Epidemiologia & Prevenzione最新文献

{"title":"Estimating and interpreting mortality data in conflicts: Challenges, controversies, and significance","authors":"Sandro Colombo, Benedetto Terracini","doi":"10.19191/EP25.1.A855.012","DOIUrl":"10.19191/EP25.1.A855.012","url":null,"abstract":"<p><p>In humanitarian crises, quantifying the number of victims contributes to estimating the needs for assistance, advocating for additional resources, promoting diplomatic actions, supporting transnational justice, and informing political decisions. It also provides a clearer understanding of the severity of a crisis within its historical, geographical, political, and social contexts. However, data collection in conflict settings is frequently hindered by insecurity and political barriers.Relevant studies of war mortality have used epidemiological methods, such as prospective community surveillance, body count, retrospective household surveys, capture-recapture analysis, and key informant interviews. The present paper describes the advantages and limitations of each of these approaches. Subsequently, it summarises and tabulates estimates of mortality indicators in 19 humanitarian crises taking place in African countries, Syria, Iraq, and Yemen over the last twenty years. Most estimates were based on household surveys. Attention is brought to the difficulties in the assessment of indirect war-related mortality.Mortality indicators are politically sensitive. As a result, politicisation of numbers in armed conflicts has not been uncommon: cases of data manipulation to serve political goals are described.Improvements in humanitarian practice and public health interventions have contributed to the decline of reported mortality rates in recent years. However, challenges in measurement and data standardisation still need to be addressed. Public health information remains an underfunded and under-prioritised part of humanitarian assistance, despite the growing emphasis by donor governments on the importance of quantitative evidence to inform decision-making and justify aid budgets.</p>","PeriodicalId":50511,"journal":{"name":"Epidemiologia & Prevenzione","volume":"49 1","pages":"84-90"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598330","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":"[Urge urinary incontinence in women between 40 and 65 years: prevalence, quality of life, social impact, and costs].","authors":"Michela Lai, Sara Trapani, Giulia Villa, Debora Rosa, Elisabetta Bagnato, Duilio Fiorenzo Manara","doi":"10.19191/EP25.1.A748.004","DOIUrl":"10.19191/EP25.1.A748.004","url":null,"abstract":"<p><strong>Background: </strong>urge urinary incontinence (UUI) is the involuntary loss of urine accompanied or immediately preceded by a sudden and strong desire to urinate that cannot be delayed or that is difficult to postpone. Data claim that UUI increases significantly from 40 to 65 years, which is why this specific age group, which has been little studied in the literature, deserves to be investigated. Moreover, they are socially active and working women who represent a social and economic resource for the country: therefore, their malaise is not only a personal problem, but also a problem for the society.</p><p><strong>Objectives: </strong>to investigate the prevalence, quality of life, social impact, and costs of urinary incontinence in women aged 40 to 65 years.</p><p><strong>Methods: </strong>a narrative review of the literature was performed through the following databases: PubMed, CINAHL, Web of Science, and Embase. The search string was processed using the PEO acronym. Source selection was conducted and reported according to the PRISMA flowchart, following the established inclusion and exclusion criteria. A total of 21 articles were included and analyzed in the review: 11 about the prevalence and 10 about quality of life, social impact, and costs.</p><p><strong>Results: </strong>the prevalence of UUI varies according to the considered age group. In the 40-65-year age range, there is a progressive increase in the onset of UUI symptoms worldwide, with a prevalence of around one fifth of the female population. It also emerged that the quality of life of patients suffering from UUI is negatively affected: urine leakage is accompanied by feelings of embarrassment, frustration, and anxiety, which contribute to reduce the psychosocial, occupational and sexual activities of the affected patients, imposing high costs for the treatment, and management of the disorder and its comorbidities.</p><p><strong>Conclusions: </strong>considering the wide prevalence of UUI in women aged 40-65 years and given the growth prospects of the phenomenon, it is important to increase the attention of women and health professionals regarding this disorder. In order to support the clinical practice with scientific evidence, it would be appropriate for future research to focus on the predictors of UUI and their prevention, too. The development of new educational and rehabilitative programmes is necessary to increase awareness, prevention, diagnosis, and UUI effective management.</p>","PeriodicalId":50511,"journal":{"name":"Epidemiologia & Prevenzione","volume":"49 1","pages":"44-53"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598328","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":"[Asbestos: a problem inappropriately neglected by Italian institutions].","authors":"Stefano Silvestri, Mariano Alessi, Franco Carnevale, Paolo Ricci, Alberto Righi, Benedetto Terracini","doi":"10.19191/EP25.1.006","DOIUrl":"https://doi.org/10.19191/EP25.1.006","url":null,"abstract":"","PeriodicalId":50511,"journal":{"name":"Epidemiologia & Prevenzione","volume":"49 1","pages":"7-8"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598276","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":"IDA study: post-COVID-19 school readiness vulnerability in children entering primary school in Lazio Region","authors":"Valeria Formosa, Azzurra Maria Flammini, Carlo Marfurt, Alessio Abbondanzieri, Cristina Ambrosone, Andrea Bongiovanni, Martina Ciardiello, Federica De Angelis, Francesco Ettore Mantia, Giulia Santolini, Alberto Perra","doi":"10.19191/EP25.1.A749.003","DOIUrl":"10.19191/EP25.1.A749.003","url":null,"abstract":"<p><strong>Objectives: </strong>to describe the 'IDA' study, which aims to estimate the prevalence of School Readiness Vulnerability (SRV) in children at the beginning of primary school and the associated socioeconomic characteristics, to stimulate the attention of decision-makers on the consequences of the COVID-19 pandemic and the need for specific and timely interventions by the school community, thus preventing negative effects on children's present and future health.</p><p><strong>Design: </strong>cross-sectional study based on a random sample of children extracted using the cluster sampling technique on the first primary school classes.</p><p><strong>Setting and participants: </strong>in October 2022, the IDA study assessed the SRV prevalence and associated risk factors in 628 children of the Lazio Region, aged 67-89 months, 328 males and 292 females.</p><p><strong>Main outcomes measures: </strong>the individual school readiness score was calculated by a validated questionnaire (Early Identification of Learning Difficulties, IPDA); socioeconomic characteristics were measured by administering a questionnaire to parents (child's age, kindergarten attendance, parents' education, parents' occupation).</p><p><strong>Results: </strong>the SRV prevalence was 44.9%. The most affected development areas were motor skills, pre-mathematics, and pre-literacy. SRV was associated with low educational levels of the mother, father, or both parents, and maternal and paternal unemployment. The comparison with reference values (pre-pandemic) places the subjects studied one year behind in terms of psycho-motor development.</p><p><strong>Conclusions: </strong>because of potential negative effects, institutions and stakeholders need to intervene to promote children's reinforcement activities and equity of access to education.</p>","PeriodicalId":50511,"journal":{"name":"Epidemiologia & Prevenzione","volume":"49 1","pages":"27-34"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598333","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":"[Ecological data-based healthcare planning: A methodological proposal for the evaluation of the network of Maternity Units in Italy].","authors":"Danilo Catania, Giordano Brandoni, Maria Pia Randazzo, Domenico Mantoan, Gianfranco Jorizzo, Rinaldo Zanini, Antonio Fortino","doi":"10.19191/EP25.1.A815.001","DOIUrl":"10.19191/EP25.1.A815.001","url":null,"abstract":"<p><strong>Background: </strong>Italy, as many other developed Countries, is experiencing a deepening decline in birth rates, turning it into a structural issue that has led many Maternity Units to operate below the minimum delivery threshold. To ensure safe access to maternal healthcare, the 2010 State-Regions Agreement set a minimum target of 500 births per year for facility in areas with significant geographic challenges.</p><p><strong>Objectives: </strong>to describe the model developed by the Italian National Agency for Regional Healthcare Services (AgeNaS) which intend to assess accessibility to Maternity Units, considering both potential service areas and existing territorial coverage, and to allow for the simulation of network reconfiguration scenarios.</p><p><strong>Design: </strong>a gravity model was adopted and tailored to the healthcare setting. The model is the Modified Three-Step Floating Catchment Area, divided into three stages: 1. calculation of access probability (using Huff's probability model); 2. estimation of the hospital bed capacity of the regional network of Maternity Units; 3. calculation of an accessibility index for each area to the Maternity Unit network. To implement the gravity model, AgeNaS designed and developed a software application to process distance matrices based on road networks, which allow for accurate calculation of travel times and distances from municipalities to hospitals Results: the model highlights that activity data and territorial characteristics can redefine both current and potential future service areas, offering a transparent and replicable assessment. The potentiality of the AgeNaS model was demonstrated through a series of case studies: Montevarchi (Tuscany), Iglesias (Sardinia), and Orvieto (Umbria).</p><p><strong>Conclusions: </strong>the AgeNaS methodology is a valuable tool for regions and the central level, both applicable to the network of Maternity Units and to other territorial healthcare networks. This approach is flexible, adaptable, and can be standardized through known parameters, making it suitable for replicable analysis.</p>","PeriodicalId":50511,"journal":{"name":"Epidemiologia & Prevenzione","volume":"49 1","pages":"74-83"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484370","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":"[Reproductive health of young men living in PFAS contaminated areas: planned ad-interim data analysis].","authors":"Francesco Bertola, Salvatore Micali, Marco Ticonosco, Enrico Ioverno, Enzo Dal Lago, Andrea Busolo, Rafael Ramirez Morales, Grazia Buonfantino, Alessandro Di Giorgi, Francesco Paolo Busardò, Katsiaryna Nikitsenka, Giuliana Ruggero, Michela Zamboni, Giuliano Fin, Emanuela Foletto, Annibale Biggeri, Luigi Montano","doi":"10.19191/EP25.1.A843.014","DOIUrl":"10.19191/EP25.1.A843.014","url":null,"abstract":"<p><strong>Objectives: </strong>to evaluate the association between exposure to per- and polyfluoroalkyl substances (PFAS) and semen quality in young adulthood, with particular attention to different exposure metrics: serum and seminal concentrations of perfluorooctanoic acid (PFOA) and perfluorosulfonic acid (PFOS), foetal exposure, duration of exposure.</p><p><strong>Design: </strong>cross-sectional study.</p><p><strong>Setting and participants: </strong>1,000 subjects aged 18-35 years residing in the Veneto area with water contamination by PFAS, enrolled in the period 2022-2023; this interim analysis involves 507 subjects out of the 1,000 enrolled.</p><p><strong>Main outcomes measures: </strong>only the 2 main semen parameters were considered: sperm count, motility and morphology.</p><p><strong>Results: </strong>from this interim analysis an association between sperm motility and morphology and duration of residence emerges: OR 1.14 (90%CI 0.99; 1.31) p=0.065 (an age-matched conditional logistic regression tested the linear trend between duration of residence in years and presence/absence of alterations in motility <42% or morphology <4% of the spermatozoa).</p><p><strong>Conclusions: </strong>these results strengthen the literature on reproductive health risks related to exposure to PFAS and in particular to PFOA and PFOS. They also highlight the importance of duration of exposure and exposure starting from foetal life. The study here presented is part of a larger project still underway regarding analytical determinations on the biological samples provided. It was possible to anticipate the results of the interim analysis on 507 subjects out of the 1,000 enrolled.</p>","PeriodicalId":50511,"journal":{"name":"Epidemiologia & Prevenzione","volume":"49 1","pages":"63-73"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598278","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":"[School Readiness Vulnerability: what it is and why it matters].","authors":"Roberta Penge, Silvia Baldi, Franca Rusconi","doi":"10.19191/EP25.1.A836.020","DOIUrl":"https://doi.org/10.19191/EP25.1.A836.020","url":null,"abstract":"","PeriodicalId":50511,"journal":{"name":"Epidemiologia & Prevenzione","volume":"49 1","pages":"25-26"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598279","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 Lancet's editorial on the Italian healthcare system and broken healthcare data management sys-tem in Italy: a useful opportunity for debate].","authors":"Claudio Maria Maffei, Stefania Salmaso","doi":"10.19191/EP25.1.A.860.009","DOIUrl":"10.19191/EP25.1.A.860.009","url":null,"abstract":"","PeriodicalId":50511,"journal":{"name":"Epidemiologia & Prevenzione","volume":"49 1","pages":"16-18"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598281","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":"[Criticalities of HIA and the role of territorial services of prevention].","authors":"Paolo Ricci","doi":"10.19191/EP25.1.005","DOIUrl":"https://doi.org/10.19191/EP25.1.005","url":null,"abstract":"","PeriodicalId":50511,"journal":{"name":"Epidemiologia & Prevenzione","volume":"49 1","pages":"5-6"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598277","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":"[Personal protection strategies for mitigating the effects of air pollution: A narrative literature review].","authors":"Rossella Murtas, Sara Tunesi, Antonio Giampiero Russo","doi":"10.19191/EP24.6.A756.126","DOIUrl":"10.19191/EP24.6.A756.126","url":null,"abstract":"<p><strong>Background: </strong>reducing air emissions is the fundamental action necessary to mitigate the negative health effects caused by air pollution. However, increased public awareness has highlighted the need to identify protective measures that can mitigate the personal health risks associated with air pollution.</p><p><strong>Objectives: </strong>examine the evidence regarding personal protection strategies capable of mitigating the health effects caused by air pollution, with a focus on healthy individuals and at-risk categories.  Design: narrative review.</p><p><strong>Setting and participants: </strong>this study examines the most effective personal protection strategies for healthy and at-risk individuals, considering children, the elderly, and individuals with cardiovascular and respiratory diseases; the examined strategies include the use of air purifiers, respiratory masks, exposure limitation, physical activity, alternative means of transportation, and environmental monitoring systems.</p><p><strong>Main outcomes measures: </strong>reduction of individual exposure to air pollution, respiratory and cardiovascular outcomes, total and all-cause mortality.</p><p><strong>Results: </strong>the evidence indicates that these measures can reduce exposure and promote well-being. For at-risk individuals, it is crucial to limit exposure during periods and in locations with high pollution levels, with an emphasis on physical activity. The use of high-efficiency air purifiers can reduce the negative effect of air pollution on individuals with respiratory and cardiovascular conditions, especially those with asthma. In healthy individuals, multiple mitigation actions have been identified, with evidence suggesting that the benefits of physical activity persist even in environments with high levels of air pollution.</p><p><strong>Conclusions: </strong>this narrative review provides an overview of personal strategies capable of reducing air pollution exposure and consequently mitigating its negative impact on health. These findings can support the development of recommendations and communication and prevention interventions, promoting risk reduction policies and increased awareness and engagement from both healthcare and non-healthcare networks at the local level. Although more robust systematic approaches are needed, this review serves as a useful tool for stakeholders and citizens, while also providing a simple instrument with significant communicative potential, applicable on a large scale.</p>","PeriodicalId":50511,"journal":{"name":"Epidemiologia & Prevenzione","volume":"48 6","pages":"419-428"},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631868","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}