Carvalho, C Pinto de

Ferreira, Patrícia Pita

Peralta-Santos, André

Pinto leite, P

Simões, D Godinho

European Journal of Public Health

English

Repositório da Universidade Nova de Lisboa

 These results show an increase in the proportion ofoncological surgical admissions following emergency accessin 2020 compared to the average for 2016-2019.Abstract citation ID: ckac131.080Are we socially equally at risk of smoking during theCOVID-19 pandemic? French data from 2009-2021Astrid Juhl AndersenAJ Andersen1, M Melchior1, M Mary-Krause1, S Wallez1, I Hecker11ERES, IPLESP, Sorbonne University, INSERM, Paris, FranceContact: astridjuhlandersen@gmail.comBackground:Since 2020, the COVID-19 pandemic has greatly affectedpeople including a significant increase in mental healthdifficulties. Cigarette smoking is found to be stronglyassociated with mental health conditions, which is why thepandemic might have influenced the secular decline insmoking rates observed over recent years. Persons belongingto socioeconomically disadvantaged groups may be particu-larly affected, both because the pandemic is found toexacerbate existing social inequalities and because this groupwas more likely to smoke before the pandemic. We examinedthe prevalence of smoking in a French cohort study, focusingon differences between educational attainment. In addition, weexamined the association between educational level andinterpersonal changes in tobacco consumption from 2018 to2021.Methods:The TEMPO cohort study included 1785 French adultsfollowed between 1991 and 2021. With four assessments ofsmoking status available before and two after the onset ofCOVID-19, we estimated the smoking prevalence over timestratified by highest obtained diploma. We studied inter-personal change in smoking status between 2018 and 2021among 148 smokers, using multinomial logistic regression.Results:The prevalence of smokers was higher among those with loweducational attainment compared with those with higherdiploma at all timepoints. The difference between the twogroups increased from 2020 to 2021 (4.8% to 9.4%). Smokerswith high educational level were more likely to decrease theirtobacco consumption from 2018-2021 compared to loweducated smokers (aOR = 2.72 [1.26;5.89]).Conclusions:Current findings showed a widening of the socioeconomic gapover time in smoking rates, which emphasizes the vulnerabilityof persons with low educational attainment to smoking, alsoduring the pandemic.Key messages: The existing gap in smoking prevalence between lower andhigher diploma groups has increased from 2020 to 2021,which may be a consequence of the COVID-19 pandemic. From 2018 to 2021, people with high school as highestqualification were less likely to decrease their tobacco usecompared to higher educated people.Abstract citation ID: ckac131.081Impact of COVID-19 pandemic on population-basedcancer screening: Interrupted Time Series AnalysisJoão Diogo Geraldes Pereira Godinho SimõesJDG Pereira Godinho Simões1,2,6, P Pita Ferreira1,3,6, C Pinto deCarvalho1,4,6, P Pinto Leite1, A Peralta-Santos1,5,61Directorate of Information and Analysis, Directorate-General of Health,Lisbon, Portugal2Public Health Unit of Almada-Seixal, Regional Health Administration ofLisbon and Tagus Valley, Almada, Portugal3Public Health Unit of Oeste Norte, Regional Health Administration ofLisbon and Tagus Valley, Caldas da Rainha, Portugal4Public Health Unit of Litoral Alentejano, Regional Health Administration ofAlentejo, Santiago do Cacém, Portugal5Department of Global Health, University of Washington, Seattle,Washington, USA6National School of Public Health, NOVA University of Lisbon, Lisbon,PortugalContact: diogo.simoes94@gmail.comEarly evidence suggests that the COVID-19 pandemic mayhave reduced the proportion of individuals submitted tocervical, colorectal and breast cancer screening. However, therecovery from the pandemic impact was very heterogeneous.We aim to explore the impact of the pandemic on cancerscreening and estimate the time to recover lost screeningopportunities in Portugal. We used an interrupted time seriesto analyze the impact of the pandemic on the implementationof cancer screening. The study population was the eligibleindividuals screened for cervical, colorectal and breast cancerby month and health region between 2018 and 2021. We usedPoisson regression with health region random effects toestimate the trend before and after the first lockdown(March 2020) and the impact of the first lockdown. Wepredicted the counterfactual evolution without a pandemic toestimate lost screening opportunities. The first lockdownresulted in 93,1% (95%CI 92,9-93,2), 89,4% (95%CI 89,2-89,5) and 84,1% (95%CI 83,8-84,3) decrease in the proportionof expected cervical, colorectal and breast cancer screeningtests. Nonetheless, we document an increased trend differencebetween pre and post lockdown of 6,0% (95%CI 5,9-6,0) and5,3% (95%CI 5,3-5,4), 3,7% (95%CI 3,6-3,7) per month.However, by December 2021, there are still many lostscreening opportunities due to the pandemic - 293k cervicalcytology tests (42,2% less than expected), 247k fecal occultblood tests (28,7%) and 388k mammograms (38,4%). The firstlockdown resulted in an abrupt decrease in cancer screening.However, we document an increase in the cancer screeningtrend after the pandemic. Nevertheless, there are stillconsiderable lost screening opportunities after 2 years.Key messages: The pandemic caused a massive disruption in cancerscreening. Although there was an increase in screeningtrends after the first lockdown, 2 years later, many lostscreening opportunities remain. Population-based screenings need to increase the outputs toaccount for lost screening opportunities due to thepandemic.Abstract citation ID: ckac131.082Response to the COVID-19 pandemic in the legallydeprived population of liberty in Cali (Colombia)Miyerlandi Torres AgredoM Torres Agredo1, J Tamayo2, E Mina3, L Luna1,P Guerrero-Jaramillo1, V Benavides-Cordoba11Secretarı́a de Salud Publica Cali, Cali, Colombia2Red de Salud del Centro, Empresa Social del Estado E.S.E., Cali, Colombia3Centro Penitenciario Villahermosa, Cali, ColombiaContact: despachosaludpublica@cali.gov.coWith the COVID-19 pandemic, the challenge of reducing thetransmission of the disease has led to new challenges indecision-making. The vulnerability of persons deprived ofliberty led to the design of contagion mitigation alternatives.Since February 2020, at the Villahermosa Penitentiary andPrison Center in Cali, the Secretarı́a de Salud Pública (SSP)began a series of actions that intensified on March 11, whenthe WHO declared COVID -19 as a pandemic. The SSP, in anarticulated work; configured a series of strategies aimed atmitigating the impact and speed of contagion, infectiousdisease doctors and internists were also summoned whoprovided recommendations and contributed to decision-making. An intervention model was designed, which wasguided by two main processes: promotion and preventionactions and service provision actions. The articulated work and15th European Public Health Conference 2022 iii445Downloaded from https://academic.oup.com/eurpub/article/32/Supplement_3/ckac131.081/6766800 by guest on 10 January 2023

interrupted time series analysis

https://run.unl.pt/bitstream/10362/149944/1/Simoes_Eur_J_Public_Hea_2022_32_S3_iii445.pdf

interrupted time series analysis

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