Epidemiologia & Prevenzione最新文献

{"title":"The “Outdoor Air and Health Atlas”: Methods for estimating the health impact of air pollution and their application on a national scale","authors":"Andrea Ranzi, Simone Agostini, Serena Broccoli, Simone Giannini, Nicola Caranci, Laura Bonvicini, Matilde Fondriest, Daniela Fortuna, Massimo Bressan, Gisella Pitter, Giulia Capodaglio, Federica Nobile, Elisa Borroni, Paolo Chiodini, Orazio Valerio Giannico, Michele Carugno, Lucia Bisceglia, Massimo Stafoggia, Paola Angelini, Paolo Giorgi Rossi","doi":"10.19191/EP26.4-5.S1.A1030.092","DOIUrl":"10.19191/EP26.4-5.S1.A1030.092","url":null,"abstract":"<p><strong>Objectives: </strong>to describe the methodological framework of the 'Air and Health Atlas', an interactive web platform that integrates PM2.5 and NO2 concentrations, demographic and mortality data to estimate the burden-of-disease attributable to outdoor air-pollution in Italy.</p><p><strong>Design: </strong>methodological study with an illustrative application based on real-world data from the Air and Health Atlas.</p><p><strong>Setting and participants: </strong>annual PM2.5 and NO2 concentrations were modelled at 1×1 km spatial resolution for 2016-2024 using a random forest machine-learning approach combining airquality monitoring data, satellite observations, and spatiotemporal covariates. Population-weighted exposure (PWE) was estimated at municipality level by combining modelled concentrations with census-block population counts (Istat 2021). Mortality rates for natural (ICD-10 A00-R99), cardiovascular (ICD-10 I00-I99), respiratory causes (ICD-10 J00-J99), and for trachea, bronchus, and lung cancer (ICD-10 C33-C34) were obtained from death-certificate national database at provincial level, and for municipalities with >=500,000 residents, for 2016-2024.</p><p><strong>Main outcome measures: </strong>attributable cases (AC) and attributable fractions (AF%) were estimated at municipality level using concentration-response functions based on epidemiological evidence (HRAPIE-2). The WHO counterfactual scenarios (5 μg/m³) were used. Atlas estimates are provided from 2017 onwards.</p><p><strong>Results: </strong>using 2019 as an illustrative application, the Atlas showed marked geographical differences in health impacts attributable to air pollution. National PWE were 16.0 μg/m³ for PM2.5 and 21.0 μg/m³ for NO2, with lower exposures in Southern Italy and higher levels in the Po Valley (Northern Italy). Under WHO counterfactual scenarios, estimated natural-cause AF% were 9.9% for PM2.5 and 5.2% for NO2. Northern regions experienced the highest burdens, reflecting the combination of elevated pollution and high population density. The platform supports both retrospective analysis and prospective scenario evaluation, allowing users to explore potential health benefits of alternative air-quality standards or emissionreduction policies.</p><p><strong>Conclusions: </strong>the Atlas integrates advanced exposure modelling with an intuitive web interface to support evidence-based health policies and communication in Italy. Its design allows for annual updates and future expansions to morbidity outcomes and economic assessments.</p>","PeriodicalId":50511,"journal":{"name":"Epidemiologia & Prevenzione","volume":"50 4-5","pages":"59-70"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Group singing to address postnatal depression: a multicentre art social prescribing programme within the Italian National Health Service].","authors":"Ilaria Lega, Ilaria Luzi, Simona Mastroeni, Claudia Ferraro, Filippo Alicandro, Silvia Andreozzi, Tania Lopez, Serena Donati, Giovanni Capelli","doi":"10.19191/EP26.4-5.A1082.076","DOIUrl":"10.19191/EP26.4-5.A1082.076","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;in recent years, there has been growing interest in arts- and culture-based interventions as tools for promoting and safeguarding health. Social prescribing facilitates their integration into care pathways, connecting people with complex needs to non-clinical community resources through an approach centred on the individual and the social determinants of health. Between 2021 and 2023, the World Health Organisation Regional Office for Europe (WHO/Europe) promoted, in Denmark, Italy, and Romania, a study on the implementation of the group singing intervention 'Music and Motherhood', targeted to new mothers with symptoms of postpartum depression (PPD), providing an example of how an intervention which combines arts and health with proven effectiveness can be adapted and transferred to different sociocultural contexts. The Italian arm was developed as a pilot study coordinated by the Italian National Institute of Health (Istituto Superiore di Sanità, ISS). Building on the experience shared with WHO/Europe, in 2024, the ISS launched a second phase of implementation to finalise the Italian adaptation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;to assess the feasibility of the large-scale implementation within Family Care Centres of a group singing intervention for new mothers with symptoms of PPD, that has been proven to be effective, and to develop a replicable organisational model for the integration of art-based interventions into the Italian National Health Service (NHS).  Design: single-arm, multicentre implementation study.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Setting and participants: &lt;/strong&gt;the study was conducted in Family Care Centres. Participants included professionals involved in the training and implementation of the intervention and new mothers with symptoms of PPD who took part in the group singing sessions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Main outcome measures: &lt;/strong&gt;for the training, the number of professionals and teams trained, satisfaction levels, and the proportion of teams that had launched at least one cycle of the intervention within six months of the training were assessed. Implementation outcomes included adoption, feasibility, acceptability, and costs evaluation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;three editions of the course trained 50 professionals, forming six teams across five local health authorities. Within six months from the training, four teams had completed at least one cycle of the intervention and two subsequently started a second cycle, which is still ongoing. In total, 32 new mothers with symptoms of postpartum depression were referred to the intervention, with a completion rate of 90.6%, supporting its acceptability. The estimated additional cost for a healthcare organisation implementing a series of 10 sessions for the first time, excluding the cost of healthcare staff, was found to be 1,788 euros; the cost of the programme once fully established was 1,330 euros.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;the implementation of the","PeriodicalId":50511,"journal":{"name":"Epidemiologia & Prevenzione","volume":"50 4-5","pages":"In press"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Case studies for the utility and validity test of the “Outdoor Air and Health Atlas”: Definition of the conceptual framework","authors":"Lucia Bisceglia, Elena Davoli, Gisella Pitter, Antonio Giampiero Russo, Michele Carugno, Elisa Borroni, Sebastiano Pollina Addario, Mirella Profita, Stefania La Grutta, Velia Malizia, Luigi Pierno, Andrea Ranzi, Laura Bonvicini, Serena Broccoli, Paola Angelini, Orazio Valerio Giannico, Anna Maria Nannavecchia, Angela Morabito, Maria Tutino, Alessandra Nocioni, Maria Serinelli, Ida Galise, Francesca Intini, Ilenia Schipa, Francesca Sollecito, Stefano Spagnolo, Massimo Bressan, Ilaria Stanisci, Paolo Giorgi Rossi","doi":"10.19191/EP26.4-5.S1.A1034.093","DOIUrl":"10.19191/EP26.4-5.S1.A1034.093","url":null,"abstract":"<p><strong>Objectives: </strong>to describe the process of selecting and applying a shared conceptual model for the analysis of case studies designed to test the usefulness and validity of the Air and Health Atlas in supporting decision-making, in its current version and in its potential future developments.</p><p><strong>Design: </strong>methodological and descriptive study of the application of a conceptual framework to a series of case studies.</p><p><strong>Setting and participants: </strong>the setting is represented by the national ATLAS project promoted by the Ministry of Health, involving 22 partners from 10 Italian Regions. Nine case studies conducted in six regions were analyzed, including urban, regional, and sub-regional contexts, with the involvement of epidemiologists and environmental experts.</p><p><strong>Main outcome measures: </strong>assessment of the feasibility and usefulness of the Driving forces-Pressures-State-Exposure-Effects-Actions (DPSEEA) model in organizing the case studies; ability of the framework to support: the identification and evaluation of environmental and health indicators, and the assessment of counterfactual scenarios.</p><p><strong>Results: </strong>based on a review of the existing literature, the DPSEEA model was selected as the most flexible and comprehensive among several models examined. It was successfully applied to all nine case studies, enabling a consistent structuring of information and the identification of indicators along the environment-health causal chain. The case studies were classified into validation studies (supporting air quality planning) and exploratory studies (development of new metrics and outcomes). The approach enhanced comparability across different contexts, supported the definition of intervention scenarios, and informed study design for evaluating new fine-scale exposure metrics and new health outcomes.</p><p><strong>Conclusions: </strong>the application of the DPSEEA model proved feasible and useful within the ATLAS project, supporting case study design, indicator selection, and intervention assessment. The framework represents an effective tool for integrating environmental and health data and for supporting decision-making processes.</p>","PeriodicalId":50511,"journal":{"name":"Epidemiologia & Prevenzione","volume":"50 4-5","pages":"71-80"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The co-creation process of the “Outdoor Air and Health Atlas” project: A tool to support decisions and research","authors":"Elena Davoli, Elena Mazzoleni, Marta Ottone, Laura Bonvicini, Olivera Djuric, Serena Broccoli, Andrea Ranzi, Giorgio Cattani, Massimo Stafoggia, Nicolás Zengarini, Paola Angelini, Paolo Giorgi Rossi","doi":"10.19191/EP26.4-5.S1.A952.090","DOIUrl":"10.19191/EP26.4-5.S1.A952.090","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;the 'ATLAS Aria Outdoor e Salute' (Outdoor Air and Health Atlas) project aims to develop a national atlas to estimate the effects of air pollution on health, making it accessible to both professionals and citizens and available as open data.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;to describe the co-creation decision-making process adopted to define the contents of the Atlas.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;two rounds of questionnaires with open-ended questions were conducted following the Delphi method, collecting proposals on possible options for data sources, territorial disaggregation, exposures, health outcomes, methods for calculating attributable fractions, and counterfactual scenarios on which to estimate the potential benefits of policies. The Delphi process started by selecting health outcomes and pollutants for which dose-response functions were already available in the scientific literature. Participants were then given the opportunity to propose additional outcomes or pollutants for inclusion in the Atlas. The responses collected in the questionnaire administered during the first round, and subsequently discussed in a plenary session, informed the development of the second-round questions. The results of the second round identified the health outcomes and pollutants eligible for inclusion in the Atlas, which were then discussed in a plenary session held with the participation of external experts.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Setting and participants: &lt;/strong&gt;internal members of the working group participated in the first round; the second round included, in addition, other stakeholders and representatives from Italian Regions not involved in the Atlas. Results were discussed in online and in-person meetings with experts and stakeholders until an agreement was reached.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Main outcome measures: &lt;/strong&gt;for each proposed health outcome and pollutant, it is assessed: the level of certainty regarding the causal link between the pollutant and the health outcome; the relevance for public health; the accuracy of the information available in routine databases; the usefulness of including that outcome in the Atlas maps. For all other parameters, the level of agreement reached across the two Delphi rounds and the plenary meetings was evaluated.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;sixteen experts participated in the first round, 22 in the second. The process led to the definition of data sources to be used (cause-specific mortality data from the Italian National Institute of Statistics, hospital discharge records for hospitalisations), the spatial resolution of exposure estimates (1×1 km) and the model used to derive them (annual averages produced by a previously validated and published model from BIGEPI project), the level of data aggregation for the analyses (municipal level), and the pollutants to be considered as exposures for calculating the attributable fraction (PM2.5 and NO2). Both long-term and short-term effects we","PeriodicalId":50511,"journal":{"name":"Epidemiologia & Prevenzione","volume":"50 4-5","pages":"35-45"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The co-creative process of the “Outdoor Air and Health Atlas” project: stakeholder and user involvement in the definition of information and communication needs","authors":"Elena Davoli, Michele Bartolomei, Marco Ottolenghi, Laura Bonvicini, Serena Broccoli, Luca Ghirotto, Paola Angelini, Paolo Giorgi Rossi","doi":"10.19191/EP26.4-5.S1.A1027.091","DOIUrl":"10.19191/EP26.4-5.S1.A1027.091","url":null,"abstract":"<p><strong>Objectives: </strong>to describe the co-creation process adopted to define the content and communication approaches of the Air and Health Atlas.</p><p><strong>Design: </strong>a two-phase co-creation process using qualitative research methods: focus groups and interviews. The first phase explored users' information needs; the second evaluated content and communication strategies through discussion of an advanced prototype of the Atlas.</p><p><strong>Setting and participants: </strong>the ATLAS is a project promoted by the Italian Ministry of Health, aimed at integrating air quality data and health outcomes into an interactive tool to support decision-makers, technical experts, and citizens. Focus groups and interviews were conducted in Emilia-Romagna Region (Northern Italy). Stakeholders from the environmental and health sectors (technical experts, health professionals, decision-makers) were involved and selected through a stakeholder mapping instrument ('thermometer tool').</p><p><strong>Main outcome measures: </strong>information needs regarding the relationship between air quality and health, communication preferences, comprehensibility and interpretability of data and maps, perception of communication risks, and evaluation of the Atlas prototype.</p><p><strong>Results: </strong>thematic analysis identified four thematic areas: 1. awareness and knowledge; 2. behaviours and lifestyles; 3. information dissemination; 4. geographic scale of reference. A widespread difficulty emerged, particularly among non-experts, in understanding scientific data and linking pollutant exposure to health effects. Stakeholders highlighted the need for clear information on health impacts, future scenarios, and avoidable deaths under different hypothetical scenarios. The importance of emphasising the co-benefits of mitigation actions (reduction of air pollution and climate impact, promotion of physical activity, and healthy diets) was stressed, while avoiding alarmist approaches. The need for accessible language, easily interpretable maps, and supporting methodological explanations was also underlined, without differentiating navigation between technical users and citizens. The prototype was considered highly informative, but potentially prone to misinterpretation in the absence of adequate interpretative tools.</p><p><strong>Conclusions: </strong>systematic stakeholder involvement helped shape the content and communication choices of the Atlas, highlighting the need to balance scientific rigour and accessibility. The co-creation approach emerges as an effective strategy to improve transparency, comprehensibility, and trust in scientific information supporting public health decision-making.</p>","PeriodicalId":50511,"journal":{"name":"Epidemiologia & Prevenzione","volume":"50 4-5","pages":"46-58"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emergency contraception in Italy: Utilization patterns and ecological correlation with induced abortion rates.","authors":"Flavia Mayer, Roberto Da Cas, Marzia Loghi, Paola D'Aloja, Sara Terenzi, Serena Donati","doi":"10.19191/EP26.4-5.A1009.077","DOIUrl":"https://doi.org/10.19191/EP26.4-5.A1009.077","url":null,"abstract":"<p><strong>Objectives: </strong>to assess national trends in the use of emergency contraception (EC) and rates of induced abortion in Italy from 2017 to 2023, considering the impact of the COVID-19 pandemic and the 2020 AIFA decision that expanded over-the-counter access to ulipristal acetate (UPA) for minors.  Design: quasi-experimental ecological study using Interrupted Time Series (ITS) analysis of national data on EC use and induced abortion rates. Three interventions were evaluated: onset of the COVID-19 pandemic, end of the first lockdown, and the AIFA policy for minors. Hormonal contraceptive use and total fertility rates were included as control series.</p><p><strong>Setting and participants: </strong>monthly aggregated data from 2017 to 2023 on EC use, hormonal contraception, induced abortions, and fertility rates among the Italian resident women aged 15-49 years.</p><p><strong>Main outcome measures: </strong>use of EC and UPA, induced abortion rates, regular hormonal contraceptive use, and total fertility rates. ITS parameters were expressed as incidence rate ratios (IRRs) with 95% confidence intervals.</p><p><strong>Results: </strong>between 2017 and 2023, EC use increased from approximately 3 to 5 packages dispensed per 1,000 women, with UPA use increasing approximately twofold. The COVID-19 pandemic was associated with a temporary but significant decline in EC use and induced abortions, followed by a rapid post-lockdown rebound (IRR trend UPA: 2.22; 95%CI 1.57-3.15; IRR trend induced abortion: 1.20; 95%CI 1.01-1.42). Induced abortion rates declined modestly but steadily (IVG: from 0.59 in January 2017 to 0.44 in December 2023), while fertility rates (from 3.06 in January 2017 to 3.07 in December 2022) and hormonal contraceptive (from 155.82 in January 2017 to 176.82 in December 2023) use remained stable. No ecological evidence of substitution effect following increased EC access was observed.</p><p><strong>Conclusions: </strong>extending over-the-counter access to UPA for minors was associated with increased use without reducing hormonal contraceptive use. Changes observed during the COVID-19 pandemic were temporary and followed by a rapid recovery, without altering long-term trends. The modest decline in induced abortion rates is consistent with a pre-existing trend rather than a direct effect of expanded EC availability, suggesting a complementary role of EC within broader reproductive health strategies.</p>","PeriodicalId":50511,"journal":{"name":"Epidemiologia & Prevenzione","volume":"50 4-5","pages":"In press"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Outdoor Air and Health Atlas” project: Explorative web review and quality assessment of web open data Atlases of air pollution effects on health.","authors":"Elena Davoli, Luca Bottani, Laura Bonvicini, Olivera Djuric, Serena Broccoli, Andrea Ranzi, Paola Angelini, Paolo Giorgi Rossi","doi":"10.19191/EP26.4-5.S1.A1026.089","DOIUrl":"10.19191/EP26.4-5.S1.A1026.089","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;to identify, retrieve, and analyse publicly available websites providing interactive maps or infographics which show the impact of outdoor air pollution on human health in order to inform the development of the Air and Health Atlas.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;explorative web-based review conducted according to a predefined protocol. The review was guided by an adapted Population-Exposure-Comparator-Outcome (PECO) framework to define scope of the search, eligibility criteria, and data extraction strategy. Websites were identified through structured keyword searches, screened for eligibility, and independently assessed by multiple reviewers using extraction forms and predefined technical and qualitative evaluation criteria.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Setting and participants: &lt;/strong&gt;websites freely accessible on the Internet and regularly updated were searched for the period September and December 2024 using major international and national search engines. Platforms presenting empirical data or estimates on air pollution exposure and related health outcomes were included in the analysis.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Main outcome measures: &lt;/strong&gt;websites were assessed for structural and informational characteristics type of pollutants and health outcomes reported, and technical and qualitative variables: interactivity with a qualitative ad hoc defined scale, readability, using the validated Flesch Reading Ease (FRE), accessibility using the Web Content Accessibility Guidelines, completeness/transparency using an ad hoc developed scale based on 6 topics, and speed/efficiency using quantitative parameters.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;out of 1,000 screened websites, 15 were potentially relevant. The in-depth analysis led to the exclusion of 7 of these, because they do not fulfil inclusion criteria, mostly the absence of any measure of the impact on health; 8 were included in the review. Three sites are operated by governmental agencies, three by academic institutions with public funding, and two by private foundations. All platforms reported exposure to particulate matter (PM2.5 and/or PM10), while information on nitrogen dioxide and ozone was less frequently available. Except for one website providing real-time air quality data, exposure levels were generally based on annual averages. Six websites included quantitative dose-response estimates for health outcomes, mainly focusing on long-term effects and all-cause mortality; only two reported cause-specific mortality, including respiratory, cardiovascular, and cancer-related mortality, and none provided data on hospitalizations, even if the Global Burden of Disease includes data on morbidity. On the other hand, the analysis of the technical and qualitative variables showed a marked variability in the level of interactivity, ranging from highly configurable platforms allowing extensive data manipulation to static interfaces. Readability was generally low, with most websites requiring a ","PeriodicalId":50511,"journal":{"name":"Epidemiologia & Prevenzione","volume":"50 4-5","pages":"21-34"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting health and wellness: A Survey on corporate wellness practices in Emilia-Romagna (Northern Italy).","authors":"Paolo Nicola Barbieri, Davide Dragone, Filippo Passerini, Vincenzo Scrutinio","doi":"10.19191/EP26.3.A943.053","DOIUrl":"10.19191/EP26.3.A943.053","url":null,"abstract":"<p><strong>Background: </strong>corporate wellness programmes have gained increasing attention as tools for promoting healthy behaviours in the workplace, yet systematic evidence on their diffusion in Italy is limited.</p><p><strong>Objectives: </strong>to describe the adoption of wellness practices among large companies in Emilia-Romagna (Northern Italy) and document companies' perceived benefits.</p><p><strong>Design: </strong>cross-sectional study conducted in May-July 2024.</p><p><strong>Setting and participants: </strong>32 companies among the 200 largest companies in Emilia-Romagna, identified through the regional Chamber of Commerce.</p><p><strong>Main outcome measures: </strong>the questionnaire covered four domains: active mobility, healthy eating, physical activity, and prevention initiatives, as well as companies' perceived effects of wellness programmes.</p><p><strong>Results: </strong>each company was contacted both via email and via telephone; 150 were successfully reached and 32 completed the questionnaire (response rate: 21%). Among the participating companies (N. 32), 14 (44%) promoted active mobility initiatives, 26 (81%) offered healthy eating options, 6 (19%) provided in-house gyms, and 15 (47%) supported preventive health assessments. Among the 17 companies reporting positive organisational effects, 70% cited an improved working climate, 65% reported better employee health, 60% perceived greater corporate attractiveness, whereas only 22% reported perceived productivity gains. Nearly half of the companies (15; 47%) expressed willingness to expand wellness initiatives if supported by public policies or incentives.</p><p><strong>Conclusions: </strong>corporate wellness practices are widespread among large companies in Emilia-Romagna, though perceived productivity effects remain limited. The descriptive nature of the study, the modest sample size, and the potential non-response bias recommend caution, but findings highlight opportunities for policy support and low-cost wellness interventions.</p>","PeriodicalId":50511,"journal":{"name":"Epidemiologia & Prevenzione","volume":"50 3","pages":"261-269"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148437947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ri-Medi: a pilot implementation of a medication review and deprescribing service in primary care for elderly patients with polypharmacy in Rome.","authors":"Silvia Alessio, Alessandro Cesare Rosa, Michela Servadio, Cinzia Dello Russo, Graziano Onder, Daniela Ricciardulli, Consuelo Cefalo, Leonardo F Difrancesco, Elisa Gullino, Rosella Di Rita, Pierluigi Navarra, Antonio Addis, Ursula Kirchmayer","doi":"10.19191/EP26.3.A979.055","DOIUrl":"10.19191/EP26.3.A979.055","url":null,"abstract":"<p><p>'Ri-Medi' is a pilot project implementation of a medication review and deprescribing (MRDP) service in the primary care setting, involving two health districts of the Local Health Authority Roma 1 (Rome, Italy). General practitioners (GPs) are supported in this activity by a multidisciplinary team consisting of epidemiologists, pharmacists, statisticians, pharmacologists, geriatricians, internists, and healthcare managers. Together with GPs, the team chooses specific therapeutic focuses for which updated evidence-based information and indications on the target population are provided. The focus is on the elderly population in hyper-polypharmacy (10+ drugs). For the pilot phase, the therapeutic focus was on potentially inappropriate statin use in primary prevention in patients aged 80+ years. For each GP, the number of patients at risk was estimated. In addition, a survey among a sample of voluntary GPs was launched to investigate their interest in participating in this activity, to collect potential critical issues and impressions, and to identify areas of interest for future MRDP campaigns of interest.</p>","PeriodicalId":50511,"journal":{"name":"Epidemiologia & Prevenzione","volume":"50 3","pages":"301-306"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Violence against women: an underestimated phenomenon].","authors":"Antonella Camposeragna","doi":"10.19191/EP26.3.068","DOIUrl":"https://doi.org/10.19191/EP26.3.068","url":null,"abstract":"","PeriodicalId":50511,"journal":{"name":"Epidemiologia & Prevenzione","volume":"50 3","pages":"224-225"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}