Unhealthy Behaviours of School Children

Aim: The objective of the study was to ascertain nutritional customs of pupils in grade schools.Material and Method: Anonymous questionnaires were done to a sample of 380 children, aged 10 to 14, in 20 fourth-to eight grade classes from 2 schools in Cluj-Napoca: one from down-town, the other one from a poorer neighbourhood.Results: Almost half of students revealed to have an irregular diet. In the last month, some of them did not have enough food or money to buy it (much of them come from the poorer neighbourhood). In this latest school, a triple percent of children have a vegetable diet (no meat, in fact). The obsession to lose weight and the irregular diet has conducted to lose appetite in over 30% of girls. About 60% take vitamins or nutritional supplements. Social status as well as the irregular diet is reflected in general status: over one third feel sad, alone, useless or cry without any reason. Some of the pupils which have problems with daily food supply, think the life is hard and do not worth to live it.Conclusions: There is a wide diversity in nutritional customs of children. Some of them are due to inappropriate nutritional knowledge or a wrong perception of being on fashion as well as to social status. Although the economic conditions are difficult to change, we consider that nutrition education should still be a part of health teaching

Assessment of health risk behaviours and their interrelationships among young people from two counties of Romania

Aim: The first goal of this study was to assess the prevalence of different health risk behaviours among Romanian young people. Next, the interrelationship between different health risk behaviours as well as age and gender differences with respect to health risk behaviours were examined. Subjects and methods: Self-administered questionnaires were completed by a sample of 1,598 junior high school students, senior high school students and university students from urban and rural areas of two counties of Romania. Results: The results showed that 31% of junior high school students, 59.7% of senior high school students and 64.8% of university students reported more than one risk behaviour. Many of the risk behaviours were likely to correlate with each other and the strongest correlation was found between smoking, alcohol-related behaviour and precocious sexual intercourse. Factor analysis revealed that among junior high school students all health risk behaviours loaded on one factor. In senior high school students and university students the risk behaviours split into two factors, based probably on their frequency and severity. Factor 1 comprised smoking, alcohol-related behaviours as well as precocious sexual intercourse, while factor 2 included less common behaviours: violence, delinquency and illicit drug use. No gender differences were observed regarding the relationship between health risk behaviours. Conclusion: The results stress the importance of developing prevention programmes among Romanian youth for the behaviours discussed. Further research is needed to identify how to best offer these programmes: as stand-alone programmes or as an integrated set of programmes and whether the same approach has to be taken for younger and older adolescents

An Increasing Trend of Illicit Drug Use Among Romanian University Students from 1999 to 2011

Aim The present study investigates the evolution of illicit drug use among Romanian university students from 1999 to 2011. Methods The study was performed in Cluj-Napoca, Romania, in three phases: in 1999 (T1), in 2003 (T2) and in 2011 (T3).The study was carried out by means of anonymous questionnaires among university students aged 19-24. Results The results show that among girls the lifetime illicit drugs use increased statistically significantly from 2.5% in 1999 to 7.5% in 2003 and to 15% in 2011. Among boys the trend was also increasing, the prevalence of illicit drug use was 14.2% at T1, 18.1% at T2, and it increased dramatically to 30.6% at T3. The percentage of students reporting cannabis use was almost identical with the total prevalence of illicit drug use. Ecstasy was the second most frequent drug used by the students; its consumption had also an increasing trend during the examined periods (from 0 to 5.6% among girls and from 0.8% to 11.2% among boys).The results of the bivariate correlation analyses show that lifetime illicit drug use was associated with having friends who experimented with illicit drugs both among boys and girls. Moreover, girls who declared stress management problems and depressive episodes were more likely to try illicit drugs, while among boys illicit drug use was associated with poorer academic performance. Conclusions The data pointed out by our study call for comprehensive actions regarding the prevention of illicit drug use among Romanian young people

Unravelling data for rapid evidence-based response to COVID-19: a summary of the unCoVer protocol

Introduction unCoVer - Unravelling data for rapid evidence-based response to COVID-19 - is a Horizon 2020-funded network of 29 partners from 18 countries capable of collecting and using real-world data (RWD) derived from the response and provision of care to patients with COVID-19 by health systems across Europe and elsewhere. unCoVer aims to exploit the full potential of this information to rapidly address clinical and epidemiological research questions arising from the evolving pandemic. Methods and analysis From the onset of the COVID-19 pandemic, partners are gathering RWD from electronic health records currently including information from over 22 000 hospitalised patients with COVID-19, and national surveillance and screening data, and registries with over 1 900 000 COVID-19 cases across Europe, with continuous updates. These heterogeneous datasets will be described, harmonised and integrated into a multi-user data repository operated through Opal-DataSHIELD, an interoperable open-source server application. Federated data analyses, without sharing or disclosing any individual-level data, will be performed with the objective to reveal patients' baseline characteristics, biomarkers, determinants of COVID-19 prognosis, safety and effectiveness of treatments, and potential strategies against COVID-19, as well as epidemiological patterns. These analyses will complement evidence from efficacy/safety clinical trials, where vulnerable, more complex/heterogeneous populations and those most at risk of severe COVID-19 are often excluded. Ethics and dissemination After strict ethical considerations, databases will be available through a federated data analysis platform that allows processing of available COVID-19 RWD without disclosing identification information to analysts and limiting output to data aggregates. Dissemination of unCoVer's activities will be related to the access and use of dissimilar RWD, as well as the results generated by the pooled analyses. Dissemination will include training and educational activities, scientific publications and conference communications.info:eu-repo/semantics/publishedVersio

Road Safety Related Behaviours of Romanian Young People

Aim: The objective of this study was to assess the behaviors with risk for road traffic injuries among Romanian young people. Material and Method: Self-administered questionnaires were completed by the study sample consisting of 1598 junior high school students, senior high school students and university students aged 11-24 years from both urban and rural areas of two counties (Cluj and Hunedora) of Romania. Results: The results show that around 80% of the junior high school students and more than 90% of the senior high school students and university students who go by bike do not wear helmets or use them rarely when they are cycling. Seatbelts are used more frequently than the helmets, but still more than one third of the junior high school students and senior high school students and a quarter of the university students do not use seatbelts or use them rarely. In the month previous the survey around one quarter of the students travelled in a car whose driver used alcohol before driving. Moreover, 15% of the university students who drove recognized that, at least once during their life, they did this after they used alcohol. Conclusions: The results indicate that comprehensive actions must be developed in order to prevent road traffic injuries among Romanian young people. They must include educational programs for youngsters and parents as well as adoption and enforcement of legislative measures and technical actions, which promote road safety

Effects of comprehensive smoke-free legislation in Europe Efectos de la legislación antitabaco en Europa

This paper reviews data regarding the effects of the legislation banning smoking in enclosed public places, including workplaces, restaurants and bars which entered into force in several countries of Europe starting with the year 2004. The source of data is represented by articles and short information published in peer reviewed journals or in electronic format between the years 2005 and 2008. Highlights include a consideration of the effects of these laws on the attitudes of the population regarding their implementation, exposure to passive smoking in public places as well as the scientific evidence on the public health and economic impact of these laws. The results of smoking ban in public places observed in several parts of Europe support initiatives in many countries toward implementing smoke-free legislation, particularly those who have ratified the Framework Convention on Tobacco Control, which calls for legislation to reduce tobacco smoke pollution.Se revisaron datos sobre el impacto de las leyes que prohíben fumar en espacios públicos cerrados, incluyendo centros de trabajo, restaurantes y bares, las cuales entraron en vigor en varios países de Europa en 2004. La fuente de datos incluye artículos indexados y notas breves publicadas en revistas científicas o en formato electrónico entre 2005 y 2008. Los hallazgos incluyen una descripción del impacto de estas leyes sobre las actitudes de la población con respecto a su implementación, la exposición al humo de tabaco ambiental en espacios públicos cerrados, así como la evidencia científica sobre el impacto de estas leyes en la salud pública y en la economía. Los resultados de la prohibición de fumar en lugares públicos que se observaron en varios países de Europa confirman la importancia de promulgar iniciativas legislativas para crear ambientes libres de humo de tabaco en varios países del mundo, en particular en aquellos que han ratificado en Convenio Marco para el Control del Tabaco, que promueve una legislación para reducir la contaminación del aire con humo de tabaco

Smoking prevention among youth: do we need educational programs?

This presentation focuses on smoking prevention among adolescents and young people. Highlights include considerations regarding school-based programmes, family based interventions, community programs, mass-media campaigns and the use of new forms of information and communication technology for smoking prevention and health promotion. It will address issues regarding development, implementation, evaluation and diffusion of smoking prevention programs for youth and will explore the role of educational programs within tobacco control long-term strategies

Opinions and Practices Regarding Electronic Cigarette Use among Middle School Students from Rural Areas of Romania

Background: The objectives of the study were to assess awareness, opinions, and practices regarding electronic cigarette (e-cigarette) use, as well as factors associated with their use, among middle-school aged students from rural areas of Romania. Methods: The study sample included 748 middle-school students aged 13–14 years from 24 schools from rural areas situated in two counties from Romania, after receiving parental consent. A cross-sectional study using confidential questionnaires which assessed smoking-related behaviors, and also opinions and practices related to e-cigarettes use, was performed in 2019 among the participating middle-schoolers. Results: 96.3% of the middle schoolers have heard about e-cigarettes. A percentage of 72.7% of the smokers, 50.8% of the ex-smokers, and 15.4% of the non-smokers had tried e-cigarettes at least once in their life; 20.3% of the smokers, 4.8% of the ex-smokers, and 4.5% of the non-smokers reported using e-cigarettes in the last month. The results of multivariate logistic regression analysis pointed out that e-cigarette use at least once during lifetime was associated with having friends who tried e-cigarettes, having stronger beliefs that they can help quit smoking and that they are less dangerous than traditional cigarettes. The intention to use e-cigarettes in the next year and smoking behavior were also correlated with e-cigarettes experimentation, while no gender differences were found. Conclusions: The results underline the importance of having prevention programs and interventions concerning e-cigarettes consumption, since e-cigarettes consumption is spread among Romanian adolescents from rural areas

Digital Health Training, Attitudes and Intentions to Use It among Romanian Medical Students: A Study Performed during COVID-19 Pandemic

Introduction: This study focuses on medical students from the University of Medicine and Pharmacy in Cluj-Napoca, Romania, and has three objectives. First, it evaluates the opinions of medical students regarding their previous training as well as their needs for future training in the field of digital health. Second, it assesses their attitudes regarding digital health and their intention to use digital tools as physicians. Lastly, the interrelationship between these issues as well as the socio-demographic factors which influence them are investigated. Materials and methods: A cross-sectional survey was performed during June–August 2021 among fifth and sixth year students of the Faculty of Medicine from the Iuliu Hațieganu University of Medicine and Pharmacy in Cluj-Napoca, Romania. Anonymous online questionnaires were used which were filled in by 306 students. Results: Less than half of the participating students declared that they benefited from training or different practical examples during medical education regarding the use of digital tools in different medical areas, while the majority said that they would like to receive more training in the field of digital health. A total of 58.2% said that they totally agree with the introduction of a formal training in the medical curricula regarding digital health. Many students declared positive attitudes toward the use of digital tools in different domains within the medical field and intention to use digital tools as physicians; several differences were noted, including gender, year of study, type of domain, and previous training with regard to the use of digital tools in those domains. Moreover, the need for future training and the desire for the introduction of a formal training program into the medical curricula with regard to this field were stronger among those with more positive attitudes and higher intentions to use digital tools in their medical activity. Conclusions: To the best of our knowledge, this is the first study from Romania which investigated the training, attitudes, and intentions regarding the use of digital health among Romanian medical students, and offers valuable information to guide the education of medical students

Differences regarding health risk behaviours between sport club participants and non-participants among Romanian high school students - Review

This study focused on assessment of health risk behaviours among Romanian high school boys from Cluj-Napoca, Romania and to the best of our knowledge is the first Romanian study which makes a clear distinction between three categories of participants: high school boys involved in intense sport training and competition (football players), high school boys participating at least once per week in a sport club (sport club participants) and the male high school students who do not do participate at least once per week in a club sport (sport club non-participants). A cross sectional study was performed among 113 male high school students aged 15-18 from grades IX-XI of three high schools from Cluj-Napoca (31sport club participants, 82 sport club non-participants) as well as among 40 male high school students 15 to 18 years old, participating in a competition football club from the city (football players). Health risk behaviours were assessed through means of anonymous questionnaires. The results show that both football players and sport club participants had statistically significant more involvement in physical activity and better nutritional habits when comparing with sport club non-participants- they had the tendency to eat more frequent the breakfast, fruits and vegetables, while eating less frequent sweets. With regard to smoking and alcohol use as well as violence related behaviour, no significant differences were found between sport club participants and non-participants, while football players behaved differently than the other two groups with regard to several issues; smoking, electronic cigarette use and alcohol use were less frequent among football players, but they were more frequent exposed to verbal aggression as well as to offended messages sent by phone or social media platforms. This article presents an exploratory study which shows several differences with regard to health risk behaviours of Romanian high school boys based on their involvement in different types of sport training, offering information for guiding future research and health education in this field