bluuebunny/crossref_metadata_2025_split huggingface dataset:
Violence and abuse exposure and health complications in older age
Authors: Fadeeva A , Hashemi L , Cooper C , Stewart R , McManus S , Obolenskaya P 
Published: October 2023

Abstract

Background
Due to the ageing population, the extent and impacts of violence in later life could become increasingly prominent. However, there is a lack of evidence on violence and its effects in older age, which impedes prevention measures. The present research draws on data collected from two nationally representative population health surveys - the Adult Psychiatric Morbidity Survey (APMS) 2014 and the English Longitudinal Study of Ageing (ELSA) to examine associations between violence and health outcomes in older adults in England.

Methods
APMS is a cross-sectional design and collected data on violence and abuse as well as mental health in adults aged 16+. Multivariable regression analyses were run to measure associations between violence and common mental disorder (CMD) in adults aged 60+ in comparison with the younger population group (16-59). ELSA is a panel data study, which has collected information on health, social, and economic lives of individuals aged 50 and over every two years since 2002. In wave 3, ELSA included questions on childhood abuse and life experiences of physical and sexual violence. Logistic multilevel regressions were used to examine associations between violence and subsequent limiting illness and depression.

Results
Violence conferred an independent risk for CMD (AOR 2.2, 95% CI:1.0-4.8) based on the APMS data. According to ELSA results, physical violence (AOR 2.50, 95%CI 1.69-3.68) and childhood abuse (AOR 2.47, 95%CI 1.51-4.04) were associated with the development of limiting illness, with sex differences between men and women observed.

Conclusions
Violence remains a problem that affects older people and presents risks to their health. Moreover, earlier life victimization could cause long-lasting health impacts that persist in later life. To mitigate the challenges associated with the ageing population, policies and interventions should focus on the prevention of violence and its long-lasting effects on health.
Data collection and analysis on the burden of injuries: Lessons learned from the IDB network
Authors: Bauer R , Giustini M , Nijman S , Bejko D 
Published: October 2023

Abstract
The EU-IDB (European Injury Database) contains cross-national data on the external causes and circumstances of injuries treated in the emergency departments of hospitals. Its primary purpose is to facilitate the development and evaluation of injury prevention policies and programmes, which aim to control external risks. The information is complementary to death and hospital discharge statistics and specific surveillance systems on road and workplace accidents. Unique is the wealth of information about external circumstances of injuries as needed for evidence-based prevention actions. The IDB data are collected by dedicated national agencies and provided to the Italian National Institute of Health (ISS) which hosts the databank. As part of the EU BRIDGE-Health initiative 2017 (WP9-Injury Surveillance Platform), the EU-IDB Network was commissioned to generate comparable burden of injury estimates across Europe: “Disability Adjusted Life Year (DALY) estimates for injury utilising the European Injury Data Base (IDB)”. DALY estimates were generated for IDB countries and years where both fatal and non-fatal injury data were available. Non-fatal injury data were acquired from Emergency Department data recorded in the IDB Minimum Data Set (MDS), fatal data were obtained from the European Detailed Mortality Database (EDMD). The general approach to calculating DALYs followed that of the Global Burden of Disease (GBD) study but utilised new and different disability weights created by the the Injury-VIBES cohort and detailed injury incidence data from nineteen countries. DALY estimates were between 2-10 times larger than estimates generated by previous studies such as the GBD study, due to much higher incidence figures and larger disability weights.
In the workshop, the most recent results of the EU-IDB and the respective DALY estimates will be presented and discussed.
Power and politics of health system data: how data shape responses and equity during pandemics
Authors: Kihlström L , Satokangas M , Skogberg N , Viita-aho M , Gissler M , Nykänen E , Keskimäki I , Tynkkynen L K 
Published: October 2023

Abstract

Background
Pandemics disproportionately affect vulnerable groups. There are documented socioeconomic, gendered, and racialized differences in the burden of disease during COVID-19 and previous pandemics due to factors such as lack of access to social safety nets, poor quality of housing, and precarious working conditions. Therefore, equity should be a key principle for health system preparedness. However, the monitoring and detection of inequities largely depend on the availability of disaggregated data. Often, such data are not available nor are they utilized to promote equity-based approaches during major public health crises.

Methods
The article builds on social epidemiology and is conducted as a theoretical review. It uses health monitoring data collected in the Finnish health system and the Finnish response to COVID-19 as case studies to investigate how data shape equity and responses during rapidly unfolding crises. Finland provides an interesting context for the case studies due to its extensive and high-quality health registers and health monitoring data.

Results
In the article, we present a summary of the Finnish health system monitoring data infrastructure and a review of factors affecting data collection and utilization processes in Finland. We then describe how register data was utilized as a part of the Finnish response to COVID-19. Finally, we present an example of how the utilization of disaggregated vaccination coverage data helped create an equity-based community health promotion response during COVID-19 in Finland.

Conclusions
The article points out several understudied populations in the Finnish health system monitoring infrastructure, including those with lower incomes, undocumented immigrants, racialized minorities, and LGBT populations. While waiting for national health monitoring systems to “catch up”, smaller-scale community-based responses can be used to tackle inequities during health system crises.

Key messages
• Critical research approaches to health system data and data gaps are crucial since these data are the product of decisions, prioritization and value judgments made by health system actors themselves.
• Revision work of pandemic preparedness plans across Europe needs to acknowledge how health system monitoring shape both responses and equity during crises.
Writing for impact: How to create policy briefs that influence policy-making
Authors: Nagyova I , Michie S 
Published: October 2023

Abstract

Issue/problem
Effective communication between academics and policy makers can be challenging due to differences in language, priorities, and deadlines. Policy makers are often pressed for time and require concise and actionable information to inform their decisions.

Description of the problem
Policy briefs are a useful tool for bridging the gap between research and policy making. However, not all policy briefs are created equal, and some may not effectively communicate research findings and recommendations to policy makers. To be effective, policy briefs should incorporate behavioural insights. This can help them to be understandable and succinct, evidence-based, and feasible and actionable. Moreover, the type and content of a policy brief should be informed by the needs of the stakeholders and the specific stage of the policy cycle.

Results
Policy briefs that adhere to these characteristics have a higher likelihood of informing policy decisions and creating impact for researchers. They can raise awareness of current research on a policy issue and communicate evidence-based recommendations in a concise and accessible format.

Lessons learned
Policy making is a cyclical process and it is possible to influence policy at all stages in its formation, implementation or evaluation. Writing effective policy briefs requires careful consideration of the target audience and their needs. In addition, researchers should create a specific research plan, including methods and procedures, for how to measure the impact of their briefs.
Criteria for best practice in health promotion
Authors: Shajanian Zarneh Y 
Published: October 2023

Abstract
There are many interventions that take a health-promoting approach. But are they really good and do their implementation lead to results that are also a sustainable improvement for the target group in a setting? Can this improvement be scientifically evaluated and even measured or is it based on a well-intentioned perception only? The criteria for good practice from Germany, which were developed in 2003 by the Advisory Working Group of the nationwide Collaborative Network for Equity in Health of BZgA, aim in particular for professionals in community health promotion to reflect on their work and to support them in further developing and strengthening the quality of their health promotion services. The (twelve) good practice criteria, in practical language and in the form of twelve fact sheets, each contain a definition, implementation stages of the criterion, their explanation (illustrated with examples from practice) as well as further literature. The good practice criteria include conception and target group reference and take into account participation and empowerment, but also sustainability and cost-effectiveness. These criteria also serve as selection criteria for interventions to be included in the German Good Practice Portal which has a particular focus on tackling health inequalities. In a brief presentation these criteria will be presented to the participants of the workshop in order to subsequently discuss and exchange approaches from other countries.
How can public health agencies support the adoption of a population health management approach in PHC? The case of SVN
Authors: Vracko P 
Published: October 2023

Abstract
Slovenia has a longstanding tradition of providing accessible and comprehensive PHC services. Established in 1927, Slovenian PHC strongly emphasizes addressing health equity and reaching out to vulnerable populations in local communities to identify environmental, social and behaviour-related risk factors and diagnose disease in its early stage of development. Through a cross-sectoral cooperation based on a community based approach and a strong collaboration of public health and primary care services, Slovenia has improved health and reduced health inequality over the last decades. Registered nurses in family medicine teams conduct regular screening and follow-up for people with noncommunicable diseases to reduce family doctors’ growing burden and workload. Each family medicine practice has a list of registered patients (a capitation list), managed in defined groups of healthy individuals; those with risk factors; and those with the most common chronic diseases. Financial incentives are given for meeting target values in screening check-ups. The National Public Health Institute manages and leads the noncommunicable disease prevention and control programme at the national level.
Stakeholder engagement to assess the transferability of vaccination interventions in Greece
Authors: Karnaki P , Dalma N , Papaevgeniou N , Radaios V 
Published: October 2023

Abstract

Background
Due to political instability, poverty and war Greece has been witness, over the last decade, to continuous migrant and refugee flows which enter the country mainly on their way to Northern Europe. Through the RIVER-EU project in Greece we aim to identify and tailor successful interventions that can address health system barriers to MMR/HPV vaccination for this group.

Methods
RIVER-EU adopts participatory action research (PAR) in order to give voice to all involved groups. The main aim of the focus groups (FGs) and the interviews was to explore transferability. We aimed to discuss how promising interventions could be transferred to the Greek reality and discussed barriers and facilitators.

Results
FGs were conducted with migrant/refugee parents (mainly mothers), adolescents (boys and girls) and other stakeholders such as health professionals and policy makers. The main challenge in Greece is the diversity of the target group (migrants/refugees), as people who arrive to Greece come from different countries have different cultural and religious backgrounds and have fled their countries for different reasons (war, poverty, financial problems). Possible solutions were discussed such as schools as an intervention site. An additional problem identified was access to vaccination services (for HPV/MMR) and the need to create synergies with local health organizations. Finally, it was evident that adolescents as a group, although from different cultural backgrounds, share common values and norms.

Conclusions
The RIVER-EU project has implemented an innovative approach to explore barriers and facilitators of transferability and tailor the intervention to the specific circumstances of the situation in Greece. Through the PAR the target groups were able to voice their beliefs about what should be implemented in which way and able to discuss possible solutions. Agreement about the importance of HPV/MMR vaccination for migrants/refugees in Greece was established.
PAR for transferability of HPV interventions among underserved communities in the Netherlands
Authors: De Zeeuw J , van Enter B , Vervoort H , Jansen D 
Published: October 2023

Abstract

Background
In the Netherlands, females with a Turkish or Moroccan migration background are among underserved communities with low HPV vaccine uptake. To target health system barriers related to uptake, the RIVER-EU project will identify and adjust promising evidence-based HPV interventions in collaboration with key stakeholders.

Methods
Participatory Action Research (PAR) was applied to engage and collaborate with key stakeholders, including community members to discuss on transferability of promising evidence-based HPV vaccination interventions. Focus group discussions and semi-structured interviews were conducted for which topic guides were developed.

Results
Key stakeholders included community members (parents and daughters), non-governmental organizations, healthcare providers, and policymakers. To engage community members, we build upon the relationship we had built during the first phase of RIVER-EU, and we reached out to organizations working with the communities. To build relationships and trust intensive physical and clear communication with communities was helpful. It required time and efforts to engage with general practitioners due to work overload. We could establish successful engagement of all key stakeholders by the application of various strategies.

Conclusions
The PAR approach supported the meaningful discussion on identification of the facilitators and barriers related to the transfer and implementation of HPV interventions. All key stakeholders could provide their valuable insights needed to ensure successful understanding of the variety of perspectives needed for successful transfer.
Are evidence-based vaccination interventions transferable to Ukrainian migrants? A Polish example
Authors: Gańczak M , Kalinowski P , Kowalska M , Nyankovskyy S 
Published: October 2023

Abstract

Background
Ukrainian migrants (UM) are among underserved groups with limited access to use vaccination services. The RIVER-EU in Poland aims to identify and tailor the successful intervention which would address health system barriers to MMR/HPV vaccination identified during the 1st phase of the project.

Methods
Participatory action research approach (PAR) was introduced to bring Researchers, UM and other Stakeholders together to identify and discuss transferability of promising evidence-based vaccination interventions (HPV/MMR). Relevant topic guides were developed; these helped to conduct focus groups discussions and in-depth interviews aimed to assess the extent to which interventions were appropriate and identify facilitators/barriers for the transfer and implementation.

Results
UM community (mothers of adolescent children and general practitioners [GPs]), Polish GPs, policymakers, experts in vaccinology and gynecological oncology, representatives of the municipality and a non-governmental organization were identified as key stakeholders. To find and mobilize UM appeared to be the challenging task, as they are a diverse, hard-to-reach community. The lack of information about the HPV vaccine was another obstacle to mobilize this group. Engaging GPs was also difficult due to work overload, lack of time, incapacity; the lack of extra compensation negatively affected motivation to be involved. To gain the trust of stakeholders and to build relationships - consistent, transparent, inclusive communication and cooperation was needed; country coordinators played moderators’ role.

Conclusions
To achieve consensus about the type of a tailor-made intervention requires creating clear communication channels and an open space where stakeholders can voice their opinions. PAR helped to achieve more meaningful insight into the transferability of MMR/HPV vaccination interventions by leveraging the collective wisdom of the researchers, UM community and other Stakeholders.
Surveillance of the mental health of Germany's adults using monthly population-based survey data
Authors: Walther L , Junker S , Thom J , Peitz D , Mauz E 
Published: October 2023

Abstract
To meet new information demands in the COVID-19 pandemic, the Mental Health Surveillance at the Robert Koch Institute in Germany began using monthly survey data for high-frequency monitoring of several indicators of population mental health. Visualized time series consisting of three-month rolling estimates and smoothing curves are used to provide policymakers with regular assessments of current developments in symptoms of depression and anxiety, self-rated mental health, perceived mental health care needs, loneliness, and social support. Striking changes have taken place within the observation period - so far, particularly from mid to late 2021 and early 2022, when (further) marked declines in the mental health of adults began. For example, the percentage of the population scoring above the screening cutoff of an ultra-brief depression screener jumped from about 13 % in late 2021 to levels of 17-18 % in the first half of 2022 and then further rose to steady levels of 20 % for the second half of 2022 and the beginning of 2023. Symptoms of anxiety also increased substantially in this time, and self-rated mental health worsened. High-frequency surveillance resulted in policymakers being informed of the unfolding of these changes with relatively short delays. This presentation outlines the methods used for high-frequency monitoring within the Mental Health Surveillance and shows up-to-date results. Challenges in the interpretation of time series and in reporting will also be described. Centrally, questions about what signifies meaningful change have emerged alongside questions surrounding how the utility of high-frequency surveillance might be improved and how its utilization could be facilitated. A structured exchange with stakeholders to help address these questions is planned. A brief look at this and other next steps will wrap up the presentation.
Description of the COVID 2.0 survey in the NAKO and first results
Authors: Mikolajczyk R , Diexer S , Fricke J , Ahnert P , Pischon T , Karch A 
Published: October 2023

Abstract

Introduction
The COVID-19 pandemic had a huge impact on society and raised attention to the challenges related to infectious diseases. While a lot of research was initiated during the pandemic, the recruitment of participants in most instances started at the time point of infection. In contrast, the German National Cohort (NAKO Gesundheitsstudie) has the ability to study pre-existing risk factors. In order to obtain information about SARS-CoV-2 infections and the following sequelae a dedicated data collection was conducted.

Methods
An online survey was conducted in the NAKO between September 2022 and February 2023. Invitation via e-mail was followed by two reminders sent to all NAKO study participants who provided e-mail addresses. The questionnaire was implemented in LimeSurvey and included the following topics: current health status including mental health measurements, restrictions of health services during the pandemic, other collateral effects of the pandemic, reported infections with SARS-CoV-2 and symptoms of acute infection, 4-12 weeks, 12 or more weeks, and one year after infection as well as vaccination status.

Results
Of 150766 invited NAKO participants, 110362 responded to the second COVID-19 questionnaire. Respondents in 60% reported at least one SARS-CoV-2 infection, 59453 reported one, 6061 two, and 414 three or more infections. The time points of infections followed the general incidence in the German population and thus infections could be mapped to specific variants based on periods of dominance. Of those who reported an infection with SARS-CoV-2, 42% reported symptoms 4 to 12 weeks after infection (ongoing COVID-19), 35% reported symptoms 12 or more weeks after infection (Post-COVID-19), and 37% one year after infection.

Conclusions
Combined with existing biosamples and measurements prior to infection, NAKO offers an excellent opportunity to study risk factors for infection and post-infection syndromes.
How do patient and care experience data inform policy and practice? Insights from the Irish National Care Experience Programme
Authors: Hyland D , Rohde D , McGeown M , O'Flaherty K 
Published: October 2023

Abstract

Issue
Patient experiences are central to the delivery of quality, person-centred care and an important predictor of outcomes. Prior to 2017, there was no unified, national approach to the collection of care experience data in Ireland.

Description of the problem
The National Care Experience Programme is a partnership between a regulator, policy makers and the Irish public health service, with a suite of surveys of inpatient, maternity, nursing home and end of life care. The surveys aim to learn from people's feedback on health and social care services to identify areas of good experience and areas requiring improvement.

Results
Findings have informed national policies, including a healthcare communication programme to support staff to develop communication skills with patients and families. Survey data provide a key input to the Irish health quality indicator framework and the Health Systems Performance Assessment Framework, which assess the overall performance of the Irish health system. National Maternity Experience Survey results informed the allocation of funding for post-natal supports and new lactation consultant posts, and supported the implementation of a specialist perinatal mental health services model of care, leading to increased diagnosis and vigilance of mental health issues ante- and postnatally. National Nursing Home Experience Survey findings supported legislative amendments, including provision for the delivery of in-person advocacy awareness campaigns and the strengthening of complaints processes within nursing homes.

Lessons
In order to maximise the use of survey findings and ensure the voices of people using health and social care services are acted on, routine surveying of care experiences is required to track the impact of policy and practice initiatives. The programme is currently expanding to include people's experiences of cancer care and mental health services, in addition to exploring options for continuous, local care experience surveys.