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1. Lifestyle and Cancer Prevention—Opinions and Behaviors Among Romanian University Students

Author

Lotrean,Lucia Maria, Florea,Mira, Lencu,Codruta, Lotrean,Lucia Maria, Florea,Mira, and Lencu,Codruta

Abstract

Lucia Maria Lotrean, Mira Florea, Codruta Lencu Faculty of Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, RomaniaCorrespondence: Mira Florea Email miraflorea@umfcluj.roBackground: Healthy lifestyle promotion represents an important component of cancer prevention. The aim of this study is the assessment of opinions and behavior related to healthy lifestyle and cancer prevention among Romanian university students.Methods: A cross-sectional study was performed by anonymous questionnaires in 2017 among 400 university students from the four main universities from Cluj-Napoca, Romania.Results: One out of five students was overweight or obese, but 83% meet the recommendations for performing physical activity. The majority did not meet the recommendations of eating 400 g of fruits and vegetables daily, while almost half declared eating more than 500 g of red meat weekly and more than one third do not respect the recommendations for alcohol consumption. The factor analysis reveals two factors with regard to cancer prevention-related behaviors. The first one consists of those having an appropriate body weight, and having a higher tendency for consumption of fruits and vegetables, performing physical activity, while being more prone not to respect the recommendations regarding the alcohol consumption. The second factor refers to a higher tendency to respect both the recommendations for alcohol and red meat consumption.Conclusion: Future educational activities should focus on promoting better nutritional habits, decrease alcohol consumption and offer appropriate services for weight management among Romanian university students.Keywords: nutrition, physical activity, students, cancer prevention

Published
2021

2. Lights and Shadows of the Perception of the Use of Telemedicine by Romanian Family Doctors During the COVID-19 Pandemic

Author

Florea,Mira, Lazea,Cecilia, Gaga,Remus, Sur,Genel, Lotrean,Lucia, Puia,Aida, Stanescu,Ana Maria Alexandra, Lupsor-Platon,Monica, Florea,Horatiu, Sur,Maria Lucia, Florea,Mira, Lazea,Cecilia, Gaga,Remus, Sur,Genel, Lotrean,Lucia, Puia,Aida, Stanescu,Ana Maria Alexandra, Lupsor-Platon,Monica, Florea,Horatiu, and Sur,Maria Lucia

Abstract

Mira Florea,1 Cecilia Lazea,2 Remus Gaga,2 Genel Sur,2 Lucia Lotrean,1 Aida Puia,1 Ana Maria Alexandra Stanescu,3 Monica Lupsor-Platon,4 Horatiu Florea,5 Maria Lucia Sur2 1Department of Community Medicine, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania; 2Department of Pediatrics, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania; 3Department of Family Medicine, “carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; 4Medical Imaging Department, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania; 5Computer Science Department, Technical University of Cluj-Napoca, Cluj-Napoca, RomaniaCorrespondence: Cecilia Lazea V Babes 8 Street, Cluj-Napoca, 400006, RomaniaTel + 40744353764Email cecilialazea@umfcluj.roIntroduction: Telemedicine has emerged as a critical technology to mitigate SARS-CoV-2 infection. We aim in this work to explore how general practitioners (GPs) perceived the use of telemedicine, recently recognized and reimbursed by the Public Health Insurance House (PHIH) for primary care (PC) provision.Methods: A cross-sectional study was performed in 2020 in one county of Romania using an anonymous questionnaire that assessed physicians’ perceptions regarding teleconsultation, reliability in tele-decision, remote pathology management, pregnant women’s surveillance, patients’ satisfaction with telemedicine, the need for its further reimbursement. Bivariate correlation was used to measure associations between the investigated issues.Results: More than a quarter of GPs (28.6%) found it easier to address patients’ healthcare needs remotely, while 60.7% considered time-consuming teleconsultations compared to face-to-face visits. Tele-diagnostic uncertainty was expressed by 64.3% of physicians, and a quarter were confident in tele-decisions. Almost half of GPs

Published
2021

3. Receiving support to quit smoking and quit attempts among smokers with and without smoking related diseases : Findings from the EUREST-PLUS ITC Europe Surveys

Author

Hedman, Linnea, Katsaounou, Paraskevi A., Filippidis, Filippos T., Ravara, Sofia B., Lindberg, Anne, Janson, Christer, Gratziou, Christina, Rohde, Gernot, Kyriakos, Christina N., Mons, Ute, Fernandez, Esteve, Trofor, Antigona C., Demjen, Tibor, Przewozniak, Krzysztof, Tountas, Yannis, Fong, Geoffrey T., Vardavas, Constantine I., Glahn, Andrea, Nguyen, Dominick, Nikitara, Katerina, Radu-Loghin, Cornel, Starchenko, Polina, Tsatsakis, Aristidis, Girvalaki, Charis, Igoumenaki, Chryssi, Papadakis, Sophia, Papathanasaki, Aikaterini, Tzatzarakis, Manolis, Vardavas, Alexander I., Becuwe, Nicolas, Deaconu, Lavinia, Goudet, Sophie, Hanley, Christopher, Riviere, Oscar, Kiss, Judit, Kovacs, Piroska A., Castellano, Yolanda, Fu, Marcela, Nogueira, Sarah O., Tigova, Olena, McNeill, Ann, East, Katherine, Hitchman, Sara C., Kahnert, Sarah, Behrakis, Panagiotis, Katsaounou, Paraskevi, Peleki, Theodosia, Petroulia, Ioanna, Tzavara, Chara, Eremia, Marius, Lotrean, Lucia, Mihaltan, Florin, Asano, Tamaki, Cichon, Claudia, Far, Amy, Genton, Celine, Jessner, Melanie, Lindberg, Ann, Maguire, Beth, Ravara, Sofia, Vaccaro, Valerie, Ward, Brian, Willemsen, Marc, de Vries, Hein, Hummel, Karin, Nagelhout, Gera E., Zatonski, Witold A., Herbec, Aleksandra, Janik-Koncewicz, Kinga, Zatonski, Mateusz, Agar, Thomas K., Driezen, Pete, Gravely, Shannon, Quah, Anne C. K., Thompson, Mary E., Hedman, Linnea, Katsaounou, Paraskevi A., Filippidis, Filippos T., Ravara, Sofia B., Lindberg, Anne, Janson, Christer, Gratziou, Christina, Rohde, Gernot, Kyriakos, Christina N., Mons, Ute, Fernandez, Esteve, Trofor, Antigona C., Demjen, Tibor, Przewozniak, Krzysztof, Tountas, Yannis, Fong, Geoffrey T., Vardavas, Constantine I., Glahn, Andrea, Nguyen, Dominick, Nikitara, Katerina, Radu-Loghin, Cornel, Starchenko, Polina, Tsatsakis, Aristidis, Girvalaki, Charis, Igoumenaki, Chryssi, Papadakis, Sophia, Papathanasaki, Aikaterini, Tzatzarakis, Manolis, Vardavas, Alexander I., Becuwe, Nicolas, Deaconu, Lavinia, Goudet, Sophie, Hanley, Christopher, Riviere, Oscar, Kiss, Judit, Kovacs, Piroska A., Castellano, Yolanda, Fu, Marcela, Nogueira, Sarah O., Tigova, Olena, McNeill, Ann, East, Katherine, Hitchman, Sara C., Kahnert, Sarah, Behrakis, Panagiotis, Katsaounou, Paraskevi, Peleki, Theodosia, Petroulia, Ioanna, Tzavara, Chara, Eremia, Marius, Lotrean, Lucia, Mihaltan, Florin, Asano, Tamaki, Cichon, Claudia, Far, Amy, Genton, Celine, Jessner, Melanie, Lindberg, Ann, Maguire, Beth, Ravara, Sofia, Vaccaro, Valerie, Ward, Brian, Willemsen, Marc, de Vries, Hein, Hummel, Karin, Nagelhout, Gera E., Zatonski, Witold A., Herbec, Aleksandra, Janik-Koncewicz, Kinga, Zatonski, Mateusz, Agar, Thomas K., Driezen, Pete, Gravely, Shannon, Quah, Anne C. K., and Thompson, Mary E.

Abstract

INTRODUCTION Having a chronic disease either caused or worsened by tobacco smoking does not always translate into quitting smoking. Although smoking cessation is one of the most cost-effective medical interventions, it remains poorly implemented in healthcare settings. The aim was to examine whether smokers with chronic and respiratory diseases were more likely to receive support to quit smoking by a healthcare provider or make a quit attempt than smokers without these diseases. METHODS This population-based study included a sample of 6011 adult smokers in six European countries. The participants were interviewed face-to-face and asked questions on sociodemographic characteristics, current diagnoses for chronic diseases, healthcare visits in the last 12 months and, if so, whether they had received any support to quit smoking. Questions on smoking behavior included nicotine dependence, motivation to quit smoking and quit attempts in the last 12 months. The results are presented as weighted percentages with 95% confidence intervals (CI) and as adjusted odds ratios with 95% CI based on logistic regression analyses. RESULTS Smokers with chronic respiratory disease, those aged 55 years and older, as well as those with one or more chronic diseases were more likely to receive smoking cessation advice from a healthcare professional. Making a quit attempt in the last year was related to younger age, high educational level, higher motivation to quit, lower nicotine dependence and having received advice to quit from a healthcare professional but not with having chronic diseases. There were significant differences between countries with smokers in Romania consistently reporting more support to quit as well as quit attempts. CONCLUSIONS Although smokers with respiratory disease did indeed receive smoking cessation support more often than smokers without disease, many smokers did not receive any advice or support to quit during a healthcare visit.

Published
2018
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4. Gaps in Guidelines for the Management of Diabetes in Low- and Middle-Income Versus High-Income Countries : A Systematic Review

Author

Owolabi, Mayowa O., Yaria, Joseph O., Daivadanam, Meena, Makanjuola, Akintomiwa I., Parker, Gary, Oldenburg, Brian, Vedanthan, Rajesh, Norris, Shane, Oguntoye, Ayodele R., Osundina, Morenike A., Herasme, Omarys, Lakoh, Sulaiman, Ogunjimi, Luqman O., Abraham, Sarah E., Olowoyo, Paul, Jenkins, Carolyn, Feng, Wuwei, Bayona, Hernan, Mohan, Sailesh, Joshi, Rohina, Webster, Ruth, Kengne, Andre P., Trofor, Antigona, Lotrean, Lucia Maria, Praveen, Devarsetty, Zafra-Tanaka, Jessica H., Lazo-Porras, Maria, Bobrow, Kirsten, Riddell, Michaela A., Makrilakis, Konstantinos, Manios, Yannis, Ovbiagele, Bruce, Owolabi, Mayowa O., Yaria, Joseph O., Daivadanam, Meena, Makanjuola, Akintomiwa I., Parker, Gary, Oldenburg, Brian, Vedanthan, Rajesh, Norris, Shane, Oguntoye, Ayodele R., Osundina, Morenike A., Herasme, Omarys, Lakoh, Sulaiman, Ogunjimi, Luqman O., Abraham, Sarah E., Olowoyo, Paul, Jenkins, Carolyn, Feng, Wuwei, Bayona, Hernan, Mohan, Sailesh, Joshi, Rohina, Webster, Ruth, Kengne, Andre P., Trofor, Antigona, Lotrean, Lucia Maria, Praveen, Devarsetty, Zafra-Tanaka, Jessica H., Lazo-Porras, Maria, Bobrow, Kirsten, Riddell, Michaela A., Makrilakis, Konstantinos, Manios, Yannis, and Ovbiagele, Bruce

Abstract

OBJECTIVE The extent to which diabetes (DM) practice guidelines, often based on evidence from high-income countries (HIC), can be implemented to improve outcomes in low-and middle-income countries (LMIC) is a critical challenge. We carried out a systematic review to compare type 2 DM guidelines in individual LMIC versus HIC over the past decade to identify aspects that could be improved to facilitate implementation. RESEARCH DESIGN AND METHODS Eligible guidelines were sought from online databases and websites of diabetes associations and ministries of health. Type 2 DM guidelines published between 2006 and 2016 with accessible full publications were included. Each of the 54 eligible guidelines was assessed for compliance with the Institute of Medicine (IOM) standards, coverage of the cardiovascular quadrangle (epidemiologic surveillance, prevention, acute care, and rehabilitation), translatability, and its target audiences. RESULTS Most LMIC guidelines were inadequate in terms of applicability, clarity, and dissemination plan as well as socioeconomic and ethical-legal contextualization. LMIC guidelines targeted mainly health care providers, with only a few including patients (7%), payers (11%), and policy makers (18%) as their target audiences. Compared with HIC guidelines, the spectrum of DM clinical care addressed by LMIC guidelines was narrow. Most guidelines from the LMIC complied with less than half of the IOM standards, with 12% of the LMIC guidelines satisfying at least four IOM criteria as opposed to 60% of the HIC guidelines (P < 0.001). CONCLUSIONS A new approach to the contextualization, content development, and delivery of LMIC guidelines is needed to improve outcomes.

Published
2018
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5. Receiving support to quit smoking and quit attempts among smokers with and without smoking related diseases : Findings from the EUREST-PLUS ITC Europe Surveys

Author

Hedman, Linnea, Katsaounou, Paraskevi A., Filippidis, Filippos T., Ravara, Sofia B., Lindberg, Anne, Janson, Christer, Gratziou, Christina, Rohde, Gernot, Kyriakos, Christina N., Mons, Ute, Fernandez, Esteve, Trofor, Antigona C., Demjen, Tibor, Przewozniak, Krzysztof, Tountas, Yannis, Fong, Geoffrey T., Vardavas, Constantine I., Glahn, Andrea, Nguyen, Dominick, Nikitara, Katerina, Radu-Loghin, Cornel, Starchenko, Polina, Tsatsakis, Aristidis, Girvalaki, Charis, Igoumenaki, Chryssi, Papadakis, Sophia, Papathanasaki, Aikaterini, Tzatzarakis, Manolis, Vardavas, Alexander I., Becuwe, Nicolas, Deaconu, Lavinia, Goudet, Sophie, Hanley, Christopher, Riviere, Oscar, Kiss, Judit, Kovacs, Piroska A., Castellano, Yolanda, Fu, Marcela, Nogueira, Sarah O., Tigova, Olena, McNeill, Ann, East, Katherine, Hitchman, Sara C., Kahnert, Sarah, Behrakis, Panagiotis, Katsaounou, Paraskevi, Peleki, Theodosia, Petroulia, Ioanna, Tzavara, Chara, Eremia, Marius, Lotrean, Lucia, Mihaltan, Florin, Asano, Tamaki, Cichon, Claudia, Far, Amy, Genton, Celine, Jessner, Melanie, Lindberg, Ann, Maguire, Beth, Ravara, Sofia, Vaccaro, Valerie, Ward, Brian, Willemsen, Marc, de Vries, Hein, Hummel, Karin, Nagelhout, Gera E., Zatonski, Witold A., Herbec, Aleksandra, Janik-Koncewicz, Kinga, Zatonski, Mateusz, Agar, Thomas K., Driezen, Pete, Gravely, Shannon, Quah, Anne C. K., Thompson, Mary E., Hedman, Linnea, Katsaounou, Paraskevi A., Filippidis, Filippos T., Ravara, Sofia B., Lindberg, Anne, Janson, Christer, Gratziou, Christina, Rohde, Gernot, Kyriakos, Christina N., Mons, Ute, Fernandez, Esteve, Trofor, Antigona C., Demjen, Tibor, Przewozniak, Krzysztof, Tountas, Yannis, Fong, Geoffrey T., Vardavas, Constantine I., Glahn, Andrea, Nguyen, Dominick, Nikitara, Katerina, Radu-Loghin, Cornel, Starchenko, Polina, Tsatsakis, Aristidis, Girvalaki, Charis, Igoumenaki, Chryssi, Papadakis, Sophia, Papathanasaki, Aikaterini, Tzatzarakis, Manolis, Vardavas, Alexander I., Becuwe, Nicolas, Deaconu, Lavinia, Goudet, Sophie, Hanley, Christopher, Riviere, Oscar, Kiss, Judit, Kovacs, Piroska A., Castellano, Yolanda, Fu, Marcela, Nogueira, Sarah O., Tigova, Olena, McNeill, Ann, East, Katherine, Hitchman, Sara C., Kahnert, Sarah, Behrakis, Panagiotis, Katsaounou, Paraskevi, Peleki, Theodosia, Petroulia, Ioanna, Tzavara, Chara, Eremia, Marius, Lotrean, Lucia, Mihaltan, Florin, Asano, Tamaki, Cichon, Claudia, Far, Amy, Genton, Celine, Jessner, Melanie, Lindberg, Ann, Maguire, Beth, Ravara, Sofia, Vaccaro, Valerie, Ward, Brian, Willemsen, Marc, de Vries, Hein, Hummel, Karin, Nagelhout, Gera E., Zatonski, Witold A., Herbec, Aleksandra, Janik-Koncewicz, Kinga, Zatonski, Mateusz, Agar, Thomas K., Driezen, Pete, Gravely, Shannon, Quah, Anne C. K., and Thompson, Mary E.

Abstract

INTRODUCTION Having a chronic disease either caused or worsened by tobacco smoking does not always translate into quitting smoking. Although smoking cessation is one of the most cost-effective medical interventions, it remains poorly implemented in healthcare settings. The aim was to examine whether smokers with chronic and respiratory diseases were more likely to receive support to quit smoking by a healthcare provider or make a quit attempt than smokers without these diseases. METHODS This population-based study included a sample of 6011 adult smokers in six European countries. The participants were interviewed face-to-face and asked questions on sociodemographic characteristics, current diagnoses for chronic diseases, healthcare visits in the last 12 months and, if so, whether they had received any support to quit smoking. Questions on smoking behavior included nicotine dependence, motivation to quit smoking and quit attempts in the last 12 months. The results are presented as weighted percentages with 95% confidence intervals (CI) and as adjusted odds ratios with 95% CI based on logistic regression analyses. RESULTS Smokers with chronic respiratory disease, those aged 55 years and older, as well as those with one or more chronic diseases were more likely to receive smoking cessation advice from a healthcare professional. Making a quit attempt in the last year was related to younger age, high educational level, higher motivation to quit, lower nicotine dependence and having received advice to quit from a healthcare professional but not with having chronic diseases. There were significant differences between countries with smokers in Romania consistently reporting more support to quit as well as quit attempts. CONCLUSIONS Although smokers with respiratory disease did indeed receive smoking cessation support more often than smokers without disease, many smokers did not receive any advice or support to quit during a healthcare visit., Supplement 2.

Published
2018
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6. Receiving support to quit smoking and quit attempts among smokers with and without smoking related diseases : Findings from the EUREST-PLUS ITC Europe Surveys

Author

Hedman, Linnea, Katsaounou, Paraskevi A., Filippidis, Filippos T., Ravara, Sofia B., Lindberg, Anne, Janson, Christer, Gratziou, Christina, Rohde, Gernot, Kyriakos, Christina N., Mons, Ute, Fernandez, Esteve, Trofor, Antigona C., Demjen, Tibor, Przewozniak, Krzysztof, Tountas, Yannis, Fong, Geoffrey T., Vardavas, Constantine I., Glahn, Andrea, Nguyen, Dominick, Nikitara, Katerina, Radu-Loghin, Cornel, Starchenko, Polina, Tsatsakis, Aristidis, Girvalaki, Charis, Igoumenaki, Chryssi, Papadakis, Sophia, Papathanasaki, Aikaterini, Tzatzarakis, Manolis, Vardavas, Alexander I., Becuwe, Nicolas, Deaconu, Lavinia, Goudet, Sophie, Hanley, Christopher, Riviere, Oscar, Kiss, Judit, Kovacs, Piroska A., Castellano, Yolanda, Fu, Marcela, Nogueira, Sarah O., Tigova, Olena, McNeill, Ann, East, Katherine, Hitchman, Sara C., Kahnert, Sarah, Behrakis, Panagiotis, Katsaounou, Paraskevi, Peleki, Theodosia, Petroulia, Ioanna, Tzavara, Chara, Eremia, Marius, Lotrean, Lucia, Mihaltan, Florin, Asano, Tamaki, Cichon, Claudia, Far, Amy, Genton, Celine, Jessner, Melanie, Lindberg, Ann, Maguire, Beth, Ravara, Sofia, Vaccaro, Valerie, Ward, Brian, Willemsen, Marc, de Vries, Hein, Hummel, Karin, Nagelhout, Gera E., Zatonski, Witold A., Herbec, Aleksandra, Janik-Koncewicz, Kinga, Zatonski, Mateusz, Agar, Thomas K., Driezen, Pete, Gravely, Shannon, Quah, Anne C. K., Thompson, Mary E., Hedman, Linnea, Katsaounou, Paraskevi A., Filippidis, Filippos T., Ravara, Sofia B., Lindberg, Anne, Janson, Christer, Gratziou, Christina, Rohde, Gernot, Kyriakos, Christina N., Mons, Ute, Fernandez, Esteve, Trofor, Antigona C., Demjen, Tibor, Przewozniak, Krzysztof, Tountas, Yannis, Fong, Geoffrey T., Vardavas, Constantine I., Glahn, Andrea, Nguyen, Dominick, Nikitara, Katerina, Radu-Loghin, Cornel, Starchenko, Polina, Tsatsakis, Aristidis, Girvalaki, Charis, Igoumenaki, Chryssi, Papadakis, Sophia, Papathanasaki, Aikaterini, Tzatzarakis, Manolis, Vardavas, Alexander I., Becuwe, Nicolas, Deaconu, Lavinia, Goudet, Sophie, Hanley, Christopher, Riviere, Oscar, Kiss, Judit, Kovacs, Piroska A., Castellano, Yolanda, Fu, Marcela, Nogueira, Sarah O., Tigova, Olena, McNeill, Ann, East, Katherine, Hitchman, Sara C., Kahnert, Sarah, Behrakis, Panagiotis, Katsaounou, Paraskevi, Peleki, Theodosia, Petroulia, Ioanna, Tzavara, Chara, Eremia, Marius, Lotrean, Lucia, Mihaltan, Florin, Asano, Tamaki, Cichon, Claudia, Far, Amy, Genton, Celine, Jessner, Melanie, Lindberg, Ann, Maguire, Beth, Ravara, Sofia, Vaccaro, Valerie, Ward, Brian, Willemsen, Marc, de Vries, Hein, Hummel, Karin, Nagelhout, Gera E., Zatonski, Witold A., Herbec, Aleksandra, Janik-Koncewicz, Kinga, Zatonski, Mateusz, Agar, Thomas K., Driezen, Pete, Gravely, Shannon, Quah, Anne C. K., and Thompson, Mary E.

Abstract

INTRODUCTION Having a chronic disease either caused or worsened by tobacco smoking does not always translate into quitting smoking. Although smoking cessation is one of the most cost-effective medical interventions, it remains poorly implemented in healthcare settings. The aim was to examine whether smokers with chronic and respiratory diseases were more likely to receive support to quit smoking by a healthcare provider or make a quit attempt than smokers without these diseases. METHODS This population-based study included a sample of 6011 adult smokers in six European countries. The participants were interviewed face-to-face and asked questions on sociodemographic characteristics, current diagnoses for chronic diseases, healthcare visits in the last 12 months and, if so, whether they had received any support to quit smoking. Questions on smoking behavior included nicotine dependence, motivation to quit smoking and quit attempts in the last 12 months. The results are presented as weighted percentages with 95% confidence intervals (CI) and as adjusted odds ratios with 95% CI based on logistic regression analyses. RESULTS Smokers with chronic respiratory disease, those aged 55 years and older, as well as those with one or more chronic diseases were more likely to receive smoking cessation advice from a healthcare professional. Making a quit attempt in the last year was related to younger age, high educational level, higher motivation to quit, lower nicotine dependence and having received advice to quit from a healthcare professional but not with having chronic diseases. There were significant differences between countries with smokers in Romania consistently reporting more support to quit as well as quit attempts. CONCLUSIONS Although smokers with respiratory disease did indeed receive smoking cessation support more often than smokers without disease, many smokers did not receive any advice or support to quit during a healthcare visit., Supplement 2.

Published
2018
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7. Receiving support to quit smoking and quit attempts among smokers with and without smoking related diseases : Findings from the EUREST-PLUS ITC Europe Surveys

Author

Hedman, Linnea, Katsaounou, Paraskevi A., Filippidis, Filippos T., Ravara, Sofia B., Lindberg, Anne, Janson, Christer, Gratziou, Christina, Rohde, Gernot, Kyriakos, Christina N., Mons, Ute, Fernandez, Esteve, Trofor, Antigona C., Demjen, Tibor, Przewozniak, Krzysztof, Tountas, Yannis, Fong, Geoffrey T., Vardavas, Constantine I., Glahn, Andrea, Nguyen, Dominick, Nikitara, Katerina, Radu-Loghin, Cornel, Starchenko, Polina, Tsatsakis, Aristidis, Girvalaki, Charis, Igoumenaki, Chryssi, Papadakis, Sophia, Papathanasaki, Aikaterini, Tzatzarakis, Manolis, Vardavas, Alexander I., Becuwe, Nicolas, Deaconu, Lavinia, Goudet, Sophie, Hanley, Christopher, Riviere, Oscar, Kiss, Judit, Kovacs, Piroska A., Castellano, Yolanda, Fu, Marcela, Nogueira, Sarah O., Tigova, Olena, McNeill, Ann, East, Katherine, Hitchman, Sara C., Kahnert, Sarah, Behrakis, Panagiotis, Katsaounou, Paraskevi, Peleki, Theodosia, Petroulia, Ioanna, Tzavara, Chara, Eremia, Marius, Lotrean, Lucia, Mihaltan, Florin, Asano, Tamaki, Cichon, Claudia, Far, Amy, Genton, Celine, Jessner, Melanie, Lindberg, Ann, Maguire, Beth, Ravara, Sofia, Vaccaro, Valerie, Ward, Brian, Willemsen, Marc, de Vries, Hein, Hummel, Karin, Nagelhout, Gera E., Zatonski, Witold A., Herbec, Aleksandra, Janik-Koncewicz, Kinga, Zatonski, Mateusz, Agar, Thomas K., Driezen, Pete, Gravely, Shannon, Quah, Anne C. K., Thompson, Mary E., Hedman, Linnea, Katsaounou, Paraskevi A., Filippidis, Filippos T., Ravara, Sofia B., Lindberg, Anne, Janson, Christer, Gratziou, Christina, Rohde, Gernot, Kyriakos, Christina N., Mons, Ute, Fernandez, Esteve, Trofor, Antigona C., Demjen, Tibor, Przewozniak, Krzysztof, Tountas, Yannis, Fong, Geoffrey T., Vardavas, Constantine I., Glahn, Andrea, Nguyen, Dominick, Nikitara, Katerina, Radu-Loghin, Cornel, Starchenko, Polina, Tsatsakis, Aristidis, Girvalaki, Charis, Igoumenaki, Chryssi, Papadakis, Sophia, Papathanasaki, Aikaterini, Tzatzarakis, Manolis, Vardavas, Alexander I., Becuwe, Nicolas, Deaconu, Lavinia, Goudet, Sophie, Hanley, Christopher, Riviere, Oscar, Kiss, Judit, Kovacs, Piroska A., Castellano, Yolanda, Fu, Marcela, Nogueira, Sarah O., Tigova, Olena, McNeill, Ann, East, Katherine, Hitchman, Sara C., Kahnert, Sarah, Behrakis, Panagiotis, Katsaounou, Paraskevi, Peleki, Theodosia, Petroulia, Ioanna, Tzavara, Chara, Eremia, Marius, Lotrean, Lucia, Mihaltan, Florin, Asano, Tamaki, Cichon, Claudia, Far, Amy, Genton, Celine, Jessner, Melanie, Lindberg, Ann, Maguire, Beth, Ravara, Sofia, Vaccaro, Valerie, Ward, Brian, Willemsen, Marc, de Vries, Hein, Hummel, Karin, Nagelhout, Gera E., Zatonski, Witold A., Herbec, Aleksandra, Janik-Koncewicz, Kinga, Zatonski, Mateusz, Agar, Thomas K., Driezen, Pete, Gravely, Shannon, Quah, Anne C. K., and Thompson, Mary E.

Abstract

INTRODUCTION Having a chronic disease either caused or worsened by tobacco smoking does not always translate into quitting smoking. Although smoking cessation is one of the most cost-effective medical interventions, it remains poorly implemented in healthcare settings. The aim was to examine whether smokers with chronic and respiratory diseases were more likely to receive support to quit smoking by a healthcare provider or make a quit attempt than smokers without these diseases. METHODS This population-based study included a sample of 6011 adult smokers in six European countries. The participants were interviewed face-to-face and asked questions on sociodemographic characteristics, current diagnoses for chronic diseases, healthcare visits in the last 12 months and, if so, whether they had received any support to quit smoking. Questions on smoking behavior included nicotine dependence, motivation to quit smoking and quit attempts in the last 12 months. The results are presented as weighted percentages with 95% confidence intervals (CI) and as adjusted odds ratios with 95% CI based on logistic regression analyses. RESULTS Smokers with chronic respiratory disease, those aged 55 years and older, as well as those with one or more chronic diseases were more likely to receive smoking cessation advice from a healthcare professional. Making a quit attempt in the last year was related to younger age, high educational level, higher motivation to quit, lower nicotine dependence and having received advice to quit from a healthcare professional but not with having chronic diseases. There were significant differences between countries with smokers in Romania consistently reporting more support to quit as well as quit attempts. CONCLUSIONS Although smokers with respiratory disease did indeed receive smoking cessation support more often than smokers without disease, many smokers did not receive any advice or support to quit during a healthcare visit., Supplement 2.

Published
2018
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8. Receiving support to quit smoking and quit attempts among smokers with and without smoking related diseases : Findings from the EUREST-PLUS ITC Europe Surveys

Author

Hedman, Linnea, Katsaounou, Paraskevi A., Filippidis, Filippos T., Ravara, Sofia B., Lindberg, Anne, Janson, Christer, Gratziou, Christina, Rohde, Gernot, Kyriakos, Christina N., Mons, Ute, Fernandez, Esteve, Trofor, Antigona C., Demjen, Tibor, Przewozniak, Krzysztof, Tountas, Yannis, Fong, Geoffrey T., Vardavas, Constantine I., Glahn, Andrea, Nguyen, Dominick, Nikitara, Katerina, Radu-Loghin, Cornel, Starchenko, Polina, Tsatsakis, Aristidis, Girvalaki, Charis, Igoumenaki, Chryssi, Papadakis, Sophia, Papathanasaki, Aikaterini, Tzatzarakis, Manolis, Vardavas, Alexander I., Becuwe, Nicolas, Deaconu, Lavinia, Goudet, Sophie, Hanley, Christopher, Riviere, Oscar, Kiss, Judit, Kovacs, Piroska A., Castellano, Yolanda, Fu, Marcela, Nogueira, Sarah O., Tigova, Olena, McNeill, Ann, East, Katherine, Hitchman, Sara C., Kahnert, Sarah, Behrakis, Panagiotis, Katsaounou, Paraskevi, Peleki, Theodosia, Petroulia, Ioanna, Tzavara, Chara, Eremia, Marius, Lotrean, Lucia, Mihaltan, Florin, Asano, Tamaki, Cichon, Claudia, Far, Amy, Genton, Celine, Jessner, Melanie, Lindberg, Ann, Maguire, Beth, Ravara, Sofia, Vaccaro, Valerie, Ward, Brian, Willemsen, Marc, de Vries, Hein, Hummel, Karin, Nagelhout, Gera E., Zatonski, Witold A., Herbec, Aleksandra, Janik-Koncewicz, Kinga, Zatonski, Mateusz, Agar, Thomas K., Driezen, Pete, Gravely, Shannon, Quah, Anne C. K., Thompson, Mary E., Hedman, Linnea, Katsaounou, Paraskevi A., Filippidis, Filippos T., Ravara, Sofia B., Lindberg, Anne, Janson, Christer, Gratziou, Christina, Rohde, Gernot, Kyriakos, Christina N., Mons, Ute, Fernandez, Esteve, Trofor, Antigona C., Demjen, Tibor, Przewozniak, Krzysztof, Tountas, Yannis, Fong, Geoffrey T., Vardavas, Constantine I., Glahn, Andrea, Nguyen, Dominick, Nikitara, Katerina, Radu-Loghin, Cornel, Starchenko, Polina, Tsatsakis, Aristidis, Girvalaki, Charis, Igoumenaki, Chryssi, Papadakis, Sophia, Papathanasaki, Aikaterini, Tzatzarakis, Manolis, Vardavas, Alexander I., Becuwe, Nicolas, Deaconu, Lavinia, Goudet, Sophie, Hanley, Christopher, Riviere, Oscar, Kiss, Judit, Kovacs, Piroska A., Castellano, Yolanda, Fu, Marcela, Nogueira, Sarah O., Tigova, Olena, McNeill, Ann, East, Katherine, Hitchman, Sara C., Kahnert, Sarah, Behrakis, Panagiotis, Katsaounou, Paraskevi, Peleki, Theodosia, Petroulia, Ioanna, Tzavara, Chara, Eremia, Marius, Lotrean, Lucia, Mihaltan, Florin, Asano, Tamaki, Cichon, Claudia, Far, Amy, Genton, Celine, Jessner, Melanie, Lindberg, Ann, Maguire, Beth, Ravara, Sofia, Vaccaro, Valerie, Ward, Brian, Willemsen, Marc, de Vries, Hein, Hummel, Karin, Nagelhout, Gera E., Zatonski, Witold A., Herbec, Aleksandra, Janik-Koncewicz, Kinga, Zatonski, Mateusz, Agar, Thomas K., Driezen, Pete, Gravely, Shannon, Quah, Anne C. K., and Thompson, Mary E.

Abstract

INTRODUCTION Having a chronic disease either caused or worsened by tobacco smoking does not always translate into quitting smoking. Although smoking cessation is one of the most cost-effective medical interventions, it remains poorly implemented in healthcare settings. The aim was to examine whether smokers with chronic and respiratory diseases were more likely to receive support to quit smoking by a healthcare provider or make a quit attempt than smokers without these diseases. METHODS This population-based study included a sample of 6011 adult smokers in six European countries. The participants were interviewed face-to-face and asked questions on sociodemographic characteristics, current diagnoses for chronic diseases, healthcare visits in the last 12 months and, if so, whether they had received any support to quit smoking. Questions on smoking behavior included nicotine dependence, motivation to quit smoking and quit attempts in the last 12 months. The results are presented as weighted percentages with 95% confidence intervals (CI) and as adjusted odds ratios with 95% CI based on logistic regression analyses. RESULTS Smokers with chronic respiratory disease, those aged 55 years and older, as well as those with one or more chronic diseases were more likely to receive smoking cessation advice from a healthcare professional. Making a quit attempt in the last year was related to younger age, high educational level, higher motivation to quit, lower nicotine dependence and having received advice to quit from a healthcare professional but not with having chronic diseases. There were significant differences between countries with smokers in Romania consistently reporting more support to quit as well as quit attempts. CONCLUSIONS Although smokers with respiratory disease did indeed receive smoking cessation support more often than smokers without disease, many smokers did not receive any advice or support to quit during a healthcare visit.

Published
2018
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9. Receiving support to quit smoking and quit attempts among smokers with and without smoking related diseases : Findings from the EUREST-PLUS ITC Europe Surveys

Author

Hedman, Linnea, Katsaounou, Paraskevi A., Filippidis, Filippos T., Ravara, Sofia B., Lindberg, Anne, Janson, Christer, Gratziou, Christina, Rohde, Gernot, Kyriakos, Christina N., Mons, Ute, Fernandez, Esteve, Trofor, Antigona C., Demjen, Tibor, Przewozniak, Krzysztof, Tountas, Yannis, Fong, Geoffrey T., Vardavas, Constantine I., Glahn, Andrea, Nguyen, Dominick, Nikitara, Katerina, Radu-Loghin, Cornel, Starchenko, Polina, Tsatsakis, Aristidis, Girvalaki, Charis, Igoumenaki, Chryssi, Papadakis, Sophia, Papathanasaki, Aikaterini, Tzatzarakis, Manolis, Vardavas, Alexander I., Becuwe, Nicolas, Deaconu, Lavinia, Goudet, Sophie, Hanley, Christopher, Riviere, Oscar, Kiss, Judit, Kovacs, Piroska A., Castellano, Yolanda, Fu, Marcela, Nogueira, Sarah O., Tigova, Olena, McNeill, Ann, East, Katherine, Hitchman, Sara C., Kahnert, Sarah, Behrakis, Panagiotis, Katsaounou, Paraskevi, Peleki, Theodosia, Petroulia, Ioanna, Tzavara, Chara, Eremia, Marius, Lotrean, Lucia, Mihaltan, Florin, Asano, Tamaki, Cichon, Claudia, Far, Amy, Genton, Celine, Jessner, Melanie, Lindberg, Ann, Maguire, Beth, Ravara, Sofia, Vaccaro, Valerie, Ward, Brian, Willemsen, Marc, de Vries, Hein, Hummel, Karin, Nagelhout, Gera E., Zatonski, Witold A., Herbec, Aleksandra, Janik-Koncewicz, Kinga, Zatonski, Mateusz, Agar, Thomas K., Driezen, Pete, Gravely, Shannon, Quah, Anne C. K., Thompson, Mary E., Hedman, Linnea, Katsaounou, Paraskevi A., Filippidis, Filippos T., Ravara, Sofia B., Lindberg, Anne, Janson, Christer, Gratziou, Christina, Rohde, Gernot, Kyriakos, Christina N., Mons, Ute, Fernandez, Esteve, Trofor, Antigona C., Demjen, Tibor, Przewozniak, Krzysztof, Tountas, Yannis, Fong, Geoffrey T., Vardavas, Constantine I., Glahn, Andrea, Nguyen, Dominick, Nikitara, Katerina, Radu-Loghin, Cornel, Starchenko, Polina, Tsatsakis, Aristidis, Girvalaki, Charis, Igoumenaki, Chryssi, Papadakis, Sophia, Papathanasaki, Aikaterini, Tzatzarakis, Manolis, Vardavas, Alexander I., Becuwe, Nicolas, Deaconu, Lavinia, Goudet, Sophie, Hanley, Christopher, Riviere, Oscar, Kiss, Judit, Kovacs, Piroska A., Castellano, Yolanda, Fu, Marcela, Nogueira, Sarah O., Tigova, Olena, McNeill, Ann, East, Katherine, Hitchman, Sara C., Kahnert, Sarah, Behrakis, Panagiotis, Katsaounou, Paraskevi, Peleki, Theodosia, Petroulia, Ioanna, Tzavara, Chara, Eremia, Marius, Lotrean, Lucia, Mihaltan, Florin, Asano, Tamaki, Cichon, Claudia, Far, Amy, Genton, Celine, Jessner, Melanie, Lindberg, Ann, Maguire, Beth, Ravara, Sofia, Vaccaro, Valerie, Ward, Brian, Willemsen, Marc, de Vries, Hein, Hummel, Karin, Nagelhout, Gera E., Zatonski, Witold A., Herbec, Aleksandra, Janik-Koncewicz, Kinga, Zatonski, Mateusz, Agar, Thomas K., Driezen, Pete, Gravely, Shannon, Quah, Anne C. K., and Thompson, Mary E.

Abstract

INTRODUCTION Having a chronic disease either caused or worsened by tobacco smoking does not always translate into quitting smoking. Although smoking cessation is one of the most cost-effective medical interventions, it remains poorly implemented in healthcare settings. The aim was to examine whether smokers with chronic and respiratory diseases were more likely to receive support to quit smoking by a healthcare provider or make a quit attempt than smokers without these diseases. METHODS This population-based study included a sample of 6011 adult smokers in six European countries. The participants were interviewed face-to-face and asked questions on sociodemographic characteristics, current diagnoses for chronic diseases, healthcare visits in the last 12 months and, if so, whether they had received any support to quit smoking. Questions on smoking behavior included nicotine dependence, motivation to quit smoking and quit attempts in the last 12 months. The results are presented as weighted percentages with 95% confidence intervals (CI) and as adjusted odds ratios with 95% CI based on logistic regression analyses. RESULTS Smokers with chronic respiratory disease, those aged 55 years and older, as well as those with one or more chronic diseases were more likely to receive smoking cessation advice from a healthcare professional. Making a quit attempt in the last year was related to younger age, high educational level, higher motivation to quit, lower nicotine dependence and having received advice to quit from a healthcare professional but not with having chronic diseases. There were significant differences between countries with smokers in Romania consistently reporting more support to quit as well as quit attempts. CONCLUSIONS Although smokers with respiratory disease did indeed receive smoking cessation support more often than smokers without disease, many smokers did not receive any advice or support to quit during a healthcare visit.

Published
2018
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10. Receiving support to quit smoking and quit attempts among smokers with and without smoking related diseases : Findings from the EUREST-PLUS ITC Europe Surveys

Author

Hedman, Linnea, Katsaounou, Paraskevi A., Filippidis, Filippos T., Ravara, Sofia B., Lindberg, Anne, Janson, Christer, Gratziou, Christina, Rohde, Gernot, Kyriakos, Christina N., Mons, Ute, Fernandez, Esteve, Trofor, Antigona C., Demjen, Tibor, Przewozniak, Krzysztof, Tountas, Yannis, Fong, Geoffrey T., Vardavas, Constantine I., Glahn, Andrea, Nguyen, Dominick, Nikitara, Katerina, Radu-Loghin, Cornel, Starchenko, Polina, Tsatsakis, Aristidis, Girvalaki, Charis, Igoumenaki, Chryssi, Papadakis, Sophia, Papathanasaki, Aikaterini, Tzatzarakis, Manolis, Vardavas, Alexander I., Becuwe, Nicolas, Deaconu, Lavinia, Goudet, Sophie, Hanley, Christopher, Riviere, Oscar, Kiss, Judit, Kovacs, Piroska A., Castellano, Yolanda, Fu, Marcela, Nogueira, Sarah O., Tigova, Olena, McNeill, Ann, East, Katherine, Hitchman, Sara C., Kahnert, Sarah, Behrakis, Panagiotis, Katsaounou, Paraskevi, Peleki, Theodosia, Petroulia, Ioanna, Tzavara, Chara, Eremia, Marius, Lotrean, Lucia, Mihaltan, Florin, Asano, Tamaki, Cichon, Claudia, Far, Amy, Genton, Celine, Jessner, Melanie, Lindberg, Ann, Maguire, Beth, Ravara, Sofia, Vaccaro, Valerie, Ward, Brian, Willemsen, Marc, de Vries, Hein, Hummel, Karin, Nagelhout, Gera E., Zatonski, Witold A., Herbec, Aleksandra, Janik-Koncewicz, Kinga, Zatonski, Mateusz, Agar, Thomas K., Driezen, Pete, Gravely, Shannon, Quah, Anne C. K., Thompson, Mary E., Hedman, Linnea, Katsaounou, Paraskevi A., Filippidis, Filippos T., Ravara, Sofia B., Lindberg, Anne, Janson, Christer, Gratziou, Christina, Rohde, Gernot, Kyriakos, Christina N., Mons, Ute, Fernandez, Esteve, Trofor, Antigona C., Demjen, Tibor, Przewozniak, Krzysztof, Tountas, Yannis, Fong, Geoffrey T., Vardavas, Constantine I., Glahn, Andrea, Nguyen, Dominick, Nikitara, Katerina, Radu-Loghin, Cornel, Starchenko, Polina, Tsatsakis, Aristidis, Girvalaki, Charis, Igoumenaki, Chryssi, Papadakis, Sophia, Papathanasaki, Aikaterini, Tzatzarakis, Manolis, Vardavas, Alexander I., Becuwe, Nicolas, Deaconu, Lavinia, Goudet, Sophie, Hanley, Christopher, Riviere, Oscar, Kiss, Judit, Kovacs, Piroska A., Castellano, Yolanda, Fu, Marcela, Nogueira, Sarah O., Tigova, Olena, McNeill, Ann, East, Katherine, Hitchman, Sara C., Kahnert, Sarah, Behrakis, Panagiotis, Katsaounou, Paraskevi, Peleki, Theodosia, Petroulia, Ioanna, Tzavara, Chara, Eremia, Marius, Lotrean, Lucia, Mihaltan, Florin, Asano, Tamaki, Cichon, Claudia, Far, Amy, Genton, Celine, Jessner, Melanie, Lindberg, Ann, Maguire, Beth, Ravara, Sofia, Vaccaro, Valerie, Ward, Brian, Willemsen, Marc, de Vries, Hein, Hummel, Karin, Nagelhout, Gera E., Zatonski, Witold A., Herbec, Aleksandra, Janik-Koncewicz, Kinga, Zatonski, Mateusz, Agar, Thomas K., Driezen, Pete, Gravely, Shannon, Quah, Anne C. K., and Thompson, Mary E.

Abstract

INTRODUCTION Having a chronic disease either caused or worsened by tobacco smoking does not always translate into quitting smoking. Although smoking cessation is one of the most cost-effective medical interventions, it remains poorly implemented in healthcare settings. The aim was to examine whether smokers with chronic and respiratory diseases were more likely to receive support to quit smoking by a healthcare provider or make a quit attempt than smokers without these diseases. METHODS This population-based study included a sample of 6011 adult smokers in six European countries. The participants were interviewed face-to-face and asked questions on sociodemographic characteristics, current diagnoses for chronic diseases, healthcare visits in the last 12 months and, if so, whether they had received any support to quit smoking. Questions on smoking behavior included nicotine dependence, motivation to quit smoking and quit attempts in the last 12 months. The results are presented as weighted percentages with 95% confidence intervals (CI) and as adjusted odds ratios with 95% CI based on logistic regression analyses. RESULTS Smokers with chronic respiratory disease, those aged 55 years and older, as well as those with one or more chronic diseases were more likely to receive smoking cessation advice from a healthcare professional. Making a quit attempt in the last year was related to younger age, high educational level, higher motivation to quit, lower nicotine dependence and having received advice to quit from a healthcare professional but not with having chronic diseases. There were significant differences between countries with smokers in Romania consistently reporting more support to quit as well as quit attempts. CONCLUSIONS Although smokers with respiratory disease did indeed receive smoking cessation support more often than smokers without disease, many smokers did not receive any advice or support to quit during a healthcare visit.

Published
2018
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11. Complex interrelations between self-reported oral health attitudes and behaviors, the oral health status, and oral health-related quality of life

Author

Vigu,Alexandra, Stanciu,Dorin, Lotrean,Lucia Maria, Campian,Radu Septimiu, Vigu,Alexandra, Stanciu,Dorin, Lotrean,Lucia Maria, and Campian,Radu Septimiu

Abstract

Alexandra Lucia Vigu,1 Dorin Stanciu,2 Lucia Maria Lotrean,3 Radu Septimiu Campian4 1Department of Dental Materials and Ergonomics, “Iuliu HaÅ£ieganu” University of Medicine and Pharmacy, 2Department of Psychology and Pedagogy, Technical University of Cluj-Napoca, 3Department of Community Medicine, “Iuliu HaÅ£ieganu” University of Medicine and Pharmacy, 4Department of Oral Rehabilitation, Health and Management, “Iuliu HaÅ£ieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania Purpose: The purpose of this study was to develop and test a moderated mediation model that was able to describe the relationships between oral health-related attitudes and behaviors, oral health status (OHS), and oral health-related quality of life. The hypothesized relations corresponded to research questions such as “is a person’s oral health predicted by the actions that person takes in order to prevent oral health conditions?” and “do individuals with better oral health also have higher levels of oral health-related quality of life?”. Materials and methods: A cross-sectional correlational study with selected predictor variables was conducted in Cluj-Napoca, Romania, among 191 participants, enrolled in the fourth and sixth years of study at the Dentistry School of the Medicine and Pharmacology, University of Cluj-Napoca. Participants completed the Hiroshima University Dental Behavior Inventory (HUDBI) questionnaire targeting specific behavior and attitude with respect to their dental self-care, Oral Health Impact Profile (OHIP) short questionnaire for measuring oral health-related quality of life, and the current OHS was assessed objectively using Decayed, Missing, Filled Teeth/Surfaces (DMFT) index. Statistical analyses were done using structural equation modeling software. Results: Our research showed relevant associations between HUDBI, DMFT, and OHIP. The relationship

Published
2018

12. Receiving support to quit smoking and quit attempts among smokers with and without smoking related diseases : Findings from the EUREST-PLUS ITC Europe Surveys

Author

Hedman, Linnea, Katsaounou, Paraskevi A., Filippidis, Filippos T., Ravara, Sofia B., Lindberg, Anne, Janson, Christer, Gratziou, Christina, Rohde, Gernot, Kyriakos, Christina N., Mons, Ute, Fernandez, Esteve, Trofor, Antigona C., Demjen, Tibor, Przewozniak, Krzysztof, Tountas, Yannis, Fong, Geoffrey T., Vardavas, Constantine I., Glahn, Andrea, Nguyen, Dominick, Nikitara, Katerina, Radu-Loghin, Cornel, Starchenko, Polina, Tsatsakis, Aristidis, Girvalaki, Charis, Igoumenaki, Chryssi, Papadakis, Sophia, Papathanasaki, Aikaterini, Tzatzarakis, Manolis, Vardavas, Alexander I., Becuwe, Nicolas, Deaconu, Lavinia, Goudet, Sophie, Hanley, Christopher, Riviere, Oscar, Kiss, Judit, Kovacs, Piroska A., Castellano, Yolanda, Fu, Marcela, Nogueira, Sarah O., Tigova, Olena, McNeill, Ann, East, Katherine, Hitchman, Sara C., Kahnert, Sarah, Behrakis, Panagiotis, Katsaounou, Paraskevi, Peleki, Theodosia, Petroulia, Ioanna, Tzavara, Chara, Eremia, Marius, Lotrean, Lucia, Mihaltan, Florin, Asano, Tamaki, Cichon, Claudia, Far, Amy, Genton, Celine, Jessner, Melanie, Lindberg, Ann, Maguire, Beth, Ravara, Sofia, Vaccaro, Valerie, Ward, Brian, Willemsen, Marc, de Vries, Hein, Hummel, Karin, Nagelhout, Gera E., Zatonski, Witold A., Herbec, Aleksandra, Janik-Koncewicz, Kinga, Zatonski, Mateusz, Agar, Thomas K., Driezen, Pete, Gravely, Shannon, Quah, Anne C. K., Thompson, Mary E., Hedman, Linnea, Katsaounou, Paraskevi A., Filippidis, Filippos T., Ravara, Sofia B., Lindberg, Anne, Janson, Christer, Gratziou, Christina, Rohde, Gernot, Kyriakos, Christina N., Mons, Ute, Fernandez, Esteve, Trofor, Antigona C., Demjen, Tibor, Przewozniak, Krzysztof, Tountas, Yannis, Fong, Geoffrey T., Vardavas, Constantine I., Glahn, Andrea, Nguyen, Dominick, Nikitara, Katerina, Radu-Loghin, Cornel, Starchenko, Polina, Tsatsakis, Aristidis, Girvalaki, Charis, Igoumenaki, Chryssi, Papadakis, Sophia, Papathanasaki, Aikaterini, Tzatzarakis, Manolis, Vardavas, Alexander I., Becuwe, Nicolas, Deaconu, Lavinia, Goudet, Sophie, Hanley, Christopher, Riviere, Oscar, Kiss, Judit, Kovacs, Piroska A., Castellano, Yolanda, Fu, Marcela, Nogueira, Sarah O., Tigova, Olena, McNeill, Ann, East, Katherine, Hitchman, Sara C., Kahnert, Sarah, Behrakis, Panagiotis, Katsaounou, Paraskevi, Peleki, Theodosia, Petroulia, Ioanna, Tzavara, Chara, Eremia, Marius, Lotrean, Lucia, Mihaltan, Florin, Asano, Tamaki, Cichon, Claudia, Far, Amy, Genton, Celine, Jessner, Melanie, Lindberg, Ann, Maguire, Beth, Ravara, Sofia, Vaccaro, Valerie, Ward, Brian, Willemsen, Marc, de Vries, Hein, Hummel, Karin, Nagelhout, Gera E., Zatonski, Witold A., Herbec, Aleksandra, Janik-Koncewicz, Kinga, Zatonski, Mateusz, Agar, Thomas K., Driezen, Pete, Gravely, Shannon, Quah, Anne C. K., and Thompson, Mary E.

Abstract

INTRODUCTION Having a chronic disease either caused or worsened by tobacco smoking does not always translate into quitting smoking. Although smoking cessation is one of the most cost-effective medical interventions, it remains poorly implemented in healthcare settings. The aim was to examine whether smokers with chronic and respiratory diseases were more likely to receive support to quit smoking by a healthcare provider or make a quit attempt than smokers without these diseases. METHODS This population-based study included a sample of 6011 adult smokers in six European countries. The participants were interviewed face-to-face and asked questions on sociodemographic characteristics, current diagnoses for chronic diseases, healthcare visits in the last 12 months and, if so, whether they had received any support to quit smoking. Questions on smoking behavior included nicotine dependence, motivation to quit smoking and quit attempts in the last 12 months. The results are presented as weighted percentages with 95% confidence intervals (CI) and as adjusted odds ratios with 95% CI based on logistic regression analyses. RESULTS Smokers with chronic respiratory disease, those aged 55 years and older, as well as those with one or more chronic diseases were more likely to receive smoking cessation advice from a healthcare professional. Making a quit attempt in the last year was related to younger age, high educational level, higher motivation to quit, lower nicotine dependence and having received advice to quit from a healthcare professional but not with having chronic diseases. There were significant differences between countries with smokers in Romania consistently reporting more support to quit as well as quit attempts. CONCLUSIONS Although smokers with respiratory disease did indeed receive smoking cessation support more often than smokers without disease, many smokers did not receive any advice or support to quit during a healthcare visit.

Published
2018
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13. Receiving support to quit smoking and quit attempts among smokers with and without smoking related diseases : Findings from the EUREST-PLUS ITC Europe Surveys

Author

Hedman, Linnea, Katsaounou, Paraskevi A., Filippidis, Filippos T., Ravara, Sofia B., Lindberg, Anne, Janson, Christer, Gratziou, Christina, Rohde, Gernot, Kyriakos, Christina N., Mons, Ute, Fernandez, Esteve, Trofor, Antigona C., Demjen, Tibor, Przewozniak, Krzysztof, Tountas, Yannis, Fong, Geoffrey T., Vardavas, Constantine I., Glahn, Andrea, Nguyen, Dominick, Nikitara, Katerina, Radu-Loghin, Cornel, Starchenko, Polina, Tsatsakis, Aristidis, Girvalaki, Charis, Igoumenaki, Chryssi, Papadakis, Sophia, Papathanasaki, Aikaterini, Tzatzarakis, Manolis, Vardavas, Alexander I., Becuwe, Nicolas, Deaconu, Lavinia, Goudet, Sophie, Hanley, Christopher, Riviere, Oscar, Kiss, Judit, Kovacs, Piroska A., Castellano, Yolanda, Fu, Marcela, Nogueira, Sarah O., Tigova, Olena, McNeill, Ann, East, Katherine, Hitchman, Sara C., Kahnert, Sarah, Behrakis, Panagiotis, Katsaounou, Paraskevi, Peleki, Theodosia, Petroulia, Ioanna, Tzavara, Chara, Eremia, Marius, Lotrean, Lucia, Mihaltan, Florin, Asano, Tamaki, Cichon, Claudia, Far, Amy, Genton, Celine, Jessner, Melanie, Lindberg, Ann, Maguire, Beth, Ravara, Sofia, Vaccaro, Valerie, Ward, Brian, Willemsen, Marc, de Vries, Hein, Hummel, Karin, Nagelhout, Gera E., Zatonski, Witold A., Herbec, Aleksandra, Janik-Koncewicz, Kinga, Zatonski, Mateusz, Agar, Thomas K., Driezen, Pete, Gravely, Shannon, Quah, Anne C. K., Thompson, Mary E., Hedman, Linnea, Katsaounou, Paraskevi A., Filippidis, Filippos T., Ravara, Sofia B., Lindberg, Anne, Janson, Christer, Gratziou, Christina, Rohde, Gernot, Kyriakos, Christina N., Mons, Ute, Fernandez, Esteve, Trofor, Antigona C., Demjen, Tibor, Przewozniak, Krzysztof, Tountas, Yannis, Fong, Geoffrey T., Vardavas, Constantine I., Glahn, Andrea, Nguyen, Dominick, Nikitara, Katerina, Radu-Loghin, Cornel, Starchenko, Polina, Tsatsakis, Aristidis, Girvalaki, Charis, Igoumenaki, Chryssi, Papadakis, Sophia, Papathanasaki, Aikaterini, Tzatzarakis, Manolis, Vardavas, Alexander I., Becuwe, Nicolas, Deaconu, Lavinia, Goudet, Sophie, Hanley, Christopher, Riviere, Oscar, Kiss, Judit, Kovacs, Piroska A., Castellano, Yolanda, Fu, Marcela, Nogueira, Sarah O., Tigova, Olena, McNeill, Ann, East, Katherine, Hitchman, Sara C., Kahnert, Sarah, Behrakis, Panagiotis, Katsaounou, Paraskevi, Peleki, Theodosia, Petroulia, Ioanna, Tzavara, Chara, Eremia, Marius, Lotrean, Lucia, Mihaltan, Florin, Asano, Tamaki, Cichon, Claudia, Far, Amy, Genton, Celine, Jessner, Melanie, Lindberg, Ann, Maguire, Beth, Ravara, Sofia, Vaccaro, Valerie, Ward, Brian, Willemsen, Marc, de Vries, Hein, Hummel, Karin, Nagelhout, Gera E., Zatonski, Witold A., Herbec, Aleksandra, Janik-Koncewicz, Kinga, Zatonski, Mateusz, Agar, Thomas K., Driezen, Pete, Gravely, Shannon, Quah, Anne C. K., and Thompson, Mary E.

Abstract

INTRODUCTION Having a chronic disease either caused or worsened by tobacco smoking does not always translate into quitting smoking. Although smoking cessation is one of the most cost-effective medical interventions, it remains poorly implemented in healthcare settings. The aim was to examine whether smokers with chronic and respiratory diseases were more likely to receive support to quit smoking by a healthcare provider or make a quit attempt than smokers without these diseases. METHODS This population-based study included a sample of 6011 adult smokers in six European countries. The participants were interviewed face-to-face and asked questions on sociodemographic characteristics, current diagnoses for chronic diseases, healthcare visits in the last 12 months and, if so, whether they had received any support to quit smoking. Questions on smoking behavior included nicotine dependence, motivation to quit smoking and quit attempts in the last 12 months. The results are presented as weighted percentages with 95% confidence intervals (CI) and as adjusted odds ratios with 95% CI based on logistic regression analyses. RESULTS Smokers with chronic respiratory disease, those aged 55 years and older, as well as those with one or more chronic diseases were more likely to receive smoking cessation advice from a healthcare professional. Making a quit attempt in the last year was related to younger age, high educational level, higher motivation to quit, lower nicotine dependence and having received advice to quit from a healthcare professional but not with having chronic diseases. There were significant differences between countries with smokers in Romania consistently reporting more support to quit as well as quit attempts. CONCLUSIONS Although smokers with respiratory disease did indeed receive smoking cessation support more often than smokers without disease, many smokers did not receive any advice or support to quit during a healthcare visit., Supplement 2.

Published
2018
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14. Receiving support to quit smoking and quit attempts among smokers with and without smoking related diseases : Findings from the EUREST-PLUS ITC Europe Surveys

Author

Hedman, Linnea, Katsaounou, Paraskevi A., Filippidis, Filippos T., Ravara, Sofia B., Lindberg, Anne, Janson, Christer, Gratziou, Christina, Rohde, Gernot, Kyriakos, Christina N., Mons, Ute, Fernandez, Esteve, Trofor, Antigona C., Demjen, Tibor, Przewozniak, Krzysztof, Tountas, Yannis, Fong, Geoffrey T., Vardavas, Constantine I., Glahn, Andrea, Nguyen, Dominick, Nikitara, Katerina, Radu-Loghin, Cornel, Starchenko, Polina, Tsatsakis, Aristidis, Girvalaki, Charis, Igoumenaki, Chryssi, Papadakis, Sophia, Papathanasaki, Aikaterini, Tzatzarakis, Manolis, Vardavas, Alexander I., Becuwe, Nicolas, Deaconu, Lavinia, Goudet, Sophie, Hanley, Christopher, Riviere, Oscar, Kiss, Judit, Kovacs, Piroska A., Castellano, Yolanda, Fu, Marcela, Nogueira, Sarah O., Tigova, Olena, McNeill, Ann, East, Katherine, Hitchman, Sara C., Kahnert, Sarah, Behrakis, Panagiotis, Katsaounou, Paraskevi, Peleki, Theodosia, Petroulia, Ioanna, Tzavara, Chara, Eremia, Marius, Lotrean, Lucia, Mihaltan, Florin, Asano, Tamaki, Cichon, Claudia, Far, Amy, Genton, Celine, Jessner, Melanie, Lindberg, Ann, Maguire, Beth, Ravara, Sofia, Vaccaro, Valerie, Ward, Brian, Willemsen, Marc, de Vries, Hein, Hummel, Karin, Nagelhout, Gera E., Zatonski, Witold A., Herbec, Aleksandra, Janik-Koncewicz, Kinga, Zatonski, Mateusz, Agar, Thomas K., Driezen, Pete, Gravely, Shannon, Quah, Anne C. K., Thompson, Mary E., Hedman, Linnea, Katsaounou, Paraskevi A., Filippidis, Filippos T., Ravara, Sofia B., Lindberg, Anne, Janson, Christer, Gratziou, Christina, Rohde, Gernot, Kyriakos, Christina N., Mons, Ute, Fernandez, Esteve, Trofor, Antigona C., Demjen, Tibor, Przewozniak, Krzysztof, Tountas, Yannis, Fong, Geoffrey T., Vardavas, Constantine I., Glahn, Andrea, Nguyen, Dominick, Nikitara, Katerina, Radu-Loghin, Cornel, Starchenko, Polina, Tsatsakis, Aristidis, Girvalaki, Charis, Igoumenaki, Chryssi, Papadakis, Sophia, Papathanasaki, Aikaterini, Tzatzarakis, Manolis, Vardavas, Alexander I., Becuwe, Nicolas, Deaconu, Lavinia, Goudet, Sophie, Hanley, Christopher, Riviere, Oscar, Kiss, Judit, Kovacs, Piroska A., Castellano, Yolanda, Fu, Marcela, Nogueira, Sarah O., Tigova, Olena, McNeill, Ann, East, Katherine, Hitchman, Sara C., Kahnert, Sarah, Behrakis, Panagiotis, Katsaounou, Paraskevi, Peleki, Theodosia, Petroulia, Ioanna, Tzavara, Chara, Eremia, Marius, Lotrean, Lucia, Mihaltan, Florin, Asano, Tamaki, Cichon, Claudia, Far, Amy, Genton, Celine, Jessner, Melanie, Lindberg, Ann, Maguire, Beth, Ravara, Sofia, Vaccaro, Valerie, Ward, Brian, Willemsen, Marc, de Vries, Hein, Hummel, Karin, Nagelhout, Gera E., Zatonski, Witold A., Herbec, Aleksandra, Janik-Koncewicz, Kinga, Zatonski, Mateusz, Agar, Thomas K., Driezen, Pete, Gravely, Shannon, Quah, Anne C. K., and Thompson, Mary E.

Abstract

INTRODUCTION Having a chronic disease either caused or worsened by tobacco smoking does not always translate into quitting smoking. Although smoking cessation is one of the most cost-effective medical interventions, it remains poorly implemented in healthcare settings. The aim was to examine whether smokers with chronic and respiratory diseases were more likely to receive support to quit smoking by a healthcare provider or make a quit attempt than smokers without these diseases. METHODS This population-based study included a sample of 6011 adult smokers in six European countries. The participants were interviewed face-to-face and asked questions on sociodemographic characteristics, current diagnoses for chronic diseases, healthcare visits in the last 12 months and, if so, whether they had received any support to quit smoking. Questions on smoking behavior included nicotine dependence, motivation to quit smoking and quit attempts in the last 12 months. The results are presented as weighted percentages with 95% confidence intervals (CI) and as adjusted odds ratios with 95% CI based on logistic regression analyses. RESULTS Smokers with chronic respiratory disease, those aged 55 years and older, as well as those with one or more chronic diseases were more likely to receive smoking cessation advice from a healthcare professional. Making a quit attempt in the last year was related to younger age, high educational level, higher motivation to quit, lower nicotine dependence and having received advice to quit from a healthcare professional but not with having chronic diseases. There were significant differences between countries with smokers in Romania consistently reporting more support to quit as well as quit attempts. CONCLUSIONS Although smokers with respiratory disease did indeed receive smoking cessation support more often than smokers without disease, many smokers did not receive any advice or support to quit during a healthcare visit., Supplement 2.

Published
2018
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15. Assessment of health risk behaviours and their interrelationships among young people from two counties of Romania

Author

Lotrean, Lucia Maria, Laza, Valeria, Ionut, Carmen, Vries, Hein de, Lotrean, Lucia Maria, Laza, Valeria, Ionut, Carmen, and Vries, Hein de

Abstract

Aim: The first goal of this study was to assess the prevalence of different health risk behaviours among Romanian young people. Next, the interrelationship between different health risk behaviours as well as age and gender differences with respect to health risk behaviours were examined. Subjects and methods: Self-administered questionnaires were completed by a sample of 1,598 junior high school students, senior high school students and university students from urban and rural areas of two counties of Romania. Results: The results showed that 31% of junior high school students, 59.7% of senior high school students and 64.8% of university students reported more than one risk behaviour. Many of the risk behaviours were likely to correlate with each other and the strongest correlation was found between smoking, alcohol-related behaviour and precocious sexual intercourse. Factor analysis revealed that among junior high school students all health risk behaviours loaded on one factor. In senior high school students and university students the risk behaviours split into two factors, based probably on their frequency and severity. Factor 1 comprised smoking, alcohol-related behaviours as well as precocious sexual intercourse, while factor 2 included less common behaviours: violence, delinquency and illicit drug use. No gender differences were observed regarding the relationship between health risk behaviours. Conclusion: The results stress the importance of developing prevention programmes among Romanian youth for the behaviours discussed. Further research is needed to identify how to best offer these programmes: as stand-alone programmes or as an integrated set of programmes and whether the same approach has to be taken for younger and older adolescents.

Published
2010

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