Hans Bosma

Hans Bosma
Maastricht University | UM · Department of Social Medicine

PhD

About

273
Publications
39,600
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12,298
Citations
Citations since 2017
114 Research Items
3903 Citations
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20172018201920202021202220230100200300400500600
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Introduction
Skills and Expertise

Publications

Publications (273)
Article
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Background Adoption and implementation are prerequisites for the effectiveness of organisational interventions, but successful implementation is not self-evident. This article provides insights into the implementation of the organisational intervention ‘Healthy Human Resources’ (HHR). HHR is developed with Intervention Mapping and aims at improving...
Article
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Like in most Western countries, regional health inequalities are also present in the Netherlands. Explaining these inequalities is necessary for policymakers to target interventions to reduce them. Regional health inequalities are usually attributed to demographic and socio-economic factors, while lifestyle and psychosocial factors are increasingly...
Article
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Healthcare costs in the Netherlands are rising and vary considerably among regions. Explaining regional differences in healthcare costs can help policymakers in targeting appropriate interventions in order to restrain costs. Factors usually taken into account when analyzing regional differences in healthcare costs are demographic structure and soci...
Article
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Unlabelled: In recent years, early retirement decisions have become more frequent in the European Union despite political efforts to prevent early retirement. This is a growing problem for the social security system. The study focuses on a life course approach using employment biographies and investigates the influence of work stress and health on...
Article
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Background: Sustainable employability (SE) is important for work organizations. Recently, the MAastricht Instrument for Sustainable Employability (MAISE-NL) was developed and validated. This study describes the development and validation of an adapted version of the MAISE-NL, the MAISE-Easy, which can be used for employees in low-skilled jobs. Meth...
Article
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Objective To study the relationship between socioeconomic position (SEP) and adolescent substance use and explore the role of poor mental health in that relationship. Methods Adolescents aged 11–15 years participated in the Health Behavior in School-aged Children survey in Armenia. Robust Poisson regression and counterfactual mediation analysis we...
Article
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Bullying perpetration might be an alternative way of hierarchy formation among adolescents. It can potentially compensate for the negative health influences of low socioeconomic status (SES), rewarding this unwanted behavior. This study aimed to investigate the role of bullying perpetration in the relationship between SES and health among Armenian...
Article
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Context The timing of sleep, physical activity and dietary intake shows variation over the week, with different timings in the weekend compared to the weekdays, which may potentially lead to impaired glucose and lipid regulation on Mondays compared to other weekdays. Objective The aim of the study was to investigate differences in glucose metaboli...
Article
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Samenvatting Nederland kent gezondheidsverschillen tussen regio’s. Het verklaren van deze verschillen kan beleidsmakers helpen om gericht te interveniëren en deze verschillen te verkleinen. Bij het verklaren van deze regionale gezondheidsverschillen wordt veelal gekeken naar de bijdrage van verschillen in demografische opbouw en sociaaleconomische...
Article
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Samenvatting Zorgkosten nemen toe en variëren sterk tussen Nederlandse regio’s. Het verklaren van deze regionale verschillen kan beleidsmakers helpen om gericht te interveniëren en verdere stijgingen in zorgkosten te beperken. Bij het verklaren van regionale verschillen in zorgkosten wordt veelal gekeken naar regionale verschillen in demografische...
Article
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Vaccine uptake is one of the indicators that has been used to guide immunization programs. This study aimed to evaluate whether measles vaccine uptake is predicted by measles vaccine hesitancy. A community-based cross-sectional study was conducted in urban districts in Khartoum state in February 2019. Measles vaccine uptake among children was measu...
Article
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The gender pay gap has been observed for decades, and still exists. Due to a life course perspective, gender differences in income are analyzed over a period of 24 years. Therefore, this study aims to investigate income trajectories and the differences regarding men and women. Moreover, the study examines how human capital determinants, occupationa...
Article
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Determinants of vaccine hesitancy are not yet well understood. This study aims to assess measles vaccine hesitancy and characterize its determinants among Sudanese parents in Omdurman in Khartoum State. A community-based cross-sectional quantitative study was conducted in Khartoum State in February 2019. The Parent Attitudes about Childhood Vaccina...
Preprint
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Vaccine uptake is one of the indicators that has been used to guide immunization programs. This study aimed to evaluate whether the measles vaccine uptake is predicted by measles vaccine hesitancy. A community-based cross-sectional study was conducted in urban districts in Khartoum state in February 2019. Measles vaccine uptake among children was m...
Article
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Loneliness is a growing public health issue. It is more common in disadvantaged groups and has been associated with a range of poor health outcomes. Loneliness may also form an independent pathway between socio-economic disadvantage and poor health. Therefore, the aim of this study was to explore the contribution of loneliness to socio-economic hea...
Preprint
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BACKGROUND WHO described Vaccine hesitancy in 2019 as one of the top 10 threats to global health in high, and low, and middle-income countries. Various communication approaches have been used to engage the public about vaccines and immunization such as mass media and e-health strategies. With the expansion in the use of communication technologies i...
Article
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Background: Specialized rehabilitation following acquired brain injury provides intensive multidisciplinary treatment to individuals with complex disabilities for optimizing recovery and supporting a safe transition to the community. Post-specialist rehabilitation, patients and caregivers have reported a need for support. We present the design of a...
Article
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Background The perspectives of low-educated employees are often neglected when designing sustainable employability (SE) interventions. As a result, the interventions offered by the employer do often not align with the needs of low-educated employees. This particular group should therefore be actively involved in the process of developing and implem...
Article
Aims: Social network characteristics may provide a novel non-pharmaceutical target for the prevention of depression. We investigated the temporal association of a broad range of structural and functional social network characteristics with incident depressive symptoms over 5 years of follow-up. Methods: We used data from The Maastricht Study, a...
Article
Research has shown that neighborhood disadvantage has an effect on BMI that is independent of individual disadvantage, much more pronounced in women than in men. The mechanisms that explain this gender-specific effect are not yet clear. Since women’s body size dissatisfaction is closely linked to gender differences in BMI inequalities, the independ...
Article
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Our aim was to assess the association between a priori defined dietary patterns and incident depressive symptoms. We used data from The Maastricht Study, a population-based cohort study (n = 2646, mean (SD) age 59.9 (8.0) years, 49.5% women; 15,188 person-years of follow-up). Level of adherence to the Dutch Healthy Diet (DHD), Mediterranean Diet, a...
Article
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Objectives: Loneliness has been associated with unhealthy behavior, poorer health, and increased morbidity. However, the costs of loneliness are poorly understood. Methods: Multiple sources were combined into a dataset containing a nationally representative sample ( n = 341,376) of Dutch adults (18+). The association between loneliness and total, g...
Article
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Introduction We compared the degree of spousal concordance in a set of detailed pathophysiological markers and risk factors for type 2 diabetes to understand where in the causal cascade spousal similarities are most relevant. Research design and methods This is a cross-sectional analysis of couples who participated in The Maastricht Study (n=172)....
Article
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This mixed methods study aimed to examine plausible body mass index (BMI) trajectories after exposure to a primary school-based lifestyle intervention to aid in estimating the long-term intervention benefits. BMI trajectories for children at control schools (mean 7.6 years of age) were modelled until 20 years of age through extrapolating trial evid...
Article
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Background This study estimated the lifetime cost-effectiveness and equity impacts associated with two lifestyle interventions in the Dutch primary school setting (targeting 4–12 year olds). Methods The Healthy Primary School of the Future (HPSF; a healthy school lunch and structured physical activity) and the Physical Activity School (PAS; struct...
Article
Objective: : An exaggerated exercise SBP, which is potentially modifiable, may be associated with incident depressive symptoms via an increased pulsatile pressure load on the brain. However, the association between exaggerated exercise SBP and incident depressive symptoms is unknown. Therefore, we examined whether exaggerated exercise SBP is assoc...
Article
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Objectives There is an increasing research interest in factors that characterize those who reach exceptionally old ages. Although loneliness is often associated with an increased risk for premature mortality, its relationship with reaching longevity is still unclear. We aimed to quantify the association between (social/emotional) loneliness and the...
Article
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Background: There is a need to develop sustainable employability (SE) interventions that are better aligned to the needs of low-educated employees. This group needs to get a voice in intervention development and implementation. In this study, a dialogue-based approach is proposed consisting of an online step-by-step support toolkit for employers, “...
Conference Paper
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Background Loneliness is a growing issue. It has been associated with a range of unhealthy behaviors, poorer health, and increased morbidity. However, the healthcare costs of loneliness are poorly understood as limited existing research on loneliness focused on older age populations, few expenditure categories, and controlled for just a few potenti...
Article
Background Although low-educated employees are more at risk of poor health, they participate less often in workplace interventions, and when they do participate, they tend to profit to a lesser extent than high-educated employees. When developing sustainable employability (SE) interventions, the perspectives of the low-educated employees are often...
Article
Background There is a need to develop sustainable employability (SE) interventions that are better aligned to the needs of low-educated employees. This group needs to get a voice in intervention development and implementation. In this study, a dialogue-based approach is proposed consisting of an online step-by-step support toolkit for employers, 'H...
Article
Background To improve the health situation of children in primary school, many school-based interventions that are aimed at changing health behaviours, are being set up. Prior to knowing the (long-term) effectiveness of such intervention, we set out to examine whether there is room for such interventions to also tackle the health gap between childr...
Article
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Background: This study examines the social return on investment (SROI) of the "Healthy Primary School of the Future" initiative after 2 years. Methods: Healthy Primary Schools of the Future (HPSF) provide a healthy lunch and daily structured physical activity sessions, whereas Physical Activity Schools (PAS) focus on physical activity only. We eval...
Article
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Background There is a need for reliable and validated tools to identify, classify, and quantify vaccine-hesitancy in low and middle-income countries, such as Sudan. We evaluated the psychometric properties of an adapted version of the measles vaccine hesitancy scale by assessing its reliability, convergent validity, and criterion validity in Sudan....
Article
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Objective Low individual socioeconomic status (SES) is known to be associated with a higher risk of type 2 diabetes mellitus (T2DM), but the extent to which the local context in which people live may influence T2DM rates remains unclear. This study examines whether living in a low property value neighbourhood is associated with higher rates of T2DM...
Article
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We aimed to study the hypothesis of socioeconomic equalization in health among Armenian adolescents participating in the Health Behavior in School-Aged Children 2013/14 survey. Classes corresponding to the ages 11, 13, and 15 were selected using a clustered sampling design. Multiple logistic regression analyses were used. In a nationally representa...
Article
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Background About every tenth household across Europe is unable to meet payment obligations and living expenses on an ongoing basis and is thus considered over-indebted. Previous research suggests that over-indebtedness reflects a potential cause and consequence of psychosomatic health problems and limited access to care. However, it is unclear whet...
Article
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Background: In countries with out-of-pocket (OOP) payment systems for healthcare, the combination of chronic disease and poverty can have damaging socio-economic and health impacts for affected households. Using a life course perspective, this article aims to explore how Nepalese people struggle with, experience and adapt to chronic disease, pover...
Article
The mechanisms underlying cognitive impairment are incompletely understood but may include arterial stiffness and microvascular dysfunction. In the population-based Maastricht Study, we investigated the association between arterial stiffness and cognitive performance, and whether any such association was mediated by microvascular dysfunction. We in...
Article
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Aims: To estimate the societal costs and quality of life of people with type 2 diabetes and to compare these results with those of people with normal glucose tolerance or prediabetes. Methods: Data from 2915 individuals from the population-based Maastricht Study were included. Costs were assessed through a resource-use questionnaire completed by...
Article
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Background: Exaggerated exercise systolic blood pressure (SBP) is a modifiable risk factor associated with vascular dysfunction. Vascular dysfunction may contribute to the development of late-life depression, but the association between exercise SBP and incident depressive symptoms is unknown. Therefore, we investigated whether an exaggerated exerc...
Preprint
Background About every tenth household across Europe is unable to meet payment obligations and living expenses on an ongoing basis and is thus considered over-indebted. Previous research suggests that over-indebtedness reflects a potential cause and consequence of psychosomatic health problems and limited access to health care. However, it is uncle...
Article
In the article, ‘A Cost Analysis of School-Based Lifestyle Interventions’, we calculated the societal costs of two school-based lifestyle interventions: ‘the Healthy Primary School of the Future’ and ‘the Physical Activity School’.
Article
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Background: Vaccine hesitancy is one of the contributors to low vaccination coverage in both developed and developing countries. Sudan is one of the countries that suffers from low measles vaccine coverage and from measles outbreaks. In order to facilitate the future development of interventions, this study aimed at exploring the opinions of Expan...
Article
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Background: Despite growing interest in sustainable employability (SE), studies on the effectiveness of interventions aimed at employees’ SE are scarce. In this review, SE is defined by four core components: health, productivity, valuable work, and long-term perspective. The aim of this review is to summarize the effectiveness of employer-initiated...
Article
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Erratum bij: Tijdschr gezondheidswet (2018) 10.1007/s12508-018-0149-7 In onze bijdrage ‘Leefstijlinterventies in het onderwijs: hoe zit het met de kosten?’ beschreven we hoe de maatschappelijke kosten van leefstijlinterventies in het basisonderwijs zijn opgebouwd [1]. Ter illustratie …
Article
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In an effort to better quantify the impact of adulthood socioeconomic circumstances on prediabetes and type 2 diabetes (T2DM), we set out to examine the relative importance of four adulthood socioeconomic indicators. Using cross-sectional data from The Maastricht Study on 2011 middle-aged older men and women, our findings indicate that low educatio...
Article
Objective Combatting disparities in health outcomes among children is a major public health concern. This study focuses on two questions: (1) To what extent does socioeconomic status (SES) contribute to disparities in health outcomes? and (2) To what extent can social inequalities in health outcomes be explained by differences in children’s health...
Article
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Dynamic sitting, such as fidgeting and desk work, might be associated with health, but remains difficult to identify out of accelerometry data. We examined, in a laboratory study, whether dynamic sitting can be identified out of triaxial activity counts. Among 18 participants (56% men, 27.3 ± 6.5 years), up to 236 counts per minute were recorded in...
Preprint
Full-text available
Abstract Background: Vaccine hesitancy is one of the contributors to low vaccination coverage in both developed and developing countries. Sudan is one of the countries that suffers from low measles vaccine coverage and from measles outbreaks. For a further understanding of measles vaccine hesitancy in Sudan, this study aimed at exploring the opinio...
Article
We examined the association of employment status, occupational status and occupational group with objectively measured sedentary time (ST) and physical activity (PA) levels in The Maastricht Study. 1,646 participants (46% men, mean age 60 ± 8 years), who were asked to wear an activPAL accelerometer for 8 days were included. Job descriptions were cl...
Presentation
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La obesidad en Chile afecta desproporcionadamente a mujeres de nivel socioeconómico (NSE) bajo, situación que se presenta en países de medianos y altos ingresos. La evidencia muestra que existe relación entre imagen corporal ideal, satisfacción con la imagen corporal (SIC) y estratificación social de la obesidad femenina. Escasos estudios abordan e...
Article
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Current guidelines for economic evaluations do not provide specific recommendations for the evaluation of school-based lifestyle interventions. This study examined and discussed the key aspects in the design of economic evaluations on school-based interventions targeting weight-related behaviours among 4–12 year olds. The PubMed and CRD databases (...
Article
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A uniform approach for costing school-based lifestyle interventions is currently lacking. The objective of this study was to develop a template for costing primary school-based lifestyle interventions and apply this to the costing of the “Healthy Primary School of the Future” (HPSF) and the “Physical Activity School” (PAS), which aim to improve phy...
Article
In het project ‘de Gezonde Basisschool van de Toekomst’ worden twee nieuwe schooltypen onderzocht. De Beweegschool focust op extra aandacht voor sport, bewegen en spelen gedurende de schooldag. De Gezonde Basisschool van de Toekomst is behalve op bewegen ook gericht op gezonde voeding. In deze bijdrage worden de kosten van beide schooltypen beschre...
Article
Objectives To examine the contribution of 12-year olds' intellectual abilities to educational differences in health care use in young adulthood. The focus on this life-course phase, including the socioeconomic circumstances in which the participants were brought up, allows an in-depth examination of the influence of important social mobility proces...
Article
Background: This study assesses socio-economic health inequalities (SEHI) over primary school-age (4- to 12-years old) across 13 outcomes (i.e. body-mass index [BMI], handgrip strength, cardiovascular fitness, current physical conditions, moderate to vigorous physical activity, sleep duration, daily fruit and vegetable consumption, daily breakfast...
Article
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Background: Chronic kidney disease, which is defined as having a reduced kidney function (estimated glomerular filtration rate (eGFR)) and/or signs of kidney damage (albuminuria), is highly prevalent in Western society and is associated with adverse health outcomes, such as cardiovascular disease. This warrants a search for risk factors of lower e...
Data
Associations of physical activity and sedentary behavior variables with albuminuria in subpopulation with 24h average ambulatory blood pressure data (n = 1,996). (DOCX)
Data
Associations of physical activity and sedentary behaviour variables with eGFRcrcys in subpopulation with ≥4 valid days. (DOCX)
Data
Associations of physical activity and sedentary behaviour variables with albuminuria in subpopulation with ≥4 valid days. (DOCX)
Data
Associations of physical activity and sedentary behavior variables with albuminuria adjusted for body mass index instead of waist circumference (n = 2,257). (DOCX)
Data
Association of physical activity and sedentary behaviour variables with eGFRcrcys with and without adjustment for glucose metabolism status. (DOCX)
Data
Associations of physical activity and sedentary behavior variables with eGFRcrcys adjusted for body mass index instaead of waist circumference (n = 2,257). (DOCX)
Data
Associations of physical activity and sedentary behavior variables with eGFRcrcys in subpopulation with 24h average ambulatory blood pressure data (n = 1,996). (DOCX)
Data
Association of physical activity and sedentary behaviour variables with albuminuria with and without adjustment for glucose metabolism status. (DOCX)
Article
Full-text available
Background: In-depth qualitative research into perceived socioeconomic position-related stigmatisation among people living at the lower end of our socioeconomic hierarchy is necessary for getting more insight in the possible downside of living in an increasingly meritocratic and individualistic society. Methods: Seventeen interviews were conduct...
Conference Paper
Introduction Active jobs, which are the combination of high job demand and high job control based on Karasek’s Demand-Control model, have been found to be associated with better cognitive functioning by a couple of longitudinal studies. However, the evidence from Germany is still lacking. The purpose of our study is to analyse the associations of a...
Article
Wij hebben een pilotonderzoek verricht naar de inzet van zorgvrijwilligers bij cliënten met een ondersteuningsbehoefte op sociaal-emotioneel vlak. Samenwerking met eerstelijnshulpverleners, Sociaal team en gemeente bleek lastig. Daarentegen waren vrijwilligers en cliënten in het algemeen positief over ons initiatief.