Maria Wj Jansen

Maria Wj Jansen
Maastricht University | UM · Academic Collaborative Centre for Public Health / regional Public Health Service (GGD)

PhD

About

189
Publications
49,570
Reads
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2,390
Citations
Citations since 2017
84 Research Items
1628 Citations
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2017201820192020202120222023050100150200250300350
2017201820192020202120222023050100150200250300350
2017201820192020202120222023050100150200250300350
Additional affiliations
January 2006 - present
Maastricht University and South Limburg Public Health Service
Position
  • Dr ir. Maria Jansen is program leader of the Academic Collaborative Centre for Public Health Limburg
Description
  • Maria Jansen is an expert in multidisciplinary research cooperation and inter-sectoral implementation of public health (policy) interventions to prevent avoidable chronic diseases and socio-economic health inequalities.

Publications

Publications (189)
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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Background School-based health-promoting interventions are increasingly seen as an effective population strategy to improve health and prevent obesity. Evidence on the long-term effectiveness of school-based interventions is scarce. This study investigates the four-year effectiveness of the school-based Healthy Primary School of the Future (HPSF) i...
Article
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The aim of this study was to explore effects of a major urban reconstruction on physical activity (PA) behavior by comparing PA intensity hotspots before and after the tunneling of a highway with a new infrastructure prioritized for walking and cycling. In total, 126 individuals participated before and after the tunneling. GPS loggers and accelerom...
Article
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Background: Social determinants of health (SDoH) are known to have a large impact on health outcomes, but their effects are difficult to make visible. They are part of complex systems of variables largely indirect effects on multiple levels, constituting so-called wicked problems. This study describes a participatory approach using group model bui...
Article
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Background We studied collaborative governance at the start of an integrated community approach aiming to improve population health, quality of care, controlling health care costs and improving professional work satisfaction. Our objective was to investigate which characteristics of collaborative governance facilitate or hamper collaboration in the...
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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The number of children dealing with behavioural problems is increasing. A major challenge in many health-supportive programmes is the recruitment and retention of these children. In the current study, Sport Mix Club (SMC), an approach to enhance socioemotional disorders of 4- to 12-year-old children through sport classes in municipality Vaals, the...
Article
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Although personality is associated with the onset of substance use (i.e., conventional smoking, alcohol use, and cannabis use) during adolescence, it is unclear whether personality traits are also associated with the onset of use of alternative tobacco products (ATPs), i.e., electronic cigarettes, shisha-pens, and water pipes. This study examines w...
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...
Article
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Background In the city of Maastricht in the Netherlands, a highway crossing several deprived neighborhoods was tunneled in 2016. The vacant space on top of this tunnel was redesigned and prioritized for pedestrians and cyclists. The aim of this study was to evaluate the effect of this major infrastructural change, named the Green Carpet, on total a...
Article
Socioeconomic status and health are strongly related to the ability of a person to participate in society. Acting upon activation and employment possibilities is difficult for several groups. One group described as especially hard to activate is long-term welfare recipients. In the current study, the role of an activation broker was studied as a su...
Article
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Objective Adolescents show a steadily increasing inclination toward health risk behaviors, including smoking cigarettes. There is ample evidence that personality traits are related to smoking behavior. However, less is known about the stability of and change in these personality traits during early adolescence and whether smoking behavior affects t...
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
Objective: To study school lifestyle interventions for elementary school children (The Healthy Primary School of the Future). Research question: What are the effects of the introduction of increased physical activity with or without healthy nutrition on health behaviour and BMI of young children and what are the costs of this program? Design:...
Article
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Background: As many children do not meet the recommended daily physical activity (PA) levels, more research is needed towards environmental determinants of children's PA levels. The aims of this longitudinal study were to investigate whether the physical environment and parenting practices have an impact on changes in children's weekday time spent...
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
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Samenvatting Inleiding Scholen zijn een belangrijke setting om gezondheidsgedrag van kinderen te verbeteren. Het initiatief ‘De Gezonde Basisschool van de Toekomst (GBT)’ heeft als doel om gezondheid en welzijn te integreren in het schoolsysteem en is gebaseerd op de door de Wereldgezondheidsorganisatie ontwikkelde Health Promoting School (HPS)-be...
Article
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Samenvatting Hoewel steeds meer scholen het vignet Gezonde School hebben behaald, is weinig bekend over de factoren, kenmerken en processen, ofwel condities, die de effectiviteit van het programma Gezonde School beïnvloeden. Daarom wordt een evaluatieonderzoek uitgevoerd op drie niveaus: de leerling, de school en de regio. De drie centrale onderzoe...
Article
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The aim of the current study was to evaluate the one- and two-year effectiveness of the KEIGAAF intervention, a school-based mutual adaptation intervention, on the BMI z-score (primary outcome), and energy balance-related behaviors (secondary outcomes) of children aged 7–10 years. A quasi-experimental study was conducted including eight interventio...
Article
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Involving and engaging vulnerable communities from the very beginning is important if we wish to enhance general well-being. With a focus on equal partnership with low-socioeconomic status (SES) families, a Trading Shop in Vaals was developed as a community engagement initiative. In the current study, we focused on the participation process, from p...
Article
This study explored associations between perceived neighborhood walkability and neighborhood-based physical activity (NB-PA) and assessed possible moderation effects of the amount of time spent in the home neighborhood and individual characteristics (i.e., educational level and health-related problems). In 2016 to 2017, 509 Dutch adults, living in...
Article
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Samenvatting De Euregio Maas-Rijn (EMR) bestaat uit vijf grensregio’s in Nederland, België en Duitsland. Vanwege overeenkomsten als grensligging en een industrieel (mijn)verleden is hun gezondheidssituatie waarschijnlijk vergelijkbaar. Hoe ziet de gezondheidssituatie van de EMR eruit en welke factoren spelen een rol wanneer er toch gezondheidsversc...
Article
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School health promotion is advocated. Implementation studies on school health promotion are less often conducted as effectiveness studies and are mainly conducted conventionally by assessing fidelity of “one size fits all” interventions. However, interventions that allow for local adaptation are more appropriate and require a different evaluation a...
Article
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In health-promoting interventions, a main difficulty is that low socioeconomic status (SES) groups especially seem to experience barriers to participation. To overcome this barrier, the current study focused on the success factors and obstacles in the process of supporting low-SES families in becoming partners, while carrying out small-scale activi...
Article
Background As coordination issues arise in an increasingly complex health domain with a growing number of stakeholders involved in health initiatives, WHO proposed a transformation towards a Whole of Society approach. However, this abstract approach lacks practical guidelines to tackle these issues. In domains such as the environmental policy secto...
Article
Background Promoting health rather than treating disease is gaining popularity and promotion initiatives are increasingly situated in the societal domain. In this scoping review, the literature on quantitative health impact assessment (HIA) practice and methodology is explored in order to provide an overview of methods that have been used or propos...
Article
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Background: Parents influence their children’s nutrition behavior. The relationship between parental influences and children’s nutrition behavior is often studied with a focus on the dyadic interaction between the parent and the child. However, parents and children are part of a broader system: the family. We investigated the relationship between t...
Article
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Objectives Schools play an important role in promoting healthy behaviours in children and can offer perspective in the ongoing obesity epidemic. The ‘Healthy Primary School of the Future’ (HPSF) aims to improve children’s health and well-being by enhancing school health promotion. The current study aims to assess the effect of HPSF on children’s bo...
Article
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The ‘Healthy Primary School of the Future’ (HPSF) aims to integrate health and well-being within the whole school system. This study examined the two-year effects of HPSF on children’s dietary and physical activity (PA) behaviours at school and at home and investigated whether child characteristics or the home context moderated these effects. This...
Article
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Introduction: Health is a fundamental right for all human beings. One way to increase population health is the delivery of adequate health and social care. However, delivering tailored care can be a challenge, since health is interconnected with many factors outside the realm of the health sector itself. Hence, a Citizen Science project started as...
Article
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Background: Neighbourhood safety has repeatedly been shown to be associated with the health and well-being of the residents. Criminality is often seen as one of the key factors affecting neighbourhood safety. However, the relationship between crime, fear of crime and feelings of safety remains underexplored. Methods: Data on socio-demographic, h...
Article
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Background: The current study investigated the moderating role of the school context on the effects of a Dutch health promoting school initiative on children’s health and health behaviors. Methods: The study used a mixed-methods design. The school context (n = 4) was assessed by the characteristics of the school population, teacher’s health-promoti...
Article
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Background: While schools have potential to contribute to children's health and healthy behaviour, embedding health promotion within complex school systems is challenging. The 'Healthy Primary School of the Future' (HPSF) is an initiative that aims to integrate health and well-being into school systems. Central to HPSF are two top-down changes tha...
Article
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This paper investigates whether encouraging children to become more physically active in their everyday life affects their primary school performance. We use data from a field quasi‐experiment called the Active Living Program, which aimed to increase active modes of transportation to school and active play among 8‐ to 12‐year‐olds living in low soc...
Article
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Schools can help to improve children's health. The 'Healthy Primary School of the Future' (HPSF) aims to sustainably integrate health and well-being into the school system. This study examined the effects of HPSF on children's dietary and physical activity (PA) behaviours after 1 and 2 years' follow-up. The study (n = 1676 children) has a quasi-exp...
Article
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Background High healthcare expenditures due to population ageing and chronic complex health complaints are a challenge on a global scale. To improve the quality of healthcare, population health, and professionals’ work satisfaction and to reduce healthcare costs (Quadruple Aim), the Dutch Ministry of Health, Welfare and Sport designated nine pionee...
Article
Background Research on the effectiveness of school smoking policies on adolescents’ smoking behaviour remain inconclusive. This study evaluates the results of an outdoor school ground smoking ban at secondary schools on adolescents smoking behaviour, taking individual characteristics into account. Methods Data on 2684 adolescents from 18 Dutch s...
Article
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Purpose: This study aimed to identify opportunities to improve the current health and social situation of low socioeconomic status (SES) families and to gain a better understanding of the main needs regarding health promotion. Low-SES families were approached to participate in a photovoice study. Method: The study took place in the municipality...
Article
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Democratic institutions and state-society relations shape governance arrangements and expectations between public and private stakeholders about public health impact. We illustrate this with a comparison between the English Public Health Responsibility Deal (RD) and the Dutch 'All About Health…' (AaH) programme. As manifestations of a Whole-of-Soci...
Article
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Background: Schools can play an important role in promoting children’s health behaviours. A Dutch initiative, ‘The Healthy Primary School of the Future’, aims to integrate health and well-being into the school system. We use a contextual action-oriented research approach (CARA) to study the implementation process. Properties of CARA are its focus o...
Article
BACKGROUND Although outdoor smoking bans at school are becoming important, it remains unclear whether successful implementation is feasible and what conditions promote it. Therefore, this study evaluates the implementation process by identifying important factors. METHODS Interviews were held with directors of 24 secondary schools that had decided...
Article
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Background: Health disparities between populations with different socioeconomic status (SES) are increasing. Although a wide variety of support service organizations and arrangements are in place, no general overview of this social network, its reach, and harmonization of services surrounding low-SES populations are available. The present participa...
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The goal of the present paper is to introduce a dynamic life cycle model that explains the reproduction of wealth and health over generations by introducing knowledge from cognitive neuroscience into the existing knowledge from the socioeconomic literature. The socioeconomic literature successfully identified the major role of socioeconomic status...
Article
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In the context of the transformation of welfare states into participatory societies, care and welfare professionals are assigned new roles. In the Netherlands, they are tasked with activating and empowering older adults, as well as negotiating customised care. For this purpose, policymakers introduced the kitchen table conversation as a social tech...
Article
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Background: The environment affects children's energy balance-related behaviors to a considerable extent. A context-based physical activity and nutrition school- and family-based intervention, named KEIGAAF, is being implemented in low socio-economic neighborhoods in Eindhoven, The Netherlands. The aim of this study was to investigate: 1) the effe...
Article
Om psychosociale problemen binnen de jeugdgezondheidszorg (JGZ) tijdig te signaleren bij basis- en middelbare scholieren wordt er tijdens de periodieke gezondheidsonderzoeken (PGO) gebruik gemaakt van de Strengths and Difficulties Questionnaire (SDQ). Voor de ondersteuning van deze vroegsignalering met behulp van de SDQ zijn er afkappunten opgestel...
Article
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The effectiveness of outdoor smoking bans on smoking behavior among adolescents remains inconclusive. This study evaluates the long-term impact of outdoor school ground smoking bans among adolescents at secondary schools on the use of conventional cigarettes, e-cigarettes (with/without nicotine) and water pipes. Outdoor smoking bans at 19 Dutch sec...
Article
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Achtergrond: Op middelbare scholen mag in het schoolgebouw vaak niet gerookt worden, maar een rookverbod voor het schoolterrein is minder gebruikelijk. Dit onderzoek gaat in op de vraag waarom veel middelbare scholen geen rookvrij schoolterrein ingevoerd hebben, door te onderzoeken wat de belemmerende en bevorderende factoren op scholen zonder een...
Article
Overgewicht en obesitas zijn te beschouwen als wicked problems, oftewel venijnige problemen. De aanpak hiervan vraagt om integraal gezondheidsbeleid. Dit is beleid waarin aandacht is voor gezond gewicht als uitkomst van alle beleidsterreinen, zoals het vervoersbeleid, onderwijsbeleid, landbouwbeleid, ruimtelijke ordeningsbeleid, economisch beleid,...
Article
Background: Need for recovery (NFR) and prolonged fatigue are two important concepts for monitoring short- and long-term outcomes of psychological job demands within employees. For effective monitoring it is, however, important to gain insight in the reproducibility of the instruments that are usedOBJECTIVE:The objective was to assess reproducibil...
Article
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The ability to predict upper respiratory infections (URI), lower respiratory infections (LRI), and gastrointestinal tract infections (GI) in independently living older persons would greatly benefit population and individual health. Social network parameters have so far not been included in prediction models. Data were obtained from The Maastricht S...
Article
Population health interventions tend to lack links to the emerging discourse on interactive knowledge production and exchange. This situation may limit both a better understanding of mechanisms that impact health lifestyles and the development of strategies for population level change. This paper introduces an integrated approach based on structure...
Article
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Ageing-in-place is considered important for the health of older adults. In this paper, inspired by a constructivist approach to ageing-in-place, we unravel professionals' and older adults' constructions of ageing-in-place. Their perspectives are studied in relation to a policy that aims to develop so-called 'lifecycle-robust neighbourhoods' in the...
Article
Objective: Fatigue is an important health outcome in public and occupational health care. To correctly understand and treat high levels of (prolonged) fatigue it is important to disentangle the state of fatigue into a time-varying (occasion) and -invarying (trait) component. Not only for understanding of the construct itself over time but also for...