclusion, health service equality, and trust in civil services and democracy. Our findings suggest that each dimension of social cohesion uniquely affected COVID-19 outcomes in different periods of the pandemic. Trust in civil services and a positive attitude toward democracy are strongly associated with a low COVID-19 MR. However, this association was observed only in the early and middle stages of the pandemic. By contrast, our study demonstrated that in the late stage of the pandemic, increased social participation and inclusion helped combat COVID-19.

Conclusions
This study underscores the importance of collective cohesion and solidarity in mobilizing public responses against pandemic situations. This study emphasizes that preventive or regulatory interventions should be tailored to different phases of a pandemic.

Key messages
• COVID-19 mortality rate was negatively associated with trust in civil services during the early two periods and with social participation and social inclusion during the late period of the pandemic.
• This study emphasizes that preventive or regulatory interventions should be tailored to different phases of a pandemic.
Comparison of perinatal hospital services of women living in Roma settlements in Slovenia
Authors: Krajnc Nikolić T , Rostohar K , Ranfl M 
Published: October 2024

Abstract

Background
Women living in Roma settlements in Slovenia had worse perinatal health indicators comparing with women from the rest of population. They gave more births in younger age and used fewer preventive services and later in pregnancy. Roma children had higher chances to be born earlier and with lower birth weight. We explored the differences in provided hospital services between pregnant Roma and the rest of female population in Slovenia.

Methods
We identified the female inhabitants of Roma settlements from the national registry of population and separated from the rest of the population data. Health indicators were provided from the national health register - Perinatal Information System for the years from 2018 to 2022. The frequency statistics, ANOVA and comparison of column proportion tests were used (p-value&lt;0.005, 95% CI) to compare the differences in categories of services in those two groups.

Results
Statistically significant differences were found in several hospital services comparing treatments of pregnant females from Roma settlements comparing to the rest of female population. Women from Roma settlements had higher ratio of gynecologic history without remarks, fewer treatments and less prevention investigations in prenatal period and higher ratio of natural start of delivery. In addition, by Roma females was used less medication during delivery, less episiotomies and fewer caesarean section were performed.

Conclusions
There are significant differences in provision of hospital services between female inhabitants of Roma settlements and the rest of population. Some of them could be explained by younger average age of delivery in Roma, but additional research would bring more light in possible impact of socio-economic and cultural determinants on both the use and provision of health services.

Key messages
• There are differences in provided health services between Roma women and the rest of female population. In depth research of prenatal and hospital services would bring additional explanations.
• Considering the health inequalities which start by birth, targeted and tailored actions to improve health of Roma women and their new-borns are appropriate and necessary.
Improving the rights of people with mental disorders in the Republic of Croatia
Authors: Štimac Grbić D , Štimac L , Štrkalj Ivezić S 
Published: October 2024

Abstract

The mental health care system in the Republic of Croatia, despite the ongoing reform, is still based on hospital treatment. Hospitalizations due to mental disorders are in first place according to the length of stay. According to the annual report of the Ombudsman in the Republic of Croatia, 2% of hospitalizations due to mental disorders are involuntary hospitalization. Coercive measures and deprivation of business capacity are also often used. In order to reduce the number of coercive measures, involuntary hospitalizations and deprivation of professional capacity, it is necessary to increase mental health literacy and knowledge about human rights and the rights of persons with mental disorders, both among mental health experts and among patients and their families, as well as the general public. In order to increase knowledge and skills related to the rights of people with mental disorders, the Croatian Institute of Public Health, has been conducting WHO Quality Rights workshops in Croatian counties since 2019. The two-day workshops include all stakeholders: local politicians and decision-makers, associations of people with mental disorders and their families, employees in the mental health care system with the involvement of the media. So far, the training has been conducted in five major Croatian counties. The Quality Rights e-training platform has been translated into Croatian and the link to access the training is available online. In order to ensure the sustainability of the program and expand knowledge and skills, obtaining a certificate of completed Quality Right training became a requirement for passing the specialist exam in public health and in psychiatry. In five years of implementation of the program, the number of coercive measures in psychiatric hospitals decreased by 58%. Respect for human rights is a prerequisite for improving the mental health care system and the mental health. of both patients and the entire population.

Key messages
• Respect for human rights is necessary for the mental health of the population.
• Knowledge and skills about the rights of patients with mental disorders reduce the rate of coercive measures.
Depression and its risk factors in a conflict-affected population: findings from a nationwide survey
Authors: Musheghyan L , Sargsyan Z , Agopian A , Abrahamian D , Dorian A 
Published: October 2024

Abstract

Introduction
The impact of armed conflict and war on mental health is well documented, with limited data on populations living in unrecognized states. In this study, we examined the prevalence and risk factors of symptoms of depression among the Nagorno-Karabakh population during a ceasefire period, prior to a blockade, full-scale military attack, and their forced displacement.

Methods
A total of 1023 women, aged 18-49 years, from all regions of Nagorno-Karabakh, participated in a population-based household survey in 2022, which included the Center for Epidemiologic Studies-Depression (CES-D) 16-item scale to assess their depression symptoms. Simple and multivariable linear regression analyses explored the socio-demographic factors associated with CES-D score.

Results
The mean CES-D score was 8.90 (SD = 8.93), and 13.1% of the respondents had a score &gt;18 (presence of depressive symptoms). The adjusted linear regression showed that CES-D score was higher among divorced (2.66, SE = 1.15, p-value=0.021) or widowed (3.09, SE = 1.57, p-value=0.049) vs. married, and among those having war-related deaths in the household in the previous 2 years (8.60, SE = 1.65, p-value&lt;0.001) vs. not having. Conversely, a vocational/university level (-2.33, SE = 0.70, p-value=0.001) or post-graduate education (-3.81, SE = 1.72, p-value=0.027) vs less than secondary/secondary level, and 3-5 members in the household (-2.71, SE = 1.16, p-value=0.020) vs.1-2 members were significantly associated with lower CES-D score.

Conclusions
Our findings suggest that depression symptoms are highly prevalent among women in conflict-affected areas, with specific socio-demographic factors increasing the risk of depression symptoms. These results highlight the importance of providing mental health support and interventions for women in conflict-affected areas, particularly for those who experienced loss in the family due to war, are divorced or widowed, live in small households, and have lower education.

Key messages
• Depression symptoms are highly prevalent among women of reproductive age in areas affected by armed conflict and war.
• Mental health intervention is recommended for women in conflict-affected areas who experienced loss due to war, are divorced or widowed, live in small households and/or have lower education.