Pierluigi Struzzo - Academia.edu (original) (raw)
Uploads
Papers by Pierluigi Struzzo
MISSION, 2019
Obiettivi: Lo studio ha avuto l'obiettivo di approfondire la conoscenza su consumi alcolici, ... more Obiettivi: Lo studio ha avuto l'obiettivo di approfondire la conoscenza su consumi alcolici, comorbilità somatiche e mentali, problemi sociali, e consumo dei servizi sanitari delle persone in trattamento per alcol-dipendenza (AD) e abuso alcolico in Toscana e in Friuli Venezia Giulia (FVG), confrontando le differenze tra le due regioni. Disegno e metodo: Ricerca trasversale, realizzata mediante intervista diretta con questionario strutturato. I dati risultanti sono stati analizzati mediante test del chi quadro e regressioni logistiche. Partecipanti: Lo studio è stato compiuto tra il luglio 2013 e febbraio 2014 su un campione di alcolisti in trattamento in Toscana (N=147) e in Friuli-Venezia Giulia (N=129).Risultati principali: I pazienti con dipendenza e abuso alcolico avevano condizioni socioeconomiche inferiori più in Toscana (47,9%) che nel FVG (35,7) (OR=1,75, Intervallo di confidenza [IC] 95% 1,06-2,86). I problemi di fegato, la depressione e l'ansia riferite erano magg...
Although in recent years alcohol consumption significantly reduced in Italy (63,9% of italians dr... more Although in recent years alcohol consumption significantly reduced in Italy (63,9% of italians drank at least one glass of wine in 2013 versus 68,7% in 2003) [1], alcohol dependence still causes marked mortality, with high disease burden, and the treatment rate is low. Primary care could play a key role in reducing such alcohol-attributable harm by screening, providing brief interventions and initiating or referring dependent people to treatment. A recent study in six European countries [2], including Italy, investigated primary care identification of alcohol dependent patients through a clinical evaluation and a structured interview according to an international validated questionnaire: the CIDI (Composite International Diagnostic Interview) [3]. This study reports the performance of a sample of 55 Italian general practitioners distributed in region Friuli-Venezia Giulia and Tuscany. Aims of the study were to identify the criteria used by general practitioners (GPs) for the diagnos...
Pamphlets for the local authorities on asthma, respiratory allergies and the environment. (Oct 19... more Pamphlets for the local authorities on asthma, respiratory allergies and the environment. (Oct 1995 – Sep 1998) Les brochures pour les autorités locales pour l’asthme, allergies respiratoires et environnement (Oct 1995 – Sep 1998) “Asthma, respiratory allergies and the environment” is one pamphlet from the series for local authorities. This document was prepared with the help of Professor Ulrich Wahn from Berlin. A major meeting was held in Germany in February 1997 where the details were discussed and an outline of the document drafted. The preventive initiatives were primarily focused on children, and the major community measures that had to be taken were suggested. A technical annex was dedicated to the general practitioners and other primary care workers. The pamphlet was subsequently published into English, French, Italian and Slovak. After the participation of Xavier in a “brainstorming” session on health issues, the Udine Municipality decided to be involved in respiratory heal...
European Journal of General Practice, 2013
L’Ufficio Regionale per l’Europa dell’O.M.S. viene regolarmente contattato per fornire consulenza... more L’Ufficio Regionale per l’Europa dell’O.M.S. viene regolarmente contattato per fornire consulenza tecnica o pratica su un gran numero di questioni legate alla sanità e all’ambiente. Esperti insieme ad altri collaboratori hanno steso una serie di documenti che vi aiuteranno a risolvere i problemi di natura ambientale e sanitaria. Le raccomandazioni sono classificate in ordine di priorità, in modo da poter sviluppare strategie adatte ad ogni contesto locale. e non hanno in genere un effetto diretto sulla salute Questo opuscolo è stato scritto per dare la possibi- lità alle autorità locali di prendere decisioni in modo consapevole. L’allegato contiene una serie di infor- mazioni pratiche che aiuteranno il personale tecnico e gli addetti alle pubbliche relazioni nel loro lavoro quotidiano. I titoli già pubblicati o in preparazione sono elencati alla fine del documento. Consigliere regionale Xavier Bonnefoy per la P olitica ed i ser , Ufficio Regionale per l’Europa dell' OMS
Epidemiological studies are important to determine the frequency of the diseases in general and i... more Epidemiological studies are important to determine the frequency of the diseases in general and in asthma in particular, but different studies on the same aspect give frequently rise to different results. This is mainly due to the fact that different tools are used in the diagnosis ( questionnaires, functional data etc.)and so, even if study designs and methodologies are rigorous,results may vary quite a bit from one another. The Association for the Study of Asthma and other Allergopathies ( A.S.M.A.A., a non - profit, non - governamental organization based on volounteership ), as a first step, to impreve the knowledge of the illness, decided to conduct an epidemiologic study on asthma prevalence in the Province of Udine ( Italy ).The need of an epidemiological study was due to the fact that the feeling that asthma was a much more frequent disease than it is reported in the literature. The second step was to decide what kind of study to conduct.
Epidemiologia e prevenzione
"OBJECTIVES: to identify... more "OBJECTIVES: to identify the differences among patients of general practictioners (GPs) in both Tuscany Region (Central Italy) and Friuli Venezia Giulia (FVG) Region (Northern Italy), which are different for drinking cultures, as to motivation of consultation, hazardous drinking and alcohol dependence, health problems, and use of health services. cross-sectional study by means of both a medical examination and a subsequent structured interview carried out with a questionnaire. Data were analysed using chi-square test, logistic regression and differences in prevalence. the study was implemented between July and November 2013 on a sample of 492 patients of 30 GPs in FVG, and 451 patients of 25 GPs in Tuscany. although patients in FVG were less likely to drink alcohol (66.7% vs. 70.9%), consumed lower amounts of alcohol on average per day per drinker (10.9 vs. 14.5 grams of alcohol), and were less likely to be hazardous drinkers (11.2% vs. 13.8%) compared to patients in Tuscany, they had a 3.6 to 4.7 times higher risk of alcohol dependence. In addition, the prevalence of diseases (in particular hepato-gastrointestinal diseases, hypertension, and psychiatric problems), smoking, and obesity/ overweighting was higher among clients of FVG, which exceed the Tuscan patients by 5-12 percentage points. Compared to Tuscany, FVG patients were more hospitalized and required more help to GPs or other people for their drinking problems. compared to Tuscan patients, GPs' patients in FVG has higher prevalence of alcohol addiction and other diseases, as well as of smoking and overweight/obesity, and higher need for health interventions as to their drinking problems."
Epidemiologia e prevenzione
to identify the criteria used by general practitioners (GPs) for the diagnosis of alcohol depende... more to identify the criteria used by general practitioners (GPs) for the diagnosis of alcohol dependence (AD) and to compare them with the criteria of the Composite International Diagnostic Interview (CIDI). cross-sectional correlational study. the 55 GPs of Friuli Venezia Giulia Region (Northern Italy) and Tuscany Region (Central Italy) who took part in the research conducted a clinical evaluation of the first 40 patients who came for a medical examination. prevalence of AD diagnosed by GPs and CIDI and their association with sociodemographic variables, other diseases, and alcohol consumption. AD prevalence assessed by the GPs was 5.4%, while AD prevalence assessed by the CIDI was 4.4%, with an overlap of about 26%. Patients identified as AD by the GPs were older and more frequently suffering from liver disease and hypertension than patients identified by the CIDI. the limited overlap between diagnoses of AD made by GPs and the one made by the CIDI is problematic. GPs appear to identif...
JMIR research protocols, Jan 4, 2016
Brief interventions delivered in primary health care are effective in reducing excessive drinking... more Brief interventions delivered in primary health care are effective in reducing excessive drinking; online behavior-changing technique interventions may be helpful. Physicians may actively encourage the use of such interventions by helping patients access selected websites (a process known as "facilitated access"). Although the therapeutic working alliance plays a significant role in the achievement of positive outcomes in face-to-face psychotherapy and its development has been shown to be feasible online, little research has been done on its impact on brief interventions. Strengthening patients' perception of their physician's endorsement of a website could facilitate the development of an effective alliance between the patient and the app. We describe the implementation of a digitally mediated personal physician presence to enhance patient engagement with an alcohol-reduction website as part of the experimental online intervention in a noninferiority randomized co...
Journal of Substance Use, 2016
Alcohol and alcoholism (Oxford, Oxfordshire), Jan 15, 2015
To analyze the current paradigm and clinical practice for dealing with alcohol use disorders (AUD... more To analyze the current paradigm and clinical practice for dealing with alcohol use disorders (AUD) in primary health care. Analyses of guidelines and recommendations, reviews and meta-analyses. Many recommendations or guidelines for interventions for people with alcohol use problems in primary health care, from hazardous drinking to AUD, can be summarized in the SBIRT principle: screening for alcohol use and alcohol-related problems, brief interventions for hazardous and in some cases harmful drinking, referral to specialized treatment for people with AUD. However, while there is some evidence that these procedures are effective in reducing drinking levels, they are rarely applied in clinical practice in primary health care, and no interventions are initiated, even if the primary care physician had detected problems or AUD. Rather than asking primary health care physicians to conduct interventions which are not typical for medical doctors, we recommend treatment initiation for AUD a...
Addiction Science & Clinical Practice, 2015
MISSION, 2019
Obiettivi: Lo studio ha avuto l'obiettivo di approfondire la conoscenza su consumi alcolici, ... more Obiettivi: Lo studio ha avuto l'obiettivo di approfondire la conoscenza su consumi alcolici, comorbilità somatiche e mentali, problemi sociali, e consumo dei servizi sanitari delle persone in trattamento per alcol-dipendenza (AD) e abuso alcolico in Toscana e in Friuli Venezia Giulia (FVG), confrontando le differenze tra le due regioni. Disegno e metodo: Ricerca trasversale, realizzata mediante intervista diretta con questionario strutturato. I dati risultanti sono stati analizzati mediante test del chi quadro e regressioni logistiche. Partecipanti: Lo studio è stato compiuto tra il luglio 2013 e febbraio 2014 su un campione di alcolisti in trattamento in Toscana (N=147) e in Friuli-Venezia Giulia (N=129).Risultati principali: I pazienti con dipendenza e abuso alcolico avevano condizioni socioeconomiche inferiori più in Toscana (47,9%) che nel FVG (35,7) (OR=1,75, Intervallo di confidenza [IC] 95% 1,06-2,86). I problemi di fegato, la depressione e l'ansia riferite erano magg...
Although in recent years alcohol consumption significantly reduced in Italy (63,9% of italians dr... more Although in recent years alcohol consumption significantly reduced in Italy (63,9% of italians drank at least one glass of wine in 2013 versus 68,7% in 2003) [1], alcohol dependence still causes marked mortality, with high disease burden, and the treatment rate is low. Primary care could play a key role in reducing such alcohol-attributable harm by screening, providing brief interventions and initiating or referring dependent people to treatment. A recent study in six European countries [2], including Italy, investigated primary care identification of alcohol dependent patients through a clinical evaluation and a structured interview according to an international validated questionnaire: the CIDI (Composite International Diagnostic Interview) [3]. This study reports the performance of a sample of 55 Italian general practitioners distributed in region Friuli-Venezia Giulia and Tuscany. Aims of the study were to identify the criteria used by general practitioners (GPs) for the diagnos...
Pamphlets for the local authorities on asthma, respiratory allergies and the environment. (Oct 19... more Pamphlets for the local authorities on asthma, respiratory allergies and the environment. (Oct 1995 – Sep 1998) Les brochures pour les autorités locales pour l’asthme, allergies respiratoires et environnement (Oct 1995 – Sep 1998) “Asthma, respiratory allergies and the environment” is one pamphlet from the series for local authorities. This document was prepared with the help of Professor Ulrich Wahn from Berlin. A major meeting was held in Germany in February 1997 where the details were discussed and an outline of the document drafted. The preventive initiatives were primarily focused on children, and the major community measures that had to be taken were suggested. A technical annex was dedicated to the general practitioners and other primary care workers. The pamphlet was subsequently published into English, French, Italian and Slovak. After the participation of Xavier in a “brainstorming” session on health issues, the Udine Municipality decided to be involved in respiratory heal...
European Journal of General Practice, 2013
L’Ufficio Regionale per l’Europa dell’O.M.S. viene regolarmente contattato per fornire consulenza... more L’Ufficio Regionale per l’Europa dell’O.M.S. viene regolarmente contattato per fornire consulenza tecnica o pratica su un gran numero di questioni legate alla sanità e all’ambiente. Esperti insieme ad altri collaboratori hanno steso una serie di documenti che vi aiuteranno a risolvere i problemi di natura ambientale e sanitaria. Le raccomandazioni sono classificate in ordine di priorità, in modo da poter sviluppare strategie adatte ad ogni contesto locale. e non hanno in genere un effetto diretto sulla salute Questo opuscolo è stato scritto per dare la possibi- lità alle autorità locali di prendere decisioni in modo consapevole. L’allegato contiene una serie di infor- mazioni pratiche che aiuteranno il personale tecnico e gli addetti alle pubbliche relazioni nel loro lavoro quotidiano. I titoli già pubblicati o in preparazione sono elencati alla fine del documento. Consigliere regionale Xavier Bonnefoy per la P olitica ed i ser , Ufficio Regionale per l’Europa dell' OMS
Epidemiological studies are important to determine the frequency of the diseases in general and i... more Epidemiological studies are important to determine the frequency of the diseases in general and in asthma in particular, but different studies on the same aspect give frequently rise to different results. This is mainly due to the fact that different tools are used in the diagnosis ( questionnaires, functional data etc.)and so, even if study designs and methodologies are rigorous,results may vary quite a bit from one another. The Association for the Study of Asthma and other Allergopathies ( A.S.M.A.A., a non - profit, non - governamental organization based on volounteership ), as a first step, to impreve the knowledge of the illness, decided to conduct an epidemiologic study on asthma prevalence in the Province of Udine ( Italy ).The need of an epidemiological study was due to the fact that the feeling that asthma was a much more frequent disease than it is reported in the literature. The second step was to decide what kind of study to conduct.
Epidemiologia e prevenzione
"OBJECTIVES: to identify... more "OBJECTIVES: to identify the differences among patients of general practictioners (GPs) in both Tuscany Region (Central Italy) and Friuli Venezia Giulia (FVG) Region (Northern Italy), which are different for drinking cultures, as to motivation of consultation, hazardous drinking and alcohol dependence, health problems, and use of health services. cross-sectional study by means of both a medical examination and a subsequent structured interview carried out with a questionnaire. Data were analysed using chi-square test, logistic regression and differences in prevalence. the study was implemented between July and November 2013 on a sample of 492 patients of 30 GPs in FVG, and 451 patients of 25 GPs in Tuscany. although patients in FVG were less likely to drink alcohol (66.7% vs. 70.9%), consumed lower amounts of alcohol on average per day per drinker (10.9 vs. 14.5 grams of alcohol), and were less likely to be hazardous drinkers (11.2% vs. 13.8%) compared to patients in Tuscany, they had a 3.6 to 4.7 times higher risk of alcohol dependence. In addition, the prevalence of diseases (in particular hepato-gastrointestinal diseases, hypertension, and psychiatric problems), smoking, and obesity/ overweighting was higher among clients of FVG, which exceed the Tuscan patients by 5-12 percentage points. Compared to Tuscany, FVG patients were more hospitalized and required more help to GPs or other people for their drinking problems. compared to Tuscan patients, GPs' patients in FVG has higher prevalence of alcohol addiction and other diseases, as well as of smoking and overweight/obesity, and higher need for health interventions as to their drinking problems."
Epidemiologia e prevenzione
to identify the criteria used by general practitioners (GPs) for the diagnosis of alcohol depende... more to identify the criteria used by general practitioners (GPs) for the diagnosis of alcohol dependence (AD) and to compare them with the criteria of the Composite International Diagnostic Interview (CIDI). cross-sectional correlational study. the 55 GPs of Friuli Venezia Giulia Region (Northern Italy) and Tuscany Region (Central Italy) who took part in the research conducted a clinical evaluation of the first 40 patients who came for a medical examination. prevalence of AD diagnosed by GPs and CIDI and their association with sociodemographic variables, other diseases, and alcohol consumption. AD prevalence assessed by the GPs was 5.4%, while AD prevalence assessed by the CIDI was 4.4%, with an overlap of about 26%. Patients identified as AD by the GPs were older and more frequently suffering from liver disease and hypertension than patients identified by the CIDI. the limited overlap between diagnoses of AD made by GPs and the one made by the CIDI is problematic. GPs appear to identif...
JMIR research protocols, Jan 4, 2016
Brief interventions delivered in primary health care are effective in reducing excessive drinking... more Brief interventions delivered in primary health care are effective in reducing excessive drinking; online behavior-changing technique interventions may be helpful. Physicians may actively encourage the use of such interventions by helping patients access selected websites (a process known as "facilitated access"). Although the therapeutic working alliance plays a significant role in the achievement of positive outcomes in face-to-face psychotherapy and its development has been shown to be feasible online, little research has been done on its impact on brief interventions. Strengthening patients' perception of their physician's endorsement of a website could facilitate the development of an effective alliance between the patient and the app. We describe the implementation of a digitally mediated personal physician presence to enhance patient engagement with an alcohol-reduction website as part of the experimental online intervention in a noninferiority randomized co...
Journal of Substance Use, 2016
Alcohol and alcoholism (Oxford, Oxfordshire), Jan 15, 2015
To analyze the current paradigm and clinical practice for dealing with alcohol use disorders (AUD... more To analyze the current paradigm and clinical practice for dealing with alcohol use disorders (AUD) in primary health care. Analyses of guidelines and recommendations, reviews and meta-analyses. Many recommendations or guidelines for interventions for people with alcohol use problems in primary health care, from hazardous drinking to AUD, can be summarized in the SBIRT principle: screening for alcohol use and alcohol-related problems, brief interventions for hazardous and in some cases harmful drinking, referral to specialized treatment for people with AUD. However, while there is some evidence that these procedures are effective in reducing drinking levels, they are rarely applied in clinical practice in primary health care, and no interventions are initiated, even if the primary care physician had detected problems or AUD. Rather than asking primary health care physicians to conduct interventions which are not typical for medical doctors, we recommend treatment initiation for AUD a...
Addiction Science & Clinical Practice, 2015