Abstract:
BACKGROUND:Partial implementation may explain modest effectiveness of many school-based preventive programmes against substance use. We studied whether specific characteristics of the class could predict the level of implementation of a curriculum delivered by class teachers in schools from some European countries. METHODS:Secondary analysis of data from an evaluation trial. In seven European countries, 78 schools (173 classes) were randomly assigned to a 12-unit, interactive, standardized programme based on the comprehensive social influence model. Curriculum completeness, application fidelity, average unit duration and use of role-play were monitored using structured report forms. Predictors of implementation were measured by aggregating at class level information from the baseline student survey. Class size, gender composition, mean age, factors related to substance use and to affection to school were analysed, with associations estimated by multilevel regression models. RESULTS:Implementation was not significantly predicted by mean age, proportion of students with positive academic expectation or liking school. Proportion of boys was associated with a shorter time devoted to each unit [β = -0.19, 95% confidence intervals (CI) -0.32 to -0.06]. Class size was inversely related to application fidelity [Odds ratio (OR) 0.92, 95% CI 0.85 to 0.99]. Prevalence of substance use was associated with a decreased odds of implementing all the curriculum units (OR 0.81, 95% CI 0.65 to 0.99). Students' connectedness to their class was associated with increased odds of teachers using role-play (OR 1.52, 95% CI 1.03 to 2.29). CONCLUSIONS:Teachers' implementation of preventive programmes may be affected by structural and social characteristics of classes and therefore benefit from organizational strategies and teachers' training in class management techniques.
journal_name
Eur J Public Healthjournal_title
European journal of public healthauthors
Caria MP,Faggiano F,Bellocco R,Galanti MR,EU-Dap Study Group.doi
10.1093/eurpub/cks191subject
Has Abstractpub_date
2013-12-01 00:00:00pages
1088-93issue
6eissn
1101-1262issn
1464-360Xpii
cks191journal_volume
23pub_type
杂志文章,随机对照试验abstract:BACKGROUND:As school dropout is an important public health problem that needs to be addressed, we set out to examine whether and how, beyond the well-known effects of sex, gender beliefs and self-reported masculinity and femininity are related to school dropout. METHODS:The study used a case-control design, consisting...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cku097
更新日期:2015-02-01 00:00:00
abstract:Background:The health risks associated with dichloromethane (DCM) for the general population living near industrial activities have not yet been quantified, primarily due to lack of epidemiological datasets. In the absence of such human data, we undertook a cancer cluster investigation in Cyprus around a historically u...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckx170
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Patient delay was investigated in a cohort of TB patients identified from May 1996 until April 1997 in 13 Autonomous Regions in Spain. The study covered almost 67% of the total Spanish population. METHODS:Data were collected from clinical records. Using unconditional logistic regression with two different c...
journal_title:European journal of public health
pub_type: 杂志文章,多中心研究
doi:10.1093/eurpub/14.2.151
更新日期:2004-06-01 00:00:00
abstract:BACKGROUND:Patterns of risk behaviour during teenage years may vary by socio-economic status (SES). We aimed to examine possible associations between individual and multiple risk behaviours and three measures of SES in mid-adolescence. METHODS:The sample (n = 6406) comprised participants from the Avon Longitudinal Stu...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cku078
更新日期:2015-02-01 00:00:00
abstract:BACKGROUND:Adolescent alcohol use varies across Europe. Differences in use might be due to variations in social drinking norms. These norms become apparent, e.g. in different proportions of alcohol drinking types per country. This study's purpose is to cluster European countries according to prevalence rates of alcohol...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckw033
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:Little is known about the correlates of meeting recommended levels of participation in physical activity (PA) and how this understanding informs public health policies on behaviour change. OBJECTIVE:To analyse who meets the recommended level of participation in PA in males and females separately by applying...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cks127
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:In the Netherlands, municipal health assessments are carried out by 28 Regional Health Services, serving 418 municipalities. In the absence of guidelines, regional public health reports were developed in two pilot regions on the basis of the model and experience of national health reporting. Though they were...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckr016
更新日期:2012-06-01 00:00:00
abstract:Background:Measuring homophobia at country level is important to guide public health policy as reductions in stigma are associated with improved health outcomes among gay men and other men who have sex with men. Methods: We developed a Homophobic Climate Index incorporating institutional and social components of homoph...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cky023
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:European populations are ageing rapidly yet, although, it is widely recognized that some individuals age more successfully than others, an agreed concept of successful ageing remains elusive. We sought to develop a model of successful ageing in a British population, which combines the subjective and objectiv...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckq132
更新日期:2012-02-01 00:00:00
abstract:BACKGROUND:In the year 2006, Australia introduced graphic cigarette packet warnings. Previous warnings were text only. New warnings include one of 14 pictures, many depicting tobacco-related pathology. METHODS:This study monitored the roll-out of the health policy initiative using multiple methodologies. Print media c...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckp089
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:Social inequalities in substance use have been well-documented; however, the impact of changes in socio-economic position from childhood to adulthood is unclear. We examined the relationship between intergenerational trajectories of social position and tobacco and cannabis use among young adults. METHODS:Da...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cks065
更新日期:2013-04-01 00:00:00
abstract:BACKGROUND:The purpose of this work was to study the prevalence and dimensionality of subjective health complaints in a cross-national population of adolescents. METHODS:The analyses were based on data from a WHO cross-national survey, Health Behaviour in School-aged Children (HBSC). The study included a representativ...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/11.1.4
更新日期:2001-03-01 00:00:00
abstract:Background:To reduce the effect of antimicrobial resistance and to preserve antibiotic effectiveness, clinical guidelines and health policy documents call for the rational use of antibiotics, which aims to reduce unnecessary or minimally effective antibiotic use. Methods:Through ethical analysis, we show that rational...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckx165
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:The use of Internet and related technologies for promoting weight management (WM), physical activity (PA), or dietary-related behaviours has been examined in many articles and systematic reviews. This overview aims to summarize and assess the quality of the review evidence specifically focusing on mobile and...
journal_title:European journal of public health
pub_type: 杂志文章,评审
doi:10.1093/eurpub/ckw090
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:This study examines the prevalence and correlates of stages of change of smoking, in terms of psychosocial, structural and sociodemographic factors, among inhabitants of deprived neighbourhoods. METHODS:Cross-sectional data were obtained from a survey on health related behaviour. Subjects were 2009 current ...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cki112
更新日期:2005-04-01 00:00:00
abstract:BACKGROUND:To improve our understanding of the problematic labour market position of people with a chronic disease, this paper describes the participation rates of several subgroups of the chronically ill in the Netherlands, as well as the aspects by which the working chronically ill differ from those who are fully wor...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/12.2.124
更新日期:2002-06-01 00:00:00
abstract:BACKGROUND:This study evaluates the changes in Spain between 2006 and 2012, of school-based policies encouraging healthy eating and the undertaking of physical activity (PA). METHODS:A longitudinal study was undertaken comprising 277 representative schools from all the regions of Spain. The questionnaires were complet...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cku022
更新日期:2014-12-01 00:00:00
abstract::2019 has been a milestone year for catalyzing changes to improve health equity in the WHO European Region through concomitant progress in the sustainable development goal (SDG) targets. The WHO European Health Equity Status Report Initiative (HESRi) has captured and analyzed the relationships between inequities in hea...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckaa033
更新日期:2020-03-01 00:00:00
abstract:Background:The numbers of migrants living in Europe are growing rapidly, and has become essential to assess their access to primary health care (PHC). Avoidable Hospitalization (AH) rates can reflect differences across migrant and ethnic minority groups in the performance of PHC. We aimed to conduct a systematic review...
journal_title:European journal of public health
pub_type: 杂志文章,评审
doi:10.1093/eurpub/ckx113
更新日期:2017-10-01 00:00:00
abstract:OBJECTIVES:To identify changes in social inequalities for mammograms uptake in Belgium over the period 1997-2008 using multiple indices, and to assess the contribution of the national breast cancer screening programme in these changes. METHODS:Data were obtained from four waves of the Belgian Health Interview Survey. ...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckt116
更新日期:2014-04-01 00:00:00
abstract::The game of tobacco use began in Europe in 1560 when the first tobacco seeds were sent from Lisbon to the king of France, by Jean Nicot. From kings' and nobles' exclusive use, it gradually and progressively became popular among the public, as a new player. Eighty-eight years ago (1929), Fritz Linkint, an extraordinary...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckx161
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND:Preterm birth is a rising health problem in Europe generally, and in Austria specifically. Decision makers require objective information on the effects and costs of measures to prevent preterm birth. METHODS:We undertook a budget impact analysis from a public payer perspective and for a 1-year and 5-year ti...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckt024
更新日期:2014-02-01 00:00:00
abstract:BACKGROUND:Cantabria has the highest prevalence of alcohol consumption among women in Spain. Patterns of alcohol consumption before pregnancy were assessed as a determinant of alcohol cessation in pregnant women in Cantabria. METHODS:Survey on a random sample of women delivering for the period 1998-2002 (n = 1510). In...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckl259
更新日期:2007-08-01 00:00:00
abstract:BACKGROUND:When resources are limited, occupational health survey participants are usually invited to consultations based on an occupational health provider's subjective considerations. This study aimed to find health survey participants at risk of long-term (i.e., ≥ 42 consecutive days) sickness absence (LTSA) for con...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckaa246
更新日期:2021-01-07 00:00:00
abstract:BACKGROUND:This study has been carried out in order to explore the effect of the growing appearance of IPV in television news items on deaths by this cause. METHODS:Ecological study based on 340 deaths by intimate partner violence (IPV) and 3733 television news items covering this topic on Spanish television channels ...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckp086
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:In many countries, the rates of breastfeeding fall far short of those recommended. National plans to promote breastfeeding are badly needed. We describe the results of a breastfeeding promotion programme planned by objectives and financial penalties in a small region of Italy. METHODS:This observational stu...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/11.4.397
更新日期:2001-12-01 00:00:00
abstract:Background:Patterns of adverse birth outcomes vary spatially and there is evidence that this may relate to features of the physical environment such as air pollution. However, other social characteristics of the environment such as levels of crime are relatively understudied. This study examines the association between...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckw131
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND:Population data, such as mortality and morbidity statistics, are essential for many reasons, including giving context for research, supporting action on health determinants, formulation of evidence-based policy for health care and outcome evaluation. However, when considering children, it is difficult to fin...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckaa052
更新日期:2020-08-01 00:00:00
abstract:BACKGROUND:The Dutch Public Health Status and Forecasts report (PHSF Report) integrates research data and identifies future trends affecting public health in the Netherlands. To investigate how PHSF contributions to health policy can be enhanced, we analysed the development process whereby the PHSF Report for 2010 was ...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckw097
更新日期:2016-12-01 00:00:00
abstract:Background:The objectives of this investigation are to assess the prevalence of hospital readmissions for surgical site infections (SSIs) in patients aged ≥18 in Italy and to describe the clinical characteristics of these patients and evaluate the possible association with readmission for SSIs. Methods:A retrospective...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckx205
更新日期:2018-06-01 00:00:00