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Validity of peptic ulcer disease and upper gastrointestinal bleeding diagnoses in administrative databases : a systematic review protocol

INTRODUCTION: Administrative healthcare databases are useful to investigate the epidemiology, health outcomes, quality indicators and healthcare utilisation concerning peptic ulcers and gastrointestinal bleeding, but the databases need to be validated in order to be a reliable source for research. The aim of this protocol is to perform the first systematic review of studies reporting the validatio

The UP-TECH project, an intervention to support caregivers of Alzheimer's disease patients in Italy : Study protocol for a randomized controlled trial

Background: The epidemic of Alzheimer's disease (AD) represents a significant challenge for the health care and social service systems of many developed countries. AD affects both patients and family caregivers, on whom the main burden of care falls, putting them at higher risk of stress, anxiety, mortality and lower quality of life. Evidence remains controversial concerning the effectiveness of p

Tackling the Phenomenon of Elder Abuse in Italy : A Review of Existing Legislation and Policies as a Learning Resource

In Italy, data and information on prevalence and characteristics of elder abuse are very limited, and a specific legal and policy framework is lacking. Some articles of the Penal Code refer to the larger context of violence against disadvantaged groups, and some general support services not specifically dedicated to this issue are managed by local municipalities. In this context, empirical researc

Socio-Economic Determinants and Self-Reported Depressive Symptoms During Postpartum Period

The researchers' aims were to estimate the prevalence of postpartum depressive symptoms in Italy. Cross-sectional data from the survey, "Health and use of health care in Italy" were analyzed. The authors focused on 5,812 women, pregnant some time during five years before the survey. Multiple logistic regression was used to evaluate risk factors independently associated with postpartum depressive s

Migrant labour and the marketisation of care for older people : The employment of migrant care workers by families and service providers

This article contributes to an understanding of how different institutional contexts produce similar outcomes as regards the employment of migrant workers in care work. It examines how the employment of migrant care workers in both the familial provision of care and the formal provision of care services for older people is shaped, first, by the marketisation of care and, second, by immigration con

Motivations of older volunteers in three European countries

Purpose: The purpose of this paper is to investigate older volunteers' motivations, with special focus on country differences, considering the kind of activities carried out and age differences. Design/methodology/approach: Using the Volunteer Function Inventory (VFI), the authors measured motivations to volunteer of volunteers aged 50 or older, belonging to organizations engaged in the largest ac

Caesarean Delivery in South Italy : Women without Choice. A Cross Sectional Survey

Background: In spite of the World Health Organization's recommendations to maintain caesarean delivery (CD) between 5% and 15% of total births, the rates of CD continue to rise in countries with routine access to medical services. As in Italy CD rate reached 38% in 2008, the highest at EU level, we evaluated socioeconomic and clinical correlates of "elective" and "non programmed" CD in the Country

The Construction of Lay Rescuers in Bystander CPR Classes

There are many situations in society and life in which the body is expected to play an important role for the acquisition of particular skills. This article reports on a study of such a situation, namely when information about first aid and how to perform cardiopulmonary resuscitation (CRP) is mediated to nonmedical professionals. The aim of the article is to tease out how different modes of infor

Migrant care workers as protective factor against caregiver burden : Results from a longitudinal analysis of the EUROFAMCARE study in Italy

Objective: The aim of the analysis is to assess the impact of privately employed migrant care workers (MCWs) on the burden of Italian family members who care for a disabled older person. Methods: EUROFAMCARE is a one-year prospective survey carried out to provide evidence on the availability and use of support services by family carers of older people in Europe. In Italy, 990 family caregivers wer

The economic burden of inappropriate drug prescribing, lack of adherence and compliance, adverse drug events in older people : A systematic review

Adverse drug events (ADEs) are an increasingly relevant issue for healthcare systems as they are associated with poorer health outcomes and avoidable misuse of resources. The rates of ADEs are higher in the elderly population, as many older patients have comorbidities, multiple drug prescriptions and deteriorated physical and cognitive functioning. The occurrence of ADEs can lead to a perceived la

The Engagement of Older People in Civil Society Organizations

This article reviews recent international literature on the opportunities and restrictions experienced by older people to act as volunteers in civil society organizations. Our aim was to develop a conceptual framework applicable to the European ageing society. This aim was pursued through a computerized database search focused on studies analyzing the individual, organizational, and/or societal le

Complementary and Alternative Medicine (CAM) among adults in Italy : Use and related satisfaction

Introduction: Complementary and Alternative Medicine (CAM) is attracting attention within the context of health care provision in western countries. Patterns of CAM use and related satisfaction were analysed in Italy according to socio-demographic and health variables. Materials and methods: 104,544 individuals (aged. >18) were interviewed by the cross-sectional ISTAT survey on " Health status of

Improving the delivery of flu vaccine for the older people in times of economic recession : What social epidemiology tells us, and what else we need to know

Despite controversies, flu vaccine programs targeted to the older people are highly recommended and represent a common public health policy in industrialized Countries. Although demographic aging will increase the share of population at higher risk of influenza, today economic recession is putting public budgets under pressure. Underfunding of prevention is becoming a larger problem, as prevention

The economic burden of chronic obstructive pulmonary disease in the elderly : Results from a systematic review of the literature

Purpose of review: Chronic obstructive pulmonary disease (COPD) is a high prevalence condition with a significant clinical and economic burden. In elderly people, COPD is often associated with other chronic comorbidities (i.e. cardiovascular diseases), determining clinical complications and requiring frequent acute healthcare interventions. The aim of this article is to review the economic studies

Cigarette smoking in young-adult workers : A cross-sectional analysis from Abruzzo, Italy

Background: The "Valentino" cross-sectional study is aimed at evaluating the prevalence and pattern of cigarette smoking according to occupational group in a representative sample of workers aged 18-35 years from Abruzzo, Italy. Methods: Randomly selected workers anonymously self-compiled a structured questionnaire containing validated items. Job type was coded according to the International Stand

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Currently, more than one instrument has been found to be reliable and valid for the assessment of hospital admission appropriateness. However; data on the level of agreement among these methodologies are extremely scarce. The study was aimed at evaluating whether the percentages of organizational (in)appropriateness resulting from some of the most diffused instruments (Italian Appropriateness Eval

Socioeconomic determinants of influenza vaccination among older adults in Italy

Objectives: Seasonal influenza represents a major threat to public health but vaccination campaigns are strongly recommended to reduce the risks of serious complications and mortality among community-dwelling elderly persons. We investigated on potential social predictors of influenza vaccination among older adults in Italy. Methods: Data analysis was based on the national survey "Health and use o

Influenza vaccine uptake among community-dwelling Italian elderly : Results from a large cross-sectional study

Background: Flu vaccination significantly reduces the risk of serious complications like hospitalization and death among community-dwelling older people, therefore vaccination programmes targeting this population group represent a common policy in developed Countries. Among the determinants of vaccine uptake in older age, a growing literature suggests that social relations can play a major role. M