Part,  Chapter, Paragraph

1501   II,     8.  2.  1    |                  874.~Fisher, K., (2004). Health Disparities and Mental Retardation.
1502   II,     8.  2.  1    |                  2003). The ECHI project: Health Indicators for the European
1503   II,     8.  2.  1    |                European Journal of Public Health 13S: 101-6.~Lennox N, Beange
1504   II,     8.  2.  1    |                      2005). Understanding Health Disparities and Inequities
1505   II,     8.  2.  1    |                   and Fisher (2006). Oral health status of people with intellectual
1506   II,     8.  2.  1    |               Wehmeyer M (2005). Reducing health disparity in people with
1507   II,     8.  2.  1    |               disabilities: A report from Health Issues Special Interest
1508   II,     8.  2.  1    |           Schellevis, G.J. Dinant (2007). Health problems of people with
1509   II,     8.  2.  1    |                  66.~Stegeman, I. (2006). Health Inequalities in the EU.
1510   II,     8.  2.  1    |          Inequalities in the EU. TACKLING HEALTH INEQUALITIES IN THE EU:
1511   II,     8.  2.  1    |               Walsh PN (2007): Developing health indicators for people with
1512   II,     8.  2.  1    |                   PN (in press): Managing health problems in persons with
1513   II,     8.  2.  1    |               Lantman-de Valk HMJ (2003): Health indicators for people with
1514   II,     8.  2.  1    |                 perspective. Eur J Public Health 13: 47-50; doi:10.1093/eurpub/
1515   II,     8.  2.  1    |                Report Developing a set of health indicators for people with
1516   II,     8.  2.  1    |                    2, 3-4, 260-263.~World Health Organisation (2008) Mental
1517   II,     8.  2.  1    |                Organisation (2008) Mental Health Gap Action Programme mhGAP –
1518   II,     8.  2.  1    |                disorders WHO Geneva~World Health Organisation (2007). Atlas -
1519   II,     8.  2.  1    |            Disabilities WHO, Geneva~World Health Organisation (2001) International
1520   II,     8.  2.  1    |               Functioning, Disability and Health. ICF WHO, Geneva~World Health
1521   II,     8.  2.  1    |             Health. ICF WHO, Geneva~World Health Organisation (2000). Ageing
1522   II,     8.  2.  1    |                 Ageing. Geneva: WHO~World Health Organisation (1992). The
1523   II,     8.  2.  1    |                   Revision. Geneva, World Health Organisation.~ ~
1524   II,     8.  2.  1    |               Surveys (DIS)~EHSS~European Health Survey System)~HIS~Health
1525   II,     8.  2.  1    |                 Health Survey System)~HIS~Health Interview Survey~HES~Health
1526   II,     8.  2.  1    |               Health Interview Survey~HES~Health Examination Survey~EUHSID~
1527   II,     8.  2.  1    |              Survey~EUHSID~European Union Health Surveys Information Database~
1528   II,     8.  2.  1    |              Functioning, Disability, and Health (2001).~WHO~World Health
1529   II,     8.  2.  1    |                  Health (2001).~WHO~World Health Organisation~ ~
1530   II,     8.  2.  2    |                   at community and public health level; non-availability
1531   II,     8.  2.  2    |                running medical and allied health services, pharmaceuticals,
1532   II,     8.  2.  2    |                and integrated into school health programmes; the need should
1533   II,     8.  2.  2    |             partnership between the World Health Organization (WHO) and the
1534   II,     8.  2.  2    |                    In May 2006, the World Health Assembly adopted Resolution
1535   II,     8.  2.  2    |                   well-monitored national health systems.~ ~To accelerate
1536   II,     8.  2.  2    |                was submitted to the World Health Assembly in 2006.~ ~
1537   II,     8.  2.  2    |               2004): Fifteen years of eye health care service transition
1538   II,     8.  2.  2    |                 Programme on Evidence for Health Policy Discussion Paper
1539   II,     8.  2.  2    |               2002. Bulletin of the World Health Organization 82:844-851~
1540   II,     8.  2.  2    |                2004 Bulletin of the World Health Organization 86:6370.~Thylefors
1541   II,     8.  2.  2    |          blindness. Bulletin of the World Health Organization. 1995;73(1):
1542   II,     8.  2.  3    |                     WHO (2002): The World Health Report (on-line publication
1543   II,     8.  2.  3    |              Functioning, Disability, and Health (2001).~LFS:~EU Labour Force
1544   II,     8.  2.  3    |               Survey~LSHPD:~long standing health problem or disability~MEHM:~
1545   II,     8.  2.  3    |         disability~MEHM:~Minimum European Health Module~ESS:~European Statistical
1546   II,     8.  2.  3    |                Integration~EHSS:~European Health Survey System~ ~ ~
1547   II,     9            |                                   9.~MAIN HEALTH ISSUES AND TRENDS FOR DIFFERENT
1548   II,     9            |               chapter deals with the main health issues and trends concerning
1549   II,     9            |             adults and elderly). The main health issues of these different
1550   II,     9            |                for newborns and perinatal health~ ~High maternal age at delivery.
1551   II,     9            |                maternal age and perinatal health outcomes is U-shaped and
1552   II,     9            |                associated with social and health care factors, including
1553   II,     9            |            effective antenatal preventive health services. Finally, perinatal
1554   II,     9            |              services. Finally, perinatal health outcomes are linked to social
1555   II,     9            |           Environment. Children and their health are initially significantly
1556   II,     9            |                 well-known as influencing health, well-being and development.
1557   II,     9            |               level have a higher risk of health problems that children of
1558   II,     9            |                   Commission, 2003). Poor health behaviour in a mother can
1559   II,     9            |                  can influence the future health of her child. There is a
1560   II,     9            |                   Section 10.2).~ ~Sexual health and behaviour. Sexual behaviour
1561   II,     9            |           diseases and other reproductive health problems. Several risk factors
1562   II,     9            |                attention to protect their health and their lives because
1563   II,     9            |               infections are an important health problem for young girls
1564   II,     9            |                HSBC report Young People’s Health in Context, only the 15
1565   II,     9            |                   to the survey on sexual health, as the questions were considered
1566   II,     9            |               include questions on sexual health (WHO/HSBC, 2004).~ ~Inadequate
1567   II,     9            |                  the European Alcohol and Health Forum notes that 7.5% of
1568   II,     9            |              vigorous exercise. The World Health Report 2002 estimates that
1569   II,     9            |                physical inactivity.~ ~Ill health increases steadily with
1570   II,     9            |                  likely to suffer chronic health problems and resulting disability
1571   II,     9            |                  expectancy and ‘positive health experiencesincrease for
1572   II,     9            |                  to stable self-perceived health, and a delay in functional
1573   II,     9            |                   in the deterioration of health status and a reduced mortality
1574   II,     9            |              shorter life span and poorer health in older age. Less well-off
1575   II,     9            |                 important determinants of health and outcome in the elderly (
1576   II,     9.  1        |                    Newborns and perinatal health.~ ~ ~ ~More than five million
1577   II,     9.  1        |                   challenges in perinatal health, namely: to maximise safety
1578   II,     9.  1        |             reduce social inequalities in health and access to care, and
1579   II,     9.  1        |                  to care, and use limited health care resources effectively.
1580   II,     9.  1.  1    |               focus on maternal and child health programmes in many countries
1581   II,     9.  1.  1    |          development and use of perinatal health indicators. Today, perinatal,
1582   II,     9.  1.  1    |                  indicators of population health status. These rates, derived
1583   II,     9.  1.  1    |                   the available perinatal health data, however. As perinatal
1584   II,     9.  1.  1    |                 As perinatal and maternal health have improved, absolute
1585   II,     9.  1.  1    |            declined and other measures of health status have become increasingly
1586   II,     9.  1.  1    |            mortality or other measures of health status, have generated scepticism
1587   II,     9.  1.  1    |                   usefulness in comparing health status and quality of care (
1588   II,     9.  1.  1    |                  and describing perinatal health in Europe. The EURO-PERISTAT
1589   II,     9.  1.  1    |              review of existing perinatal health indicators using a DELPHI
1590   II,     9.  1.  1    |                 fetal, neonatal and child health; maternal health; population
1591   II,     9.  1.  1    |                and child health; maternal health; population characteristics
1592   II,     9.  1.  1    |     characteristics and risk factors; and health services. Core indicators
1593   II,     9.  1.  1    |                   to monitoring perinatal health, recommended indicators
1594   II,     9.  1.  1    |             complete picture of perinatal health across the member states,
1595   II,     9.  1.  1    |            important aspects of perinatal health, but require additional
1596   II,     9.  1.  1    |                   development)~ ~Neonatal health~ C: Fetal mortality rate
1597   II,     9.  1.  1    |               screening policies~Maternal health~ C: Maternal mortality ratio
1598   II,     9.  1.  1    |                mothers' country of origin~Health care services~C: Distribution
1599   II,     9.  1.  1    |               from existing international health databases are available
1600   II,     9.  1.  1    |                   key issues in perinatal health.~ ~
1601   II,     9.  1.  1    |                  for evaluating perinatal health outcomes. Very preterm babies
1602   II,     9.  1.  1    |                highest rates of long-term health problems, including cerebral
1603   II,     9.  1.  1    |              essential for monitoring the health of babies in the EU. The
1604   II,     9.  1.  1    |                   for long-term childhood health impairments because of its
1605   II,     9.  1.  1    |                order to monitor perinatal health trends and understand the
1606   II,     9.  1.  1    |                   the section on maternal health.~ ~HealthCare~ ~Healthcare
1607   II,     9.  1.  1    |             improve national and European health information systems in order
1608   II,     9.  1.  1    |               systems in order to monitor health practices and policies.~ ~
1609   II,     9.  1.  1    |               life-course approach to our health begins at conception – or
1610   II,     9.  1.  1    |           dividends in overall population health.~ ~Further information regarding
1611   II,     9.  1.  1    |               Lindmark G (2003): Maternal health outcomes in Europe. Eur
1612   II,     9.  1.  1    |                 certificates. Am J Public Health 1992;82(2):257-61.~ ~Blondel
1613   II,     9.  1.  1    |            comparing quality of perinatal health services between countries.
1614   II,     9.  1.  1    |               mortality. Fetal and Infant Health Study Group of the Canadian
1615   II,     9.  1.  1    |               mortality. Fetal and Infant Health Study Group of the Canadian
1616   II,     9.  1.  1    |             England and Wales, 1976-2000. Health Stat Q 2004(24):14-22.~Olausson
1617   II,     9.  1.  1    |              Control; National Center for Health Statistics, 1992.~ ~Van
1618   II,     9.  1.  1    |                  and evaluating perinatal health in Europe: criteria, methods
1619   II,     9.  1.  2    |             represent an important public health issue in terms of~· impact
1620   II,     9.  1.  2    |                  Moreover, protecting the health of adults and children is
1621   II,     9.  1.  2    |         necessarily enough to protect the health of the foetus; thus, foetuses
1622   II,     9.  1.  2    |                  special status in public health policy.~ ~Within Europe,
1623   II,     9.  1.  2    |               ignored in the wider public health agenda due to their individual
1624   II,     9.  1.  2    |              always enough information in health service records to distinguish
1625   II,     9.  1.  2    |                 can also be influenced by health service factors (e.g. the
1626   II,     9.  1.  2    |                  and usually do not cover health service episodes on an outpatient
1627   II,     9.  1.  2    |                for newborns and perinatal health~ ~ ~High maternal age at
1628   II,     9.  1.  2    |                maternal age and perinatal health outcomes is U-shaped and
1629   II,     9.  1.  2    |                associated with social and health care factors, including
1630   II,     9.  1.  2    |            effective antenatal preventive health services. Finally, perinatal
1631   II,     9.  1.  2    |              services. Finally, perinatal health outcomes are linked to social
1632   II,     9.  1.  2    |               place to put changes in the health services into effect.~ ~
1633   II,     9.  1.  2    |              Green et al, 2004).~ ~Public health initiatives and policies~ ~
1634   II,     9.  1.  2    |                 straddle different public health agendasrare diseases,
1635   II,     9.  1.  2    |       rare diseases, peri-natal and child health, environmental health and
1636   II,     9.  1.  2    |               child health, environmental health and major health determinants.
1637   II,     9.  1.  2    |            environmental health and major health determinants. Funding for
1638   II,     9.  1.  2    |                   Directorate General for Health and Consumer Protection,
1639   II,     9.  1.  2    |              Protection, under its Public Health Programme, as a component
1640   II,     9.  1.  2    |               response to European public health questions and share expertise
1641   II,     9.  1.  2    |                   The rare disease public health agenda, however, is mainly
1642   II,     9.  1.  2    |                  sources generated by the health system. There are many areas
1643   II,     9.  1.  2    |                 improvement in underlying health information systems across
1644   II,     9.  1.  2    |                 linkage between different health information systems using
1645   II,     9.  1.  2    |               creation of European public health information.~ ~Little information
1646   II,     9.  1.  2    |                 their place in the public health agenda.~ ~Risk factors for
1647   II,     9.  1.  2    |            lifestyledeterminants of ill health in the population, such
1648   II,     9.  1.  2    |                  strategy to tackle these health determinants should pay
1649   II,     9.  1.  2    |               strategy and may have other health benefits.~ ~d) Public health
1650   II,     9.  1.  2    |              health benefits.~ ~d) Public health measures should have regard
1651   II,     9.  1.  2    |      environmental pollution.~ ~e) Public health measures aimed at migrants
1652   II,     9.  1.  2    |                their families in terms of health, quality of life and participation.~ ~
1653   II,     9.  1.  2    |                   of Work & Environmental Health, Vol 18, pp 11-17.~De Walle
1654   II,     9.  1.  2    |               Hypospadias", Environmental Health Perspectives, Vol 112, No
1655   II,     9.  1.  2    |                Environmental Pollution on Health", British Medical Bulletin,
1656   II,     9.  1.  2    |                  Epidemiology & Community Health, Vol 45, No 1, pp 52-58.~
1657   II,     9.  1.  2    |                   A (2007): "Survival and Health in Liveborn Infants with
1658   II,     9.  2.  1    |           dependant upon adults for their health and well being. Even as
1659   II,     9.  2.  1    |                   including education and health services and wider facilities
1660   II,     9.  2.  1    |                drinking patterns.~ ~Child health covers maintaining the health,
1661   II,     9.  2.  1    |             health covers maintaining the health, and supporting optimal
1662   II,     9.  2.  1    |              physical, mental, and social health. Areas of development include
1663   II,     9.  2.  1    |                  critical determinant for health and development in adolescence
1664   II,     9.  2.  1    |                  Good physical and mental health, as well as the knowledge
1665   II,     9.  2.  1    |               therefore preventable. Such health related problems include
1666   II,     9.  2.  1    |               diet is essential for child health as it influences both physical
1667   II,     9.  2.  1    |        physical activity is essential for health and development, as well
1668   II,     9.  2.  1    |                   young people rate their health across Europe varies. Girls
1669   II,     9.  2.  1    |                than boys to report poorer health in all countries and regions.
1670   II,     9.  2.  1    |                 Reported levels of poorer health among 15-year-old girls
1671   II,     9.  2.  1    |                  HSBC, 2004).~ ~The World Health Organization (WHO) Regional
1672   II,     9.  2.  1    |                  for Child and Adolescent Health and Development, which all
1673   II,     9.  2.  1    |                declared priority in child health. An earlier and still ongoing
1674   II,     9.  2.  1    |                Children’s Environment and Health Action Plan for Europe (
1675   II,     9.  2.  1    |                  endorsed by all European Health Ministers.~ ~Both Child
1676   II,     9.  2.  1    |                 Both Child and Adolescent Health and Development Strategy
1677   II,     9.  2.  2    |              commission funded the public health information project Child
1678   II,     9.  2.  2    |                 information project Child Health Indicators of Life and Development (
1679   II,     9.  2.  2    |                   to focus measurement on health and the prevention of ill
1680   II,     9.  2.  2    |                 and the prevention of ill health, and the determinants of
1681   II,     9.  2.  2    |           European report on child public health was the WHO European Health
1682   II,     9.  2.  2    |               health was the WHO European Health Report 2005, subtitled “
1683   II,     9.  2.  2    |                   2005, subtitled “Public Health Action for Healthier Children
1684   II,     9.  2.  2    |                 its compilation the World Health Organisation Regional Office
1685   II,     9.  2.  2    |             indicators, together with WHO Health For All data relating to
1686   II,     9.  2.  2    |                apparent priority of child health for the European Commission
1687   II,     9.  2.  2    |                  Commission and the World Health Organisation, a major information
1688   II,     9.  2.  2    |                   State of Young People’s Health in the EU, using the limited
1689   II,     9.  2.  2    |               understanding of children’s health and related pressures and
1690   II,     9.  2.  2    |                systems. It has a specific health and public health function,
1691   II,     9.  2.  2    |                specific health and public health function, and coordinates
1692   II,     9.  2.  2    |                   Office): The specialist health agency of the United Nations,
1693   II,     9.  2.  2    |               equally the 50+ States. The Health For All database is comprehensive
1694   II,     9.  2.  2    |   Directorates-General, not least that of Health and Consumer Protection.
1695   II,     9.  2.  2    |               children and which may have health impacts. Such DGs commission
1696   II,     9.  2.  2    |                   of issues on children’s health. (Web link - ec.europa.eu/
1697   II,     9.  2.  2    |                 epidemiological or public health tool, but it can provide
1698   II,     9.  2.  2    |            data-rich regarding that child health inequalities topic in a
1699   II,     9.  2.  2    |                   with the OECD in public health projects, so that data from
1700   II,     9.  2.  2    |                   data. (Web link – ww ~ ~Health Behaviour in School-aged
1701   II,     9.  2.  2    |                   yearly basis, reviewing health in currently 35 countries
1702   II,     9.  2.  2    |                   factors influencing the health of adolescents aged 11,
1703   II,     9.  2.  2    |                and household surveys, and health interview and health examination
1704   II,     9.  2.  2    |                  and health interview and health examination studies, are
1705   II,     9.  2.  2    |                  are important sources of health data. However, though households
1706   II,     9.  2.  2    |            European countries run regular health interview surveys to monitor
1707   II,     9.  2.  2    |             surveys to monitor population health, many were set up before
1708   II,     9.  2.  2    |                 instruments for measuring health status in different languages
1709   II,     9.  2.  2    |                and what is their state of health? Worryingly, neither of
1710   II,     9.  2.  2    |                  purposes, population and health data are grouped into five-year
1711   II,     9.  2.  2    |            highest attainable standard of health and to facilities for the
1712   II,     9.  2.  2    |             illness and rehabilitation of health” (United Nations, 1989).~ ~
1713   II,     9.  2.  2    |              consumption patterns, sexual health practices, and other patterns
1714   II,     9.  2.  2    |               period of onset of specific health conditions. Arguably this
1715   II,     9.  2.  2    |                   wider ways to their own health and wellbeing and that of
1716   II,     9.  2.  2    |                   national population and health statistics.~ ~Gaps in data:
1717   II,     9.  2.  2    |                   major deficit in public health knowledge in Europe is how
1718   II,     9.  2.  2    |                 reporting on a particular health outcome. Food and alcohol
1719   II,     9.  2.  2    |                standardising questions in Health Interview Health Examination
1720   II,     9.  2.  2    |             questions in Health Interview Health Examination Surveys, as
1721   II,     9.  2.  2    |      child-orientation in European public health and statistical work.~ ~ ~
1722   II,     9.  2.  3    |             However, for the WHO European Health Report (WHO 2005b), the
1723   II,     9.  2.  3    |                   children, but no public health data on the latter. Though
1724   II,     9.  2.  3    |                  latter. Though the World Health Organization (2002) has
1725   II,     9.  2.  3    |               Functioning, Disability and Health - and has also developed
1726   II,     9.  2.  3    |                   means of seeking public health reporting of the number
1727   II,     9.  2.  3    |            society. In the Young People’s Health in Context study (HBSC,
1728   II,     9.  2.  3    |                  adversely affects mental health and development.~ ~Abuse:
1729   II,     9.  2.  3    |                 in chapter9.3.3. Sexual health”~ ~Sexually transmitted
1730   II,     9.  2.  3    |               infections are an important health problem for young girls
1731   II,     9.  2.  3    |              precautions to protect their health (WHO 2005c)(see also Chapter
1732   II,     9.  2.  3    |                   in November 2006 the UK Health Protection Agency warned
1733   II,     9.  2.  3    |                  jeopardise their current health and wellbeing, and in many
1734   II,     9.  2.  3    |                 also impacts their future health in adulthood, their economic
1735   II,     9.  2.  3    |               caring capacity - including health parenthood - and longevity.
1736   II,     9.  2.  3    |        Jackson-Leach, 2006)).~ ~The World Health Organisation is so concerned
1737   II,     9.  2.  3    |                 organised a conference of Health Ministers to address this
1738   II,     9.  2.  3    |         remarkably little standard public health information available, particularly
1739   II,     9.  2.  3    |               exercisepractical public health issues which are not currently
1740   II,     9.  2.  3    |    Neumark-Sztainer et al 2004).~ ~Mental Health: Mental illnesses pose an
1741   II,     9.  2.  3    |                 development delay. Mental health policy concerning children
1742   II,     9.  2.  3    |                  EU Green Paper on Mental Health makes only limited mention
1743   II,     9.  2.  3    |                WHO, 2005a).~ ~Good mental health, as much as good physical
1744   II,     9.  2.  3    |                  as much as good physical health, is a right for European
1745   II,     9.  2.  3    |                  not know well the mental health of European children. This
1746   II,     9.  2.  3    |                  be justified. But mental health is not well represented –
1747   II,     9.  2.  3    |              aspects of children’s mental health uncovered. As an outcome
1748   II,     9.  2.  3    |                  older children to mental health and counselling services –
1749   II,     9.  2.  3    |              expect access to good mental health services when they need
1750   II,     9.  2.  3    |                   a Green Paper on Mental Health. Although the paper contains
1751   II,     9.  2.  3    |            reference to children’s mental health needs and services, there
1752   II,     9.  2.  3    |             seeking to ensure good mental health, according to the WHO definition.
1753   II,     9.  2.  3    |                 definition. Data from the Health Behaviour in a School-aged
1754   II,     9.  2.  3    |                  marker of adverse mental health, and is becoming a complex
1755   II,     9.  2.  4    |                   identified for children health (see Table 9.1b.). Equally
1756   II,     9.  2.  4    |           Environment. Children and their health are initially significantly
1757   II,     9.  2.  4    |                 well-known as influencing health, well-being and development.
1758   II,     9.  2.  4    |               level have a higher risk of health problems that children of
1759   II,     9.  2.  4    |                   Commission, 2003). Poor health behaviour in a mother can
1760   II,     9.  2.  4    |                  can influence the future health of her child. There is a
1761   II,     9.  2.  4    |                   Section 10.2).~ ~Sexual health and behaviour. Sexual behaviour
1762   II,     9.  2.  4    |           diseases and other reproductive health problems. Several risk factors
1763   II,     9.  2.  4    |                attention to protect their health and their lives because
1764   II,     9.  2.  4    |               infections are an important health problem for young girls
1765   II,     9.  2.  4    |                HSBC report Young People’s Health in Context, only the 15
1766   II,     9.  2.  4    |                   to the survey on sexual health, as the questions were considered
1767   II,     9.  2.  4    |               include questions on sexual health (WHO/HSBC, 2004).~ ~Inadequate
1768   II,     9.  2.  5    |                Chapter 5 and for specific health determinants in Chapter
1769   II,     9.  2.  5    |               important role in the child health service. There are several
1770   II,     9.  2.  5    |                   subsidiary principal of health services, there are many
1771   II,     9.  2.  5    |                 States in many aspects of health and healthcare, there seems
1772   II,     9.  2.  5    |               children and young people’s health has been limited due to
1773   II,     9.  2.  5    |                Commission reported on the health status of young people (
1774   II,     9.  2.  5    |                  Commission’s 2005 Public Health Work Plan, defined within
1775   II,     9.  2.  5    |                Action Programme in Public Health 2003-2008 (European Parliament
1776   II,     9.  2.  5    |               Diet, Physical activity and Health in 2005, bringing key stakeholders
1777   II,     9.  2.  5    |                   impact.~ ~Health21, the health for all policy framework
1778   II,     9.  2.  5    |           economic factors that influence health and lead to disparities
1779   II,     9.  2.  5    |                 It calls for action: ‘the health gap between socioeconomic
1780   II,     9.  2.  5    |      substantially improving the level of health of disadvantaged groups’ (
1781   II,     9.  2.  5    |                   on child and adolescent health and development: this programme
1782   II,     9.  2.  5    |            programme works to promote the health of children, adolescents
1783   II,     9.  2.  5    |                   to design and carry out health programmes that are in line
1784   II,     9.  2.  5    |                  for Child and Adolescent Health and Development (WHO 2005a),
1785   II,     9.  2.  5    |                Children's Environment and Health Action Plan for Europe (
1786   II,     9.  2.  5    |              factors that most affect the health of European children (WHO,
1787   II,     9.  2.  5    |             Conference on Environment and Health (2004) on "The future for
1788   II,     9.  2.  5    |                 commitments on children's health and environment and focuses
1789   II,     9.  2.  5    |            protect and promote children’s health is the EUEnvironment and
1790   II,     9.  2.  5    |                   the EUEnvironment and Health Action plan 2007-2010” (
1791   II,     9.  2.  6    |        developments~ ~EU influence on the health of children and young people
1792   II,     9.  2.  6    |            Moreover, and importantly, the health sector and health services
1793   II,     9.  2.  6    |        importantly, the health sector and health services are not the only
1794   II,     9.  2.  6    |                  the only determinants of health – indeed, they arguably
1795   II,     9.  2.  6    |                   an impact on children’s health. Hence, the recent European
1796   II,     9.  2.  6    |                thrust towards considering Health in All Policies, not least
1797   II,     9.  2.  6    |          Community Action in the Field of Health 2008-2013 (European Parliament
1798   II,     9.  2.  6    |          specifically includes children’s health.~ ~Top priorities / key
1799   II,     9.  2.  6    |                 number of important child health information initiatives
1800   II,     9.  2.  6    |                child safety and perinatal health. Given that background,
1801   II,     9.  2.  6    |                  Measuring and monitoring health, well being and morbidity
1802   II,     9.  2.  6    |                   to study the pattern of health of children, their physical
1803   II,     9.  2.  6    |                also essential to focus on health and well being of children,
1804   II,     9.  2.  6    |               coverage of positive mental health and measurement of mental
1805   II,     9.  2.  6    |         measurement of the problem.~ ~The health of the child begins in the
1806   II,     9.  2.  6    |                 behaviour are major child health determinants. Attention
1807   II,     9.  2.  6    |                  economic determinants of health. These should include the
1808   II,     9.  2.  6    |           outbreaks.~ ~In later life, the health and development of children
1809   II,     9.  2.  6    |                   pressures. Promotion of health and healthy lifestyles and
1810   II,     9.  2.  7    |            Obesity in Children in Europe, Health and Consumer Protection
1811   II,     9.  2.  7    |                    Council Conclusions on Health in All Policies (HiAP),
1812   II,     9.  2.  7    |               Common Framework To Measure Health Status. Eurostat/European
1813   II,     9.  2.  7    |            European Agency for Safety and Health at Work: Young People. Data
1814   II,     9.  2.  7    |                   state of young people’s health in the EU. European Commission
1815   II,     9.  2.  7    |                Services Working Paper. DG Health and Consumer protection,
1816   II,     9.  2.  7    |           European Commission (2003): The Health Status of the European Union —
1817   II,     9.  2.  7    |            European UnionNarrowing the health gap. Office for Official
1818   II,     9.  2.  7    |                The European Environment & Health Action Plan 2004-2010COM(
1819   II,     9.  2.  7    |              2005a): Improving the mental health of the population: Towards
1820   II,     9.  2.  7    |              Towards a strategy on mental health for the European Union.
1821   II,     9.  2.  7    |                    Physical activity, and Health: Synopsis of Commitments.
1822   II,     9.  2.  7    |                 2006. http://ec.europa.eu/health/ph_determinants/life_style/
1823   II,     9.  2.  7    |              Paper - Improving the mental health of the population: Towards
1824   II,     9.  2.  7    |              Towards a strategy on mental health for the European Union,
1825   II,     9.  2.  7    |              European Commission (2006d): Health and Food, Special Eurobarometer
1826   II,     9.  2.  7    |            Overweight and Obesity related health issues - COM(2007) 279 final.
1827   II,     9.  2.  7    |             action in the field of public health (2003-2008), OJ No L 271,
1828   II,     9.  2.  7    |          Community action in the field of health (2008-13), OJ No L 301,
1829   II,     9.  2.  7    |                  2007.~ ~Eurostat (2002): Health Statistics - Key data on
1830   II,     9.  2.  7    |                  Statistics - Key data on health. European Commission, Luxembourg~ ~
1831   II,     9.  2.  7    |               HBSC (2004): Young people’s health in context. Health Behaviour
1832   II,     9.  2.  7    |               people’s health in context. Health Behaviour in School-aged
1833   II,     9.  2.  7    |                 for Europe, Copenhagen.~ ~Health Protection Agency (HPA) (
1834   II,     9.  2.  7    |                    1996): Birthweight and health and development at the age
1835   II,     9.  2.  7    |                age of 7 years. Child Care Health Dev. 22:55-71.~ ~Neumark-Sztainer
1836   II,     9.  2.  7    |                     Journal of Adolescent Health; 35(5):350-9, November 2004~ ~
1837   II,     9.  2.  7    |                    Leppo K (eds.) (2006): Health in All PoliciesPotential
1838   II,     9.  2.  7    |            Ministry of Social Affairs and Health, Helsinki.~ ~UNICEF (1991):
1839   II,     9.  2.  7    |               HBSC (2004); Young people’s health in context: Health Behaviour
1840   II,     9.  2.  7    |               people’s health in context: Health Behaviour in School-aged
1841   II,     9.  2.  7    |                for Europe: Health21 - The health for all policy framework
1842   II,     9.  2.  7    |               Functioning, Disability and Health; WHO, Geneva.~ ~WHO (2004):
1843   II,     9.  2.  7    |                Children's Environment and Health Action Plan for Europe (
1844   II,     9.  2.  7    |                  for Child and Adolescent Health and Development; WHO European
1845   II,     9.  2.  7    |                 WHO (2005b): The European Health Report: Public health action
1846   II,     9.  2.  7    |            European Health Report: Public health action for healthier children
1847   II,     9.  2.  7    |                Fact sheet EURO/06/05: The health of children and adolescents
1848   II,     9.  2.  7    |              adolescents in Europe: World Health Organization, Copenhagen,
1849   II,     9.  2.  7    |             Office for Europe: Children’s Health and Environment Available
1850   II,     9.  2.  7    |             Office for Europe: Children’s Health and Environment. Injuries.~
1851   II,     9.  2.  8    |                Children’s Environment and Health Action Plan for Europe~ISAAC~
1852   II,     9.  3.  1    |                             9.3.1 General health conditions~ ~For information
1853   II,     9.  3.  1    |               from very few male specific health risks in early and middle
1854   II,     9.  3.  1    |                  variations seen in men’s health or the effect of socio-economic
1855   II,     9.  3.  1    |              affecting differentially the health status of men and women
1856   II,     9.  3.  1    |                  focused on men and their health much before the mid 1990’
1857   II,     9.  3.  1    |               made on the status of men’s health across Europe (White & Cash,
1858   II,     9.  3.  1    |             intended to clarify why man’s health is so much more at risk
1859   II,     9.  3.  1    |                 more at risk than women’s health.~ ~Even some male specific
1860   II,     9.  3.  1    |                moving to women’s specific health problems, menopause is a
1861   II,     9.  3.  1    |                 it is often associated to health complaints, a decrease in
1862   II,     9.  3.  1    |                   should assess a woman’s health and her need for health promotion
1863   II,     9.  3.  1    |                  as to whether changes in health occurring during the climacteric
1864   II,     9.  3.  1    |                 European Union, the World Health Organization (WHO), and
1865   II,     9.  3.  1    |                  NGOs working in specific health fields, supported by excerpts
1866   II,     9.  3.  1    |            explicitly looked at women and health on a European scale and
1867   II,     9.  3.  1    |                 EU funded report on men’s health. To date the only study
1868   II,     9.  3.  1    |                  that has looked at men’s health across Europe was commissioned
1869   II,     9.  3.  1    |        commissioned by the European Men’s Health Forum (White & Cash 2003).~ ~
1870   II,     9.  3.  1    |                 instruments for measuring health status in different languages
1871   II,     9.  3.  1    |                Position Paper on “Women’s Health and Menopause: a comprehensive
1872   II,     9.  3.  1    |                body. (European Agency for Health and Safety at Work, 2007).
1873   II,     9.  3.  1    |                   HFA-DB, 2006).~ ~Mental health, psychiatric and neurological
1874   II,     9.  3.  1    |              suffered some form of mental health problem ranging from mild
1875   II,     9.  3.  1    |                  the experience of mental health problems related to childbearing,
1876   II,     9.  3.  1    |                 in the patterns of mental health experienced by men and women.
1877   II,     9.  3.  1    |                  EU economy of mental ill health is estimated to be equivalent
1878   II,     9.  3.  1    |                  even quite severe mental health problems in paid employment,
1879   II,     9.  3.  1    |              people with long-term mental health problems are working, a
1880   II,     9.  3.  1    |             excluded from society (Mental Health Europe).~ ~Some Member States
1881   II,     9.  3.  1    |                   individuals with mental health problems. Countries such
1882   II,     9.  3.  1    |                 further impacts on mental health.~ ~Women are more likely
1883   II,     9.  3.  1    |                 from emotional and mental health problems display different
1884   II,     9.  3.  1    |           reported in the European Mental Health Report (2004) and helps
1885   II,     9.  3.  1    |                   disease (European Men’s Health Forum, 2005). CVD tends
1886   II,     9.  3.  1    |              years according to the World Health Organisation (WHO), and
1887   II,     9.  3.  1    |               seen as a greater threat to health than that posed by smoking (
1888   II,     9.  3.  1    |          intravenous drug use. The public health impact is now becoming visible
1889   II,     9.  3.  1    |                 HIV/AIDS both as a public health issue, and as a symptom
1890   II,     9.  3.  1    |             treatment and severity of the health repercussions from such
1891   II,     9.  3.  1    |                  In November 2006, the UK Health Protection Agency (HPA)
1892   II,     9.  3.  1    |                  1995-97 (WHO, 2001). The health consequences of the human
1893   II,     9.  3.  1    |            sources, which link population health surveys with other health
1894   II,     9.  3.  1    |                 health surveys with other health data estimating the prevalence/
1895   II,     9.  3.  1    |                partner, partner’s age and health, length of the relationship,
1896   II,     9.  3.  1    |             physical or psychological ill health, stressors, employment,
1897   II,     9.  3.  1    |            Osteoporosis is a major public health problem through its association
1898   II,     9.  3.  1    |                    Brain function, mental health, and eye. The CNS and eye
1899   II,     9.  3.  1    |                   is highly influenced by health status. The presence of
1900   II,     9.  3.  1    |                  the European Alcohol and Health Forum notes that 7.5% of
1901   II,     9.  3.  1    |              vigorous exercise. The World Health Report 2002 estimates that
1902   II,     9.  3.  1    |                physical inactivity.~ ~Ill health increases steadily with
1903   II,     9.  3.  1    |                  likely to suffer chronic health problems and resulting disability
1904   II,     9.  3.  1    |                  expectancy and ‘positive health experiencesincrease for
1905   II,     9.  3.  1    |                Chapter 5 and for specific health determinants in Chapter
1906   II,     9.  3.  1    |                 10. For issues concerning health services see Chapter 11.~ ~
1907   II,     9.  3.  1    |               prevention and responses to health threats. They have also
1908   II,     9.  3.  1    |               foster co-operation between health systems. The implementation
1909   II,     9.  3.  1    |                 The process of gender and health impact assessments of all
1910   II,     9.  3.  1    |                 good quality research and health services will be obtained
1911   II,     9.  3.  1    |                   menopausal symptoms and health risks associated with menopause.
1912   II,     9.  3.  1    |                 the importance of women’s health and well-being.~ ~
1913   II,     9.  3.  1    |                Austbury J: (2002): Mental HealthGender Bias, Social Position,
1914   II,     9.  3.  1    |                 Engendering International Health: The Challenge of Equity. (
1915   II,     9.  3.  1    |                  Epidemiology & Community Health. 54(5): 328-332~ ~Brown
1916   II,     9.  3.  1    |               Common Framework To Measure Health Status. Eurostat/European
1917   II,     9.  3.  1    |          Framework for Designing National Health Policies with an Integrated
1918   II,     9.  3.  1    |               Gender Perspective into the Health Sector (UN doc. EGM/Health/
1919   II,     9.  3.  1    |                Health Sector (UN doc. EGM/Health/1998/Report). Presented
1920   II,     9.  3.  1    |                Group Meeting on Women and Health, Tunisia, 28 September to
1921   II,     9.  3.  1    |               2004a): The State of Mental Health in the European Union. Health &
1922   II,     9.  3.  1    |             Health in the European Union. Health & Consumer Protection Directorate
1923   II,     9.  3.  1    |                   6~ ~European Agency for Health and Safety at Work (2007): ht p (
1924   II,     9.  3.  1    |           European Commission (2003): The Health Status of the European Union –
1925   II,     9.  3.  1    |            European UnionNarrowing the Health Gap. Luxembourg~ ~European
1926   II,     9.  3.  1    |                  by combating the adverse health, social and economic consequences
1927   II,     9.  3.  1    |           European Heart Network/European Health Management Association/Bristol-Myers
1928   II,     9.  3.  1    |            Liimatainen M-R (2000): Mental health in the workplace: Introduction.
1929   II,     9.  3.  1    |               male obesity and associated health problems IN White, A & Pettifer,
1930   II,     9.  3.  1    |               Farah, RN, (Editors), Men's Health 2nd Ed. London: Taylor &
1931   II,     9.  3.  1    |            Ministry of Social Affairs and Health, Finland, ISSN 1236-2050,
1932   II,     9.  3.  1    |                  00-2270-9 (PDF)~ ~Mental Health Europe (MHE): ht l (Article
1933   II,     9.  3.  1    |                    1996): Birthweight and health and development at the age
1934   II,     9.  3.  1    |                   of 7 years. Child Care, Health & Development; 22(1): 55-
1935   II,     9.  3.  1    |                    National Institutes of Health Consensus Development Conference
1936   II,     9.  3.  1    |            European Community Respiratory Health Survey. Archives of environmental
1937   II,     9.  3.  1    |                 Archives of environmental health. Jan-Feb;57(1):48-52.~ ~
1938   II,     9.  3.  1    |                gender sensitivity. Mental Health Review Journal, 11(4), 3-
1939   II,     9.  3.  1    |                 2003): The state of men’s health across 17 European Countries.
1940   II,     9.  3.  1    |              Brussels, The European Men’s Health Forum ISBN 1 – 898883 –
1941   II,     9.  3.  1    |                   15-44. Journal of Men’s Health & Gender 3(2): 139-151~ ~
1942   II,     9.  3.  1    |                global epidemic. The World Health Organisation, Geneva.~ ~
1943   II,     9.  3.  1    |                  07)~ ~WHO HFA-DB (2006): Health for All Database: htt / (
1944   II,     9.  3.  1    |               European Commission (2002): Health status overview for countries
1945   II,     9.  3.  1    |                   income countries. World Health Organization~ ~Wilkins D (
1946   II,     9.  3.  1    |                 Men and Cancer. The Men’s Health Forum: London,~ ~Wizemann
1947   II,     9.  3.  1    |         biological contributions to human health: does sex matter? Washington,
1948   II,     9.  3.  1    |             DG-SANCO~Director General for Health and Consumer Affairs~ED~
1949   II,     9.  3.  1    |                  International Network on Health Expectancy and the Disability
1950   II,     9.  3.  1    |                 Practitioner (Doctor)~HIA~Health impact Assessment~HIV~Human
1951   II,     9.  3.  1    |           Programme on HIV/AIDS~WHO~World Health Organization~ ~
1952   II,     9.  3.  2    |                           9.3.2. Maternal health~ ~
1953   II,     9.  3.  2    |              considered a major marker of health system performance because
1954   II,     9.  3.  2    |             sources relevant for maternal health have been presented in Chapter
1955   II,     9.  3.  2    |                   for monitoring maternal health, the maternal mortality
1956   II,     9.  3.  2    |                order to monitor perinatal health trends - including those
1957   II,     9.  3.  2    |               documented poorer perinatal health outcomes for migrant women.
1958   II,     9.  3.  2    |                   is an important task of health monitoring in the European
1959   II,     9.  3.  2    |          understanding and comparisons of health in the perinatal period
1960   II,     9.  3.  2    |                   have an impact on their health (Van Reempts, 2007).~ ~A
1961   II,     9.  3.  2    |            caesarean section, and also by health system characteristics including
1962   II,     9.  3.  2    |                  discharge. To assess the health impact of these trends towards
1963   II,     9.  3.  2    |                   the surveillance of the health of pregnant women is thus
1964   II,     9.  3.  2    |                 for identifying areas for health service improvement. Finally,
1965   II,     9.  3.  2    |                 the large improvements in health outcomes for mothers and
1966   II,     9.  3.  2    |               Lindmark G (2003): Maternal health outcomes in Europe. Eur
1967   II,     9.  3.  2    |                 certificates. Am J Public Health 1992;82(2):257-61.~ ~Blondel
1968   II,     9.  3.  2    |            comparing quality of perinatal health services between countries.
1969   II,     9.  3.  2    |               mortality. Fetal and Infant Health Study Group of the Canadian
1970   II,     9.  3.  2    |             England and Wales, 1976-2000. Health Stat Q 2004(24):14-22.~ ~
1971   II,     9.  3.  2    |                   al (2006): Reproductive health indicators in the European
1972   II,     9.  3.  2    |              Control; National Center for Health Statistics, 1992.~ ~Van
1973   II,     9.  3.  2    |                  and evaluating perinatal health in Europe: criteria, methods
1974   II,     9.  3.  3    |                             9.3.3. Sexual health~ ~
1975   II,     9.  3.  3    |                 to achievements of sexual health. Sexual behaviour usually
1976   II,     9.  3.  3    |           influences different aspects of health, from sexual and reproductive
1977   II,     9.  3.  3    |                   sexual and reproductive health to mental health and injuries.
1978   II,     9.  3.  3    |             reproductive health to mental health and injuries. The WHO estimates
1979   II,     9.  3.  3    |          important global risk factor for health and has includedpromoting
1980   II,     9.  3.  3    |                includedpromoting sexual health” as one of the five core
1981   II,     9.  3.  3    |                 first global Reproductive Health Strategy adopted by the
1982   II,     9.  3.  3    |                 adopted by the 57th World Health Assembly (WHO, 2004)~ ~Risky
1983   II,     9.  3.  3    |                  directly linked to other health determinants such as alcohol
1984   II,     9.  3.  3    |                  for what concerns sexual health, with sexual debut occurring
1985   II,     9.  3.  3    |           interventions to improve sexual health.~ ~Several EU Member States
1986   II,     9.  3.  3    |             groups.~· Comparative data on health of adolescents in 31 countries
1987   II,     9.  3.  3    |               regions is presented in the Health Behaviour in School-aged
1988   II,     9.  3.  3    |           included questions about sexual health, but these varied in scope
1989   II,     9.  3.  3    |                did not include any sexual health questions.~· According to
1990   II,     9.  3.  3    |                 According to the European Health Interview and Health Examination
1991   II,     9.  3.  3    |             European Health Interview and Health Examination Surveys database,
1992   II,     9.  3.  3    |                sexual behaviour (European health interview and health surveys
1993   II,     9.  3.  3    |             European health interview and health surveys database, 2007).~·
1994   II,     9.  3.  3    |                  priority given to sexual health on political agendas in
1995   II,     9.  3.  3    |                 the Irish Study of Sexual Health and Relationships, most
1996   II,     9.  3.  3    |                  for sexual behaviour and health outcomes in comparison to
1997   II,     9.  3.  3    |              sexual behaviour and adverse health outcomes for both genders.~ ~
1998   II,     9.  3.  3    |                 may be very dangerous for health especially in relation to
1999   II,     9.  3.  3    |                   Sexual and Reproductive Health and Rights in Europe that
2000   II,     9.  3.  3    |          involvement of social as well as health sectors, and thus requires