La progettazione scolastica orientata alla promozione della salute. Un percorso di dialogo intersettoriale per l’allineamento delle competenze chiave per l’apprendimento e «life skill»

In health promotion area, the integration of the school and health sectors is essential. The objective of this work is to introduce a logical framework to «align» educational concepts and objectives, starting from international and national indications on school curricula, with health promotion concepts and objectives (in particular life skill and life skill education). A working group composed of 26 school representatives and health promotion professionals has been set up and in a participatory way they have produced alignment tables for different school orders. The tables propose an alignment between: European key competences for lifelong learning, student profile competences, targets for competence development, life skills and LifeSkills Training objectives. The logical framework offers a comparison between different conceptualisations of competences useful for learning and people’s well-being. It can also serve as a guideline for school planning competence-based oriented towards health promotion and it can represent an operationalisation of  cross-sectoral collaboration

una riflessione sull efficacia delle politiche preventive per il controllo dei consumi di bevande alcoliche

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Exploring changes in children’s well-being due to COVID-19 restrictions: the Italian EpaS-ISS study

BackgroundWhile existing research has explored changes in health behaviours among adults and adolescents due to the COVID-19 outbreak, the impact of quarantine on young children's well-being is still less clear. Moreover, most of the published studies were carried out on small and non-representative samples. The aim of the EpaS-ISS study was to describe the impact of the COVID-19 pandemic on the habits and behaviours of a representative sample of school children aged mainly 8-9 years and their families living in Italy, exploring the changes in children's well-being during the COVID-19 pandemic compared to the immediately preceding time period.MethodsData were collected using a web questionnaire. The target population was parents of children attending third-grade primary schools and living in Italy. A cluster sample design was adopted. A Well-Being Score (WBS) was calculated by summing the scores from 10 items concerning the children's well-being. Associations between WBS and socio-demographic variables and other variables were analysed.ResultsA total of 4863 families participated. The children's WBS decreased during COVID-19 (median value from 31 to 25; p = 0.000). The most statistically significant variables related to a worsening children's WBS were: time of school closure, female gender, living in a house with only a small and unliveable outdoor area, high parents' educational level and worsening financial situation.ConclusionsAccording to parents ' perception, changes in daily routine during COVID-19 negatively affected children's well-being. This study has identified some personal and contextual variables associated with the worsening of children's WBS, which should be considered in case of similar events

Creating a Culture of Health in Planning and Implementing Innovative Strategies Addressing Non-communicable Chronic Diseases

Ongoing demographic changes are challenging health systems worldwide especially in relation to increasing longevity and the resultant rise of non-communicable diseases (NCDs). To meet these challenges, a paradigm shift to a more proactive approach to health promotion, and maintenance is needed. This new paradigm focuses on creating and implementing an ecological model of Culture of Health. The conceptualization of the Culture of Health is defined as one where good health and well-being flourish across geographic, demographic, and social sectors; fostering healthy equitable communities where citizens have the opportunity to make choices and be co-producers of healthy lifestyles. Based on Antonovsky's Salutogenesis model which asserts that the experience of health moves along a continuum across the lifespan, we will identify the key drivers for achieving a Culture of Health. These include mindset/expectations, sense of community, and civic engagement. The present article discusses these drivers and identifies areas where policy and research actions are needed to advance positive change on population health and well-being. We highlight empirical evidence of drivers within the EU guided by the activities within the thematic Action Groups of the European Innovation Partnership on Active and Healthy Aging (EIP on AHA), focusing on Lifespan Health Promotion and Prevention of Age-Related Frailty and Disease (A3 Action Group). We will specifically focus on the effect of Culture on Health, highlighting cross-cutting drivers across domains such as innovations at the individual and community level, and in synergies with business, policy, and research entities. We will present examples of drivers for creating a Culture of Health, the barriers, the remaining gaps, and areas of future research to achieve an inclusive and sustainable asset-based community

Le Strutture e le attività di Promozione della Salute nel SSN

Obiettivi: indagare le attività strutturate di Promozione della Salute (PdS) in Italia, a livello nazionale, regionale e, soprattutto, territoriale. Metodi: nel periodo febbraio 2020 - luglio 2021 abbiamo ricercato on line informazioni circa le suddette strutture. Fonti ne sono state i siti ufficiali del Ministero della Salute, delle Regioni e delle Aziende Sanitarie Locali (ASL). Abbiamo quindi analizzato strutture, progetti (divisi per tematica) e responsabilità esistenti a diversi livelli. Risultati: sono state informazioni di una “prevalenza periodale” 2014-2021, nell’ambito della quale sono risultate in essere 41 strutture dedicate alla PdS: 7 Unità Operative Complesse e 34 Strutture Semplici. Il tema più trattato, a prescindere dall’avere o no una struttura dedicata, sembra essere l’attività fisica (63%), seguita da dipendenze (53%), alimentazione (48%), prevenzione (33%), in coda appaiono l’igiene dentale e la famiglia/genitorialità (entrambi al 7%). L’ASL Città di Torino e l’ASL di Salerno sono quelle che trattano il maggior numero di temi. Conclusioni: i risultati hanno evidenziato una grande disomogeneità nell’ambito nazionale in merito alle attività di PdS, sia nell’organizzazione delle strutture che nella messa in opera dei progetti. Presumiamo che il fenomeno, almeno in parte, dipenda da una lacunosa attenzione alla digitalizzazione dei dati, nonostante la crescente importanza informativa del web

Una riflessione sull'efficacia delle politiche preventive per il controllo dei consumi di bevande alcoliche

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PEOPLE BEYOND NEETS - A Person- and Territory-Centred Approach to Combating Social Exclusion

This contribution aims to provide an overview of the current situation of the labour market and of young NEETs in Italy. Particular attention is paid to the impact that the pandemic has had on the phenomenon. Through the presentation of the main policies and projects implemented to combat inactivity and youth unemployment, this report aims to highlight the strengths and weaknesses of these measures in order to offer suggestions and possible new paths to counteract the growing phenomenon of NEETs. Amongst the main difficulties encountered is that of the interception of NEETs, a heterogeneous and complex group, and which is seldom involved and engaged in the mea-sures analysed. However, a glimmer of effectiveness seems to come from the world of NGOs (who are by nature committed to the fight against social exclusion), and wherein through ad hoc projects they have managed to reach and empower a large number of vulnerable young people. The authors hope, therefore, that political structures can take the involvement of these organisations, which are so familiar with the different territories and the socio-cultural difficulties they govern, into greater consideration

European longitudinal study on the relationship between adolescents’ alcohol marketing exposure and alcohol use.

This is the first study to examine the effect of alcohol marketing exposure on adolescents’ drinking in a cross-national context. The aim was to examine reciprocal processes between exposure to a wide range of alcohol marketing types and adolescent drinking, controlled for non-alcohol branded media exposure. School-based sample in 181 state-funded schools in Germany, Italy, Netherlands, Poland. A total of 9075 eligible respondents participated in the survey (mean age 14 years, 49.5% male. Adolescents reported their frequency of past-month drinking and binge drinking. Alcohol marketing exposure was measured by a latent variable with 13 items measuring exposure to online alcohol marketing, televised alcohol advertising, alcohol sport sponsorship, music event/festival sponsorship, ownership alcohol-branded promotional items, reception of free samples and exposure to price offers. Confounders were age, gender, education, country, internet use, exposure to non-alcohol sponsored football championships and television programmes without alcohol commercials. Conclusions: There appears to be a one-way effect of alcohol marketing exposure on adolescents’ alcohol use over time, which cannot be explained by either previous drinking or exposure to non-alcohol-branded marketing

Creating a culture of health in planning and implementing innovative strategies addressing non-communicable chronic diseases

Ongoing demographic changes are challenging health systems worldwide especially in relation to increasing longevity and the resultant rise of non-communicable diseases (NCDs). To meet these challenges, a paradigm shift to a more proactive approach to health promotion and maintenance is needed. This new paradigm focuses on creating and implementing an ecological model of Culture of Health. The conceptualization of the Culture of Health is defined as one where good health and well-being flourish across geographic, demographic, and social sectors; fostering healthy equitable communities where citizens have the opportunity to make choices and be co-producers of healthy lifestyles. Based on Antonovsky’s Salutogenesis model which asserts that the experience of health moves along a continuum across the lifespan, we will identify the key drivers for achieving a Culture of Health. These include mindset/expectations, sense of community, and civic engagement. The present article discusses these drivers and identifies areas where policy and research actions are needed to advance positive change on population health and wellbeing. We highlight empirical evidence of drivers within the EU guided by the activities within the thematic Action Groups of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA), focusing on Lifespan Health Promotion & Prevention of Age-Related Frailty and Disease (A3 Action Group). We will specifically focus on the effect of Culture on Health, highlighting cross-cutting drivers across domains such as innovations at the individual and community level, and in synergies with business, policy and research entities. We will present examples of drivers for creating a Culture of Health, the barriers, the remaining gaps, and areas of future research to achieve an inclusive and sustainable asset-based community

Preventing Adolescent Substance Use Through an Evidence-Based Program: Effects of the Italian Adaptation of Life Skills Training

Evidence-based preventive interventions for adolescent substance use, violence, and mental health issues are increasingly being adapted and disseminated internationally. In the present paper, we report the results of an effectiveness study that was part of a comprehensive initiative by a coalition of health promotion organizations in the Lombardy region of Italy to select, culturally adapt, implement, evaluate, and sustain an evidence-based drug abuse prevention program developed in the USA. Findings are presented from a large-scale effectiveness study of the Life Skills Training prevention program among over 3000 students attending 55 middle schools in Italy. The prevention program taught drug refusal skills, antidrug norms, personal self-management skills, and general social skills. Relative to comparison group students, students who received the prevention program were less likely to initiate smoking at the post-test and 2-year follow-up, and less likely to initiate weekly drunkenness at the 1-year follow-up. The program had direct positive effects on several cognitive, attitudinal, and skill variables believed to play a protective role in adolescent substance use. The findings from this study show that a drug abuse prevention program originally designed for adolescents in the USA is effective in a sample of Italian youth when a rigorous and systematic approach to cultural adaptation is followed that incorporates the input of multiple stakeholders