bluuebunny/crossref_metadata_2025_split huggingface dataset:
Long COVID in France: prevalence, management and long-term impact
Authors: Makovski TT , Decio V , Carcaillon-Bentata L , Alleaume C , Beltzer N , Robineau O , Gallay A , Tebeka S , Coste J 
Published: October 2022

Abstract

Certain percentage of population experiences persistent symptoms months after an acute Covid-19 episode (Long-COVID), with a significant impact on daily-life. Few studies exist on its prevalence and its impact among the general population. The main objective of this survey was to estimate the prevalence of Long COVID among the general adult population in France. Secondary objectives were to evaluate Long COVID management and to assess impact of this clinical condition on quality of life and mental health. Cross-sectional study was performed in March-April 2022 using an online self-administered questionnaire. The sample was selected by the quota method from a panel of volunteers. Its representativeness was ensured by appropriate weighting. Three groups were described: Long-COVID, COVID without persistent symptoms, never COVID. Post COVID-19 condition as defined by the WHO was applied for prevalence estimation. The prevalence was calculated by age and sex. Health care consumption and impact of Long COVID on quality of life and mental health will be studied comparing the three groups, using weighted adjusted polytomic regressions. Here, we present preliminary findings on Long COVID prevalence. There were 27,537 respondents, 52% females, mean age (SD) 49 (±16.5). Confirmed or probable COVID-19 was reported by 33.9% of participants; of whom 85.1% had confirmed laboratory test. Majority (65.1%) had COVID-19 &lt;3 months ago. Long COVID concerned 1,086 (4%) participants. Prevalence was higher for females 4.6% vs. 3.3% for males, and among younger population for both sex groups. Overall, prevalence of Long COVID by age group was: 18-34 (6%), 35-49 (4.7%), 50-64 (3.4%), ≥65 (1.8%). This is a first estimation of Long COVID prevalence among the French population. Representativeness of the sample should be interpreted with caution due to a sample based on volunteers’ response. Ongoing analyses will provide clearer understanding of the impact of Long COVID.

Key messages
• This is a first estimation of Long COVID prevalence among the French population.
• There is a significant portion of the French population impacted by persisting or reoccurring symptoms defined by Long COVID; its impact and care management will be further evaluated.
Ethnicity, deprivation, and the use of patient portals in England’s general practices 2018-2020
Authors: Alturkistani A , Greenfield G , Beaney T , Norton J , Costelloe CE 
Published: October 2022

Abstract

Background
Patient portals are made available and widely promoted in healthcare systems in the USA and Europe. These technologies can help patients access healthcare, receive timely treatment, and manage their health through services such as appointment booking and repeat prescription ordering. However, it is not clear if all patients who need the services are using them. This study explored patient portal use (online appointment booking and repeat prescription ordering features) and patient characteristics among NHS England GP practice patients.

Methods
The study used cross-sectional participant-level data from the GP Patient Survey (GPPS) of 2018, 2019, and 2020. Performing multilevel regression analysis, we explored the association between patient portal feature use and ethnicity and deprivation and controlled for eight other patient characteristics and one GP practice level characteristic, and modelled GP practice as a random effect in the model.

Results
In the fully adjusted model controlled for all patient characteristics and GP characteristics, participants of the Black and Other ethnic groups were less likely to have used online appointment booking (OR: 0.84, 95% CI:0.81, 0.86, and OR: 0.96, 95% CI: 0.92, 0.99, respectively) and online repeat prescription ordering (OR: 0.76, 95% CI: 0.74-0.78 and OR: 0.78, 95% CI: 0.75-0.81, respectively) compared to the White ethnic group. Association with patient portal use increased proportionally with reduced deprivation ranking.

Conclusions
In NHS England GP practices, certain ethnic minority groups and high deprivation ranking is associated with a reduced likelihood of using patient portals. If patient portals are the only route to access services, it is likely to lead to inequalities in use by some patient groups introducing unfair access to the services. Patients could continue to be provided with alternatives to patient portals to prevent potential inequities in access to services.

Key messages
• Patient portals are widely used in the healthcare system and can benefit all patients given that disparities are prevented by understanding patient groups who cannot access portals.
• Understanding patient groups less likely to use patient portals could help adapt healthcare system services and meet the needs of all patient groups.
Exploring children’s health literacy in the Netherlands – results in a sample of 8-11 year olds
Authors: Rademakers J , Hahnraths M , Bollweg T , Okan O , Willeboordse M , Heijmans M 
Published: October 2022

Abstract

Background
There are few valid, age-appropriate tools to assess children's HL. The German-language European Health Literacy Survey Questionnaire Adapted for Children (HLS-Child-Q15-DE) is a self-report questionnaire adapted from the adult European Health Literacy Survey Questionnaire. In 2021, this instrument was translated and validated in the Netherlands. In this presentation, we will describe the distribution of Health literacy in a sample of Dutch children, and relate their Health literacy level to certain aspects of their health behaviour such as food intake and physical activity.

Methods
The HLS-Child-Q15-DE was translated following WHO guidelines and administered digitally to 209 Dutch schoolchildren (eight-to-eleven-year-olds). Its psychometric properties were assessed and the sample's HL distribution was explored by demographic characteristics. Associations with food intake and physical activity were computed.

Results
Of the sample, 17.2% had a low health literacy score (first quintile), 61.1% medium (second to fourth quintile) and 21.7% high (fifth quintile). Higher HL scores were observed for ten-to-eleven-year-olds (compared with eight-to-nine-year-olds; p = 0.021) and fourth-grade students (compared with third-grade; p = 0.019). A positive association between children's HL and their vegetable consumption and PA behaviour was observed.

Conclusions
Children's health literacy can have an impact on some aspects of their lifestyle. This supports the idea that health literacy evolves throughout life and stresses the importance of both parents and schools in this process.
Key messages of the WHO European Regional Obesity Report
Authors: Wickramasinghek K , Williams J , Rakovac I , Grosso G , Heinen M 
Published: October 2022

Abstract
Obesity is a complex multifactorial disease defined by excessive adiposity and is linked to an increased risk for many noncommunicable diseases (NCDs). Overweight and obesity affect almost 60% of adults and nearly one in three children in the WHO European Region. Recent estimates suggest that overweight and obesity is the fourth most common risk factor for NCDs in the Region, after high blood pressure, dietary risks and tobacco. It is also the leading risk factor for disability and obesity is linked to greater morbidity and mortality from COVID-19. And obesity is considered a cause of at least 13 different types of cancer including cancers of the breast, colorectum, kidney, liver and ovary, multiple myeloma and meningioma. None of the countries in the Region are on track to achieve the obesity related target set in 2013. Early studies from a number of countries in the Region indicate that the prevalence of overweight and obesity and/or mean body mass index has increased in children and adolescents during the COVID-19 pandemic. This latest WHO European report on obesity examines the growing challenge and impact of obesity in the Region, building on past publications and aligning with initiatives to tackle cancer. The report focuses on managing obesity throughout the life course and tackling obesogenic environments; it also considers more recent challenges, including problematic digital marketing to children and the impact of the COVID-19 pandemic on obesity prevalence. Policy options to prevent obesity are outlined for consideration by Member States together with a suite of population-level approaches. The report highlights the importance of including prevention and control of obesity within measures to build back better in the wake of the COVID-19 pandemic. Whilst highlighting that single intervention will not be sufficient in any country, it examines the challenges faced by countries to implement known interventions to tackle obesity.
Risk factors and potentials for fostering mental health and wellbeing in urban space
Authors: Müller H , Rehn-Groenendijk J , Wasmer A 
Published: October 2022

Abstract
People shape their physical environments - and vice versa. As such, cities provide both resources (e.g., job opportunities, cultural diversity) as well as stressors (e.g., crowding, noise pollution) to their residents and visitors. In this context, numerous studies illustrate a considerable influence of the built environment (townscape, architecture) on health and well-being of interacting people. This impact ranges from physical aspects (e.g., traffic safety, particulate matter) to psychological processes (e.g., stress, loneliness) and behavioral aspects (e.g., physical activity, social behavior). At the same time, phenomena such as homelessness, crime, or mental disorders (e.g., substance addictions, schizophrenia) occur more frequently in cities compared to rural areas, illustrating causal as well as selective processes in the relation of urban environment and mental health. Increasing overall incidences in mental disorders (especially anxiety disorders and depression), the short-term shortage of psychotherapeutic care as well as the long-term economic burden on the health care system ask for a twofold strategy in public health: a) an extension of preventive measures with low threshold, i.e., accessible by large shares of the population, b) an extension of mental health literacy, which will empower the population to be attentive to mental health issues in themselves and others and which in turn can help to reduce stigmatization. While urban green and blue spaces have been researched in terms of restorative environments - allowing to regenerate resources consumed during the day - the built environment is still a resource for this strategy that has received insufficient attention to date. Utilizing the urban built environment not only as restorative but also informative and engaging environments thus affords an opportunity to address and potentially foster mental health and mental health literacy in citizens across socioeconomic backgrounds.
JAHEE external evaluation
Authors: Balaj M 
Published: October 2022

Abstract
The general aims and evaluation blocks concerned the extent to which JAHEE achieved its objectives, and the identification of lessons learned for future health inequalities programmes. More specific aims included: • Producing knowledge: to understand the outcomes of JAHEE and build knowledge on health inequalities. • Influencing decision-making: to produce results that can guide the development of policies and initiatives tackling health inequalities. • Accountability: to clarify responsibilities and outcomes of JAHEE. • Lessons learned: to provide recommendations for future initiatives.
The evaluation was grounded in five evaluation blocks: relevance, effectiveness and impact, sustainability, dissemination, and added value. The main results will be presented.
Individual differences in sustainable working life: genetic and environmental contributions
Authors: Svedberg P , Narusyte J , Ropponen A 
Published: October 2022

Abstract

Background
Previous research of aetiology of interruptions in working life have shown that both genetic and environmental factors contribute to individual differences in sickness absence (SA) and disability pension (DP). However, we still lack knowledge about etiological factors contributing to sustainable working life. The aim was to study the importance of genetics, shared (mainly childhood) environmental factors, and individual (unique) environmental factors for remaining in the work force over the life-course, i.e., having a sustainable working life.

Methods
The study population include 108,275 twin individuals born 1930-1990 (53% women) with comprehensive national register data on social security, health, and demographic factors. We utilized two measures of sustainable working life: 1) employed at least two consecutive years (n = 21,348), without interruptions due to SA (&gt;14 days), DP, or unemployment; 2) 22-years of sustainable working life, i.e., those who were employed all years from 1994 to 2016 (n = 12,931) without SA (&gt;14 days), DP, or unemployment. Old-age pension, emigration, or death were censored. The final sample included same-sexed twin pairs of known zygosity; monozygotic pairs n = 11,403 and dizygotic pairs n = 13,354. Classical twin modelling was applied to estimate the relative contributions of genetic and environmental factors to individual differences in sustainable working life.

Results
Individual differences for two consecutive years of sustainable working life were explained by genetics 36%, shared environment 8%, and unique environmental factors 56%. For 22-years of sustainable working life genetics accounted for 18%, shared environment 46%, and unique environmental factors for 37% of individual differences.

Conclusions
Individual variation in sustainable working life is due to both genetic and environmental factors. Environmental experiences that twin siblings share while growing up is of importance, especially for long-term sustainable working life.

Key messages
• Childhood environmental circumstances as well as environmental exposures later in life seem to outweigh genetic influences on long-term sustainable working life.
• From a public health perspective, the importance of family and surrounding environment on sustainable working life implies a potential for workplace or societal interventions, or individual support.
Overview of innovative skill-mix changes in nursing across Europe
Authors: Maier C , Winkelmann J , Wismar M 
Published: October 2022

Abstract

Background
Many countries in Europe and worldwide have implemented new professional for nurses or are in the process of implementation, yet, an overview of the evidence on skill-mix changes has been missing. This study has analysed skill-mix innovations in nursing, evidence on outcomes and lessons for implementation.

Methods
An overview of systematic reviews, following a protocol plus country case studies, as part of an international study. The literature search was performed in six databases, with search terms covering skill-mix whereby the nursing profession played a key role. Screening was performed by three researchers after high interrater reliability rates were achieved. Analyses were performed for the nursing professions, a typology of skill-mix changes (task-shifting and role expansion) and evidence on outcomes.

Results
A total of 42 systematic reviews were identified on nurses working in new roles. The roles varied considerably, ranging from nurse prescribing to advanced practice nursing and nurse-led clinics. Nurse-led chronic care programmes were frequently identified, with overall positive outcomes on several health outcomes, e.g., for patients with diabetes or cardiovascular diseases. Nurses were also working in advanced roles in health promotion and prevention, e.g., performing screening programmes, showing equivalent quality of care compared with doctors if adequately trained. Several skill-mix models to enhance care coordination and integration were identified, suggesting that when tailored to the needs of specific population groups, particularly for vulnerable groups, may improve health outcomes or access to services.

Conclusions
The roles of nurses are increasingly diversifying and expanding internationally. Sharing country experiences on how to effectively educate the workforce to be prepared for these new roles and ensure smooth integration is critical.
The income-mortality paradox among first- and second-generation immigrants in Sweden
Authors: Miething A , Juarez SP 
Published: October 2022

Abstract

Background
This study investigates mortality differences by income among first- and second-generation immigrants and the native ancestral population in Sweden. Despite immigrants’ various vulnerabilities and the exhaustive evidence for a persistent inverse relationship between income and mortality in general Western populations, previous studies from outside Sweden demonstrated surprisingly weak income gradients in mortality among first-generation immigrants. Examining these associations among second-generation immigrants may help to understand this paradox.

Methods
Swedish register data from 2002 to 2016 were used to study the association between individual income rank positions and all-cause mortality. The study population was restricted to ages 25-64 years. Based on ‘relative indices of inequality’ (RII) derived from Poisson regressions, we measured mortality differentials between the least and most deprived income rank positions stratified by nativity group and sex. Correspondingly, we assessed absolute differences in mortality between the most and least deprived by using ‘slope indices of inequality’ (SII).

Results
Largest inequalities in mortality by relative income rank positions (based on RII) were found for the Swedish native ancestral population that showed on average a nearly doubled mortality risk for least compared to most deprived rank position. Immigrants disclosed weak or even nullified associations between relative income rank and all-cause mortality. Mortality inequalities by income among second-generation immigrants were substantially higher relative to first-generation immigrants but somewhat lower compared to the native ancestral population. These patterns were consistent between males and females, and confirmed by the use of SII.

Conclusions
Distinct exposures to inequality structures but also first-generation immigrants’ ‘mortality advantage’ likely contribute to the considerable mortality differences by income between the studied nativity groups.

Key messages
• Despite their social and economic vulnerabilities, first-generation immigrants in Sweden disclose weak associations between relative income rank and all-cause mortality.
• Second-generation immigrants in Sweden show notably higher magnitudes in income-related mortality compared with first-generation immigrants.
Association between institutional affiliations of academic editors and authors in medical journals
Authors: Palladino R , Alfano R , Moccia M , Barone-Adesi F , Majeed A , Triassi M , Millett C 
Published: October 2022

Abstract

Background
Most of the literature on conflict of interest (COI) has not focused on the role of academic editors and their possible COIs, although academic editors often hold senior faculty positions at universities, which might be considered a COI if this influences towards a more favourable processing to articles submitted by institutional colleagues. The current study aims to assess whether academic editor affiliation, a potential COI, can influence academic institution ranking as top contributor in the biomedical field.

Methods
We conducted a cross-sectional analysis extracting publicly available data from the 2019 Clarivate InCites Journal Citation Reports for journals in the “Medicine, General & Internal” category and from each journal website. We constructed the following study outcomes: i) being a top 5 academic contributor for the peer-review journal of interest (yes/no), ii) being a top 10 academic contributor for the peer-review journal of interest (yes/no), and iii) ranking position as top 50 academic contributor for the peer-review journal of interest. Mixed-effect linear and logistic regression models were employed, as appropriate.

Results
We included 114 journals in our analysis, 49% were open-access only. Sharing same affiliation of any of the editorial board members was associated with a 6.7 and 5.6 greater likelihood of being top 5 and top 10 contributors, respectively (95%CI 5.07-8.73 and 4.34-7.22). Similarly, sharing same affiliation was associated with being 12.1 places higher as top contributor (95%CI 10.35-13.81). When considering the editor in chief affiliation solely, association was even stronger.

Conclusions
We found that academic editors sharing the same institutional affiliation with authors was strongly associated with the likelihood of that institution of being a top contributor. Shared institutional affiliations between editors and authors should be clearly stated as part of an open and transparent peer-review process.

Key messages
• Editors sharing same affiliation with authors was strongly associated with the likelihood for the institution the editor was affiliated with of being top contributor for academic medical journals.
• Shared institutional affiliations between editors and authors should be clearly stated as part of an open and transparent peer-review process.
Improving PHIRI performance and scalability: working within EGI-ACE
Authors: Sipos G 
Published: October 2022

Abstract
EGI-ACE is a 30-month H2020 project (Jan 2021 - June 2023) with a mission to empower researchers from all disciplines to collaborate in data- and compute-intensive Open Science, enabled by free-at-point-of-use services that are delivered through the European Open Science Cloud (EOSC). EGI-ACE delivers the EOSC Compute Platform (ECP), a federated system of compute and storage infrastructure extended with platform services to support diverse types of data processing and data analytics cases. The ECP currently includes High Throughput Compute (HTC) and Cloud Compute facilities, and will broaden its scope with High Performance Compute services later in 2022. The platform layer of the ECP provides assistance for single sign-on, transfer and federation of distributed data, interactive computing, management of large numbers of jobs, orchestration of compute clusters, AI and machine learning tasks. There are over 25 thematic services in EOSC that build on the ECP, and deliver scalable data analysis for different domains, from astrophysics, through life sciences, environmental sciences, to humanities. PHIRI participates in EGI-ACE as one of the ‘Early Adopters’ of the ECP. Under the EGI-ACE workplan PHIRI will explore reproducible population health workflows with the use of cloud computing, single-sign-on, Jupyter Notebooks and Binder services of the ECP. The tests will enable PHIRI to scale out existing data analysis notebooks to big capacity machines, to reproduce simulations and models across users, and to overall validate the technological and sustainability approaches of EGI-ACE. PHIRI will also advise the project on best ways to introduce secure processing capabilities within the ECP services.
euPrevent
Authors: Van Der Zanden B 
Published: October 2022

Abstract
euPrevent is a non-profit organisation and a Euroregional network that wants to promote the quality of life of citizens in the border regions of the Netherlands, Germany and Belgium. Policy in the field of care and well-being is mainly organised at national level. This has a major impact on citizens in the border region who regularly cross the border for work or family reasons. We therefore focus on the establishment of sustainable, cross-border network connections between health organisations in the border region. Our cross-border cooperation is based on the following three frameworks, within we work: (1) Positive Health, (2) Health in All Policies (HiAP), and (3) Sustainable Development Goals. The network will be represented by Brigitte van der Zanden, the Director of euPrevent and a long standing expert in cross-border health issues.