bluuebunny/crossref_metadata_2025_split huggingface dataset:
An interdisciplinary intervention for health prevention and promotion in a Roman neighborhood
Authors: Lontano A , De Waure C , Marziali E , D'Ambrosio F , Galletti C , Mazza E , Mingarelli A , Urbani E , Galasso V , Laurenti P 
Published: October 2022

Abstract

Influencing behavioral patterns through primary prevention, possibly addressing more risk factors at a time, is the most effective means to tackle cardiovascular diseases. Many interdisciplinary prevention activities have been coordinated by community nurses outside of specialist centers, resulting in a more effective control of risk factors. Our study aims at describing the impact of an 18-month prevention and promotion, interdisciplinary intervention on lifestyle habits and cardiovascular risk. From December 2018 to May 2020, patients were recruited by 4 General Practitioners (GPs) in the Roman neighborhood of Torresina and received nutritional, physical and psychological counselling to learn healthy lifestyles. Until May 2020 patients had to self-manage their new healthy habits, but during this phase the SARS-CoV-2 pandemic broke out. Patients were assessed at baseline, 6, 12 and 18 months by a nutritionist, a physiotherapist, a psychologist, the 4 GPs and community nurses, and the cardiovascular risk score (CRS) was estimated at every examination. 76 patients were included, with a mean age of 54,6 years. Mean CRS showed a significant reduction between baseline and 12 months (from 4.9 to 3.8, p &lt; 0.001), but this trend was not maintained at 18 months. As for variables included in the calculation of the cardiovascular risk score, both total cholesterol and systolic blood pressure significantly decreased at 6 months of follow up (respectively, from 211.1 to 192 (p &lt; 0.001) and from 133.1 to 123.1(p &lt; 0.001)). Nontheless, the reduction was maintained in the remaining points in time only for systolic blood pressure. Our interdisciplinary educational intervention in a primary care setting resulted in a CRS improvement at 12 months, but this changes where not maintained at 18 months. Community nurses were facilitators in improving health outcomes and patient's satisfaction in the described primary care setting.

Key messages
A systematic review of the effectiveness of community interventions to improve parent health literacy
Authors: Belfrage S , Husted M , Fraser S , Patel S , Faulkner J 
Published: October 2022

Abstract

Background
Many community-based interventions have been developed to increase parent/caregiver health literacy, yet no systematic review of their effectiveness has been published. Therefore, the aim of this systematic review was to examine the effectiveness of community-based health literacy interventions in improving the health literacy of parents/caregivers.

Methods
A systematic review of six databases; MEDLINE, PsycINFO, CINAHL, Cochrane Library, Embase, and Education Source were conducted to identify relevant articles. Risk of bias were assessed using version two of the Cochrane risk of bias tool for randomised controlled trials or the Cochrane Collaboration Risk of Bias in Non-Randomised Studies of Interventions. The study findings were grouped and synthesised following the Synthesis Without Meta-analysis framework.

Results
Eleven community-based health literacy interventions for parents/caregivers were identified. Study design included randomised controlled trials (n = 4), non-randomised studies with comparison group (n = 4), and non-randomised studies without a comparison group (n = 3). Interventions were delivered digitally, in person or a combination of the two. The main findings of the studies showed some potential for both in person and digital interventions to increase parental health literacy. The risk of bias was high in over half the studies (n = 7) Studies were heterogeneous preventing a meta-analysis.

Discussion
Although no definitive conclusion of the effectiveness of community-based interventions can be drawn there are suggestions of improvement in many of the studies included in this review. The review has brought into question whether the health literacy measurement tools used met the needs of assessing the interventions outcomes. When comparing the cost and resources needed for digital with in person interventions, the findings of this review have implications for both practise and research.

Key messages
“Laboratorium Repository”: a training tool for the Healthcare Workforce
Authors: Privitera GP , Arzilli G , Benedetto C Di , Di Serafino F , Morassi E , Zotti N , Luzi M , Papini F , Casigliani V , Brusaferro S 
Published: October 2022

Abstract

Background
The COVID-19 pandemic highlighted the need to redefine the healthcare workforce (HCW) competencies to face future emergencies linked to emerging infectious diseases, environmental, climate and social crises. As recently stated by WHO, there is a need to identify standards for education and competencies training for HCW in emergency and preparedness (E&P). The Italian National Institute of Health, in agreement with the deliberation of the G20 Health Ministers under the Italian Presidency, is developing an educational program named “Laboratorium” which includes a free access digital repository aimed to share selected documents and tools at the International Public HCW (PHCW) to increase the competencies in E&P response.

Objectives
A range of web domains selected according to their reliability was monitored using a keyword search tool for any relevant material published from February 14th up to April 28th, 2022. We included any publications, training materials, epidemiological data, initiatives, and communication items that addressed the topic of interest. Each item was submitted for approval by a scientific board and, if appropriate, classified by typology, language, topic, and country before publication.

Results
To date, out of 6197 items, 418 fulfilled the inclusion criteria. For the type of content, we included guidelines/recommendations (75), epidemiological data (58), websites (34), online courses (15) and books (16). PHCW was the most representative target group (361), followed by other stakeholders (127), hospital practitioners (90), primary care (87). The most represented topic was infectious diseases/SARS-CoV-2 (277) followed by vaccines (88), emergency interventions (34), emerging diseases (17), policies (26), public health preparedness (32).

Conclusions
Future training for PHCW should be designed with a modular approach with different levels of usability. The Laboratorium Repository provides a core of items for learning according to one's training needs

Key messages
The use of digital tools to promote health in children: A systematic review of intervention studies
Authors: Dallagiacoma G , Ferrara P , Alberti F , Vecchio R , Vigezzi GP , Odone A 
Published: October 2022

Abstract

Background
Early childhood health interventions and educational programs are key to keeping children healthy and preventing disease during adulthood. Since several preventive strategies and campaigns targeting children have been proposed, the aim of this systematic review is to evaluate the effectiveness of digital-based interventions (e.g., cartoons, videos, video games, mobile apps, etc.) in promoting healthy behaviours in primary school-aged children.

Methods
Following PRISMA guidelines, we searched three electronic databases (Medline, Embase, and Scopus) up to April 11, 2022. We included randomized and non-randomized experimental studies quantifying the effectiveness of digital or audio-visual-based health promotion interventions in childhood (up to 12 years of age).

Results
The search strategy yielded a total of 1640 articles. Retrieved studies covered a wide range of health interventions - including a healthy diet, physical activity promotion, oral hygiene, skin cancer prevention, and different educational approaches (such as cartoons, interactive video games, etc.), mainly implemented in a school setting and comparing digital interventions to teacher-led interventions or no intervention at all. Data pooling suggests that digital and audio-visual-based health promotion interventions targeting children are effective in improving health literacy and healthy behaviours.

Conclusions
This systematic review adds to the body of knowledge on health promotion in children and provides actionable measures to implement straightforward educational approaches in this specific population, empowering them to adopt preventive behaviours, and ultimately promoting health at the household and societal level.

Key messages
(Un)safety of LGBT+ asylum seekers in asylum accommodations in Germany
Authors: Gartner F , Giacomozzi M , Helberg-Proctor A 
Published: October 2022

Abstract

LGBT+ asylum seekers face multiple challenges in their countries of origin as well as in their host countries. Violence and structural discrimination against this community are common and affect their whole asylum process. Violence and structural discrimination based on sexual orientation and gender identity stress the needs of LGBT+ asylum seekers in particular in regards to reception accommodations. In this study we investigated factors that contribute to the (un)safety of reception accommodations for LGBT+ asylum seekers in Germany. Qualitative semi-structured interviews were conducted with 11 participants from two groups, namely, professionals, and former and current LGBT+ asylum seekers. Thematic analysis was used to analyze the data and revealed multiple factors influencing the safety of LGBT+ asylum seekers in accommodations. These were clustered according to the used frameworks in the categories individual level, physical and social environment, and policies. The factors for (un) safety included amongst others interpersonal violence based on sexual orientation and gender identity, gender-neutral sanitary areas or lockable rooms, community support, and policies that govern where asylum seekers are accommodated, and which protection measures are set up in accommodations. Applying an intersectional lens, transgender asylum seekers were described as more vulnerable than other LGBT+ individuals. The analysis concluded that binding policies are necessary to guarantee safer accommodations for LGBT+ asylum seekers in Germany. Besides, the social cisheteronormative structures that manifest in discrimination of LGBT+ asylum seekers must be structurally deconstructed by, among others, training staff on LGBT+ needs and increase inclusivity among the asylum seeker community and in the host country.

Key messages
Knowledge of HIV prevention biomedical tools among African immigrants in France: the Makasi project
Authors: Coulibaly K , Gosselin A , Carillon S , Ravalihasy A , Bousmah M , Taeron C , Mbiribindi R , du Loû A Desgrées 
Published: October 2022

Abstract

Background
In France, post-exposure prophylaxis (PEP) and pre-exposure prophylaxis (PrEP) have been available for several years. However, there is still no evidence on the level of knowledge of these HIV prevention tools among immigrants from sub-Saharan Africa living in precarious situations, a population particularly affected by HIV. The aim of this study is to describe the knowledge of these tools in this population and analyse the factors associated with this knowledge.

Methods
The data mobilized are from the Makasi interventional research that was conducted between 2018 and 2020 among immigrants from sub-Saharan Africa in precarious situations in the greater Paris area. Using data collected from 601 participants, we described levels of knowledge of HIV treatment effectiveness, treatment as prevention (TasP), post-exposure prophylaxis (PEP), and pre-exposure prophylaxis (PrEP), by sex with a chi2 test. We investigated factors associated with their knowledge with logistic regressions adjusted for sociodemographic characteristics, living conditions and sexual behaviors (p ≤ 0.2).

Results
The population surveyed was predominantly men (76%), from West Africa (61%) and in a precarious situation: 69% were unemployed, 74% were undocumented, 46% had no health coverage and 13% were homeless. In this population, knowledge of antiretroviral treatments for HIV prevention was heterogeneous: the effectiveness of HIV treatment was well known (84%), but only half of the respondents (46%) were aware of TasP and very few knew about PEP and PrEP: 6% and 5% respectively. Multivariable-adjusted models showed that these tools was better known by educated people, those who had a social network in France, those who have had access to the health system and those who were exposed to sexual risks.

Conclusions
While sub-Saharan African immigrants know the effectiveness of HIV treatment and use certain prevention tools such as HIV testing, they are not aware of PEP and PrEP.

Key messages
Health Status and Self-Perception of Health in Czech Roma Community
Authors: Volevach E , Ely M , Maršálková H , Gulová L , Mikulik R 
Published: October 2022

Abstract

Background
The Roma population is reported to have a lower life expectancy in several European countries. The reasons for this are not well described, which limits the development of effective health promotion programs. This report investigates some possible reasons: self-perception of health risks and discrimination in a sample of Czech Roma. The study is a part of a complex health awareness program.

Methods
This is a pilot descriptive, cross-sectional survey conducted in Brno, Czech Republic in March 2022. Respondents were identified by community gatekeepers using quotas of gender and education. Data on disease incidence, lifestyle, attitudes to health care and risk perception were collected.

Results
In the sample of 30 participants, 60% were female, average age 42±5, 60% primary education. 57% daily smokers, with an average 17 cigarettes daily during 18 years. 35% had 1 chronic disease, another 38% had 2 and more. The most prevalent diseases were hypertension (43%) and obesity (41%). 60% of respondents with hypertension as compared to 23% without hypertension considered their stroke risk as medium. 43% smokers as compared to 21% non-smokers consider their risk of COPD as medium (for lung cancer 41% vs. 0%). Roma report not visiting a doctor due to a lack of time (33%), expecting the problem to resolve itself (33%), long waiting time (33%), but not discrimination (0%).

Conclusions
The Roma with risk factors correctly identify their risk of stroke, COPD, lung cancer as higher. None of them feel discriminated from physicians, but they limit contact with them due to other reasons. It appears that the prevalence of risk factors is higher in the Roma when compared to Caucasians based on the European Health Interview Survey (16% female, 31% male hypertension; 14% female, 29% male obesity). Self-perception of health and feeling of discrimination in Roma communities should be taken into account when designing health interventions.

Key messages
Risk factors associated with depression among French university students during covid-19 lockdown
Authors: Sabatier T , Godefroy C , Tavolacci MP , Ladner J 
Published: October 2022

Abstract

Background
During the COVID-19 pandemic students’ lives changed drastically, especially regarding their mental health. Social isolation, induced by lockdown, could be the cause of the development of mental disorders in this population. Therefore, the aim of this study was to identify factors associated with depression during French first Covid-19 lockdown among university students.

Methods
This cross-sectional study, which is a part of the COVID-19 International Student Well-Being Study (ISWS consortium), used the validated CES-D 8 score (Center for Epidemiologic Studies - Depression Scale) to measure depression levels. Data on socio-demographics, curriculum, living condition, academic environment and social interactions were collected few days after the first lockdown in France, from 13 to 31 May 2020. The potential impact of risk factors on depression was studied by multinomial logistic regression.

Results
A total of 3593 students were included. The CES-D 8 mean score was 8.65 (SD = 5.08). Literature students had the highest average CES-D 8 score (9.47, SD = 5.16). Independent factors associated with the higher scores of depressions included having limited financial resources (AOR=2.49, 95% CI = 1.84-3.38) having academic concerns, including students worried about not completing the academic year (AOR=2.93, AOR=2.37-3.64) and stressed with changes in teaching methods (AOR=3.55, 95% CI = 2.82-4.46). Otherwise, living with parents during lockdown and being in a relationship were significant protective factors against depression.

Conclusions
This study highlights the impact of changing social network, living conditions, and academic environment on depression among university students. Preserving students from social isolation must be a critical priority for universities. Future universities’ policy strategy could combine on-site teaching with online courses and consider the role of students’ social contacts, with a particular emphasis on mental health.

Key messages
Burden of Depressive disorders in Balkan countries
Authors: Todorovic J , Santric-Milicevic M , Stevanovic A , Terzic-Supic Z , Stamenkovic Z , Albreht T , Stoisavljevic S , Terzic N , Scepanovic L 
Published: October 2022

Abstract

Background
Depressive disorders are one of the leading causes of disability and are significant contributor to total Global Burden of Disease (GBD). Globally, according to the 2019 GBD study, the 1.85% of all Disability adjusted life years (DALYs) was associated with depression. The aim of this study was to describe the age-standardized DALYs in ten Balkan countries and the changes observed between 1990 and 2019.

Methods
The study included the data on age-standardized DALY rate per 100,000 for depressive disorders in the period between 1990 and 2019 for ten Balkan countries (Albania, Bosnia and Herzegovina, Bulgaria, Croatia, Greece, Montenegro, North Macedonia, Romania, Serbia and Slovenia) from the Institute of Health Metrics and Evaluation. We acknowledge the support from the COST Action 18218 - European Burden of Disease Network.

Results
The highest age-standardized DALY rate/ 100,000 throughout the observed period was in Greece in the 1990- 914.48 (95% CI: 620.19-1287.16) and 927.75 (95% CI: 626.5-1295.7) in 2019, while the lowest age-standardized DALY rate per 100,000 was in Albania in the entire observed period (1990- 369.032, 95% CI: 253.52-518.04 and 2019- 386.42, 95% CI: 266.46- 536.31). Greece and Albania are only two countries in the Balkans in which the age-standardized DALY rate per 100,000 increased in the period between 1990 and 2019, in all other countries there was a slight decrease in age-standardized DALY rates in the period between 1990 and 2019.

Conclusions
Age-standardized DALY rates per 100,000 decreased in eight out of ten countries in the Balkan region. However, age-standardized DALY rate per 100,000 increased in the country with the highest burden of depressive disorders in the region- Greece. In the period between 1990 and 2019 the lowest burden of depressive disorders measured in age-standardized DALY rate /100,000 was in Albania, but Albania also recorded the increase in burden.

Key messages
Temporal trends in adolescent sport participation in the south-east of France from 2001 to 2019
Authors: Luiggi M , Travert M , Gatouillat C , Griffet J 
Published: October 2022

Abstract

Background
Adolescents playing sport are more likely to reach the recommended levels of physical activity. In 2001, 2006, 2011 and 2019, four successive French national plans were launched to “develop physical and sports activity and limit sedentary living”. Monitoring sport participation rates (SPR) is one of the essential components to evaluate these plans. To date, information on temporal trends in SPR has mainly come from the national population. However, due to sample size, it was impossible to measure trends among adolescents on the territory level. Given the various economic and geographical disparities between territories, it is likely that territory specific trends exist. The main objective of this study was to measure temporal trends in adolescent SPR in the third biggest French department (South-East of France).

Methods
Four retrospective studies were conducted in high-schools between March and April 2001, 2008, 2015 and 2019 (n = 4367). A quota sampling design was used to obtain geographically and socially representative samples. They were invited to report their sex, their socioeconomic status (SES) and their sport participation. A sports player was defined as an adolescent playing sport for at least one hour a week. SPR were calculated by sex and SES with 95% confidence interval (95% CI).

Results
A decline in SPR, from 79.0% (95% CI = 76.4-81.7) to 64.5% (95% CI = 61.7-67.3), accompanied with a growth of social inequalities, were observed. SPR of low-SES adolescents declined from 67.7% (95% CI = 61.1-74.3) to 42.6% (95% CI = 36.7-48.4). SPR also declined from 72.5% (95% CI = 66.2-78.8) to 69.9% (95% CI = 64.5-75.3) for high-SES girls, from 87.2% (95% CI = 82.5-92.0) to 65.2% (95% CI = 59.6-70.9) for low-SES boys and from 91.0% (95% CI = 87.0-95.0) to 83.0% (95% CI = 78.5-87.4) for high-SES boys.

Conclusions
Temporal trends in adolescent SPR in this territory are in decline since 2001. Governmental plans to improve SPR seems to have had a limited success in this territory.

Key messages
Enhancing the understanding of parental burnout from an empirical and psychometric perspective
Authors: Prandstetter K , Murphy H , Olderbak S , Foran H 
Published: October 2022

Abstract

Background
Parental burnout (PB) is a relatively new syndrome resulting from chronic parenting stress. Besides efforts to enhance scientific and public understanding of PB, little is known about its link to intimate partner violence (IPV), and the psychometrics of German measures for PB remain an under-researched topic. This study aims to address these gaps by 1) testing the interplay of PB, parenting, couple satisfaction, and IPV, 2) examining the psychometrics of the German version of the Parental Burnout Assessment (PBA).

Methods
Data were collected online as part of an international PB study including Austrian parents aged 18 or older with at least one child at home (0-18). Overall, N = 121 mothers from a community sample reported on family functioning, PB, couple quality and gender roles. Structural equation modeling was applied to assess the fit of the theoretical model. Furthermore, data from N = 220 Austrian and German parents on PB and familial variables during the Covid-19 pandemic were collected to analyze the psychometrics of the German PBA. Confirmatory factor analyses were performed to test the validity of the PBA.

Results
SEM indicated a good model fit, χ^2(37) = 35.51, p = .54; CFI = 1.00; RMSEA = .00, (95% CI = .00 -.06). Furthermore, an indirect effect of couple satisfaction on the link between IPV to PB and IPV to parenting was found.

Conclusions
This study provides preliminary evidence for the importance of couples’ relationship satisfaction in understanding links between IPV and PB as well as parenting in German-speaking mothers. On the basis of these findings, future public health efforts may be organized to focus on preventing PB indirectly or directly by targeting couples’ relationship. Additionally, psychometric results of this study can inform researchers and practitioners about the applicability of the German PBA, improving screening of at-risk parents, and offering support for parents at early stages.

Key messages