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Article ; Online: Relationship between classic indicators of health behaviour and contraceptive choices in women in Flanders.

Van Eekert, Nina / Biegel, Naomi / De Kort, Leen / Verhoeven, Veronique / Gehrmann, Thies / Masquillier, Caroline / Ahannach, Sarah / Lebeer, Sarah

BMC women's health

2024 Volume 24, Issue 1, Page(s) 275

Abstract: Background: In this study we shed light on ongoing trends in contraceptive use in Flanders (Belgium). Building on the fundamental cause theory and social diffusion of innovation theory, we examine socio-economic gradients in contraceptive use and the ... ...

Abstract	Background: In this study we shed light on ongoing trends in contraceptive use in Flanders (Belgium). Building on the fundamental cause theory and social diffusion of innovation theory, we examine socio-economic gradients in contraceptive use and the relationship to health behaviours. Methods: Using the unique and recently collected (2020) ISALA data, we used multinomial logistic regression to model the uptake of contraceptives and its association to educational level and health behaviour (N:4316 women). Results: Higher educated women, and women with a healthy lifestyle especially, tend to use non-hormonal contraceptives or perceived lower-dosage hormonal contraceptives that are still trustworthy from a medical point of view. Moreover, we identified a potentially vulnerable group in terms of health as our results indicate that women who do not engage in preventive health behaviours are more likely to use no, or no modern, contraceptive method. Discussion: The fact that higher educated women and women with a healthy lifestyle are less likely to use hormonal contraceptive methods is in line with patient empowerment, as women no longer necessarily follow recommendations by healthcare professionals, and there is a growing demand for naturalness in Western societies. Conclusion: The results of this study can therefore be used to inform policy makers and reproductive healthcare professionals, since up-to-date understanding of women's contraceptive choices is clearly needed in order to develop effective strategies to prevent sexually transmitted infections and unplanned pregnancies, and in which women can take control over their sexuality and fertility in a comfortable and pleasurable way.
MeSH term(s)	Humans ; Female ; Adult ; Belgium ; Contraception Behavior/statistics & numerical data ; Contraception Behavior/psychology ; Health Behavior ; Young Adult ; Educational Status ; Middle Aged ; Adolescent ; Contraception/statistics & numerical data ; Contraception/methods ; Choice Behavior ; Health Knowledge, Attitudes, Practice
Language	English
Publishing date	2024-05-05
Publishing country	England
Document type	Journal Article
ZDB-ID	2050444-5
ISSN	1472-6874 ; 1472-6874
ISSN (online)	1472-6874
ISSN	1472-6874
DOI	10.1186/s12905-024-03079-y
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Obstacles and opportunities: a qualitative study of the experiences of abortion centre staff with abortion care during the first COVID-19 lockdown in Flanders, Belgium.

De Kort, Leen / Wouters, Edwin / Van de Velde, Sarah

Sexual and reproductive health matters

2021 Volume 29, Issue 1, Page(s) 1921901

Abstract: The COVID-19 pandemic and corresponding measures impacted the organisation of services for abortion on request in Flanders, Belgium. This study describes abortion centre staff's perceptions of the influence of protective measures on abortion ... ...

Abstract	The COVID-19 pandemic and corresponding measures impacted the organisation of services for abortion on request in Flanders, Belgium. This study describes abortion centre staff's perceptions of the influence of protective measures on abortion consultations and procedures, and aims to identify obstacles and opportunities that arose from this situation. Through the anonymised patient records of one Flemish abortion centre, we compared the number of requests and abortions during the first lockdown (16 March-14 June 2020) with the same period in the five preceding years. Using a phenomenological approach, we documented the procedures and conducted interviews (all inductively coded in Nvivo) with the centre's coordinator, seven psychosocial staff members and three doctors. Though fewer people requested and had an abortion, the pressure on the staff was high due to changed procedures. A substantial change was the substitution of telephone for in-person consultations, which the staff perceived as less suited for discussing worries, contraception counselling, and building trust. The centre remained accessible, but the staff perceived an influence on the emotional reactions of clients. Staff agreed that the lockdown did not negatively influence the abortion procedure itself. However, they felt a negative influence on the level of psychological support they could offer, especially in interactions with clients who were less certain of their choice and clients with whom there was no common language. When the lockdown was relaxed, a triage system was set up to ensure emotionally safe abortion care - as perceived by staff - for all clients.
MeSH term(s)	Abortion Applicants/psychology ; Abortion Applicants/statistics & numerical data ; Abortion, Induced/statistics & numerical data ; Ambulatory Care Facilities/organization & administration ; Belgium/epidemiology ; COVID-19/prevention & control ; Communicable Disease Control/methods ; Delivery of Health Care/organization & administration ; Female ; Health Personnel/psychology ; Humans ; Male ; Pregnancy ; Qualitative Research ; SARS-CoV-2
Language	English
Publishing date	2021-05-12
Publishing country	England
Document type	Journal Article
ISSN	2641-0397
ISSN (online)	2641-0397
DOI	10.1080/26410397.2021.1921901
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Article ; Online: What are the social correlates of subsequent abortions in Flanders, Belgium?

De Kort, Leen / Wood, Jonas / Van de Velde, Sarah

The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception

2020 Volume 25, Issue 5, Page(s) 387–393

Abstract: Objective: To study whether the social correlates of subsequent abortions vary depending on the order of the abortion. : Results: Overall, women who were in their twenties, of foreign origin, single, had non-tertiary education, were not in paid ... ...

Abstract	Objective: To study whether the social correlates of subsequent abortions vary depending on the order of the abortion. Results: Overall, women who were in their twenties, of foreign origin, single, had non-tertiary education, were not in paid employment, had children, did not (consistently and without errors) use contraception and had a previous abortion through medication, had an elevated probability to experience subsequent abortions. While single women and women with a vulnerable socioeconomic status were more likely to have a second or third abortion, this difference is no longer prevalent when considering higher-order abortions. The hazard for higher-order abortions was more pronounced in women with a migration background, regardless of the order considered. Contraceptive use was unrelated to fourth or higher-order abortions. Conclusion: Using discrete-time hazard models, we unpack individual abortion experiences across women's reproductive life courses. By studying the transitions into different orders of subsequent abortions separately, we provide a more detailed understanding of risk factors compared to other European studies. The social correlates vary by the order considered: A certain profile emerges for women who have a second or third abortion, but disintegrates when considering higher-order abortions. This knowledge enables clinicians and policymakers to better understand women who experience subsequent abortions and to tailor services best suited to their needs.
MeSH term(s)	Abortion, Induced/psychology ; Abortion, Induced/statistics & numerical data ; Adolescent ; Adult ; Belgium ; Contraception Behavior/psychology ; Contraception Behavior/statistics & numerical data ; Female ; Humans ; Marital Status ; Parity ; Pregnancy ; Proportional Hazards Models ; Social Factors ; Young Adult
Language	English
Publishing date	2020-07-20
Publishing country	England
Document type	Journal Article
ZDB-ID	1397560-2
ISSN	1473-0782 ; 1362-5187
ISSN (online)	1473-0782
ISSN	1362-5187
DOI	10.1080/13625187.2020.1792877
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Article: Abortion care in a pandemic: an analysis of the number and social profile of people requesting and receiving abortion care during the first COVID-19 lockdown (March 16 to June 14, 2020) in Flanders, Belgium.

De Kort, Leen / Wood, Jonas / Wouters, Edwin / Van de Velde, Sarah

Archives of public health = Archives belges de sante publique

2021 Volume 79, Issue 1, Page(s) 140

Abstract: Background: The COVID-19 pandemic and the national COVID-19 measures might have increased potential barriers to abortion care and created new ones, especially for vulnerable groups. This study documents the impact of the pandemic and the lockdown ... ...

Abstract	Background: The COVID-19 pandemic and the national COVID-19 measures might have increased potential barriers to abortion care and created new ones, especially for vulnerable groups. This study documents the impact of the pandemic and the lockdown measures on the profile of people going through the abortion process. Methods: Using anonymized patient records from a Belgian abortion centre, we first compared the number of abortion requests and procedures during the first COVID-19 lockdown with the same months in the five preceding years. Next, we analysed the social profile of people requesting an abortion in those two time periods and looked at the number of long-acting reversible contraceptive devices (LARC) placed after curettage. Results: The abortion centre saw a drop in the number of abortion requests during the lockdown. This difference was more pronounced for people in paid employment and people using (modern) contraception. People were also more likely to request an abortion earlier in their pregnancy. The drop in abortion procedures and LARC's placed after curettage was proportionate to the drop in abortion requests and did not differ according to clients' characteristics. Conclusion: Questions arose concerning the potential selectivity with which COVID-19 influenced the need for abortion care and accessibility to services. Although there was a general drop in abortion requests and procedures during the first COVID-19 lockdown in the studied abortion centre, our results suggest that the profile of people requesting and receiving an abortion did only slightly change during the lockdown, and did not affect vulnerable groups visibly harder.
Language	English
Publishing date	2021-08-04
Publishing country	England
Document type	Journal Article
ZDB-ID	1117688-x
ISSN	2049-3258 ; 0778-7367 ; 0003-9578
ISSN (online)	2049-3258
ISSN	0778-7367 ; 0003-9578
DOI	10.1186/s13690-021-00665-6
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Article: An international comparison of gender differences in mental health among higher-education students during the first wave of the COVID-19 pandemic: a multilevel design.

Van de Velde, Sarah / De Cuyper, Anneleen / De Kort, Leen / Jacobs, Kimberly / Somogyi, Nikoletta / Tholen, Robert / Van Eekert, Nina / Buffel, Veerle

Archives of public health = Archives belges de sante publique

2023 Volume 81, Issue 1, Page(s) 211

Abstract: Background: Mental health problems are a common phenomenon among higher-education students. How these mental health problems manifest themselves appears to differ between male and female students. While the latter group bears a greater risk of ... ...

Abstract	Background: Mental health problems are a common phenomenon among higher-education students. How these mental health problems manifest themselves appears to differ between male and female students. While the latter group bears a greater risk of developing internalizing problems, with depression being particularly prevalent, these problems manifest themselves in male students mainly via externalizing disorders, with alcohol abuse being the most prevalent. Available cross-national research on students' mental health during the COVID-19 pandemic, to date, mainly focused on the prevalence of depressive symptoms, thereby ignoring a possible gendered impact of the pandemic. Methods: The current study used the COVID-19 International Student Well-Being Study, which collected data on students' mental health during the first wave of the COVID-19 pandemic in 26 countries, and multilevel modeling was applied. Results: It finds that, overall, female students reported more depressive feelings, and male students reported more excessive alcohol consumption. The strictness of the governmental containment measures explained a substantial amount of these gender differences in depressive feelings, but not in excessive alcohol consumption. Conclusions: Our study highlights that the COVID-19 pandemic had a gendered impact on students' mental health. Studies that ignore the gendered impact of the COVID-19 pandemic are therefore limited in scope.
Language	English
Publishing date	2023-12-07
Publishing country	England
Document type	Journal Article
ZDB-ID	1117688-x
ISSN	2049-3258 ; 0778-7367 ; 0003-9578
ISSN (online)	2049-3258
ISSN	0778-7367 ; 0003-9578
DOI	10.1186/s13690-023-01211-2
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ab Jg. 2022: Lesesaal (EG)

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Article ; Online: Abortion care in a pandemic

Leen De Kort / Jonas Wood / Edwin Wouters / Sarah Van de Velde

Archives of Public Health, Vol 79, Iss 1, Pp 1-

an analysis of the number and social profile of people requesting and receiving abortion care during the first COVID-19 lockdown (March 16 to June 14, 2020) in Flanders, Belgium

2021 Volume 8

Abstract: Abstract Background The COVID-19 pandemic and the national COVID-19 measures might have increased potential barriers to abortion care and created new ones, especially for vulnerable groups. This study documents the impact of the pandemic and the lockdown ...

Abstract	Abstract Background The COVID-19 pandemic and the national COVID-19 measures might have increased potential barriers to abortion care and created new ones, especially for vulnerable groups. This study documents the impact of the pandemic and the lockdown measures on the profile of people going through the abortion process. Methods Using anonymized patient records from a Belgian abortion centre, we first compared the number of abortion requests and procedures during the first COVID-19 lockdown with the same months in the five preceding years. Next, we analysed the social profile of people requesting an abortion in those two time periods and looked at the number of long-acting reversible contraceptive devices (LARC) placed after curettage. Results The abortion centre saw a drop in the number of abortion requests during the lockdown. This difference was more pronounced for people in paid employment and people using (modern) contraception. People were also more likely to request an abortion earlier in their pregnancy. The drop in abortion procedures and LARC’s placed after curettage was proportionate to the drop in abortion requests and did not differ according to clients’ characteristics. Conclusion Questions arose concerning the potential selectivity with which COVID-19 influenced the need for abortion care and accessibility to services. Although there was a general drop in abortion requests and procedures during the first COVID-19 lockdown in the studied abortion centre, our results suggest that the profile of people requesting and receiving an abortion did only slightly change during the lockdown, and did not affect vulnerable groups visibly harder.
Keywords	COVID-19 ; Abortion ; Belgium ; Reproductive health ; Healthcare services ; Public aspects of medicine ; RA1-1270
Subject code	170
Language	English
Publishing date	2021-08-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Care living labs' effect on care organization and quality of working life.

Vereycken, Anselm Yennef / De Kort, Leen / Vanhootegem, Geert / Dessers, Ezra

International journal of health care quality assurance

2019 Volume 32, Issue 4, Page(s) 709–719

Abstract: Purpose: There is a growing interest in living labs (a research concept in which innovations are co-created with end-users and tested in practice) as a method to test and develop health and social care innovations. However, little is known about their ... ...

Abstract	Purpose: There is a growing interest in living labs (a research concept in which innovations are co-created with end-users and tested in practice) as a method to test and develop health and social care innovations. However, little is known about their effect on the care organization and care providers' quality of working life. By using the Flanders Care Living Labs program (Belgium) as a case study, the purpose of this paper is to explore how innovations in a living lab context may affect those issues. Design/methodology/approach: This qualitative study combined data from document analysis, in-depth interviews and focus groups involving 23 care innovation projects. Deductive category application was used for analyzing data. Findings: Outcomes indicate that 22/23 care innovation projects resulted in organizational changes, and that 22 affected at least one care provider's quality of working life. Surprisingly, no project deliberately intended to affect the care organization and quality of working life. Future care innovation projects should focus on actual innovation and its implications for specific end-users, and on the broader organizational consequences and the possible effect on the care providers' work. Originality/value: This is the first study that specifically focused on care innovation's effect on the care organization and on the quality of working life within a living labs context.
MeSH term(s)	Belgium ; Diffusion of Innovation ; Employment/psychology ; Focus Groups ; Health Personnel/psychology ; Humans ; Interviews as Topic ; Organizational Case Studies ; Organizational Innovation ; Qualitative Research ; Quality of Life ; Research Design
Language	English
Publishing date	2019-05-21
Publishing country	England
Document type	Comparative Study ; Journal Article
ZDB-ID	645125-1
ISSN	0952-6862 ; 1366-0756
ISSN	0952-6862 ; 1366-0756
DOI	10.1108/IJHCQA-03-2018-0069
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Zs.A 2499: Show issues

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Article ; Online: An international comparison of gender differences in mental health among higher-education students during the first wave of the COVID-19 pandemic

Sarah Van de Velde / Anneleen De Cuyper / Leen De Kort / Kimberly Jacobs / Nikoletta Somogyi / Robert Tholen / Nina Van Eekert / Veerle Buffel

Archives of Public Health, Vol 81, Iss 1, Pp 1-

a multilevel design

2023 Volume 9

Abstract: Abstract Background Mental health problems are a common phenomenon among higher-education students. How these mental health problems manifest themselves appears to differ between male and female students. While the latter group bears a greater risk of ... ...

Abstract	Abstract Background Mental health problems are a common phenomenon among higher-education students. How these mental health problems manifest themselves appears to differ between male and female students. While the latter group bears a greater risk of developing internalizing problems, with depression being particularly prevalent, these problems manifest themselves in male students mainly via externalizing disorders, with alcohol abuse being the most prevalent. Available cross-national research on students’ mental health during the COVID-19 pandemic, to date, mainly focused on the prevalence of depressive symptoms, thereby ignoring a possible gendered impact of the pandemic. Methods The current study used the COVID-19 International Student Well-Being Study, which collected data on students’ mental health during the first wave of the COVID-19 pandemic in 26 countries, and multilevel modeling was applied. Results It finds that, overall, female students reported more depressive feelings, and male students reported more excessive alcohol consumption. The strictness of the governmental containment measures explained a substantial amount of these gender differences in depressive feelings, but not in excessive alcohol consumption. Conclusions Our study highlights that the COVID-19 pandemic had a gendered impact on students’ mental health. Studies that ignore the gendered impact of the COVID-19 pandemic are therefore limited in scope.
Keywords	Depression ; Alcohol ; Higher education ; COVID-19 ; Multilevel ; Public aspects of medicine ; RA1-1270
Language	English
Publishing date	2023-12-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: A look into the work of care professionals

Leen De Kort / Ezra Dessers / Geert Van Hootegem

International Journal of Integrated Care, Vol 15, Iss

job quality and relational coordination / Una mirada en el trabajo de los profesionales de atención: la calidad del trabajo y la coordinación relacional

2015 Volume 8

Keywords	living lab ; job quality ; relational coordination ; older adult care ; laboratorio viviente ; calidad de empleo ; coordinación relacional ; el cuidado de adultos mayores ; Medicine (General) ; R5-920
Language	English
Publishing date	2015-11-01T00:00:00Z
Publisher	Ubiquity Press
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: A look into the work of care professionals

Leen De Kort / Ezra Dessers / Geert Van Hootegem

International Journal of Integrated Care, Vol 15, Iss

job quality and relational coordination / Una mirada en el trabajo de los profesionales de atención: la calidad del trabajo y la coordinación relacional

2015 Volume 8

Keywords	living lab ; job quality ; relational coordination ; older adult care ; laboratorio viviente ; calidad de empleo ; coordinación relacional ; el cuidado de adultos mayores ; Medicine (General) ; R5-920
Language	English
Publishing date	2015-11-01T00:00:00Z
Publisher	Ubiquity Press
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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