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Is gender equality associated with a longer healthier life? Ecological evidence...

Leão, T; Doetsch, J; Henriques, A; Fraga, S

"Background The association between gender equality and higher life expectancies has been described. Yet, little is known about its association with healthy life expectancy (HLE), or which domains are consistently associated with longer and healthier lives. We aimed to study the association between country-level gender equality, its domains and subdomains, with life expectancy and HLE in Europe, from 2013 to 20...


Spatial Access Matters: An Analysis of Policy Change and Its Effects on Avoidab...

Weiland, M; Santana, P; Costa, C; Doetsch, J; Pilot, E

In 2006, a policy reform restructured the maternal and perinatal healthcare system, including closing smaller maternity units, to further improve care in Portugal. This study aimed to investigate the effects of the 2006 National Program of Maternal and Neonatal Health policy on spatial inequalities in access to care and consequently avoidable infant mortality. A thematic analysis of qualitative data including i...


Equitable migrant-friendly perinatal healthcare access and quality in public ma...

Doetsch, J; Almendra, R; Carrapatoso, M; Teixeira, C; Barros, H

Background: Migrant women are at higher risk to face access barriers to perinatal care services and to experience worse pregnancy outcomes compared to native. Assessing the perception of migrant women and health providers discloses a multifaceted view on migrant-friendly care, a multidimensional concept in itself. This study aims to compare self-perceived assessments of migrant women and directors of obstetrics...


Survey of data collection methods and retention strategies in European birth co...

Teixeira, R; Doetsch, J; Freitas, AI; Lorthe, E; Santos, AC; Barros, H; RECAP-preterm consortium

Background The long-term follow-up of very preterm and very low birthweight cohorts contributes to valuable evidence to understand life-course outcomes in these vulnerable populations. However, attrition is a major challenge in long-term outcome studies. Examining the techniques used by existing cohorts may help to reveal practices that enhance willingness to continue participation over time. Objectives To eval...


Understanding participation in European cohort studies of preterm children: the...

Marques, SCS; Doetsch, J; Abate, G; Brødsgaard, A; Colombo, G; Cuttini, M; Pedersen, P; Barros, H; RECAP Preterm-WP6 QS Work Group

Background Retention of participants in cohort studies is a major challenge. A better understanding of all elements involved in participation and attrition phenomena in particular settings is needed to develop effective retention strategies. The study aimed to achieve an in-depth understanding of participant retention in longitudinal cohorts focusing on participants’ and researcher’s perspectives, across three ...


The multifaceted role of mobile technologies as a strategy to combat COVID-19 p...

Teixeira, R; Doetsch, J

The coronavirus 2019 (COVID-19) outbreak in China rapidly spread throughout the world, becoming a threatening pandemic with unprecedented consequences. Mobile technologies have led to a revolution in health and their applicability in the context of COVID-19 is promising. In this commentary, we provide an overview of the role that mobile technologies play in the COVID-19 pandemic context and discuss the main iss...


Improving Understanding of Participation and Attrition Phenomena in European Co...

Marques, SCS; Doetsch, J; Brødsgaard, A; Cuttini, M; Draper, ES; Kajantie, E; Lebeer, J; van der Pal, S; Pedersen, P; RECAP - WP6 QS Work Group

Background: Cohort studies represent a strong methodology for increasing one’s understanding of human life-course development and etiological mechanisms. Retention of participants, especially during long follow-up periods, is, however, a major challenge. A better understanding of the motives for participation and attrition in cohort studies in diverse sociogeographic and cultural settings is needed, as this inf...


Impact of macro-socioeconomic determinants on perinatal healthcare quality for ...

Doetsch, J; Marques, SCS; Krafft, T; Barros, H

The WHO identified the importance of macro-socioeconomic determinants and the political context as interlinked key factors affecting health equity. The 2008 economic crisis was associated with a significant low-birth-weight increase in Portugal, 2007-2014. The Economic Adjustment Programme (EAP), implemented to economize non-essential health care costs (2011-2014), substantially affected healthcare delivery and...


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