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  1. Article ; Online: Adolescent gambling behavior: a gender oriented prevention strategy is required?

    Buja, Alessandra / Sperotto, Milena / Genetti, Bruno / Vian, Paolo / Vittadello, Fabio / Simeoni, Elisabetta / Zampieri, Chiara / Baldo, Vincenzo

    Italian journal of pediatrics

    2022  Volume 48, Issue 1, Page(s) 113

    Abstract: Background: Studies published on gender-related differences in the gambling behavior of adolescents have focused mainly on psychological and social factors. The aim of this study was to develop separate risk factor models for male and female adolescents, ...

    Abstract Background: Studies published on gender-related differences in the gambling behavior of adolescents have focused mainly on psychological and social factors. The aim of this study was to develop separate risk factor models for male and female adolescents, considering the environmental, psychological, behavioral and socio-economic factors related to their gambling.
    Methods: A survey was conducted through a questionnaire developed on a dedicated web site in 2014 on a representative sample of the Italian 15-19-years-old population, including 34,922 students attending 438 secondary schools. The SOGS-RA questionnaire was used to measure gambling behavior. To verify the risk factors associated with gambling a logistic regression stratified by gender was performed.
    Results: In our representative sample of Italian adolescents nationwide, the prevalence of each level of gambling was higher in males than in females. The logistic regression stratified by gender found that for both genders, gambling was positively associated with internet surfing, playing sports, getting into a fight, having unprotected sex, pulling stunts, drinking alcohol at least once in the previous month, having not a satisfactory relationship with teachers, receiving pocket money from parents, spending each week much money and having someone in the family (father, sister/brother, other relatives) who gambles. On the other hand, having poor or average school marks, going to ED in the previous year, smoking at least once in the previous month, having dissatisfied with relationships with father and having a lower family income than their friends was only associated with gambling in boys. Having an accident or injury in the previous year and having a mother who gambled was associated only in girls with higher odd of at risk or problem gambling behavior. A low psychological distress is protective only in girls for risk of gambling.
    Conclusions: Understanding the gender-related differences, and how they emerge in younger people at the start of their gambling careers, can suggest how best to educate individuals, families and the community on the topic of gambling. Programs to prevent substance use and abuse should be multifaceted, and include efforts to prevent gambling with a gender perspective approach.
    MeSH term(s) Adolescent ; Adolescent Behavior/psychology ; Adult ; Female ; Gambling/epidemiology ; Gambling/prevention & control ; Humans ; Male ; Risk Factors ; Students/psychology ; Substance-Related Disorders/epidemiology ; Young Adult
    Language English
    Publishing date 2022-07-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 2088556-8
    ISSN 1824-7288 ; 1720-8424
    ISSN (online) 1824-7288
    ISSN 1720-8424
    DOI 10.1186/s13052-022-01309-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: An Item Response Theory-Based Scoring of the South Oaks Gambling Screen-Revised Adolescents.

    Anselmi, Pasquale / Colledani, Daiana / Andreotti, Alessandra / Robusto, Egidio / Fabbris, Luigi / Vian, Paolo / Genetti, Bruno / Mortali, Claudia / Minutillo, Adele / Mastrobattista, Luisa / Pacifici, Roberta

    Assessment

    2021  Volume 29, Issue 7, Page(s) 1381–1391

    Abstract: The South Oaks Gambling Screen-Revised Adolescent (SOGS-RA) is one of the most widely used screening tools for problem gambling among adolescents. In this study, item response theory was used for computing measures of problem gambling severity that took ... ...

    Abstract The South Oaks Gambling Screen-Revised Adolescent (SOGS-RA) is one of the most widely used screening tools for problem gambling among adolescents. In this study, item response theory was used for computing measures of problem gambling severity that took into account how much information the endorsed items provided about the presence of problem gambling. A zero-inflated mixture two-parameter logistic model was estimated on the responses of 4,404 adolescents to the South Oaks Gambling Screen-Revised Adolescent to compute the difficulty and discrimination of each item, and the problem gambling severity level (θ score) of each respondent. Receiver operating characteristic curve analysis was used to identify the cutoff on the θ scores that best distinguished daily and nondaily gamblers. This cutoff outperformed the common cutoff defined on the sum scores in identifying daily gamblers but fell behind it in identifying nondaily gamblers. When screening adolescents to be subjected to further investigations, the cutoff on the θ scores must be preferred to that on the sum scores.
    MeSH term(s) Adolescent ; Adolescent Behavior ; Behavior, Addictive/diagnosis ; Gambling/diagnosis ; Humans ; Mass Screening ; Surveys and Questionnaires
    Language English
    Publishing date 2021-05-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1362144-0
    ISSN 1552-3489 ; 1073-1911
    ISSN (online) 1552-3489
    ISSN 1073-1911
    DOI 10.1177/10731911211017657
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  3. Article: Stimulant substance use and gambling behaviour in adolescents. Gambling and stimulant use.

    Buja, Alessandra / Mortali, Claudia / Mastrobattista, Luisa / De Battisti, Elisa / Minutillo, Adele / Pichini, Simona / Grotto, Giulia / Genetti, Bruno / Vian, Paolo / Andreotti, Alessandra / Baldo, Vincenzo / Pacifici, Roberta

    Adicciones

    2020  Volume 32, Issue 4, Page(s) 273–280

    Abstract: Gambling is widely recognized as an important public health problem. Despite the rising use of stimulant substances among adolescents, there are still very few studies focusing on whether adolescents' use of stimulants is associated with their gambling ... ...

    Title translation Uso de sustancias estimulantes y comportamiento de juego en adolescentes. Juego y uso de estimulantes.
    Abstract Gambling is widely recognized as an important public health problem. Despite the rising use of stimulant substances among adolescents, there are still very few studies focusing on whether adolescents' use of stimulants is associated with their gambling behaviour. Therefore, the aim of this study was to investigate the association between gambling habits and consumption of stimulants such as coffee, energy drinks, and new psychoactive substances in a sample of Italian adolescents. A survey was conducted in 2017 with a representative sample of Italians between the ages of 14-17 years, comprising 15,833 students attending 201 secondary schools. Logistic regression analyses were run to assess the association between at-risk/problem gambling (O1) and independent predictors: the model included independent variables (coffee, energy drinks and new psychoactive substance consumption) and covariates (demographic variables, social environment variables and risk-taking behaviour variables). A sensitivity analysis was also conducted to examine a second dependent variable regarding any experience of gambling behaviour (O2). Adolescents who were at-risk gamblers or problem gamblers were significantly more likely to consume energy drinks than non-gamblers or not-at-risk gamblers. A similar pattern was seen for consumption of new psychoactive substances. No significant association emerged with coffee consumption. The sensitivity analysis showed that, compared with non gamblers, the group of gamblers had higher odds for frequent coffee consumption, as well as for consumption of energy drinks and/or new psychoactive substances. Screening for gambling and stimulant use may provide important information, as it may be necessary to take action to reduce stimulant substance use as part of efforts to deal with unhealthy gambling habits.
    MeSH term(s) Adolescent ; Alcohol Drinking/epidemiology ; Cross-Sectional Studies ; Drug Synergism ; Energy Drinks/adverse effects ; Female ; Gambling/epidemiology ; Gambling/psychology ; Humans ; Italy/epidemiology ; Logistic Models ; Male ; Mass Screening/statistics & numerical data ; Risk-Taking ; Severity of Illness Index ; Smoking/epidemiology ; Students/psychology ; Surveys and Questionnaires
    Language Spanish
    Publishing date 2020-11-17
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 2018873-0
    ISSN 0214-4840
    ISSN 0214-4840
    DOI 10.20882/adicciones.1312
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: SOGS-RA gambling scores and substance use in adolescents.

    Buja, Alessandra / Lion, Camilla / Scioni, Manuela / Vian, Paolo / Genetti, Bruno / Vittadello, Fabio / Sperotto, Milena / Simeoni, Elisabetta / Baldo, Vincenzo

    Journal of behavioral addictions

    2017  Volume 6, Issue 3, Page(s) 425–433

    Abstract: Background and aims There is a well-established association between pathological gambling and substance use disorders in adolescents. The aim of this study was to shed light on the association between adolescents' different levels of involvement in ... ...

    Abstract Background and aims There is a well-established association between pathological gambling and substance use disorders in adolescents. The aim of this study was to shed light on the association between adolescents' different levels of involvement in gambling activities and substance use (smoking tobacco and cannabis and drinking alcoholic beverages), based on a large sample. Methods A survey was conducted in 2013 on 34,746 students attending 619 secondary schools, who formed a representative sample of the Italian 15- to 19-year-old population. The prevalence of different categories of gamblers was estimated by age group and gender. A multiple correspondence analysis (CA) was conducted to explain the multivariate associations between substance use and gambling. Results The prevalence of problem gambling was 2.7% among the 15- to 17-year-olds, and rose to 3.6% among the 18- and 19-year-olds. Multiple CA revealed that, even when it does not reach risk-related or problem levels, gambling is associated with the use of alcohol and tobacco. In particular, the analysis showed that non-problem gambling levels were associated with alcohol and tobacco use at least once in the previous month, and that higher-risk gambling levels related to the use of cannabis and episodes of drunkenness at least once in the previous month. Conclusion This study found that any gambling behavior, even below risk-related or problem levels, was associated with some degree of substance use by youths, and that adolescents' levels of gambling lay along a continuum of the categories of substance use.
    MeSH term(s) Adolescent ; Adolescent Behavior ; Cross-Sectional Studies ; Female ; Gambling/complications ; Gambling/diagnosis ; Gambling/epidemiology ; Humans ; Male ; Multivariate Analysis ; Prevalence ; Psychiatric Status Rating Scales ; Risk ; Substance-Related Disorders/complications ; Substance-Related Disorders/epidemiology ; Young Adult
    Language English
    Publishing date 2017-08-08
    Publishing country Hungary
    Document type Journal Article
    ZDB-ID 2817933-X
    ISSN 2063-5303 ; 2063-5303
    ISSN (online) 2063-5303
    ISSN 2063-5303
    DOI 10.1556/2006.6.2017.043
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Pathways connecting socioeconomic variables, substance abuse and gambling behaviour: a cross-sectional study on a sample of Italian high-school students.

    Buja, Alessandra / Mortali, Claudia / Mastrobattista, Luisa / Minutillo, Adele / Pichini, Simona / Genetti, Bruno / Vian, Paolo / Andreotti, Alessandra / Grotto, Giulia / Baldo, Vincenzo / Pacifici, Roberta

    BMJ open

    2019  Volume 9, Issue 11, Page(s) e031737

    Abstract: Objectives: The aim of this study was to elucidate the pathway of associations linking gambling, alcohol intake, smoking habit, cannabis consumption between each other and with demographic and socioeconomic variables.: Setting and participants: A ... ...

    Abstract Objectives: The aim of this study was to elucidate the pathway of associations linking gambling, alcohol intake, smoking habit, cannabis consumption between each other and with demographic and socioeconomic variables.
    Setting and participants: A survey was conducted in 2017 on a representative sample of 15 602 Italian 14-year-olds to 17-year-olds attending 201 secondary schools.
    Outcome measures: Structural Equation Models analysis was used to assess the pathway between gambling, alcohol intake, smoking, cannabis consumption, demographics and socioeconomic factors.
    Results: Irrespective of socioeconomic or demographic variables, gambling is positively associated with alcohol and cannabis consumption, while cannabis consumption is predicted by smoking and by alcohol intake, smoking is predicted by alcohol intake. Adolescents with a higher weekly income are more at risk of gambling, drinking alcohol and smoking, while the degree of economic dissatisfaction was positively associated with alcohol intake, cannabis consumption and smoking. Maternal employment appeared to be positively associated with adolescents' smoking, alcohol intake and cannabis consumption.
    Conclusions: This is one of the first studies to shed light on the pathways of associations connecting various health-risk behaviours among adolescents with demographic and socioeconomic factors.
    MeSH term(s) Adolescent ; Alcohol Drinking/epidemiology ; Cross-Sectional Studies ; Female ; Gambling/epidemiology ; Humans ; Italy ; Male ; Marijuana Smoking/epidemiology ; Smoking/epidemiology ; Socioeconomic Factors ; Substance-Related Disorders/epidemiology
    Language English
    Publishing date 2019-11-11
    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-2019-031737
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  6. Article ; Online: Population surveys compared with wastewater analysis for monitoring illicit drug consumption in Italy in 2010-2014.

    Zuccato, Ettore / Castiglioni, Sara / Senta, Ivan / Borsotti, Andrea / Genetti, Bruno / Andreotti, Alessandra / Pieretti, Giovanni / Serpelloni, Giovanni

    Drug and alcohol dependence

    2016  Volume 161, Page(s) 178–188

    Abstract: Background: Monitoring consumption by population surveys (PS) is an important way to challenge the spread of illicit drugs (ID). To improve the information, we explored a complementary method, particularly wastewater analysis (WWA).: Methods: We ... ...

    Abstract Background: Monitoring consumption by population surveys (PS) is an important way to challenge the spread of illicit drugs (ID). To improve the information, we explored a complementary method, particularly wastewater analysis (WWA).
    Methods: We estimated the prevalence of use by PS, and the consumption by WWA, of cocaine, opioids, cannabis, methamphetamine and MDMA (ecstasy) from 2010 to 2014 in Italy and compared the results.
    Results: According to PS, cannabis and cocaine were the ID most used in Italy (last month prevalence 3.0% and 0.43% respectively in 2010) followed by opioids (0.17%) and amphetamines (0.14%). WWA gave similar findings, with cannabis consumption (4.35 g THC/day/1000 inhabitants) exceeding cocaine (0.78 g), heroin (0.092 g), methamphetamine and MDMA (0.103 g). The time trend investigated by PS showed significant decreases for all ID from 2010 to 2012. WWA also indicated a reduction of consumption for methamphetamine (p<0.0001) and heroin (p<0.01). Both methods showed an increase for cannabis in 2014 (p<0.001) with the other ID unchanged. Spatial investigations by WWA showed that cannabis and cocaine were consumed significantly more in central Italy than in the north and south. PS indicated the same but only for cannabis. WWA was helpful to study weekly patterns of consumption, showing increases in cocaine and MDMA at weekends.
    Conclusions: PS and WWA were confirmed as complementary methods and when used together improved the information on ID use in Italy. We suggest that the combined use of the two approaches can give better information on ID use in the population.
    MeSH term(s) Drug Utilization/statistics & numerical data ; Drug Utilization/trends ; Humans ; Italy ; Street Drugs/analysis ; Substance Abuse Detection/methods ; Surveys and Questionnaires ; Waste Water/chemistry ; Water Pollutants, Chemical/analysis
    Chemical Substances Street Drugs ; Waste Water ; Water Pollutants, Chemical
    Language English
    Publishing date 2016-04-01
    Publishing country Ireland
    Document type Comparative Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 519918-9
    ISSN 1879-0046 ; 0376-8716
    ISSN (online) 1879-0046
    ISSN 0376-8716
    DOI 10.1016/j.drugalcdep.2016.02.003
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  7. Article ; Online: Increasing prevalence of HIV infection among first time clients in Italian drug treatment services - is it sexual transmission?

    Cruciani, Mario / Wiessing, Lucas / Serpelloni, Giovanni / Genetti, Bruno / Andreotti, Alessandra / Iulia, Carpignano / Zermiani, Monica / Suligoi, Barbara

    BMC infectious diseases

    2015  Volume 15, Page(s) 201

    Abstract: Background: Over the last two decades, the proportion of people who inject drugs among newly reported HIV cases in Italy has been continuously declining. This trend is reflected in the prevalence of HIV infection among problem drug users followed in ... ...

    Abstract Background: Over the last two decades, the proportion of people who inject drugs among newly reported HIV cases in Italy has been continuously declining. This trend is reflected in the prevalence of HIV infection among problem drug users followed in drug treatment services. We report nationwide trends in the prevalence of HIV and HCV among tested clients in charge to drug addiction services from 2005 to 2011.
    Methods: Data on the prevalence of HIV and HCV among drug users from public drug treatment services across Italy were collected and analyzed for the period from 2005 to 2011. Prevalence of HIV and HCV were compared between clients returning to treatment and those entering treatment for the first time, and by gender. Due to the high percentage of missing data, the "inverse probability weight" method was used. Trends in testing uptake were also analysed.
    Results: A significant decrease of HIV and HCV prevalence is observed among all PDUs entering treatment (from 14.7% to 11.1% and from 61.6% to 50%, respectively, in 2005-2011). By contrast, among those entering the services for the first time, after an initial decline the prevalence of HIV infection steadily increased in both sexes, from 2.2% in 2009 to 5.3% in 2011. Self-reported injecting rates in this group decreased over time, and in 2011 the proportion reporting drug injecting was lower among new clients than in people returning to services (14.5 vs. 34.4%). We also observed a progressive and significant reduction in HIV and HCV testing in drug treatment services.
    Conclusions: Changes in injection practice and type of drugs used, coupled with a concurrent reduction in HCV prevalence, do not support drug injection as the main explanation for an increased HIV transmission in people entering drug treatment services for the first time. While reductions in testing rates raise concerns over data quality, the possibility of increased sexual transmission needs to be considered.
    MeSH term(s) Ambulatory Care Facilities ; Drug Users ; Female ; HIV Infections/epidemiology ; Hepatitis C/complications ; Hepatitis C/epidemiology ; Humans ; Italy/epidemiology ; Male ; Prevalence ; Sexual Behavior ; Sexually Transmitted Diseases, Viral/epidemiology ; Substance Abuse, Intravenous/epidemiology ; Substance Abuse, Intravenous/therapy
    Language English
    Publishing date 2015-04-30
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2041550-3
    ISSN 1471-2334 ; 1471-2334
    ISSN (online) 1471-2334
    ISSN 1471-2334
    DOI 10.1186/s12879-015-0940-x
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  8. Article ; Online: Italy's electronic health record system for opioid agonist treatment.

    Serpelloni, Giovanni / Gomma, Maurizio / Genetti, Bruno / Zermiani, Monica / Rimondo, Claudia / Mollica, Roberto / Gryczynski, Jan / O'Grady, Kevin E / Schwartz, Robert P

    Journal of substance abuse treatment

    2013  Volume 45, Issue 2, Page(s) 190–195

    Abstract: Electronic health record systems (EHRs) play an increasingly important role in opioid agonist treatment. In Italy, an EHR called the Multi Functional Platform (MFP) is in use in 150 opioid-agonist treatment facilities in 8 of Italy's 23 regions. This ... ...

    Abstract Electronic health record systems (EHRs) play an increasingly important role in opioid agonist treatment. In Italy, an EHR called the Multi Functional Platform (MFP) is in use in 150 opioid-agonist treatment facilities in 8 of Italy's 23 regions. This report describes MFP and presents 2010 data from 65 sites that treated 8145 patients, of whom 72.3% were treated with methadone and 27.7% with buprenorphine. Patients treated with buprenorphine compared to methadone were more likely to be male (p < .01) and younger (p < .001). Methadone compared to buprenorphine patients had a higher percentage of opioid-positive urine tests (p < .001) and longer mean length of stay (p = .004). MFP has been implemented widely in Italy and has been able to track patient outcomes across treatment facilities. In the future, this EHR system can be used for performance improvement initiatives.
    MeSH term(s) Adult ; Age Factors ; Buprenorphine/administration & dosage ; Electronic Health Records/statistics & numerical data ; Female ; Humans ; Italy ; Length of Stay ; Male ; Methadone/administration & dosage ; Middle Aged ; Opiate Substitution Treatment/methods ; Opioid-Related Disorders/rehabilitation ; Sex Factors ; Substance Abuse Detection ; Substance Abuse Treatment Centers
    Chemical Substances Buprenorphine (40D3SCR4GZ) ; Methadone (UC6VBE7V1Z)
    Language English
    Publishing date 2013-03-19
    Publishing country United States
    Document type Comparative Study ; Journal Article ; Multicenter Study ; Research Support, N.I.H., Extramural
    ZDB-ID 605923-5
    ISSN 1873-6483 ; 0740-5472
    ISSN (online) 1873-6483
    ISSN 0740-5472
    DOI 10.1016/j.jsat.2013.02.001
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  9. Article ; Online: Neurophysiological, psychological and behavioural correlates of rTMS treatment in alcohol dependence.

    Del Felice, Alessandra / Bellamoli, Elisa / Formaggio, Emanuela / Manganotti, Paolo / Masiero, Stefano / Cuoghi, Giuseppe / Rimondo, Claudia / Genetti, Bruno / Sperotto, Milena / Corso, Flavia / Brunetto, Giampaolo / Bricolo, Francesco / Gomma, Maurizio / Serpelloni, Giovanni

    Drug and alcohol dependence

    2016  Volume 158, Page(s) 147–153

    Abstract: Background: Addiction is associated with dorso-lateral prefrontal cortex (DLPFC) dysfunction and altered brain-oscillations. High frequency repetitive transcranial magnetic stimulation (HFrTMS) over DLPFC reportedly reduces drug craving. Its effects on ... ...

    Abstract Background: Addiction is associated with dorso-lateral prefrontal cortex (DLPFC) dysfunction and altered brain-oscillations. High frequency repetitive transcranial magnetic stimulation (HFrTMS) over DLPFC reportedly reduces drug craving. Its effects on neuropsychological, behavioural and neurophysiological are unclear.
    Methods: We assessed psychological, behavioural and neurophysiological effects of 4 sessions of 10-min adjunctive HFrTMS over the left DLPFC during two weeks during a residential programme for alcohol detoxification. Participants were randomized to active HFrTMS (10 Hz, 100% motor threshold) or sham. Immediately before the first and after the last session, 32-channels EEG was recorded and alcohol craving Visual Analogue Scale, Symptom Check List-90-R, Numeric Stroop task and Go/No-go task administered. Tests were repeated at 1-month follow-up.
    Results: 17 subjects (mean age 44.7 years, 4 F) were assessed. Active rTMS subjects performed better at Stroop test at end of treatment (p=0.036) and follow up (p=0.004) and at Go-NoGo at end of treatment (p=0.05) and follow up (p=0.015). Depressive symptoms decreased at end of active treatment (p=0.036). Active-TMS showed an overall decrease of fast EEG frequencies after treatment compared to sham (p=0.026). No significant modifications over time or group emerged for craving and number of drinks at follow up.
    Conclusion: 4 HFrTMS sessions over two weeks on the left DLPFC can improve inhibitory control task and selective attention and reduce depressive symptoms. An overall reduction of faster EEG frequencies was observed. Nonetheless, this schedule is ineffective in reducing craving and alcohol intake.
    MeSH term(s) Adult ; Alcoholism/physiopathology ; Alcoholism/psychology ; Alcoholism/therapy ; Attention/physiology ; Behavior, Addictive/physiopathology ; Behavior, Addictive/psychology ; Behavior, Addictive/therapy ; Craving/physiology ; Electroencephalography/methods ; Female ; Humans ; Male ; Middle Aged ; Prefrontal Cortex/physiopathology ; Prospective Studies ; Single-Blind Method ; Transcranial Magnetic Stimulation/methods ; Treatment Outcome
    Language English
    Publishing date 2016-01-01
    Publishing country Ireland
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 519918-9
    ISSN 1879-0046 ; 0376-8716
    ISSN (online) 1879-0046
    ISSN 0376-8716
    DOI 10.1016/j.drugalcdep.2015.11.018
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  10. Article: The White Book on Disability in Italy: an ICF-based Italian survey.

    Leonardi, Matilde / Meucci, Paolo / Albanesi, Francesca / Invernizzi, Veronica / Raggi, Alberto / Lembo, Rosalba / Franco, Maria Grazia / Genetti, Bruno

    Disability and rehabilitation

    2009  Volume 31 Suppl 1, Page(s) S40–5

    Abstract: Purpose: To describe the functioning and disability profiles of Italian person with disability (PwD) getting invalidity pension.: Methods: Adult subjects were selected within the registries of local health agencies that provide invalidity ... ...

    Abstract Purpose: To describe the functioning and disability profiles of Italian person with disability (PwD) getting invalidity pension.
    Methods: Adult subjects were selected within the registries of local health agencies that provide invalidity certificates. The International Classification of Functioning Disability and Health (ICF) checklist was administered by trained interviewers. Count-based indexes were calculated for each ICF chapter and domain. Descriptive analysis and paired-sample t-test for evaluating differences between capacity and performance indexes in Activities and Participation (A&P) were employed.
    Results: A total of 742 persons were enrolled. Mean age among children and youth (N = 106) was 8.6 years, and among adults (N = 636) was 47.6 years. Most common health conditions are neurological diseases (30.2%), tumors (18.1%) and mental disorders (13.5%). Body Functions and Structures impairments are consistent with sample compositions. In A&P, capacity indexes are higher than performance ones, and facilitators are essentially reported among Environmental Factors (EF).
    Conclusions: ICF-based tools are adequate to capture difficulties in different A&P areas, and to estimate EF's effect. In our study, the widest difficulties and the widest impact of EF are reported in areas describing activities of daily living, while areas describing communication, employment and leisure time activities are less problematic but, at the same time, less influenced by EF.
    MeSH term(s) Activities of Daily Living ; Adolescent ; Adult ; Child ; Cross-Sectional Studies ; Disability Evaluation ; Female ; Humans ; Interviews as Topic ; Italy/epidemiology ; Male ; Middle Aged ; Registries ; Sick Leave/statistics & numerical data ; Vocabulary, Controlled ; Workers' Compensation/statistics & numerical data ; Young Adult
    Language English
    Publishing date 2009
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1104775-6
    ISSN 0963-8288
    ISSN 0963-8288
    DOI 10.3109/09638280903317740
    Database MEDical Literature Analysis and Retrieval System OnLINE

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