Assessment on Tobacco Smoking in the Province of Pavia (Lombardy Region, Northern Italy) Guido Fontana

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Assessment on Tobacco Smoking in the Province of Pavia (Lombardy Region, Northern Italy) Guido Fontana

8th European Public Health Conference: Poster Displays 419 to enlist 5100 heavy smokers who were assessed for other risk factors (CCVR and BMI) and made the subject of an educational intervention targeted the adoption of healthy lifestyles. Key messages Smoking is one of the main preventable causes of diseases. Knoreswledge of the smoking habits of its resident population is the basis of planning in the field of public health by the LHA Medicine of initiative by General Practitioners (GPs) based on the active recall of patients can represent an important strategy to foster interventions of health promotion based on healthy lifestyles Downloaded from https://academic.oup.com/eurpub/article/25/suppl_3/ckv176.123/2578969 by guest on 27 September 2021 Assessment on tobacco smoking in the province of Pavia (Lombardy Region, Northern Italy) Guido Fontana G Fontana, C Martinotti, S Migliazza, S Dalle Carbonare, E Frisone, C Cerra, S Nieri Local Health Authority of the province of Pavia, Italy Contact: [email protected] Background Recent data show, for Italian population, a reduction in the number of smokers (2010: 22,8%; 2013: 20,9%). Smoking men (8) almost double women (9) (26.4% vs 15.7%) Sedentary lifestyle increases for both genders (36,2% for 8 and 45,8% for 9). 35,5% of the population over-18 is overweight (OW) and 10,3% is obese (OB), with differences between genders (OW: 44,1% 8 vs 27,5% 9; OB: 11,5% 8 vs 9,3% 9). Local Health Authority (LHA) of Pavia, annually bargains with GPs on projects of clinical governance funded by ‘pay for performance’ schemes. Hereafter is described the project run in 2014 and results. Methods GPs acceding had to categorize patients in respect to their smoking habits, grouping them for age and gender. For at least 10 patients every 1.000, GPs had to calculate the body mass index (BMI) and cerebrocardiovascular risk (CCVR) and offer a personalized motivational talk to promote healthy lifestyles. Results 305 GPs of the province tested 344.725 patients (157.966 (45.82%) 8 and 186.759 (54.18%) 9). Smokers are the 14,91% of total population (8: 18,21%; 9: 12,11%). For all age-groups, 8 heavy smokers are more than double than 8. Between the heavy smokers, GPs enlisted 5100 patients (3176 8 and 1924 9) to whom BMI and CCVR were measured. 40,71% of these patients were OW (29,45% 8 and 11,25% 9), 18,67% OB (12,47% 8 and 6,20% 9). For the 25% of men a CCVR of high risk ( > 20) was recorded vs the 4% of 8. 17,86% of the 5100 patients were diabetic and 42,94% were taking antihypertensive drugs. Discussion GPs acceded the draft clinical governance promoted by LHA for over 75% and were further stimulated to adopt a medicine of initiative towards their patients. The project allowed a better definition, by age and gender, of the risk factor ‘smoke’ in the resident population. Also allowed.

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