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

Publisher: Oxford University Press


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.

Impact factor 2.52

  • 5-year impact
  • Cited half-life
  • Immediacy index
  • Eigenfactor
  • Article influence
  • Website
    The European Journal of Public Health website
  • Other titles
    European journal of public health (Online)
  • ISSN
  • OCLC
  • 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
    ​ yellow

Publications in this journal

  • The European Journal of Public Health 01/2015;
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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).
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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.
  • The European Journal of Public Health 04/2014;
  • The European Journal of Public Health 04/2014;
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    ABSTRACT: Skin cancer is the most common cancer in light-skinned populations worldwide. Primary and secondary preventive activities such as skin cancer screening are intended to reduce skin cancer burden. In 2003, a population-based skin cancer screening project [SCREEN (Skin Cancer Research to Provide Evidence for Effectiveness of Screening in Northern Germany)] was conducted in Northern Germany with more than 360 000 people screened. SCREEN was supported by a communication intervention that was aimed at informing the population about skin cancer, its risk factors and the screening intervention as well as preparing the health professionals for the project. Within SCREEN both physicians and practice nurses were educated in counselling. The aim of the present article is to describe and evaluate the communication strategy accompanying SCREEN. Two computer-assisted telephone interview surveys were performed in April/May 2003 and May 2004. Participants had to be members of the statutory health insurance and be aged ≥20 years. They were asked about knowledge of skin cancer, perception of physicians' performance and skin cancer screening in general. Data are mainly presented in a descriptive manner. For statistical analyses, Mann-Whitney U test and Pearson's chi-square test were used. Knowledge about sunburn in childhood and high ultraviolet exposure as skin cancer risk factors increased during SCREEN. Simultaneously, the awareness for early detection of skin cancer increased significantly from 41.3 to 74.0% (P < 0.001). A total of 21.5% of the interviewees participated in the skin cancer screening project, similar to the population-based participation rate reached. A comprehensive communication strategy accompanying a screening intervention improves the knowledge of potential screenees and may additionally increase the participation rate.
    The European Journal of Public Health 04/2014;
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    ABSTRACT: Prospective cohort studies recruit relatively healthy population samples, resulting in lower morbidity and mortality rates than in the source population. This is known as the healthy volunteer effect. The aim of this study was to define the magnitude and the development over time of the healthy volunteer effect in the EPIC-NL cohort. We studied mortality rates in the EPIC-NL cohort, which comprises 37 551 men and women aged 20-70 years at recruitment in 1993-97. The date and cause of death of deceased participants until 2010 were obtained through linkage with the municipal registry and Statistics Netherlands. Standardized mortality ratios (SMRs) were computed by dividing the observed number of deaths by the number of deaths expected from the general Dutch population. Additionally, standardized incidence ratios were calculated to compare cancer incidence. After an average follow-up of 14.9 years, 3029 deaths were documented. Overall mortality in men [SMR 73.5%, 95% confidence interval (CI): 68.1-79.3] and women (SMR 65.9%, 95% CI: 63.2-68.6) was lower compared with the general population for the whole follow-up period. The SMRs clearly increased over the follow-up period. Among women, the SMR was lower for death due to cardiovascular diseases than death due to cancer. Cancer incidence was also lower in EPIC-NL than in the general population (SMR 78.3 and 82.7% for men and women, respectively). The results show a healthy volunteer effect in the EPIC-NL cohort, which tapers off with longer follow-up. Therefore, in the first years of follow-up, power might not be sufficient to detect small associations.
    The European Journal of Public Health 04/2014;
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    ABSTRACT: In 2011, Germany was hit by one of its largest outbreaks of acute gastroenteritis and haemolytic uraemic syndrome caused by a new emerging enterohaemorrhagic Escherichia coli O104:H4 strain. The German Haemolytic Uraemic Syndrome/Enterohaemorrhagic E. coli (GHUSEC) outbreak had unusual microbiological, infectiological and epidemiological features and its origin is still only partially solved. The aim of this article is to contribute to the clarification of the origin of the epidemic. To retrospectively assess whether the GHUSEC outbreak was natural, accidental or a deliberate one, we analysed it according to three published scoring and differentiation models. Data for application of these models were obtained by literature review in the database Medline for the period 2011-13. The analysis of the unusual GHUSEC outbreak shows that the present official assumption of its natural origin is questionable and pointed out to a probability that the pathogen could have also been introduced accidentally or intentionally in the food chain. The possibility of an accidental or deliberate epidemic should not be discarded. Further epidemiological, microbiological and forensic analyses are needed to clarify the GHUSEC outbreak.
    The European Journal of Public Health 04/2014;
  • The European Journal of Public Health 04/2014;