bluuebunny/crossref_metadata_2025_split huggingface dataset:
Social influence on post-drinking risky sexual behaviours: evidence in France and South Korea
Authors: Jeong J , Simmat-Durand L 
Published: October 2024

Abstract

Background
Post-drinking risky sexual behaviours are at the conjunction of the dual risks of sexually transmitted infections and further problematic substance use, necessitating contextual analysis for determinants that promote these behaviours. This study examines the influence of social groups on post-drinking risky sexual behaviours in different cultural samples.

Methods
A cross-sectional survey was conducted among young adults aged 18-30 in France and in South Korea in 2023-2024 (n = 998). A construct of post-drinking risky sexual behaviours includes 3 types: having sex without condoms, having sex with occasional partners, and having transactional sex. Perceived drinking norms were measured as a proportion. Multivariate logistic regression was conducted after controlling for sociodemographic factors.

Results
Young adults who reported that their social group had a higher proportion of drinkers were more likely to engage in a wider range of post-drinking risky sexual behaviours (aOR=1.02 [95%CI 1.01-1.03] in France; 1.01 [1.01-1.03] in Korea). Young adults in social groups who had experienced two types of risky sexual behaviours were more likely to engage in risky sexual behaviours after drinking (5.13 [2.21-14.1] in France; 10.65 [5.86-19.8] in Korea), compared to young adults in social groups with no experience. Young adults in social groups who had experienced all three types of risky sexual behaviours had a 10 times higher likelihood of engaging in post-drinking risky sexual behaviours in the French sample (10.12 [3.69-31.4]) and a 16 times higher likelihood in the Korean sample (16.0 [7.31-35.8]).

Conclusions
Alcohol-related risky sexual behaviours among young adults were found to be significantly associated with their social group’s drinking and risky sexual behaviours, across different cultural settings. More attention should be paid to direct/indirect influence of social groups on health risk behaviours.

Key messages
• The influence of social groups on alcohol-related risky sexual behaviours is significant regardless of cultural setting.
• Peer and social norms-based health promotion is recommended to prevent IST and HIV/AIDS.
Closing the Gap: Implementing Gender-Sensitive Care to Address Healthcare Disparities
Authors: Sgraja S , Mollenhauer J , Seeland U , Kloepfer M , Kurscheid C , Amelung V 
Published: October 2024

Abstract

Background
Women still face a higher mortality rate after a heart attack compared to men, and the reasons remain unknown. The project HeartGap aims to investigate the disparity between evidence-based guidelines and the integration of Gender-Sensitive Care (GSC+) in clinical settings. By exploring healthcare providers’ attitudes and knowledge on GSC+, the project seeks to develop holistic recommendations for its effective implementation.

Methods
The project HeartGap employs a mixed-methods approach, including a scoping review, qualitative focus group interviews, and quantitative surveys. The focus of this abstract will be on the qualitative survey. From June 13, 2023, to April 26, 2024, a total of 18 focus group interviews were conducted in 9 hospitals of varying sizes and levels of care in Germany. These interviews involved separate groups of 3-8 nurses or physicians to explore attitudes, knowledge including the european guidelines for cardiology and current implementation of GSC+ into clinical practice. Facilitating factors and barriers were also discussed and in which fields measures should be applied. The results were evaluated using a qualitative content analysis.

Results
The interviews revealed discrepancies in healthcare providers’ awareness of GSC+ and identified both facilitating and hindering factors in its implementation. Facilitating factors included increased awareness, more evidence by considering gsc+ in research, university and professional education, support from hospital leadership and politics. Barriers included a lack of time and knowledge, other priorities and vague content on GSC+ in medical and nursing guidelines.

Conclusions
Gender-sensitive care is crucial for personalized healthcare, yet its implementation remains inconsistent in clinical practice. Targeted strategies are necessary to enhance awareness, knowledge, and guidelines and policy support for GSC+. The Identified recommendations for action are transferable throughout Europe.

Key messages
• Gender-sensitive care is pivotal for addressing healthcare disparities but faces implementation challenges.
• Comprehensive strategies, including awareness, teaching and policy support, are indispensable for integrating gender-sensitive care into clinical practice.
The wisdom layer: how to support evidence-informed policymaking
Authors: Van den Borre L , Gorasso V , Scohy A , Schmidt M , Devleesschauwer B , De Pauw R 
Published: October 2024

Abstract
One of the returning challenges faced by public health scientists is bridging the ‘evidence-policy gap’-the disparity between identifying public health issues and implementing policies to address them. Despite the extensive literature documenting the challenges of promoting evidence-informed policymaking, opportunities for researchers to exchange experiences and learn from each other’s failures are limited. This presentation seeks to: (a) analyze key concepts in evidence-informed policymaking, based on the health information pyramid; (b) identify obstacles and facilitators in the translation of knowledge into actionable policy; and (c) present both successful and unsuccessful examples from our initiatives to influence health policy in Belgium. Specifically, we will discuss the concrete impact of the Belgian Health Status Report and the role this report plays in the development of actionable health objectives for Belgium. We will also cover the role of healthybelgium.be in governing and monitoring the health status of the Belgian population by discussing why this website has been recognized by WHO Europe as a model of good practice in evidence-informed policymaking.
Large scale public health system transformation: Ireland
Authors: Smyth B , O’Reilly E , Jakubowski E , Aragón de León E 
Published: October 2024

Abstract
Ireland has coped comparatively well with the COVID-19 pandemic when considering excess mortality. The reasons are likely complex and multifaceted, but it may be, in part, attributable to a comparatively young population and progress on indicators related to premature mortality and preventable mortality on chronic diseases and lifestyle risk factors. “Healthy Ireland” is a national framework in place since 2013 and utilizes a settings based approach to promote health and wellbeing in communities. It aims to improve collaboration between government, institutions, local communities, and individuals. Sláintecare is an all’party long-term health reform initiative developed in 2017 aimed at delivering the right care, at the right time, in the right place by the right team. In addition, in 2018 Ireland embarked on an ambitious public health reform programme with the implementation of the recommendations of the Crowe Horwath review of Public Health. While challenges exist, including access to services and waiting times, the governments has put in place initiatives to address these and is committed to, amongst other things, promo ting the continued integration of services across a variety of domains including primary to quaternary prevention. As Ireland began to emerge from the COVID-19 pandemic it established “The Public Health Reform Expert Advisory Group” to identify learnings from the public health components of the response, with a view towards strengthening public health and health protection generally and, specifically, future public health pandemic preparedness. The group, made up of national and international public health experts, submitted its final report in September 2023 which outlined a series of recommendations focused on potential improvements to public health policy, structures and governance. The WHO analysis of the Essential Public Health Functions provided complementary results. More work is now ahead to consider and implement these recommendations and foster institutional reforms including at the Health Services Executive, the Department of Health, and at the Health Protection Surveillance Centre.
Wellbeing Economy: Integrating Sustainability and Social Welfare
Authors: Kyyrönen O 
Published: October 2024

Abstract
Wellbeing economy refers to the interconnectedness of the economy, social security, healthcare, planetary boundaries, and overall welfare, highlighting the long-run sustainability of the socioeconomic system in accordance with the UN Sustainable Development Goals. As the OECD concisely states, the wellbeing economy is meant to put people and their wellbeing at the centre of policy. In Finland, where the Ministry of Social Affairs and Health is currently rendering the concept into an official steering model for policymaking, the wellbeing economy has historically developed in relation to the Nordic welfare model, which has helped regulate demand with high efficiency. This presentation will introduce the core principles of the Finnish wellbeing economy, discuss its relationship to the Nordic welfare model, and explain how the wellbeing economy has successfully given rise to rapid and inclusive growth.
Temporal Trends in Dementia Incidence in Sweden: Insights from NEAR Data
Authors: Thiesmeier R , Grande G , Hofer S , Orsini N , Rizzuto D 
Published: October 2024

Abstract

Background
This study investigates the temporal trends of dementia incidence in Sweden over a span of 35 years, drawing on data from the National E-Infrastructure for Aging Research (NEAR).

Methods
Our comprehensive analysis encompassed over 10,000 participants aged 50 and above. We estimated dementia incidence rates across the study period, considering birth cohort, age, and sex while controlling for potential confounders. Additionally. We explored potential modifiers influencing the estimated trend of dementia incidence.

Results
The analysis reveals a notable decline in dementia incidence rates, particularly among individuals born in more recently. Octogenarians born in the 1920-1930 cohort had a 74% lower dementia incidence rate compared to their counterparts born before 1900. Similarly, nonagenarians born in the 1910-1920 cohort experienced a 45% lower incidence rate. We further investigate determinants influencing this declining trend, shedding light on various factors shaping the observed patterns.

Conclusions
The incidence rate of dementia in Sweden has shown a consistent decline over the past 35 years, with a notable birth cohort effect indicating lower rates among individuals born more recently. This finding suggests evolving factors in lifestyle, healthcare, or environmental conditions contributing to improved cognitive health outcomes.

Key Messages
• These findings underscore the importance of proactive public health measures aimed at sustaining and enhancing cognitive health outcomes among aging populations.
• Understanding the temporal dynamics and underlying factors driving these trends can inform strategies for promoting healthy aging and improving the quality of life for older adults.
Characterizing Risk Profiles and Transitions across Living and Care Settings in Sweden
Authors: Gentili S , Calderón-Larrañaga A , Rizzuto D , Agerholm J , Lennartsson C , Hedberg Rundgren Å , Fratiglioni L , Vetrano D 
Published: October 2024

Abstract

Background
Older adults are at increased risk of frequent healthcare transitions between health care (hospitals) and social care providers (formal care and institutions). Therefore, our objective was to quantify and characterize the potential risk profiles of multiple transitions between living and care settings for older adults.

Methods
Data were obtained from the National E-Infrastructure for Aging Research (NEAR), including the Swedish National Study on Aging and Care (SNAC) and the National Patient Register, to evaluate living and care transitions of over 7,000 individuals aged 60+, across homes, formal care, nursing homes, hospitals, and post-acute facilities. A multi-state model was used to represent moving likelihood.

Results
Over 15 years, the average length of stay was two years at home, one year in home care, one year in institutionalization, eight days in the hospital, and 17 days in post-acute facilities. Older age and being a woman increased the chance of receiving home care after hospital discharge (Hazard Ratio [HR] range 1.35-4.38, 1.06-1.08), whereas multimorbidity and slow walking speed were associated with an 11%-50% increased hazard of hospitalization and home care. Generally, cognitive impairment increased the hazard of institutionalization (HR range 1.99-2.15), and disability was associated with a higher hazard of nursing home placement (HR range 2.57-3.07).

Conclusions
These findings underscore that care transition patterns are associated with different sociodemographic, clinical, and functional characteristics. This highlights the complex and dynamic interplay between these characteristics and social and health care use.

Key messages
• The study emphasizes that hospitalization is a major driver of transitions between living and care settings for older adults.
• Age, gender, multimorbidity, walking speed, cognitive impairment, and disability all play a role in shaping older adults’ transition patterns between different care settings.
Inclusive Life Projects for people with Serious Mental Disorder and/or addictions
Authors: López Nicolás T , Ruiz Periago B 
Published: October 2024

Abstract
Project “Inclusive Life Projects” offers comprehensive and community care to people with SMD/A within projects of autonomous living, which provide a concrete and real response to their needs, with the ultimate objective of avoiding the risk of institutionalization. Currently, 26 actions have been designed and are being implemented within JA ImpleMENTAL pilot in five municipalities in the Region of Murcia: Caravaca, Cartagena, Lorca. Molina de Segura and Yecla with a participation of 50 people with SMD/A. The following elements are selected from the Belgian good practice: • Creation of local intersectoral networks promoting person-centered care process; • Personalization of care through the Individualized Care Plan, responding to the needs, and desires of people with SMI/A, activating the appropriate support; • Professional case manager. It generates the well-being of people on an empathy and trust basis and articulates coordination so that the agreed Plan can be developed as planned.
A strategic and support coordination tool for action and facilitation of institutional support, the Social and Health Coordination Protocol for people with SMI/A, has been developed. The protocol facilitates the creation of coordination structures, among them the Socio-Health Coordination Base Teams stand out, teams made up of professionals from the different agents involved, multi-professional and intersectoral, (Mental Health, Primary Health Care, Social Services, Social Initiative) taking into account the needs of the person. It also serves to share information, detect training needs, influence resources, etc. PETRA, a computer platform, has been developed for sharing information between the systems involved, especially the health system and the social services system, both primary care, hospital care and specialized care. It allows the exchange of information, in real time, between professionals, the planning of actions, and the design of indicators and control and evaluation processes.
10.N. Scientific session: Gender and parenthood: short and long-term income, career, and health inequities
Authors:   Organised by: Institute of Public Health of the University of Porto (Portugal),   Chair persons: Teresa Leão (Portugal), Julian Perelman (Portugal)
Published: October 2024

Abstract

Despite the last decades’ changes in the distribution of household and child-rearing tasks, its main responsibility tends to fall on women. As such, parenting may remain an important determinant of gender inequalities in income, careers, and health and well-being. In 2022, on average, European women’s gross income was 12.7% below men’s. This income gap is, in part, explained by inequalities in full-time employment: in the EU, 31.5% of women with children worked part-time, which contrasts with 20.2% of women without children, with 4.9% of men with children, and 7.2% of men without children. These income and career impacts may occur due to the persistence of some traditional conceptions of the division of paid and nonpaid labor. These conceptions, and the subsequent inequalities in career progression and income, may be reflected in women’s living conditions, work-family conflict, chronic strain, well-being, and health. Yet, it can also be posited that men, experiencing the pressure to remain the main provider in the family and the most recent expectations to comply with childrearing roles, may also see their well-being and health affected. However, countries with higher gender equity have shown better results in life expectancy and healthy life expectancy for women and men. It can be argued that women and men, especially those who have children, benefit from countries with more progressive parental policies, such as longer and more equally divided parental leaves, accessible childcare, or flexible working schemes. It could, thus, be expected that these countries present higher gender equity in paid and nonpaid work division, career progression, and income, with a higher couple balance, and healthier family environments, with health gains for women and men who are parents and their children. This workshop aims to present and open to discussion recent research outcomes on the role of parenthood on income, career, and health inequalities across European countries. It will show results from quantitative and qualitative studies that focus on analyzing these impacts in the short- and long-term. By discussing these results, researchers and public health professionals may grasp parental, labor market, or social policies or health programs to foster gender equality in access to better living conditions and health, especially during and after parenthood.

Key messages
• Parenthood may widen gender inequities regarding income and career progression, contributing to the gender gap in health and well-being.
• By understanding the magnitude of gender inequities and their distribution across countries, public health researchers and professionals may identify policies that effectively address the gender gap.
Developing a tool to support vaccine literacy with a participatory approach: Glossary of essential terms on vaccinations
Authors: Bellini A , Russo M L , Bartolucci C , Marchetti G , Aloise I , Papaevgeniou N , Karnaki P , Declich S , Marceca M 
Published: October 2024

Abstract

Issue
Access to vaccination services on their own is often difficult for migrants, especially newcomers (NAM), due to few vaccine literate services. Professionals who meet migrants need easily accessible vaccine information, to strengthen their ability to promote vaccination and facilitate vaccination access for NAM, especially non-medical professionals such as cultural mediators, reception staff, language teachers, social workers and community leaders.

Description
For offering accurate, accessible and actionable information by using plain language, a Glossary of Essential terms on Vaccination was developed and then tailored in each consortium countries, with a participatory approach. The Glossary is structured in two sections: vaccination related terminology and terms specific to country healthcare organization.

Results
8 workshops were organized in Greece, Italy, Spain, Germany, Cyprus, Malta, Poland, Romania to consult health and non-health professionals who work with migrants to make the tool as actionable as possible (83 participants). Cultural mediators were most represented, followed by NGO operators and physicians. The workshops were held based on shared guidelines, the focus was on assessing the clarity, completeness and usability of the glossary. 90% reported that the glossary is clear and useful, 80% considered the tool relevant, while 75% thought it is easy to use. The Glossary has been formatted with facing text in different languages for each consortium country, thus providing a comprehensive resource (53 final versions).

Lessons
By implementing the glossary, we aim to enable, empower, guide and facilitate access to immunization for NAMs. Sharing an essential vaccine-related information tool with “professionals for health” boosts their advocacy for NAM’s vaccination and healthcare system’s responsiveness to vaccine literacy. The participatory approach increases effectiveness and permeability of the tool itself.
Vaccine literacy and cultural competence training of Professional FOR health to improve the vaccination offer
Authors: Russo M , Marchetti G , Gatta A , Bartolucci C , Aloise I , Papaevgeniou N , Declich S , Marceca M 
Published: October 2024

Abstract

Background
It is essential that healthcare institutions have a high level of organizational vaccine literacy so that they can support Newly Arrived Migrants (NAM) to navigate, understand and make informed decisions on vaccinations in an effort to make uptake equitable. Developing training material for Professional-FOR-health (PfH) working with NAM, i.e. health and non-health workers, can improve the vaccination offer for NAM.

Objectives
A holistic training framework for PfH was designed to increase capacity building skills and cultural sensitivity of the healthcare system in promoting active immunization of NAMs. The blended training should cover four topics: “Vaccine Literacy”, “Cultural awareness/migrant sensitivity”, “Health promotion tools with community-based approach” and “Entitlement to vaccination for NAMs/NAMs profile”. As learners cannot be seen as mere recipients of notions, their needs, motivations, and experiences should be put right at the center of the training process. Therefore, a training guide and materials were shared to Consortium Countries to be adapted and implemented in their context. Training sessions were conducted in the summer of 2023.

Results
A total of 180 participants showed an average increase of 8.2% in correct answers from pre- to post-raining. Notably, 112 participants experienced more than a 10% increase in correct answers. Significant increases were observed across all topics, particularly in Vaccine Literacy (A1) and NAM Profile (A4), with increases of 52% and 74%. The training was evaluated positively with an overall index of 4.2 out of 5. All items analyzed from the satisfaction questionnaire yielded positive evaluations, with an average rating of 4 out of 5.

Conclusions
The evaluation underscores the effectiveness of training in meeting educational needs of participants. This type of training can be the groundwork for the changes needed to make the NAMs vaccination process more guaranteed and inclusive.