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Scaioli G, Martella M, Lo Moro G, Prinzivalli A, Guastavigna L, Scacchi A, Butnaru AM, Bert F, Siliquini R. Knowledge, Attitudes, and Practices about Electronic Personal Health Records: A Cross-Sectional Study in a Region of Northern Italy. J Med Syst 2024; 48:42. [PMID: 38630322 PMCID: PMC11023976 DOI: 10.1007/s10916-024-02065-z] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Accepted: 04/09/2024] [Indexed: 04/19/2024]
Abstract
The Electronic Personal Health Record (EPHR) provides an innovative service for citizens and professionals to manage health data, promoting patient-centred care. It enhances communication between patients and physicians and improves accessibility to documents for remote medical information management. The study aims to assess the prevalence of awareness and acceptance of the EPHR in northern Italy and define determinants and barriers to its implementation. In 2022, a region-wide cross-sectional study was carried out through a paper-based and online survey shared among adult citizens. Univariable and multivariable regression models analysed the association between the outcome variables (knowledge and attitudes toward the EPHR) and selected independent variables. Overall, 1634 people were surveyed, and two-thirds were aware of the EPHR. Among those unaware of the EPHR, a high prevalence of specific socio-demographic groups, such as foreign-born individuals and those with lower educational levels, was highlighted. Multivariable regression models showed a positive association between being aware of the EPHR and educational level, health literacy, and perceived poor health status, whereas age was negatively associated. A higher knowledge of the EPHR was associated with a higher attitude towards the EPHR. The current analysis confirms a lack of awareness regarding the existence of the EPHR, especially among certain disadvantaged demographic groups. This should serve as a driving force for a powerful campaign tailored to specific categories of citizens for enhancing knowledge and usage of the EPHR. Involving professionals in promoting this tool is crucial for helping patients and managing health data.
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Affiliation(s)
- Giacomo Scaioli
- Department of Public Health Sciences and Paediatrics, University of Turin, Via Santena 5bis, Turin, 10126, Italy
- Infection Control Unit, ASL TO3, Turin, Italy
| | - Manuela Martella
- Department of Public Health Sciences and Paediatrics, University of Turin, Via Santena 5bis, Turin, 10126, Italy.
| | - Giuseppina Lo Moro
- Department of Public Health Sciences and Paediatrics, University of Turin, Via Santena 5bis, Turin, 10126, Italy
| | - Alessandro Prinzivalli
- Department of Public Health Sciences and Paediatrics, University of Turin, Via Santena 5bis, Turin, 10126, Italy
| | - Laura Guastavigna
- Department of Public Health Sciences and Paediatrics, University of Turin, Via Santena 5bis, Turin, 10126, Italy
| | - Alessandro Scacchi
- Department of Public Health Sciences and Paediatrics, University of Turin, Via Santena 5bis, Turin, 10126, Italy
| | - Andreea Mihaela Butnaru
- Department of Public Health Sciences and Paediatrics, University of Turin, Via Santena 5bis, Turin, 10126, Italy
| | - Fabrizio Bert
- Department of Public Health Sciences and Paediatrics, University of Turin, Via Santena 5bis, Turin, 10126, Italy
- Infection Control Unit, ASL TO3, Turin, Italy
| | - Roberta Siliquini
- Department of Public Health Sciences and Paediatrics, University of Turin, Via Santena 5bis, Turin, 10126, Italy
- AOU City of Health and Science of Turin, Turin, Italy
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Lo Moro G, Scaioli G, Conrado F, Lusiani L, Pinto S, Rolfini E, Bert F, Siliquini R. Parental Perception of Children's Mental Health During the Pandemic: Insights From an Italian Cross-Sectional Study. J Sch Health 2024. [PMID: 38532496 DOI: 10.1111/josh.13449] [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] [Received: 06/09/2023] [Revised: 02/23/2024] [Accepted: 03/04/2024] [Indexed: 03/28/2024]
Abstract
BACKGROUND This study explores the impact of the pandemic on children's mental health. It examined the understanding of parents regarding their children's mental condition and their ability to identify issues, 2 years post the outbreak of the COVID-19 pandemic. METHODS Using a cross-sectional design, 507 Italian parents reported on their youngest child aged between 2 and 17, totaling 507 children. The outcomes focused on were parental perception of children's mental health deterioration, scores on the Strengths and Difficulties Questionnaire (SDQ) above the clinical cut-off, and parental under-recognition of mental health issues. Descriptive analyses and multivariable logistic regression models were executed (significance at p < .05). RESULTS Parents were 88.1% women (median age 41 years, interquartile range [IQR] = 36-47). Their children were 50.3% female [median age 6 years (IQR = 4-11)]. The data revealed 21.1% of parents perceived a deterioration in their children's mental health, while 44.2% had SDQ scores above the cut-off. Parental under-recognition of mental issues was found in 20.1% of cases. Significant correlations were found between parental perception of deterioration, SDQ scores, and factors like parental mental distress and children's sleep issues. IMPLICATIONS The findings suggest that schools and verified websites can serve as critical conduits for providing parents with reliable information. By promoting early identification and intervention, such mechanisms can help ensure mental health equity for children. CONCLUSIONS The research highlights the effect of the pandemic on children's mental health and the issue of parental under-recognition. The results underscore the importance of public health initiatives that enhance mental health information accessibility and reliability for parents.
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Affiliation(s)
- Giuseppina Lo Moro
- Department of Public Health Sciences, University of Turin, Via Santena 5 Bis, 10126, Turin, Italy
| | - Giacomo Scaioli
- Department of Public Health Sciences, University of Turin, Via Santena 5 Bis, 10126, Turin, Italy; Health Local Unit "ASL TO3", Turin, Italy
| | - Francesco Conrado
- Department of Public Health Sciences, University of Turin, Via Santena 5 Bis, 10126, Turin, Italy
| | - Luca Lusiani
- Department of Public Health Sciences, University of Turin, Via Santena 5 Bis, 10126, Turin, Italy
| | - Sonia Pinto
- Department of Public Health Sciences, University of Turin, Via Santena 5 Bis, 10126, Turin, Italy
| | - Edoardo Rolfini
- Department of Public Health Sciences, University of Turin, Via Santena 5 Bis, 10126, Turin, Italy
| | - Fabrizio Bert
- Department of Public Health Sciences, University of Turin, Via Santena 5 Bis, 10126, Turin, Italy; Health Local Unit "ASL TO3", Turin, Italy
| | - Roberta Siliquini
- Department of Public Health Sciences, University of Turin, Via Santena 5 Bis, 10126, Turin, Italy; A.O.U. City of Health and Science of Turin, Turin, Italy
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Bert F, Rousset S, Boietti E, Lo Moro G, Pompili E, Franzini Tibaldeo E, Gea M, Scaioli G, Siliquini R. Gender medicine attitudes among medical students: An Italian cross-sectional study. Health Care Women Int 2024:1-17. [PMID: 38315769 DOI: 10.1080/07399332.2024.2308630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2021] [Accepted: 01/18/2024] [Indexed: 02/07/2024]
Abstract
We aimed to explore attitudes and training experiences of medical students toward gender medicine (GM). A cross-sectional study with convenience sampling was conducted (sample size = 430). To assess predictors of high GM consideration in patient management, a multivariable logistic regression was performed. A total of 82% considered sex and gender important; 61% stated that they would use GM skills in their careers. A total of 76% had never discussed GM with their tutors, with differences between male and female students (p = .002). Predictors of high GM consideration were: age (adjOR = 1.4, 95%CI = 1.1-1.8) and the impression that tutors considered patients' sex and gender during practice (adjOR = 3.9, 95%CI = 2.0-7.6). Thus, participants considered GM important, but some students were unsure whether it could be useful in practice. The strongest predictor of high GM consideration was the tutors' good example during training. It would be advisable to implement the teaching of this topic during both courses and traineeships.
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Affiliation(s)
- Fabrizio Bert
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - Stefano Rousset
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - Edoardo Boietti
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | | | - Erika Pompili
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | | | - Marta Gea
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - Giacomo Scaioli
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - Roberta Siliquini
- Department of Public Health Sciences, University of Turin, Turin, Italy
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Scaioli G, Lo Moro G, Conrado F, Rosset L, Bert F, Siliquini R. Exploring the potential of ChatGPT for clinical reasoning and decision-making: a cross-sectional study on the Italian Medical Residency Exam. Ann Ist Super Sanita 2023; 59:267-270. [PMID: 38088393 DOI: 10.4415/ann_23_04_05] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/18/2023]
Abstract
BACKGROUND This study aimed to assess the performance of ChatGPT, a large language model (LLM), on the Italian State Exam for Medical Residency (SSM) test to determine its potential as a tool for medical education and clinical decision-making support. MATERIALS AND METHODS A total of 136 questions were obtained from the official SSM test. ChatGPT responses were analyzed and compared to the performance of medical doctors who took the test in 2022. Questions were classified into clinical cases (CC) and notional questions (NQ). RESULTS ChatGPT achieved an overall accuracy of 90.44%, with higher performance on clinical cases (92.45%) than on notional questions (89.15%). Compared to medical doctors' scores, ChatGPT performance was higher than 99.6% of the participants. CONCLUSIONS These results suggest that ChatGPT holds promise as a valuable tool in clinical decision-making, particularly in the context of clinical reasoning. Further research is needed to explore the potential applications and implementation of large language models (LLMs) in medical education and medical practice.
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Affiliation(s)
- Giacomo Scaioli
- Dipartimento di Scienze della Sanità Pubblica e Pediatriche, Università degli Studi di Torino, Turin, Italy
| | - Giuseppina Lo Moro
- Dipartimento di Scienze della Sanità Pubblica e Pediatriche, Università degli Studi di Torino, Turin, Italy
| | - Francesco Conrado
- Dipartimento di Scienze della Sanità Pubblica e Pediatriche, Università degli Studi di Torino, Turin, Italy
| | - Lorenzo Rosset
- Dipartimento di Scienze della Sanità Pubblica e Pediatriche, Università degli Studi di Torino, Turin, Italy
| | - Fabrizio Bert
- Dipartimento di Scienze della Sanità Pubblica e Pediatriche, Università degli Studi di Torino, Turin, Italy
| | - Roberta Siliquini
- Dipartimento di Scienze della Sanità Pubblica e Pediatriche, Università degli Studi di Torino, Turin, Italy
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Ragusa P, Prinzivalli A, Pizzini S, Libero G, Lo Moro G, Brescia V, Scaioli G, Minniti D, Siliquini R, Bert F. Candida auris: A bibliometric analysis of an emerging global health threat. J Infect Public Health 2023; 16:1696-1702. [PMID: 37647837 DOI: 10.1016/j.jiph.2023.08.012] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2023] [Revised: 05/26/2023] [Accepted: 08/16/2023] [Indexed: 09/01/2023] Open
Abstract
BACKGROUND Candida auris (CA) is an emerging fungus, classified as an urgent global health threat, that resists common antifungal drugs and decontamination procedures; identification requires specific tools; transmissibility and mortality are high in healthcare settings. Infection and colonisation can be long-lasting, leading to problems in isolation procedures and the risk of outbreaks. This study aims to evaluate publication and citation related metrics, identify major keywords and topics, and assess geographic distribution of published articles. METHODS A list of all publications containing "Candida auris" in all fields was extracted from Web Of Science on date 2023/01/02. Bibliometric analysis was conducted using the bibliometrix and biblioshiny packages on RStudio. RESULTS Total publications (TP) were 1283 with an annual growth rate of 53.91%. Total citations were 27854, with an average of 21.71 citations per paper. The core sources are 9 out of 322, according to Bradford's law. In only 42 countries where CA was identified, articles on the topic were published (89%). The origin of TP is concentrated in high-income countries (68.22%). Trending topics about CA include epidemiology, identification and resistance. CONCLUSION Our analysis shows a growing interest in scientific literature on the topic of CA, led by Europe. In some countries where CA has been identified, no papers have been published. Despite the multidrug-resistance of CA, the topic of therapy is not much debated. Our findings highlight the need to increase focus on CA in order to promote health systems' preparedness and to properly address the spread of this worrisome pathogen.
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Affiliation(s)
- Paolo Ragusa
- Department of Public Health and Paediatric Sciences, University of Turin, 10126 Turin, Italy
| | - Alessandro Prinzivalli
- Department of Public Health and Paediatric Sciences, University of Turin, 10126 Turin, Italy
| | - Simone Pizzini
- Department of Public Health and Paediatric Sciences, University of Turin, 10126 Turin, Italy
| | - Giulia Libero
- Department of Public Health and Paediatric Sciences, University of Turin, 10126 Turin, Italy
| | - Giuseppina Lo Moro
- Department of Public Health and Paediatric Sciences, University of Turin, 10126 Turin, Italy
| | - Valerio Brescia
- Department of Management, University of Turin, 10134 Turin, Italy
| | - Giacomo Scaioli
- Department of Public Health and Paediatric Sciences, University of Turin, 10126 Turin, Italy; Hygiene and Infection Control Unit, ASL TO3, 10098 Turin, Italy
| | - Davide Minniti
- Hygiene and Infection Control Unit, ASL TO3, 10098 Turin, Italy
| | - Roberta Siliquini
- Department of Public Health and Paediatric Sciences, University of Turin, 10126 Turin, Italy; AOU City of Health and Science of Turin, 10126 Turin, Italy
| | - Fabrizio Bert
- Department of Public Health and Paediatric Sciences, University of Turin, 10126 Turin, Italy; Hygiene and Infection Control Unit, ASL TO3, 10098 Turin, Italy.
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Lo Moro G, Scaioli G, Vola L, Guastavigna L, Frattin R, De Vito E, Bert F, Siliquini R. Exploring Knowledge and Awareness of HCV Infection and Screening Test: A Cross-Sectional Survey Among an Italian Sample. J Community Health 2023; 48:769-783. [PMID: 37115378 PMCID: PMC10144876 DOI: 10.1007/s10900-023-01218-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/31/2023] [Indexed: 04/29/2023]
Abstract
Addressing HCV represents a public health priority, especially in Italy, which has the highest HCV prevalence in Europe. This study primarily aimed to explore knowledge about the HCV infection and awareness of the existence of the HCV screening test in Italy, before the implementation of awareness campaigns in 2022. An online cross-sectional survey was conducted (December 2021-January 2022). The primary outcomes were: Disease Knowledge Score (DKS), Prevention and Transmission Knowledge Score (PTKS) (for both: scoring from 0 to 100%, higher scores corresponded to higher knowledge), and being unaware of the existence of the HCV screening. The final sample consisted of 813 participants. The median DKS was 75% (IQR = 66.7-83.3), the median PTKS was 46.2% (IQR = 38.5-53.8), and 23.2% of participants were unaware of HCV screening. Higher education, health-related study or profession, history of accidental injuries, being affected by HCV and having actively searched for information on HCV had positive associations with DKS. LGBT males showed significantly lower DKS. Considering PTKS, participants affected by HCV the disease had a negative association with this score. Having a postgraduate education reduced the likelihood of not knowing about the HCV screening test, while having at least one family member affected by hepatitis C increased this probability. This study highlighted a concerning lack of knowledge about prevention and transmission, indicating a need for targeted education campaigns. The findings emphasized the importance of information and motivation and identified male LGBT + individuals as a vulnerable group with limited disease knowledge. Future research should concern the effectiveness of awareness campaigns.
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Affiliation(s)
- Giuseppina Lo Moro
- Department of Public Health Sciences and Pediatrics, University of Turin, Turin, Italy
| | - Giacomo Scaioli
- Department of Public Health Sciences and Pediatrics, University of Turin, Turin, Italy
- Health Local Unit "ASL TO3", Turin, Italy
| | - Lorenzo Vola
- Department of Public Health Sciences and Pediatrics, University of Turin, Turin, Italy
| | - Laura Guastavigna
- Department of Public Health Sciences and Pediatrics, University of Turin, Turin, Italy
| | - Roberta Frattin
- Department of Public Health Sciences and Pediatrics, University of Turin, Turin, Italy
| | - Elisabetta De Vito
- Department of Human, Social and Health Sciences, University of Cassino and Southern Lazio, Cassino, Italy
| | - Fabrizio Bert
- Department of Public Health Sciences and Pediatrics, University of Turin, Turin, Italy.
- Health Local Unit "ASL TO3", Turin, Italy.
| | - Roberta Siliquini
- Department of Public Health Sciences and Pediatrics, University of Turin, Turin, Italy
- A.O.U. City of Health and Science of Turin, Turin, Italy
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Scaioli G, Lo Moro G, Giacomini G, Galvagno PF, Bert F, Siliquini R. Prevention of the Werther effect: compliance of the Italian newspapers to the 'reporting on suicide' recommendations. Public Health 2023; 221:124-130. [PMID: 37441996 DOI: 10.1016/j.puhe.2023.06.005] [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: 03/23/2023] [Revised: 05/17/2023] [Accepted: 06/05/2023] [Indexed: 07/15/2023]
Abstract
OBJECTIVES Suicide media coverage could lead to imitation, the so-called 'Werther effect'. The World Health Organization (WHO) published specific recommendations for reporting suicide news. This study aimed to quantify the compliance of Italian newspapers with the WHO suicide reporting guidelines. STUDY DESIGN This was a quantitative content analysis study. METHODS All articles published by the three main Italian newspapers from June 2019 to May 2020 describing suicides or attempted suicides were included. The articles were analyzed using a checklist based on the WHO recommendations, which included 18 'negative' items (e.g. 'presence of the word 'suicide' in the title') and nine 'positive' items (e.g. 'the article reports the contacts of a suicide prevention hotline'). Each negative item was scored -1, and each positive item was scored +1. Multivariate linear regressions were performed to identify factors associated with lower adherence to WHO recommendations and higher social media engagement with the articles. RESULTS A total of 3483 articles were screened, and 110 articles were included in the final analysis. The suicidal was male in 73.6% of cases. The median checklist score was -6 (interquartile range 3). Five percent of the articles had at least one positive item. The word 'suicide' was found in 90% of the titles. Female suicides were associated with a higher checklist score (coefficient 0.81, P = 0.039). No correlation was found between the checklist score and the social media engagement of the articles. CONCLUSIONS Italian newspapers do not adhere completely to the WHO recommendations on reporting suicide, leading to a potential imitation effect. Public health professionals should make decision-makers and journalists aware of the importance of these recommendations.
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Affiliation(s)
- G Scaioli
- Department of Public Health Sciences, University of Turin, Turin, Italy; Local Health Authority ASL TO3, Turin, Italy
| | - G Lo Moro
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - G Giacomini
- Department of Public Health Sciences, University of Turin, Turin, Italy.
| | - P F Galvagno
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - F Bert
- Department of Public Health Sciences, University of Turin, Turin, Italy; Local Health Authority ASL TO3, Turin, Italy
| | - R Siliquini
- Department of Public Health Sciences, University of Turin, Turin, Italy; AOU City of Health and Science of Turin, Turin, Italy
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Lo Moro G, Bert F, Cappelletti T, Elhadidy HSMA, Scaioli G, Siliquini R. Sex Education in Italy: An Overview of 15 Years of Projects in Primary and Secondary Schools. Arch Sex Behav 2023; 52:1653-1663. [PMID: 36749406 PMCID: PMC10125923 DOI: 10.1007/s10508-023-02541-6] [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] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/06/2022] [Revised: 01/10/2023] [Accepted: 01/11/2023] [Indexed: 06/18/2023]
Abstract
School-based sex education is essential to improve the knowledge and behavior of young people. Unlike most European countries, sex education in Italy is not compulsory in the school curriculum. Therefore, to assess potential gaps, the main aim of this study was to explore Italian regional initiatives about sex education. A review of gray literature from 2006 to 2021 was conducted in December 2021 on national databases and institutional websites of each Italian region, during which official documents on regional sex education programs were selected. Moreover, a rapid systematic review was carried out in scientific databases to find more information. For both reviews, the sex education topics recommended by UNESCO were used for extracting and analyzing data. A total of 12 Italian regions out of 20 had at least one sex education program, for a total of 39 projects. Overall, all the topics identified by UNESCO have been covered, with considerable differences between northern, central, and southern Italy. Contraception, love, marriage, partnerships, and family were the main topics discussed (hosted in 92% of the regions). Only 25% of the regions discussed pregnancy and birth. Disability was the least debated topic (17%). The rapid systematic review showed that relevant improvements were achieved after sex education interventions. In conclusion, this study underlined important limitations to the implementation of school-based sex education in Italy. Hence, it is necessary to increase sex education interventions to reach adequate standards and flatten the differences not only between Italian regions but also between Italy and other European countries.
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Affiliation(s)
- Giuseppina Lo Moro
- Department of Public Health Sciences, University of Turin, Via Santena 5 Bis, 10126, Turin, Italy
| | - Fabrizio Bert
- Department of Public Health Sciences, University of Turin, Via Santena 5 Bis, 10126, Turin, Italy
| | - Toni Cappelletti
- Department of Public Health Sciences, University of Turin, Via Santena 5 Bis, 10126, Turin, Italy
| | | | - Giacomo Scaioli
- Department of Public Health Sciences, University of Turin, Via Santena 5 Bis, 10126, Turin, Italy.
| | - Roberta Siliquini
- Department of Public Health Sciences, University of Turin, Via Santena 5 Bis, 10126, Turin, Italy
- A.O.U. City of Health and Science of Turin, Turin, Italy
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Protano C, Valeriani F, De Giorgi A, Angelillo S, Bargellini A, Bianco A, Bianco L, Caggiano G, Colucci ME, Coniglio MA, Dallolio L, De Giglio O, Di Giuseppe G, Elhadidy HSMA, Gioffrè ME, Laganà P, Licata F, Marchesi I, Masini A, Montagna MT, Napoli C, Orsi GB, Pasquarella C, Pelullo CP, Paduano S, Sacchetti R, Scaioli G, Siliquini R, Veronesi L, Liguori G, Spica VR, Vitali M, Gallè F. Consumption of Energy Drinks among Italian University students: a cross-sectional multicenter study. Eur J Nutr 2023:10.1007/s00394-023-03140-w. [PMID: 37022467 PMCID: PMC10078034 DOI: 10.1007/s00394-023-03140-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Accepted: 03/24/2023] [Indexed: 04/07/2023]
Abstract
PURPOSE The aim of the study was to evaluate the caffeinated Energy Drinks (EDs) consumption among a large sample of Italian undergraduates and its association with some of the major lifestyle risk factors. METHODS Students attending twelve public Italian universities were involved between October 2021 and May 2022. Information on socio-demographic characteristics, ED consumption, and on health-related behaviors of participants was collected by the use of a web-based questionnaire. RESULTS A total of 2165 students participated in the study and 15.2% of them reported having used caffeinated EDs in the last six months, mainly once a month (41.5%). In comparison with non-users, ED users showed a higher proportion of males (p < 0.001) and a higher father's educational level (p = 0.003), came mainly from Northern universities (p = 0.004) and life sciences degree courses (p < 0.001). Besides, ED users reported higher BMI values (p = 0.003), more particular dietary regimens (p < 0.001), higher levels of weekly moderate-vigorous physical activity (p < 0.001) and participation in sports (p < 0.001) and in team sports (p = 0.003), and higher proportion of smokers (p < 0.001) and alcohol drinkers (p = 0.005). ED use was negatively related with female gender (OR 0.546; 95% CI 0.374-0.798), the Mediterranean diet (OR 0.587; 95% CI 0.362-0.951) and coming from the center of Italy (OR 0.500; 95% CI 0.275-0.909) and positively associated with tobacco smoke (OR 1.712; 95% CI 1.176-2.492) and participation in a team sport (OR 1.686; 95% CI 1.051-2.707). CONCLUSION These findings could encourage figures engaged in education to increase the students' awareness on this issue in order to prevent the excessive use of EDs and associated unhealthy behaviors, especially in the most interested subgroups.
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Affiliation(s)
- Carmela Protano
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - Federica Valeriani
- Department of Movement, Human, and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - Andrea De Giorgi
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - Silvia Angelillo
- Department of Health Sciences, School of Medicine, University of Catanzaro "Magna Græcia", Catanzaro, Italy
| | - Annalisa Bargellini
- Department of Biomedical, Metabolic and Neural Sciences, Section of Public Health, University of Modena and Reggio Emilia, Modena, Italy
| | - Aida Bianco
- Department of Health Sciences, School of Medicine, University of Catanzaro "Magna Græcia", Catanzaro, Italy
| | - Lavinia Bianco
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - Giuseppina Caggiano
- Interdisciplinary Department of Medicine, University of Bari "Aldo Moro", Bari, Italy
| | | | - Maria Anna Coniglio
- Department of Medical and Surgical Sciences and Advanced Technologies "Gianfilippo Ingrassia", University of Catania, Catania, Italy
| | - Laura Dallolio
- Department of Biomedical and Neuromotor Science, Alma Mater Studiorum University of Bologna, Bologna, Italy
| | - Osvalda De Giglio
- Interdisciplinary Department of Medicine, University of Bari "Aldo Moro", Bari, Italy
| | - Gabriella Di Giuseppe
- Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy
| | | | | | - Pasqualina Laganà
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy
| | - Francesca Licata
- Department of Health Sciences, School of Medicine, University of Catanzaro "Magna Græcia", Catanzaro, Italy
| | - Isabella Marchesi
- Department of Biomedical, Metabolic and Neural Sciences, Section of Public Health, University of Modena and Reggio Emilia, Modena, Italy
| | - Alice Masini
- Department of Biomedical and Neuromotor Science, Alma Mater Studiorum University of Bologna, Bologna, Italy
| | - Maria Teresa Montagna
- Interdisciplinary Department of Medicine, University of Bari "Aldo Moro", Bari, Italy
| | - Christian Napoli
- Department of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy
| | - Giovanni Battista Orsi
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | | | - Concetta Paola Pelullo
- Department of Movement Sciences and Wellbeing, University of Naples "Parthenope", Via Medina 40, Naples, Italy
| | - Stefania Paduano
- Department of Biomedical, Metabolic and Neural Sciences, Section of Public Health, University of Modena and Reggio Emilia, Modena, Italy
| | - Rossella Sacchetti
- Department of Education Studies "Giovanni Maria Bertin", University of Bologna, Bologna, Italy
| | - Giacomo Scaioli
- Department of Public Health Sciences and Pediatrics, University of Turin, Turin, Italy
| | - Roberta Siliquini
- Department of Public Health Sciences and Pediatrics, University of Turin, Turin, Italy
- City of Health and Science of Turin, Turin, Italy
| | - Licia Veronesi
- Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - Giorgio Liguori
- Department of Movement Sciences and Wellbeing, University of Naples "Parthenope", Via Medina 40, Naples, Italy
| | - Vincenzo Romano Spica
- Department of Movement, Human, and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - Matteo Vitali
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - Francesca Gallè
- Department of Movement Sciences and Wellbeing, University of Naples "Parthenope", Via Medina 40, Naples, Italy.
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Bert F, Gea M, Previti C, Massocco G, Lo Moro G, Scaioli G, Schilirò T, Siliquini R. The Environmental Health Literacy of Italian General Population: The SPeRA Cross-Sectional Study. Int J Environ Res Public Health 2023; 20:4486. [PMID: 36901494 PMCID: PMC10002404 DOI: 10.3390/ijerph20054486] [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: 01/23/2023] [Revised: 02/28/2023] [Accepted: 03/01/2023] [Indexed: 06/18/2023]
Abstract
Environmental health literacy (EHL) includes knowledge of health effects due to environmental exposure and skills to protect health from environmental risks. This study investigated some aspects about EHL of the Italian adult population. Data were collected through questionnaires (n = 672) and analysed through multivariable logistic regression models. Results showed that participants with incomplete/insufficient self-perceived knowledge of health effects due to environmental risks verified less information about this topic (adjOR = 0.38 (CI95% 0.25-0.59)/0.09 (0.04-0.21); p < 0.001/<0.001), potentially spreading fake news. The self-perceived exposure to pollution was higher in participants living in towns than in rural areas (small, medium, big towns adjOR = 2.37 (1.41-3.97), 2.10 (1.11-3.96), 3.11 (1.53-6.31); p = 0.001, 0.022, 0.002) and lower in participants with incomplete/insufficient knowledge about pollution effects (adjOR = 0.54 (0.32-0.92)/0.30 (0.13-0.67); p = 0.022/0.004), confirming that knowledge is essential to achieve awareness. Since insufficient self-perceived knowledge of pollution effects was negatively associated with the adoption of pro-environmental behaviours (adjOR = 0.37 (0.15-0.90); p = 0.028), EHL was proven to be a virtuous behaviour promoter. Finally, a lack of institutional support, time and cost were identified as barriers to pro-environmental behaviours. This study provided useful data to design prevention programmes, underlined some barriers to pro-environmental behaviours and highlighted the need to promote attitudes and behaviours aimed at contrasting environmental pollution, thus protecting human health.
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Affiliation(s)
- Fabrizio Bert
- Department of Public Health and Pediatrics, University of Turin, 10126 Turin, Italy
- Hygiene and Infection Control Unit, ASL TO3, 10098 Turin, Italy
| | - Marta Gea
- Department of Public Health and Pediatrics, University of Turin, 10126 Turin, Italy
| | - Christian Previti
- Department of Public Health and Pediatrics, University of Turin, 10126 Turin, Italy
| | - Gregorio Massocco
- Department of Public Health and Pediatrics, University of Turin, 10126 Turin, Italy
| | - Giuseppina Lo Moro
- Department of Public Health and Pediatrics, University of Turin, 10126 Turin, Italy
| | - Giacomo Scaioli
- Department of Public Health and Pediatrics, University of Turin, 10126 Turin, Italy
| | - Tiziana Schilirò
- Department of Public Health and Pediatrics, University of Turin, 10126 Turin, Italy
| | - Roberta Siliquini
- Department of Public Health and Pediatrics, University of Turin, 10126 Turin, Italy
- AOU City of Health and Science of Turin, 10126 Turin, Italy
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Cobianchi L, Dal Mas F, Agnoletti V, Ansaloni L, Biffl W, Butturini G, Campostrini S, Catena F, Denicolai S, Fugazzola P, Martellucci J, Massaro M, Previtali P, Ruta F, Venturi A, Woltz S, Kaafarani HM, Loftus TJ, Aapoäÿlu R, Abbott KL, Abdelmalik A, Abebe NS, Abu-Zidan F, Adam YAY, Adamou H, Adamovich DM, Agresta F, Agrusa A, Akin E, Alessiani M, Alexandrino H, Bidoli C, Ali SM, Mihai VA, Almeida PM, Al-Shehari MM, Altomare M, Amico F, Ammendola M, Andreuccetti J, Anestiadou E, Annicchiarico A, Antonelli A, Aparicio-Sanchez D, Ardito A, Argenio G, Arvieux CC, Arvieux C, Askevold IH, Atanasov BT, Augustin G, Awad SS, Bacchiocchi G, Bagnoli C, Bahouth H, Baili E, Bains L, Baiocchi GL, Bala M, Balaguà© C, Balalis D, Baldini E, Baraket O, Baral S, Barone M, Gonzãlez Barranquero A, Barreras JA, Bass GA, Bayhan Z, Bellanova G, Ben-Ishay O, Bert F, Bianchi V, Biancuzzi H, Radulescu RB, Bignell MB, Biloslavo A, Bini R, Bissacco D, Boati P, Boddaert G, Bogdanic B, Bombardini C, Bonavina L, Bonomo L, Bottari A, Bouliaris K, Brachini G, Brillantino A, Brisinda G, Bulanauca MM, Buonomo LA, Burcharth J, Buscemi S, Calabretto F, Calini G, Calu V, Campanile FC, Campo Dall’Orto R, Campos-Serra A, Carvas JM, Cascella M, Pattacini GC, Celentano V, Centonze DC, Ceresoli M, Chatzipetris D, Chessa A, Chiarello MM, Chirica M, Chooklin S, Chouliaras C, Chowdhury S, Cianci P, Cillara N, Cimbanassi S, Cioffi SPB, Colãis-Ruiz E, Colak E, Conti L, Coppola A, de Sa TC, Costa SD, Cozza V, Curro’ G, Dabekaussen KFASA, D’acapito F, Damaskos D, D’Ambrosio G, Das K, Davies RJ, de Beaux AC, De Lebrusant Fernandez SP, De Luca A, De Simone B, De Stefano F, Degrate L, Demetrashvili Z, Demetriades AK, Detanac DS, Dezi A, Di Buono G, Carlo IDI, Di Lascio P, Di Martino M, Di Saverio S, Diaconescu B, Diaz JJ, Dibra R, Dimitrov EN, Dinuzzi VP, Dios-Barbeito S, Diyani JFA, Dogjani A, Domanin M, D’Oria M, Munoz-Cruzado VD, East B, Ekelund M, Ekwen GT, Elbaih AH, Elhadi M, Enninghorst N, Ernisova M, Escalera-Antezana JP, Esposito S, Esposito G, Estaire-Gãmez M, Farã CN, Farre R, Favi F, Ferrario L, Ferrario di Tor Vajana A, Filisetti C, Fleres F, Fonseca VC, Forero-Torres A, Forfori F, Fortuna L, Fradelos E, Fraga GP, Fransvea P, Frassini S, Frazzetta G, Frigerio I, Frountzas M, Gachabayov M, Galeiras R, Garcãa BM, Garcia Vazquez A, Gargarella S, Garzali IU, Ghannam WM, Ghazi FN, Gillman LM, Gioco R, Giordano A, Giordano L, Giove C, Giraudo G, Giuffrida M, Capponi MG, Gois E, Gomes CA, Gomes FC, Gonsaga RAT, Gonullu E, Goosen J, Goranovic T, Gracia-Roman R, Graziano GMP, Griffiths EA, Guagni T, Hadzhiev DB, Haidar MG, Hamid HKS, Hardcastle TC, Hayati F, Healey AJ, Hecker A, Hecker M, Garcia EFH, hodonou AM, huaman EC, Huerta M, Ibrahim AF, Ibrahim BMS, Ietto G, Inama M, Ioannidis O, Isik A, Ismail N, Ismail AMH, Jailani RUHIF, Jang JY, Kalfountzos C, Kalipershad SNR, Kaouras E, Kaplan LJ, Kara Y, Karamagioli E, Karamarkovia A, Katsaros I, Kavalakat AJ, Kechagias A, Kenig J, Kessel BJ, Khan JS, Khokha V, Kim JI, Kirkpatrick AW, Klappenbach R, Kobe Y, Lymperis EK, Kok KYY, Kong V, Korkolis DP, Koukoulis G, Kovacevic B, Kruger VF, Kryvoruchko IA, Kurihara H, Kuriyama A, Landaluce-Olavarria A, Lapolla P, Licari L, Lisi G, Litvin A, Lizarazu A, Bayo HL, Lohsiriwat V, Moreira CCL, Lostoridis E, Luna AT, Luppi D, V. GMM, Maegele M, Maggiore D, Magnone S, Maier RV, Maier RV, Major P, Manangi M, manetti A, Mantoglu B, Marafante C, Mariani F, Marinis A, Mariot ES, Marseglia GR, Martãnez-Pãrez A, Martines G, Perez AM, Martino C, Mascagni P, Massalou D, Matãas-Garcãa B, Mazzarella G, Mazzarolo G, Melo RB, Mendoza-Moreno F, Meric S, Meyer J, Miceli L, Michalopoulos NV, Milana F, Mingoli A, Mishra TS, Mohamed M, Mohamed MIEA, Mohamedahmed AY, Mohammed MJS, Mohan R, Moore EE, Morales-Garcia D, Muhrbeck M, Mulita F, Mustafa SMS, Muttillo EM, Naimzada MD, Navsaria PH, Negoi I, Nespoli L, Nguyen C, Nidaw MK, Nigri G, Nikolopoulos I, O’Connor DB, Ogundipe HD, Oliveri C, Olmi S, Ong ECW, Orecchia L, Osipov AV, Othman MF, Pace M, Pacilli M, Pagani L, Palomba G, Pantalone D, Panyko A, Paolillo C, Papa MV, Papaconstantinou D, Papadoliopoulou M, Papadopoulos A, Papis D, Pararas N, Parreira JG, Parry NG, Pata F, Patel T, Paterson-Brown S, Pavone G, Pecchini F, Pellino G, Pelloni M, Peloso A, del Pozo EP, Pereira RG, Pereira BM, perez AL, Perra T, Perrone G, Pesce A, Petagna L, Petracca G, Phupong V, Picardi B, Picciariello A, Piccoli M, Piccolo D, Picetti E, Pikoulis Pikoulis E, Pintar T, Pirozzolo G, Piscioneri F, Podda M, Porcu A, Privitera F, Punzo C, Quaresima S, Quiodettis MA, Qvist N, Rahim R, de Almeida FR, Ramely RB, Rasa HK, Reichert M, Reinisch-Liese A, Renne A, Riccetti C, Rodriguez-Luna MR, Roizblatt D, Romanzi A, Romeo L, Roscio FPM, Rosnelifaizur RB, Rossi S, Rubiano AM, Ruiz-Úcar E, Sakakushev BE, Salamea JC, Sall I, Samarakoon LB, Sammartano F, Arteaga AS, Sanchez-Cordero S, Santoanastaso DPM, Sasia D, Sato N, Savchuk A, Sawyer RG, Scaioli G, Schizas D, Sebastiani S, Seeliger B, Lohse HAS, Seretis C, Sermonesi G, Serradilla-Martin M, Shelat VG, Shlyapnikov S, Sidiropoulos T, Simoes RL, Siragusa L, Siribumrungwong B, Slavchev M, Solaini L, soldini G, Sopuev A, Soreide K, Sovatzidis A, Stahel PF, Strickland M, Sultan MAH, Sydorchuk R, Sydorchuk L, Syed SMAM, Syed AM, Tallon-Aguilar L, Tamburini AM, Tamini N, Tan ECTH, Tan JH, Tarasconi A, Tartaglia N, Tartaglia G, Tartaglia D, Taylor JV, Tebala GD, Gonsaga RAT, Teuben M, Theodorou A, Tolonen M, Tomasicchio G, Toro A, Torre B, Triantafyllou T, Trigiante Trigiante G, Tripepi M, Trostchansky J, Tsekouras K, Turrado-Rodriguez V, Tutino R, Uccelli M, Uchikov PA, Ugarte-Sierra B, Ukkonen MT, Vailas M, Vassiliu PG, Vazquez AG, Vazquez RG, Verde JE, Verde JM, Veroux M, Viganò J, Vilallonga R, Visconti D, Vittori A, Waledziak M, Wannatoop T, Widmer LW, Wilson MSJ, Wong TH, Xenaki S, Yu B, Yule S, Zachariah SK, Zacharis G, Zaghi C, Zakaria AD, Zambrano DA, Zampitis N, Zampogna B, Zanghã S, Zapsalis K, Zattoni F, Zese M, Farre SP, Atanasov BT, Pegoraro V, Zantedeschi M, Reitano E, Pizzocaro E. Time for a paradigm shift in shared decision-making in trauma and emergency surgery? Results from an international survey. World J Emerg Surg 2023; 18:14. [PMID: 36803568 PMCID: PMC9936681 DOI: 10.1186/s13017-022-00464-6] [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: 09/21/2022] [Accepted: 11/02/2022] [Indexed: 02/19/2023] Open
Abstract
BACKGROUND Shared decision-making (SDM) between clinicians and patients is one of the pillars of the modern patient-centric philosophy of care. This study aims to explore SDM in the discipline of trauma and emergency surgery, investigating its interpretation as well as the barriers and facilitators for its implementation among surgeons. METHODS Grounding on the literature on the topics of the understanding, barriers, and facilitators of SDM in trauma and emergency surgery, a survey was created by a multidisciplinary committee and endorsed by the World Society of Emergency Surgery (WSES). The survey was sent to all 917 WSES members, advertised through the society's website, and shared on the society's Twitter profile. RESULTS A total of 650 trauma and emergency surgeons from 71 countries in five continents participated in the initiative. Less than half of the surgeons understood SDM, and 30% still saw the value in exclusively engaging multidisciplinary provider teams without involving the patient. Several barriers to effectively partnering with the patient in the decision-making process were identified, such as the lack of time and the need to concentrate on making medical teams work smoothly. DISCUSSION Our investigation underlines how only a minority of trauma and emergency surgeons understand SDM, and perhaps, the value of SDM is not fully accepted in trauma and emergency situations. The inclusion of SDM practices in clinical guidelines may represent the most feasible and advocated solutions.
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Affiliation(s)
- Lorenzo Cobianchi
- Department of Clinical, Diagnostic and Pediatric Sciences, University of Pavia, Via Alessandro Brambilla, 74, 27100, Pavia, PV, Italy. .,IRCCS Policlinico San Matteo Foundation, General Surgery, Pavia, Italy.
| | - Francesca Dal Mas
- grid.7240.10000 0004 1763 0578Department of Management, Ca’ Foscari University of Venice, Venice, Italy
| | - Vanni Agnoletti
- grid.414682.d0000 0004 1758 8744Bufalini Hospital, AUSL Romagna, Cesena, Italy
| | - Luca Ansaloni
- grid.8982.b0000 0004 1762 5736Department of Clinical, Diagnostic and Pediatric Sciences, University of Pavia, Via Alessandro Brambilla, 74, 27100 Pavia, PV Italy ,grid.419425.f0000 0004 1760 3027IRCCS Policlinico San Matteo Foundation, General Surgery, Pavia, Italy
| | - Walter Biffl
- grid.415402.60000 0004 0449 3295Division of Trauma and Acute Care Surgery, Scripps Memorial Hospital La Jolla, La Jolla, CA USA
| | - Giovanni Butturini
- grid.513352.3Department of HPB Surgery, Pederzoli Hospital, Peschiera del Garda, Italy
| | - Stefano Campostrini
- grid.7240.10000 0004 1763 0578Department of Economics, Ca’ Foscari University of Venice, Venice, Italy
| | - Fausto Catena
- grid.414682.d0000 0004 1758 8744Bufalini Hospital, AUSL Romagna, Cesena, Italy
| | - Stefano Denicolai
- grid.8982.b0000 0004 1762 5736Department of Economics and Management, University of Pavia, Pavia, Italy
| | - Paola Fugazzola
- grid.419425.f0000 0004 1760 3027IRCCS Policlinico San Matteo Foundation, General Surgery, Pavia, Italy
| | - Jacopo Martellucci
- grid.24704.350000 0004 1759 9494Department of Surgery, Careggi University Hospital, Florence, Italy
| | - Maurizio Massaro
- grid.7240.10000 0004 1763 0578Department of Management, Ca’ Foscari University of Venice, Venice, Italy
| | - Pietro Previtali
- grid.8982.b0000 0004 1762 5736Department of Economics and Management, University of Pavia, Pavia, Italy
| | - Federico Ruta
- General Direction, ASL BAT (Health Agency), Andria, Italy
| | - Alessandro Venturi
- grid.8982.b0000 0004 1762 5736Department of Political and Social Sciences, University of Pavia, Pavia, Italy ,grid.419425.f0000 0004 1760 3027Bureau of the Presidency, IRCCS Policlinico San Matteo Foundation, Pavia, Italy
| | - Sarah Woltz
- grid.416219.90000 0004 0568 6419Department of Surgery, Spaarne Gasthuis, Hoofddorp, The Netherlands
| | - Haytham M. Kaafarani
- grid.38142.3c000000041936754XHarvard Medical School, Boston, MA USA ,grid.32224.350000 0004 0386 9924Division of Trauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital, Boston, MA USA
| | - Tyler J. Loftus
- grid.430508.a0000 0004 4911 114XDepartment of Surgery, University of Florida Health, Gainesville, FL USA
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Lo Moro G, Scaioli G, Martella M, Pagani A, Colli G, Bert F, Siliquini R. Exploring Cyberaggression and Mental Health Consequences among Adults: An Italian Nationwide Cross-Sectional Study. Int J Environ Res Public Health 2023; 20:3224. [PMID: 36833917 PMCID: PMC9958796 DOI: 10.3390/ijerph20043224] [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] [Figures] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 02/03/2023] [Accepted: 02/10/2023] [Indexed: 06/18/2023]
Abstract
Cyberaggression (CyA) embraces a broad spectrum of hostile behaviors through electronic means. This cross-sectional study aimed to evaluate features and outcomes of this phenomenon among Italian adults. A nationwide survey was distributed on social media platforms. Being victim and being perpetrator of CyA were the primary outcomes; positive scores for GAD-2 (generalized anxiety disorder) and PHQ-2 (depressive symptoms) scales were the secondary outcomes. In total, 446 surveys were collected. Considering the primary outcomes, 46.3% and 13.5% reported having been victims and perpetrators of CyA, respectively. Politics, ethnic minority, and sexual orientation were main subjects triggering CyA. A higher likelihood of being cyber-victims was observed for women and the LGBTQA+ group. Women were less likely to be CyA perpetrators. There was an association between being a CyA victim and a CyA perpetrator. A total of 22.4% and 34.0% respondents scored positive for PHQ-2 and GAD-2, respectively. The main mental health consequences after CyA exposure were anger and sadness, whereas sleep alterations and stomach ache were the most experienced psychosomatics symptoms. No significant relationships between PHQ-2/GAD-2 and CyA emerged. CyA also represents a crucial public health issue among Italian adults. Further investigations are needed to better define the phenomenon and to study the potential consequences on mental health.
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Affiliation(s)
- Giuseppina Lo Moro
- Department of Public Health Sciences and Pediatrics, University of Turin, 10126 Turin, Italy
| | - Giacomo Scaioli
- Department of Public Health Sciences and Pediatrics, University of Turin, 10126 Turin, Italy
| | - Manuela Martella
- Department of Public Health Sciences and Pediatrics, University of Turin, 10126 Turin, Italy
| | - Alessio Pagani
- Department of Public Health Sciences and Pediatrics, University of Turin, 10126 Turin, Italy
| | - Gianluca Colli
- Department of Public Health Sciences and Pediatrics, University of Turin, 10126 Turin, Italy
| | - Fabrizio Bert
- Department of Public Health Sciences and Pediatrics, University of Turin, 10126 Turin, Italy
| | - Roberta Siliquini
- Department of Public Health Sciences and Pediatrics, University of Turin, 10126 Turin, Italy
- AOU City of Health and Science of Turin, 10126 Turin, Italy
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Scaioli G, Squillacioti G, Bersia M, Bellisario V, Borraccino A, Bono R, Dalmasso P, Lemma P. The wellbeing of adolescents and the role of greenness: A cross-sectional study among Italian students. Front Public Health 2023; 10:1050533. [PMID: 36743191 PMCID: PMC9889974 DOI: 10.3389/fpubh.2022.1050533] [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: 09/21/2022] [Accepted: 12/16/2022] [Indexed: 01/19/2023] Open
Abstract
Introduction Adolescence is a critical period of life, and the level of wellbeing acquired during this stage might have an influence on health status in adulthood. The wellbeing of adolescents is associated with both biological and environmental determinants. To date, few studies have evaluated the effect of exposure to urban green spaces (i.e., greenness) on adolescents' wellbeing. Therefore, the aim of this study is to assess the association between exposure to greenness and the wellbeing of adolescents, accounting for the level of urbanization surrounding schools. Methods In the frame of the 2018 Italian Health Behaviour in School-aged Children (HBSC), we analyzed cross-sectional data from the Piedmont Region. Exposure to greenness was quantified by the Normalized Difference Vegetation Index (NDVI). Schools were geocoded, and a fixed buffer (radius 1,500 m) centered on each school was then built to enable average NDVI calculations. Adolescents' wellbeing was assessed by self-reported psychological, somatic, and psychosomatic health complaints as follows. Respondents were asked how often, in the last 6 months, they had experienced: (a) headache, (b) stomachache, (c) backache, (d) dizziness, (e) feeling low, (f) irritability or bad temper, (g) feeling nervous, and (h) difficulties getting to sleep using the HBSC Symptom Checklist (HBSC-SCL), an eight-item tool. Multivariable, multilevel logistic regression models tested the association between exposure to NDVI and psychosomatic, somatic, and psychological health complaints, one at a time, using schools as a random intercept. Results In total, 2065 subjects (47.6% girls) aged 11 (48.4%) and 13 (51.6%) years were involved. Greenness was found to be inversely associated with reported psychosomatic (OR 0.72, 95% CI: 0.53-0.98) and psychological health complaints (OR 0.67, 95% CI: 0.49-0.92) in boys only, adjusting for age, urbanization level, and socioeconomic status, and stratifying by gender. Discussion Our results support the implementation of future policies for urban environmental design supporting the increase of green spaces, as suggested by the United Nations Sustainable Development Goals. Further studies are needed to confirm our findings.
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Affiliation(s)
- Giacomo Scaioli
- Department of Public Health and Pediatrics, University of Torino, Torino, Italy
| | - Giulia Squillacioti
- Department of Public Health and Pediatrics, University of Torino, Torino, Italy
| | - Michela Bersia
- Department of Public Health and Pediatrics, University of Torino, Torino, Italy,Post Graduate School of Medical Statistics, University of Torino, Torino, Italy,*Correspondence: Michela Bersia ✉
| | - Valeria Bellisario
- Department of Public Health and Pediatrics, University of Torino, Torino, Italy,Post Graduate School of Medical Statistics, University of Torino, Torino, Italy
| | - Alberto Borraccino
- Department of Public Health and Pediatrics, University of Torino, Torino, Italy
| | - Roberto Bono
- Department of Public Health and Pediatrics, University of Torino, Torino, Italy
| | - Paola Dalmasso
- Department of Public Health and Pediatrics, University of Torino, Torino, Italy
| | - Patrizia Lemma
- Department of Public Health and Pediatrics, University of Torino, Torino, Italy
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Traversi D, Scaioli G, Rabbone I, Carletto G, Ferro A, Franchitti E, Carrera D, Savastio S, Cadario F, Siliquini R, Cerutti F, Durazzo M. Gut microbiota, behavior, and nutrition after type 1 diabetes diagnosis: A longitudinal study for supporting data in the metabolic control. Front Nutr 2022; 9:968068. [PMID: 36562032 PMCID: PMC9763620 DOI: 10.3389/fnut.2022.968068] [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: 07/18/2022] [Accepted: 11/15/2022] [Indexed: 12/12/2022] Open
Abstract
Introduction Type 1 diabetes (T1D) risk involves genetic susceptibility but also epigenetics, environment, and behaviors. Appropriate metabolic control, especially quickly after the diagnosis, is crucial for the patient quality of life. Methods This study aimed to produce a quantitative comparison of the behavior, nutrition habits, and gut microbiota composition between the onset and the 1-year follow-up in 35 children with T1D. Results and discussion At follow-up, with the metabolic control, many parameters improved significantly, with respect to the onset, such as glycated hemoglobin (-19%), body mass index (BMI), and also nutritional behaviors, such as normal calorie intake (+6%), carbohydrate intake (-12%), extra portion request (-4%), and meals distribution during the day. Moreover, glycated hemoglobin decrement correlated with both total and rapid absorption carbohydrate intake (Spearman's rho = 0.288, 95% CI 0.066-0.510, p = 0.013), showing as the nutritional behavior supported the insulin therapy efficiency. The next-generation sequencing (NGS) analysis of microbiota revealed abundance differences for Ruminococcus bromii and Prevotella copri (higher at onset, p < 0.001) and the genera Succinivibrio and Faecalibacterium (lower at onset, p < 0.001), as a consequence of nutritional behavior, but it was not the only changing driver. The qRT-PCR analysis showed significant variations, in particular for Bacteroidetes and Bifidobacterium spp. (+1.56 log gene copies/g stool at follow-up, p < 0.001). During the year, in 11% of the patients, severe clinical episodes occurred (hypoglycemic or ketoacidosis). The likelihood of a severe hypoglycemic episode was modulated when the Methanobrevibacter smithii amount increased (odds ratio 3.7, 95% CI 1.2-11.4, p = 0.026). Integrated evaluation, including nutritional behavior and microbiota composition, could be considered predictive of the metabolic control management for children cohort with a recent diagnosis of T1D.
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Affiliation(s)
- Deborah Traversi
- Department of Public Health and Pediatrics, University of Turin, Torino, Italy,*Correspondence: Deborah Traversi
| | - Giacomo Scaioli
- Department of Public Health and Pediatrics, University of Turin, Torino, Italy
| | - Ivana Rabbone
- S.S.V.D. Endocrinology and Diabetology, O.I.R.M., Azienda Ospedaliera Città della Salute e della Scienza, Turin, Italy,Department of Health Science, Azienda Ospedaliero Universitaria Maggiore della Carità, University of Eastern Piedmont Amadeo Avogadro, Novara, Italy
| | - Giulia Carletto
- Department of Public Health and Pediatrics, University of Turin, Torino, Italy
| | - Arianna Ferro
- S.C.U. Medicina Interna 3, Azienda Ospedaliera Città della Salute e della Scienza di Torino, Turin, Italy
| | - Elena Franchitti
- Department of Public Health and Pediatrics, University of Turin, Torino, Italy
| | - Deborah Carrera
- Paediatric Endocrinology, Azienda Ospedaliero Universitaria Maggiore della Carità, Novara, Italy
| | - Silvia Savastio
- Paediatric Endocrinology, Azienda Ospedaliero Universitaria Maggiore della Carità, Novara, Italy
| | - Francesco Cadario
- Paediatric Endocrinology, Azienda Ospedaliero Universitaria Maggiore della Carità, Novara, Italy
| | - Roberta Siliquini
- Department of Public Health and Pediatrics, University of Turin, Torino, Italy
| | - Franco Cerutti
- Department of Public Health and Pediatrics, University of Turin, Torino, Italy,S.S.V.D. Endocrinology and Diabetology, O.I.R.M., Azienda Ospedaliera Città della Salute e della Scienza, Turin, Italy
| | - Marilena Durazzo
- S.C.U. Medicina Interna 3, Azienda Ospedaliera Città della Salute e della Scienza di Torino, Turin, Italy
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15
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Bert F, Previti C, Calabrese F, Scaioli G, Siliquini R. Antibiotics Self Medication among Children: A Systematic Review. Antibiotics (Basel) 2022; 11:1583. [PMID: 36358240 PMCID: PMC9687075 DOI: 10.3390/antibiotics11111583] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [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: 09/28/2022] [Revised: 11/03/2022] [Accepted: 11/07/2022] [Indexed: 09/29/2023] Open
Abstract
The phenomenon of bacterial antimicrobial resistance (AMR) is a rapidly growing global problem. Overuse and misuse of antibiotics as well as self-prescription are among the most important causes contributing to the growth of antibiotic resistance in humans. This systematic review describes the phenomenon of antibiotics self-medication (ASM) in children. The study was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist by searching PubMed, Scopus, and Web of Science until July 2022. Published English language studies containing information regarding parents knowledge, attitudes, and behaviors in self-administration of antibiotics in children were included. A total of 702 articles were identified, and 57 were selected. A higher prevalence of ASM among children was found in the Middle-East (34%), Africa (22%), Asia (20%) and South America (17%), while the lowest prevalence was found in Europe (8%). High distance from hospital, and low income, such as having more than one child, are related with an increased risk of ASM in children. Fever and cough can also promote the misuse of antibiotics by parents. A greater attention to the regulation of the sale of antimicrobial drugs can certainly limit the risk of self-medicating behavior.
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Affiliation(s)
- Fabrizio Bert
- Department of Public Health and Pediatric Sciences, University of Turin, 10126 Turin, Italy
- Hygiene and Infection Control Unit, ASL TO3, 10098 Turin, Italy
| | - Christian Previti
- Department of Public Health and Pediatric Sciences, University of Turin, 10126 Turin, Italy
| | - Francesco Calabrese
- Department of Public Health and Pediatric Sciences, University of Turin, 10126 Turin, Italy
| | - Giacomo Scaioli
- Department of Public Health and Pediatric Sciences, University of Turin, 10126 Turin, Italy
| | - Roberta Siliquini
- Department of Public Health and Pediatric Sciences, University of Turin, 10126 Turin, Italy
- AOU City of Health and Science of Turin, 10126 Turin, Italy
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16
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Cappelletti T, Lo Moro G, Elhadidy HSMA, Bert F, Scaioli G, Siliquini R. Sexual education in the school setting: an overview of the Italian situation. Eur J Public Health 2022. [DOI: 10.1093/eurpub/ckac131.441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
There is an important interaction between sexuality and many life factors. A good sexual education at school can improve knowledge and behaviour in young people giving them a healthy sexual life. Unlike most European countries, sexual education in Italy is not compulsory in the school curriculum, so this study explored the Italian regional initiatives realised over a span of 15 years.
Methods
A review of grey literature was conducted on Public Health Administrations/Regions websites of each Italian region, focusing on official documents containing training catalogues for schools. The search was conducted in December 2021, including documents produced between 2006 and 2021. We used the topics recommended by UNESCO as quality markers for the projects found.
Results
Among the 20 Italian regions, 12 had at least one programme. A total of 39 projects were found. All UNESCO topics were covered, with notable differences between north, centre and south of Italy, which had the lowest number of projects. Most of the projects (23) were carried out only once, the others were repeated at least for two years in a row. Contraception, along with love, marriage, partnerships, and family, were the main topics discussed during sexual education programs in schools (92%), followed by biological aspects, body awareness, and anatomy (83%); birth, disability, human rights, and online media were less common (33%). Regarding the target, disability, human rights, and mutual consent were deepened only for middle and high school students.
Conclusions
Considering the fundamental importance of sexual education, there is an important lack in promotion and planning in Italy. There is a large discrepancy between the northern and southern regions and it is necessary to implement and standardize the offer of sexual education programs in schools.
Key messages
• Unlike the European average, In Italy there is an important lack on sexual education, whit large discrepancies between the northern and southern regions, putting the latter at disadvantage.
• Contraception, marriage, couples, and family were the main topics discussed during sexual education programs in schools; birth, disability, human rights, and online media the least.
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Affiliation(s)
- T Cappelletti
- Department of Public Health Sciences, University of Turin , Turin, Italy
| | - G Lo Moro
- Department of Public Health Sciences, University of Turin , Turin, Italy
| | - HSMA Elhadidy
- Department of Public Health Sciences, University of Turin , Turin, Italy
| | - F Bert
- Department of Public Health Sciences, University of Turin , Turin, Italy
| | - G Scaioli
- Department of Public Health Sciences, University of Turin , Turin, Italy
| | - R Siliquini
- Department of Public Health Sciences, University of Turin , Turin, Italy
- A.O.U. City of Health and Science of Turin, University of Turin , Turin, Italy
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17
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Scaioli G, Giacomini G, Galvagno P, Bert F, Lo Moro G, Siliquini R. The Werther effect: adherence of Italian newspapers to the “reporting on suicide” recommendations. Eur J Public Health 2022. [DOI: 10.1093/eurpub/ckac131.483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Reporting a case of suicide on a newspaper could lead to an emulation effect (Werther effect). It is important to report suicide cases by following specific recommendations implemented by World Health Organization (WHO). This study aimed to analyze articles published on Italian newspapers to quantify the adherence to the WHO recommendations in suicide report.
Methods
All the articles published in the three most important Italian newspapers from June 2019 to May 2020 that described one or more cases of suicide were included. Two researchers analyzed all the articles through an ad-hoc checklist, constructed on the basis of the WHO recommendations, that included 18 “negative” items (e.g. “presence of suicide-related words in the title”) and nine “positive” items (e.g. “the article reports the contacts of a suicide-prevention hotline”). For each negative item a “-1” point, and for each positive item a + 1 point, was assigned. Multivariable linear regressions were performed to identify factors related with a lower adherence to the WHO recommendations and with higher social engagement of the articles.
Results
A total of 110 articles were analyzed. In the 73% of the cases, the individual was male. The 14.5% of the suicide cases were homicide-suicide, while 9% were femicide-suicide. The median score of the checklist was -6 (IQR 3). Only 5% of the articles had at least one positive item. The word “suicide” (or related words) were present in 90% of the titles. Multivariable analyses showed that female suicides were associated with a higher score of the checklist (coeff 0.816, p = 0.039). No correlation was retrieved between the score of the checklist and the social media engagement of the articles included.
Conclusions
Italian newspapers do not follow WHO recommendations on how to report suicide cases, leading to a potential emulation effect. Public health professionals should raise decision makers’ and journalists’ awareness about the importance of these recommendations.
Key messages
• Since Italian newspapers are not compliant with the recommendations of the World Health Organization on how to report a suicide case, there is the risk of a potential emulation effect.
• Specific training for journalists and other professionals in the field of communication should be implemented, to raise the awareness on the importance of the “reporting on suicide” recommendation.
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Affiliation(s)
- G Scaioli
- Department of Public Health, University of Turin , Turin, Italy
| | - G Giacomini
- Department of Public Health, University of Turin , Turin, Italy
| | - P Galvagno
- Department of Public Health, University of Turin , Turin, Italy
| | - F Bert
- Department of Public Health, University of Turin , Turin, Italy
| | - G Lo Moro
- Department of Public Health, University of Turin , Turin, Italy
| | - R Siliquini
- Department of Public Health, University of Turin , Turin, Italy
- A.O.U. City of Health and Science of Turin , Turin, Italy
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18
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Prinzivalli A, Scaioli G, Guastavigna L, Scacchi A, Lo Moro G, Bert F, Siliquini R. Knowledge, attitude and practice about the Personal Health Record among general population in Italy. Eur J Public Health 2022. [DOI: 10.1093/eurpub/ckac131.185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
The Personal Health Record (PHR) is an online tool containing a person’s health-related data, which can be shared with health professionals. This tool is widely used throughout Europe but is not very popular in Italy, despite its implementation being mandatory. This study aims to investigate knowledge, attitudes and practices (KAP) associated with the PHR among the general population in Italy, to identify the main obstacles in the usage of PHR and to establish strategies that lead to their resolution.
Methods
A cross-sectional survey was designed and shared both online and on paper (in the waiting rooms of the outpatient clinics) to an opportunistic sample of people aged ≥18 years. Factors associated with a higher knowledge and willingness to activate the PHR were investigated through multivariable logistic regression analyses.
Results
Preliminary results of the on paper survey (243 answers) showed that the median age of the participants was 45, 46% were women, 9% worked in healthcare and 68% had chronic diseases. Only 31% heard about the PHR, of which 22% showed a good knowledge of it. The 66% declared the willingness to activate the PHR and 92% agreed that the PHR is a useful tool for physicians to share information. Multivariable logistic regression models showed that those who were employed and those who were visited by a doctor in the last three months had a higher likelihood of having heard about PHR (OR 2.56, 95% CI 1.12 - 5.82 and OR 2.67, 95% CI 1.20 - 5.90 respectively). The likelihood of being willing to activate the PHR is lower for those who live alone, and is higher for those who are employed (OR 0.35, 95% CI 0.14 - 0.88 and OR 2.35, 95% CI 1.06 - 5.24).
Conclusions
The results confirm the low level of knowledge and diffusion of the PHR in Italy, although a relatively high interest in this tool was highlighted, along with a favorable perception of its usefulness. Promotional interventions are needed to increase knowledge and awareness of this tool.
Key messages
• Awareness about Personal Health Record among the Italian population is low. Despite this, a high level of willingness to activate this tool and a high perception of its usefulness were registered.
• Identifying factors that lead to lower awareness on Personal Health Record may help Public Health professionals to implement targeted promotional interventions aimed to increase the usage of this tool.
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Affiliation(s)
- A Prinzivalli
- Department of Public Health Sciences, University of Turin , Turin, Italy
| | - G Scaioli
- Department of Public Health Sciences, University of Turin , Turin, Italy
| | - L Guastavigna
- Department of Public Health Sciences, University of Turin , Turin, Italy
| | - A Scacchi
- Department of Public Health Sciences, University of Turin , Turin, Italy
| | - G Lo Moro
- Department of Public Health Sciences, University of Turin , Turin, Italy
| | - F Bert
- Department of Public Health Sciences, University of Turin , Turin, Italy
| | - R Siliquini
- Department of Public Health Sciences, University of Turin , Turin, Italy
- A.O.U. City of Health and Science of Turin , Turin, Italy
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19
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Durbano A, Bert F, Pivi A, Lo Moro G, Scaioli G, Siliquini R. Use of TikTok by nutrition healthcare professionals: analysis of the Italian context. Eur J Public Health 2022. [DOI: 10.1093/eurpub/ckac131.333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Over the past 20 years, Social Media (SM) have become fundamental tools for quickly and effectively spreading health information in Europe. One of the most popular topics in the health sector is food and nutrition. TikTok is one of the most recent-born and most popular SM. Our study aims to analyze how healthcare professionals in the nutrition sector communicate through TikTok, and to assess characteristics of their accounts and videos.
Methods
We included in the present study 53 Italian healthcare professionals who post videos on TikTok through a search on this SM using nutrition-related keywords. For each tiktoker, we described the characteristics of their last 10 videos, through an ad hoc checklist. We performed multilevel multivariable linear regression models in order to identify factors (healthcare professional or video related) that could be associated with a higher popularity of the video.
Results
The 67.7% of the tiktokers considered were female; 46% had more than 30 years, 62.3% were biologists. The median number of likes was 300 (IQR 75 - 1070). The linguistic register was “formal” in the 11.3% of the videos. In the 31.9% of them, the location was the office of the healthcare professional. In the 67.3%, the topic was “diet-related”. Multilevel multivariable linear regression models showed that “diet-related” topics were associated with more likes (coeff 1111.63, p = 0.048), and comments (coeff 13.42, p = 0.018).
Conclusions
Many Italian nutrition professionals are present on TikTok, and perform videos in their offices discussing mainly diet-related topics. There are no specific factors associated with the popularity of their videos, other than the presence of “diet-related” topics. Since the TikTok audience is very young, and wrong messages on this topic could lead to serious health-related consequences, there is the need to pay a specific attention on the contents of the videos, to avoid the spread of potentially dangerous information.
Key messages
• Italian healthcare nutrition professionals are present on TikTok and perform videos with diet-related contents in their workplaces.
• Since wrong information on diet and nutrition could lead to serious health consequences for the audience, it is important to monitor the content of the videos to avoid the spread of dangerous messages.
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Affiliation(s)
- A Durbano
- Department of Public Health Sciences, University of Turin , Turin, Italy
| | - F Bert
- Department of Public Health Sciences, University of Turin , Turin, Italy
| | - A Pivi
- Department of Public Health Sciences, University of Turin , Turin, Italy
| | - G Lo Moro
- Department of Public Health Sciences, University of Turin , Turin, Italy
| | - G Scaioli
- Department of Public Health Sciences, University of Turin , Turin, Italy
| | - R Siliquini
- Department of Public Health Sciences, University of Turin , Turin, Italy
- A.O.U. City of Health and Science of Turin , Turin, Italy
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20
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Lo Moro G, Scaioli G, Frattin R, Guastavigna L, Vola L, Bert F, Siliquini R. Knowledge, attitudes, practices on hepatitis C and HCV screening: an Italian cross-sectional study. Eur J Public Health 2022. [DOI: 10.1093/eurpub/ckac131.130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Hepatitis C has the highest burden in the Eastern Mediterranean Region and European Region. This study aimed to explore knowledge, attitudes and practices towards hepatitis C and HCV screening, which has been large-scale implemented in Italy recently.
Methods
An online nationwide cross-sectional survey was conducted (Italy, December 2021). Five outcomes were used: HCV knowledge (from 0 to 100%: 100% represents the lowest knowledge); not being aware of the screening; wrong attitudes in case of contact with positive people (from 0 to 5: 5 represents more wrong attitudes); having performed an HCV test; sharing of blood-contaminated objects. Multivariable regressions were run.
Results
Participants were 813 (74.7% females; mean age 37 years, SD 12.4). The median score of HCV knowledge was 20% (IQR 16-24). There was a positive correlation between poor knowledge and wrong attitudes (p = 0.001). People who underwent an HCV test were less likely to have poor knowledge (p = 0.040). The 23.2% was not aware of screening existence. People who had a postgraduate degree were less likely of not being aware (p = 0.004). Investigating attitude score, the median was 0 (IQR 0-1). Increasing age was associated with wrong attitudes (p = 0.020). The 43.4% underwent an HCV test. This likelihood was greater for: residence in a municipality with more than 50000 inhabitants (p = 0.032); having at least one child (p = 0.009); considering oneself at risk (p = 0.004); being informed about HCV (p < 0.001). The 31.8% shared objects. Increasing age was associated with reduced odds of sharing (p = 0.033). The 72.4% would like to receive more information on HCV, preferring brochures and short videos.
Conclusions
This study showed good knowledge and attitudes, with a substantial frequency of individuals who never underwent an HCV test or shared contaminated objects. It also suggested brochures and short videos may be the most acceptable ways to implement awareness campaigns in comparable European contexts.
Key messages
• Italian general population had good knowledge and attitudes towards hepatitis C and its screening, while it showed poor practices.
• Most of participants were willing to receive more information on HCV, especially through brochures and short videos.
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Affiliation(s)
- G Lo Moro
- Department of Public Health Sciences, University of Turin , Turin, Italy
| | - G Scaioli
- Department of Public Health Sciences, University of Turin , Turin, Italy
| | - R Frattin
- Department of Public Health Sciences, University of Turin , Turin, Italy
| | - L Guastavigna
- Department of Public Health Sciences, University of Turin , Turin, Italy
| | - L Vola
- Department of Public Health Sciences, University of Turin , Turin, Italy
| | - F Bert
- Department of Public Health Sciences, University of Turin , Turin, Italy
| | - R Siliquini
- Department of Public Health Sciences, University of Turin , Turin, Italy
- A.O.U. City of Health and Science of Turin , Turin, Italy
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21
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Pinto S, Lo Moro G, Bert F, Rolfini E, Scaioli G, Siliquini R. Parental perception about the pandemic impact on mental health of children: a cross-sectional study. Eur J Public Health 2022. [PMCID: PMC9593846 DOI: 10.1093/eurpub/ckac130.236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Background The pandemic may increase mental issues among children. This study aimed to explore parental perceptions on the pandemic impact on the health status of their children, with a focus on mental health. Methods An online nationwide cross-sectional study has been conducted amongst Italian parents (from April 2022-ongoing). The survey included: Strength and Difficulties Questionnaire (SDQ), Kessler-6 (K6) for parent's psychological distress, and pandemic-related items. The outcomes were: child's SDQ above the clinical cut-off and perceived child's worsening of sleep, appetite, physical and mental health during the pandemic. Multivariable regressions were run (p < 0.05 as significant). Results Up to date, participants were 333 (88% female). Mean age was 40.7 years (SD = 6.7). Considering their children, 52.9% were female and mean age was 6.62 (SD = 4.3). A total of 12.6% of children passed the SDQ cut-off. Having parents who are healthcare workers (adjOR=4.1), having parents positive for K6 (adjOR=4.0) and having a poor economic situation (adjOR=3.9) were significantly associated with a higher probability of passing the cut-off. Considering the pandemic, 15.4% declared their child had worse sleep, 12.2% lower appetite, 6.6% more physical issues, and 22.9% more mental issues. Using electronic devices more than before the pandemic was significantly associated with worsening of sleep (adjOR=2.9) and appetite (adjOR=6.9). Having parents who are healthcare workers was significantly associated with worsening of sleep (adjOR=2.3) and mental health (adjOR=2.4). Having parents positive for K6 was significantly associated with worsening of mental health (adjOR=5.3). Conclusions This study suggested a perceived substantial worsening of children's health, especially considering mental health. Exploring how parents recognize their children's health and how the COVID-19 has changed daily habits should be considered as a public health priority in Europe. Key messages
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Affiliation(s)
- S Pinto
- Department of Public Health Sciences, Università degli Studi di Torino , Turin, Italy
| | - G Lo Moro
- Department of Public Health Sciences, Università degli Studi di Torino , Turin, Italy
| | - F Bert
- Department of Public Health Sciences, Università degli Studi di Torino , Turin, Italy
| | - E Rolfini
- Department of Public Health Sciences, Università degli Studi di Torino , Turin, Italy
| | - G Scaioli
- Department of Public Health Sciences, Università degli Studi di Torino , Turin, Italy
| | - R Siliquini
- Department of Public Health Sciences, Università degli Studi di Torino , Turin, Italy
- A.O.U. City of Health and Science of Turin, Università degli Studi di Torino , Turin, Italy
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22
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Squillacioti G, Scaioli G, Cassardo C, Arduino G, Siniscalco C, Siliquini R, Bono R. Covid-19 pandemic in north-west Italy: the potential role of meteorology, air pollution and pollens. Eur J Public Health 2022. [PMCID: PMC9620038 DOI: 10.1093/eurpub/ckac129.562] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
Abstract
Background Italy was the first western country severely affected by the Covid-19 pandemic attesting more than 16 million cases since the outbreak began. Po Valley regions have been most afflicted, with Piedmont ranking sixth at 25,899 cases/100,000 inhabitants. Within this area, air dispersion is hampered making Po Valley a recognised air pollution hotspot. We aimed to explore the potential association between the environment and Covid-19 incidence. Methods Daily key air pollutants (NO2, NO, CO, O3, PM10, and PM2.5), meteorological parameters (temperature, %humidity, wind speed and solar radiation), pollens and Covid-19 cases were collected from 01/01 to 31/12/2021 in Turin, Italy. This ecological study preliminarily tested correlations (Spearman) between air pollutants and Covid-19 cases. Results The Covid-19 pandemic followed a seasonal trend with the highest number of cases (/100,000 inhabitants) in winter and spring (3.1) followed by autumn (1.3) and summer (0.5) (KW test p < 0.0001). Likewise, all air pollutants showed peaks in winter and autumn and sensibly decreased during spring and summer apart from pollens and O3. O3 follows the photochemical processes reaching its peak in the sunniest periods, while pollens undergo their natural vegetative process. Daily Covid-19 cases were positively correlated with daily-averaged NO2 (0.50, p < 0.0001), NO (0.48, p < 0.0001), CO (0.81, p < 0.0001), PM10 (0.36, p < 0.0001), PM2.5 (0.39, p < 0.0001), pollens (0.15, p = 0.073) and inversely with O3 (-0.44, p < 0.0001). We plan future analyses to test the hypothesized association by enhanced models with lagged air pollution variables, with demographic characteristics and meteorological data as potential confounders. Conclusions Results from ecological studies may support researchers’ preliminary understanding of the interplay between environment and Public Health issues, including pandemics. A multidisciplinary approach is mandatory to deepen the complexity of this topic across European regions Key messages • The Covid-19 pandemic may be associated with environmental conditions and air pollution but further research is needed. • Atmospheric particulate matter, including aeroallergens, can favour many airborne-related diseases by acting as immune suppressor and/or carrier, but these hypotheses deserve future research.
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Affiliation(s)
- G Squillacioti
- Public Health and Pediatrics, University of Turin , Turin, Italy
| | - G Scaioli
- Public Health and Pediatrics, University of Turin , Turin, Italy
| | - C Cassardo
- Physics, University of Turin , Turin, Italy
| | - G Arduino
- DIR Environment, Energy & Territory, Piedmont Region , Turin, Italy
| | - C Siniscalco
- Life Sciences and Systems Biology, University of Turin , Turin, Italy
| | - R Siliquini
- Public Health and Pediatrics, University of Turin , Turin, Italy
- A.O.U., City of Health and Science of Turin , Turin, Italy
| | - R Bono
- Public Health and Pediatrics, University of Turin , Turin, Italy
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Biancuzzi H, Dal Mas F, Brescia V, Campostrini S, Cascella M, Cuomo A, Cobianchi L, Dorken-Gallastegi A, Gebran A, Kaafarani HM, Marinangeli F, Massaro M, Renne A, Scaioli G, Bednarova R, Vittori A, Miceli L. Opioid Misuse: A Review of the Main Issues, Challenges, and Strategies. Int J Environ Res Public Health 2022; 19:ijerph191811754. [PMID: 36142028 PMCID: PMC9517221 DOI: 10.3390/ijerph191811754] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [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: 08/31/2022] [Revised: 09/14/2022] [Accepted: 09/15/2022] [Indexed: 05/23/2023]
Abstract
In the United States, from 1999 to 2019, opioid overdose, either regularly prescribed or illegally acquired, was the cause of death for nearly 500,000 people. In addition to this pronounced mortality burden that has increased gradually over time, opioid overdose has significant morbidity with severe risks and side effects. As a result, opioid misuse is a cause for concern and is considered an epidemic. This article examines the trends and consequences of the opioid epidemic presented in recent international literature, reflecting on the causes of this phenomenon and the possible strategies to address it. The detailed analysis of 33 international articles highlights numerous impacts in the social, public health, economic, and political spheres. The prescription opioid epidemic is an almost exclusively North American problem. This phenomenon should be carefully evaluated from a healthcare systems perspective, for consequential risks and harms of aggressive opioid prescription practices for pain management. Appropriate policies are required to manage opioid use and prevent abuse efficiently. Examples of proper policies vary, such as the use of validated questionnaires for the early identification of patients at risk of addiction, the effective use of regional and national prescription monitoring programs, and the proper dissemination and translation of knowledge to highlight the risks of prescription opioid abuse.
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Affiliation(s)
- Helena Biancuzzi
- Department of Clinical and Experimental Pain Medicine, Istituto di Ricovero e Cura a Carattere Scientifico—IRCCS Centro di Riferimento Oncologico—CRO of Aviano, 33081 Aviano, Italy
| | - Francesca Dal Mas
- Department of Management, Ca’ Foscari University of Venice, 30100 Venice, Italy
| | - Valerio Brescia
- Department of Management, University of Turin, 10134 Turin, Italy
- Department of Finance, Wrocław University of Economics and Business, 53-345 Wrocław, Poland
| | - Stefano Campostrini
- Department of Economics, Ca’ Foscari University of Venice, 30100 Venice, Italy
| | - Marco Cascella
- Division of Anesthesia and Pain Medicine, Istituto Nazionale Tumori, Istituto di Ricovero e Cura a Carattere Scientifico—IRCCS, Fondazione Pascale, 80131 Naples, Italy
| | - Arturo Cuomo
- Division of Anesthesia and Pain Medicine, Istituto Nazionale Tumori, Istituto di Ricovero e Cura a Carattere Scientifico—IRCCS, Fondazione Pascale, 80131 Naples, Italy
| | - Lorenzo Cobianchi
- Department of Clinical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy
- General Surgery Department, Istituto di Ricovero e Cura a Carattere Scientifico—IRCCS Policlinico San Matteo Foundation, 27100 Pavia, Italy
| | - Ander Dorken-Gallastegi
- Division of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital, Boston, MA 02114, USA
| | - Anthony Gebran
- Division of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital, Boston, MA 02114, USA
| | - Haytham M. Kaafarani
- Division of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital, Boston, MA 02114, USA
- Harvard Medical School, Boston, MA 02115, USA
| | - Franco Marinangeli
- Department of Life, Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, Italy
| | - Maurizio Massaro
- Department of Management, Ca’ Foscari University of Venice, 30100 Venice, Italy
| | - Angela Renne
- Division of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital, Boston, MA 02114, USA
| | - Giacomo Scaioli
- Department of Public Health Sciences and Pediatrics, University of Turin, 10126 Turin, Italy
| | - Rym Bednarova
- Department of Pain Medicine, Hospital of Latisana, 33053 Latisana, Italy
| | - Alessandro Vittori
- Department of Anesthesia and Critical Care, ARCO, Ospedale Pediatrico Bambino Gesù, Istituto di Ricovero e Cura a Carattere Scientifico—IRCCS, 00165 Rome, Italy
| | - Luca Miceli
- Department of Clinical and Experimental Pain Medicine, Istituto di Ricovero e Cura a Carattere Scientifico—IRCCS Centro di Riferimento Oncologico—CRO of Aviano, 33081 Aviano, Italy
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Lo Moro G, Scaioli G, Bert F, Zacchero AL, Minutiello E, Siliquini R. Exploring the Relationship between COVID-19 Vaccine Refusal and Belief in Fake News and Conspiracy Theories: A Nationwide Cross-Sectional Study in Italy. IJERPH 2022; 19:ijerph19159350. [PMID: 35954711 PMCID: PMC9368531 DOI: 10.3390/ijerph19159350] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/02/2022] [Revised: 07/26/2022] [Accepted: 07/28/2022] [Indexed: 12/23/2022]
Abstract
The COVID-19 pandemic has been accompanied by an infodemic, which includes fake news (FNs) and conspiracy theories (CTs), and which may worsen vaccine refusal (VR), thus hindering the control of the transmission. This study primarily aimed to assess COVID-19 VR in Italy and its relationship with belief in FNs/CTs. Secondarily, it explored the conviction in FNs and CTs and associated variables. An online cross-sectional study was conducted in Italy (2021). The primary outcome was VR and secondary outcomes were FN misclassification score (0% to 100%: higher score means higher misclassification) and CT belief score (1 to 5: higher score means higher agreement). There were 1517 participants; 12.3% showed VR. The median FN and CT scores were: 46.7% (IQR = 40–56.7%) and 2.8 (IQR = 2.2–3.4). Age, education, FN, and CT scores had significant associations with VR. Education, economic situation, health and e-health literacy showed significant relationships with secondary outcomes. Study/work background had a significant association only with the FN score. FN and CT scores were associated. This work estimated a VR lower than before the first COVID-19 vaccine approval. The relationship between VR and FN/CT belief represents a new scenario, suggesting the need for planning effective strategies to tackle FNs and CTs to implement successful vaccination campaigns.
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Affiliation(s)
- Giuseppina Lo Moro
- Department of Public Health Sciences and Pediatrics, University of Turin, 10126 Turin, Italy; (G.L.M.); (G.S.); (A.L.Z.); (E.M.); (R.S.)
| | - Giacomo Scaioli
- Department of Public Health Sciences and Pediatrics, University of Turin, 10126 Turin, Italy; (G.L.M.); (G.S.); (A.L.Z.); (E.M.); (R.S.)
| | - Fabrizio Bert
- Department of Public Health Sciences and Pediatrics, University of Turin, 10126 Turin, Italy; (G.L.M.); (G.S.); (A.L.Z.); (E.M.); (R.S.)
- Correspondence: ; Tel.: +39-0116705816
| | - Andrea Lorenzo Zacchero
- Department of Public Health Sciences and Pediatrics, University of Turin, 10126 Turin, Italy; (G.L.M.); (G.S.); (A.L.Z.); (E.M.); (R.S.)
| | - Ettore Minutiello
- Department of Public Health Sciences and Pediatrics, University of Turin, 10126 Turin, Italy; (G.L.M.); (G.S.); (A.L.Z.); (E.M.); (R.S.)
| | - Roberta Siliquini
- Department of Public Health Sciences and Pediatrics, University of Turin, 10126 Turin, Italy; (G.L.M.); (G.S.); (A.L.Z.); (E.M.); (R.S.)
- AOU City of Health and Science of Turin, 10126 Turin, Italy
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Bert F, Boietti E, Rousset S, Pompili E, Franzini Tibaldeo E, Gea M, Scaioli G, Siliquini R. Gender sensitivity and stereotypes in medical university students: An Italian cross-sectional study. PLoS One 2022; 17:e0262324. [PMID: 34990471 PMCID: PMC8735594 DOI: 10.1371/journal.pone.0262324] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Accepted: 12/22/2021] [Indexed: 11/19/2022] Open
Abstract
Gender medicine is crucial to reduce health inequalities. Knowledge about students’ attitudes and beliefs regarding men, women and gender is important to improve gender medicine courses. The aim of this study is to evaluate gender stereotypes and its predictors in Italian medical students. We performed an online cross-sectional study among students from the University of Turin. We used the validated Nijmegen Gender Awareness Scale in Medicine scale to explore gender sensitivity and stereotypes. Multivariable logistic regression model was performed to explore potential predictors of gender awareness. We enrolled 430 students. Female sex, a better knowledge on gender medicine and having had a tutor aware of gender issues are associated with higher gender sensitivity. Older age, a better knowledge on gender medicine and having had a tutor sensitive to gender issues were predictors of more stereotyped opinions towards patients. Having had a tutor aware of gender medicine, male sex and older age were associated with more stereotypes towards doctors. Italian students have high gender sensitivity and low gender stereotypes. Age, higher knowledge of gender medicine and having had a tutor that considered gender were associated with higher gender stereotypes. Focusing on gender awareness in medical schools can contribute to a better care.
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Affiliation(s)
- Fabrizio Bert
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - Edoardo Boietti
- Department of Public Health Sciences, University of Turin, Turin, Italy
- * E-mail:
| | - Stefano Rousset
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - Erika Pompili
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | | | - Marta Gea
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - Giacomo Scaioli
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - Roberta Siliquini
- Department of Public Health Sciences, University of Turin, Turin, Italy
- AOU City of Health and Science, University of Turin, Turin, Italy
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Catozzi D, Belliggiano D, Poli A, Bonino R, Pompili E, Scaioli G, Minniti D, Siliquini R. Vaccine adhesion before and after Vaxzevria suspension in a Local Health Unit of Piedmont - Italy. Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab164.067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
The Oxford-AstraZeneca vaccine Vaxzevria is a viral-vector vaccine developed to prevent COVID-19 infection. Two doses scored 81.3% efficacy against symptomatic infection and 100% against hospitalization. In Italy, Vaxzevria use started in February. After two deaths among the Army, Italian Medicines Agency withdrawn the vaccine batch involved. News about fatal thrombosis increased, together with population concern. On March 14th, the Piedmont Region suspended another batch following a new time-related death. The following day, several European states suspended Vaxzevria administration waiting for indication from an EMA meeting on March 18th. The aim of Authors was to study the effect of suspension on adhesion among general population.
Methods
Authors registered vaccine adhesion of vaccination centers offering Vaxzevria. To access vaccination, people was requested to express willingness through a website. Then, access was granted with a summoning SMS or e-mail. Vaxzevria target populations were members of law enforcement agencies and school personnel of any age. Data from February 25th to April 12th form a Local Healthcare Unit in Piedmont Region (Italy).
Results
Vaccine adhesion ranged from 95 to 100% from February 25th to March 12th (mean 97%). During March 13th it decreased to 73%, then 48% on March 14th, the day of local withdraw of all Vaxzevria doses in Piedmont Region. Activity restarted on March 19th with a 65% of adhesion, and a mean of 75% (69-81%) in the following days. From March 24th-31th adhesion recovered, with a mean 89%. April 1st-12th recorded a plateau: 81-100%, mean 91%. From March 13th a total of 1478 people out of 8339 (17.7%) did not receive their scheduled vaccination.
Conclusions
Both news and official statements had an impact on trust and vaccine adhesion among population and dramatically slowed the COVID-19 vaccine campaign, with a possible effect on infection spreading. Further data and analysis will be provided in the following months.
Key messages
Vaxzevria temporary suspension had an impact on vaccine adhesion. Vaccine adhesion took one month to go back to previous values.
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Affiliation(s)
- D Catozzi
- Department of Public Health, University of Turin, Turin, Italy
- ASL TO3, Local Healthcare System, Turin, Italy
| | | | - A Poli
- ASL TO3, Local Healthcare System, Turin, Italy
| | - R Bonino
- ASL TO3, Local Healthcare System, Turin, Italy
| | - E Pompili
- Department of Public Health, University of Turin, Turin, Italy
- ASL TO3, Local Healthcare System, Turin, Italy
| | - G Scaioli
- Department of Public Health, University of Turin, Turin, Italy
- ASL TO3, Local Healthcare System, Turin, Italy
| | - D Minniti
- ASL TO3, Local Healthcare System, Turin, Italy
| | - R Siliquini
- Department of Public Health, University of Turin, Turin, Italy
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27
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Lo Moro G, Bert F, Minutiello E, Zacchero AL, Sinigaglia T, Colli G, Tatti R, Scaioli G, Siliquini R. COVID-19 fake news, conspiracy beliefs and the role of eHealth literacy: an Italian nationwide survey. Eur J Public Health 2021. [PMCID: PMC8574679 DOI: 10.1093/eurpub/ckab164.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
The pandemic has been accompanied by an infodemic, which includes false information that can lead to harmful consequences. Additionally, conspiracy theories have been linked to lower preventive behaviors. This work mainly aims to explore the skill in identifying COVID-19 fake news and the conspiracies beliefs.
Methods
A cross-sectional study has been conducted amongst a convenience sample throughout Italy, using a Computer-Assisted Web Interview method (from 12 April 2021-ongoing). The survey included the Single-Item Literacy Screener (SILS), the eHealth Literacy Scale (eHEALS), a Fake News Score (FNS: percentage of misclassified news), a Conspiracy Score (CS: score from 1 to 5). Multivariable linear regressions were run (p < 0.05 as significant).
Results
Up to date, participants were 1252. The median FNS and CS were: 25% (IQR=19-44) and 2.8 (IQR=2.2-3.4). For instance, 54% thought ibuprofen worsens COVID-19 symptoms and 50% agreed with “politicians usually do not tell us the motives for their decisions”. The 17% had low health literacy (SILS) and 41% low eHealth literacy (eHEALS). COVID-19 vaccine hesitant people were 13%. The multivariable models identified many significant relationships. Low economic status and vaccine hesitancy were positively associated with FNS and CS. Higher education had a negative association with FNS and CS. Age was positively associated with FNS. Low health and eHealth literacy were positively associated with FNS. Low eHealth literacy had a negative association with CS. FNS was positively associated with CS.
Conclusions
Associations between news misclassification, conspiracy beliefs and vaccine hesitancy might suggest shared determinants. EHealth literacy had a conflicting role. Attention should be paid to the mass media COVID-19 coverage as key information source for the general population. Public health campaigns should be planned to fight beliefs that hinder the reduction of transmission and might cause additional damages.
Key messages
The median percentage of misclassified news was 25% (IQR=19-44) and the median Conspiracy Score was 2.8 (IQR=2.2-3.4). COVID-19 vaccine hesitant people were 13% and 41% had a low eHealth literacy. News misclassification, conspiracy beliefs and vaccine hesitancy were associated. EHealth literacy had conflicting associations with fake news and conspiracy beliefs.
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Affiliation(s)
- G Lo Moro
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - F Bert
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - E Minutiello
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - AL Zacchero
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - T Sinigaglia
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - G Colli
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - R Tatti
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - G Scaioli
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - R Siliquini
- Department of Public Health Sciences, University of Turin, Turin, Italy
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Abstract
Abstract
Background
Since the beginning of the CoViD-19 pandemic, scientific community raised concerns about mass gatherings: religious ones in particular could become the perfect soil for the Sars-CoV-2 transmission due to the environmental conditions (e.g. not-ventilated worship hall, no distance between attendees, physical contact). Thus, this systematic review aimed to explore CoViD-19 outbreaks in places of worship worldwide.
Methods
A systematic search of three electronic databases (PubMed, Scopus and Embase) was performed, including years 2020 and 2021 until March, 29th. Criteria of inclusion were articles published in English, French, Italian, Spanish or Portuguese, dealing with CoViD-19 outbreaks reported in churches, mosques, synagogues and other places of worship, regardless of region or religion. Pilgrimages were excluded.
Preliminary Results
Out of 7655 articles found, 36 were included, for more than 50 outbreaks reported. The number of persons involved in each cluster varied from units to several thousands, while the geographic distribution displayed reports mainly concerned about East and Southeast Asia (65%), Europe (15%) and North America (15%), referring to gatherings carried out in the first semester of 2020, in particular in February and March. The most involved religions were the main monotheistic ones (i.e. Christianity, Islam and Judaism), although the eastern religions played an important role too.
Conclusions
In reason of religious gatherings, places of worship had had an important role in the virus transmission, becoming the first cause of contagion in several countries especially during the first wave of the pandemic, because of the absence of social distancing, masks use, danger awareness and, in some cases, poor hygiene conditions or CoViD-19 denial. Although there was a different risk associated with different religions, this systematic review highlighted how important is to evaluate worship-related outbreaks as a major public health concern.
Key messages
50+ worship-relate clusters with a variable range of persons involved were reported principally from Asia, Europe and North America. The main monotheistic religions were more implicated. Places of worship became the first cause of contagion in several countries especially during the first wave of the pandemic: these outbreaks should be considered as public health concerns.
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Affiliation(s)
- A Peano
- Department of Public Health Sciences and Pediatrics, University of Turin, Turin, Italy
| | - F Bert
- Department of Public Health Sciences and Pediatrics, University of Turin, Turin, Italy
| | - G Lo Moro
- Department of Public Health Sciences and Pediatrics, University of Turin, Turin, Italy
| | - C Previti
- Department of Public Health Sciences and Pediatrics, University of Turin, Turin, Italy
| | - G Scaioli
- Department of Public Health Sciences and Pediatrics, University of Turin, Turin, Italy
| | - R Siliquini
- Department of Public Health Sciences and Pediatrics, University of Turin, Turin, Italy
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Martella M, Bert F, Colli G, Lo Moro G, Pagani A, Tatti R, Scaioli G, Siliquini R. Consequences of cyberaggression on Social Network on mental health of Italian adults. Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab165.589] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Cyberaggression (CyA) comprehends a broad spectrum of hostile behaviours carried out through electronic means. Acts of CyA were studied mostly among adolescents. This cross-sectional study aims to evaluate the nature, extent and outcomes in terms of depressive and anxiety symptoms as well psychosomatic disorders in adults in Italy.
Methods
An internet-based survey comprehensive of 34 items was distributed through Social Media and targeted only adults. Descriptive analysis and correlation tests were performed in order to identify the extent of the CyA phenomenon.
Results
The survey received a response from 341 Participants (60% women), 43% of them declared to have been victim of CyA almost 1 time in their life and the most representative forms were insults (24.7%) and harassment (19.9%). Only 13% of participants were author of acts of CyA almost 1 time in their life, and 11% of them insulted someone else online. The 74.1% was bystander of CyA episodes as insults (62.7%), discrimination (62%) and defamation (47.8%). According to 95.1% of participants, these episodes were seen on Social Network, 17% on Facebook. The 39.5% of participants asserted an increased frequency of the events during the pandemic restriction. The main reasons of CyA declared were politics (70%), racism (65.8%), sexual orientation (65%) and female gender (53.1%). Chi square Test showed a significant correlation only between sexual orientation and victimization (69.4% of non-heterosexual asserted to be victim). The 33.6% of victims of CyA asserted anxiety and sadness after episodes, while the 39.8% stated to be angry.
Conclusions
CyA episodes are widespread in the European context and potentially harmful for mental health of victims. Sexual and ethnic minorities and females are more frequently the target. Pandemics enhanced this phenomenon. European public health professionals should take into careful consideration this issue for its potential negative consequences.
Key messages
Cyberaggression is a widespread phenomenon in Europe with potential negative consequences on mental health of victims, especially during the current pandemic. Sexual and ethnic minorities and females are more frequently the target of cyberbullying and European public health professionals and policy-makers should implement strategies to prevent this issue.
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Affiliation(s)
- M Martella
- Department of Public Health and Paediatrics Sciences, University of Turin, Turin, Italy
| | - F Bert
- Department of Public Health and Paediatrics Sciences, University of Turin, Turin, Italy
| | - G Colli
- Department of Public Health and Paediatrics Sciences, University of Turin, Turin, Italy
| | - G Lo Moro
- Department of Public Health and Paediatrics Sciences, University of Turin, Turin, Italy
| | - A Pagani
- Department of Public Health and Paediatrics Sciences, University of Turin, Turin, Italy
| | - R Tatti
- Department of Public Health and Paediatrics Sciences, University of Turin, Turin, Italy
| | - G Scaioli
- Department of Public Health and Paediatrics Sciences, University of Turin, Turin, Italy
| | - R Siliquini
- Department of Public Health and Paediatrics Sciences, University of Turin, Turin, Italy
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Metovic J, Bragoni A, Osella-Abate S, Borella F, Benedetto C, Gualano MR, Olivero E, Scaioli G, Siliquini R, Ferrando PM, Bertero L, Sapino A, Cassoni P, Castellano I. Clinical Relevance of Tubular Breast Carcinoma: Large Retrospective Study and Meta-Analysis. Front Oncol 2021; 11:653388. [PMID: 33996576 PMCID: PMC8117349 DOI: 10.3389/fonc.2021.653388] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Accepted: 02/19/2021] [Indexed: 11/24/2022] Open
Abstract
Background: Tubular carcinoma (TC) is a low proliferative grade 1 (G1) breast cancer (BC). Despite its favorable outcome and allegedly lower aggressiveness, patients are treated like other luminal G1 BC, with radiotherapy (RT) and hormonal therapy (HT). We performed: (1) a retrospective study comparing a TC cohort and a control series of luminal G1 BC and (2) a systematic review and meta-analysis focused on TC outcome. Materials and Methods: We selected a series of 572 G1 luminal BC patients [111 TC, 350 not otherwise specified (NOS), and 111 special-type (ST) BC] with follow-up and clinico-pathological data, who underwent local excision followed by RT at Città della Salute e della Scienza Hospital, Turin. Moreover, 22 and 13 studies were included in qualitative and quantitative meta-analysis, respectively. Results: TCs were generally smaller (≤10 mm) (P < 0.001), with lower lymph node involvement (P < 0.001). TCs showed no local and/or distant recurrences, while 16 NOS and 2 ST relapsed (P = 0.036). Kaplan–Meier curves confirmed more favorable TC outcome (DFI: log-rank test P = 0.03). Meta-analysis data, including the results of our study, showed that the pooled DFI rate was 96.4 and 91.8% at 5 and 10 years, respectively. Meta-regression analyses did not show a significant influence of RT nor HT on the DFI at 10 years. Conclusions: Compared to the other G1 BCs, TCs have an excellent outcome. The meta-analysis shows that TC recurrences are infrequent, and HT and RT have limited influence on prognosis. Hence, accurate diagnosis of TC subtype is critical to ensuring a tailored treatment approach.
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Affiliation(s)
- Jasna Metovic
- Department of Oncology, University of Turin, Turin, Italy
| | - Alberto Bragoni
- Pathology Unit, Department of Medical Sciences, University of Turin, Turin, Italy
| | - Simona Osella-Abate
- Pathology Unit, Department of Medical Sciences, University of Turin, Turin, Italy
| | - Fulvio Borella
- Department of Surgical Sciences, Gynecology and Obstetrics 1, University of Turin, Turin, Italy
| | - Chiara Benedetto
- Department of Surgical Sciences, Gynecology and Obstetrics 1, University of Turin, Turin, Italy
| | - Maria Rosaria Gualano
- Department of Public Health and Paediatric Sciences, University of Turin, Turin, Italy
| | - Elena Olivero
- Department of Public Health and Paediatric Sciences, University of Turin, Turin, Italy
| | - Giacomo Scaioli
- Department of Public Health and Paediatric Sciences, University of Turin, Turin, Italy
| | - Roberta Siliquini
- Department of Public Health and Paediatric Sciences, University of Turin, Turin, Italy
| | - Pietro Maria Ferrando
- Plastic Surgery Unit, Department of General and Specialistic Surgery, Città della Salute e della Scienza Hospital, Turin, Italy
| | - Luca Bertero
- Pathology Unit, Department of Medical Sciences, University of Turin, Turin, Italy
| | - Anna Sapino
- Pathology Unit, Department of Medical Sciences, University of Turin, Turin, Italy.,Pathology Division, Candiolo Cancer Institute, FPO-IRCCS, Candiolo, Italy
| | - Paola Cassoni
- Pathology Unit, Department of Medical Sciences, University of Turin, Turin, Italy
| | - Isabella Castellano
- Pathology Unit, Department of Medical Sciences, University of Turin, Turin, Italy
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31
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Rabbone I, Traversi D, Scaioli G, Vallini C, Carletto G, Masante I, Durazzo M, Collo A, Belci P, Ferro A, Cadario F, Savastio S, Carrera D, Cerutti F, Siliquini R. Microbiota, epidemiological and nutritional factors related to ketoacidosis at the onset of type 1 diabetes. Acta Diabetol 2020; 57:1337-1349. [PMID: 32594251 DOI: 10.1007/s00592-020-01555-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2020] [Accepted: 05/28/2020] [Indexed: 02/06/2023]
Abstract
AIMS The incidence of type 1 diabetes has increased over the last decades. The pathological pathway is not yet clear, even if genetic and environmental risk factors are known. An early diagnosis can avoid ketoacidosis and its complications. This work aims to discuss the determinants of both ketoacidosis at the onset and access by hospital emergency departments without a suspected diagnosis. METHODS An observational bi-centric prospective study was conducted in Northern Italy, on a paediatric population including Italian and migrant patients at the diabetes onset. Seventy-four type 1 diabetes patients, both Italian and migrant, were included in the study. Anthropometric, socio-economic, behavioural, clinical data were collected, and microbiota analyses were performed using stool samples. RESULTS Regular physical activity is associated with lower ketoacidosis incidence at onset (OR 0.33 95% CI 0.12-0.95 p < 0.05), as is higher blood vitamin D level (OR 0.92 95% CI 0.85-0.99 p < 0.05). Moreover, a higher weaning age (OR 0.49 95% CI 0.27-0.89 p < 0.05), higher vitamin D level (OR 0.90 95% CI 0.83-0.98 p < 0.05) and a higher level of Akkermansia muciniphila (OR 0.46 95% CI 0.25-0.87 p < 0.05) are associated factors to lower frequency of type 1 diabetes onset without a suspected diagnosis. Diabetes migrant status is not a risk factor for severe type 1 diabetes onset; on the other hand, some protective factors are significantly more diffused among Italians, such as regular sport activity and non-critical vitamin D levels. CONCLUSION Behavioural and nutritional data, such as microbiota bio-indicators, seem to be useful to identify an at-risk population to prevent ketoacidosis and its severe complications.
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Affiliation(s)
- Ivana Rabbone
- S.S.V.D. Endocrinologia E Diabetologia, O.I.R.M., A.O. Città Della Salute E Della Scienza Di Torino, Turin, Italy
- Department of Health Science, UPO University A.O.U., ''Maggiore Della Carità'', Novara, Italy
| | - Deborah Traversi
- Department of Public Health and Pediatrics, University of Study of Torino, Piazza Polonia 94, 10126, Turin, Italy.
| | - Giacomo Scaioli
- Department of Public Health and Pediatrics, University of Study of Torino, Piazza Polonia 94, 10126, Turin, Italy
| | - Camilla Vallini
- S.S.V.D. Endocrinologia E Diabetologia, O.I.R.M., A.O. Città Della Salute E Della Scienza Di Torino, Turin, Italy
| | - Giulia Carletto
- Department of Public Health and Pediatrics, University of Study of Torino, Piazza Polonia 94, 10126, Turin, Italy
| | - Irene Masante
- Department of Public Health and Pediatrics, University of Study of Torino, Piazza Polonia 94, 10126, Turin, Italy
| | - Marilena Durazzo
- S.C.U Medicina Interna 3, Molinette Hospital, Città Della Salute E Della Scienza Di Torino, rin, Italy
| | - Alessandro Collo
- S.C.U Medicina Interna 3, Molinette Hospital, Città Della Salute E Della Scienza Di Torino, rin, Italy
| | - Paola Belci
- S.C.U Medicina Interna 3, Molinette Hospital, Città Della Salute E Della Scienza Di Torino, rin, Italy
| | - Arianna Ferro
- S.C.U Medicina Interna 3, Molinette Hospital, Città Della Salute E Della Scienza Di Torino, rin, Italy
| | - Francesco Cadario
- Department of Health Science, UPO University A.O.U., ''Maggiore Della Carità'', Novara, Italy
| | - Silvia Savastio
- Department of Health Science, UPO University A.O.U., ''Maggiore Della Carità'', Novara, Italy
| | - Deborah Carrera
- Department of Health Science, UPO University A.O.U., ''Maggiore Della Carità'', Novara, Italy
| | - Franco Cerutti
- Department of Public Health and Pediatrics, University of Study of Torino, Piazza Polonia 94, 10126, Turin, Italy
- S.S.V.D. Endocrinologia E Diabetologia, O.I.R.M., A.O. Città Della Salute E Della Scienza Di Torino, Turin, Italy
| | - Roberta Siliquini
- Department of Public Health and Pediatrics, University of Study of Torino, Piazza Polonia 94, 10126, Turin, Italy
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Traversi D, Rabbone I, Scaioli G, Vallini C, Carletto G, Racca I, Ala U, Durazzo M, Collo A, Ferro A, Carrera D, Savastio S, Cadario F, Siliquini R, Cerutti F. Risk factors for type 1 diabetes, including environmental, behavioural and gut microbial factors: a case-control study. Sci Rep 2020; 10:17566. [PMID: 33067559 PMCID: PMC7568546 DOI: 10.1038/s41598-020-74678-6] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2020] [Accepted: 09/30/2020] [Indexed: 12/12/2022] Open
Abstract
Type 1 diabetes (T1D) is a common autoimmune disease that is characterized by insufficient insulin production. The onset of T1D is the result of gene-environment interactions. Sociodemographic and behavioural factors may contribute to T1D, and the gut microbiota is proposed to be a driving factor of T1D. An integrated preventive strategy for T1D is not available at present. This case-control study attempted to estimate the exposure linked to T1D to identify significant risk factors for healthy children. Forty children with T1D and 56 healthy controls were included in this study. Anthropometric, socio-economic, nutritional, behavioural, and clinical data were collected. Faecal bacteria were investigated by molecular methods. The findings showed, in multivariable model, that the risk factors for T1D include higher Firmicutes levels (OR 7.30; IC 2.26-23.54) and higher carbohydrate intake (OR 1.03; IC 1.01-1.05), whereas having a greater amount of Bifidobacterium in the gut (OR 0.13; IC 0.05 - 0.34) was a protective factor for T1D. These findings may facilitate the development of preventive strategies for T1D, such as performing genetic screening, characterizing the gut microbiota, and managing nutritional and social factors.
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Affiliation(s)
- Deborah Traversi
- Department of Public Health and Pediatrics, University of Turin, Piazza Polonia 94, 10126, Torino, Italy.
- Department of Public Health and Pediatrics, Hygiene Unit, University of the Study of Turin, via Santena 5 bis, 10126, Torino, Italy.
| | - Ivana Rabbone
- S.S.V.D. Endocrinology and Diabetology, O.I.R.M., Azienda Ospedaliera Città Della Salute E Della Scienza, Turin, Italy
- Department of Health Science, University of Eastern Piedmont Amadeo Avogadro - Azienda Ospedaliero Universitaria Maggiore Della Carità - Novara, Novara, Italy
| | - Giacomo Scaioli
- Department of Public Health and Pediatrics, University of Turin, Piazza Polonia 94, 10126, Torino, Italy
- Department of Public Health and Pediatrics, Hygiene Unit, University of the Study of Turin, via Santena 5 bis, 10126, Torino, Italy
| | - Camilla Vallini
- S.S.V.D. Endocrinology and Diabetology, O.I.R.M., Azienda Ospedaliera Città Della Salute E Della Scienza, Turin, Italy
| | - Giulia Carletto
- Department of Public Health and Pediatrics, University of Turin, Piazza Polonia 94, 10126, Torino, Italy
- Department of Public Health and Pediatrics, Hygiene Unit, University of the Study of Turin, via Santena 5 bis, 10126, Torino, Italy
| | - Irene Racca
- Department of Public Health and Pediatrics, University of Turin, Piazza Polonia 94, 10126, Torino, Italy
| | - Ugo Ala
- Department of Veterinary Sciences, University of Turin, Torino, Italy
| | - Marilena Durazzo
- S.C.U. Medicina Interna 3, Azienda Ospedaliera Città Della Salute e Della Scienza Di Torino, Torino, Italy
| | - Alessandro Collo
- S.C.U. Medicina Interna 3, Azienda Ospedaliera Città Della Salute e Della Scienza Di Torino, Torino, Italy
- Dietetic and Clinical Nutrition Department, Azienda Ospedaliero Universitaria Maggiore Della Carità, Novara, Italy
| | - Arianna Ferro
- S.C.U. Medicina Interna 3, Azienda Ospedaliera Città Della Salute e Della Scienza Di Torino, Torino, Italy
| | - Deborah Carrera
- Paediatric Endocrinology, Azienda Ospedaliero Universitaria Maggiore Della Carità - Novara, Novara, Italy
| | - Silvia Savastio
- Paediatric Endocrinology, Azienda Ospedaliero Universitaria Maggiore Della Carità - Novara, Novara, Italy
| | - Francesco Cadario
- Paediatric Endocrinology, Azienda Ospedaliero Universitaria Maggiore Della Carità - Novara, Novara, Italy
| | - Roberta Siliquini
- Department of Public Health and Pediatrics, University of Turin, Piazza Polonia 94, 10126, Torino, Italy
- Department of Public Health and Pediatrics, Hygiene Unit, University of the Study of Turin, via Santena 5 bis, 10126, Torino, Italy
| | - Franco Cerutti
- Department of Public Health and Pediatrics, University of Turin, Piazza Polonia 94, 10126, Torino, Italy
- S.S.V.D. Endocrinology and Diabetology, O.I.R.M., Azienda Ospedaliera Città Della Salute E Della Scienza, Turin, Italy
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Scaioli G, Schäfer WLA, Boerma WGW, Spreeuwenberg PMM, Schellevis FG, Groenewegen PP. Communication between general practitioners and medical specialists in the referral process: a cross-sectional survey in 34 countries. BMC Fam Pract 2020; 21:54. [PMID: 32183771 PMCID: PMC7079351 DOI: 10.1186/s12875-020-01124-x] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/26/2019] [Accepted: 03/09/2020] [Indexed: 11/29/2022]
Abstract
Background The communication of relevant patient information between general practitioners (GPs) and medical specialists is important in order to avoid fragmentation of care thus achieving a higher quality of care and ensuring physicians’ and patients’ satisfaction. However, this communication is often not carried out properly. The objective of this study is to assess whether communication between GPs and medical specialists in the referral process is associated with the organisation of primary care within a country, the characteristics of the GPs, and the characteristics of the primary care practices themselves. Methods An analysis of a cross-sectional survey among GPs in 34 countries was conducted. The odds ratios of the features that were expected to relate to higher rates of referral letters sent and communications fed back to GPs were calculated using ordered logistic multilevel models. Results A total of 7183 GPs from 34 countries were surveyed. Variations between countries in referral letters sent and feedback communication received did occur. Little of the variance between countries could be explained. GPs stated that they send more referral letters, and receive more feedback communications from medical specialists, in countries where they act as gatekeepers, and when, in general, they interact more with specialists. GPs reported higher use of referral letters when they had a secretary and/or a nurse in their practice, used health information technologies, and had greater job satisfaction. Conclusions There are large differences in communication between GPs and medical specialists. These differences can partly be explained by characteristics of the country, the GP and the primary care practice. Further studies should also take the organisation of secondary care into account.
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Affiliation(s)
- Giacomo Scaioli
- Department of Public Health Sciences, University of Turin, Piazza Polonia, 94, 10126, Torino, Italy
| | - Willemijn L A Schäfer
- Department of Surgery, Northwestern University, Feinberg School of Medicine, 633 N. St Clair Street, Chicago, IL, 60611, USA
| | - Wienke G W Boerma
- NIVEL (Netherlands Institute for Health Services Research), PO box 1568, Utrecht, 3500BN, The Netherlands
| | - Peter M M Spreeuwenberg
- NIVEL (Netherlands Institute for Health Services Research), PO box 1568, Utrecht, 3500BN, The Netherlands
| | - François G Schellevis
- NIVEL (Netherlands Institute for Health Services Research), PO box 1568, Utrecht, 3500BN, The Netherlands.,Department of General Practice and Elderly Care Medicine, Amsterdam Public Health Research Institute, VU University Medical Center, Van der Boechorststraat 7, Amsterdam, 1081 BT, the Netherlands
| | - Peter P Groenewegen
- NIVEL (Netherlands Institute for Health Services Research), PO box 1568, Utrecht, 3500BN, The Netherlands. .,Department of Sociology and Department of Human Geography, Utrecht University, P.O. Box 80.115, Utrecht, 3508 TC, The Netherlands.
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Scaioli G, Schäfer WLA, Boerma WGW, Spreeuwenberg P, van den Berg M, Schellevis FG, Groenewegen PP. Patients' perception of communication at the interface between primary and secondary care: a cross-sectional survey in 34 countries. BMC Health Serv Res 2019; 19:1018. [PMID: 31888614 PMCID: PMC6937702 DOI: 10.1186/s12913-019-4848-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [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: 09/24/2019] [Accepted: 12/17/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Poor communication between general practitioners (GPs) and medical specialists can lead to poorer quality, and continuity, of care. Our study aims to assess patients' perceptions of communication at the interface between primary and secondary care in 34 countries. It will analyse, too, whether this communication is associated with the organisation of primary care within a country, and with the characteristics of GPs and their patients. METHODS We conducted a cross-sectional survey among patients in 34 countries. Following a GP consultation, patients were asked two questions. Did they take to understand that their GP had informed medical specialists about their illness upon referral? And, secondly, did their GP know the results of the treatment by a medical specialist? We used multi-response logistic multilevel models to investigate the association of factors related to primary care, the GP, and the patient, with the patients' perceptions of communication at the interface between primary and secondary care. RESULTS In total, 61,931 patients completed the questionnaire. We found large differences between countries, in both the patients' perceptions of information shared by GPs with medical specialists, and the patients' perceptions of the GPs' awareness of the results of treatment by medical specialists. Patients whose GPs stated that they 'seldom or never' send referral letters, also less frequently perceived that their GP communicated with their medical specialists about their illness. Patients with GPs indicating they 'seldom or never' receive feedback from medical specialists, indicated less frequently that their GP would know the results of treatment by a medical specialist. Moreover, patients with a personal doctor perceived higher rates of communication in both directions at the interface between primary and secondary care. CONCLUSION Generally, patients perceive there to be high rates of communication at the interface between primary and secondary care, but there are large differences between countries. Policies aimed at stimulating personal doctor arrangements could, potentially, enhance the continuity of care between primary and secondary care.
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Affiliation(s)
- Giacomo Scaioli
- Department of Public Health Sciences, University of Turin, Piazza Polonia, 94, 10126, Torino, Italy
| | - Willemijn L A Schäfer
- Department of Surgery, Northwestern University, Feinberg School of Medicine, 633 N. St Clair Street, Chicago, IL, 60611, USA
| | - Wienke G W Boerma
- NIVEL (Netherlands Institute for Health Services Research), PO box 1568, 3500 BN, Utrecht, The Netherlands
| | - Peter Spreeuwenberg
- NIVEL (Netherlands Institute for Health Services Research), PO box 1568, 3500 BN, Utrecht, The Netherlands
| | - Michael van den Berg
- Department of Public Health, Amsterdam Public Health Research Institute, PO Box 22660, 1100 DD, Amsterdam, The Netherlands
| | - François G Schellevis
- NIVEL (Netherlands Institute for Health Services Research), PO box 1568, 3500 BN, Utrecht, The Netherlands.,Department of General Practice and Elderly Care Medicine, Amsterdam Public Health Research Institute, VU University Medical Center, Van der Boechorststraat 7, 1081 BT, Amsterdam, the Netherlands
| | - Peter P Groenewegen
- NIVEL (Netherlands Institute for Health Services Research), PO box 1568, 3500 BN, Utrecht, The Netherlands. .,Department of Sociology, P.O. Box 80.115, 3508 TC, Utrecht, The Netherlands. .,Department of Human Geography, Utrecht University, P.O. Box 80.115, 3508 TC, Utrecht, The Netherlands.
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Bert F, Scaioli G, Tolomeo M, Lo Moro G, Gualano MR, Siliquini R. Knowledge, attitudes and eating habits red and processed meat among gym users: a cross-sectional survey. Perspect Public Health 2019; 140:203-213. [DOI: 10.1177/1757913919883908] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Aims: In 2015, the International Agency for Research on Cancer (IARC) classified red meat (RM) and processed meat (PM) intakes as ‘probably carcinogenic’ and ‘carcinogenic’ to humans, respectively. The aim of the study was to evaluate eating behaviours and knowledge on the potential risks of RM-PM consumption among gym users. Methods: In 2018, a cross-sectional survey was conducted in 20 gyms in Turin using a 48-item questionnaire assessing sociodemographic, sports, dietary information and knowledge about RM-PM (sample size = 298). Multivariable logistic and linear regressions were performed. The significance level was p ⩽ 0.05. Results: Around 75% of the sample consumed RM and PM at least once a week, with an average of 240.55 ± 435.99 g and 106.50 ± 157.88 g consumed weekly, respectively. Only 7.69% exceeded 700 g of raw RM weekly. Females, those with higher education, those who practise sport outside gyms and those who declared to practise sport to stay healthy, declared to consume less RM. Those who practise sport at a competitive level, those who are on a diet for athletic needs, those with higher body mass index (BMI) and those who consume more eggs and alcohol had a higher RM intake. The association with PM consumption was negative for females and positive for those living without a partner. The likelihood of answering incorrectly to one of the knowledge outcomes was lower for those who had a healthcare-related background and declared to practise sport to stay healthy, while it was higher for participants who stated to have a sport-related background, to be on a diet to lose weight, to read rarely/never the RM-PM nutrition labels and to consume <400 g of fruit and vegetables daily. Conclusions: Given the relatively low knowledge of the potential risks of RM-PM consumption, it would be advisable to implement campaigns specifically focused on male athletes and people with lower socioeconomic status, in order to raise awareness about this topic.
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Affiliation(s)
- F Bert
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - G Scaioli
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - M Tolomeo
- Degree Course in Dietetics, University of Turin, Turin, Italy
| | - G Lo Moro
- Department of Public Health Sciences, University of Turin, Via Santena 5 bis, 10126 Turin, Italy
| | - MR Gualano
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - R Siliquini
- Department of Public Health Sciences, University of Turin, Turin, Italy
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Scaioli G, Bert F, Plazzotta C, Corezzi M, Voglino G, La Valle G, Rabacchi G, Falco S, Scarmozzino A, SIliquini R. Waiting times for diagnosis and surgery in a large obstetric-gynecological hospital in Italy. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz186.376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Issue
Diagnostic testing and surgical waiting times are related to quality of healthcare services. An extension of waiting times, indeed, could lead to a diagnostic or therapeutic delay, with potential consequences on patient health outcomes. Several policies have been implemented in different European countries in order to improve these indicators. Our study aims to analyse the waiting times of the largest obstetric and gynaecological hospital of Northern Italy, in order to identify potential issues in women’s health services.
Description of the problem
Data of “Sant’Anna Hospital” (Turin, Italy) about the waiting times in the period 2016-2017 for outpatient and surgical services addressed to women were collected. Specifically, number of health care procedures and mean waiting times (MWT) for “Obstetric-Gynaecological Echography” (OGE), “First Endocrinological Visit” (FEV), “First Gynaecological Visit” (FGV), “Surgical Intervention for Breast Cancer” (SIBC) and “Surgical Intervention for Uterus Cancer” (SIUC) were retrieved. Results were compared with the benchmark identified by the regional law.
Results
A total of 21,735 OGEs were performed, with a MWT of 3 days in 2016 and 5 days in 2017, below the benchmark (11 days). The total number of FEVs was 1,234, with a MWT of 19 and 23 days in 2016 and 2017 respectively, again below the benchmark (30 days). The FGVs were 21,096 with a MWT of 9 (2016) and 24 (2017) days (benchmark 30 days). The number of SIBCs (N = 89) performed within 30 days (benchmark) were 87 (98% of SIBCs), while SIUCs (N = 90) were 84 (93%).
Lessons
The waiting times of the “Sant’Anna hospital” were, for all the performances considered, shorter than the regional benchmarks. This is an indicator of the quickness of diagnosis and treatment and, indirectly, of the quality of care. An international comparison among the main European hospitals should be encouraged in a perspective of continuous improvement of health care provided to European citizens.
Key messages
Diagnostic testing and surgical waiting times are useful to assess the quickness and quality of health care provided in European hospitals. “Sant’Anna hospital”, leader for women’s health care, provides care with waiting times shorter than benchmarks. It would be interesting to compare its results with other large European hospitals.
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Affiliation(s)
- G Scaioli
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - F Bert
- Department of Public Health Sciences, University of Turin, Turin, Italy
- Molinette Hospital, AOU City of Health and Science of Turin, Turin, Italy
| | - C Plazzotta
- Sant’Anna Hospital, AOU Ciy of Health and Science of Turin, Turin, Italy
| | - M Corezzi
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - G Voglino
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - G La Valle
- Molinette Hospital, AOU City of Health and Science of Turin, Turin, Italy
| | - G Rabacchi
- Sant’Anna Hospital, AOU Ciy of Health and Science of Turin, Turin, Italy
| | - S Falco
- Molinette Hospital, AOU City of Health and Science of Turin, Turin, Italy
| | - A Scarmozzino
- Molinette Hospital, AOU City of Health and Science of Turin, Turin, Italy
| | - R SIliquini
- Department of Public Health Sciences, University of Turin, Turin, Italy
- Molinette Hospital, AOU City of Health and Science of Turin, Turin, Italy
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Montin D, Marolda A, Licciardi F, Robasto F, Di Cesare S, Ricotti E, Ferro F, Scaioli G, Giancotta C, Amodio D, Conti F, Giardino G, Leonardi L, Ricci S, Volpi S, Baselli LA, Azzari C, Bossi G, Consolini R, Dellepiane RM, Duse M, Gattorno M, Martire B, Putti MC, Soresina A, Plebani A, Ramenghi U, Martino S, Pignata C, Cancrini C. Immunophenotype Anomalies Predict the Development of Autoimmune Cytopenia in 22q11.2 Deletion Syndrome. J Allergy Clin Immunol Pract 2019; 7:2369-2376. [PMID: 30922987 DOI: 10.1016/j.jaip.2019.03.014] [Citation(s) in RCA: 33] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/04/2018] [Revised: 03/06/2019] [Accepted: 03/06/2019] [Indexed: 12/21/2022]
Abstract
BACKGROUND Patients with 22q11.2 deletion syndrome (22q11.2DS) may develop severe thrombocytopenic purpura and hemolytic anemia. There are no reliable predictors for the development of hematologic autoimmunity (HA) in these patients. OBJECTIVE To describe the peculiar B and T subpopulation defects in patients with 22q11DS who have developed HA and test if these defects precede the development of HA. METHODS We performed a case-control multicenter study. Patients with HA were compared with a control population of 22q11.2DS without HA (non-HA). A complete immunological evaluation was performed at diagnosis and at the last follow-up including extensive T and B phenotypes. RESULTS Immunophenotype at the last follow-up was available in 23 HA and 45 non-HA patients. HA patients had significantly decreased percentage of naïve CD4+ cells (26.8% vs 43.2%, P = .003) and recent thymic emigrants (48.6% vs 80.5%, P = .046); decreased class-switched B cells (2.0% vs 5.9%, P = .04) and increased naive B cells (83.5% vs 71.4%, P = .02); increased CD16+/56+ both in absolute number (312 vs 199, P = .009) and percentage (20.0% vs 13.0%, P = .03). Immunophenotype was performed in 36 patients (11 HA and 25 non-HA) at diagnosis. Odds ratio (OR) of immune cytopenia were estimated for both CD4 naïve ≤30% (OR 14.0, P = .002) and switched memory B cells ≤2% (OR 44.0, P = .01). The estimated survival curves reached statistical significance, respectively, P = .0001 and P = .002. CONCLUSIONS Among patients with 22q11.2DS, those with HA have characteristic lymphocyte anomalies that appear considerably before HA onset. Systematic immunophenotyping of patients with 22q11.2DS at diagnosis is advisable for early identification of patients at risk for this severe complication.
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Affiliation(s)
- Davide Montin
- Division of Pediatric Immunology and Rheumatology, Department of Public Health and Pediatrics, "Regina Margherita" Children Hospital, University of Turin, Turin, Italy
| | - Agostina Marolda
- Division of Pediatric Immunology and Rheumatology, Department of Public Health and Pediatrics, "Regina Margherita" Children Hospital, University of Turin, Turin, Italy; Department of Health Sciences, A. Avogadro University of Eastern Piedmont, Novara, Italy
| | - Francesco Licciardi
- Division of Pediatric Immunology and Rheumatology, Department of Public Health and Pediatrics, "Regina Margherita" Children Hospital, University of Turin, Turin, Italy.
| | - Francesca Robasto
- Division of Pediatric Immunology and Rheumatology, Department of Public Health and Pediatrics, "Regina Margherita" Children Hospital, University of Turin, Turin, Italy
| | - Silvia Di Cesare
- University Department of Pediatrics, Unit of Immune and Infectious Diseases, Ospedale Pediatrico Bambino Gesù, IRCCS, Rome, Italy; Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy
| | - Emanuela Ricotti
- Division of Pediatric Immunology and Rheumatology, Department of Public Health and Pediatrics, "Regina Margherita" Children Hospital, University of Turin, Turin, Italy
| | - Francesca Ferro
- Division of Pediatric Immunology and Rheumatology, Department of Public Health and Pediatrics, "Regina Margherita" Children Hospital, University of Turin, Turin, Italy; Division of Microbiology and Virology, Maggiore della Carità Hospital, Novara, Italy
| | - Giacomo Scaioli
- Department of Public Health, University of Turin, Turin, Italy
| | - Carmela Giancotta
- University Department of Pediatrics, Unit of Immune and Infectious Diseases, Ospedale Pediatrico Bambino Gesù, IRCCS, Rome, Italy
| | - Donato Amodio
- University Department of Pediatrics, Unit of Immune and Infectious Diseases, Ospedale Pediatrico Bambino Gesù, IRCCS, Rome, Italy; Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy
| | - Francesca Conti
- University Department of Pediatrics, Unit of Immune and Infectious Diseases, Ospedale Pediatrico Bambino Gesù, IRCCS, Rome, Italy
| | - Giuliana Giardino
- Department of Pediatrics, "Federico II" University of Naples, Naples, Italy
| | - Lucia Leonardi
- Department of Pediatrics, La Sapienza University of Rome, Rome, Italy
| | - Silvia Ricci
- Division of Immunology, Section of Pediatrics, Department of Health Sciences, University of Florence and Anna Meyer Children's Hospital, Florence, Italy
| | - Stefano Volpi
- Pediatric and Rheumatology Clinic, Center for Autoinflammatory Diseases and Immunodeficiencies, Istituto Giannina Gaslini and University of Genoa, Genoa, Italy
| | - Lucia Augusta Baselli
- Department of Pediatrics, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
| | - Chiara Azzari
- Division of Immunology, Section of Pediatrics, Department of Health Sciences, University of Florence and Anna Meyer Children's Hospital, Florence, Italy
| | - Grazia Bossi
- Department of Pediatrics, IRCCS San Matteo Hospital Foundation, Pavia, Italy
| | - Rita Consolini
- Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy
| | - Rosa Maria Dellepiane
- Department of Pediatrics, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
| | - Marzia Duse
- Department of Pediatrics, La Sapienza University of Rome, Rome, Italy
| | - Marco Gattorno
- Pediatric and Rheumatology Clinic, Center for Autoinflammatory Diseases and Immunodeficiencies, Istituto Giannina Gaslini and University of Genoa, Genoa, Italy
| | - Baldassarre Martire
- Pediatric Hematology and Oncology Unit, "Policlinico-Giovanni XXIII" Hospital, University of Bari, Bari, Italy
| | - Maria Caterina Putti
- Pediatric Hematology-Oncology Unit, Department of Women's and Children's Health, Azienda Ospedaliera-University of Padova, Padua, Italy
| | - Annarosa Soresina
- Pediatrics Clinic and Institute of Molecular Medicine "A. Nocivelli," University and Spedali Civili, Brescia, Italy
| | - Alessandro Plebani
- Pediatrics Clinic and Institute of Molecular Medicine "A. Nocivelli," University and Spedali Civili, Brescia, Italy
| | - Ugo Ramenghi
- Division of Pediatric Immunology and Rheumatology, Department of Public Health and Pediatrics, "Regina Margherita" Children Hospital, University of Turin, Turin, Italy
| | - Silvana Martino
- Division of Pediatric Immunology and Rheumatology, Department of Public Health and Pediatrics, "Regina Margherita" Children Hospital, University of Turin, Turin, Italy
| | - Claudio Pignata
- Department of Pediatrics, "Federico II" University of Naples, Naples, Italy
| | - Caterina Cancrini
- University Department of Pediatrics, Unit of Immune and Infectious Diseases, Ospedale Pediatrico Bambino Gesù, IRCCS, Rome, Italy; Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy
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Gualano MR, Bert F, Passi S, Stillo M, Brescia V, Scaioli G, Thomas R, Voglino G, Minniti D, Boraso F, Siliquini R. Could shared decision making affect staying in hospital? A cross-sectional pilot study. BMC Health Serv Res 2019; 19:174. [PMID: 30885180 PMCID: PMC6423869 DOI: 10.1186/s12913-019-4002-8] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [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: 12/10/2018] [Accepted: 03/11/2019] [Indexed: 01/09/2023] Open
Abstract
Background Shared Decision Making (SDM) is an approach where clinicians and patients share the best available evidence to make decision and where patients opinions are considered. This approach provides benefits for patients, clinicians and health care system. The aim of the present study is to investigate the patients’ perception of their participation in treatment choices and to identify the possible influences of variables in decision aids and therapeutic choices. Furthermore the present study evaluates the impact of SDM on the length of hospital stay and the health expenditure in Piemonte, an Italian region. Methods A cross-sectional study was performed in 2016. The patients were selected after hospitalization to clinical and surgical units at the Rivoli and Susa Hospital. Data were collected through the questionnaire and the Hospital Discharge Registers. STROBE guidelines for observational studies were used. A descriptive analysis was conducted. Frequencies and percentages of the categorical variables were reported. Statistical analyses were performed using t-test, chi-square test and Mann-Whitney test. Results The final sample was made of 174 subjects. More than half of the sample reported a SDM approach. Female gender (p = 0.027) and lower age (p = 0.047) are associated with an increased possibility to report SDM. Receiving “good” or “excellent” information, having their own request fulfilled and their opinions took into account by healthcare professionals, were all found to be predictors for an approach recognized as SDM (p ≤ 0.05). The perception that healthcare professionals spent a proper amount of time with the patients and used an understendable language are factors increase the chance of a “shared” decision process (p ≤ 0.05). The patients trust in the information given by the healthcare professional is not affecting their perception about the decision making process (P = 0.195). No significant difference where recorded in length of stay and hospital expenditure. Conclusions The data show the role played by different dimension of the patients-clinician relationship and that the strongest determinant of a perceived shared decision making approach are healthcare professional-depending.
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Affiliation(s)
- M R Gualano
- Department of Public Health Sciences, University of Turin, Via Santena 5 bis, 10126, Turin, Italy
| | - F Bert
- Department of Public Health Sciences, University of Turin, Via Santena 5 bis, 10126, Turin, Italy.,AOU Città della Salute e della Scienza, Torino, Italy
| | - S Passi
- Local Health Unit, ASL TO 3, Piedmont, Italy
| | - M Stillo
- Department of Public Health Sciences, University of Turin, Via Santena 5 bis, 10126, Turin, Italy
| | - V Brescia
- Department of Management, University of Torino, Torino, Italy
| | - G Scaioli
- Department of Public Health Sciences, University of Turin, Via Santena 5 bis, 10126, Turin, Italy
| | - R Thomas
- Department of Public Health Sciences, University of Turin, Via Santena 5 bis, 10126, Turin, Italy
| | - G Voglino
- Department of Public Health Sciences, University of Turin, Via Santena 5 bis, 10126, Turin, Italy.
| | - D Minniti
- Local Health Unit, ASL TO 3, Piedmont, Italy
| | - F Boraso
- Local Health Unit, ASL TO 3, Piedmont, Italy
| | - R Siliquini
- Department of Public Health Sciences, University of Turin, Via Santena 5 bis, 10126, Turin, Italy.,AOU Città della Salute e della Scienza, Torino, Italy
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Scaioli G, Bert F, Martorana M, Gili R, Thomas R, Gualano MR, Siliquini R. Advertisement of electronic cigarettes in Italy: characteristics of online videos and the most popular promotional messages. Health Educ Res 2018; 33:473-480. [PMID: 30247572 DOI: 10.1093/her/cyy030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/14/2017] [Accepted: 09/18/2018] [Indexed: 06/08/2023]
Abstract
Given the increasing popularity of electronic cigarettes (ECs) and a lack of regulation of EC advertising, this study aimed to analyse online videos promoting ECs to assess the main marketing messages that could influence consumers' perceptions of associated risks and benefits. A web search of EC advertising videos was performed on YouTube by using keywords related to EC promotion. An evaluation grid was used to analyse promotional messages contained in each video. The most frequent promotional messages were related to health benefits (67.7%) and to the possibility of quitting smoking (57.4%). Messages that could also be appealing to adolescents and young adults, such as those promoting the multiple flavors available and the technological improvement of ECs, were present in 41.2% and 42.7% of the videos respectively. ECs similar to traditional cigarettes in appearance were included in 52.9% of the videos. EC promotional videos address messages not only to smokers who want to quit or decrease tobacco consumption but also to nonsmokers, especially young people. The use of ECs similar to traditional cigarettes may be a gateway to tobacco cigarette use. Since EC use may represent an important public health concern, regulatory policies on EC advertising should be established.
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Affiliation(s)
- G Scaioli
- Department of Public Health Sciences, University of Turin, Via Santena 5bis, Turin, Italy
| | - F Bert
- Department of Public Health Sciences, University of Turin, Via Santena 5bis, Turin, Italy
| | - M Martorana
- Department of Public Health Sciences, University of Turin, Via Santena 5bis, Turin, Italy
| | - R Gili
- Department of Public Health Sciences, University of Turin, Via Santena 5bis, Turin, Italy
| | - R Thomas
- Department of Public Health Sciences, University of Turin, Via Santena 5bis, Turin, Italy
| | - M R Gualano
- Department of Public Health Sciences, University of Turin, Via Santena 5bis, Turin, Italy
| | - R Siliquini
- Department of Public Health Sciences, University of Turin, Via Santena 5bis, Turin, Italy
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Bert F, Brescia V, Scarmozzino A, Scaioli G, Raciti IM, Corezzi M, Voglino G, Gualano MR, Siliquini R. Indicators of quality of care for the Internal Medicine Departments: a review of the literature. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky218.098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- F Bert
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - V Brescia
- Department of Management, University of Turin, Turin, Italy
| | - A Scarmozzino
- AOU Città della Salute e della Scienza di Torino, Turin, Italy
| | - G Scaioli
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - IM Raciti
- AOU Città della Salute e della Scienza di Torino, Turin, Italy
| | - M Corezzi
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - G Voglino
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - MR Gualano
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - R Siliquini
- Department of Public Health Sciences, University of Turin, Turin, Italy
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Lo Moro G, Bert F, Scaioli G, Tolomeo M, Gualano MR, Siliquini R. Awareness and eating habits on red and processed meat among gym users: a cross-sectional survey. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky218.060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- G Lo Moro
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - F Bert
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - G Scaioli
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - M Tolomeo
- Degree Course in Dietistics, University of Turin, Turin, Italy
| | - MR Gualano
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - R Siliquini
- Department of Public Health Sciences, University of Turin, Turin, Italy
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Thomas R, Bert F, Scarmozzino A, Coggiola M, Olivero E, Voglino G, Rossello P, Quattrocolo F, Scaioli G, Zotti CM, Siliquini R. A new strategy to promote flu vaccination among healthcare workers: “Molinette” hospital’s experience. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky218.126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- R Thomas
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - F Bert
- “Molinette” Hospital, City of Health and Science of Turin, Turin, Italy
| | - A Scarmozzino
- “Molinette” Hospital, City of Health and Science of Turin, Turin, Italy
| | - M Coggiola
- “Molinette” Hospital, City of Health and Science of Turin, Turin, Italy
| | - E Olivero
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - G Voglino
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - P Rossello
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - F Quattrocolo
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - G Scaioli
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - CM Zotti
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - R Siliquini
- Department of Public Health Sciences, University of Turin, Turin, Italy
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Silveri S, Scaioli G, Gualano MR, Scalvini V, Bert F, Siliquini R. Online gluten-free blogs: characteristics of bloggers and target population. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky214.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- S Silveri
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - G Scaioli
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - MR Gualano
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - V Scalvini
- Degree Course in Dietistics, Turin, Italy
| | - F Bert
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - R Siliquini
- Department of Public Health Sciences, University of Turin, Turin, Italy
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Bert F, Gualano MR, Gili R, Scaioli G, Lovato E, Angelillo IF, Brusaferro S, De Vito E, La Torre G, Manzoli L, Vitale F, Ricciardi W, Siliquini R. Knowledge and attitudes towards the use of antibiotics in the paediatric age group: a multicenter survey in Italy. Eur J Public Health 2018; 27:506-512. [PMID: 27836969 DOI: 10.1093/eurpub/ckw209] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background : The misuse of antibiotics is one of the leading causes of antibiotic resistance. Paediatric patients are highly involved in this issue, as they are those who receive the largest amount of prescriptions of these drugs. Therefore, this study aimed to investigate the general knowledge regarding the use of antibiotics, as well as the attitudes related to the administration of these drugs to children, amongst parents of children in the paediatric age-group. : In 2014, a multicentre cross-sectional study was conducted amongst parents of children aged 0-14. A questionnaire made up of 33 items was administered in waiting rooms of outpatient departments. Multivariable logistic regression models were performed, in order to assess the potential predictors of a better knowledge about antibiotics. : A total of 1247 parents took part to the survey. Around 33% of the samples declared that antibiotics are useful for viral infections, 20.6% that antibiotics are useful for every kind of pain and inflammation, while 14% of the parents stated that they stop giving antibiotics to their children when they start feeling better. Multivariable models showed that males, unemployed and those with lower levels of education are less prone to answer correctly to the questions about antibiotics. : The present study demonstrates that parents have a lack of knowledge regarding the use of antibiotics, which results in bad habits and inappropriate attitudes when it comes to giving antibiotics to their children. Attention should be particularly focused on disadvantaged parents.
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Affiliation(s)
- Fabrizio Bert
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - Maria R Gualano
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - Renata Gili
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - Giacomo Scaioli
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - Emanuela Lovato
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - Italo F Angelillo
- Department of Experimental Medicine, Second University of Naples, Naples, Italy
| | - Silvio Brusaferro
- Department of Experimental and Clinical Pathology and Medicine, University of Udine, Udine, Italy
| | - Elisabetta De Vito
- Department of Health and Sport Sciences, University of Cassino, Cassino, Italy
| | - Giuseppe La Torre
- Department of Public Health and Infectious Diseases, University Sapienza of Rome, Rome, Italy
| | - Lamberto Manzoli
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - Francesco Vitale
- Department of Sciences for Health Promotion "G. D'Alessandro", Hygiene Section, University of Palermo, Palermo, Italy
| | - Walter Ricciardi
- Institute of Public Health, Catholic University of Sacred Heart of Rome, Rome, Italy
| | - Roberta Siliquini
- Department of Public Health Sciences, University of Turin, Turin, Italy
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Gualano MR, Osella-Abate S, Scaioli G, Marra E, Bert F, Faure E, Baduel ES, Balagna E, Quaglino P, Fierro MT, Siliquini R, Ribero S. Prognostic role of histological regression in primary cutaneous melanoma: a systematic review and meta-analysis. Br J Dermatol 2017; 178:357-362. [PMID: 28386936 DOI: 10.1111/bjd.15552] [Citation(s) in RCA: 37] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/29/2017] [Indexed: 01/10/2023]
Abstract
The prognostic significance of histological regression in primary melanoma has been debated for many years. We aim to review the evidence to see how histological regression may affect prognosis. A systematic review was performed by searching in MEDLINE, Scopus and the Cochrane Library from 1 January 1966 to 1 August 2015. All studies reporting hazard ratios or data on survival and histological regression were included. Primary random-effects meta-analyses were used to summarize outcome measures. Heterogeneity was assessed using the χ2 -test and I2 -statistic. To assess the potential bias of small studies we used funnel plots and the Begg and Mazumdar adjusted rank correlation method. Summaries of survival outcomes were measured as hazard ratios or relative risk of death at 5 years according to the presence of histological regression of primary melanoma. In total, 183 articles were reviewed out of 1876 retrieved. Ten studies comprising 8557 patients were included. Patients with histological regression had a lower relative risk of death (0·77, 95% confidence interval 0·61-0·97) than those without. Examination of the funnel plot did not provide evidence of publication bias. The results showed that histological regression is a protective factor for survival.
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Affiliation(s)
- M R Gualano
- Department of Public Health, University of Turin, Turin, Italy
| | - S Osella-Abate
- Section of Surgical Pathology, Department of Medical Sciences, University of Turin, Turin, Italy
| | - G Scaioli
- Department of Public Health, University of Turin, Turin, Italy
| | - E Marra
- Section of Dermatology, Department of Medical Sciences, University of Turin, Turin, Italy
| | - F Bert
- Department of Public Health, University of Turin, Turin, Italy
| | - E Faure
- Department of Pathophysiology and Transplantation, Section of Dermatology, Fondazione IRCCS Ca Granda, University of Milan
| | - E S Baduel
- Section of Dermatology, Department of Medical Sciences, University of Turin, Turin, Italy
| | - E Balagna
- Section of Dermatology, Department of Medical Sciences, University of Turin, Turin, Italy
| | - P Quaglino
- Section of Dermatology, Department of Medical Sciences, University of Turin, Turin, Italy
| | - M T Fierro
- Section of Dermatology, Department of Medical Sciences, University of Turin, Turin, Italy
| | - R Siliquini
- Department of Public Health, University of Turin, Turin, Italy
| | - S Ribero
- Section of Dermatology, Department of Medical Sciences, University of Turin, Turin, Italy
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Scaioli G, Bert F, Gualano MR, Camussi E, Siliquini R. Inter-hospitals care pathway for Centers of Welcoming and Services for oncologic patients in Italy. Eur J Public Health 2017. [DOI: 10.1093/eurpub/ckx187.154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- G Scaioli
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - F Bert
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - MR Gualano
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - E Camussi
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - R Siliquini
- Department of Public Health Sciences, University of Turin, Turin, Italy
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Scaioli G, Schäfer WLA, Boerma WGW, Spreeuwenberg PMM, Groenewegen PP, Schellevis FG. Communication at the primary-secondary care interface: a cross-sectional survey in 34 countries. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw165.057] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Scaioli G, Bert F, Martorana M, Gili R, Gualano MR, Siliquini R. Marketing messages about electronic cigarettes: an analysis of Italian on-line promotional videos. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw164.019] [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: 11/13/2022] Open
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Scozzari G, Bert F, Gualano MR, Villa G, Scaioli G, Siliquini R. Are there evidences for air pollution effects on suicidal behaviours? A systematic review. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw164.051] [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: 11/13/2022] Open
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Flacco ME, Manzoli L, Boccia S, Puggina A, Rosso A, Marzuillo C, Scaioli G, Gualano MR, Ricciardi W, Villari P, Ioannidis JPA. Registered Randomized Trials Comparing Generic and Brand-Name Drugs: A Survey. Mayo Clin Proc 2016; 91:1021-34. [PMID: 27402583 DOI: 10.1016/j.mayocp.2016.04.032] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/05/2016] [Revised: 03/25/2016] [Accepted: 04/28/2016] [Indexed: 11/20/2022]
Abstract
OBJECTIVES To evaluate the research agenda of registered randomized trials comparing generic and brand-name drugs in terms of who sponsors them, whether they are published promptly, and whether they find favorable results. METHODS We included randomized trials comparing the safety or efficacy of brand-name vs generic medications that were registered in ClinicalTrials.gov or other registries from January 1, 2000, through July 31, 2015. To identify published articles or results generated from such trials, we searched PubMed, Scopus, Google, and registry databases. Data were compared across sponsorship categories ("inbred" if the compared drugs were owned by the same company or its partners/subsidiaries, "competitive" if the compared drugs were owned by competing companies, and "apparently nonprofit"), and time to publication was evaluated with Cox analysis. RESULTS We found 207 registered protocols reporting on 186 completed trials. Among those trials, 37 had published their results and another 56 had posted results in registries, for a total of 93 trials with available results. Four years after trial completion, results were available for 64 of 138 trials (46.4%), with substantial differences by sponsor: 70.8% (34 of 48), 28.1% (18 of 64), and 46.2% (12 of 26) of the inbred, competitive, and nonprofit trials, respectively. In multivariate modeling, inbred trials had a 1.73-fold risk of having results available compared with competitive trials (P=.04). Almost all trials reported favorable results, with the exception of 4 (4.3% of the 93 trials with results). CONCLUSION Despite the importance of generic drugs, relatively few registered randomized trials have compared the health effects of generic vs brand-name medicines, and there is an associated unsatisfactory publication rate and almost ubiquitous favorable results. The overall literature on the topic is at high risk of bias, possibly in favor of generic drugs. Higher nonprofit funding and stronger pressure to register trials and publish results are needed.
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Affiliation(s)
- Maria Elena Flacco
- Department of Medicine and Aging Sciences, University of Chieti, Chieti, Italy; Regional Healthcare Agency of the Abruzzo Region, Pescara, Italy; Local Health Unit of Pescara, Pescara, Italy
| | - Lamberto Manzoli
- Department of Medicine and Aging Sciences, University of Chieti, Chieti, Italy; Regional Healthcare Agency of the Abruzzo Region, Pescara, Italy; Local Health Unit of Pescara, Pescara, Italy.
| | - Stefania Boccia
- Institute of Public Health, Catholic University of Sacred Heart, Rome, Italy
| | - Anna Puggina
- Institute of Public Health, Catholic University of Sacred Heart, Rome, Italy
| | - Annalisa Rosso
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - Carolina Marzuillo
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | | | | | - Walter Ricciardi
- Institute of Public Health, Catholic University of Sacred Heart, Rome, Italy; Italian National Institute of Health, Rome, Italy
| | - Paolo Villari
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - John P A Ioannidis
- Stanford Prevention Research Center, Department of Medicine and Department of Health Research and Policy, Stanford University School of Medicine, Stanford, CA; Department of Statistics, Stanford University School of Humanities and Sciences, Stanford, CA; Meta-Research Innovation Center at Stanford (METRICS), Stanford, CA
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