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Kaddour O, Ben Mabrouk A, Arfa S, Lassoued N, Berriche O, Chelli J. Knowledge and attitudes of healthcare workers about influenza vaccination. Infect Dis Health 2024:S2468-0451(24)00027-0. [PMID: 38679564 DOI: 10.1016/j.idh.2024.04.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2023] [Revised: 04/09/2024] [Accepted: 04/10/2024] [Indexed: 05/01/2024]
Abstract
BACKGROUND Influenza infection is a highly contagious viral disease. It may cause several nosocomial outbreaks. This study aimed to evaluate the knowledge and attitudes of healthcare workers (HCWs) about influenza vaccination and to identify factors associated with the uptake of influenza vaccination. METHODS We conducted a cross-sectional study over 5 months between November 2021 and March 2022. Data was collected using an anonymous self-administered questionnaire. We included all HCWs at Taher Sfar University Hospital who were willing to participate in the study. RESULTS A total of 395 HCWs were included. They were mainly women (78.7%) with an average age of 27 years. The medical personnel was the largest group (67.8%). Most respondents considered the vaccination to be optional and knew that it should be renewed every year, but 97.5% of them judged the efficacy of the vaccine to be low. The influenza vaccination uptake was only 20.2%. The main reasons for accepting vaccination were to protect patients and families. However, misconceptions about the severity and the risk of influenza and the belief that barrier measures were sufficient to prevent infection were the main causes of avoiding vaccination. The factors associated with adherence to vaccination were being a medical professional, old age, longer professional experience, and considering vaccination to be mandatory for HCWs. CONCLUSION Our study showed a low adherence to influenza vaccination with misconceptions about vaccine efficacy and safety. More efforts are needed to improve the knowledge of HCW about the vaccine and boost the adherence rates.
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Affiliation(s)
- Oussama Kaddour
- Internal Medicine and Endocrinology Department, Taher Sfar Hospital, Mahdia, Tunisia
| | - Asma Ben Mabrouk
- Internal Medicine and Endocrinology Department, Taher Sfar Hospital, Mahdia, Tunisia.
| | - Sondess Arfa
- Internal Medicine and Endocrinology Department, Taher Sfar Hospital, Mahdia, Tunisia
| | - Najoua Lassoued
- Internal Medicine and Endocrinology Department, Taher Sfar Hospital, Mahdia, Tunisia
| | - Olfa Berriche
- Internal Medicine and Endocrinology Department, Taher Sfar Hospital, Mahdia, Tunisia
| | - Jihene Chelli
- Internal Medicine and Endocrinology Department, Taher Sfar Hospital, Mahdia, Tunisia
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Al Nufaiei ZF, Alshenkiti A, Sallam FN, Badraig NS, Al Zhranei RM, Alshamrani KM, Sannan N, Alsulami M, Al-Thaqafy MS, Abdelrahman E. Assessment of the Knowledge and Opinions of Undergraduate Health Care Students Concerning Influenza Vaccination in Saudi Arabia: A Cross-Sectional Study. J Multidiscip Healthc 2023; 16:2681-2690. [PMID: 37720268 PMCID: PMC10503518 DOI: 10.2147/jmdh.s415745] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2023] [Accepted: 07/13/2023] [Indexed: 09/19/2023] Open
Abstract
Introduction Influenza remains a significant global public health challenge, causing substantial morbidity and mortality worldwide. Despite the availability of influenza vaccines, challenges related to vaccine hesitancy and healthcare professionals' attitudes persist. Furthermore, there is a need to understand the knowledge and opinions of undergraduate healthcare students regarding influenza vaccinations. Therefore, we aimed to assess and compare the knowledge and opinions of undergraduate healthcare students about influenza vaccinations, addressing the existing knowledge gap in this area. Methods We employed a cross-sectional study design to assess the opinions and knowledge of undergraduate healthcare students in Saudi Arabia regarding influenza vaccination. A total of 137 healthcare programs were invited to participate via filled-out the survey online. Data analysis was performed using SPSS, with descriptive statistics for the demographic profile and Chi-Square and independent t-tests for examining associations and differences in opinions and knowledge, respectively. Results A total of 429 undergraduate students completed the survey and were included. Significant associations were found between the students' major and their beliefs regarding the effectiveness of the vaccine in preventing influenza (p=0.017) and the inclusion of influenza vaccines in medical practice (p=0.016). The majority of students agreed with seven out of nine knowledge statements, with agreement percentages ranging from 42.9% to 44.8%. When comparing knowledge scores, students majoring in medicine had a significantly higher mean knowledge score (3.91) compared to students studying other medical sciences (3.72) (p=0.019). Conclusion and Recommendations Our study suggests that a comprehensive approach involving education, awareness initiatives, and policy changes is needed to enhance knowledge about influenza vaccination among Saudi Arabian undergraduate students in Medical School allied medical sciences and medical degree programs. By implementing these strategies, we can promote a positive attitude towards flu vaccination and ultimately increase its uptake.
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Affiliation(s)
- Ziyad F Al Nufaiei
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
| | - Abdulghani Alshenkiti
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
| | - Faris N Sallam
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
| | - Nizar Suhail Badraig
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
| | - Raid M Al Zhranei
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
| | - Khalid M Alshamrani
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
| | - Naif Sannan
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
| | - Maher Alsulami
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
| | - Majid S Al-Thaqafy
- King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
- Infection Prevention and Control Department, King Abdulaziz Medical City, Jeddah, Saudi Arabia
- College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
| | - Emad Abdelrahman
- General Medicine, Albayt Medical General Center, Mecca, Saudi Arabia
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Minardi V, Gallo R, Possenti V, Contoli B, Di Fonzo D, D'Andrea E, Masocco M. Influenza Vaccination Uptake and Prognostic Factors among Health Professionals in Italy: Results from the Nationwide Surveillance PASSI 2015-2018. Vaccines (Basel) 2023; 11:1223. [PMID: 37515039 PMCID: PMC10386716 DOI: 10.3390/vaccines11071223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2023] [Revised: 07/04/2023] [Accepted: 07/07/2023] [Indexed: 07/30/2023] Open
Abstract
(1) Influenza causes a significant health and socio-economic burden every year, and health personnel (HP) are at higher risk of exposure to respiratory pathogens than the general population. (2) The study's purpose was to describe and compare influenza vaccine uptake and its prognostic factors among Medical Doctors (MDs) and Non-Medical Health Personnel (NMHP) vs. Non-HP (NHP). We analyzed 2014-2018 data (n = 105,608) from the Italian Behavioral Risk Factor Surveillance System PASSI that, since 2008, has been collecting health-related information continuously in sampled adults. (3) MDs and NMHP represented, respectively, 1.1% and 4.6% of the sample. Among HP, 22.8% (CI 19.8-26.1%) of MDs and 8.5% (CI 7.5-9.5%) of NMHP reported to have been vaccinated vs. 6.3% (CI 6.1-6.5%) in NHP. This difference is confirmed in the three categories (MDs, NMHP, NHP), even more across age groups: in 18-34 yy, respectively, 9.9%, 4.4%, 3.4% vs. 28.4%, 13.9%, 10.6% in 50-64 yy. PASSI surveillance shows an increasing influenza vaccination uptake over time, especially among MDs (22.2% in 2014 vs. 30.5% in 2018). (4) Despite such an increase, especially among younger HP, influenza vaccination uptake is low. Even more under pandemic scenarios, these figures represent key information to address effective strategies for disease prevention and health promotion.
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Affiliation(s)
- Valentina Minardi
- National Centre for Disease Prevention and Health Promotion, Italian National Institute of Health, 00161 Rome, Italy
| | - Rosaria Gallo
- Primary Healthcare Unit, Health District 9, Local Health Unit Roma 2, 00159 Rome, Italy
- PhD Course Advances in Infectious Diseases, Microbiology, Legal Medicine and Public Health Sciences, Sapienza University of Rome, 00185 Rome, Italy
| | - Valentina Possenti
- National Centre for Disease Prevention and Health Promotion, Italian National Institute of Health, 00161 Rome, Italy
| | - Benedetta Contoli
- National Centre for Disease Prevention and Health Promotion, Italian National Institute of Health, 00161 Rome, Italy
| | | | - Elvira D'Andrea
- Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA
| | - Maria Masocco
- National Centre for Disease Prevention and Health Promotion, Italian National Institute of Health, 00161 Rome, Italy
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4
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Tengku Muhammad Fakhruddin TMF, Aminnuddin M, Shafei MN. Knowledge of the Malaysian National Immunisation Programme and its associated factors among parents in Dungun, Terengganu: A cross-sectional study. Malays Fam Physician 2023; 18:3. [PMID: 36969333 PMCID: PMC10038154 DOI: 10.51866/oa.188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
Introduction The number of unvaccinated children and the rate of vaccination refusal among parents have recently increased despite the robust vaccination programme in Malaysia. The purpose of this study was to determine the level of knowledge of the Malaysian National Immunisation Programme among Malaysian parents as well as the variables that contribute to poor knowledge. Method Methods: This study used systematic random sampling to recruit 375 parents from seven health clinics in the Dungun District of Malaysia. The participants were asked to complete a selfadministered validated questionnaire that included sociodemographic and knowledge questions. A multiple logistic regression analysis was applied to determine the associated factors of poor knowledge of immunisation. P-values of <0.05 were considered statistically significant. Results A total of 189 (50.4%) respondents had poor knowledge of immunisation. The multiple logistic regression analyses revealed that a low educational level (adjusted odds ratio (OR): 1.92; 95% CI 1.25-2.95) was associated with poor knowledge while the age-group of 30-40 years old (adjusted OR: 0.56; 95% CI 0.34-0.93) was protected against it as compared to the age-group of <30 years old. Conclusion The prevalence of poor knowledge of immunisation among parents in Dungun, Terengganu, is relatively high. The focus of health promotion and education must be switched to increasing immunisation knowledge among the public, particularly among high-risk groups.
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Affiliation(s)
- Tengku Md Fauzi Tengku Muhammad Fakhruddin
- MD (USM), MComMed (Occupational Health)(USM), Department of Community Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
| | - Ma'pol Aminnuddin
- MD (UKM), MPH (UKM), DrPH(UKM), Level 3, District Health Office, Wisma Persekutuan, Maran, Pahang, Malaysia
| | - Mohd Nazri Shafei
- MD (USM), MComMed (Occupational Health)(USM), Department of Community Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
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Jiménez-Hidalgo PJ, Jiménez-Gómez B, Ruiz-Núñez C, Segado-Fernández S, Diez-Villacañas F, López-Espuela F, Herrera-Peco I. Analysis of Healthcare Professionals' and Institutions' Roles in Twitter Colostomy Information. Healthcare (Basel) 2023; 11:healthcare11020215. [PMID: 36673583 PMCID: PMC9858773 DOI: 10.3390/healthcare11020215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Revised: 12/30/2022] [Accepted: 01/09/2023] [Indexed: 01/12/2023] Open
Abstract
Social media represents a powerful tool for disseminating verified health information on topics such as colostomy, and the roles of healthcare professionals and institutions to ensure the veracity of the information conveyed is increasingly relevant. The main objectives of this study were to analyze the roles of these healthcare professionals and institutions in the conversation about colostomy, without being framed in a specific health communication campaign, and to know the use of reliable information in the conversation. The study was carried out by analyzing Twitter messages containing the hashtag "colostomy" and "Chron" between the 1 January and the 30 April 2022. It was conducted using the NodeXL software, focusing on content analysis of tweets and users' accounts. The results show that accounts with healthcare activity influence the impressions generated on the network (p = 0.018), finding that nurses are the most active healthcare professionals (22.24%) also having a significant effect on the overall network interactions (p = 0.022). In contrast, we found that institutions do not actively participate on the network. We emphasize the responsibility of institutions for health education and the need for professionals to improve communication skills on social networks, but also the need to improve communication skills on social media to support public health campaigns through these increasingly important channels.
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Affiliation(s)
- Pedro Jesús Jiménez-Hidalgo
- Traumatology and Orthopedic Surgery Service, Hospital Universitario Nuestra Señora de Candelaria, Ctra. Gral. del Rosario, 145, 38010 Santa Cruz de Tenerife, Spain
| | - Beatriz Jiménez-Gómez
- Department of Nursing, Human Nutrition and Dietetics, Universidad Europea de Madrid, Calle Tajo, s/n, Villaviciosa de Odón, 28670 Madrid, Spain
| | - Carlos Ruiz-Núñez
- Ph.D. Student Program in Biomedicine, Translational Research and New Health Technologies, School of Medicine, University of Malaga, Blvr. Louis Pasteur, 29010 Málaga, Spain
| | - Sergio Segado-Fernández
- Department of Health Sciences, Universidad Europea de Canarias, Calle Inocencio García, 1, La Orotava, 38300 Santa Cruz de Tenerife, Spain
| | - Fernando Diez-Villacañas
- Faculty of Health Sciences, Alfonso X el Sabio University, Avda Universidad, 1, Villanueva de la Cañada, 28691 Madrid, Spain
| | - Fidel López-Espuela
- Metabolic Bone Diseases Research Group, Nursing Department, Nursing and Occupational Therapy College, University of Extremadura, 10003 Cáceres, Spain
- Correspondence: (F.L.-E.); (I.H.-P.)
| | - Ivan Herrera-Peco
- Faculty of Health Sciences, Alfonso X el Sabio University, Avda Universidad, 1, Villanueva de la Cañada, 28691 Madrid, Spain
- Correspondence: (F.L.-E.); (I.H.-P.)
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6
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Pavlovic D, Sahoo P, Larson HJ, Karafillakis E. Factors influencing healthcare professionals' confidence in vaccination in Europe: a literature review. Hum Vaccin Immunother 2022; 18:2041360. [PMID: 35290160 PMCID: PMC9009961 DOI: 10.1080/21645515.2022.2041360] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
Health-care professionals (HCPs) have a fundamental role in vaccination, their own beliefs and attitudes affecting both their uptake and recommendation of vaccines. This literature review (n = 89) summarises evidence on HCPs’ perceptions of the risks and benefits of vaccination, trust, and perceptions of mandatory vaccination in Europe. HCPs across studies believed that vaccination is important to protect themselves and their patients. However, beliefs that some diseases such as influenza are less risky were reported by some HCPs as a reason for not getting vaccinated. Concerns about both short- and long-term side effects were identified among HCPs in most studies, such as those affecting the immune or neurological system. Mistrust toward health authorities and pharmaceutical industry was reported in some studies. The question of mandatory vaccination revealed mixed opinions, with some favoring self-determination and others viewing vaccination as a duty. This review highlights key factors influencing HCPs’ confidence in vaccination in Europe.
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Affiliation(s)
- D Pavlovic
- School of Medicine, University of Zagreb, Zagreb, Croatia
| | - P Sahoo
- Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK
| | - H J Larson
- Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK.,Centre for the Evaluation of Vaccination, Vaccine and Infectious Disease Institute, University of Antwerp, Zagreb, Croatia
| | - E Karafillakis
- Centre for the Evaluation of Vaccination, Vaccine and Infectious Disease Institute, University of Antwerp, Zagreb, Croatia
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7
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Segado-Fernández S, Lozano-Estevan MDC, Jiménez-Gómez B, Ruiz-Núñez C, Jiménez Hidalgo PJ, Fernández-Quijano I, González-Rodríguez L, Santillán-García A, Herrera-Peco I. Health Literacy and Critical Lecture as Key Elements to Detect and Reply to Nutrition Misinformation on Social Media: Analysis between Spanish Healthcare Professionals. Int J Environ Res Public Health 2022; 20:23. [PMID: 36612345 PMCID: PMC9819553 DOI: 10.3390/ijerph20010023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/10/2022] [Revised: 11/29/2022] [Accepted: 12/12/2022] [Indexed: 06/17/2023]
Abstract
Health misinformation about nutrition and other health aspects on social media is a current public health concern. Healthcare professionals play an essential role in efforts to detect and correct it. The present study focuses on analyzing the use of competencies associated with training in methodology, health literacy, and critical lecture in order to detect sources of health misinformation that use scientific articles to support their false information. A qualitative study was conducted between 15 and 30 January 2022, wherein the participants were recruited from active users from a nutrition conversation on Twitter, diets, and cancer and defined themselves as healthcare professionals. This study demonstrates that health literacy and critical lecture competencies allow for the detection of more misinformation messages and are associated with a high rate of responses to users that spread the misinformation messages. Finally, this study proposes the necessity of developing actions to improve health literacy and critical lecture competencies between healthcare professionals. However, in order to achieve this, health authorities must develop strategies to psychologically support those healthcare professionals faced with bullying as a result of their activity on social media debunking health hoaxes.
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Affiliation(s)
- Sergio Segado-Fernández
- Department of Health Sciences, Universidad Europea de Canarias, Calle Inocencio García, 1, La Orotava, 38300 Santa Cruz de Tenerife, Spain
| | - María del Carmen Lozano-Estevan
- VALORNUT-UCM (920030) Research Group, Department of Nutrition and Food Science, Faculty of Pharmacy, Complutense University of Madrid, 28040 Madrid, Spain
| | - Beatriz Jiménez-Gómez
- Nursing Department, Faculty of Medicine, Alfonso X el Sabio University, Avenida Universidad, 1, Villanueva de la Cañada, 28691 Madrid, Spain
| | - Carlos Ruiz-Núñez
- Phd Student Program in Biomedicine, Translational Research and New Health Technologies, School of Medicine, University of Malaga Blvr. Louis Pasteur, 29010 Málaga, Spain
| | - Pedro Jesús Jiménez Hidalgo
- Traumatology and Orthopedic Surgery Service, Hospital Universitario Nuestra Señora de Candelaria, Ctra. Gral. del Rosario, 145, 38010 Santa Cruz de Tenerife, Spain
| | - Invención Fernández-Quijano
- Faculty of Psychology, Universidad Alfonso X el Sabio, Avenida Universidad, 1, Villanueva de la Cañada, 28691 Madrid, Spain
| | - Liliana González-Rodríguez
- VALORNUT-UCM (920030) Research Group, Department of Nutrition and Food Science, Faculty of Pharmacy, Complutense University of Madrid, 28040 Madrid, Spain
| | - Azucena Santillán-García
- Nursing Department, Valencia International University, C/Pintor Sorolla 21, 46002 Valencia, Spain
| | - Ivan Herrera-Peco
- Faculty of Health Sciences, Universidad Alfonso X el Sabio, Avenida Universidad, 1, Villanueva de la Cañada, 28691 Madrid, Spain
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8
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Bhaskar R, Srivastava A, Bala R. Awareness, perception, and acceptance of coronavirus vaccines by health-care workers approved for restricted emergency use in India: A web-based cross-sectional study. Int J Acad Med 2022. [DOI: 10.4103/ijam.ijam_85_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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9
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Yildirim D, Ciris Yildiz C, Dincer B. Immunization in health employees: Relationship of confidence and attitude. Arch Environ Occup Health 2021; 77:545-553. [PMID: 34387537 DOI: 10.1080/19338244.2021.1960258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
This is a cross-sectional online survey study performed to identify whether the health employees' confidence in the vaccine besides their confidence in the administrators about the vaccine had any effect on their attitudes toward the vaccine. The study was carried out on February 2021 with the participation of 402 health employees working in the pandemic hospitals. Approximately 33% of the participant health employees stated that they did not think of being vaccinated during the COVID-19 pandemic. Insufficient testing for the vaccines that are developed to fight against pandemics, having fear about their side effects, and finding them unreliable give rise to vaccine hesitancy in health employees. Besides, it was identified that the health employees' confidence in the vaccines and their confidence in the administrators about the vaccines affected their attitudes toward vaccination.
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Affiliation(s)
- Dilek Yildirim
- Nursing Department, Faculty of Health Sciences, Istanbul Aydin University Istanbul, Turkey
| | - Cennet Ciris Yildiz
- Nursing Department, Faculty of Health Sciences, Istanbul Kent University, Istanbul, Turkey
| | - Berna Dincer
- Nursing Department, Faculty of Health Sciences, Istanbul Medeniyet University, Istanbul, Turkey
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Perrone PM, Biganzoli G, Lecce M, Campagnoli EM, Castrofino A, Cinnirella A, Fornaro F, Gallana C, Grosso FM, Maffeo M, Shishmintseva V, Pariani E, Castaldi S. Influenza Vaccination Campaign during the COVID-19 Pandemic: The Experience of a Research and Teaching Hospital in Milan. Int J Environ Res Public Health 2021; 18:ijerph18115874. [PMID: 34070763 PMCID: PMC8198860 DOI: 10.3390/ijerph18115874] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Revised: 05/24/2021] [Accepted: 05/26/2021] [Indexed: 11/30/2022]
Abstract
Background: During the COVID-19 pandemic, more than ever, optimal influenza vaccination coverage among healthcare workers (HCWs) is crucial to avoid absenteeism and disruption of health services, as well as in-hospital influenza outbreaks. The aim of this study is to analyze the 2020 influenza vaccination campaign, comparing it with the previous year’s in a research and teaching hospital in Northern Italy. Methods: adopting an approach based on combined strategies, three interventions were deployed: a promotional and educational campaign, vaccination delivery through both ad hoc and on-site ambulatories, and a gaming strategy. Personal data and professional categories were collected and analyzed using univariate logistic regression. Vaccinated HCWs were asked to fill in a questionnaire to describe their reasons for vaccination adherence. Results: the vaccination coverage rate (VCR) was 43.1%, compared to 21.5% in 2019. The highest increase was registered among administrative staff (308.3%), while physicians represent the most vaccinated category (n = 600). Moreover, residents (prevalence ratio (PR): 1.12; 95% CI 1.04–1.20), as well as intensive care (PR: 1.44; 95% CI: 1.24–1.69) and newborn workers (PR: 1.41; 95% CI: 1.20–1.65) were, respectively, the categories most frequently vaccinated for the first time. Conclusion: the significant increase in vaccination coverage rate confirms the suitability of the combined strategy of delivering the flu vaccination campaign and represents a first step towards reaching WHO recommended vaccination rates.
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Affiliation(s)
- Pier Mario Perrone
- Department Biomedical Sciences for Health, Postgraduate School in Public Health, University of Milano, 20136 Milan, Italy; (E.M.C.); (A.C.); (A.C.); (F.F.); (C.G.); (F.M.G.); (M.M.); (V.S.); (E.P.); (S.C.)
- Correspondence: ; Tel.: +39-3463063408
| | - Giacomo Biganzoli
- Pharmacogenomics & Precision Therapeutics Master Degree, University of Milan, 20142 Milan, Italy;
| | - Maurizio Lecce
- Quality Unit Fondazione IRCCS Ca’ Granda OMP, 20122 Milan, Italy;
| | - Emanuela Maria Campagnoli
- Department Biomedical Sciences for Health, Postgraduate School in Public Health, University of Milano, 20136 Milan, Italy; (E.M.C.); (A.C.); (A.C.); (F.F.); (C.G.); (F.M.G.); (M.M.); (V.S.); (E.P.); (S.C.)
| | - Ambra Castrofino
- Department Biomedical Sciences for Health, Postgraduate School in Public Health, University of Milano, 20136 Milan, Italy; (E.M.C.); (A.C.); (A.C.); (F.F.); (C.G.); (F.M.G.); (M.M.); (V.S.); (E.P.); (S.C.)
| | - Andrea Cinnirella
- Department Biomedical Sciences for Health, Postgraduate School in Public Health, University of Milano, 20136 Milan, Italy; (E.M.C.); (A.C.); (A.C.); (F.F.); (C.G.); (F.M.G.); (M.M.); (V.S.); (E.P.); (S.C.)
| | - Federica Fornaro
- Department Biomedical Sciences for Health, Postgraduate School in Public Health, University of Milano, 20136 Milan, Italy; (E.M.C.); (A.C.); (A.C.); (F.F.); (C.G.); (F.M.G.); (M.M.); (V.S.); (E.P.); (S.C.)
| | - Claudia Gallana
- Department Biomedical Sciences for Health, Postgraduate School in Public Health, University of Milano, 20136 Milan, Italy; (E.M.C.); (A.C.); (A.C.); (F.F.); (C.G.); (F.M.G.); (M.M.); (V.S.); (E.P.); (S.C.)
| | - Francesca Maria Grosso
- Department Biomedical Sciences for Health, Postgraduate School in Public Health, University of Milano, 20136 Milan, Italy; (E.M.C.); (A.C.); (A.C.); (F.F.); (C.G.); (F.M.G.); (M.M.); (V.S.); (E.P.); (S.C.)
| | - Manuel Maffeo
- Department Biomedical Sciences for Health, Postgraduate School in Public Health, University of Milano, 20136 Milan, Italy; (E.M.C.); (A.C.); (A.C.); (F.F.); (C.G.); (F.M.G.); (M.M.); (V.S.); (E.P.); (S.C.)
| | - Viktoriia Shishmintseva
- Department Biomedical Sciences for Health, Postgraduate School in Public Health, University of Milano, 20136 Milan, Italy; (E.M.C.); (A.C.); (A.C.); (F.F.); (C.G.); (F.M.G.); (M.M.); (V.S.); (E.P.); (S.C.)
| | - Elena Pariani
- Department Biomedical Sciences for Health, Postgraduate School in Public Health, University of Milano, 20136 Milan, Italy; (E.M.C.); (A.C.); (A.C.); (F.F.); (C.G.); (F.M.G.); (M.M.); (V.S.); (E.P.); (S.C.)
| | - Silvana Castaldi
- Department Biomedical Sciences for Health, Postgraduate School in Public Health, University of Milano, 20136 Milan, Italy; (E.M.C.); (A.C.); (A.C.); (F.F.); (C.G.); (F.M.G.); (M.M.); (V.S.); (E.P.); (S.C.)
- Quality Unit Fondazione IRCCS Ca’ Granda OMP, 20122 Milan, Italy;
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11
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MacDonald NE, Comeau J, Dubé È, Graham J, Greenwood M, Harmon S, McElhaney J, Meghan McMurtry C, Middleton A, Steenbeek A, Taddio A. Royal society of Canada COVID-19 report: Enhancing COVID-19 vaccine acceptance in Canada. Facets (Ott) 2021. [DOI: 10.1139/facets-2021-0037] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
COVID-19 vaccine acceptance exists on a continuum from a minority who strongly oppose vaccination, to the “moveable middle” heterogeneous group with varying uncertainty levels about acceptance or hesitancy, to the majority who state willingness to be vaccinated. Intention for vaccine acceptance varies over time. COVID-19 vaccination decisions are influenced by many factors including knowledge, attitudes, and beliefs; social networks; communication environment; COVID-19 community rate; cultural and religious influences; ease of access; and the organization of health and community services and policies. Reflecting vaccine acceptance complexity, the Royal Society of Canada Working Group on COVID-19 Vaccine Acceptance developed a framework with four major factor domains that influence vaccine acceptance (people, communities, health care workers; immunization knowledge; health care and public health systems including federal/provincial/territorial/indigenous factors)—each influencing the others and all influenced by education, infection control, extent of collaborations, and communications about COVID-19 immunization. The Working Group then developed 37 interrelated recommendations to support COVID vaccine acceptance nested under four categories of responsibility: 1. People and Communities, 2. Health Care Workers, 3. Health Care System and Local Public Health Units, and 4. Federal/Provincial/Territorial/Indigenous. To optimize outcomes, all must be engaged to ensure co-development and broad ownership.
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Affiliation(s)
- Noni E. MacDonald
- Department of Pediatrics (Infectious Diseases), Faculty of Medicine, Dalhousie University and IWK Health Centre, Halifax, Canada
| | - Jeannette Comeau
- Division of Infectious Diseases, Dalhousie University and IWK Health Centre, Halifax, Canada
| | - Ève Dubé
- Scientific Group on Immunization at the Quebec National Institute of Public Health, Québec, Canada
- Department of Anthropology, Université Laval, Québec, QC G1V 0A6, Canada
| | - Janice Graham
- Department of Pediatrics, Division of Infectious Diseases, Dalhousie University, Halifax, NS B3H 2Y9, Canada
| | - Margo Greenwood
- School of Education, University of Northern British Columbia, Prince George, BC V2N 4Z9, Canada
- Department of First Nations Studies, University of Northern British Columbia, Prince George, BC V2N 4Z9, Canada
- National Collaborating Centre for Indigenous Health, Prince George, BC V2N 4Z9, Canada
| | - Shawn Harmon
- Department of Pediatrics, Technoscience and Regulation Research Unit, Dalhousie University, Halifax, NS B3H 4R2, Canada
| | - Janet McElhaney
- Medical Sciences Division, Northern Ontario School of Medicine, Sudbury, ON P3E 2C6, Canada
- Health Sciences North Research Institute, Sudbury, ON P3E 2H2, Canada
| | - C. Meghan McMurtry
- Pediatric Pain, Health and Communication Lab (PPHC), University of Guelph, Guelph, ON N1G 2W1, Canada
- Department of Psychology, University of Guelph, Guelph, ON N1G 2W1, Canada
- Clinical and Health Psychologist with the Pediatric Chronic Pain Program, McMaster Children’s Hospital, Hamilton, ON L8N 3Z5, Canada
| | - Alan Middleton
- Schulich Executive Education Centre, York University, North York, ON M3J 1P3, Canada
| | - Audrey Steenbeek
- School of Nursing, Faculty of Health, Dalhousie University, Halifax, NS B3H 4R2, Canada
| | - Anna Taddio
- Clinical Social and Administrative Pharmacy, Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON M5S 3M2, Canada
- The Hospital for Sick Children, Toronto, ON M5G 1X8, Canada
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12
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Caffarelli C, Santamaria F, Santoro A, Procaccianti M, Castellano F, Nastro FF, Villani A, Bernasconi S, Corsello G. Best practices, challenges and innovations in pediatrics in 2019. Ital J Pediatr 2020; 46:176. [PMID: 33256810 PMCID: PMC7703504 DOI: 10.1186/s13052-020-00941-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Accepted: 11/21/2020] [Indexed: 12/22/2022] Open
Abstract
This paper runs through key progresses in epidemiology, pathomechanisms and therapy of various diseases in children that were issued in the Italian Journal of Pediatrics at the end of last year. Novel research and documents that explore areas such as allergy, critical care, endocrinology, gastroenterology, infectious diseases, neonatology, neurology, nutrition, and respiratory tract illnesses in children have been reported. These observations will help to control childhood illnesses.
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Affiliation(s)
- Carlo Caffarelli
- Clinica Pediatrica, Department of Medicine and Surgery, Azienda Ospedaliera-Universitaria, University of Parma, Via Gramsci 14, Parma, Italy.
| | - Francesca Santamaria
- Department of Translational Medical Sciences, Federico II University, Naples, Italy
| | - Angelica Santoro
- Clinica Pediatrica, Department of Medicine and Surgery, Azienda Ospedaliera-Universitaria, University of Parma, Via Gramsci 14, Parma, Italy
| | - Michela Procaccianti
- Clinica Pediatrica, Department of Medicine and Surgery, Azienda Ospedaliera-Universitaria, University of Parma, Via Gramsci 14, Parma, Italy
| | - Fabio Castellano
- Department of Translational Medical Sciences, Federico II University, Naples, Italy
| | | | - Alberto Villani
- UOC di Pediatria Generale e Malattie Infettive, Ospedale Pediatrico Bambino Gesù, Rome, Italy
| | | | - Giovanni Corsello
- Department of Sciences for Health Promotion and Mother and Child Care "G. D'Alessandro", University of Palermo, Palermo, Italy
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13
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Montagna MT, De Giglio O, Napoli C, Fasano F, Diella G, Donnoli R, Caggiano G, Tafuri S, Lopalco PL, Agodi A. Adherence to Vaccination Policy among Public Health Professionals: Results of a National Survey in Italy. Vaccines (Basel) 2020; 8:E379. [PMID: 32664507 PMCID: PMC7565131 DOI: 10.3390/vaccines8030379] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Revised: 07/05/2020] [Accepted: 07/09/2020] [Indexed: 02/07/2023] Open
Abstract
Starting from 2013, the number of unvaccinated people alarmingly increased in Italy; therefore, in 2017 a new Vaccine National Plan was approved. Healthcare workers (HCWs), especially public health professionals (PHPs, i.e., workers in in the sector of hygiene and preventive medicine), have an important role in informing and promoting vaccinations. In this context, the Italian Study Group of Hospital Hygiene of the Italian Society of Hygiene, Preventive Medicine and Public Health (GISIO-SItI) conducted a national survey to assess knowledge, attitude, and practices towards recommended vaccinations among PHPs. The survey was conducted during October 2019 with an anonymous questionnaire distributed to PHPs attending the 52° SItI National Congress. Overall, 57.1% of operators answered correctly to all seven recommended vaccinations, 12.8% reported to be vaccinated for all seven recommended vaccinations, while 30% were naturally immunized. A higher immunization coverage was reported for anti-hepatitis B (88.9%) and measles (86.1%), and 81.3% of the participants reported being offered the influenza vaccination during the 2018/2019 season. The majority of our sample indicated that hepatitis B (95%) and influenza (93.7%) were the recommended vaccines for HCWs, while less was known regarding varicella, pertussis, diphtheria, and tetanus boosters every 10 years. PHPs who were vaccinated (or who intended to be vaccinated) were more likely to recommend vaccinations to their patients and provided a reassuring example to those hesitant patients. Finally, this is the first study that identified good algorithms (using the techniques of machine learning as Random Forest and Deep Learning) to predict the knowledge of PHPs regarding recommended vaccinations with possible applications in other national and international contexts.
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Affiliation(s)
- Maria Teresa Montagna
- Department of Biomedical Science and Human Oncology, University of Bari Aldo Moro, Piazza G. Cesare 11, 70124 Bari, Italy; (M.T.M.); (F.F.); (G.D.); (G.C.); (S.T.)
| | - Osvalda De Giglio
- Department of Biomedical Science and Human Oncology, University of Bari Aldo Moro, Piazza G. Cesare 11, 70124 Bari, Italy; (M.T.M.); (F.F.); (G.D.); (G.C.); (S.T.)
| | - Christian Napoli
- Department of Medical Surgical Sciences and Translational Medicine, “Sapienza” University of Rome, Via di Grottarossa 1035/1039, 00189 Rome, Italy;
| | - Fabrizio Fasano
- Department of Biomedical Science and Human Oncology, University of Bari Aldo Moro, Piazza G. Cesare 11, 70124 Bari, Italy; (M.T.M.); (F.F.); (G.D.); (G.C.); (S.T.)
| | - Giusy Diella
- Department of Biomedical Science and Human Oncology, University of Bari Aldo Moro, Piazza G. Cesare 11, 70124 Bari, Italy; (M.T.M.); (F.F.); (G.D.); (G.C.); (S.T.)
| | | | - Giuseppina Caggiano
- Department of Biomedical Science and Human Oncology, University of Bari Aldo Moro, Piazza G. Cesare 11, 70124 Bari, Italy; (M.T.M.); (F.F.); (G.D.); (G.C.); (S.T.)
| | - Silvio Tafuri
- Department of Biomedical Science and Human Oncology, University of Bari Aldo Moro, Piazza G. Cesare 11, 70124 Bari, Italy; (M.T.M.); (F.F.); (G.D.); (G.C.); (S.T.)
| | - Pier Luigi Lopalco
- Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Via Savi 10, 56126 Pisa, Italy;
| | - Antonella Agodi
- Coordinator of GISIO-SItI Working Group, Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, University of Catania, 95123 Catania, Italy;
| | - GISIO-SItI Working Group
- GISIO-SItI Working Group–Italian Study Group of Hospital Hygiene–Italian Society of Hygiene, Preventive Medicine and Public Health, Viale Cittá d’Europa, 74, 00144 Rome, Italy;
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14
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Maffeo M, Luconi E, Castrofino A, Campagnoli EM, Cinnirella A, Fornaro F, Gallana C, Perrone PM, Shishmintseva V, Pariani E, Castaldi S. 2019 Influenza Vaccination Campaign in an Italian Research and Teaching Hospital: Analysis of the Reasons for Its Failure. Int J Environ Res Public Health 2020; 17:ijerph17113881. [PMID: 32486224 PMCID: PMC7311955 DOI: 10.3390/ijerph17113881] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/25/2020] [Revised: 05/20/2020] [Accepted: 05/29/2020] [Indexed: 11/25/2022]
Abstract
Background: Despite recommendations, the influenza vaccination coverage rate in healthcare workers (HCWs) in Italy is far from the recommended target. The aim of the study is to analyze the influenza vaccination campaign performed in 2019 in a research and teaching hospital in Milan. Methods: The vaccination strategy included an ad hoc ambulatory, as in the previous years, and an onsite ambulatory, introduced for the first time. Personal data and professional categories were collected and analyzed using univariate logistic regression. HCWs who refused the vaccination were asked to fill in a questionnaire to explain their reasons for dissent. Results: The achieved vaccination coverage rate (VCR) for HCWs was 21.5 %, compared to 17.1% in 2018. The lowest VCR was registered among nurses (11.9%), while physicians had the highest VCR (40.7%). Prevalence ratios show that some professional categories were more frequently vaccinated for the first time than attending physicians (reference category); those with statistically significant confidence intervals were nurses (PR: 2.42; 95% CI: 1.78–3.28), residents (PR: 1.85; 95% CI: 1.36–2.53), and auxiliary staff (PR: 2.33; 95% CI: 1.45–3.74). Conclusions: An onsite vaccination strategy failed in providing a remarkable increase in VCR in 2019, but it is important to point out that the campaign was influenced by several logistic problems.
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Affiliation(s)
- Manuel Maffeo
- Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy; (A.C.); (E.M.C.); (A.C.); (F.F.); (C.G.); (P.M.P.); (V.S.); (E.P.); (S.C.)
- Correspondence: ; Tel.: +39-389-470-4937
| | - Ester Luconi
- Quality Unit Fondazione IRCCS Ca’ Granda OMP, 20122 Milan, Italy;
| | - Ambra Castrofino
- Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy; (A.C.); (E.M.C.); (A.C.); (F.F.); (C.G.); (P.M.P.); (V.S.); (E.P.); (S.C.)
| | - Emanuela Maria Campagnoli
- Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy; (A.C.); (E.M.C.); (A.C.); (F.F.); (C.G.); (P.M.P.); (V.S.); (E.P.); (S.C.)
| | - Andrea Cinnirella
- Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy; (A.C.); (E.M.C.); (A.C.); (F.F.); (C.G.); (P.M.P.); (V.S.); (E.P.); (S.C.)
| | - Federica Fornaro
- Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy; (A.C.); (E.M.C.); (A.C.); (F.F.); (C.G.); (P.M.P.); (V.S.); (E.P.); (S.C.)
| | - Claudia Gallana
- Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy; (A.C.); (E.M.C.); (A.C.); (F.F.); (C.G.); (P.M.P.); (V.S.); (E.P.); (S.C.)
| | - Pier Mario Perrone
- Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy; (A.C.); (E.M.C.); (A.C.); (F.F.); (C.G.); (P.M.P.); (V.S.); (E.P.); (S.C.)
| | - Viktoriia Shishmintseva
- Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy; (A.C.); (E.M.C.); (A.C.); (F.F.); (C.G.); (P.M.P.); (V.S.); (E.P.); (S.C.)
| | - Elena Pariani
- Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy; (A.C.); (E.M.C.); (A.C.); (F.F.); (C.G.); (P.M.P.); (V.S.); (E.P.); (S.C.)
| | - Silvana Castaldi
- Postgraduate School in Public Health, Department Biomedical Sciences for Health, University of Milano, 20136 Milano, Italy; (A.C.); (E.M.C.); (A.C.); (F.F.); (C.G.); (P.M.P.); (V.S.); (E.P.); (S.C.)
- Quality Unit Fondazione IRCCS Ca’ Granda OMP, 20122 Milan, Italy;
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