The objectives of this survey were to assess the knowledge, attitudes, and behaviors toward eating disorders among adolescents in Italy. The survey was undertaken between May and June 2017 among a random sample of 420 adolescents aged 14–20 years. Data were collected through a self-administered questionnaire. Only 22.8% correctly knew both the definition of anorexia and bulimia nervosa. Female, overweight or obese individuals, and who had at least one parent with a college degree or higher level of education were more likely to have this knowledge. More than one third (38.8%) had a fear of getting fat. Female, overweight or obese individuals, who did not know the definition of anorexia and bulimia nervosa, who avoided eating when they were hungry, and who always and usually were engaged in dieting behavior were more likely to have a fear of getting fat. Only 10.1% and 11.9% always and usually were engaged in dieting behavior, and 40.8% never did so. Respondents who usually/always had a strong desire to be thinner and who had a fear of getting fat were more likely to be engaged in dieting behavior. There is an urgent need to inform Italian adolescents about eating disorders, and healthcare workers may play a crucial role in distributing eating disorder-related knowledge.
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.
Introduction The gastro‐oesophageal reflux disease (GERD) is a public health issue for its prevalence and association with low life quality and substantial costs. Since most of Italian data refer to over a decade ago, the aim was to provide an updated estimate of GERD symptoms prevalence. Knowledge about appropriate nutrition and behaviours in presence of GERD was assessed. Predictors for symptoms presence and knowledge were explored. Methods This study was an online cross‐sectional survey that investigated socio‐demographics, knowledge about nutrition/behaviours in case of GERD (Knowledge Score KS: percentage of right answers), nutrition/lifestyle attitudes. The questionnaire included the GerdQ to assess symptoms (presence if score ≥8). Adults resident in Italy were enrolled between June and August 2019 through convenience sampling on the major social networks (sample size = 559). Descriptive analyses were run. Multivariable regressions were performed to explore predictors of symptoms presence and KS. Results The 27.7% had GERD symptoms. Among them, 33.8% never received GERD information by their general practitioner (GP). Body mass index (P = .036), secondary education (P = .040) were associated with higher symptoms risk. Weekly exercise was associated with lower risk (P < .001). Median KS was 92% (IQR = 12). Sleeping on the left side, chocolate, citrus fruit, mint reported the lowest right answers percentages. None/basic education was negatively associated with KS (P < .001), being female (P = .004) and in a relationship (P = .012) positively. Conclusions A high prevalence was reported, consistently with the worldwide increasing trend. Despite overall knowledge was high, specific gaps were found. GPs should improve communication and awareness campaigns targeted to less known aspects must be planned.
Problem The SARS-CoV-2 pandemic has completely changed health systems around the world. As part of a mass immunization campaign with COVID-19 vaccines, it was necessary to study new methods to vaccinate a large number of people in a short time and in complete safety. Description of the problem To ensure the requirements of speed, safety and low cost, we therefore designed an EBM model of drive-through flu-vaccination, built in the city of Rivalta di Torino (about 20,000 inhabitants), in Northern Italy, on two Saturdays in November 2020. The project was created by Public Health Residents with the collaboration of the Municipality, a team of Family Doctors and Civil Protection. Results We measured driving time for each vehicle from the check-in station to the parking zone designed for the 15min post-vaccination follow-up. We calculated the mean length of stay time (LOS) and the mean time per person based on the number of individual vaccinations given per vehicle. In two days, 1539 vaccines were administered. Flows were only timed on the first day (417 vehicles and 672 vaccines). The highest percentage of cars (47%) received only one vaccination per vehicle, followed by 2 (45.8%), 3 (6.2%), and 4 (1%) vaccines per vehicle. The optimal number of vaccinations per vehicle to maximize efficiency was 4: the average LOS per vaccination decreased from 2.54 minutes per person (1 vehicle=1 person) to 0.34 seconds per person (1 vehicle=4 people). The mean LOS time was 3.06min (SD1.11). Lessons This model appeared as a real possibility to start a rapid, effective, safe and low-cost mass-vaccination program in the Italian setting. It also seems to be appreciated by the population, not only in terms of novelty but also for the sense of security and speed of the process. For this reason, in April 2021, the same model was successfully applied in the same area for COVID-19 vaccination. Key messages The drive-through model appeared as a real possibility to start a rapid, effective, safe and low-cost mass-vaccination program in the Italian setting. The Pandemic has changed the needs and methods of carrying out common health practices: the drive-through model has proved to be a valuable resource for mass vaccination.
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