European Journal of Public Health

List of Papers (Total 7,147)


Socioeconomic differences in healthy and disease-free life expectancy between ages 50 and 75: a multi-cohort study

There are striking socioeconomic differences in life expectancy, but less is known about inequalities in healthy life expectancy and disease-free life expectancy. We estimated socioeconomic differences in health expectancies in four studies in England, Finland, France and Sweden.

Admissions for ambulatory care sensitive conditions: a national observational study in the general and COPD population

Hospital admissions for ambulatory care sensitive conditions (ACSCs) may be prevented by effective ambulatory management and treatment. ACSC admissions is used as indicator for primary care quality and accessibility. However, debate continues to which extent these admissions are truly preventable. The aim of this study was to provide more objective insight into the preventability...

Views and experiences of ethnic minority diabetes patients on dietetic care in the Netherlands – a qualitative study

Diabetes type 2 is more prevalent in people from ethnic minorities in the Netherlands, and outcomes of care are worse compared with other Dutch people. Dieticians experience difficulties in managing these groups in self-management and adherence to dietary advice. The aim of this study was to explore the views regarding a healthy diet and dietetic care among ethnic minority type 2...

The association between part-time and temporary employment and sickness absence: a prospective Swedish twin study

Sickness absence (SA) is becoming a major economic problem in many countries. Our aim was to investigate whether type of employment, including temporary employment or part-time employment, is associated with SA while controlling for familial factors (genetic and shared environment). Differences between men and women and across employment sectors were explored.

The impact of depressive symptoms on exit from paid employment in Europe: a longitudinal study with 4 years follow-up

Mental health problems are a risk factor for loss of paid employment. This study investigates (i) the relation between depressive symptoms and different involuntary pathways of labour force exit and (ii) explores gender and geographical differences in this relation.

Austerity, measles and mandatory vaccination: cross-regional analysis of vaccination in Italy 2000–14

Italy has experienced a resurgence in measles since 2015. Although much emphasis has been placed on the role of individuals opting out of vaccination, here we test the hypothesis that large budget reductions in public health spending were also a contributing factor.

Selective prevention of cardiometabolic diseases: activities and attitudes of general practitioners across Europe

Cardiometabolic diseases (CMDs) are the number one cause of death. Selective prevention of CMDs by general practitioners (GPs) could help reduce the burden of CMDs. This measure would entail the identification of individuals at high risk of CMDs—but currently asymptomatic—followed by interventions to reduce their risk. No data were available on the attitude and the extent to...

Opioid, antipsychotic and hypnotic use in end of life in long-term care facilities in six European countries: results of PACE

Opioids, antipsychotics and hypnotics are recommended for comfort care in dying. We studied their prescription during the last 3 days in residents deceased in the long-term care facility (LTCF).

The prevalence of elder abuse in institutional settings: a systematic review and meta-analysis

A recent study has shown that close to one in six older adults have experienced elder abuse in a community setting in the past year. It is thought that abuse in institutions is just as prevalent. Few systematic evidence of the scale of the problem exists in elder care facilities. The aim of this review is to conduct a systematic review and meta-analysis of the problem in...

Low schoolwork engagement and schoolwork difficulties predict smoking in adolescence?

Low academic achievement has been associated with smoking but factors behind this association are poorly known. Such factors could include schoolwork disengagement and schoolwork difficulties. To assess the extent to which they contribute to the explanation of how health inequalities emerge, we study in a longitudinal design whether these have an independent effect on smoking or...

Child maltreatment prevention: a content analysis of European national policies

Child maltreatment is a major public health concern, which worsens inequalities and perpetuates social injustice through its far—reaching impacts on the health and development of children affected. The aim of this article was to provide a content analysis of the national policies presently used to address child maltreatment and provide an overview of prevention practices being...

Unexplained variations in general practitioners’ perceptions and practices regarding vaccination in France

Given geographical disparities in vaccination coverage (VC) and the crucial role general practitioners (GPs) play in vaccination in France, we sought to: 1) determine the existence of geographical variations in GPs' perceptions of vaccines, their trust in information sources, and the frequency of their recommendations to patients by comparing data from southeast (SE), central...

Deciding on cystic fibrosis carrier screening: three citizens’ juries and an online survey

Health technology assessment and ethical issues have to be dealt with in deciding on national carrier screening for cystic fibrosis (CF)—the most frequent severe autosomal recessive disease in Caucasian populations and several stakeholders need to be involved. A citizens’ jury is one way to ask citizens to deliberate on controversial topics in the interests of a society. The aims...

Hepatitis B in Moroccan-Dutch: a qualitative study into determinants of screening participation

Chronic hepatitis B (HBV) leads to an increased risk for liver cirrhosis and liver cancer. In the Netherlands, chronic HBV prevalence in the general population is 0.20%, but 3.77% in first generation immigrants. Our aim was to identify determinants associated with the intention to participate in HBV testing among first generation Moroccan immigrants, one of the two largest...

The association between diabetes and depressive symptoms varies by quality of diabetes care across Europe

Depressive symptoms are more common in adults with diabetes and may arise from the physical and psychosocial burden of disease. Better quality of diabetes care may be associated with a reduced disease burden and fewer depressive symptoms.

Association between vaccination coverage decline and influenza incidence rise among Italian elderly

After a peak of 68.3% during the 2005–06 season, influenza vaccine coverage among Italian elderly showed an unprecedented, prolonged decline. According to the National surveillance network, the vaccination coverage was ≤50% during two of the last three seasons (2014–17). In parallel, influenza-like illness (ILI) rates increased from 2.71% in the triennium 2005–08, to 4.24% in the...

Good practices and challenges in addressing poliomyelitis and measles in the European Union

All European Union (EU) and European Economic Area (EEA) Member States have pledged to ensure political commitment towards sustaining the region’s poliomyelitis-free status and eliminating measles. However, there remain significant gaps between policy and practice in many countries. This article reports on an assessment conducted for the European Commission that aimed to support...

Alcohol industry corporate social responsibility initiatives and harmful drinking: a systematic review

There is growing awareness of the detrimental effects of alcohol industry commercial activities, and concern about possible adverse impacts of its corporate social responsibility (CSR) initiatives, on public health. The aims of this systematic review were to summarize and examine what is known about CSR initiatives undertaken by alcohol industry actors in respect of harmful...

Universal school lunch programme closes a socioeconomic gap in fruit and vegetable intakes among school children in Japan

Universal school lunch programmes are expected to cover all children equally, compared with selective programmes that may stigmatize socially vulnerable children. However, the effectiveness of universal programmes in closing dietary disparity has not been empirically proven. We evaluated whether Japan’s universal school lunch programmes contribute to a reduction in the...

The role of financial strain and self-control in explaining health behaviours: the GLOBE study

Why lower socioeconomic groups behave less healthily can only partly be explained by direct costs of behaving healthily. We hypothesize that low income increases the risk of facing financial strain. Experiencing financial strain takes up cognitive ‘bandwidth’ and leads to less self-control, and subsequently results in more unhealthy behaviour. We therefore aim to investigate (i...

Material, behavioural, cultural and psychosocial factors in the explanation of socioeconomic inequalities in oral health

This study aimed to assess the contribution of material, behavioural, cultural and psychosocial factors in the explanation of socioeconomic inequalities (education and income) in oral health of Dutch adults.

An intervention that reduces stress in people who combine work with informal care: randomized controlled trial results

The aim of the research was to examine whether a role-focused self-help course intervention would decrease caregiver stress and distress, and functioning problems, among people who suffer stress because they combine paid work with informal care.