bluuebunny/crossref_metadata_2025_split huggingface dataset:
Rapid systematic review of smoking cessation interventions for people who smoke and have cancer
Authors: Frazer K , Bhardwaj N , Fox P , Niranjan V , Quinn S , Kelleher C , Fitzpatrick P 
Published: October 2022

Abstract

Background
Higher rates of cancer are reported in smokers compared to non-smokers, and continued smoking following a cancer diagnosis is associated with reduced health outcomes and survival. Despite international evidence of increased risks, a substantial percentage of people with a cancer diagnosis continue to smoke. Patients may be unaware of the additional risks associated with continued smoking, and health care professionals may not engage with quit supports. As part of a larger feasibility study to develop a smoking cessation pathway in cancer services in Ireland, a rapid review of the evidence was completed.

Methods
Systematic searches of PubMed, Embase, and CINAHL 2015 to December 2020 were conducted; with studies restricted to adults with a cancer diagnosis [lung, breast, cervical, head and neck] and published in English. No restriction was placed on study designs. 6404 studies were identified and uploaded into COVIDENCE platform, Cochrane's systematic review methods were adopted throughout, PRISMA reporting guidelines were used, and narrative data synthesis was completed (CRD 42020214204).

Results
The twenty-three-studies report evidence from USA, Canada, England, Lebanon, and Australia. The setting for all interventions was hospitals and cancer clinics. Evidence identifies high dropout rates, inconsistencies in approaches and duration of smoking cessation interventions with varied outcomes. A wide-ranging number of critical components emerged associated with optimal quit support- including the timing of and frequency of quit conversations, use of electronic records, in-person support meetings, provision of nicotine replacement therapy and extended use of Varenicline, smoking cessation services embedded in oncology depts, and engaging with families wanting to quit at the same time.

Conclusions
Developing tailored smoking cessation interventions are needed for smokers diagnosed with cancer to enable engagement.

Key messages
• Continued smoking following a cancer diagnosis is associated with reduced health outcomes.
• Smoking cessation programmes for cancer patient should be tailored to meet needs.
Association of birthweight with lung function and respiratory diseases: results from the GEIRD study
Authors: Tocco Tussardi I , Tfaily A , Antonicelli L , Bono R , Corsico AG , Murgia N , Pirina P , Tardivo S , Jarvis DL , Verlato G 
Published: October 2022

Abstract

Background
Early life conditions are associated with lung function and the development of respiratory and non-respiratory illnesses. The relationship with birthweight (BW) is however conflicting. We examined associations of BW with lung function and respiratory diseases within the GEIRD (Gene-Environment Interaction in Respiratory Diseases) study.

Methods
GEIRD is an Italian multi-centre, multi-case control study of people aged 20-84 from the general population conducted from 2008 to 2014. The study included cases of COPD, asthma, allergic rhinitis and controls. Multinomial logistic regression was performed with case/control status (control/COPD/asthma/allergic rhinitis) as response variable, and BW as main determinant adjusting for sex, age and smoking status.

Results
Of 2,287 reporting BW, 6.4 % (n = 147) had low BW (&lt;2500 gr), and this proportion was greater in women than men (7.8% vs. 5.1%; p = 0.006). Lung volumes were significantly lower in individuals with low than normal BW. Median FEV1 was 3.01 L (p25-p75=2.60-3.45 L) versus 3.16 L (2.65-3.86 L) (p = 0.019) and median FVC was 3.68 L (3.19-4.34 L) versus 3.91 (3.34-4.81 L) (p = 0.003). However, FEV1 and FVC were not affected by BW when expressed as percent predicted. Of note, both men and women with low BW were shorter than those with normal BW (mean±SD: 160.2±5.5 vs. 162.6±6.5 cm in women, p = 0.009; 172.4±6.1 vs. 174.8±7.2 cm in men, p &lt; 0.001). FEV1/FVC expressed as absolute ratio or as percent predicted, was not affected by BW. In multinomial analysis, BW was not associated with respiratory diseases in adulthood. However, those with low BW had a higher risk of self-reported hospitalisation for lung disease before age 2 (10.3% vs. 4.1%) and severe respiratory infection before age 5 (16.9% vs. 8.8%) (p = 0.003).

Conclusions
BW was not associated with lung function in adulthood, when controlling for sex and height. Low BW was a risk factor for respiratory diseases in childhood, not in adulthood.

Key messages
• Low birthweight was associated with respiratory diseases in childhood but not in adulthood.
• Although spirometrically-assessed lung volumes were lower in adults with low birthweight, this is likely explained by associations of low birthweight with sex and height.
Perceived quality and willingness to continue using telemedicine services in patients with diabetes
Authors: Sanmarchi F , Maietti E , Palestini L , Golinelli D , Esposito F , Boccaforno N , Fantini MP , Di Bartolo P 
Published: October 2022

Abstract

Background
Plenty of literature reported the applicability and usefulness of telemedicine and teleassistance (TMTA) services in the management of diabetes and other chronic conditions. Specifically, TMTA proved to be effective for conditions that require radical lifestyle modifications, tailored pharmacological interventions, and periodic monitoring of clinical health status. The purpose of this study is to investigate the individual and contextual determinants of the perceived quality (PQ) of the telemedicine and teleassistance (TMTA) services and the willingness to continue (WC) with them among patients with diabetes using TMTA during the COVID-19 pandemic in one large region of Italy (Emilia-Romagna).

Methods
A structured survey was administered to patients with type 1 and 2 diabetes who used TMTA services during the first wave of the COVID-19 pandemic. The questionnaire was comprised of questions on TMTA service experience and participants’ socio-demographic characteristics. Multiple regression models investigated the independent factors associated with PQ (score 1-100) and WC (yes/no).

Results
The final analysis included 569 patients with diabetes (54.7% female), with an average age of 58.1 years. TMTA services’ PQ and WC were high. A higher education (OR = 1.83; 95%CI 1.04, 3.31) and being unemployed (OR = 2.57; 95%CI 1.17, 6.02) were factors associated with an increased WC. Older age was negatively related to PQ (b = −3.6; 95%CI −6.8, −0.29). Perceived support from TMTA service was positively associated with PQ (b = 10.1; 95%CI 5.1, 15) and WC (OR = 2.03; 95%CI 1.07, 3.85). Perceived increase in disease self-management was positively associated with PQ (b = 5.3; 95%CI 0.24, 10) and WC (OR = 7.11; 95%CI 4.04, 12.8).

Conclusions
Our study identified several determinants of PQ and WC. These socio-demographic and patient-perception related factors should be considered in the implementation of care pathways integrating in-person visits with TMTA services.

Key messages
• Socio-demographic factors play a crucial role in TMTA acceptance and should be taken into due consideration when implementing health pathways integrating in-person visits with TMTA services.
• Health workers should always try to improve patients’ self-management skills and should always make patients feel supported. This is also true in the digital health era.
Content related with preschool children's health on Facebook: a study of parental informational needs
Authors: Liepinaite I , Austys D 
Published: October 2022

Abstract

Background
Little is known how Lithuanian mothers use social networks to seek information about preschool children's health. This study aimed to identify health topics of the posts, characteristics of the most engaging posts, and practices shared in the comments.

Methods
This study included all accessible posts published in 2021 on one Facebook group with more than 21 000 Lithuanian mothers. In total, 1674 posts and 3192 comments on the most engaged group of posts (gastrointestinal disorders) were analysed. Number and type of reactions to posts, categories of health topics, aim, form, tone, and structure of the posts, also practice type on comment were registered.

Results
Among all posts, 72.9% were related to children's health. The most common health topics included injuries (17.1%), healthcare (15.1%), gastrointestinal disorders (9.7%), allergies and skin diseases (9.7%), nutrition, physical activity and health promotion (9.3%), nurture (8.9%). The most common form was text only (48.7%), repetitive aim was to ask about personal experience (47.5%), and recommendations (35.5%). Larger numbers of reactions achieved posts with sensitive tone, including appeal, child's health description, gratitude in advance, and written in Lithuanian (p &lt; 0.05). Comments with healthy lifestyle recommendations, recommendations for medication, also recommendations to treat children by themselves, to visit physicians accounted for 73.6%, 26.4%, 36.0% and 10.8% respectively.

Conclusions
Main topics of children's health on Facebook for Lithuanian mothers are injuries, healthcare, gastrointestinal disorders, allergies, skin diseases, nutrition, physical activity, health promotion, nurture. Posts with sensitive tone, appeal, situation description, gratitude, written in Lithuanian achieve the largest number of reactions. Comments most frequently include advices to treat children at home, also healthy lifestyle recommendations.

Key messages
• Lithuanian mothers most frequently seek advices regarding preschool children’s injuries, healthcare, gastrointestinal issues, allergies and skin diseases, and nurture.
• Publication of posts including text only, sensitive tone, greetings, situation description, and gratitude might help to promote health more effectively.
Youth health promotion in countries affected by forced migration: The role of mHealth technologies
Authors: Karadag O , Karabey S , Yazbik-Dumit N , Almakhamreh S , Al-Mousa A , Orhon EN , Ceyhan DI , Sumbuloglu I , Dasgupta A , Ben Amor Y 
Published: October 2022

Abstract

Issue/problem
Young refugees often face barriers in accessing youth-friendly health information and care. Differing cultural norms, languages, laws, financial difficulties, gender disparities, and stigma pose additional challenges for youth in forced migration settings.

Description of the practice
REACH is a regional initiative of Columbia University, which aims to bridge the gap in health literacy and health care access among refugee and disadvantaged youth in Turkey, Lebanon, and Jordan, which are heavily affected by the Syrian conflict. Supported by TaiwanICDF, Blue Chip Foundation, and Columbia University, the REACH Project uses a community-based participatory action research approach and aims to assess the impact of mHealth technologies on improving health literacy and health care access among youth in host countries. With a strong adult-youth partnership, the project includes stakeholder meetings, mixed-methods studies with youth, health service providers and policy makers, in addition to health advocacy, communication and dissemination activities such as photo exhibitions, panels, and production of policy briefs and scientific publications. REACH has been working with youth, software developers, health professionals, academia, and I/NGOs to develop the multilingual and freely available REACH4Health app to promote youth health.

Results
Findings from three countries show that mHealth technologies have the potential to provide innovative, youth-friendly and widely used solutions to address the health education, health communication, and health care needs of disadvantaged and marginalized youth.

Lessons
Youth-adult partnerships, working with mixed groups of refugee and local youth, using community-based participatory research, peer-to-peer methodologies, and co-design approaches, as well as using social media tools contribute to the overall success of mHealth and health promotion interventions for disadvantaged youth in countries affected by forced migration.

Key messages
• mHealth technologies have a strong potential to improve health literacy and health care access of refugee and disadvantaged youth in countries affected by forced migration.
• Youth-adult partnerships, working with mixed groups of refugee and local youth, using participatory approaches and peer-to-peer methodologies significantly contribute to youth health interventions.
Real-time classification of causes death using Artificial Intelligence – sensitivity analysis
Authors: Pita Ferreira P , Godinho Simões D , Pinto de Carvalho C , Duarte F , Fernandes E , Casaca P , Loff J , Soares AP , Pinto Leite P , Peralta-Santos A 
Published: October 2022

Abstract

Background
Last year Europe registered &gt;365 000 excess deaths, most from preventable causes. In order to timely track deaths, the Portuguese Directorate-General of Health developed a deep neural network that codifies ICD-10 causes of death (AUTOCOD) by analyzing free text in a death certificate (DC). While the performance of AUTOCOD has been demonstrated, it was not clear if it was sustained during excess mortality periods, when text quality could be lower due to the increased pressure on health services.

Methods
We performed a sensitivity analysis comparing the ICD-10 classifications of 330 098 Portuguese DC by AUTOCOD and by human-coders, from 2016 to 2019. Excess mortality was defined using the EuroMOMO methodology and a sub-analysis in periods of extreme excess (+4 and +6 SD). We compared the periods without excess mortality with the periods of excess and extreme mortality by chapter. The same analysis was performed for ICD-10 blocks, for the three most common chapters (neoplasms; diseases circulatory and respiratory system). The confusion matrixes allowed us to calculate AUTOCOD's performance metrics, like sensitivity.

Results
AUTOCOD showed high sensitivity (≥0.75) in 10 chapters, with values above 0.90 for the three most common ones. The weighted-average of sensitivity showed no difference between periods without excess mortality and periods of excess mortality, a difference of 0.01 for periods of extreme mortality (+4 SD) and a difference of 0.04 for periods of extreme mortality (+6 SD). For the block classification, performance was similar.

Conclusions
Even in periods of excess and extreme mortality, AUTOCOD accurately predicts the classification of the cause of death. Meaning that it is not affected by a potential loss in text-quality due to pressure in health services. This allows for the use of AUTOCOD for real time mortality surveillance and it highlights the importance of Artificial Intelligence as an advisory tool for Public Health policies in emergencies.

Key messages
• Artificial Intelligence algorithms like AUTOCOD can predict the ICD-10 cause of death with very high sensitivity, during periods with and without excess mortality.
• Artificial Intelligence algorithms like AUTOCOD can be used for real-time cause specific mortality surveillance, providing valuable information for policy making during periods of excess mortality.
Do family characteristics explain a social gradient in overweight in early childhood?
Authors: Hoffmann S , Rattay P , Blume M , Hövener C , Schneider S , Moor I , Pischke C , Schüttig W , de Bock F , Spallek J 
Published: October 2022

Abstract

Background
Children's overweight is associated with many factors, including their living situation, in particular their family's socioeconomic position (SEP) and family characteristics. Research on the extent to which family characteristics account for a social gradient in overweight in early life is scarce. This study evaluated whether family characteristics explain SEP differences in the risk of overweight in early childhood.

Methods
The study used baseline data of 3-6 year-old children (n = 1,116) from the intervention ‘Ene mene fit’ conducted at kindergartens in Baden-Württemberg, Germany. Data included overweight (body mass index &gt; 90 percentile) and parents’ reports on their education and family characteristics associated with overweight (child consumes: sweets in front of TV, soft drinks; family joined time: outdoor, breakfast, sports; cooking; child sets table; role model). Model-based single mediation analyses decomposed the total effect of highest parental education on overweight into direct (unmediated) and indirect (mediated) effects (OR, 95% CI).

Results
Girls and boys with low parental education had higher odds for overweight than children with high/medium education. Among boys, low education influenced the risk of overweight via indirect effects of i. ‘sweets consumption in front of TV’ (OR = 1.31, 1.05-1.59) and ii. ‘no joined sports’ (OR = 1.14, 1.00-1.44). The direct effect of low education only remained significant when ‘no joined sports’ was considered (OR = 2.19, 1.11-5.19). Among girls, family characteristics measured here did not explain SEP differences in overweight.

Conclusions
The family characteristics ‘sweets consumption in front of TV’ and ‘no joined sports’ contribute to inequalities in overweight among boys, but not among girls. Therefore, more gender-sensitive research is needed to identify family risk and protective characteristics that explain health inequalities among both boys and girls.
Quality changes of workplace health promotion in Austrian companies over time
Authors: Lang G , Heigl C , Jiménez P 
Published: October 2022

Abstract

Background
Workplace health promotion (WHP) is effective when it is implemented in a high-quality and sustainable manner. Companies in the Austrian quality management system can apply for a WHP quality certificate every three years. More and more companies are integrating WHP into their regular operations. This work investigates the WHP quality system and how the companies develop over time.

Methods
WHP quality is measured using 15 holistic quality criteria, which are assessed by an external, independent institute. For the period 2014-2021, evaluations from n = 570 companies with two and from n = 278 companies over three measurement points in time are available (initial and renewal awards). The (potential) change of the WHP quality is examined with a longitudinal design by the means of confirmatory factor analyses and autoregressive models with latent variables.

Results
The measurement of WHP quality shows acceptable to good measurement accuracy (internal consistency-reliability: α = 0.85-0.89), validity (convergent and discriminant validity) and metric measurement invariance over time. At structural level, relative stability of WHP quality can be demonstrated for the measurement points (β = 0.40-0.52, p &lt; 0.001). Both the quality of WHP and the temporal stability differentiate significantly according to the firm size and the experience of the company with WHP structures and processes.

Conclusions
The use of the criteria allows a reliable, valid and objective quality assessment of WHP quality due to the concept of the assessment process. WHP quality is a relatively stable characteristic of the company, which, however, varies according to temporal, structural and process-related aspects. Company size moderates to a lesser extent of quality changes over time. This is in line with expectations, but also indicates that small companies should be clearly motivated and supported for their WHP measures. The insights help to further develop quality assurance in WHP and public health.

Key messages
• The criteria used allow a reliable, valid and objective assessment of WHP quality.
• Because firm size moderates the change in WHP quality, small firms should be continuously encouraged and supported.
Are French local health contracts promising in addressing determinants of diet and physical activity?
Authors: Le Bodo Y , Diallo D , Hudebine H , Harpet C , Jabot F , Breton E 
Published: October 2022

Abstract

Background
There is a consensus on the need to transform the built, economic and socio-cultural environments to promote healthy eating (HE) and physical activity (PA). Yet, limited capacity and the biomedicalisation of public health are often blamed for steering investments towards individual risk factors. In France, local health contracts (LHCs) agreed between a regional health agency (RHA) and a local government could improve health promotion strategies. We examined how LHCs take into account the environmental determinants of HE and PA.

Methods
Using the CLoterreS national census, we analysed a stratified random sample of 53 LHCs with a view to identify if actions target individual (knowledge, skills, etc.) or environmental (interpersonal, organisational, community or political) determinants. To this end, we developed an instrument drawing from different typologies of action and consensus documents to assess the integration of the socioecological approach in programmes. We ran a series of interviews with RHA staff (n = 39) and local actors (n = 23) to put into context our results.

Results
Out of 53 LHCs, 42 included at least one action on HE or PA. For these topics, there was a higher proportion of actions targeting individuals (83% and 76% per contract, respectively) than environments (51% and 58%). For the latter, actions on interpersonal determinants (e.g. family) were the most common. However, we also found instances of actions on more distal ones (e.g. to improve nutrition standards in school canteens and walkability). Contextual factors such as local priorities, past experience with health promotion and the involvement of local actors in needs assessment and action planning may influence such orientations.

Conclusions
LHCs constitute a promising avenue to address the environmental determinants of health-related behaviours. A key feature of this instrument is its capacity to develop intersectoral strategies. Further research will show if LHCs deliver on their action plan.

Key messages
• Local health contracts facilitate the mobilisation of a broad diversity of NGOs and agencies.
• This makes it a promising device for addressing the environmental determinants of HE and PA, provided adequate resources are devoted to stakeholder engagement and local government capacity-building.