Introduction: Metabolic syndrome (MetS) is a chronic condition that has been implicated in adverse public health outcomes worldwide, including in the United States. It has been linked to diseases such as type 2 diabetes and heart disease. Little is known about the perceptions and practices of primary care physicians (PCPs) regarding MetS. The only studies examining this research topic were conducted outside the United States. The aim of this study was to evaluate the MetS knowledge, proficiency, training, and practices of American PCPs, for the purpose of informing future physician education initiatives directed at MetS. Methods: This was a descriptive correlational design using a Likert-scale questionnaire. The survey was distributed to more than 4000 PCPs. The first 100 completed surveys were evaluated using descriptive statistical analyses. Results: Cumulative survey results revealed that most PCPs perceived themselves as knowledgeable on MetS, but only a minority demonstrated an understanding of leading-edge MetS protocols. Ninety-seven percent agreed that MetS is a condition of concern, but only 22% reported possessing sufficient time and resources to fully address MetS. Only half indicated that they had received training in MetS. Discussion: Overall results suggested that a lack of time, training, and resources may pose the greatest obstacles to optimal MetS care. Future studies should aim to identify the specific reasons why these barriers exist.

Results 8 papers and reports which contributed to the final model. The proportional meta-analysis showed a pooled proportion positive for chlamydia of 7.7% (95% CI 5.2% to 10.6%). All the studies were reported on <24 years age group and there was only limited data on males. Hence no separate analyses were performed according to age group or gender. Chlamydia screening programs in community pharmacies tend to be targeted at certain client groups for example, young people, those seeking emergency contraception in pharmacies. Studies reviewed reported that clients and pharmacists find chlamydia services via community pharmacy broadly acceptable. However the uptake of the service was much lower than expected and tended not to include men and ethnic minorities. Conclusion The reported prevalence of chlamydia infection in pharmacy setting is similar to estimates from general practice thus giving wider choice of care to young people. This new approach is acceptable to both young people and pharmacists. Encouraging men and ethnic minorities to access community pharmacy based chlamydia services remains a challenge. Introduction Despite improvements in tobacco control smoking is the leading, preventable risk factor for premature death and disability in Hungary. The purpose of this study was to identify the determinants of smoking and quitting in Hungary. Methods The first wave of a quantitative longitudinal study was delivered in 2009. A sample of individuals (n¼2250) aged 16e70 years was selected from the seven geographical regions of Hungary. The survey was conducted through self-administered questionnaires. c 2 test and one-way ANOVA were applied to compare smokers who attempt to quit with smokers without intentions. Results One-third (33.2%) of interviewed were current smokers, 17.6% were ex-smokers, and 49.1% non-smokers; the prevalence of smoking was significantly higher in men and lower educated respondents. Actually 48.0% of smokers wanted to quit smoking, 29.5% didn't and 22.5% was uncertain. Age, gender, education and marital status had no effect on behaviour, but the knowledge about the various risks of smoking (p<0.001) and the support for tobacco control in public places (p<0.001) were significantly higher among smokers who wanted to quit smoking. Conclusion The improvement of knowledge and the implementation of anti-smoking policy can support the decision making about quitting smoking independently from socio-demographic factors. SP6-46

Hungarian Americans share a unique culture of food traditions associated with their value system and way of life.Researchers, health care providers, and nutrition professionals counseling and treating a Hungarian-American population should develop a baseline of cultural understanding to achieve successful and long-lasting behavior change outcomes. The leading causes of death among Hungarians include ischemic heart disease (21.3%), stroke (13.4%), and cirrhosis (5.8%); all are directly or indirectly attributed to a traditional Hungarian diet coupled with a sedentary lifestyle. Health behaviors among Hungarian Americans can be partially explained by the Health Belief Model's value-expectancy construct. Understanding cultural expectations and their associated values serve as a foundation for health promotion programming to reduce risk of cardiovascular disease and comorbidities. This review explored numerous facets of Hungarian-American dietary habits in psychosocial, economic, historical, and cultural contexts. Health education and health promotion considerations were also examined.