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Article: Injury Patterns and Gender in Italy.

Maietti, Elisa / Capodici, Angelo / Sanmarchi, Francesco / Fantini, Maria Pia / Nante, Nicola / Golinelli, Davide

Annali di igiene : medicina preventiva e di comunita

2024 Volume 36, Issue 3, Page(s) 302–312

Abstract: Introduction: Globally, injuries pose significant public health challenges, with road traffic accidents in particular being responsible for considerable morbidity, mortality, and economic distress. Italy has been significantly impacted due to its high ... ...

Abstract	Introduction: Globally, injuries pose significant public health challenges, with road traffic accidents in particular being responsible for considerable morbidity, mortality, and economic distress. Italy has been significantly impacted due to its high population density and frequency of road traffic and domestic incidents. Method: This study set out to investigate the incidence of self-reported road traffic and home and leisure accidents in the Italian general population. A particular emphasis was placed on exploring possible gender differences across varying age groups. The data was obtained from the European Health Interview Survey and a representative sample of the Italian population was analyzed. Results: The analysis revealed that regardless of age, women experienced a reduced risk of road traffic accidents compared to men. However, gender disparities in home-leisure accidents were observed to be age-dependent. Women under the age of 25 exhibited a lower likelihood of home-leisure accidents and serious accidents necessitating hospital admission in comparison to their male counterparts. In contrast, women aged 65 and above had an increased likelihood of home-leisure accidents as opposed to men in the same age category. Conclusions: The findings of this study highlight the importance of considering age and gender as significant factors in the occurrence of different types of accidents, offering insight into how injury rates vary between these demographic groups within Italy.
MeSH term(s)	Humans ; Male ; Female ; Accidents, Traffic ; Hospitalization ; Incidence ; Italy/epidemiology ; Self Report ; Wounds and Injuries/epidemiology
Language	English
Publishing date	2024-04-18
Publishing country	Italy
Document type	Evaluation Study
ZDB-ID	1018045-x
ISSN	1120-9135 ; 0029-6287
ISSN	1120-9135 ; 0029-6287
DOI	10.7416/ai.2024.2620
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Article ; Online: A multi-state analysis of disease trajectories and mental health transitions in patients with type 2 diabetes: A population-based retrospective cohort study utilizing health administrative data.

Lenzi, Jacopo / Messina, Rossella / Rosa, Simona / Iommi, Marica / Rucci, Paola / Pia Fantini, Maria / Di Bartolo, Paolo

Diabetes research and clinical practice

2024 Volume 209, Page(s) 111561

Abstract: Aims: To investigate the risk of major depression and dementia in patients with type 2 diabetes, including dementia resulting from depression, and their impact on diabetes-related complications and mortality.: Methods: We conducted a population-based ...

Abstract	Aims: To investigate the risk of major depression and dementia in patients with type 2 diabetes, including dementia resulting from depression, and their impact on diabetes-related complications and mortality. Methods: We conducted a population-based retrospective cohort study including 11,441 incident cases of diabetes in 2015-2017, with follow-up until 2022. A multi-state survival analysis was performed on a seven-state model with 15 transitions to capture disease progression and onset of mental disorders. Results: Eight-year probabilities of depression, dementia, diabetes-related complications, and death were 9.7% (95% CI 8.7-10.7), 0.9% (95% CI 0.5-1.3), 10.4% (95% CI 9.5-11.4), and 14.8% (95% CI 13.9-15.7), respectively. Depression increased the risk of dementia up to 3.7% (95% CI 2.0-5.4), and up to 10.3% (95% CI 0.3-20.4) if coupled with diabetes complications. Eight-year mortality was 37.5% (95% CI 33.1-42.0) after depression, 74.1% (95% CI 63.7-84.5) after depression plus complications, 76.4% (95% CI 68.8-83.9) after dementia, and 98.6% (95% CI 96.1-100.0) after dementia plus complications. Conclusions: The interconnections observed across depression, dementia, complications, and mortality underscore the necessity for comprehensive and integrated approaches in managing diabetes. Early screening for depression, followed by timely and targeted interventions, may mitigate the risk of dementia and improve diabetes prognosis.
MeSH term(s)	Humans ; Diabetes Mellitus, Type 2/complications ; Diabetes Mellitus, Type 2/epidemiology ; Retrospective Studies ; Health Transition ; Routinely Collected Health Data ; Dementia/epidemiology ; Diabetes Complications/complications ; Risk Factors
Language	English
Publishing date	2024-02-05
Publishing country	Ireland
Document type	Journal Article
ZDB-ID	632523-3
ISSN	1872-8227 ; 0168-8227
ISSN (online)	1872-8227
ISSN	0168-8227
DOI	10.1016/j.diabres.2024.111561
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Article ; Online: The European experience with testing and surveillance during the first phase of the COVID-19 pandemic.

Stoto, Michael A / Reno, Chiara / Tsolova, Svetla / Fantini, Maria Pia

Globalization and health

2023 Volume 19, Issue 1, Page(s) 51

Abstract: Background: COVID-19 pandemic provides a unique opportunity to learn the challenges encountered by public health emergency preparedness systems, both in terms of problems encountered and adaptations during and after the first wave, as well as successful ...

Abstract	Background: COVID-19 pandemic provides a unique opportunity to learn the challenges encountered by public health emergency preparedness systems, both in terms of problems encountered and adaptations during and after the first wave, as well as successful responses to them. Results: This work draws on published literature, interviews with countries and institutional documents as part of a European Centre for Disease Prevention and Control project that aims to identify the implications for preparedness measurement derived from COVID-19 pandemic experience in order to advance future preparedness efforts in European Union member states. The analysis focused on testing and surveillance themes and five countries were considered, namely Italy, Germany, Finland, Spain and Croatia. Our analysis shown that a country's ability to conduct testing at scale was critical, especially early in the pandemic, and the inability to scale up testing operations created critical issues for public health operations such as contact tracing. Countries were required to develop new strategies, approaches, and policies under pressure and to review and revise them as the pandemic evolved, also considering that public health systems operate at the national, regional, and local level with respect to testing, contact tracing, and surveillance, and involve both government agencies as well as private organizations. Therefore, communication among multiple public and private entities at all levels and coordination of the testing and surveillance activities was critical. Conclusion: With regard to testing and surveillance, three capabilities that were essential to the COVID-19 response in the first phase, and presumably in other public health emergencies: the ability to scale-up testing, contact tracing, surveillance efforts; flexibility to develop new strategies, approaches, and policies under pressure and to review and revise them as the pandemic evolved; and the ability to coordinate and communicate in complex public health systems that operate at the national, regional, and local level with respect and involve multiple government agencies as well as private organizations.
MeSH term(s)	Humans ; COVID-19/epidemiology ; COVID-19/prevention & control ; Pandemics/prevention & control ; Civil Defense ; Communication ; Contact Tracing
Language	English
Publishing date	2023-07-21
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2185774-X
ISSN	1744-8603 ; 1744-8603
ISSN (online)	1744-8603
ISSN	1744-8603
DOI	10.1186/s12992-023-00950-9
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Article: COVID-19 in Italy: did the virus run on an ancient Roman road?

Maietti, Elisa / Golinelli, Davide / Fantini, Maria Pia

Zeitschrift fur Gesundheitswissenschaften = Journal of public health

2020 Volume 30, Issue 4, Page(s) 1041–1043

Keywords	covid19
Language	English
Publishing date	2020-10-07
Publishing country	Germany
Document type	Editorial
ZDB-ID	1149070-6
ISSN	2198-1833 ; 0943-1853
ISSN	2198-1833 ; 0943-1853
DOI	10.1007/s10389-020-01377-x
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Article ; Online: Changes in private health service utilisation and access to the Italian National Health Service between 2006 and 2019: a cross-sectional comparative study.

Maietti, Elisa / Sanmarchi, Francesco / Toth, Federico / de Pietro, Carlo / Fantini, Maria Pia / Golinelli, Davide

BMJ open

2023 Volume 13, Issue 5, Page(s) e070975

Abstract: Objectives: Previous research highlighted that in the early 2000s a significant share of the Italian population used and paid out of pocket for private healthcare services even when they could potentially have received the same treatments from the ... ...

Abstract	Objectives: Previous research highlighted that in the early 2000s a significant share of the Italian population used and paid out of pocket for private healthcare services even when they could potentially have received the same treatments from the National Health Service (NHS). The decrease in public investments in healthcare and the increase in health needs due to the population ageing may have modified the use of private health services and equity of access to the Italian NHS. This study aims to investigate the change in the prevalence of individuals who have fully paid out of pocket for accessing healthcare services in Italy between 2006 and 2019 and the main reasons behind this choice. Design: Cross-sectional comparative study. Participants and comparison: Two representative samples of the Italian population were collected in 2006 and 2019. Outcome measures: Prevalence of access to fully paid out-of-pocket private health services; type of service of the last fully paid out-of-pocket access; main reasons for the last fully paid out-of-pocket access. Results: We found an increase in the prevalence of people who declared having fully paid out of pocket at least one access to health services during their lifetime from 79.0% in 2006 to 91.9% in 2019 (adjusted OR 2.66; 95% CI 1.98 to 3.58). 'To avoid waiting times' was the main reason and it was significantly more frequent in 2019 compared with 2006 (adjusted OR 1.75; 95% CI 1.45 to 2.11). Conclusions: This comparative study, conducted the year before the outbreak of the COVID-19 pandemic, highlighted an increase in the prevalence of Italian residents who have fully paid out of pocket for access to health services to overcome long waiting times. Our findings may indicate a reduced access and possible worsening of the equity of access to the public and universalistic Italian NHS between 2006 and 2019.
MeSH term(s)	Humans ; State Medicine ; Cross-Sectional Studies ; Pandemics ; COVID-19 ; Health Services ; Health Services Accessibility
Language	English
Publishing date	2023-05-29
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2599832-8
ISSN	2044-6055 ; 2044-6055
ISSN (online)	2044-6055
ISSN	2044-6055
DOI	10.1136/bmjopen-2022-070975
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Article: SARS-CoV-2/COVID-19 Vaccines: The Promises and the Challenges Ahead.

Baldo, Vincenzo / Reno, Chiara / Cocchio, Silvia / Fantini, Maria Pia

Vaccines

2021 Volume 9, Issue 1

Abstract: The development of a new vaccine usually consists of a linear sequence of several steps and lasts many years [ ... ]. ...

Abstract	The development of a new vaccine usually consists of a linear sequence of several steps and lasts many years [...].
Language	English
Publishing date	2021-01-04
Publishing country	Switzerland
Document type	Editorial
ZDB-ID	2703319-3
ISSN	2076-393X
ISSN	2076-393X
DOI	10.3390/vaccines9010021
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Article ; Online: Impact of COVID-19 on Timing of Hip-Fracture Surgeries

Jacopo Lenzi / Stefano Rousset / Maria Pia Fantini / Maria Michela Gianino

International Journal of Health Policy and Management, Vol 11, Iss 10, Pp 2083-

An Interrupted Time-Series Analysis of the Pre/Post-Quarantine Period in Northern Italy

2022 Volume 2089

Abstract: Background To assess whether the imposition of the coronavirus disease 2019 (COVID-19) national quarantine (March 10, 2020) resulted in a shift in the proportion of patients operated for hip fracture on the day of admission, the following day and two ... ...

Abstract	Background To assess whether the imposition of the coronavirus disease 2019 (COVID-19) national quarantine (March 10, 2020) resulted in a shift in the proportion of patients operated for hip fracture on the day of admission, the following day and two days after admission in the region of Piedmont, northern Italy. Methods Interrupted time-series analysis (ITSA) comparing hospitalization rate and timing of hip-fracture surgeries between pre- and post-quarantine period. The same data observed in Piedmont the year before were included as a control time series with no “intervention” (quarantine) in the middle of the observation period. Results We found that 70.3% and 69.4% of hip-fracture patients received surgery within 2 days of hospital admission in the 16 weeks before and after the national quarantine, respectively. One-day surgery went from 46.0% to 46.5%, and same- day surgery from 13.3% to 12.4%. Unchanged trends were confirmed by ITSA after controlling for the 32-week time- series observed the year before. In the second week of March 2020, there was a borderline significant decrease in weekly hospital admissions for hip fractures as compared with that of the same week of March 2019 (–1.95 per 100 000, 95% CI = –4.10 to 0.21, P value = .075), followed by a weekly significant increase in the hospitalization rate (+0.14 per 100 000, 95% CI = 0.01 to 0.27, P value = .039), although the difference-in-differences of slopes failed to achieve statistical significance (0.19 per 100 000, 95% CI = –0.03 to 0.41, P value = .090). Conclusion Our study shows that the timing of hip-fracture surgery was unchanged during the lockdown period. This suggests that the healthcare systems can be resilient and able to guarantee a high-quality and safe healthcare to hipfracture patients, even in the most challenging working conditions.
Keywords	quality of care ; hip fractures ; elderly ; covid-19 pandemic ; interrupted time series ; italy ; Public aspects of medicine ; RA1-1270
Language	English
Publishing date	2022-10-01T00:00:00Z
Publisher	Kerman University of Medical Sciences
Document type	Article ; Online
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Article ; Online: Correction to: Assessing attitudes towards insulin pump therapy in adults with type 1 diabetes: Italian validation of the Insulin Pump Attitudes Questionnaire (IT‑IPA questionnaire).

Messina, Rossella / Indelicato, Liliana / Iommi, Marica / Trombetta, Maddalena / Roos, Timm / Hermanns, Norbert / Di Sipio, Annamaria / Fantini, Maria Pia / Calvo, Vincenzo

Acta diabetologica

2023 Volume 60, Issue 7, Page(s) 1005

Language	English
Publishing date	2023-04-21
Publishing country	Germany
Document type	Published Erratum
ZDB-ID	1097676-0
ISSN	1432-5233 ; 0940-5429
ISSN (online)	1432-5233
ISSN	0940-5429
DOI	10.1007/s00592-023-02090-3
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Article ; Online: Trust in science, medicine and medical providers and its relations to vaccine beliefs: A latent class analysis.

Sanmarchi, Francesco / Gibertoni, Dino / Golinelli, Davide / Gori, Davide / Fantini, Maria Pia / Scheier, Lawrence M

Scandinavian journal of public health

2022 Volume 51, Issue 5, Page(s) 727–734

MeSH term(s)	Humans ; Trust ; Latent Class Analysis ; Health Knowledge, Attitudes, Practice ; Vaccines ; Vaccination
Chemical Substances	Vaccines
Language	English
Publishing date	2022-11-09
Publishing country	Sweden
Document type	Journal Article
ZDB-ID	1475054-5
ISSN	1651-1905 ; 1403-4948
ISSN (online)	1651-1905
ISSN	1403-4948
DOI	10.1177/14034948221134187
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Article ; Online: Changes in private health service utilisation and access to the Italian National Health Service between 2006 and 2019

Maria Pia Fantini / Elisa Maietti / Davide Golinelli / Francesco Sanmarchi / Federico Toth / Carlo de Pietro

BMJ Open, Vol 13, Iss

a cross-sectional comparative study

2023 Volume 5

Abstract: Objectives Previous research highlighted that in the early 2000s a significant share of the Italian population used and paid out of pocket for private healthcare services even when they could potentially have received the same treatments from the ... ...

Abstract	Objectives Previous research highlighted that in the early 2000s a significant share of the Italian population used and paid out of pocket for private healthcare services even when they could potentially have received the same treatments from the National Health Service (NHS). The decrease in public investments in healthcare and the increase in health needs due to the population ageing may have modified the use of private health services and equity of access to the Italian NHS. This study aims to investigate the change in the prevalence of individuals who have fully paid out of pocket for accessing healthcare services in Italy between 2006 and 2019 and the main reasons behind this choice.Design Cross-sectional comparative study.Participants and comparison Two representative samples of the Italian population were collected in 2006 and 2019.Outcome measures Prevalence of access to fully paid out-of-pocket private health services; type of service of the last fully paid out-of-pocket access; main reasons for the last fully paid out-of-pocket access.Results We found an increase in the prevalence of people who declared having fully paid out of pocket at least one access to health services during their lifetime from 79.0% in 2006 to 91.9% in 2019 (adjusted OR 2.66; 95% CI 1.98 to 3.58). ‘To avoid waiting times’ was the main reason and it was significantly more frequent in 2019 compared with 2006 (adjusted OR 1.75; 95% CI 1.45 to 2.11).Conclusions This comparative study, conducted the year before the outbreak of the COVID-19 pandemic, highlighted an increase in the prevalence of Italian residents who have fully paid out of pocket for access to health services to overcome long waiting times. Our findings may indicate a reduced access and possible worsening of the equity of access to the public and universalistic Italian NHS between 2006 and 2019.
Keywords	Medicine ; R
Subject code	360
Language	English
Publishing date	2023-05-01T00:00:00Z
Publisher	BMJ Publishing Group
Document type	Article ; Online
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