The European Journal of Public Health (Eur J Publ Health )

Publisher: Oxford University Press

Journal description

The European Journal of Public Health is a multidisciplinary journal aimed at attracting contributions from epidemiology health services research management ethics and law health economics social sciences and enviromental health.

Current impact factor: 2.52

Impact Factor Rankings

2015 Impact Factor Available summer 2015
2011 Impact Factor 2.728

Additional details

5-year impact 2.93
Cited half-life 5.70
Immediacy index 0.47
Eigenfactor 0.01
Article influence 1.01
Website The European Journal of Public Health website
Other titles European journal of public health (Online)
ISSN 1464-360X
OCLC 45043567
Material type Document, Periodical, Internet resource
Document type Internet Resource, Computer File, Journal / Magazine / Newspaper

Publisher details

Oxford University Press

  • Pre-print
    • Author can archive a pre-print version
  • Post-print
    • Author cannot archive a post-print version
  • Restrictions
    • 12 months embargo on science, technology, medicine articles
    • 2 years embargo on arts and humanities articles
    • Some titles may have different embargoes
  • Conditions
    • Pre-print can only be posted prior to acceptance
    • Pre-print must be accompanied by set statement (see link)
    • Pre-print must not be replaced with post-print, instead a link to published version with amended set statement should be made
    • Pre-print on author's personal website, employer website, free public server or pre-prints in subject area
    • Post-print in Institutional repositories or Central repositories
    • Publisher version cannot be used except for Nucleic Acids Research articles
    • Published source must be acknowledged
    • Must link to publisher version
    • Set phrase to accompany archived copy (see policy)
    • Articles in some journals can be made Open Access on payment of additional charge
    • Eligible UK authors may deposit in OpenDepot
    • Publisher will deposit on behalf of NIH funded authors to PubMed Central, Nucleic Acids Research authors must pay their fee first
    • Some titles may use different policies
  • Classification
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Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Aim: This study examines the role of time in explaining the effect of physical activity on subjective well-being. Specifically, it looks at the composite structure of time needed for participation in a time-efficient fitness programme and how different time components affect satisfaction with health, leisure time, fitness, body, and look. Methods: This quasi-experimental study consisted of three stages: (1) physical entry test and pre-survey, (2) training intervention (30 minutes; performed twice a week over a four-week period), and (3) exit test and post-survey. N=10,481 individuals participated across 316 German fitness centres. Results: Regression results show that total time spent significantly increases satisfaction with health and fitness. Time spent on approach and parking reduces satisfaction with leisure time, while time spent on wellness and showering increases it. Spending time in the bistro increases satisfaction with health and fitness. Time spent on the actual fitness training has no significant effect on either satisfaction measure. Conclusion: The findings indicate that it is important to consider the composite structure of time needed for physical activity because other activities matter more than the actual time spent on exercising. Public health policies and policy makers should therefore support such time-efficient programmes.
    The European Journal of Public Health 01/2016;
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    ABSTRACT: Background: The ROAdmap for MEntal health Research in Europe project aimed to create an integrated European roadmap for mental health research. Leading mental health research experts across Europe have formulated consensus-based recommendations for future research within the public mental health field. Methods: Experts were invited to compile and discuss research priorities in a series of topic-based scientific workshops. In addition, a Delphi process was carried out to reach consensus on the list of research priorities and their rank order. Three web-based surveys were conducted. Nearly 60 experts were involved in the priority setting process. Results: Twenty priorities for public mental health research were identified through the consensus process. The research priorities were divided into summary principles—encompassing overall recommendations for future public mental health research in Europe—and thematic research priorities, including area-specific top priorities on research topics and methods. The priorities represent three overarching goals mirroring societal challenges, that is, to identify causes, risk and protective factors for mental health across the lifespan; to advance the implementation of effective public mental health interventions and to reduce disparities in mental health. Conclusions: The importance of strengthening research on the implementation and dissemination of promotion, prevention and service delivery interventions in the mental health field needs to be emphasized. The complexity of mental health and its broader conceptualisation requires complementary research approaches and interdisciplinary collaboration to better serve the needs of the European population
    The European Journal of Public Health 02/2015;
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    ABSTRACT: The aim of this study was to examine the extent and distribution of disability retirement among people with diabetes in the workforce. Using four population registries, the study examined the relative rates of disability retirement among employees in Denmark over a 10-year period. The findings highlight that the risk of disability retirement increases as occupational status decreases. With an ageing workforce and increasing prevalence of diabetes, it is important to target primary, secondary and tertiary prevention to the groups that need it most in attempts to prolong the working lives of individuals. © The Author 2015. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.
    The European Journal of Public Health 02/2015;
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    ABSTRACT: Background: Spatial inequalities in health have been identified, but the contribution of physical environment has been largely ignored. In Portugal, strong spatial differences in morbidity and mortality remain unexplained. Based on previous United Kingdom (UK) and New Zealand (NZ) research, we aimed to develop a Portuguese measure of multiple environmental deprivation (PT-MEDIx) to assist in understanding spatial inequalities in health. Methods: PT-MEDIx was built at municipality level in four stages: (i) identify health-relevant environmental factors; (ii) acquire datasets about selected environmental factors and calculate municipality-level measures using Geographical Information Systems; (iii) test associations between selected environmental factors and mortality using negative binomial models, adjusting for age, sex, socioeconomic deprivation and interactions and (iv) construct a summary measure and assess its association with mortality. Results: We included five dimensions of the physical environment: air pollution, climate, drinking water quality, green space availability and industry proximity. PT-MEDIx score ranged from −1 (least environmental deprivation) to +4 (most) and depicted a clear spatial pattern: least deprived municipalities in the depopulated rural areas and most deprived in urban and industrial settings. Comparing with those in the intermediate category of environment deprivation, less deprived municipalities showed lower mortality rate ratios (MRRs) and vice versa: MRRs for all-cause mortality were 0.962 (95% confidence interval: 0.934–0.991) and 1.209 (1.086–1.344), in the least and most deprived municipalities, respectively, and for cancer, 0.957 (0.911–1.006) and 1.345 (1.123–1.598). Conclusions: The methods used to create UK and NZ indexes have good transferability to Portugal. MEDIx might contribute to untangle the complex pathways that link health, socioeconomic and physical environment.
    The European Journal of Public Health 02/2015;
  • The European Journal of Public Health 01/2015;
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    ABSTRACT: Non-participants to psychosocial studies have been shown to have higher mortality, and mortality differs between partial and complete responders to psychosocial questionnaires. Yet, there is very little information available directly linking survey response status with completing suicide. The study population consisted of the participants of the Japanese Public Health Center-based prospective study. Ninety-nine thousand four hundred thirty-nine subjects who returned the 10-year follow-up questionnaire and 31 754 individuals who did not return the questionnaire were included in our analyses. The risk of dying by suicide according to response status was estimated by Cox regression models. There were 358 suicides during 1 128 831 person-years of follow-up (mean follow-up time: 8.6 years). Of those who returned the questionnaire, 53.9% were full responders, 42.8% were partial non-responders, and 3.3% were complete non-responders. The risk of suicide was increased for both complete non-responders [hazard ratio (HR) = 1.84, 95% confidence interval (CI), 0.51, 6.64] and partial non-responders (HR = 1.36, 95% CI, 0.999, 1.84) to the questionnaire as a whole. The adjusting variables explained around 40% of the risk for complete non-responders whereas they did not explain the increased risk of suicide for partial non-responders. The risk of dying by suicide was significantly increased for partial non-responders to the subscale on coping (HR = 1.36, 95% CI, 1.01, 1.85) and for complete non-responders to questions on sleep (HR = 2.07, 95% CI, 1.03, 4.16). Partial and complete non-responders have increased suicide risk compared with full responders. More than one non-responder category should therefore be considered when interpreting data pertaining to psychosocial questionnaires in longitudinal studies. © The Author 2014. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.
    The European Journal of Public Health 12/2014;
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    ABSTRACT: Background: Preventing gambling harm has become a policy priority in many European countries. Adverse consequences related to problem gambling are well known, but few studies have analyzed gambling-related harm in detail in general population samples. We determined the extent and distribution of gambling harm in Finland, as assessed by the Problem Gambling Severity Index (PGSI), and analyzed gambling involvement, demographics and their association with various types of harm. Methods: A nationwide telephone survey was conducted among 4484 Finns aged 15–74 years in 2011–12. Gambling-related harms were based on the nine-item PGSI. Gambling involvement was measured by gambling frequency and weekly average gambling expenditure. Associations among harms, demographics and gambling involvement were examined in logistic regression. Results: During the previous year, 13% of respondents experienced at least one gambling-related harm (males 18.1%, females 7.2%). The four commonest harms were ‘chasing losses’ (8.6%), ‘escalating gambling to maintain excitement’ (3.1%), ‘betting more than could afford to lose’ (2.8%), and ‘feeling guilty’ (2.6%). The harm profile in descending order was the same for both genders but differed in prevalence. Young age (<25 years) was associated with increased likelihood of reporting harms. Both monthly and weekly gambling and spending over E21 per week on gambling were related to the harms. Conclusions: Our results provide support for the public health approach to gambling: harms were reported even at low gambling frequency-expenditure levels. In addition to the high-risk approach, adopting a population-level approach to preventing gambling harm could shift the population distribution of harm in a lower direction.
    The European Journal of Public Health 12/2014;
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    ABSTRACT: In the last twenty years knowledge about which individual and group behaviours and societal strategies will lead to an improvement of health in populations have grown tremen- dously. Because of that, policy documents have become more knowledge- based and decision makers are increasingly aware of the need to know how to implement health promotional strategies. However, the understanding of HOW to make this knowledge really work, and how to implement it, is far less known than the knowledge of WHAT works. To improve the effectiveness of health promotion a close cooperation between the various scientific disciplines, policy writers, decision makers and local authorities is urgently required. Based on four presentations, the workshop proposed - a round table - will present and discuss lessons from and research on implementation. It is important to discuss the methods implementation research uses and also ways to make sure community interventions are science-based, having roots in local society itself coupled with research literature on health promotion and diseases prevention. It has been shown that the gap between the knowledge base and what is actually going on in health promotion in local communities is huge. This gap needs to be closed to get a health promotion practice that works.
    The European Journal of Public Health 11/2014; 24(2):232.
  • The European Journal of Public Health 10/2014; 24(S2):302-303.
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    ABSTRACT: Background A renewed interest in small states in Europe has occurred in the aftermath of the financial and economic crisis. Mainstream theories on vulnerability and resilience of small states are being re-examined. Health systems have been affected as a result of the crisis. There is a gap in the literature bridging small states and health systems. The aim of this study was to conduct a systematic literature review on health systems in small states. This knowledge is important to understand the implications of European policy on small health systems and therefore this review specifically addressed common policy concerns for health systems in small European states. Methods A systematic literature review was carried out during April 2014 in PUBMED using the following MeSH terms: health system, health facilities, health manpower, policy, health planning, delivery of health care, health care reform in combination with any of the following Cyprus, Estonia, Latvia, Lithuania, Luxembourg, Malta, Slovenia or Iceland (population under three million). Screening of the articles was conducted and validated. Abstracts which met inclusion criteria were categorised according to keywords. The final articles selected for review underwent detailed content analysis by two independent reviewers. Themes were coded and the literature was mapped. Grey literature was also searched using national non-impact journals and health system reports as sources. Results Preliminary results showed particular patterns for health system issues for different countries linked to their socio-economic and geographic conditions. Primary care, attitudes of health professionals, manpower planning and organisation of highly specialised care emerge as important policy concerns. Conclusions There is value in framing the findings from this study in the broader literature on small states and the vulnerability-resilience axis. Small states increasingly look towards the European Union for shelter and support. A deeper understanding of the issues and policy concerns in small state health systems is necessary to ensure that European health policy is shaped to meet their needs. This is an area where appropriately crafted European policy can easily demonstrate added value.
    The European Journal of Public Health 10/2014; 24(Suppl 2).
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    ABSTRACT: High alcohol consumption, binge drinking (BD) and associated behavioural risk are an increasingly documented health concerns in many European countries. Associated factors to BD remain to be explored. The aim of the study was to identify prevalence and factors associated with the regular BD in student population in two French Universities.
    The European Journal of Public Health 10/2014; 24(suppl 2).
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    ABSTRACT: Background: The issue of continuity in cross-border health care has been discussed in research and was picked up in the recently transposed Directive on Patients' Rights in Cross-border Healthcare (2011/24/EU). However, there is limited evidence about related issues actually encountered by patients crossing borders. These patients do not only transition between different levels of care or separate providers. They also move from one health care system to another, often within the same episode of care. Methods: The Europabefragung is an anonymous postal survey carried out regularly by the Techniker Krankenkasse, currently the largest sickness fund in Germany. The 2012 iteration was sent to 45 189 individuals who had received treatment in EU/EEA countries and whose reimbursement had been processed by the fund in 2010. It included items investigating issues related to relational, management and informational continuity. Results: The survey had a response rate of 41% and yielded 17 543 valid responses. Of those respondents who had traveled to receive care abroad (n = 3307), approximately 19% (n = 570) did so due to a relationship of trust with a given provider. Only 8% of all respondents (including planned and unplanned cases) had to receive emergency follow-up services due to complications, the majority of which were delivered by a provider back in Germany. 12% of those who were prescribed medication abroad (n = 4208) reported problems that spanned unknown products, dispensation and reimbursement issues. Information exchange between providers across borders was rare (17% of all respondents) and largely carried out by the patients themselves. Conclusions: While relational continuity may be important to specific groups of patients traveling for care, it is primarily informational continuity and its interrelation with management continuity need to be addressed in the cross-border context. Information exchange should be endorsed at European level. Additional focus is required on informing patients about documentation rights and requirements and providing health records that are comprehensive and comprehensible.
    The European Journal of Public Health 10/2014; 24(Suppl. 2).
  • The European Journal of Public Health 10/2014; 24(suppl 2).
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    ABSTRACT: Concerns about increased suicide risk among immigrants to European countries have been raised. We review the scientific literature on differences in suicide among immigrants compared with the majority populations in Europe's major immigration countries.
    The European Journal of Public Health 08/2014;
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    ABSTRACT: Childhood overweight and obesity have increased in recent decades, reaching alarming proportions. Children with a migrant background seem to be particularly at risk of developing overweight and obesity. This article provides an overview of the prevalence of overweight or obesity among North African (NA) children living in their own countries or as immigrants in Europe. The aim is to show the effect of the migration process on this trend and to discuss its possible contributing factors. Publications were identified by a systematic search of PubMed and the existing literature. Original longitudinal or cross-sectional studies on the prevalence of childhood and adolescent overweight and obesity and of physical activity among ethnic groups from North Africa compared with the native population were reviewed. The results confirmed that children of NA origin in Europe have higher levels of overweight and obesity than the native ones, especially girls. However, this trend can also be detected in urban areas of NA countries. Important factors contributing to the increase of overweight and obesity among children and adolescents are discussed, in particular the westernization of eating habits, the level of physical activity and body image perception. The review shows that factors linked to acculturation in the host society and others maintained from the country of origin come into play in determining childhood overweight and obesity among NA immigrants in Europe. The importance of health promotion targeting the groups most at risk of childhood overweight and obesity, i.e. aspects of a healthy diet and the benefits of physical activity, is underlined.
    The European Journal of Public Health 08/2014; 24(suppl 1):40-46.
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    ABSTRACT: The increasing population diversity in Europe demands clarification of possible ethnic influences on the growth and health of immigrant children and their psychosocial adaptation to the host countries. This article assesses recent data on immigrant children in Europe in comparison to European natives by means of a systematic review of the literature on growth patterns and data on children's health and adaptation. There were wide variations across countries in growth patterns and development of immigrant children and natives, with different trends in Central and Northern Europe with respect to Southern Europe. In general, age at menarche was lower in immigrant girls, while male pubertal progression seemed faster in immigrants than in European natives, even when puberty began after. Owing to the significant differences in anthropometric traits (mainly stature and weight), new reference growth curves for immigrant children were constructed for the largest minority groups in Central Europe. Possible negative effects on growth, health and psychosocial adaptation were pointed out for immigrant children living in low income, disadvantaged communities with a high prevalence of poor lifestyle habits. In conclusion, this review provides a framework for the health and growth of immigrant children in Europe in comparison to native-born children: the differences among European countries in growth and development of migrants and non-migrants are closely related to the clear anthropological differences among the ethnic groups due to genetic influences. Higher morbidity and mortality was frequently associated with the minority status of these children and their low socio-economic status. The observed ethnic differences in health reveal the need for adequate health care in all groups. Therefore, we provide suggestions for the development of health care strategies in Europe.
    The European Journal of Public Health 08/2014; 24(suppl 1):16-25.