bluuebunny/crossref_metadata_2025_split huggingface dataset:
The vision of Dutch paediatric care until the year 2030: prevention and collaboration as key ingredients
Authors: Jansen D , Illy K 
Published: October 2022

Abstract
There are many societal developments in The Netherlands that have or will have an impact on Dutch paediatric care. These developments both reveal potential risks in paediatric care and require future improvement of paediatric practices to achieve the best possible outcomes for Dutch children. To realise this, the Dutch Paediatric Society decided in their renewed vision to have a closer focus on prevention and on building partnership with public health, by implementing a building block ‘Interprofessional Collaboration between Paediatricians and Other Health Care Providers’. This building block formulates the wish of the Dutch Paediatric Society to work together in networks with other domains of care, such as public health. Preferably, it will be a flexible network in which the disciplines involved align the needs of the specific child. In order to develop and participate in such a network, pediatricians and public health professionals actively have to invest in connecting, establishing, and further developing professional networks (including patient societies). A first precondition for the development and successful functioning of such a network is the implementation and use of a joint electronic medical record in which all diagnostics, treatment plans and positive health aspects of the child are collected, and which is accessible to all professionals involved. A patient record which guarantees a barrier-free exchange of medical and non-medical information between paediatricians and public health professionals within the framework of the current privacy legislation. A second precondition regards an improvement of the paediatric training curriculum in which the paediatrician of the future will gain knowledge of positive health and integrative medicine. The future paediatrician must be trained to function in networks and to make connections. In this presentation we present an update of the implementation of this building block: what is already realised and how.
Ethnic differences in COVID-19 deaths across various waves of Coronavirus pandemic in Netherlands
Authors: Chilunga FP , Stoeldraier L , Agyemang C , Stronks K , Harmsen H , Kunst AE 
Published: October 2022

Abstract

Background
It is not known how ethnic differences in COVID-19 deaths in the Netherlands evolved throughout the pandemic, especially after introduction of ethnicity-oriented COVID-19 prevention measures. We investigated associations between ethnicity and COVID-19 deaths across first wave of the pandemic, inter-wave period, and second wave in the Netherlands.

Methods
We obtained multiple registry data from Statistics Netherlands spanning from 01 March 2020 to 14 March 2021 comprising of 17.4 million inhabitants. We estimated incidence rate ratios (IRRs) for COVID-19 deaths among ethnic groups using Poisson regression models and adjusted for relevant socio-demographic factors. We used similar models to estimate IRRs for non-COVID-19 deaths among ethnic groups.

Results
Ethnic minority populations exhibited higher risk of COVID-19 deaths than the Dutch origin population throughout various study periods. The most elevated risk of COVID-19 deaths was in populations originating from low- and middle-income countries, especially those with Turkish, Moroccan, and Surinamese background. The elevated risk of COVID-19 deaths among ethnic minority groups (as compared to Dutch origin population) was higher in inter-wave period (4 times higher) and second wave (2 times higher) when compared to the first wave (1.5 times as higher). Ethnic differences in COVID-19 deaths were larger compared to non-COVID-19 deaths.

Conclusions
Ethnic differences in COVID-19 deaths persisted across first wave, inter-wave period and second wave in the Netherlands despite introduction of ethnicity-oriented prevention measures. Research on explanatory mechanisms and novel prevention measures are needed to address the ongoing differences in COVID-19 deaths across ethnic groups.

Key messages
• Ethnic differences in COVID-19 deaths persisted in the Netherlands despite introduction of ethnicity-oriented prevention measures.We therefore call for better prevention measures.
• Well known drivers of SARS-CoV-2 infection such as household wealth, did not explain our findings calling for an in-depth understanding of drivers of ethnic differences in COVID-19 deaths.
Unseen abilities – how refugee women with disabilities experience social participation
Authors: Scheer S , Mondaca M 
Published: October 2022

Abstract

Background
In the European context, refugee women especially those with physical disabilities are confronted by many unequal conditions that have an impact on their health and social wellbeing. To address these, it is important to understand refugees’ social participation and integration process. Furthermore, the purpose of the study is to identify refugee women's resources and their strengths in their everyday life that are related to current problems and needs.

Methods
This research project is embedded in occupational science theories which include the effect of social and environmental issues on an individual's health and wellbeing. An ethnographic, longitudinal study using visual and narrative methods was used to explore the phenomena of the everyday life and social participation possibilities of five refugee women with physical disabilities living in Stockholm, Sweden. Moreover, to illustrate the process of meaning-making, the frame of intersectionality was used within the whole research process.

Results
Through the lens of intersectionality, it was possible to determine gender, ableism, religion, and ethnicity issues as influencing factors concerning health and social participation. The women's narratives illustrate accessibility, e.g. public transport as a big resource in comparison to the country they came from. Still, to be a woman, a refugee, and having a disability at the same time is a challenge for social participation. One reason is less consideration of disabilities in the integration process. Having faith was mentioned as a safe place and using the public transport to independency. However, the women stress, that they want their abilities to be used instead of experiencing being limited by their disabilities.

Conclusions
In conclusion, the women emphasize being engaged in the hosting community. Health and social policymakers should consider the refugee women's voices to develop integration strategies with and not for refugee women with disabilities.

Key messages
• Through the lens of intersectionality, refugee women's narratives bring new insights about social participation.
• Refugee women with a disability want to engage in the hosting society and become active members.
Evaluating Mood and Anxiety Disorders in Canada Through a Gender-Based Analysis Plus (GBA+) Lens
Authors: Yeretzian ST , Sahakyan Y , Abrahamyan L 
Published: October 2022

Abstract

Background
The prevalence of mental disorders continues to increase worldwide. We assessed the prevalence and associated factors of mood and anxiety disorders in the Canadian population using a Gender-Based Analysis Plus (GBA+) lens on a nationally representative survey.

Methods
A secondary analysis of the 2017-2018 Canadian Community Health Survey (CCHS) - Annual Component was conducted using a GBA+ lens, an analytical process to incorporate sex, gender, and other intersecting identity factors into research, programs and policies. Sampling and bootstrap weights were applied to account for complex sampling design. Chi-square test and multivariable logistic regression models were used to assess associated factors of mood and anxiety disorders.

Results
2017-2018 CCHS included 113,290 observations, representative of 98% of the Canadian population over the age of 12. Mood and anxiety disorders were more prevalent among females than males (11.0% vs 6.4% and 11.6% vs 6.3% respectively, p &lt; 0.001). Logistic regression analyses revealed higher odds for both disorders for those who were female, unemployed, smokers, homosexual or bisexual, had low education and income levels, suffered from food insecurity or had disabilities. Statistically significant interactions were observed between sex and factors such as age, income, employment and sexual orientation. Of those who had a mood or anxiety disorder, 5.0% reported having unmet mental health care needs compared to 1.0% of the general population (p &lt; 0.001). Those reporting unmet mental health care needs were more frequently younger, females, single parents, with disabilities, lower income and food insecurity.

Conclusions
Females in Canada continue to be affected by mood and anxiety disorders at higher rates than males. Strategies for preventing mental health disorders and improving mental health care must be tailored towards the needs of specific groups. We recommend the use of GBA+ as a guide in both research and policymaking.

Key messages
• This study provides estimates of the present state of mood and anxiety disorders in the Canadian population using secondary data from a cross-sectional, nationwide survey conducted through 2017-2018.
• The application of Gender-Based Analysis Plus (GBA+) helps with the systematic evaluation of healthcare disparities and development of targeted strategies to address gaps in mental health.
The within-person relationship of school climate and mental wellbeing in adolescence
Authors: Bjørnøy Urke H , Kristensen SM , Årdal E , Wiium N , Bøe T , Gaspar deMatos M , Larsen T 
Published: October 2022

Abstract

Background
School climate is recognized as important for adolescent mental wellbeing. However, there is a lack of longitudinal studies, and most research focus on school climate as an antecedent of mental wellbeing while the relation could be in the opposite direction or bidirectional. Further, no study has examined this relation with analyses that separate between- from within-person variability to properly assess intraindividual developmental processes.

Methods
Using a random-intercept cross-lagged panel model we investigated the longitudinal reciprocal relations of perceptions of a caring school climate and mental wellbeing across three time points (T1, T2, T3) in adolescence, and if socioeconomic position (SEP) predicted perceptions of a caring school climate and mental wellbeing at each time point. The sample consisted of 1508 Norwegian adolescents (60.7% female; baseline mean age = 16.33, SD = .62).

Results
Results showed positive cross-lagged effects at the within-person level from mental wellbeing to later perceptions of a caring school climate across all time points (T1-&gt;T2 b=.12* [.01, .22], T2-&gt;T3 b=.12* [.01, .23]), but no similar effects in the opposite direction. Positive concurrent effects from SEP were observed at one time point for mental wellbeing (T1 b=.10* [.01, .19]), and all time points for perceptions of a caring school climate (T1 b=.12* [.02, .22], T2 b=.11* [.02, .20], T3 b=.12* [.02, .22]), indicating SEP to be related to intraindividual fluctuations mainly in perceptions of a caring school climate.

Conclusions
The findings support a unidirectional temporal relationship from mental wellbeing to perceptions of a caring school climate and underscore the importance of investigating the subject longitudinally and as a function of within-person fluctuations. From a public health view, the findings support the importance of systematic efforts to promote mental wellbeing to facilitate positive school experiences of adolescents of all social classes.

Key messages
• The study found a unidirectional temporal relation at the within-person level in adolescents where mental wellbeing predicted perceptions of a caring school climate, but not the other way around.
• The findings underline the importance of systematic public health efforts to promote mental wellbeing as one avenue to facilitate positive school experiences of adolescents of all social.
Primary health care reforms in Slovenia: leveraging existing structures to expand care
Authors: Polin K , Scarpetti G , Albreht T , Petrič V , Vracko P 
Published: October 2022

Abstract
Primary health care (PHC) in Slovenia is delivered mainly by a network of 63 public community-based primary health care centres (CPHCs), serving as entry points to the health system. Here, multidisciplinary teams provide an array of preventative, diagnostic, therapeutic, palliative, and health promotion services under one roof. Since 2011, several reforms in PHC highlight integrated care. A national scale-up of Family Medicine Practices is underway, where all family medicine teams include a 0.5 FTE registered nurse to improve prevention, early diagnosis and care coordination of chronic patients. Health promotion centers (HPCs) are being introduced in CPHCs to support people in healthy lifestyle, with currently 28 HPCs managed by CPHCs and supported operationally by the National Institute of Public Health. New mental health centers facilitate access to comprehensive mental health care. In 2020, dedicated temporary COVID-19 units in CPHCs played a key role in treating mild/moderate cases and shielding hospitals from overburden. Regarding implementation, pilots have been critical to creating a strong evidence base to enable sustainable (sometimes external) financing, while innovations capitalize on existing links between Slovenia's primary care and public health functions and the Ministry of Health for governance and the flexibility of the multidisciplinary, multiple-practice care model represented by CPHCs. Though this has eased their initial introduction into existing structures, challenges remain. These include dissatisfaction among family physicians due to high administrative burden and an outdated CPHC governance model that limits managers’ authority as well as workforce shortages in public health and primary care. Financial incentives, task shifting, and adjustments to education and training have been used to mitigate these issues. Slovenia's experience may serve as a case study for countries interested in improving their primary healthcare services.
10.B. Round table: Shelter in place: lessons from policy making during the COVID-19 pandemic in three countries
Authors:   Organised by: University of Augsburg (Germany),   Chair persons: Verina Wild (Germany), Angus Dawson (Australia)
Published: October 2022

Abstract

The key aims of the workshop are: (1) to engage in early discussion of the findings of this timely project and gain critical feedback from the EUPHA audience, (2) discuss and debate with the audience comparable and contrasting experiences from across Europe. This workshop will outline and discuss results from a project, funded by the Volkswagen Foundation, about the experience of decision-making and the implementation of non-pharmaceutical public health measures (such as social distancing, school closures, lockdowns etc) in the early stage of the response to COVID-19 (the pre-vaccine phase) in three countries (Germany, Israel and Australia). The project combines both empirical research in the form of qualitative interviews with key stakeholders as well as theoretical and conceptual ethical analysis. These methods are integrated to propose a comprehensive ethics assessment building upon the resources of public health ethics to improve the capacity for ethically sensitive decision-making in the future. Key objectives will be: (1) to record some of the relevant values that are explicitly appealed to by stakeholders, (2) to record any implicit values visible in the decision-making process, (3) discuss some of the value conflicts that arose during decision-making, (4) tentatively suggest lessons to be taken into account in future pandemic policy making. The format of this workshop will be a roundtable with a series of short (5 minute) presentations from five panellists, all part of the project, as set out below (25 mins). The chair will then invite questions on matters of clarification arising (max. 10 mins) before inviting members of the audience to provide short comments documenting and reflecting upon their similar or contrasting experiences in their countries (20 mins) before a brief conclusion (5 mins).

Key messages
• Ethical values are implicitly or explicitly used to justify proposed and actual policy choices, even during a pandemic. Discussion of such values is useful for refinement of future pandemic policy.
• It was common to assume that everyone had the same access to information and ability to respond etc. However, a great, more explicit focus on disadvantaged or vulnerable groups would be beneficial.
Severity in a Norwegian hospitalized injury material (N = 177,663) by two severity measures: threat-to-life and threat of disability
Authors: Madsen C , Lund J 
Published: October 2022

Abstract
We conducted a registry-based cohort study of all individuals aged 25-64 years residing in Norway by 1st of January 2008 (N = 2,535,213). This cohort was followed from 2008 through 2014 using inpatient registrations for acute hospitalizations due to all-cause injuries, getting 177,663 cases of hospitalized persons (incidence rate of new cases: 102.1 pr 10,000 person-years at risk). We derived two measures of severity: threat-to-life using the International Classification of Disease-based Injury Severity Score (ICISS) (Stephenson et al 2004; Gedeborg et al 2014), and threat of disability using long-term disability weights (DW) from the Injury-VIBES project (Gabbe et al 2014), also based on the ICD-codes. We found the following distributions of the hospitalized persons (N = 177,663): 1) Threat to life (ICISS): High threat to life: 4,186 (2.4 %); Lower threat to life: 173,477 (97.6%). 2) Threat of disability (Injury Vibes DW): High probability of long-term disability (DW-score &lt; 0.807): 36,573 (20,6 %); Medium probability of long-term disability (DW-score 0.807-0.947): 97,590 (54,9 %); low probability of long-term disability (DW-score &gt;0.947): 43,530 (24.5 %). Correlation between ICISS-score and the Injury Vibes disability weight score was moderate (r = 0.418, p &lt; 0.001). The presentation will end up in a discussion on which of these two severity measures could be used for comparing burden of injuries across countries.
References
Gabbe BJ, Simpson PM, Lyons RA, et al. (2014) Association between the Number of Injuries Sustained and 12-Months Disability Outcomes: Evidence from the Injury-VIBES Study. PLos ONE, 9(12):e113467. DOI: 10.1371/journal.pone.0113467.
Gedeborg R, Warner M, Chen LH, et al. (2014) Internationally comparable diagnosis-specific survival probabilites for calculation of the ICD-10-based Injury Severity Score. J Trauma Acute Care Surg, 76(2):358-65. DOI: 10.1097/ta.0b013e3182a9cd31.
Effectiveness of a health literacy intervention targeting kidney patients and professionals
Authors: Boonstra MD , Gurgel do Amaral MS , Navis GJ , Stegmann ME , Westerhuis R , de Winter AF , Reijneveld SA 
Published: October 2022

Abstract

Background
Chronic kidney disease (CKD) patients with limited health literacy (LHL) experience a faster kidney decline. To counteract this, we developed Grip on your Kidneys (GoyK). This intervention targets patients’ communication and self-management. It trains health care professionals (HCPs) competences to support patients with LHL. This study aims to test the effectiveness of GoyK on patients’ health and self-management, HCPs’ communication competences, and the quality of consultations.

Methods
A clustered and non-blinded quasi-experimental study was conducted, including 161 patients with mild to severe CKD and 48 HCPs from Dutch general practices and nephrology clinics. Patients (n = 77) and HCPs (n = 30) in the intervention group received GoyK. In the control group, patients (n = 76) had routine visits with HCPs (n = 19). Between March 2021 and June 2022, data were collected with questionnaires and from patient records at baseline (T0), 4 months (T1) and 9 months (T2). Primary outcomes were patients’ self-management and HCPs’ use of health literacy communication strategies.

Preliminary results
At T1, the intervention improved the days per week patients exercised (B = 1.00, 95% confidence interval, CI = 0.35-1.65, P = 0.003), and Likert-scale reported (1-4) fluid intake (B = 0.37, CI = 0.10-0.63, p = 0.006). The intervention had a positive effect on several outcomes related to how patients perceived the consultation quality, and improved the reported use of communication strategies by HCPs at T1 (B = 0.68, CI = 0.35-1.01, p = &lt;0.001). We found no effects on other patient outcomes, like activation for self-management or salt intake.

Conclusions
Our health literacy intervention, targeting CKD patients with LHL and HCPs, improved lifestyle behaviors of patients and the quality of consultations. A further strengthening of other self-management behaviors and on HCPs’ competences is needed, also to reach sustainable effects in the care for patients with LHL.

Key messages
• A health literacy intervention, targeting patients and professionals simultaneously, improved the patients’ self-management and care consultations.
• Training of HCPs improved their competences to support patients with LHL, and care organizations and studies need to implement education on this topic.
Socio-demographic determinants of infectious disease knowledge in Armenia
Authors: Sargsyan Z , Grigoryan Z , Sahakyan S , Kelenjian K , Hayrumyan V , Agopian A , Harutyunyan T 
Published: October 2022

Abstract

Background
There is substantial evidence that infectious disease knowledge (IDK) predicts people's behavioral intentions and preventive practices. Since level of IDK varies across socio-economic contexts and imposes a substantial burden on vulnerable groups, we aimed to assess the relationship between socio-demographic factors and IDK in the adult population of Armenia.

Methods
A cross-sectional nationwide phone survey was conducted in the capital Yerevan and all Armenian provinces in 2021, using a stratified two-stage cluster sampling to complete a sample of 3,483 respondents. The questions on socio-demographic characteristics and IDK were included in a multi-domain structured survey questionnaire. Four questions measured IDK; a summative IDK score (0-4) was used in bivariate and multivariate linear regression analysis.

Results
Females constituted 71.0% of the sample. The mean age was 49.5 years. About 68% of the study participants had some vocational (12-13 years) or university degree education and 54.4% were employed. About one fifth of the respondents reported family monthly expenditures of less than 100,000 Armenian drams (AMD) ≈ $200, while the majority reported spending 101,000AMD to 400,000 AMD per month. The mean IDK score was 2.48. In the adjusted analysis, being female, holding a higher education level, being employed, having younger age and higher family monthly expenditures were positively associated with IDK score.

Conclusions
Our findings suggest that there is a gap in IDK affecting specific population groups such as older people, those with incomplete or secondary education, unemployed and financially disadvantaged people. Educational interventions and campaigns should target these groups to minimize the gap and ensure even prerequisites for good health.

Key messages
• Gender, age, education level, employment status and income level all independently influence population’s infectious disease knowledge.
• Health communication campaigns on infectious disease knowledge should particularly target males, older people and socially disadvantaged groups.