bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sociodemographic and lifestyle correlates of energy drinks consumption in Serbian adolescents
Authors: Gudelj-Rakic J , Kilibarda B , Vasic M , Jovanovic V 
Published: October 2024

Abstract

Background and aim
Energy drinks (EDs) are non-alcoholic beverages that typically contain high levels of caffeine and sugar in combination with other ingredients known to have stimulant properties. Although there is growing evidence of the harmful physiological and psychological effects of energy drinks their popularity has increased during the past decade. While researchers point out variety of health consequences, data on prevalence and correlates of EDs consumption are scarce. Aim of the study was to determine prevalence of EDs consumption and to investigate sociodemographic and lifestyle correlates of EDs consumption among adolescents in Serbia.

Study design
Secondary analysis of data obtained from 2022 Health Behaviour in School-aged Children Study (HBSC) in Serbia. Study included 3962 students aged 11, 13 and 15 years. Students with missing values for one or more study variables were excluded from the analyses.

Methods
Multiple logistic analyses stratified by age and sex were performed to estimate the associations between consuming EDs and sociodemographic and lifestyle characteristics.

Results
Overall, 15.6% of students consumed EDs more than once a week (16.2% of boys and 15.5% of girls) with highest percentage among 15-year-old students (20.3%). For both genders, the percentage of adolescents consuming ED more than once a week was higher among adolescents with lowest family affluence (21.9%), those consuming soft drinks daily (39.5%) and alcohol weekly (47.6%). In boys only, consuming ED several times a week was more frequent among adolescents having at least 60 min moderate-to-vigorous physical activity (MVPA) daily than among those with lower levels of MVPA.

Conclusions
Different patterns of ED consumption were identified suggesting need for tailored interventions aimed at reducing ED consumption in adolescents.

Key messages
• Every fifth h 15-year-old student in Serbia consume EDs more than once a week.
• Higher EDs consumption among physically active boys indicate need for targeting interventions that will address this issue.
Predictors of social withdrawal among early adolescents in Korea: a latent growth class analysis
Authors: Lee J , Kim E , Kim H 
Published: October 2024

Abstract

Background
This study examines the trajectory of social withdrawal from the fourth grade of elementary school to the first grade of middle school in Korea. By classifying them, we identify individual differences such as individual, family, and school factors.

Methods
This study uses data from the Korean Youth Panel Survey (KYCPS) conducted by the Korea Youth Policy Research Institute, which includes data from the 1st-4th waves of KYCPS 2018, with a total of 2,607 participants (1,313 boys and 1,294 girls). A latent class growth analysis verifies the trajectory of youth social withdrawal, classifies latent classes, and identifies predictive. SPSS 24.0 was used to analyze the main variables’ characteristics, descriptive analysis, and reliability. Mplus 8.9 was used to test the research model.

Results
First, results indicated that three was the optimum number of latent classes. We identified three latent classes ‘high level of withdrawal continued (HL)’, ‘medium level of withdrawal increased (ML)’, and ‘low level of withdrawal increased (LL)’. Second, when compared the ‘LL’ and ‘HL’ groups, the higher the self-esteem, the higher the friendship, and the higher the dependence on smartphones, the more likely it was to be in the ‘HL’ group. Third, when comparing ‘LL’ and ‘ML’ groups, the more negative the parenting attitude, the more likely it was to be in the ‘ML’ group. On the other hand, higher self-esteem and more positive friend and teacher relationships were associated with a higher likelihood of being in the ‘LL’ group.

Conclusions
It is necessary to seek differentiated interventions to prevent social withdrawal among early adolescents. Parental education to understand the adolescent period and practical approaches to intervene in the negative psycho-emotional aspects of adolescents continuously are needed to enhance the healthy psychological development of early adolescents.

Key messages
• The higher the self-esteem, the higher the friendship, and the higher the dependence on smartphones, the more likely it was to be in the ‘high level of withdrawal continued’ group.
• Higher self-esteem and more positive friend and teacher relationships were associated with a higher likelihood of being in the ‘low level of withdrawal increased’ group.
Income inequality and risky health behaviors of affluent adolescents in the post-Communist Europe
Authors: Torchyan A , Houkes I , Bosma H 
Published: October 2024

Abstract

Background
We aim to study the “golden youth” hypothesis and examine the risky behaviors of adolescents with high socioeconomic position (SEP) in post-Communist countries of Europe (PCCE) in relation to income inequality.

Methods
Adolescents aged 11-15 years from 14 PCCE participating in the Health Behavior in School-aged Children survey 2017/18 were included. A K-means cluster analysis was conducted to group adolescents based on tobacco smoking, alcohol use, binge drinking, and bullying perpetration. Generalized linear mixed models were fitted.

Results
Four clusters of adolescents were identified. The percentage of high-SEP adolescents in Cluster 1 (low risky behaviors) was slightly less compared to middle and low-SEP groups (70.9% vs 73.1% vs 73.9%, respectively). High-SEP adolescents were more likely to be in Cluster 2, characterized by frequent alcohol consumption but moderate binge drinking (14.3% vs 12.6% vs 10.7%). The prevalence of risky behaviors was similar between high and low-SEP adolescents in Cluster 3 (high smoking, frequent alcohol use, binge drinking, and moderate bullying) (8.0% vs 7.7% vs 8.2%) and Cluster 4 (high levels of bullying perpetration) (6.7% vs 6.5% vs 7.2%). Countries with higher Gini index were at a greater risk of reporting risky behaviors. High-SEP adolescents were more likely to engage in risky behaviors in countries with high income inequality. The odds ratios comparing high- vs. low-SEP adolescents ranged from 0.89 in the least unequal to 1.67 in the most unequal countries for multiple risky behaviors (Cluster 3: P-interaction = 0.042) and from 0.61 to 1.19 for bullying perpetration (Cluster 4: P-interaction = 0.030).

Conclusions
High-SEP adolescents in PCCE might be at an increased risk for unhealthy and vicious behaviors, especially in countries with high income inequality. This study highlights the need for policies that address income inequality to ensure the well-being of adolescents across socioeconomic strata in PCCE.

Key messages
• High-SEP adolescents might be at an increased risk for unhealthy behavior in PCCE.
• Wide income inequality might contribute to risky behaviors among high-SEP adolescents.
Pleasure-inclusive sex education, sexual agency and sexual wellbeing in youth: A scoping review
Authors: van Ditzhuijzen J , Overeem A 
Published: October 2024

Abstract

Background
A recent review study showed that pleasure-inclusive sex education can contribute to reducing sexual health risks such as unwanted pregnancy and STIs (Zaneva et al., 2022). Pleasure-inclusive sex education could also contribute to other measures of sexual wellbeing. In this study, we review the literature on associations between pleasure-incorporating sex education and sexual agency (including related concepts such as autonomy) and sexual wellbeing (part 1), and between sexual agency and sexual wellbeing (part 2).

Methods
We searched in 5 scientific databases using a wide scope of variables related to pleasure inclusive sex education, sexual agency, and various outcomes of sexual wellbeing, focusing on the last 2 decades. Forty-six articles were selected.

Results
In part 1 of the review we found that all studies reported associations between pleasure-based sex education and sexual agency or sexual wellbeing, but the literature is characterized by limitations and did not permit conclusions about the role of an added benefit of the pleasure component. In part 2 of the review study, we found positive associations between sexual agency (and related variables) and sexual wellbeing (including decreased levels of (re-)victimization).

Conclusions
Sexual agency may be related to increased sexual wellbeing, but it is still largely unclear whether pleasure-inclusive sex education can significantly contribute to this. There is a great need for high quality research, using innovative evaluation designs, taking into account the role of other important sources of sex education and other contextual factors.

Key messages
• A lot of work has been done, but the evidence that pleasure in sex ed ‘works’ for sexual wellbeing, is limited and indirect.
• Great need for high quality research using novel and more realistic evaluation approaches.
Acculturation and self-management abilities of well-being among older Moroccans in the Netherlands
Authors: Hussein H , Cramm J M , Nieboer A P 
Published: October 2024

Abstract

Background
Migration involves a variety of stressors. Their accumulation over time may negatively impact migrants’ well-being. The extent that older migrants can integrate into a host society may determine their readiness to adopt behaviors such as self-management of well-being. Research regarding this relation among older Moroccans, one of the largest migrant groups in the Netherlands, has not been examined. This study aimed to investigate the relationship between acculturation and self-management abilities of well-being among older Moroccans and to examine differences in subgroups.

Methods
This cross-sectional study included 290 older Moroccans (≥ 65) living in Rotterdam, the Netherlands. Linear regression was applied to explore associations between acculturation (attachment to Moroccan and Dutch cultures) and self-management abilities of well-being. Independent samples t-tests were used to test differences between subgroups.

Results
Older Moroccans who received low education were found to be less attached to the Dutch culture [3.24 (0.72) vs. 3.54 (0.73); p = 0.016]. They were also poorer self-managers of their well-being [2.60 (0.59) vs. 2.86 (0.58); p = 0.012], along with those with multi-morbidity [2.55 (0.60) vs. 2.77 (0.54); p = 0.006] and those lacking comprehension of Dutch [2.46 (0.56) vs. 2.69 (0.59); p = 0.011]. Self-management abilities of well-being had a negative association with multi-morbidity (β = −0.18, p = 0.007) and lack of Dutch comprehension (β = −0.16, p = 0.031), and a positive association with attachment to Moroccan (β = 0.17, p = 0.012) and Dutch (β = 0.18, p = 0.010) cultures.

Conclusions
Findings indicate that attachment to Moroccan and Dutch cultures is beneficial for older Moroccans’ self-management of well-being. Efforts need to support older migrants’ integration for them to adequately function and feel at home. Interventions promoting integration and self-management need to consider the characteristics of older migrant populations

Key messages
• Attachment to origin and host cultures benefits older migrants’ self-management of well-being. The cultural context of older migrants needs to be considered when promoting values of self-management.
• Differences in acculturation and self-management of well-being existed between older migrant subgroups. Interventions promoting these values should account for the diversity that exists among migrants.
Institutional Discrimination in Health Security Policies against Immigrants in South Korea
Authors: Kweon S , Baek M , Choi Y , Kim J 
Published: October 2024

Abstract

Background
South Korea is poised to become Asia’s first mult-iethnic society with over 5% of its population, totaling more than 2.5 million, being immigrants. This demographic shift presents significant public health challenges linked to widespread, and even intensifying, institutional discrimination in healthcare services.

Methods
This study reviews discriminatory practices across ten essential health security programs, including National Health Insurance (NHI) system, disability assistance, occupational health services, maternal and child care services, national immunization program, health screening program, and assistance for catastrophic medical expenses. Government data and personal narratives were also reviewed to identify the discriminatory elements that can have significant consequences, including increased disease prevalence, higher incidence of occupational injuries, and broader socio-economic instability among migrants.

Results
Discriminatory elements were found in most programs, with the exception of emergency medical services. These programs commonly provide fewer benefits or impose stricter eligibility criteria for migrants compared to nationals. In particular, the Korean NHI system demands migrants to pay higher premiums and more rigorous maintenance requirements.

Conclusions
The findings emphasize the need for urgent reforms to equalize health insurance costs, simplify eligibility criteria for migrants, and broaden the scope of benefits to encompass all residency statuses. Implementing these changes will enhance public health infrastructure, improve occupational safety, and foster better integration of the diverse population, ultimately promoting social cohesion and a fairer health system for all.

Key messages
• A number of discriminatory elements against migrants have been identified in South Korea’s social security policies that can exacerbate health disparities.
• Reforms are needed to expand benefits and relax eligibility criteria for migrants in key healthcare policies, including the National Health Insurance system.
Health-related quality of life among refugees from Nagorno Karabagh resided in Kotayk, Armenia
Authors: Giloyan A , Harutyunyan T , Petrosyan V 
Published: October 2024

Abstract

Background
In September 2023, more than 100,000 ethnic Armenians were displaced from Nagorno Karabakh (NK). This study assessed the health-related quality of life (HRQoL) and associated factors among NK refugees who settled in Kotayk province of Armenia.

Methods
We surveyed 197 refugees using a structured interviewer-administered questionnaire, which collected information about socio-demographics, chronic diseases, smoking status, HRQoL, utilization of healthcare services, living conditions and food access. The SF-36 Health Survey assessed HRQoL. Ophthalmic examination was conducted. Eyeglasses and medications were provided at no cost to those requiring them.

Results
The participants’ mean age was 64.8 years and 59.4% were retired. The most commonly reported chronic diseases were bone/joint diseases (67.5%), hypertension (55.3%) and heart diseases (24.9%). Around 48.7% of participants experienced sleeping disorders often/ very often. The mean total SF-36 score was 57.42±23.12; the mean physical (PHC) and mental health component (MHC) scores were 63.57±26.28 and 59.37±20.04, respectively. Only 28% of the participants utilized healthcare services after displacement. Most participants had consistent access to an adequate food supply. In the adjusted analysis age (B/PHC=-0.94, p &lt; 0.001; B/MHC=-0.61, p &lt; 0.001), sleeping disorder (B/PHC=-21.86, p = 0.011; B/MHC=-17.44, p = 0.001), use of medical service (B/PHC=-8.63, p = 0.022; B/MHC=-6.95; p = 0.015) and having more than one chronic disease (B/PHC=-17.35, p &lt; 0.001; B/MHC=-10.90, p = 0.001) were associated with both PHC and MHC.

Conclusions
This study marks the first assessment of HRQoL among NK refugees. Governmental support and interventions targeting individuals with ophthalmic, sleeping, and chronic diseases might be beneficial. Follow-up assessments should track changes in both physical and mental health scores in this population, as they may fluctuate over time in response to displacement challenges.

Key messages
• Age, sleeping disorder, use of medical service, and the number of chronic diseases were significantly associated with decreased PHC and MHC of HRQoL
• Interventions targeting individuals with restricted access to healthcare services, as well as those affected by eye diseases and chronic health issues might be beneficial.
Towards integration of care in Portugal: Expansion of a new management model for the NHS
Authors: Fronteira I 
Published: October 2024

Abstract

Introduction
In 1999, the first Local Health Unit (LHU) was created in the Northern region of Portugal to improve management, share resources and integrate care. The LHU integrated a National Health Service (NHS) hospital and primary healthcare (PHC) services located within the same geographic area and became responsible for public health activities and the provision of care. Over the next few years, 7 LHUs were created, the last one in 2012. In 2024, the government expanded this model to the entire territory, creating 39 LHUs. This research analyses the objectives, characteristics and expected outcomes of the scale-up of LHUs.

Methods
This study utilised a mixed methods approach based on the 6 Ps - Problem, People (policy stakeholders), Process (policy development), Price tag (Resource allocation), Paper (policies, laws, regulations), Programmes (policy implementation); and the political, social and economic setting of the Policy Circle Framework.

Findings
A 2015 assessment revealed that LHUs did not differ from non-LHUs in terms of access, waiting times, clinical excellency, patient safety or patient centeredness. The degree of integration of care in LHUs seemed lower compared with non-LHUs. However, there was no systematic evaluation of the creation of the first LHU. Despite this, the government announced the intention to expand LHUs to the entire national territory, which culminated with the creation of 39 LHUs in 2024 to deliver integrated care, with an emphasis on the proximity and continuity of health services and promotion.

Conclusions
Despite the existing knowledge gap on the impacts of LHUs in health outcomes and management efficiency, LHUs can provide opportunities to advance integrated and patient-centred care and develop strategies for managing scarce resources, including the health workforce. Nevertheless, the integration of hospitals and PHC can threaten the centrality of primary health care both in terms of delivery of care and resource allocation.
Comparison of hospital treatments of the Roma settlements’ inhabitants in Slovenia
Authors: Krajnc Nikolic T , Ranfl M , Rostohar K 
Published: October 2024

Abstract

Background
Roma ethnic minority in Slovenia was recognized as a vulnerable group with worse health indicators and significantly shorter life expectancy. The vast majority of Roma population in Slovenia have health insurance. We were investigating the use of hospital services in Roma population according to their age and comparing it with the rest of the population.

Methods
We determined the inhabitants of Roma settlements from the Slovenian register on residents. The data on hospital treatments used were from Slovenian national register on hospital treatments for the period 2018 to 2022. We compared different ratios according to certain hospital treatments within age categories of patients and co-pared those two groups. The frequency statistics, ANOVA and comparison of column proportion tests were used (p-value&lt;0.005, 95% CI).

Results
Inhabitants of Roma settlements were more often treating in hospitals that rest of population. If comparing the frequency of hospital treatments between age groups only in Roma population, the percentage of hospital treatments steeply declines with age as well as the number of persons in age groups. The highest percentages and numbers of services are in the youngest age group of 0-15 years, and the lowest in the oldest group (75+). Therefore, significantly higher ratios of hospital treatments were detected in younger then in older age groups.

Conclusions
Roma children and youngsters (0-15 years old) had the highest rate of hospital treatments and it declined with the age. It was consistent with age pyramid of Roma as young population as well as emphasized care for children in culture. The steady decline rate of hospital treatments with age could be explain with delayed seeking of health care services in adult age and higher premature mortality that leads to smaller adult population. Additional and in-depth research is necessary to explain the root causes of higher premature mortality and use of primary and preventive health services.

Key messages
• Higher use of hospital treatments was caused by higher morbidity. It is necessary to explore the leading causes of hospital treatments and premature mortality.
• It is necessary to explore the use of primary health care service, preventive service and level of health literacy of inhabitants of Roma settlements.
Conversation circles – an inventive way to talk about and address migratory related mental health
Authors: Al-Adhami M , Wångdahl J , Tomsfelt C , Carlzén K , Svensson P 
Published: October 2024

Abstract

Refugees in European countries face psychological stressors stemming from pre-, peri- and post-migration experiences. In Sweden, a mental health promotion program for newly settled refugees “Ways Forward - After the escape”, was tried out to mitigate the consequences of negative migratory experiences. The program included training of course leaders and implementation of conversation circles for participants, i.e., short in-depth courses for smaller groups led by a trained leader. The objective of the program was to equip civic communicators working within the Introduction program for refugees with the necessary skills to lead conversation circles on mental health in cities in the south of Sweden. During 2020-2023, 43 course leaders were trained and 55 refugees participated in conversation circles. The course leader training included 50 hours of training on themes of the program “Ways Forward”; health and well-being, loss and identity, grief and forgiveness, reconciliation and acceptance, stress and stress management, trauma and trauma-conscious care. The conversation circles for participants were given in 3-hour modules x 10 occasions.
1. How did the course leaser perceive the utility of the training for their work with the target group? 2. In what ways has the intervention assisted the participants in navigating their mental and well-being in Sweden? The results showed that course leaders acquired new knowledge and practical skills and tools to lead reflective conversations about mental health related to migration. Participants reported a higher awareness of mental health issues, less stigma, trying out new coping techniques and increased motivation to seek help. Short training courses for civic communicators on migratory mental health increased knowledge and gave new skills and tools to lead conversation circles. Newly settled refugees reported higher awareness, new tools and less stigma to talk about mental health following participation in conversation circles.

Key messages
• Short training courses on mental health related to migration increased knowledge and gave new skills and tools to lead conversation circles.
• Newly settled refugees reported higher awareness, new tools and less stigma to talk about mental health following participation in conversation circles.