bluuebunny/crossref_metadata_2025_split huggingface dataset:
Determinants of eco-anxiety: cross-national study of 52,219 participants from 25 European countries
Authors: Niedzwiedz C , Katikireddi S V 
Published: October 2023

Abstract

Background
Climate change is the most significant threat to public health and has important implications for mental health. As well as the direct impact from extreme weather events, existential worry about climate change, or ‘eco-anxiety’ may impact wellbeing. This study aims to assess levels of eco-anxiety across European countries and explore its determinants.

Methods
Data were taken from the 10th round of the European Social Survey (collected 2020-22), which included 52,219 participants aged 15+ years from 25 countries. Eco-anxiety was measured by levels of worry about climate change. Multilevel logistic regression was used to assess the cross-sectional associations of social, economic and health-related factors with eco-anxiety.

Results
Overall, 42.8% of participants felt very worried or extremely worried about climate change. Levels of eco-anxiety were lowest in Slovakia (22.6%) and Estonia (24.7%) and highest in Germany (55.3%) and Spain (55.2%). Women were more worried about climate change than men (OR = 1.37, 95% CI: 1.33-1.43). Those aged 60-69 years (OR = 1.40, 95% CI: 1.27-1.54) were most likely to be worried about climate change, compared to those aged 15-19 years. People with higher tertiary education (OR = 2.50, 95% CI: 2.25-2.77) were most likely to be worried about climate change, compared to those with less than lower secondary education. Household income was not associated once educational qualifications were accounted for. Eco-anxiety was also associated with poor self-rated health (OR = 1.23, 95% CI = 1.13-1.33) and lower life satisfaction.

Conclusions
There are marked differences in levels of eco-anxiety across European countries. As the climate crisis deepens and its impacts become more visible, there is a need to monitor eco-anxiety and its potential harms to health and wellbeing, as well as its potential to motivate climate action.

Key messages
• The potential impact of eco-anxiety on health and wellbeing needs further research as levels are high across Europe.
• Urgent action to reduce climate change will help to mitigate the effects on mental health.
How the EU animal welfare legislation can tackle AMR – a One Health perspective
Authors: Pegger T , Haager D , Jamal N , Heidbuechel K 
Published: October 2023

Abstract

The development of antimicrobial resistance (AMR) is linked to the imprudent use of antimicrobials and is fuelled by industrial farming, accounting for 70% of antimicrobial use. Tackling AMR requires a One Health approach that addresses the root causes of high antimicrobials use in intensive farming and generates co-benefits for human, animal and environmental health. On intensive farms animals are mostly of high-yield breeds and are exposed to stressors, which leads to immunosuppression, increasing susceptibility to infections that need antimicrobial therapy. To combat AMR the EU Commission adopted legislation prohibiting the use of antimicrobials to compensate for poor husbandry and management. However, there is a gap in policy regarding animal welfare improvements necessary to reduce the need for antimicrobials. We assess how the EU animal welfare legislation, under revision, can contribute to filling this gap by providing the regulatory framework for improvements needed to reduce antimicrobial use. Methods include literature review and expert interviews in an approach that integrates knowledge across the human-animal-environmental sectors. Improvements in husbandry and management (lower stocking density, outdoor access, genetic diversity, etc.) positively impact animal health and welfare, consequently reducing susceptibility to infections and antimicrobial use. By prescribing these improvements the revised animal welfare legislation can have a synergistic effect with the Veterinary Products Regulation, in line with the Farm to Fork strategy, and provide the regulatory framework for higher animal welfare standards that reduce antimicrobial use. The positive correlation between higher animal welfare and the reduced need for antimicrobials demonstrates the urgency of improving welfare in farming as a key strategy to limit AMR. It builds the case for an ambitious revision of the EU animal welfare legislation to protect animal and human health in line with One Health.

Key messages
• The revised EU animal welfare legislation can become a relevant policy in tackling AMR by providing the regulatory framework for high animal welfare standards neded to reduce antimicrobials in farming.
• Tackling AMR requires a One Health approach addressing the root causes of high antimicrobial use in intensive farming: the poor welfare of animals, which increases their susceptibility to infections.
Adolescents’ meaning and implications of Health and Health Literacy
Authors: Andrade C , Helder Rocha Pereira H , Duarte A , Silva H , Freitas L , Lalanda M , Saboga-Nunes L 
Published: October 2023

Abstract

Introduction
Understand how concepts are integrated, what they mean and how they influence action, is a symbiotic movement between social representations, society achievements and personal ease in terms of interaction with the “other”. Little is known about adolescents’ concepts development like “health” and “health literacy”. The aim of this presentation is to share a show case on how adolescents incorporate and reflect into their social practices the socialization process of concepts development and how this influence their attitudes towards sustainability.

Methods
A population cross-sectional study included (n = 1009)) children enrolled in the 7th and 10th grade in the school year 2018/2019 of six schools in Ponta Delgada, Azores. Several indicators like anthropometric data, water intake, HL levels (using the HLS-EU-PT questionnaire) were collected with the CrAdLiSa online self-administered questionnaire. Also qualitative data was collected regarding the meaning of the concepts of Health and Health Literacy.

Results
Health is defined as Good functioning of the body (5.5%); Absence of disease (7.5%); State at a moment (9.5%); Adopting a healthy lifestyle (11.5%); Well-being (physical, psychological, social) (32.3%); A Resource / Asset to be preserved (33.7%); Health Literacy is defined as Knowing how to make health decisions based on information (5.7%); Set of books/documents on health (9.4%); Others (11.3%); Learning to be healthier (22.6%); Reading about health issues (22.6%); Having knowledge about health (28.3%)

Conclusions
Adolescents view on Health and Health Literacy reflect the society's processes of meaning making of these two categories and further interaction regarding the theoretical background and practical consequences of these social representations reflect a needed field of interaction toward a sustainable approach.
Influence of emotions and inflation on food and drink purchase: An ethnography among Danish families
Authors: Duus K , Tjørnhøj-Thomsen T , Krølner R F 
Published: October 2023

Abstract

Background
Families’ food and drink purchases are highly related to intake which affects several health outcomes. Various factors influence grocery shopping e.g., price, preferences, promotion, and availability. However, few studies have explored the relationship between these and how they are affected by major societal changes. This study aims to elaborate on perceived and observed influences on families’ food and drink purchases from a systems perspective during the inflation in 2022.

Methods
We performed an ethnographic study using semi-structured, shop-along, and photo-elicited interviews with families from September 2022 to January 2023. Fifteen families with children aged 0-21 participated in at least two interviews, resulting in 37 interviews for analysis. We analysed the data using the principles of abductive analysis. We focused on the unexpected research finding that a seemingly mundane behaviour - such as grocery shopping - invoked many different emotions in the participants.

Findings
Preliminary findings indicate that food and drink purchase is an emotional and private activity. The participants, for example, showed signs of and expressed embarrassment with their choices. Some participants expressed frustration, discomfort, and fear of being tricked concerning grocery shopping, while others associated it with joy, excitement, and inspiration, which influenced their selection of food items. Families experienced changing their shopping behaviour due to the rising inflation. Many faced the question of whether their regular choices, e.g., ecological products, were worth the extra cost. This new need for balancing personal values with economic considerations was often followed by negative emotions e.g., feeling like a bad parent.

Conclusions
Our preliminary findings indicate that families’ overall feeling about grocery shopping influence their purchase of food and drink items and that grocery shopping can be related to both negative and positive emotions.

Key messages
• Grocery shopping and deciding which food and drink to buy is an emotional behaviour.
• Healthy retail intervention must account for the influence of emotions on food and drink purchase behaviour.
Changes in active commuting and changes in work ability and recovery from work
Authors: Kalliolahti E , Gluschkoff K , Haukka E , Lanki T , Jussila J J , Halonen J I , Salo P , Oksanen T , Ervasti J 
Published: October 2023

Abstract

Background
Active commuting (walking or cycling) to work may be a feasible way to increase physical activity and improve health and wellbeing also at work. There is increasing evidence on the health benefits of active commuting, but little is known about longitudinal associations between active commuting and work ability, and recovery from work.

Methods
We conducted an observational cohort study of 16,776 public sector employees who responded to the Finnish Public Sector study in 2020 and 2022. Within- and between-individual associations of changes in active commuting with changes in self-rated work ability and recovery from work (scale from 0 to 10) were examined using hybrid modelling. The change in active commuting was assessed with a repeated self-report of weekly frequency of commuting by walking or cycling that was multiplied with the daily commuting distance. While the within-individual part of the hybrid model accounts for all time-invariant confounders, both parts of the model were adjusted for time-varying confounders including socio-economic factors, body mass index, and health behaviors, and the between individual part with sex and age (birth year) (time-invariant).

Results
After adjustments, a 10 km weekly increase in active commuting was associated with a slight improvement in work ability in both within- and between-individual analyses (unstandardized B = 0.02, p = 0.01; unstandardized B = 0.03, p = 0.001, respectively). Similar increase in active commuting was associated with slightly improved recovery from work in between-individual analysis (unstandardized B = 0.03, 95%, p = 0.001), but the association was not replicated in within-individual analysis.

Conclusions
Our findings suggest that an increase in active commuting may have some potential for improving work ability, albeit the increase needs to be rather large to achieve even a small improvement in work ability. The results for recovery from work were inconclusive.

Key messages
• An increase in active commuting may improve work ability.
• No conclusive evidence supporting that an increase in active commuting enhances recovery from work was found.
One Health strategies for addressing antimicrobial resistance: an exclusive emphasis on Bulgaria
Authors: Vankova D , Kapincheva I , Micheva I , Boncheva P , Mihaylova S , Kanalev R , Ivanov D , Veleva N , Vladimirova M , Paunov Ts 
Published: October 2023

Abstract

Antimicrobial resistance (AMR) is a public health challenge, primarily driven by the excessive use of antibiotics (ABs). While the European Union (EU) has successfully reduced ABs consumption since 2009, Bulgaria (BG) reports an increase in ABs use in both community and hospital settings. According to the 2021 Eurobarometer, the consumption rate of ABs among Bulgarians is twice as high as that in Germany, with a significant number taking ABs without a prescription. Moreover, only 41% of Bulgarians are aware that ABs do not kill viruses, and 30% took ABs for COVID-19 (as compared to 1% in Finland). This highlights an urgent need for interventions to tackle AMR in BG, using One Health (OH) approaches that consider the complex interplay between human, animal, and environmental health. The data presented aims to alert a wide range of stakeholders that AMR is not just a clinical or national issue but it has cross-border implications. It emphasizes the role that everyone must play in preserving the efficacy of ABs.
Strategies for sustainable OH solutions: Researchers and educators should incorporate AMR and OH in their core responsibilities, providing relevant training and raising community awareness regarding prudent ABs use. Encouraging integrative medicine approaches, including traditional practices such as phytotherapy, can help delay the ABs prescriptions. Research is also necessary to support OH legislative changes that restrict ABs sales. Particularly, Bulgaria is among the few EU countries that have not approved an OH Action Plan against AMR or an inter-sectoral OH mechanism between veterinary, food, and health authorities. OH remains relatively unfamiliar in BG. Despite this, there is a political will to develop national OH policies, as demonstrated in the recently adopted National Health Strategy 2030. Urgent actions are needed to address AMR in BG. Using EU's AMR activities as a model, this analysis is a step towards a regional OH project.

Key messages
• AMR is a pressing public health problem in Bulgaria with cross-border implications. One Health strategies are needed urgently to address it. EU's AMR activities can be a model.
• Bulgarian researchers, educators, and policymakers must make AMR their central responsibility. OH Action Plan against AMR and an inter-sectoral collaboration are the keys to success.
A cluster of Histamine Fish Poisoning associated with the ingestion of tuna
Authors: McGlacken T , Kelly S , O'Connor K , Murray H , Mullaney C 
Published: October 2023

Abstract

Histamine fish poisoning, also known as scombroid poisoning, arises from the improper handling and refrigeration of scombroid fish that contain naturally occurring histidine such as tuna, mackerel and swordfish. Histidine is converted to histamine when these fish inadequately chilled. Histamine fish poisoning is generally associated with levels greater than 500 mg/kg but poisonings have been observed at lower levels (e.g. &gt;200 mg/kg). European legislation states that scombroid fish species should be tested for the presence of histamine and mean values should be &lt; 100mg/kg. The authors report an outbreak of probable histamine fish poisoning in three individuals following ingestion of tuna. The tuna was bought in a local store. It was cooked and eaten by the 3 cases at home for their evening meal. Symptom onset occurred between 30 minutes and two hours after ingestion and included flushing, facial/lip swelling, an itchy rash and palpitations. All three cases attended the Emergency Department (ED) requiring oral or Intravenous (IV) anti-histamine and/or oral steroids and IV fluids. Fortunately, all cases recovered fully and were discharged from the ED. The public health actions that were taken, crucially included rapid coordination with the Environmental Health Service (EHS). Temperature control is the crucial step in preventing histamine fish poisoning. The Food Safety Authority of Ireland and the Irish Sea Fisheries Board highlight the importance of proper handling and chilling of fish from time of catch through to transportation, processing, storage and distribution. This report highlights the importance of timely and coordinated public and environmental health responses to histamine fish poisoning cases. National Clinical Guidelines are currently being developed in conjunction with the Irish Association for Emergency Medicine (IAEM) on the Management of Histamine Fish Poisoning/Histamine Poisoning in Adult Patients.

Key messages
• Environment and Health.
• Food governance.
Temporality shaping lessons learned from COVID-19 - Follow-up study of Finnish pandemic governance
Authors: Viita-aho M , Janhonen K , Paananen H , Kihlström L , Tynkkynen L-K 
Published: October 2023

Abstract

Background
Public health crises require and offer unique opportunities for learning. Despite abundant “lessons learned” -literature on the COVID-19, follow-up research designs are scarce. To fill in this gap we analyse how key national level decision-makers in Finland discuss the lessons from COVID-19 at its’ different stages, since they are in key positions to develop health system preparedness and crises response policies based on lessons from past shocks.

Methods
The qualitative interview study includes unique follow-up data on Finnish national-level decision-makers’ interpretations of the lessons learned from COVID-19. The interviewees represent key ministries, other governmental organisations with responsibilities in pandemic governance, expert organisations and authorities responsible for preparedness. The data were collected from the same informants 1) at the acute stage of the epidemic in Finland (2021, n = 21) and 2) after the vaccination coverage was at high level and the acute stage of the epidemic had passed (2022-2023, n = 16). Analyses included abductive and thematical content analyses.

Results
The lessons learned from COVID-19 were defined differently at different stages of the pandemic. In addition, the possibilities to assess or implement the lessons or reform the system were hampered by scarce resources and the political agenda already shifting to other crises and challenges. Results further showed the short-term nature of many of the crisis measures taken during the acute stage.

Conclusions
The follow-up design enabled analysis of the nature of the lessons learned during and after the acute stage of COVID-19. Temporal framing of data illustrated the changing and emergent nature of the lessons learned, highlighting the need for broad ranging analyses across multiple time spots and crisis cycles in the future. Scarce human and financial resources in the health system compel to focus on most topical issues, hampering long-term development.

Key messages
• Preparation for future crises requires practical measures during normal times.
• Comprehensive analyses of lessons learned beyond a single crisis cycle supports continuity of crisis preparedness and management.
The COVID-19 Movement Restrictions and Impact on Shelter Accessibility: Central African Republic
Authors: Young-Jin K , Kyoung-Beom K , Hui Won J , Souphavanh D , Jin-Won N 
Published: October 2023

Abstract

Background
The coronavirus disease(COVID-19) has been spread worldwide since 2019, posing significant challenges to the socio-economies and healthcare system of many countries. During COVID-19, sanitation facilities such as water, shelter, food, and health service are required to prevent the spread of coronaviruses and others. However, The multiple factors of Central African Republic(CAR) such as low human development index, limitation of health resources, and unstable financial capacity are a barrier to stopping the spread of the COVID-19. Also the government conducting the COVID-19 vaccination campaign since 2021, experiencing difficulties due to poor road conditions and insecurity. These cannot appropriately response to the coronavirus spread. Therefore, this study was conducted to investigate the effect of COVID-19 movement restrictions on shelter accessibility in CAR.

Methods
This study analyzed 11,723 crisis-affected households from the 2020 Central African Republic Multi-Cluster Needs Assessment survey data. This survey was conducted between June to August 2020 by the Racial and Ethnic Approaches to Community Health(REACH) Initiative and geographically covered all sub-prefectures of the country. Complex sampling design weighted multivariable binary logistic regression analysis was performed.

Results
It was found that shelter accessibility was possible when there was a movement restriction (p &lt; 0.05). In the case of IDPs compared to HOST (p &lt; 0.01), and the higher the number of household members (p &lt; 0.05), the more difficult it was to access shelter.

Conclusions
In response to the spread of COVID-19 in CAR, humanitarian actors have conducted a variety of preparedness activities. Relief agencies have also adjusted operations to continue the delivery of shelter, food, health, livelihoods, and including movement restrictions. Therefore, although movement restrictions were implemented, the other activities such as increasing accessibility to shelter was also conducting.

Key messages
• This study was conducted to investigate the effect of COVID-19 movement restrictions on shelter accessibility in CAR.
• There are many preparedness activities for stop the spread of COVID-19 in CAR. So even if the covid-19 movement restriction was conducting, the relief work (delivery of shelter) also implemented.
An exploration of access to healthcare for women experiencing homelessness in Northern Ireland
Authors: McNeill S , O'Donovan D , Hart N 
Published: October 2023

Abstract

Background
People experiencing homelessness have poorer health than the general population. Therefore, they are more likely to struggle with accessing healthcare, described in the Inverse Care Law. To date, there has been no peer reviewed research published from Northern Ireland on the topic of homelessness and health. Data published in recent reports shows a rise in the number of women experiencing homelessness in Northern Ireland. This research asks about the nature of access to healthcare for women experiencing homelessness in Northern Ireland and how can it be improved.

Methods
Semi-structured interviews were conducted with women experiencing homelessness, hostel staff and healthcare staff. Following the interviews, a stakeholder workshop was hosted to gather views from stakeholders in policy, planning and healthcare education. Data were analysed following Reflexive Thematic Analysis.

Results
There were 19 participants interviewed. All participants were female. Healthcare and hostel staff experience ranged from 1 year to over 30 years and included staff from each of the Health Trusts around Northern Ireland. The interviews were followed by a stakeholder workshop with 13 participants representing various groups and organisations. Preliminary themes constructed during Reflexive Thematic Analysis include health and social care complexities, awareness of services and needs, relationships, system design and connectedness.

Conclusions
Preliminary conclusions confirm both supply and demand side barriers for access to healthcare for women experiencing homelessness in Northern Ireland, also included are recommendations for practice in Northern Ireland to improve this access journey. There is need for increased awareness of services for and needs of WEH, through improving service navigation and providing training for health and hostel staff. Alongside this, is the need for improved connectedness between services, both with referral and data sharing.

Key messages
• Women experiencing homelessness have complex health and social care needs that impact how they access healthcare.
• This research is the first of it’s kind in Northern Ireland and provides insights into how to improve access to healthcare for women experiencing homelessness.