Demographic Trends Research Articles

Demographic transition in South Korea: implications of falling birth rates.

This review examines the critical issues of declining total fertility rates (TFRs) and aging populations in East Asia with special focus on South Korea. It provides a comprehensive analysis of TFR trends, aging demographics, and the policy responses of these nations to the low-fertility crisis. This study highlights the intricate tapestry of the factors contributing to these demographic shifts, including economic, social, and cultural influences. It also examines the effectiveness of various prenatal policies implemented across these countries, offering insight into their successes and limitations. Furthermore, it explores the role of immigration as a potential solution to the structural challenges posed by low birth rates. This review underscores the importance of multifaceted strategies for addressing the complex demographic challenges faced by South Korea.

Exploring Key Factors Influencing Fashion Preferences and the Role of Social Media Advertising in the City of Koronadal, South Cotabato, Philippines

Purpose: This study aims to investigate the influence of social media advertising on consumer fashion preferences in the City of Koronadal, South Cotabato, Philippines. By analysing the interplay between various social media platforms and consumer behaviour, the research seeks to offer insights into how digital advertising shapes fashion preferences and helps businesses optimize their marketing strategies. Study design/methodology/approach: The study employed a mixed-methods approach, combining quantitative and qualitative analyses. Socio-economic profiles of respondents were examined to identify demographic trends. Correlation and regression analyses were conducted to evaluate the relationship between social media advertising and consumer fashion preferences, with a focus on the impact of different advertising elements such as "seller-created information" and "electronic word of mouth”. Findings: The research found that females aged 26 to 50, with low-income levels, were the predominant demographic among fashion consumers in Koronadal. The primary platforms for fashion-related ads included Facebook, Instagram, and YouTube. Correlation analysis revealed a moderate relationship between social media advertising and consumer preferences, while regression analysis identified "seller-created information" and "electronic word of mouth" as significant factors influencing consumer fashion preferences. "Information acquisition," "perceived quality," and "perceived risk" showed lesser effects and did not achieve statistical significance. Originality/value: This study provides a nuanced understanding of the role of social media advertising in shaping consumer fashion preferences. By highlighting the effectiveness of specific advertising elements and platforms, the research offers valuable insights for businesses aiming to refine their digital marketing strategies. The findings contribute to the broader discourse on consumer behavior in the digital era, emphasizing the importance of tailored advertising approaches to effectively engage and influence fashion consumers.

Are we preparing healthy & responsible adolescents? Exploratory qualitative study to understand the health and social issues of adolescent living in Karachi, Pakistan.

This study aimed to understand the lives of adolescents living in squatter settlements of Karachi, Pakistan regarding their assigned roles and responsibilities, health and social issues, their decision-making process, and mechanism and channels of information. An exploratory descriptive qualitative study design was employed. Purposive sampling techniques were used to carry out Focus Group Discussions (FGDs) with adolescents (n = 10, Participants = 190), adolescents' parents (n = 10, Participants = 180), and In-Depth Interviews of with key adolescent stakeholders (n = 20). Adolescent stakeholder mapping was conducted for enrolling participants. The data were analysed thematically using deductive and inductive approaches. Based on gender norms parents assign specific roles and responsibilities to adolescent girls and boys. Due to societal norms, communication gap exists between adolescents and their parents. The most popular information channels are social media platforms and friends. Adolescents reported being subjected to a variety of physical, sexual, mental, social, and environmental pressures. Lack of guidance from parents, inadequate knowledge and skills to deal with physical, sexual, mental, social and environmental hazards, and misuse of social media lead to risky decisions, injuries, and social instability. This study underlines the urgent need for targeted interventions for addressing gender issues and improving adolescents' decision-making and life skills. We recommend Behavior Change Communication interventions to dismantle gender stereotypes and support a balanced domestic environment for children's education and well-being, awareness raising among parents, teachers, and healthcare providers about adolescent risks emphasizing their role in youth guidance, and advocacy for youth-led forums to co-create educational content engaging parents, educators, and health professionals focusing on life skills. These strategies would turn demographic transitions into productive dividends.

Current status and the future trajectory of geriatric services in Nigeria

The world population of people aged 65 and above, termed as older persons, is increasing rapidly. The number of people aged 65 years or older worldwide is projected to more than double, rising from 761 million in 2021 to 1.6 billion in 2050. The number of people aged 80 years or older is growing even faster. Population ageing is an irreversible global trend. It is the inevitable result of the demographic transition – the trend toward longer lives and smaller families – that is taking place even in countries with relatively youthful populations. In 2021, one in 10 people worldwide were aged 65 or above. In 2050, this age group is projected to account for one in six people globally [1]. People are living longer because of better nutrition, sanitation, healthcare, education, and economic well-being. With increasing age, older adults become at greater risk for diseases, disability, and side effects of medications. The common geriatric syndromes suffered by older persons include degenerative joint diseases, falls and mobility issues, sensory impairments (visual and hearing), dementia, sleep disturbances, frailty, and urinary incontinence. These syndromes are described as ‘Giants of Geriatrics’ on account of the impact on quality of life, and functional status of older persons. Geriatricians provide person-centered holistic care that attempts to preserve function and maintain a good quality of life by deploying the comprehensive geriatrics assessment and management approach which involves a multidisciplinary team (MDT). Nigeria has an increasing ageing population that will benefit from a healthcare system that is aligned to their peculiar care needs in the different settings care will be sought. This can be achieved by building capacity in the various disciplines involved in providing comprehensive care to older persons, and including geriatric medicine in the training curriculum for medical students, nurses and all allied health workers.

University student suicides in Türkiye: Insights from two decades of media reports

University student suicides have emerged as a significant societal concern, reflecting challenges inherent in the transition to adulthood and academic pressures. This study aims to analyze two decades of national media coverage on university student suicides in Türkiye, examining demographic trends, suicide methods, and social factors implicated in these tragic incidents. A comprehensive scan of Turkish national media archives from January 1, 2004, to December 31, 2023, identified 213 unique reports of university student suicides. Data extracted included age, sex, year of incident, prior suicide attempts, geographic distribution, housing status, academic major, psychiatric history, social background, suicide method, and presence of suicide notes or social media posts. Statistical analyses utilized Fisher's Exact Test and Pearson's Chi-square to examine categorical data. Male students accounted for 61.6% (n=125) of reported suicides, with a mean age of 22.2 years (SD=3.05). The most common suicide method was jumping from height, differing by sex, with hanging prevalent among males and jumping more frequent among females. Mobbing emerged as a predominant social stressor implicated in suicide incidents, surpassing other factors reported in the literature. The findings highlight an alarming increase in media-reported university student suicides, predominantly affecting males and characterized by distinct suicide methods. The pervasive impact of mobbing underscores the urgent need for targeted interventions addressing social stressors, alongside comprehensive medical, psychological, social, and economic support systems within academic settings. Efforts should prioritize proactive mental health initiatives, policy reforms, and community-based interventions to mitigate suicide risks among university students.

Effects of demographic and technological trends on the mitigation of Israel’s environmental footprint

Effects of demographic and technological trends on the mitigation of Israel’s environmental footprint

Long-run measurement of income-related inequalities in health care under universal coverage: evidence from longitudinal analysis in Korea

BackgroundMany countries have sought to promote well-being for their entire populations through the implementation of universal health coverage (UHC). To identify the extent to which UHC has been attained, it is necessary to evaluate equity of access to use of needed care and the cost burden of health services for the country’s entire population. This study considers income-related inequalities in health care utilization and spending in a long-term perspective for the case of the Republic of Korea.MethodsExploiting longitudinal data from a nationally representative health survey from 2008 to 2018, this study investigates how income-related inequalities in health care in Korea have varied over time and examines the extent to which need and non-need factors contribute those inequalities, using an in‐depth decomposition analysis, allowing for heterogeneous responses across income groups.ResultsThe empirical results show that overall health care utilization is disproportionately concentrated among the poor over both the short and long run. Income-group differences and non-need determinants, such as marital status and private health insurance, make larger pro-poor contributions to inequality in inpatient care use, while chronic disease prevalence greatly pushes outpatient care utilization in a pro-poor direction. The results regarding inpatient care expenses indicate a similar pattern of pro-poor bias. Long-run inequality favors the better-off in terms of outpatient care expenses, where the contribution of income-group differences has the largest impact.ConclusionMy findings suggest that it is important for health care policy in Korea to focus on improvements in the health status and well-being of low-income groups, as poor people are likely to be in poorer health. Non-need contributors could worsen pro-poor inequalities if the economic disparity across households were to increase due to the demographic transition. Higher spending on inpatient care may be a heavier financial burden for low-income people. Additional supportive measures should be provided to prevent them from suffering economic hardship. By contrast, people in high-income groups may spend most on costly services in outpatient care, including uninsured services, with the help of private health insurance. Nevertheless, the expansion of income disparity should be alleviated even from a health care policy perspective.

Land Transformations in Irpinia (Southern Italy): A Tale on the Socio-Economic Dynamics Acting in a Marginal Area of the Mediterranean Europe

Marginal areas in economically advanced countries are a critical issue that European and national policies have been addressing for some time. These areas are affected by depopulation, infrastructural gaps and labor systems that do not reach the corresponding national levels and where often agriculture still plays a critical role. In Italy, despite the fact that the National Strategy for Inner Areas (SNAI) has been active for about a decade with the aim of increasing the territorial cohesion of these fragile areas, rather limited results have been achieved in terms of halting economic marginalization and demographic decline. In this specific context, our work is aimed at analyzing land use changes, the loss of ecosystem services and demographic trends in a Mediterranean region (Irpinia—Southern Italy) on district and municipal scales in the last 30 years (1990–2018) to capture current, subtle socio-economic dynamics. The analysis carried out has indicated a substantial increase in urban areas due to the development of new industrial areas and discontinuous urban fabric (urban sprawl) at the expense of natural areas (mainly meadows and shrublands). The agricultural areas have remained substantially unchanged in terms of extension, with a slight increase in heterogeneous agricultural areas and an expansion of high-value crops (vineyards), that are the most suitable for multifunctional agriculture activities (experiential and rural tourism). The analysis of the demographic trend has highlighted a widespread phenomenon of depopulation, with the exception of those municipalities who economically orbit around the provincial capital of Avellino. The municipalities in depopulation are mostly located in the inner areas characterized by a more rugged morphology and infrastructural gaps. Unexpectedly, most of municipalities show a significant anticorrelation among the population and agricultural areas which is an indicator of social and economic phenomena as complex as they are underestimated. As a final step, this analysis highlights also a loss of carbon storage mainly attributable to the soil sealing of large areas. This study can help to comprehensively understand the conditions of marginal areas in Mediterranean Europe over recent decades in the light of the main socio-economic dynamics to better direct efforts towards the containment of the human capital hemorrhage, consisting of persistently negative natural and migratory rates, and the sustainable empowerment of these geo-economic peripheries.

Urogynecologic Care for Women Who Are Incarcerated

In the United States, approximately 180,700 women are incarcerated across jails and prisons, comprising a demographic with an aging population and a higher growth rate compared to men. Despite this demographic trend, research into urogynecologic care for women who are incarcerated is notably lacking, with few studies addressing pelvic floor disorders such as incontinence, and even fewer focusing on access to treatment options like vaginal pessaries or surgical interventions. Women who are incarcerated may face unique challenges in obtaining urogynecologic care, including limited access to medical evaluations, invasive search procedures affecting intravaginal device use, and inadequate hygiene resources, all of which hinder effective management strategies. Barriers to nonsurgical treatments like pelvic floor physical therapy are exacerbated by transportation logistics, while access to surgical interventions is impeded by complex approval processes within correctional facilities. In addition, managing incontinence with limited access to hygiene products and bathroom facilities further compromises the health and dignity of incarcerated women. Urgent attention and advocacy are needed to address disparities in research and clinical care for incarcerated populations. As a first step, we urge clinicians to acquaint themselves with the correctional facilities in their areas and the current health care pathways for women incarcerated in these facilities. It is our collective responsibility to ensure equitable and compassionate care for this vulnerable population.

Long-Term Care in Germany in the Context of the Demographic Transition—An Outlook for the Expenses of Long-Term Care Insurance through 2050

Demographic aging results in a growing number of older people in need of care in many regions all over the world. Germany has witnessed steady population aging for decades, prompting policymakers and other stakeholders to discuss how to fulfill the rapidly growing demand for care workers and finance the rising costs of long-term care. Informed decisions on this matter to ensure the sustainability of the statutory long-term care insurance system require reliable knowledge of the associated future costs. These need to be simulated based on well-designed forecast models that holistically include the complexity of the forecast problem, namely the demographic transition, epidemiological trends, concrete demand for and supply of specific care services, and the respective costs. Care risks heavily depend on demographics, both in absolute terms and according to severity. The number of persons in need of care, disaggregated by severity of disability, in turn, is the main driver of the remuneration that is paid by long-term care insurance. Therefore, detailed forecasts of the population and care rates are important ingredients for forecasts of long-term care insurance expenditures. We present a novel approach based on a stochastic demographic cohort-component approach that includes trends in age- and sex-specific care rates and the demand for specific care services, given changing preferences over the life course. The model is executed for Germany until the year 2050 as a case study.

Gender and Racial Demographic Trends in the US Laryngology Workforce (1993-2022).

To analyze demographic trends in laryngology fellowship training in the United States from 1993 to 2022, comparing periods before and after formalization of the fellowship within the National Resident Matching Program (NRMP) in 2012. A national database of fellowship-trained laryngologists (FTLs) and non-fellowship-trained laryngologists (nFTLs) practicing primarily laryngology was created by methodically compiling laryngologists via Internet search, with corroboration by regional laryngologists and vetting by senior laryngologists on this manuscript. Demographic variables included residency and/or fellowship graduation year, gender, race and ethnicity inferred through individuals' photos and surnames. NRMP match data from 2012 to 2022 were obtained from the American Laryngological Association. An average of 21 programs offered 23 positions in the NRMP match, with 14 programs (66.4%) filling 16 positions (68.8%) from 2012 to 2022. The 10-year FTL growth rate decreased from 25.4% (1993-2002) to 10.5% and 6.6% in subsequent periods. In May 2023, there were 349 active laryngologists, including 303 FTLs, in the United States. A total of 189 (62.4%) FTLs were men, 114 (37.6%) were women; 201 (66.2%) were White, 102 (33.8%) were non-White. Between the pre-NRMP and post-NRMP periods, the percentage of male FTLs decreased from 71.5% to 55.5%, female FTLs increased from 28.5% to 44.5%, and White FTLs decreased from 69.2% to 64.2%. Chi-squared analysis yielded a statistically significant association between gender and training period for FTLs (p = 0.004), but no statistically significant difference between race and training period. The post-NRMP period saw an expansion of laryngology fellowships and workforce diversification, reflecting trends observed in otolaryngology and medicine overall. NA Laryngoscope, 2024.

A Retrospective CDC WONDER Analysis of Demographic Trends in Myasthenia Gravis-Related Mortality Rates in the US from 1999-2020

A Retrospective CDC WONDER Analysis of Demographic Trends in Myasthenia Gravis-Related Mortality Rates in the US from 1999-2020

DEMOGRAPHIC AGING TRENDS IN EU COUNTRIES AND UKRAINE

The article provides an analysis of trends in the development of the demographic aging process in the countries of the European Union and Ukraine based on the calculation of values of demographic aging (aging coefficient, aging index, demographic burden due to the elderly, age of values aging). The obtained data allow us to draw a conclusion about the convergence of most values of population aging in the EU as a whole, as well as to identify several groups of countries with the same aging values and demographic trends. As a result of the study, the authors identified 5 groups of countries that demonstrate: 1) the highest of aging and population aging rates; 2) the average values of the index and the aging coefficient, however, show high rates of growth of the aging population and demographic burden; 3) average values of aging, but reduced growth rates of the aging population; 4) average values of aging; 5) the lowest rates and values of population aging. The authors forecast changes in the age structure of the population in the EU until 2100, which showed that in the future the share of people aged 65+ will only increase, and this will require certain changes in the social life and economy of the countries of the studied region. The demographic situation that has developed in the studied region requires constant monitoring and accounting in strategic planning at all levels, as well as improvement of the social policy of the EU countries regarding the elderly.

Political Economy of Agriculture and Food Policy in Africa

This article reviews the literature on the political economy of agricultural and food policy in sub-Saharan Africa. In doing so, it first presents a conceptual framework highlighting that agricultural and food policy decisions are contingent on the intersection between governance structures, the preferences and pressures from societal interest groups, and international dynamics. The interrelations among these three factors are then examined across several different sets of policy instruments that have been the focus of traditional political economy research in the region: trade, tax, and marketing policies; public investments and regulations; input and food subsidies; and cross-cutting policies for value chain development. Recognizing several broader demographic, technology, and governance transitions in the region, the article also highlights key areas for future analysis that examine the role of cities in food policy, the possibilities presented by expanded mobile phone and Internet access, and the efficacy of new public administration modalities for policy implementation.

7334 Changing Trends In Oral Bisphosphonate Therapy: A 25-Year Surveillance In A US Healthcare System

Abstract Disclosure: J.C. Lo: None. M. Chandra: None. M.M. Khan: None. L.D. Carbone: None. E.A. Garcia: None. G.H. Tabada: None. D. Low: None. R.L. Hui: None. Introduction: Bisphosphonate (BP) drugs remain one of the first line therapies for fracture prevention, but treatment patterns have changed since BPs were first approved for osteoporosis. This study examines trends among adults initiating oral BP in a large US healthcare system over a 25-year period (1988-2022) and in each successive 5-year period. Methods: The study cohort comprised adults aged 50-89y who initiated alendronate, risedronate or oral ibandronate during 1998-2022 in an integrated healthcare delivery system, excluding those with select bone disorders, multiple myeloma, secondary metastatic cancer, end stage renal disease, and receipt of intravenous BP. Covariates included age (proportion age <65y), sex, race and ethnicity, and prior fracture (diagnosed within 5 years) using electronic health record data. Demographic trends and fracture status were examined across time periods. The chi-squared test and Cochrane-Armitage test for trend were used to examine differences and trends. This report extends findings from an earlier report of women initiating oral BP during 2004-2012 in the same healthcare population. Results: Among 208,780 adults (86% women) who initiated BP, including 26,646 (1998-2002, 35% <65y), 44,726 (2003-2007, 35% <65y), 34,005 (2008-2012, 24% <65y), 35,248 (2013-2017, 19% <65y), and 38,743 (2018-2022, 17% <65y) women and 2348 (1998-2002, 28% <65y), 4895 (2003-2007, 26% <65y), 5172 (2008-2012, 17% <65y), 5331 (2013-2017, 13% <65y), and 11,666 (2018-2022, 5% <65y) men in each 5-year period. Over time, an increasing proportion were age ≥65y (p<0.001 for trend), with larger numbers of older adults in later years partly reflecting initiatives targeting secondary fracture prevention (since 2008 for women, 2015 for men) and BMD screening (since 2011 for women, 2017 for men). Among women initiating BP, the proportion with prior fracture increased from 24-30% (pre-2008) to 43-45% (post-2008), partly reflecting secondary fracture prevention initiatives for women. For men, this proportion increased from 33% (1998-2002) to 42% (2003-2007), 47% (2008-2012), and 54% (2013-2017), but fell to 36% (2018-2022) after BMD screening initiatives began in 2017 for older men (primary prevention efforts). Racial and ethnic diversity in treatment also increased, comparing 1988-2002 (75.2% White, 2.5% Black, 8.6% Hispanic, 12.7% Asian/Pacific Islander) to 2018-2022 (61.5% White, 2.9% Black, 12.2% Hispanic, 21.1% Asian/Pacific Islander, p<0.001 for overall differences and % non-White). Conclusions: In a primary care population of adults initiating oral BP, a larger proportion in later years were age >65y, including larger numbers both with and without fracture coinciding with initiatives for fracture prevention. Among those initiating BP, the relative proportions with prior fracture in each period were likely influenced by primary or secondary prevention efforts. Presentation: 6/2/2024

9212 Changing Trends In Oral Bisphosphonate Therapy: A 25-Year Surveillance In A US Healthcare System

Abstract Disclosure: J.C. Lo: None. M. Chandra: None. M.M. Khan: None. L.D. Carbone: None. E.A. Garcia: None. G.H. Tabada: None. D. Low: None. R.L. Hui: None. Introduction: Bisphosphonate (BP) drugs remain one of the first line therapies for fracture prevention, but treatment patterns have changed since BPs were first approved for osteoporosis. This study examines trends among adults initiating oral BP in a large US healthcare system over a 25-year period (1988-2022) and in each successive 5-year period. Methods: The study cohort comprised adults aged 50-89y who initiated alendronate, risedronate or oral ibandronate during 1998-2022 in an integrated healthcare delivery system, excluding those with select bone disorders, multiple myeloma, secondary metastatic cancer, end stage renal disease, and receipt of intravenous BP. Covariates included age (proportion age <65y), sex, race and ethnicity, and prior fracture (diagnosed within 5 years) using electronic health record data. Demographic trends and fracture status were examined across time periods. The chi-squared test and Cochrane-Armitage test for trend were used to examine differences and trends. This report extends findings from an earlier report of women initiating oral BP during 2004-2012 in the same healthcare population. Results: Among 208,780 adults (86% women) who initiated BP, including 26,646 (1998-2002, 35% <65y), 44,726 (2003-2007, 35% <65y), 34,005 (2008-2012, 24% <65y), 35,248 (2013-2017, 19% <65y), and 38,743 (2018-2022, 17% <65y) women and 2348 (1998-2002, 28% <65y), 4895 (2003-2007, 26% <65y), 5172 (2008-2012, 17% <65y), 5331 (2013-2017, 13% <65y), and 11,666 (2018-2022, 5% <65y) men in each 5-year period. Over time, an increasing proportion were age ≥65y (p<0.001 for trend), with larger numbers of older adults in later years partly reflecting initiatives targeting secondary fracture prevention (since 2008 for women, 2015 for men) and BMD screening (since 2011 for women, 2017 for men). Among women initiating BP, the proportion with prior fracture increased from 24-30% (pre-2008) to 43-45% (post-2008), partly reflecting secondary fracture prevention initiatives for women. For men, this proportion increased from 33% (1998-2002) to 42% (2003-2007), 47% (2008-2012), and 54% (2013-2017), but fell to 36% (2018-2022) after BMD screening initiatives began in 2017 for older men (primary prevention efforts). Racial and ethnic diversity in treatment also increased, comparing 1988-2002 (75.2% White, 2.5% Black, 8.6% Hispanic, 12.7% Asian/Pacific Islander) to 2018-2022 (61.5% White, 2.9% Black, 12.2% Hispanic, 21.1% Asian/Pacific Islander, p<0.001 for overall differences and % non-White). Conclusions: In a primary care population of adults initiating oral BP, a larger proportion in later years were age >65y, including larger numbers both with and without fracture coinciding with initiatives for fracture prevention. Among those initiating BP, the relative proportions with prior fracture in each period were likely influenced by primary or secondary prevention efforts. Presentation: 6/2/2024

Temporal Analysis of Riparian Buffer Zones and Demographic Trends in the Coastal Districts of Kastamonu

Aim of study: This study investigates the temporal changes of forest areas within and outside the Riparian Buffer Zones (RBZs) and examines their correlation with demographic trends in the coastal districts of Kastamonu from 1987, 2000, and 2016 to assess how population dynamics influence forest cover. Area of study: The study was conducted in four coastal districts in northern Kastamonu province, Türkiye, covering approximately 1000 square kilometers and focusing on 153 forest villages. Material and methods: Geographic Information Systems and remote sensing data delineated and analyzed land cover and population changes. The study used Landsat imagery and population data to explore spatial and temporal dynamics within the RBZs Main results: The study found a significant increase in forest area from 1987 to 2000 and a subsequent decrease from 2000 to 2016, with these changes showing a weak but significant negative correlation with the declining local population. Research highlihts: The findings suggest that declining rural populations may reduce anthropogenic pressures on forests and pose challenges to effective forest management and conservation. The research highlights the need for sustainable strategies integrating demographic change with forest conservation efforts to maintain ecosystem services and biodiversity.

Recent Forced Migration and Demographic Trends of Endangered Areas of Ukraine

Recent Forced Migration and Demographic Trends of Endangered Areas of Ukraine

Mobility patterns in Austrian and Italian municipalities in the decade before and during the COVID‐19 era

AbstractIn European countries, where the demographic transition has reached advanced stages and the natural increase has fallen below zero, migration constitutes a significant component of local population change. We investigate to what extent the dynamics of international migration and internal mobility changed during the first waves of the COVID‐19 pandemic, compared to the previous decade. We focus on Austrian and Italian municipalities to assess the contribution of migration components to local population growth, using official data provided by National Statistical Institutes on inflows and outflows of migrant and native populations, from 2010 to 2020. The adoption of harmonized degrees of urbanization allows us to profile spatial and demographic patterns of mobility, in the Austrian and Italian territories. We apply Bayesian‐Geostatistical models, and Artificial Neural‐Networks to investigate the potential determinants of mobility variability. The results reveal Austrian and Italian population‐specific migration trends. Overall, the trends observed in the decade before the pandemic were either confirmed or further accentuated during the COVID‐19 era. Although rural‐urban mobility generally persisted in both countries, counter‐urbanization trends were detected among Austrian populations during the initial period of the COVID‐19 pandemic. Conversely, urban and intermediate municipalities in Italy maintained their attractiveness and capacity to retain Italian populations. These findings offer new empirical insights into urbanization dynamics in a comparative perspective, which are particularly relevant for the definition of European regional policy aimed at matching local needs with national social cohesion goals.

Effects of COVID-19 on Irish general practice activity from 2019 to 2021: a retrospective analysis of 500,000 consultations using electronic medical record data.

General practice (GP) is crucial to primary care delivery in the Republic of Ireland and is almost fully computerised. General practice teams were the first point of contact for much COVID-19-related care and there were concerns routine healthcare activities could be disrupted due to COVID-19 and related restrictions. The study aimed to assess effects of the pandemic on GP activity through analysis of electronic medical record data from general practice clinics in the Irish Midwest. A retrospective, descriptive study of electronic medical record data relating to patient record updates, appointments and medications prescribed across 10 GP clinics over the period 2019-2021 inclusive. Data relating to 1.18 million record transactions for 32k patients were analysed. Over 500k appointments were examined, and demographic trends presented. Overall appointment and prescribing activity increased over the study period, while a dip was observed immediately after the pandemic's arrival in March 2020. Delivery of non-childhood immunisations increased sixfold as a result of COVID-19, childhood immunisation activity was maintained,while cervical smears decreased in 2020 as the screening programme was halted. A quarter of consultations in 2020 and 2021 were teleconsultations, and these were more commonplace for younger patients. General practice responded robustly to the pandemic by taking on additional activities while maintaining routine services where possible. The shift to teleconsulting was a significant change in workflow. Analysing routinely collected electronic medical record data can provide valuable insights for service planning, and access to these insights would be beneficial for future pandemic responses.