Ambulatory blood pressure studies are needed to assess associations between blood pressure and work stressors
Journal of Epidemiology & Community Health
by Landsbergis, P., Sembajwe, G., Dobson, M., Schnall, P., Li, J.
1M ago
Ahn et al1 conducted a meta-analysis that was well designed with one major exception—reliance on studies of casual clinic or office blood pressure (BP). Only 2 of the 19 papers in the meta-analysis (papers by Trudel and by Gilbert-Ouimet in Ahn et al1) used the more reliable and valid method of ambulatory BP (ABP) monitoring2 3). Those two studies found significant associations between long work hours and BP or hypertension. The use of ABP is a much better predictor of target organ damage, incident cardiovascular disease (CVD) and mortality than casual clinic BP2, primarily because BP is being ..read more
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Long COVID and financial outcomes: evidence from four longitudinal population surveys
Journal of Epidemiology & Community Health
by Rhead, R., Wels, J., Moltrecht, B., Shaw, R. J., Silverwood, R., Zhu, J., Hughes, A., Chaturvedi, N., Demou, E., Katikireddi, S. V., Ploubidis, G.
1M ago
Background Long-term sequelae of COVID-19 (long COVID) include muscle weakness, fatigue, breathing difficulties and sleep disturbance over weeks or months. Using UK longitudinal data, we assessed the relationship between long COVID and financial disruption. Methods We estimated associations between long COVID (derived using self-reported length of COVID-19 symptoms) and measures of financial disruption (subjective financial well-being, new benefit claims, changes in household income) by analysing data from four longitudinal population studies, gathered during the first year of the pandemic. We ..read more
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Flourishing and the scope of medicine and public health
Journal of Epidemiology & Community Health
by VanderWeele, T. J.
1M ago
A framework is put forward for the proper scope of considerations concerning flourishing within medicine, psychiatry, clinical counselling, public health and public policy. Each of these disciplines and associated institutional practices have distinctive contributions to make in advancing flourishing within society. In each case, there are also various aspects of flourishing that extend beyond each practice’s purview; and yet to restrict attention only to health, narrowly conceived, limits what each of these practices can in fact accomplish. A clearer understanding of what aspects of flourishi ..read more
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Risk of severe mood and anxiety disorders in the adult children of parents with alcohol use disorder: a nationwide cohort study
Journal of Epidemiology & Community Health
by Kane, K., Westman, J., Franck, J., Gissler, M.
1M ago
Background Growing up with parental alcohol use disorder (AUD) is a risk factor for psychiatric disorders. This study investigated the risk of mood disorders and of anxiety disorders in the adult children of parents with AUD, adjusted for sociodemographic factors. Methods Individual-level register data on the total population were linked to follow children of parents with AUD from 1973 to 2018 to assess their risk of mood disorders and of anxiety disorders. AUD, mood disorders and anxiety disorders were defined with International Statistical Classification of Diseases and Related Health Proble ..read more
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Impact of informal caregiving on depressive symptoms among a national cohort of men
Journal of Epidemiology & Community Health
by King, T. L., Vitaliano, P. P., Maheen, H., Taouk, Y.
1M ago
Background There is evidence that unpaid caregiving can have negative effects on the mental health of female caregivers; however, evidence of impacts on male caregivers is limited. This study addressed this gap by examining associations between becoming a caregiver and depressive symptoms among men. Methods We used data from waves 1–2 (2013, 2016) of the Longitudinal Study of Australian Male Health (Ten to Men). Effects of incident caregiving on depressive symptoms were estimated using augmented inverse probability treatment weighting, with adjustment for potential confounders. Incident caregi ..read more
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Causal associations of antioxidants with Alzheimers disease and cognitive function: a Mendelian randomisation study
Journal of Epidemiology & Community Health
by Wang, J., Huang, Y., Bei, C., Yang, H., Lin, Z., Xu, L.
1M ago
Background Circulating antioxidants are associated with a lower risk of Alzheimer’s disease (AD) in observational studies, suggesting potential target areas for intervention. However, whether the associations are causal remains unclear. Here, we studied the causality between antioxidants and AD or cognitive function using two-sample Mendelian randomisation (MR). Methods Single nucleotide polymorphisms strongly (p<5x10–8) associated with antioxidants (vitamin A, vitamin C, zinc, selenium, β-carotene and urate) and outcomes (AD, cognitive performance and reaction time) were obtained from the ..read more
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Intersectional inequalities in paediatric infectious diseases: a national cohort study in Sweden
Journal of Epidemiology & Community Health
by Videholm, S., Silfverdal, S. A., Gustafsson, P. E.
1M ago
Background It is well known that socially deprived children are more likely to be hospitalised for infections. Less is known about how different social disadvantages interact. Therefore, we examine intersectional inequalities in overall, upper respiratory, lower respiratory, enteric and genitourinary infections in the first 5 years of life. Methods We conducted a population-based retrospective cohort study of Swedish children born between 1998 and 2015. Inequalities were examined using analysis of individual heterogeneity and discriminatory accuracy as the analytical framework. A variable with ..read more
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Poverty trajectories and child and mother well-being outcomes in Ireland: findings from an Irish prospective cohort
Journal of Epidemiology & Community Health
by JO Driscoll, D., Kiely, E., O'Keeffe, L. M., Khashan, A. S.
1M ago
Background Poverty is associated with poor outcomes, yet exposure to distinct poverty trajectories in early childhood is not well understood. Objective To understand the prevalence of different trajectories of household poverty and their association with mid-childhood and mother indicators of physical health and psychopathology in Ireland. Methods We used a nationally representative, prospective cohort (Growing Up in Ireland–Infant Cohort). Household poverty included lowest third income decile, subjective poverty and material deprivation when children were aged 9 months, and 3, 5, 9 years. We ..read more
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School performance and educational achievement in children exposed to maternal cancer in utero
Journal of Epidemiology & Community Health
by Greiber, I. K., Viuff, J. H., Karlsen, M. A., Lidegaard, O., Mikkelsen, A. P., Hjortshoj, C. S., Storgaard, L., Mellemkjaer, L.
2M ago
Background In utero exposure to maternal cancer and cancer treatment might influence the child’s cognitive development. This study investigated if exposure to maternal cancer during fetal life impacted school performance and educational achievement as adults. Methods This nationwide retrospective cohort study identified all live-born children in Denmark between January 1978 and December 2013. Exposure was defined as maternal cancer diagnosis during pregnancy. Four partly overlapping birth cohorts were constructed depending on the outcome of interest: (1) receiving special educational support f ..read more
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Income disparities in loss in life expectancy after colon and rectal cancers: a Swedish register-based study
Journal of Epidemiology & Community Health
by Syriopoulou, E., Osterman, E., Miething, A., Nordenvall, C., Andersson, T. M.-L.
2M ago
Background Differences in the prognosis after colorectal cancer (CRC) by socioeconomic position (SEP) have been reported previously; however, most studies focused on survival differences at a particular time since diagnosis. We quantified the lifetime impact of CRC and its variation by SEP, using individualised income to conceptualise SEP. Methods Data included all adults with a first-time diagnosis of colon or rectal cancers in Sweden between 2008 and 2021. The analysis was done separately for colon and rectal cancers using flexible parametric models. For each cancer and income group, we esti ..read more
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