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74. Knowledge, attitudes, and smoking behaviours among physicians specializing in public health: A multicentre study

Author

La Torre, G, Saulle, R, Unim, B, Angelillo, I, Baldo, V, Bergomi, M, Cacciari, P, Castaldi, S, DEL CORNO, G, Di Stanislao, F, Panà, A, Gregorio, P, Grillo, O, Grossi, P, La Rosa, F, Nante, N, Pavia, M, Pelissero, G, Quarto, M, Ricciardi, W, Romano, G, Schioppa, F, Fallico, R, Siliquini, R, Triassi, M, Vitale, F, Boccia, A, Boccia, A., DEL CORNO, GIAN GIUSEPPE, La Torre, G, Saulle, R, Unim, B, Angelillo, I, Baldo, V, Bergomi, M, Cacciari, P, Castaldi, S, DEL CORNO, G, Di Stanislao, F, Panà, A, Gregorio, P, Grillo, O, Grossi, P, La Rosa, F, Nante, N, Pavia, M, Pelissero, G, Quarto, M, Ricciardi, W, Romano, G, Schioppa, F, Fallico, R, Siliquini, R, Triassi, M, Vitale, F, Boccia, A, Boccia, A., and DEL CORNO, GIAN GIUSEPPE

Abstract

Background. Healthcare professionals have an important role to play both as advisers - influencing smoking cessation - and as role models. However, many of them continue to smoke. The aims of this study were to examine smoking prevalence, knowledge, attitudes, and behaviours among four cohorts physicians specializing in public health, according to the Global Health Profession Students Survey (GHPSS) approach. Materials and Methods. A multicentre cross-sectional study was carried out in 24 Italian schools of public health. The survey was conducted between January and April 2012 and it was carried out a census of students in the selected schools for each years of course (from first to fourth year of attendance), therefore among four cohorts of physicians specializing in Public Health (for a total of n. 459 medical doctors). The GHPSS questionnaires were self-administered via a special website which is created ad hoc for the survey. Logistic regression model was used to identify possible associations with tobacco smoking status. Hosmer-Lemeshow test was performed. The level of significance was P≤0.05. Results. A total of 388 answered the questionnaire on the website (85%), of which 81 (20.9%) declared to be smokers, 309 (79.6%) considered health professionals as behavioural models for patients, and 375 (96.6%) affirmed that health professionals have a role in giving advice or information about smoking cessation. Although 388 (89.7%) heard about smoking related issues during undergraduate courses, only 17% received specific smoking cessation training during specialization. Conclusions. The present study highlights the importance of focusing attention on smoking cessation training, given the high prevalence of smokers among physicians specializing in public health, their key role both as advisers and behavioural models, and the limited tobacco training offered in public health schools. © 2014 Giuseppe La Torre et al.

Published
2014

75. Influenza vaccination coverage among medical residents: an Italian multicenter survey

Author

Costantino, C, Mazzucco, Walter, Azzolini, E, Baldini, C, Bergomi, M, Biafiore, Ad, Bianco, M, Borsari, L, Cacciari, P, Cadeddu, Chiara, Camia, P, Carluccio, E, Conti, A, De Waure, Chiara, Di Gregori, V, Fabiani, L, Fallico, R, Filisetti, B, Flacco, Me, Franco, E, Furnari, R, Galis, V, Gallea, Mr, Gallone, Mf, Gallone, S, Gelatti, U, Gilardi, F, Giuliani, Ar, Grillo, Oc, Lanati, N, Mascaretti, S, Mattei, A, Micò, R, Morciano, L, Nante, N, Napoli, G, Nobile, Cg, Palladino, R, Parisi, S, Passaro, M, Pelissero, G, Quarto, M, Ricciardi, Walter, Romano, G, Rustico, E, Saponari, A, Schioppa, F, Signorelli, C, Siliquini, R, Trabacchi, V, Triassi, M, Varetta, A, Ziglio, A, Zoccali, A, Vitale, F, Amodio, E., Cadeddu, Chiara (ORCID:0000-0003-0149-1078), De Waure, Chiara (ORCID:0000-0002-4346-1494), Ricciardi, Gualtiero (ORCID:0000-0002-5655-688X), Costantino, C, Mazzucco, Walter, Azzolini, E, Baldini, C, Bergomi, M, Biafiore, Ad, Bianco, M, Borsari, L, Cacciari, P, Cadeddu, Chiara, Camia, P, Carluccio, E, Conti, A, De Waure, Chiara, Di Gregori, V, Fabiani, L, Fallico, R, Filisetti, B, Flacco, Me, Franco, E, Furnari, R, Galis, V, Gallea, Mr, Gallone, Mf, Gallone, S, Gelatti, U, Gilardi, F, Giuliani, Ar, Grillo, Oc, Lanati, N, Mascaretti, S, Mattei, A, Micò, R, Morciano, L, Nante, N, Napoli, G, Nobile, Cg, Palladino, R, Parisi, S, Passaro, M, Pelissero, G, Quarto, M, Ricciardi, Walter, Romano, G, Rustico, E, Saponari, A, Schioppa, F, Signorelli, C, Siliquini, R, Trabacchi, V, Triassi, M, Varetta, A, Ziglio, A, Zoccali, A, Vitale, F, Amodio, E., Cadeddu, Chiara (ORCID:0000-0003-0149-1078), De Waure, Chiara (ORCID:0000-0002-4346-1494), and Ricciardi, Gualtiero (ORCID:0000-0002-5655-688X)

Abstract

Although influenza vaccination is recognized to be safe and effective, recent studies have confirmed that immunization coverage among health care workers remain generally low, especially among medical residents (MRs). Aim of the present multicenter study was to investigate attitudes and determinants associated with acceptance of influenza vaccination among Italian MRs. A survey was performed in 2012 on MRs attending post-graduate schools of 18 Italian Universities. Each participant was interviewed via an anonymous, self-administered, web-based questionnaire including questions on attitudes regarding influenza vaccination. A total of 2506 MRs were recruited in the survey and 299 (11.9%) of these stated they had accepted influenza vaccination in 2011-2012 season. Vaccinated MRs were older (P = 0.006), working in clinical settings (P = 0.048), and vaccinated in the 2 previous seasons (P<0.001 in both seasons). Moreover, MRs who had recommended influenza vaccination to their patients were significantly more compliant with influenza vaccination uptake in 2011-2012 season (P<0.001). "To avoid spreading influenza among patients" was recognized as the main reason for accepting vaccination by less than 15% of vaccinated MRs. Italian MRs seem to have a very low compliance with influenza vaccination and they seem to accept influenza vaccination as a habit that is unrelated to professional and ethical responsibility. Otherwise, residents who refuse vaccination in the previous seasons usually maintain their behaviors. Promoting correct attitudes and good practice in order to improve the influenza immunization rates of MRs could represent a decisive goal for increasing immunization coverage among health care workers of the future.

Published
2014

97. Uranium In Mineral Water

Author

Ferrante, Margherita, Fiore, Maria, Galatà, R, OLIVERI CONTI, GEA MARZIA, Fallico, R, and Sciacca, S.

Published
2008

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