Thank you
A scientific journal exists only because of the good will and assistance of its reviewers. We can only publish approximately a fifth of the papers we receive and, in order to publish really high-quality papers, we depend on the expertise of many people. During 2019 a total of 510 reviewers have helped us to decide about the papers that we should publish. Their names are listed below and we would like to take this opportunity to thank them. The list refers to reviewers completing their task until 1 of December 2019.We apologize for the late publication of this text which was caused by a delay in the journal's production pro...
Source: The European Journal of Public Health - October 5, 2020 Category: General Medicine Source Type: research

European Public Health News
In this issue of the European public health news pages, we talk about collaboration and appreciation. Nagyova higlights the need to move out of silos and urges us all to be deliberately collaborative and work together with other fields and disciplines touching upon health as one team. Kluge presents the Mental Health Coalition, which is a key component of the 2020-2025 European Programme of Work and is also a key component of the post-COVID-19 recovery and reform. Zeegers highlights the need for appreciation taking the Dutch decision NOT to increase salaries of health care professionals (particularly nurses) as an example ...
Source: The European Journal of Public Health - October 5, 2020 Category: General Medicine Source Type: research

Covid-19: a test for our humanity
The Covid-19 pandemic is not a war zone of combat and competing interests, but a ‘test of our humanity’, as the German president Frank-Walter Steinmeier said in his television speech on 11 April 2020. This is as time of carefully addressing ethical principles that both guide and challenge acts and policies, to investigate how these principles contribute to upholding humanity , and how they inform us about unsolvable dilemmas. These are times we have to act even though we might make the wrong decisions. Part of testing our humanity is preparing ourselves to face the wrong decisions that were made in times of unc...
Source: The European Journal of Public Health - October 5, 2020 Category: General Medicine Source Type: research

Early lessons from COVID-19 response and shifts in authority: public trust, policy legitimacy and political inclusion
In attempts to reverse the spread and prepare the curative care sector, and under huge uncertainties, many governments have responded to the COVID-19 outbreak with either voluntary or mandatory physical isolation and distancing measures. These have put state-society relationships in any political system under great pressure. In addition, many countries have shifted public decision-making authority from the democratic institutions to temporarily concentrated executive arrangements. With specialist expertise involvement, these arrangements enabled quick and invasive regulatory response.1 To the extent evidence is available, ...
Source: The European Journal of Public Health - October 5, 2020 Category: General Medicine Source Type: research

Thirty years after German reunification: population health between solidarity and global competitiveness
The reunification of Germany was not planned. The sudden economic and political crisis of the German Democratic Republic (East Germany) in 1989 surprised political elites on both sides of the Iron Curtain. In a matter of weeks, the East German communist regime was dismantled. To avoid a complete financial collapse of the newly democratic East Germany, the two sides first established a monetary, economic and social union by the early summer of 1990. The political reunification was complete by October. The makeshift nature of the process is apparent from the legal mechanism used, Article 23 of the West German Basic Law, unde...
Source: The European Journal of Public Health - October 5, 2020 Category: General Medicine Source Type: research

COVID-19 and human rights —why should the public health community be concerned?
Why should public health practitioners be concerned with human rights during the COVID-19 pandemic? Surely this is not the time for legalistic hair-splitting about rights. We are dealing with a deadly, infectious disease. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - September 10, 2020 Category: General Medicine Source Type: research

COVID-19 mortality: a complex interplay of sex, gender and ethnicity
Several studies have reported a higher rate of COVID-19 mortality in men.1 –3 A higher rate of COVID-19 mortality has also been reported in Black, Asian and minority ethnic (BAME) groups,3 –5 especially among healthcare providers.6 (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - August 25, 2020 Category: General Medicine Source Type: research

Examining vaccination coverage in Germany: spatiotemporal clustering of MMR coverage, 2008 –14
AbstractVaccine hesitancy is an increasing global health threat but much of the recent research has centred on the USA. European countries provide an interesting context due to increases in vaccine-preventable disease outbreaks as well as variability in vaccination laws. We investigated the spatiotemporal clustering of Measles, Mumps, and Rubella vaccination coverage in Germany, a country with a historic absence of compulsory vaccination laws. We also examined measles incidence in the context of the spatiotemporal clustering results. While we did not identify strong spatial patterns of geographic clustering in Germany, our...
Source: The European Journal of Public Health - August 25, 2020 Category: General Medicine Source Type: research

In search of the relevant COVID research
‘Are we publishing what we should be publishing?’ is a question all editors ask themselves from time to time. With an acceptance rate of ∼20% for theEuropean Journal of Public Health (EJPH), and even lower for many others, one question is how we prioritize among incoming papers. But, the problem raised by Odoneet al.1 is that scientists seem to have failed to address the important issues regarding the COVID-19 pandemic. Some reasons are obvious: this is a new virus with unknown properties, global spread is of a character previously unknown, case definition and cause of death assessment vary strongly making ...
Source: The European Journal of Public Health - August 20, 2020 Category: General Medicine Source Type: research

The first 10  000 COVID-19 papers in perspective: are we publishing what we should be publishing?
The members of the University Vita-Salute San Raffaele COVID-19 literature monitoring working group are available in Appendix 1. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - August 20, 2020 Category: General Medicine Source Type: research

A comparison of self-reported to cotinine-detected smoking status among adults in Georgia
European Journal of Public Health, 2020; doi: (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - August 20, 2020 Category: General Medicine Source Type: research

Occupational asbestos exposure after the ban: a job exposure matrix developed in Italy
ConclusionsThe construction of a job exposure matrix for different occupation/industry combinations may allow the assessment of occupational exposure to asbestos in several removal and disposal activities, and the estimate of the risks associated with asbestos-related diseases in epidemiological studies. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - August 3, 2020 Category: General Medicine Source Type: research

Sociodemographic and gender determinants of late-life suicide in users and non-users of antidepressants
ConclusionsOur differential findings on factors associated with suicide can offer clues for gender-specific preventive strategies that go beyond the healthcare sphere. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - July 12, 2020 Category: General Medicine Source Type: research

Is impending or actual death of a spouse with dementia bad for mental health? Antidepressant use surrounding widowhood
ConclusionsThe trajectories of antidepressant use indicate that the process of losing a spouse to dementia is bad for mental health, already a few years prior to widowhood. There are no clear improvements in mental health after the death of a spouse with dementia. Support services for individuals whose spouses ’ dementia progresses are needed. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - July 1, 2020 Category: General Medicine Source Type: research

Obesity and thinness prevalence trends in Spanish schoolchildren: are they two convergent epidemics?
The objective of this study was to analyse the secular trends in body composition variables and weight status among Spanish schoolchildren from 1992 to 2017, and to examine the persistence in the same weight status category from 2013 to 2017 of the birth cohort in 2007 –08.MethodsThe data for the prevalence/trend analysis were taken from cross-sectional analyses conducted in 1992 (n = 308), 1996 (n = 307), 1998 (n = 275), 2004 (n = 1119), 2010 (n = 912), 2013 (n = 352) and 2017 (n = 275) using similar procedure methods a...
Source: The European Journal of Public Health - June 30, 2020 Category: General Medicine Source Type: research

A comparison of self-reported to cotinine-detected smoking status among adults in Georgia
ConclusionsTo the best of our knowledge, this is the first time that the validity of the STEPS self-reported tobacco indicator has been tested. Self-reported measures of smoking status may lead to an under-estimation of smoking prevalence among Georgian adults, especially women. These findings suggest that integration of biochemical measures of smoking into tobacco use studies may be an important investment. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - June 26, 2020 Category: General Medicine Source Type: research

Quality indicators for community dementia care: a systematic review
ConclusionsIt can be concluded that a reasonable amount of QIs for assessing and optimizing community dementia care exists, however, further development and methodological improvements of these QIs are necessary. Involvement of people with dementia and caregivers in the development process and a broader focus including community oriented next to medically oriented QIs are examples of potential improvement measures. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - June 24, 2020 Category: General Medicine Source Type: research

Individual and regional determinants of long-term care expenditure in Japan: evidence from national long-term care claims
ConclusionsAs we are able to identify several individual and municipality characteristics associated with higher LTC expenditure in Japan, the study offers insights into dealing with the rapidly growing LTC expenditure. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - June 18, 2020 Category: General Medicine Source Type: research

Sex differences in shigellosis incidence rates: analysis of national data from nine countries using meta-analytic method
AbstractBackgroundSex differences in the incidence of infectious diseases can provide insight to the biological mechanism of infection, disease susceptibility, severity and vaccine development. The consistency of age-specific sex differences in the incidence rates (IRs) of shigellosis is unclear.MethodsNational data on cases of shigellosis by sex, age group and calendar year were obtained from nine countries, for a period of 6 –25 years. The male to female incidence rate ratios (RR) were calculated by country, years and age group. For each age group, meta-analytic methods were used for computing pooled inciden...
Source: The European Journal of Public Health - June 14, 2020 Category: General Medicine Source Type: research

Maternal education and offspring birth weight for gestational age: the mediating effect of smoking during pregnancy
ConclusionsThe relationship between maternal educational attainment and child birth weight for GA is strongly mediated by smoking during pregnancy. Reducing maternal smoking could lessen the occurrence of infant SGA and decrease socioeconomic inequalities in birth weight for GA. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - June 12, 2020 Category: General Medicine Source Type: research

Natural disasters and infectious disease in Europe: a literature review to identify cascading risk pathways
ConclusionsThe cascade effects of natural disasters, such as earthquakes and floods, include outbreaks of infectious disease. The projection that climate change-related extreme weather events will increase in Europe in the coming century highlights the importance of strengthening preparedness planning and measures to mitigate and control outbreaks in post-disaster settings. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - June 6, 2020 Category: General Medicine Source Type: research

Measles outbreak in Romania: understanding factors related to suboptimal vaccination uptake
Conclusions varied greatly between minorities and less educated groups, compared with people with higher education levels.ConclusionsIdentifying characteristics of the population affected and underlying factors can inform a strategy to avoid future outbreaks and further research to obtain deeper insights. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - May 27, 2020 Category: General Medicine Source Type: research

Socioeconomic disadvantages over the life-course and their influence on obesity among older Hong Kong Chinese adults
ConclusionsLow SEP, especially in childhood, exerted contrasting effects on general and abdominal obesity among older Hong Kong Chinese adults. The three life-course models operated simultaneously in determining the risk of abdominal obesity, while support for cumulative risk and social mobility models was weak in general obesity. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - May 27, 2020 Category: General Medicine Source Type: research

Measuring multimorbidity inequality across Italy through the multisource comorbidity score: a nationwide study
ConclusionMCS allowed of capturing geographic variability of multimorbidity prevalence, thus showing up its value for addressing health policy in order to guide national health planning. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - May 20, 2020 Category: General Medicine Source Type: research

Youth injury and parents ’ unemployment—the importance of socio-economic status and ethnicity context
ConclusionFactors that were found to increase the risk of injury among youth were parental unemployment, low socio-economic status and Arab ethnicity. The home environment was the most common place for injury. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - May 14, 2020 Category: General Medicine Source Type: research

Uncovering TAPS strategies of the tobacco industry at PoS in low- and middle-income countries: the case of Turkey
ConclusionsAn official institution specializing in tobacco control must be established to continually inspect the tobacco market. Tobacco products must stay hidden, in closed cupboards or under the counter, and communication between PoS and tobacco industry must be limited. In addition, tobacco products must be distributed by government institutions rather than the industry. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - May 10, 2020 Category: General Medicine Source Type: research

Health indicators of the National Roma Integration Strategy in Spain in the years 2006 and 2014
ConclusionsHealth is determined in part by social factors including education, employment, housing and also by anti-Roma discourses and discrimination. Improving the health of the Roma population requires a multi-sectoral approach with a gender perspective. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - May 8, 2020 Category: General Medicine Source Type: research

HIV prevention and treatment in Southern Europe in the aftermath of bailout programmes
ConclusionsCountries need to focus on prioritizing effective and comprehensive prevention measures, including HIVST and PrEP, and scale-up access to quality treatment and care for those diagnosed, in order to accelerate the reduction of new HIVs infections and successfully meet the global targets for HIV treatment. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - May 3, 2020 Category: General Medicine Source Type: research

Education as inefficient resource against depressive symptoms in the Czech Republic: cross-sectional analysis of the HAPIEE study
ConclusionsWe did not find an independent association between education and depressive symptoms after controlling for other socioeconomic markers in a sample with a formative history of communistic ideologies. Women or individuals from socioeconomically disadvantaged areas do not seem to gain a larger mental health benefit from education. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - April 25, 2020 Category: General Medicine Source Type: research

Impact of low health literacy on healthcare utilization in individuals with cardiovascular disease, chronic obstructive pulmonary disease, diabetes and mental disorders. A Danish population-based 4-year follow-up study
ConclusionsEven though Denmark has a universal healthcare system the level of health literacy affects healthcare use in the general population and in people with CVD and mental disorders. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - April 25, 2020 Category: General Medicine Source Type: research

Differences in housing transitions and changes in health and self-determination between formerly homeless individuals
ConclusionFormerly homeless people living in independent housing and in institutions show few health-related differences 2.5  years after entering the SRS, but changes in autonomy and relatedness are distinctly more prevalent, after the same period of time, in those who are independently housed. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - April 19, 2020 Category: General Medicine Source Type: research

Use of amenable mortality indicators to evaluate the impact of financial crisis on health system performance in Greece
ConclusionsHealth system performance in Greece worsened in association with austerity measures, leading to a deceleration of the decline in amenable mortality and increased mortality from several conditions amenable to medical interventions. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - April 17, 2020 Category: General Medicine Source Type: research

Impact of flooding on health-related quality of life in England: results from the National Study of Flooding and Health
ConclusionsExposure to flooding and disruption from flooding significantly reduces HRQoL. These findings extend our knowledge of the impacts of flooding on health, with implications for multi-agency emergency response and recovery plans. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - March 30, 2020 Category: General Medicine Source Type: research

Service utilization patterns for childbirth and neonatal mortality in the occupied Palestinian territory during conflict
ConclusionsPolicy implications include better preparedness in the public sector for childbirth during conflict and exploring reasons for the slow decline in neonatal mortality in the territory beyond conflict at time of birth. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - March 24, 2020 Category: General Medicine Source Type: research

Intervention effectiveness by pharmacists integrated within an interdisciplinary health team on chronic complex patients
ConclusionsIt was not possible to determine with certainty which interventions produce the best results in CCPs. The clinical heterogeneity of the studies and the short follow-up of most studies probably contributed to this uncertainty. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - December 31, 2019 Category: General Medicine Source Type: research

Improving mental health through neighbourhood regeneration: the role of cohesion, belonging, quality and disorder
AbstractPoor mental health has been associated with socioeconomic deprivation. The aim was to describe possible mechanisms underpinning the narrowing of mental health inequalities demonstrated by Communities First, an area-wide regeneration programme in Wales, UK. Propensity score matched data from the Caerphilly Health and Social Needs Electronic Cohort Study, assessed changes in mental health, neighbourhood-level social cohesion, belongingness, quality and disorder. A multiple mediation analysis found c.76% of the total indirect effect was accounted for by neighbourhood quality and disorder. Targeted regeneration that in...
Source: The European Journal of Public Health - December 10, 2019 Category: General Medicine Source Type: research

Citizen consultation and organized breast cancer screening
The objective of this netnography was to identify the knowledge and values underlying contributors ’ choices. The choice of supporters was often based on emotions: impression of disease severity and efficacy of screening, fearfulness stemming from personal experience and testimony from relatives. Opponents emphasized the risks of the screening and the doctors’ perceived lack of relational and technical skills. The ‘non-decision’ profile was explained by information deemed simplistic, guilt-inducing and partial. Future research should focus on how to appeal to emotions to support shared decision. (So...
Source: The European Journal of Public Health - November 26, 2019 Category: General Medicine Source Type: research

Cancer statistics: a comparison between World Health Organization (WHO) and Global Burden of Disease (GBD)
This study aims to define comparability of 2016 statistics between Global Health Estimates (GHE) and Global Health Data Exchange (GHDx) registries for disability-adjusted life years (DALYs) and mortality of the 25 most frequent worldwide malignancies. An excellent correlation can be found between the two registries for both cancer DALYs (r  = 0.988) and mortality (r = 0.993). Cancer-related DALYs are substantially equivalent (mean bias, −1.9%;P = 0.603), while cancer mortality is modestly but significantly overestimated in GDHx (mean bias, 9.1%;P = 0.004). These...
Source: The European Journal of Public Health - November 25, 2019 Category: General Medicine Source Type: research

The impact of life course exposures to neighbourhood deprivation on health and well-being: a review of the long-term neighbourhood effects literature
ConclusionsTo further progress neighbourhood effects research, we suggest that more data linkage to longitudinal datasets is required beyond the narrow list identified in this review. The limited literature published to date suggests an accumulation of exposure to neighbourhood deprivation over the life course is damaging to later life health, which indicates improving neighbourhoods as early in life as possible would have the greatest public health improvement. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - October 2, 2019 Category: General Medicine Source Type: research

Austerity and health in Europe: disentangling the causal links
The global financial crisis of 2007/08 put increased financial strain on health systems across Europe, and many countries enacted fiscal consolidation measures,1 commonly referred to as ‘austerity.’ A large body of evidence has documented the consequences of these reforms on population health, and the role of health systems as key mediating institutions.1 –4 Nonetheless, these studies insufficiently disentangle how different levels of policymaking influence health outcomes, and often focus on the short-term effects of austerity. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - September 26, 2019 Category: General Medicine Source Type: research

Ebola: global commitment for local engagement needed
Five years ago, Ebola had the media in its grip. The outbreak in West Africa captured the headlines for years. The fact that the virus managed to reach the USA and Europe, ensured non-stop coverage of the outbreak. In the span of almost 2 years, Ebola infected more than 28 000 people, killing over 11 000 of them. There was a collective sigh of relief when the outbreak was finally declared over in March 2016. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - September 26, 2019 Category: General Medicine Source Type: research

European Public Health News
In this European Public Health News, all authors address the need for and benefits of European collaboration. Both Azzopardi Muscat and Zeegers Paget reflect on the need for health policy leaders in Europe to step up and speak out for stronger collaboration at European level. Jakab addresses leaving no one behind, one of the main objectives of the UN sustainable development goals (SDG), by emphasizing the need for regional networking. Andriukaitis uses the example of falsified medicines to stress the need for European regulation and collaboration. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - September 26, 2019 Category: General Medicine Source Type: research

Hantavirus infections in humans in Poland —current state of knowledge and perspectives for research
ConclusionsIn Poland, HFRS is still not recognized entity. Further studies on hantavirus infection rate in reservoir host species (rodents, shrews, and bats) and virus transmission to humans are needed to prevent outbreaks of HFRS in the future. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - August 19, 2019 Category: General Medicine Source Type: research

Erratum
11th European Public Health Conference Winds of change: towards new ways of improving public health in Europe Ljubljana, Slovenia 28 November –1 December 2018: DL Migrant, LGBTI and minorities health (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - July 26, 2019 Category: General Medicine Source Type: research

The tobacco industry is dying; disinvestment can speed its demise
(Source: The European Journal of Public Health)
Source: The European Journal of Public Health - July 26, 2019 Category: General Medicine Source Type: research

European Public Health News
In this European Public Health News, both Azzopardi-Muscat and Charpak highlight the issue of migration and public health. Azzopardi-Muscat concludes her column looking forward to the discussions at the upcoming European Public Health conference (20 –23 November 2019 in Marseille, France) and hopes that these discussions will lead to a clear call for policy action in the area of migration and health. Charpak addresses the record number of abstracts that were submitted for this year’s European Public Health conference. More than 2000 abstrac ts were submitted and 150 scientific workshops were proposed. In the EU...
Source: The European Journal of Public Health - July 26, 2019 Category: General Medicine Source Type: research

A practical composite risk score for the development of Haemolytic Uraemic Syndrome from Shiga toxin-producing Escherichia coli
ConclusionWe have developed a composite risk score which may be of practical value, once externally validated, in prompt estimation of risk of HUS from STEC infection. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - July 21, 2019 Category: General Medicine Source Type: research

Women ’s excess unhealthy life years: disentangling the unhealthy life years gap
ConclusionLower mortality and higher disability prevalence contributed to women ’s longer life expectancy with disability. Women’s higher disability prevalence due to non-fatal disabling conditions was partly offset by lower disability from heart disease and accidents. Conditions differentially impact gender differences in ULY, depending on whether they are mainly life-thre atening or disabling. The conclusions confirm the health-survival paradox. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - July 5, 2019 Category: General Medicine Source Type: research

Health inequalities: a Research Positioning Exercise at the National Institute of Health, Italy
ConclusionFindings of this Exercise show that ISS researchers identified relevant areas, addressing inequalities in addressing the health. Because of ISS structural peculiarity that includes multidisciplinary expertise, the ISS could provide a significant contribution to HI research challenges and knowledge gaps. (Source: The European Journal of Public Health)
Source: The European Journal of Public Health - June 20, 2019 Category: General Medicine Source Type: research

Association between physical, psychological and social frailty and health-related quality of life among older people
This study aimed to evaluate the association between physical, psychological and social frailty and HRQoL among community-dwelling older people.MethodsA cross-sectional study was performed with baseline data collected in 2015 from the Urban Health Centers Europe (UHCE) project in five European countries, the United Kingdom, Greece, Croatia, The Netherlands and Spain. A total of 2325 participants were included in the baseline measurements of the Urban Health Centers Europe project; 2167 participants (mean age = 79.7; SD=5.6) were included in the analyses after excluding participants with missing data. The Tilburg Frailty In...
Source: The European Journal of Public Health - June 5, 2019 Category: General Medicine Source Type: research