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    Borges MC, Louzada ML, de Sa TH, Laverty AA, Parra DC, Fellegger Garzillo JM, Monteiro CA, Millett Cet al., 2017,

    Artificially Sweetened Beverages and the Response to the Global Obesity Crisis

    , PLOS MEDICINE, Vol: 14, ISSN: 1549-1676
    Filippidis FT, Gerovasili V, Millett C, Tountas Yet al., 2017,

    Medium-term impact of the economic crisis on mortality, health-related behaviours and access to healthcare in Greece

    , SCIENTIFIC REPORTS, Vol: 7, ISSN: 2045-2322
    Filippidis FT, Laverty AA, Gerovasili V, Vardavas CIet al., 2017,

    Two-year trends and predictors of e-cigarette use in 27 European Union member states

    , TOBACCO CONTROL, Vol: 26, Pages: 98-104, ISSN: 0964-4563
    Fouad FM, Sparrow A, Tarakji A, Alameddine M, El-Jardali F, Coutts AP, El Arnaout N, Karroum LB, Jawad M, Roborgh S, Abbara A, Alhalabi F, AlMasri I, Jabbour Set al., 2017,

    Health workers and the weaponisation of health care in Syria: a preliminary inquiry for The Lancet-American University of Beirut Commission on Syria.

    , Lancet

    The conflict in Syria presents new and unprecedented challenges that undermine the principles and practice of medical neutrality in armed conflict. With direct and repeated targeting of health workers, health facilities, and ambulances, Syria has become the most dangerous place on earth for health-care providers. The weaponisation of health care-a strategy of using people's need for health care as a weapon against them by violently depriving them of it-has translated into hundreds of health workers killed, hundreds more incarcerated or tortured, and hundreds of health facilities deliberately and systematically attacked. Evidence shows use of this strategy on an unprecedented scale by the Syrian Government and allied forces, in what human rights organisations described as a war-crime strategy, although all parties seem to have committed violations. Attacks on health care have sparked a large-scale exodus of experienced health workers. Formidable challenges face health workers who have stayed behind, and with no health care a major factor in the flight of refugees, the effect extends well beyond Syria. The international community has left these violations of international humanitarian and human rights law largely unanswered, despite their enormous consequences. There have been repudiated denunciations, but little action on bringing the perpetrators to justice. This inadequate response challenges the foundation of medical neutrality needed to sustain the operations of global health and humanitarian agencies in situations of armed conflict. In this Health Policy, we analyse the situation of health workers facing such systematic and serious violations of international humanitarian law. We describe the tremendous pressures that health workers have been under and continue to endure, and the remarkable resilience and resourcefulness they have displayed in response to this crisis. We propose policy imperatives to protect and support health workers working in armed conflict z

    Seferidi P, Millett C, Laverty AA, 2017,

    Sweetened beverage intake in association to energy and sugar consumption and cardiometabolic markers in children.

    , Pediatr Obes

    BACKGROUND: Artificially sweetened beverages (ASBs) are promoted as healthy alternatives to sugar-sweetened beverages (SSBs) in order to reduce sugar intake, but their effects on weight control and glycaemia have been debated. This study examines associations of SSBs and ASBs with energy and sugar intake and cardiometabolic measures. METHODS: One thousand six hundred eighty-seven children aged 4-18 participated in the National Diet and Nutrition Survey Rolling Programme (2008/9-2011/12) in the UK. Linear regression was used to examine associations between SSBs and ASBs and energy and sugar, overall and from solid foods and beverages, and body mass index, waist-to-hip ratio and blood analytes. Fixed effects linear regression examined within-person associations with energy and sugar. RESULTS: Compared with non-consumption, SSB consumption was associated with higher sugar intake overall (6.1%; 4.2, 8.1) and ASB consumption with higher sugar intake from solid foods (1.7%; 0.5, 2.9) but not overall, mainly among boys. On SSB consumption days, energy and sugar intakes were higher (216 kcal; 163, 269 and 7.0%; 6.2, 7.8), and on ASB consumption days, sugar intake was lower (-1.0%; -1.8, -0.1) compared with those on non-consumption days. SSB and ASB intakes were associated with higher levels of blood glucose (SSB: 0.30 mmol L(-1) ; 0.11, 0.49 and ASB: 0.24 mmol L(-1) ; 0.06, 0.43) and SSB intake with higher triglycerides (0.29 mmol L(-1) ; 0.13, 0.46). No associations were found with other outcomes. CONCLUSION: Sugar-sweetened beverage intake was associated with higher sugar intake and both SSBs and ASBs with a less healthy cardiometabolic profile. These findings add to evidence that health policy should discourage all sweetened beverage consumption.

    Zahid R, Dogar O, Mansoor S, Khan A, Kanaan M, Jawad M, Ahluwalia JS, Siddiqi Ket al., 2017,

    The efficacy of varenicline in achieving abstinence among waterpipe tobacco smokers - study protocol for a randomized controlled trial

    , TRIALS, Vol: 18, ISSN: 1745-6215
    Filippidis FT, Gerovasili V, Man WD-C, Quint JKet al., 2016,

    Trends in mortality from respiratory system diseases in Greece during the financial crisis

    , EUROPEAN RESPIRATORY JOURNAL, Vol: 48, Pages: 1487-1489, ISSN: 0903-1936
    Filippidis FT, Mian SS, Millett C, 2016,

    Perceptions of quality and safety and experience of adverse events in 27 European Union healthcare systems, 2009-2013

    , INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE, Vol: 28, Pages: 721-727, ISSN: 1353-4505
    Hone T, Palladino R, Filippidis FT, 2016,

    Association of searching for health-related information online with self-rated health in the European Union.

    , Eur J Public Health, Vol: 26, Pages: 748-753

    BACKGROUND: The Internet is widely accessed for health information, but poor quality information may lead to health-worsening behaviours (e.g. non-compliance). Little is known about the health of individuals who use the Internet for health information. METHODS: Using the Flash Eurobarometer survey 404, European Union (EU) citizens aged ≥15 (n = 26 566) were asked about Internet utilisation for health information ('general' or 'disease-specific'), the sources used, self-rated health, and socioeconomic variables. Multivariable logistic regression was employed to assess the likelihood of bad self-rated health and accessing different health information sources (social networks, official website, online newspaper, dedicated websites, search engines). RESULTS: Those searching for general information were less likely to report bad health [odds ratios (OR) = 0.80; 95% confidence intervals (CI): 0.70-0.92], whilst those searching for disease-specific information were more likely (OR = 1.22; 95% CI: 1.07-1.38). Higher education and frequent doctor visits were associated with use of official websites and dedicated apps for health. Variation between EU member states in the proportion of people who had searched for general or disease-specific information online was high. CONCLUSIONS: Searching for general health information may be more conducive to better health, as it is easier to understand, and those accessing it may already be or looking to lead healthier lives. Disease-specific information may be harder to understand and assimilate into appropriate care worsening self-rated health. It may also be accessed if health services fail to meet individuals' needs, and health status is currently poor. Ensuring individuals' access to quality health services and health information will be key to addressing inequalities in health.

    Jawad M, Lee JT, Millett C, 2016,

    Waterpipe Tobacco Smoking Prevalence and Correlates in 25 Eastern Mediterranean and Eastern European Countries: Cross-Sectional Analysis of the Global Youth Tobacco Survey

    , NICOTINE & TOBACCO RESEARCH, Vol: 18, Pages: 395-402, ISSN: 1462-2203
    Palladino R, Lee JT, Hone T, Filippidis FT, Millett Cet al., 2016,

    The Great Recession And Increased Cost Sharing In European Health Systems.

    , Health Aff (Millwood), Vol: 35, Pages: 1204-1213

    European health systems are increasingly adopting cost-sharing models, potentially increasing out-of-pocket expenditures for patients who use health care services or buy medications. Government policies that increase patient cost sharing are responding to incremental growth in cost pressures from aging populations and the need to invest in new health technologies, as well as to general constraints on public expenditures resulting from the Great Recession (2007-09). We used data from the Survey of Health, Ageing and Retirement in Europe to examine changes from 2006-07 to 2013 in out-of-pocket expenditures among people ages fifty and older in eleven European countries. Our results identify increases both in the proportion of older European citizens who incurred out-of-pocket expenditures and in mean out-of-pocket expenditures over this period. We also identified a significant increase over time in the percentage of people who incurred catastrophic health expenditures (greater than 30 percent of the household income) in the Czech Republic, Italy, and Spain. Poorer populations were less likely than those in the highest income quintile to incur an out-of-pocket expenditure and reported lower mean out-of-pocket expenditures, which suggests that measures are in place to provide poorer groups with some financial protection. These findings indicate the substantial weakening of financial protection for people ages fifty and older in European health systems after the Great Recession.

    Webb E, Laverty A, Mindell J, Millett Cet al., 2016,

    Free Bus Travel and Physical Activity, Gait Speed, and Adiposity in the English Longitudinal Study of Ageing

    , AMERICAN JOURNAL OF PUBLIC HEALTH, Vol: 106, Pages: 136-142, ISSN: 0090-0036
    Chang KC-M, Soljak M, Lee JT, Woringer M, Johnston D, Khunti K, Majeed A, Millett Cet al., 2015,

    Coverage of a national cardiovascular risk assessment and management programme (NHS Health Check): Retrospective database study

    , PREVENTIVE MEDICINE, Vol: 78, Pages: 1-8, ISSN: 0091-7435
    Laverty AA, Diethelm P, Hopkinson NS, Watt HC, McKee Met al., 2015,

    Use and abuse of statistics in tobacco industry-funded research on standardised packaging

    , TOBACCO CONTROL, Vol: 24, Pages: 422-424, ISSN: 0964-4563
    Laverty AA, Palladino R, Lee JT, Millett Cet al., 2015,

    Associations between active travel and weight, blood pressure and diabetes in six middle income countries: a cross-sectional study in older adults


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