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Checchi, Daniele, Carlo V. Fiorio, and Marco Leonardi. "Intergenerational persistence of educational attainment in Italy." Economics Letters 118, no. 1 (January 2013): 229–32. http://dx.doi.org/10.1016/j.econlet.2012.10.033.
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Bernardi, Fabrizio, and Moris Triventi. "Compensatory advantage in educational transitions." Acta Sociologica 63, no. 1 (July 3, 2018): 40–62. http://dx.doi.org/10.1177/0001699318780950.
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In this article, first, we present new evidence on a specific type of compensatory advantage (CA) mechanism in educational transitions and attainment, whereby students from socio-economically advantaged families compensate the negative event of achieving poor grades by ignoring them and disproportionally moving on to the next level of education. Using two independent data sources, we focus on the attainment of an upper secondary degree and the transition from high school to university in Italy, investigating the role of parental education and social class in compensating for an early poor academic performance. Second, we develop a simulated scenario analysis to assess how much of the observed social background inequality is due to the educational outcomes of poorly performing students from high social backgrounds. The results are consistent with the notion that a CA mechanism is in place and show that the advantage of individuals with higher backgrounds over those from lower backgrounds is much larger among students with bad marks in earlier school stages. We estimate that at least one-third of the observed social background inequality in educational transitions in Italy can be attributed to the CA mechanism. This result is consistent across different outcomes, samples and birth cohorts, and is robust to a number of sensitivity checks.
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Triventi, Moris, Nazareno Panichella, Gabriele Ballarino, Carlo Barone, and Fabrizio Bernardi. "Education as a positional good: Implications for social inequalities in educational attainment in Italy." Research in Social Stratification and Mobility 43 (March 2016): 39–52. http://dx.doi.org/10.1016/j.rssm.2015.04.002.
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De Benedetto, Marco Alberto, Elena D’Agostino, and Giuseppe Sobbrio. "Quality of politicians and electoral system. Evidence from a quasi-experimental design for Italian cities." German Economic Review 22, no. 3 (January 20, 2021): 323–57. http://dx.doi.org/10.1515/ger-2020-0021.
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Abstract We study the effect of the electoral system (single-ballot vs runoff) on the quality of politicians, measured by the average educational attainment, at the local level in Italy over the period 1994–2017. By exploiting the discontinuous voting rule shift nearby the 15,000 population cut-off, we have implemented a RDD and found that the change in the electoral scheme leads to an overall downward variation in the educational attainment of local politicians by about 2 % compared to years of schooling of politicians in municipalities just below the cut-off. Findings are similar when we separately focus on the educational attainment of mayors and councilors, and when we use alternative measures of quality of politicians related both to the previous occupation and to previous political experience. However, different confounding policies related to the voting scheme change at the cut-off. We show that the negative effect is not directly related to the way politicians are elected (runoff vs single-ballot scheme) but to the number of lists supporting the mayoral candidates: in municipalities below 15,000 inhabitants candidates running for mayor are supported only by one single list, whereas above the cut-off mayoral candidates might be supported by more lists. Overall, we speculate that the negative impact produced by the treatment on the educational attainment of local politicians is explained by the different selection process of candidates adopted by political parties, rather than by voters’ preferences toward low-skilled politicians.
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Cohen, Joachim, Dirk Houttekier, Bregje Onwuteaka-Philipsen, Guido Miccinesi, Julia Addington-Hall, Stein Kaasa, Johan Bilsen, and Luc Deliens. "Which Patients With Cancer Die at Home? A Study of Six European Countries Using Death Certificate Data." Journal of Clinical Oncology 28, no. 13 (May 1, 2010): 2267–73. http://dx.doi.org/10.1200/jco.2009.23.2850.
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Purpose This study examines the proportion of cancer deaths occurring at home in six European countries in relation to illness and to demographic and health care factors. Methods Death certificate data of all cancer-related deaths in 2002 in Italy and 2003 in Belgium, the Netherlands, Norway, England, and Wales (N = 238,216) were linked with regional health care and area statistics. Multivariate binomial logistic regressions were performed to examine factors associated with dying at home. Results The percentage of all cancer deaths occurring at home was 12.8 in Norway, 22.1 in England, 22.7 in Wales, 27.9 in Belgium, 35.8 in Italy, and 45.4 in the Netherlands. Having solid cancers and being married increased the chances of dying at home in all countries. Being older and being a woman decreased the chances of dying at home, except in Italy where the opposite was the case. A higher educational attainment was associated with better chances of dying at home in Belgium, Italy, and Norway (countries where information on educational attainment was available). Better chances of dying at home were also associated with living in less urbanized areas in all countries but England. The number of hospital and care home beds seemed not to be universally strong predictors of dying at home. Conclusion There are large country differences in the proportion of patients with cancer dying at home, and these seem influenced by country-specific cultural, social, and health care factors. Alongside cross-national differences, country-specific aspects need to be considered in the development of policy strategies facilitating home death.
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Baldissera, Alberto, and Federica Cornali. "Geography of human capital in Italy: a comparison between macro-regions." Modern Italy 25, no. 3 (May 22, 2020): 261–77. http://dx.doi.org/10.1017/mit.2020.25.
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Interest in the spread of human capital has grown in recent decades, as it is acknowledged to play an increasingly important role in supporting social and economic development. This paper, starting from the distinction between education – assessed by educational attainment – and literacy proficiency – that is, what people are actually able to do with the written word – examines the distribution of these properties in Italy. Results of analysis show that while the longstanding gap between the North and the South is gradually closing with regard to the distribution of educational credentials, there is still a significant difference in the acquired level of competence. There is also an unexpected result: the regions of the North-West, once the main driver of Italy's economic development, today deploy a smaller stock of human capital than the North-East and Central macro-regions. In light of these findings, improving the education system's effectiveness and creating adequate political, institutional and legal arrangements that favour the development of human capital appear to be an absolute priority for Italy.
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Nocini, Riccardo, Giorgia Capocasale, Daniele Marchioni, and Francesca Zotti. "A Snapshot of Knowledge about Oral Cancer in Italy: A 505 Person Survey." International Journal of Environmental Research and Public Health 17, no. 13 (July 7, 2020): 4889. http://dx.doi.org/10.3390/ijerph17134889.
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Objectives: Patients’ knowledge about oral squamous cell carcinoma (OSCC) plays an important role in primary prevention, early diagnosis, and prognosis and survival rate. The aim of this study was to assess OSCC awareness attitudes among general population in order to provide information for educational interventions. Methods: A survey delivered as a web-based questionnaire was submitted to 505 subjects (aged from 18 to 76 years) in Italy, and the answers collected were statistically analyzed. Information was collected about existence, incidence, features of lesions, risk factors of oral cancer, and self-inspection habits, together with details about professional reference figures and preventive behaviors. Results: Chi-square tests of independence with adjusted standardized residuals highlighted correlations between population features (age, gender, educational attainment, provenance, medical relationship, or previous diagnoses of oral cancer in family) and knowledge about oral cancer. Conclusions: Knowledge about OSCC among the Italian population is limited, and it might be advisable to implement nudging and sensitive customized campaigns in order to promote awareness and therefore improve the prognosis of this disease.
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Piffer, Davide, and Richard Lynn. "In Italy, North-South Differences in Student Performance Are Mirrored by Differences in Polygenic Scores for Educational Attainment." Mankind Quarterly 62, no. 4 (2022): 602–16. http://dx.doi.org/10.46469/mq.2022.62.4.2.
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Ha, Sha. "Continuing Education in Italy: A Case Study." International Journal of Higher Education 7, no. 5 (September 17, 2018): 29. http://dx.doi.org/10.5430/ijhe.v7n5p29.
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According to the ‘International Standard Classification of Education’ (ISCED), ‘Continuing Education’ is composed of the ‘Continuing Primary and Lower Secondary Adult Education’ (ISCED1, ISCED2), followed by the ‘Adult Education and Training’ System (ISCED3), including an ‘Upper Secondary Education System’ (ISCED4 and finally, the ‘Tertiary Education’ (ISCED5, ISCED6 and above). In 2016 the percent of ‘early leavers’ from education and training amounted in Italy to 13.8%, while the EU average amounted to 10.7%. In the same period the attendance to ISCED1-ISCED3 Adult Education Courses (age 25-64) amounted to 8.3%, while the EU average amounted to 10.8%. As for ‘Tertiary Education’, the percent attainment of a university degree amounted to 29.5% among Italians and to 13.4% among foreigners residing in Italy, while the EU averages amounted to 39.9% and 35.4% respectively. According to the Author, the relatively higher percent of early leavers from education and training in Italy and the relatively low attendance to ‘Continuing Education’ programs is due to the low employment rate in the Country, particularly significant in the age range 20-34, as a consequence of the severe economic crisis which hit the country in 2008 and still persists, causing the closure of many private enterprises and the block of the turn-over at public educational institutions. In spite of all that, the quality of the Italian Primary, Secondary and Tertiary Education System is of an excellent level, as compared with that of similar institutions all over the world. In Author’s opinion, increasing the investment in the educational system would increase the attendance to Secondary and Tertiary Adult Education courses, with a positive feedback on productivity.
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Bonaccio, Marialaura, Augusto Di Castelnuovo, Simona Costanzo, Amalia De Curtis, Mariarosaria Persichillo, Chiara Cerletti, Maria Benedetta Donati, Giovanni de Gaetano, and Licia Iacoviello. "Socioeconomic trajectories across the life course and risk of total and cause-specific mortality: prospective findings from the Moli-sani Study." Journal of Epidemiology and Community Health 73, no. 6 (March 21, 2019): 516–28. http://dx.doi.org/10.1136/jech-2018-211582.
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BackgroundA life course approach has been suggested as the most appropriate to establish the total impact of socioeconomic status (SES) on adult health outcomes; however, such an approach has been poorly used within Mediterranean populations. We aimed to examine the SES trajectories from childhood to adulthood associated with mortality risk in a large general population-based cohort and to test potential pathways (eg, inflammation) underlying such associations.MethodsLongitudinal analyses on 22 194 subjects recruited in the Moli-sani Study, Italy (2005–2010). Low and high SES in childhood, educational attainment (low/high) and SES during adulthood (measured by a score including material resources and dichotomised as low/high) were used to define overall trajectories.ResultsOver 8.3 years of follow-up, 1155 deaths occurred. In the group with poor childhood SES, an upward trajectory in both educational and material circumstances was associated with lower risk of all-cause death (HR=0.64; 95% CI 0.47 to 0.87), as opposed to subjects who remained stably low (low education and adulthood SES). Subjects with high childhood SES, but not educational achievement, were at increased risk of total and cardiovascular disease (CVD) death, although reporting higher material SES in adult life, as compared with the stably high SES group (HR=1.44; 1.02 to 2.02 and HR=1.90; 1.10 to 3.28, respectively). Inflammatory markers marginally accounted for such associations.ConclusionFor individuals with low SES in early life, an educational and material upward trajectory over the life course was associated with lower mortality risk. In the high SES childhood group, lack of a higher educational attainment appeared to be unfavourably associated with survival.
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Anderson-Carpenter, Kaston D., and Garrett S. Tacy. "Predictors of social distancing and hand washing among adults in five countries during COVID-19." PLOS ONE 17, no. 3 (March 17, 2022): e0264820. http://dx.doi.org/10.1371/journal.pone.0264820.
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The purpose of this cross-sectional study is to examine disparities in hand washing and social distancing among 2,509 adults from the United States, Italy, Spain, the Kingdom of Saudi Arabia, and India. Respondents were recruited via Qualtrics’ participant pool and completed an online survey in the most common language spoken in each country. In hierarchical linear regression models, living in a rural area (β = -0.08, p = .001), older age (β = 0.07, p < .001), identifying as a woman (β = 0.07, p = .001), and greater educational attainment (β = 0.07, p = .017) were significantly associated with hand washing. Similar results were found regarding social distancing, in which living in a rural area (β = -0.10, p < .001), country of residence (β = 0.11, p < .001), older age (β = 0.17, p < .001), identifying as a woman (β = 0.11, p < .001), and greater educational attainment (β = 0.06, p = .019) were significant predictors. Results from the multivariable linear regression models demonstrate more nuanced findings with distinct and significant disparities across the five countries found with respect to hand washing and social distancing. Taken together, the results suggest multiple influencing factors that contribute to existing disparities regarding social distancing and hand washing among adults internationally. As such, more tailored public interventions are needed to promote preventive measures to mitigate existing COVID-related disparities.
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Fullin, Giovanna. "Unemployment trap or high job turnover? Ethnic penalties and labour market transitions in Italy." International Journal of Comparative Sociology 52, no. 4 (July 28, 2011): 284–305. http://dx.doi.org/10.1177/0020715211412111.
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This article aims at analysing the trajectories of immigrants in the Italian labour market, focusing on yearly transitions from unemployment to employment and vice versa. Regression models show that, controlling for age, educational attainment and region, immigrant workers lose their jobs more often than natives but, once being unemployed they have more probabilities of finding a job than natives. As the probabilities of both transitions can be affected by characteristics of the initial status as well, the two transitions have been analysed separately. For the risk of losing a job, the segregation of immigrants in the secondary labour market seems to be the main reason of their penalization, but also the main reason of their advantage in job seeking, since their unemployment spells are shorter than those of natives, although at the cost of accepting worse working conditions. Analyses are based on the yearly transition matrices of Italian Labour Force Surveys, from 2005 to 2008.
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Khattab, Nabil. "Ethnicity and higher education: The role of aspirations, expectations and beliefs in overcoming disadvantage." Ethnicities 18, no. 4 (May 30, 2018): 457–70. http://dx.doi.org/10.1177/1468796818777545.
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The papers in this issue examine various aspects of ethnic differences in higher education. The first three papers, all of which focus on Britain, attempt to explain the very high motivation behind enrollment in higher and further education by ethnic minority students. These papers argue that investment in higher education is a defiance strategy that is used by ethnic minorities to counterbalance the effect of ethnic penalties. It seems that aspirations are still significant in shaping the educational attainment and are fuelled by the grim structural barriers facing ethnic minorities. The anticipation of labour market discrimination on the one hand, and the belief in the value of education as the main means for social mobility on the other hand, lead ethnic minorities in Britain to over-invest in education. The fourth paper tells a different story, in that immigrant students experience systematic disadvantages throughout their school careers including a much lower enrollment in higher education. These young immigrants hold more negative perceptions towards the value of education, not only in comparison with their Italian counterparts, but it seems also in comparisons with minority young people in Britain. However, in the last paper, the results resemble the British case, in that the second generation students hold higher academic expectations than their non-immigrant origin peers, and that these higher expectations are associated with higher levels of persistence and attainment. The authors here highlight the importance of the theory of immigrant optimism in explaining the between-groups differences. However, this theory does not seem to have strong explanatory power in the Italian case, if anything, perhaps ‘immigrant pessimism’ is a better theory to explain the low aspirations for higher education and poor educational attainment among immigrants in Italy. Of course, further evidence is required to substantiate this claim.
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D'Arca, Renato. "Social, Cultural and Material Conditions of Students from Developing Countries in Italy." International Migration Review 28, no. 2 (June 1994): 355–69. http://dx.doi.org/10.1177/019791839402800207.
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Recent immigration to Italy features certain traits, one of which is the high rate of educational attainment by immigrants. According to various evaluations (ISPES, 1990), 59 percent of the immigrant population obtained a high school diploma, while 13.5 percent possessed a university degree. For approximately five years, the CE.R.FE. (Research and Documentation Center) has conducted research on the social, cultural and material conditions of immigrant university students, highlighting the ambiguity of their condition (in addition to their perceptions of themselves) oscillating continuously between the status of student and immigrant. In particular, sample research was conducted 2 on non-EC university students present in Milan, Perugia, Rome, and Bari. The study was able to compare data collected at different times to information in a first study conducted in 1986, 3 and a second completed in 1990. It is interesting to note that these different research periods coincided with intensive legislative action by the government promulgated two laws regulating non-EC immigration, Law No. 943/86 and Law No. 39/90. Increased interest on the part of the government as well as of the public and press toward the immigration problem influenced – even though marginally – the development of the students’ non-EC immigrant perceptions of themselves and their roles.
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Picciotto, S. "Associations of area based deprivation status and individual educational attainment with incidence, treatment, and prognosis of first coronary event in Rome, Italy." Journal of Epidemiology & Community Health 60, no. 1 (January 1, 2006): 37–43. http://dx.doi.org/10.1136/jech.2005.037846.
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Cesaroni, Giulia, Enrico Calandrini, Maria Balducci, Giovanna Cappai, Mirko Di Martino, Chiara Sorge, Emanuele Nicastri, Nera Agabiti, and Marina Davoli. "Educational Inequalities in COVID-19 Vaccination: A Cross-Sectional Study of the Adult Population in the Lazio Region, Italy." Vaccines 10, no. 3 (February 25, 2022): 364. http://dx.doi.org/10.3390/vaccines10030364.
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Several studies reported socioeconomic inequalities during the COVID-19 pandemic. We aimed at investigating educational inequalities in COVID-19 vaccination on 22 December 2021. We used the cohort of all residents in the Lazio Region, Central Italy, established at the beginning of the pandemic to investigate the effects of COVID-19. The Lazio Region has 5.5 million residents, mostly distributed in the Metropolitan Area of Rome (4.3 million inhabitants). We selected those aged 35 years or more who were alive and still residents on 22 December 2021. The cohort included data on sociodemographic, health characteristics, COVID-19 vaccination (none, partial, or complete), and SARS-CoV-2 infection. We used adjusted logistic regression models to analyze the association between level of education and no vaccination. We investigated 3,186,728 subjects (54% women). By the end of 2021, 88.1% of the population was fully vaccinated, and 10.3% were not vaccinated. There were strong socioeconomic inequalities in not getting vaccinated: compared with those with a university degree, residents with a high school degree had an odds ratio (OR) of 1.29 (95% confidence interval, CI, 1.27–1.30), and subjects with a junior high or primary school attainment had an OR = 1.41 (95% CI: 1.40–1.43). Since a comprehensive vaccination against COVID-19 could help reduce socioeconomic inequalities raised with the pandemic, further efforts in reaching the low socioeconomic strata of the population are crucial.
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Beckert, Troy E., ChienTi Plummer Lee, and Paolo Albiero. "Reaching Adult Status Among Emerging Adults in United States, Italy, and Taiwan." Journal of Cross-Cultural Psychology 51, no. 9 (August 31, 2020): 659–82. http://dx.doi.org/10.1177/0022022120953533.
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Today, most societies allow more time for young people to transition to adulthood. Compared to youth from a generation ago, young people today are delaying marriage, prolonging their educational pursuits, and deemphasizing the need for a single life-long career. The purpose of this study was to delineate patterns of transitioning to adulthood among young people from three countries. As part of a collaborative multisite project, 1,310 emerging adults from Taiwan ( n = 372), Italy ( n = 364), and the United States ( n = 574) provided perceptions of their endorsement and attainment of certain commonly accepted adult status markers. Using latent profile analysis, a four-class model emerged. The groups were not culturally specific and the groupings highlighted unique approaches to how emerging adults conceptualized adulthood. Using Marcia’s identity statuses as loose labels for each group, the achieved group was the largest as they showed an inclination toward endorsing and attaining most adult markers. Other groups showed both delay (diffused) and perplexity (transitional) toward many markers of adulthood. Using an alignment procedure to account for cross-cultural measurement non-invariance, the role of individualism-collectivism, filial piety, and parental autonomy support in relation to adult status profiles were also explored across participant groups. Vertical collectivism and authoritarian filial piety were the most predictive whereas parental autonomy support was less predictive in class membership in both the overall and stratified regression analyses.
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Listl, S. "Inequalities in Dental Attendance throughout the Life-course." Journal of Dental Research 91, no. 7_suppl (June 14, 2012): S91—S97. http://dx.doi.org/10.1177/0022034512447953.
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The purpose of this study was to identify socio-economic inequalities in regular dental attendance throughout the life-course. The analyses relied on data from SHARE (waves 1 to 3 of the Survey of Health, Ageing, and Retirement in Europe), which includes retrospective information on life-course dental attendance of 26,525 persons currently aged 50 years or greater from 13 European countries (Austria, Poland, Spain, Italy, the Netherlands, Belgium, Greece, the Czech Republic, France, Denmark, Switzerland, Germany, and Sweden). Inequalities in dental attendance were assessed by means of Concentration Indices. Socio-economic disparities in regular dental attendance were identified as early as childhood. Moreover, higher educational attainment resulted in increased probabilities of regular dental attendance throughout subsequent life-years in all nations. In most countries, inequality levels remained relatively inelastic throughout the life-course. These findings suggest that a considerable proportion of inequalities in dental care use is already established at childhood and persists throughout the life-course.
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Reganati, Filippo, and Maria Oliva. "Determinants of money laundering: evidence from Italian regions." Journal of Money Laundering Control 21, no. 3 (July 2, 2018): 402–13. http://dx.doi.org/10.1108/jmlc-09-2017-0052.
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Purpose The main purpose of this paper is to analyze the determinants of money laundering in Italy. Given the high heterogeneity in terms of economic, social and institutional characteristics, Italy is a compelling case study. Design/methodology/approach By using annual data over the period 2008 to 2013, the authors estimate a balanced panel data linear model using feasible generalized least squares. Following the main literature on the economics of crime, the authors regress the crime rate in each region-year against a set of determinants that include socio-economic, enforcement and crime-specific factors. Findings The authors’ findings reveal that, in most Italian regions, enforcement activities do exert significant deterrence on criminal behaviors: and a negative relationship between enforcement and money laundering can be identified only when there are high levels of enforcement efforts. Moreover, the authors find that the major determinants influencing the rate of money laundering differ between northern, central and southern regions, confirming the existence of regional dualism. In particular, the crime rate in the northern and central area is positively related to the level of corruption and the incidence of mafia-type crimes and negatively related to educational attainment, whereas in the southern regions, money laundering is positively related to the size of the gaming and gambling sector. Originality/value The present paper contributes to the extant literature on the economics of crime in several ways. First, it explicitly analyzes a specific type of financial crime, which presents the higher degree of sanctioning regime in the Italian legislation. Second, Italy offers an important country study because of the forceful presence of mafia clans and organized crime systems operating in the illegal market.
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Săndică, Ana-Maria, Monica Dudian, and Aurelia Ştefănescu. "Air Pollution and Human Development in Europe: A New Index Using Principal Component Analysis." Sustainability 10, no. 2 (January 26, 2018): 312. http://dx.doi.org/10.3390/su10020312.
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EU countries to measure human development incorporating the ambient PM2.5 concentration effect. Using a principal component analysis, we extract the information for 2010 and 2015 using the Real GDP/capita, the life expectancy at birth, tertiary educational attainment, ambient PM2.5 concentration, and the death rate due to exposure to ambient PM2.5 concentration for 29 European countries. This paper has two main results: it gives an overview about the relationship between human development and ambient PM2.5 concentration, and second, it provides a new quantitative measure, PHDI, which reshapes the concept of human development and the exposure to ambient PM2.5 concentration. Using rating classes, we defined thresholds for both HDI and PHDI values to group the countries in four categories. When comparing the migration matrix from 2010 to 2015 for HDI values, some countries improved the development indicator (Romania, Poland, Malta, Estonia, Cyprus), while no downgrades were observed. When comparing the transition matrix using the newly developed indicator, PHDI, the upgrades observed were for Denmark and Estonia, while some countries like Spain and Italy moved to a lower rating class due to ambient PM2.5 concentration.
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Gauvin, Laetitia, Paolo Bajardi, Emanuele Pepe, Brennan Lake, Filippo Privitera, and Michele Tizzoni. "Socio-economic determinants of mobility responses during the first wave of COVID-19 in Italy: from provinces to neighbourhoods." Journal of The Royal Society Interface 18, no. 181 (August 2021): 20210092. http://dx.doi.org/10.1098/rsif.2021.0092.
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After more than 1 year into the COVID-19 pandemic, governments worldwide still face the challenge of adopting non-pharmaceutical interventions to mitigate the risks posed by the emergence of new SARS-CoV-2 variants and the lack of a worldwide equitable vaccine allocation. Thus, it becomes crucial to identify the drivers of mobility responses to mitigation efforts during different restriction regimes, for planning interventions that are both economically and socially sustainable while effective in controlling an outbreak. Here, using anonymous and privacy-enhanced cell phone data from Italy, we investigate the determinants of spatial variations of reductions in mobility and co-location in response to the adoption and the lift of restrictions, considering both provinces and city neighbourhoods. In large urban areas, our analysis uncovers the desertification of historic city centres, which persisted after the end of the lockdown. Such centre-periphery gradient was mainly associated with differences in educational attainment. At the province level, the local structure of the labour market mainly explained the variations in mobility responses, together with other demographic factors, such as the population’s age and sex composition. In the future, targeted interventions should take into account how the ability to comply with restrictions varies across geographical areas and socio-demographic groups.
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Alloway, Tracy Packiam, Robert Moulder, John C. Horton, Aaron Leedy, Lisa M. D. Archibald, Debora Burin, Irene Injoque-Ricle, Maria Chiara Passolunghi, and Flávia Heloísa Dos Santos. "Is it a Small World After All? Investigating the Theoretical Structure of Working Memory Cross-Nationally." Journal of Cognition and Culture 17, no. 3-4 (October 6, 2017): 331–53. http://dx.doi.org/10.1163/15685373-12340010.
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Abstract To our knowledge, this is one of the first studies to test different theoretical models of working memory in childhood based on a computerized assessment. We tested this across several countries: Argentina, Brazil, Canada, Italy, and uk. The present study addressed the wider macro-cultural context and how this impacts working memory. We used two economic indices (gdp and ppp) to characterize the participating countries and ranked the countries based on the Global Index of Cognitive Skills and Educational Attainment. Children between 5 and 10 years completed the same set of short-term and working memory tests. There were two main findings. First, there was a similar pattern in verbal working memory across countries, which suggests that this skill may be relatively consistent across different cultural groups. In contrast, the pattern for visuo-spatial working memory was different across countries, which may explained by cultural differences and educational rankings of the countries. The second main finding was that both a domain-general model (3-factor) and a domain-specific model (4-factor) provided a reasonably good fit with the data, there was the high relationship between the verbal and visuo-spatial working memory constructs across the countries in the latter model. Thus, it may be a more parsimonious choice to rely on a three-factor model. The data also suggest culture-similar patterns in a computerized assessment of working memory.
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Lozupone, M., F. Veneziani, L. Lofano, I. Galizia, E. Stella, M. Copetti, S. Arcuti, et al. "Educational level influenced the gold standard diagnosis of late-life depression in the GreatAGE study." European Psychiatry 41, S1 (April 2017): S173. http://dx.doi.org/10.1016/j.eurpsy.2017.01.2068.
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IntroductionThe validity of the 30-item Geriatric Depression Scale (GDS-30) in detecting late-life depression (LLD) requires a certain level of cognitive functioning. Further research is needed in population-based setting on other socio-demographic and cognitive variables that could potentially influence the accuracy of clinician rated depression.ObjectiveTo compare the diagnostic accuracy of two instruments used to assess depressive disorders [(GDS-30) and the Semi-structured Clinical Diagnostic Interview for DSM-IV-TR Axis I Disorders (SCID)] among three groups with different levels of cognitive functioning (normal, Mild Cognitive Impairment – MCI, Subjective Memory Complain – SMC) in a random sampling of the general population 65+ years.MethodsThe sample, collected in a population-based study (GreatAGE Study) among the older residents of Castellana Grotte, South-East Italy, included 844 subjects (54.50% males). A standardized neuropsychological battery was used to assess MCI, SMC and depressive symptoms (GDS-30). Depressive syndromes were diagnosed through the SCID IV-TR. Socio-demographic and cognitive variables were taken into account in influencing SCID performance.ResultsAccording to the SCID, the rate of depressive disorders was 12.56%. At the optimal cut-off score (≥ 4), GDS-30 had 65.1% sensitivity and 68.4% specificity in diagnosing depressive symptoms. Using a more conservative cut-off (≥ 10), the GDS-30 specificity reached 91.1% while sensitivity dropped to 37,7%. The three cognitive subgroups did not differ in the rate of depression diagnosis. Educational level is the only variable associated to the SCID diagnostic performance (P = 0.015).ConclusionsAt the optimal cut-off, GDS-30 identified lower levels of screening accuracy for subjects with normal cognition rather than for SMC (AUC 0.792 vs. 0.692); educational attainment possibly may modulate diagnostic clinician performance.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Azzolini, Davide, and Carlo Barone. "Do they progress or do they lag behind? Educational attainment of immigrants’ children in Italy: The role played by generational status, country of origin and social class." Research in Social Stratification and Mobility 31 (March 2013): 82–96. http://dx.doi.org/10.1016/j.rssm.2012.11.002.
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Pastore, Guido, Maria Luisa Mosso, Corrado Magnani, Lia Luzzatto, Maurizio Bianchi, and Benedetto Terracini. "Physical Impairment and Social Life, Goals among Adult Long-term Survivors of Childhood Cancer: A Population-based Study from the Childhood Cancer Registry of Piedmont, Italy." Tumori Journal 87, no. 6 (November 2001): 372–78. http://dx.doi.org/10.1177/030089160108700603.
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Aims and Background The study describes the health status and the attainment of life goals in the adult survivors of childhood cancer recorded at the Childhood Cancer Registry of Piedmont. Methods and Study Design A postal questionnaire was sent to the general practitioner of the 690 cases born before 1976 and alive in 1991 after at least 5 years from diagnosis. The answer was received for 485 (72.9%) included in the analyses. Items in the questionnaire were: sequelae related to cancer and its treatment, health-related quality of life (according to Bloom's criteria), educational level attained, and employment status. Results Vital and marital status were obtained for all 690 cases at the offices of the town of residence. No medical condition was reported for 309 cases (63.7%). The overall proportion with a high school or university education was compared to corresponding figures for Piedmont in 1991, adjusted by age, and was as high as in the general population. Similar results are observed for occupation. Patients of both genders were married less than expected. Patients with leukemia (112 cases), non-Hodgkin's lymphoma (34) or Hodgkin's lymphoma (52) were reported to have the highest quality of life. In contrast, patients with tumors of the central nervous system (151) had the highest frequency of sequelae and the lowest score for health-related quality of life. They also presented the lowest educational achievement, the lowest proportion of employment and, among males, the lowest frequency of marriage. Conclusions Our study shows a good social adjustment of adult survivors from childhood cancer, with the exception of central nervous system tumors. From the methodologic point of view, the present study shows the feasibility of surveillance surveys on health-related quality of life with the contribution of general practitioners.
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Filippini, Tommaso, Maria Fiore, Marina Tesauro, Carlotta Malagoli, Michela Consonni, Federica Violi, Elisa Arcolin, et al. "Clinical and Lifestyle Factors and Risk of Amyotrophic Lateral Sclerosis: A Population-Based Case-Control Study." International Journal of Environmental Research and Public Health 17, no. 3 (January 30, 2020): 857. http://dx.doi.org/10.3390/ijerph17030857.
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Background: Amyotrophic lateral sclerosis (ALS) is a progressive, fatal neurodegenerative disease of the motor neurons. The etiology of ALS remains largely unknown, particularly with reference to the potential environmental determinants. Methods: We performed a population-based case-control study in four provinces from both Northern and Southern Italy in order to assess non-genetic ALS risk factors by collecting through tailored questionnaires information about clinical and lifestyle factors. We estimated ALS risk by calculating odds ratio (OR) with its 95% confidence interval (CI) using unconditional logistic regression models adjusted for sex, age and educational attainment. Results: We recruited 230 participants (95 cases and 135 controls). We found a possible positive association of ALS risk with trauma, particularly head trauma (OR = 2.61, 95% CI 1.19–5.72), electric shock (OR = 2.09, 95% CI 0.62–7.06), and some sports, although at a competitive level only. In addition, our results suggest an increased risk for subjects reporting use of private wells for drinking water (OR = 1.38, 95% CI 0.73–2.27) and for use of herbicides during gardening (OR = 1.95, 95% CI 0.88–2.27). Conversely, there was a suggestion of an inverse association with overall fish consumption (OR = 0.27, 95% CI 0.12–0.60), but with no dose-response relation. Consumption of some dietary supplements, namely those containing amino acids and, in the Southern Italy population, vitamins and minerals such as selenium, seemed associated with a statistically imprecise increased risk. Conclusions: Our results suggest a potential etiologic role a number of clinical and lifestyle factors with ALS risk. However, caution is needed due to some study limitations. These include the small sample size and the low number of exposed subjects, which affect statistical precision of risk estimates, the potential for exposure misclassification, and the uncertainties about mechanisms underpinning the possible association between these factors and disease risk.
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Mackenbach, Johan P., José Rubio Valverde, Matthias Bopp, Henrik Brønnum-Hansen, Giuseppe Costa, Patrick Deboosere, Ramune Kalediene, et al. "Progress against inequalities in mortality: register-based study of 15 European countries between 1990 and 2015." European Journal of Epidemiology 34, no. 12 (November 15, 2019): 1131–42. http://dx.doi.org/10.1007/s10654-019-00580-9.
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AbstractSocioeconomic inequalities in mortality are a challenge for public health around the world, but appear to be resistant to policy-making. We aimed to identify European countries which have been more successful than others in narrowing inequalities in mortality, and the factors associated with narrowing inequalities. We collected and harmonised mortality data by educational level in 15 European countries over the last 25 years, and quantified changes in inequalities in mortality using a range of measures capturing different perspectives on inequality (e.g., ‘relative’ and ‘absolute’ inequalities, inequalities in ‘attainment’ and ‘shortfall’). We determined which causes of death contributed to narrowing of inequalities, and conducted country- and period-fixed effects analyses to assess which country-level factors were associated with narrowing of inequalities in mortality. Mortality among the low educated has declined rapidly in all European countries, and a narrowing of absolute, but not relative inequalities was seen in many countries. Best performers were Austria, Italy (Turin) and Switzerland among men, and Spain (Barcelona), England and Wales, and Austria among women. Ischemic heart disease, smoking-related causes (men) and amenable causes often contributed to narrowing inequalities. Trends in income inequality, level of democracy and smoking were associated with widening inequalities, but rising health care expenditure was associated with narrowing inequalities. Trends in inequalities in mortality have not been as unfavourable as often claimed. Our results suggest that health care expansion has counteracted the inequalities widening effect of other influences.
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Consolazio, David, Simone Sarti, Marco Terraneo, Corrado Celata, and Antonio Giampiero Russo. "The impact of school closure intervention during the third wave of the COVID-19 pandemic in Italy: Evidence from the Milan area." PLOS ONE 17, no. 7 (July 12, 2022): e0271404. http://dx.doi.org/10.1371/journal.pone.0271404.
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Background In February 2021, the spread of a new variant of SARS-CoV-2 in the Lombardy Region, Italy caused concerns about school-aged children as a source of contagion, leading local authorities to adopt an extraordinary school closure measure. This generated a debate about the usefulness of such an intervention in light of the trade-off between its related benefits and costs (e.g. delays in educational attainment, impact on children and families’ psycho-physical well-being). This article analyses the epidemiological impact of the school closure intervention in the Milan metropolitan area. Methods Data from the Agency for Health Protection of the Metropolitan City of Milan allowed analysing the trend of contagion in different age classes before and after the intervention, adopting an interrupted times series design, providing a quasi-experimental counterfactual scenario. Segmented Poisson regression models of daily incident cases were performed separately for the 3–11-year-old, the 12–19-year-old, and the 20+-year-old age groups, examining the change in the contagion curves after the intervention, adjusting for time-varying confounders. Kaplan-Meier survival curves and Cox regression were used to assess the equality of survival curves in the three age groups before and after the intervention. Results Net of time-varying confounders, the intervention produced a daily reduction of the risk of contagion by 4% in those aged 3–11 and 12–19 (IRR = 0·96) and by 3% in those aged 20 or more (IRR = 0·97). More importantly, there were differences in the temporal order of contagion decrease between the age groups, with the epidemic curve lowering first in the school-aged children directly affected by the intervention, and only subsequently in the adult population, which presumably indirectly benefitted from the reduction of contagion among children. Conclusion Though it was not possible to completely discern the effect of school closures from concurrent policy measures, a substantial decrease in the contagion curves was clearly detected after the intervention. The extent to which the slowdown of infections counterbalanced the social costs of the policy remains unclear.
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Colby, John. "Attendance and Attainment - a comparative study." Innovation in Teaching and Learning in Information and Computer Sciences 4, no. 2 (May 2005): 1–13. http://dx.doi.org/10.11120/ital.2005.04020002.
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Burd, E., and B. Hodgson. "Attendance and Attainment: a five year study." Innovation in Teaching and Learning in Information and Computer Sciences 5, no. 2 (May 2006): 1–12. http://dx.doi.org/10.11120/ital.2006.05020004.
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Donfrancesco, Chiara, Anna Di Lonardo, Cinzia Lo Noce, Brigitta Buttari, Elisabetta Profumo, Francesca Vespasiano, Serena Vannucchi, et al. "Trends of blood pressure, raised blood pressure, hypertension and its control among Italian adults: CUORE Project cross-sectional health examination surveys 1998/2008/2018." BMJ Open 12, no. 11 (November 2022): e064270. http://dx.doi.org/10.1136/bmjopen-2022-064270.
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ObjectivesTo assess in the Italian general adult population the trends of blood pressure (BP) and prevalence of raised BP (RBP), hypertension and its control in order to evaluate population health and care, and the achievement of an RBP 25% relative reduction as recommended by the WHO at population level.DesignResults comparison of health examination surveys, cross-sectional observational studies based on health examination of randomly selected age and sex stratified samples including residents aged 35–74 years. Data of the 2018/2019 survey were compared with the previous ones collected in 1998/2002 and 2008/2012.SettingHealth examination surveys conducted in Italy within the CUORE Project following standardised methodologies.Participants2985 men and 2955 women examined in 1998/2002, 2218 men and 2204 women examined in 2008/2012 and 1031 men and 1066 women examined in 2018/2019.Primary and secondary outcome measuresAge-standardised mean of BP, prevalence of RBP (systolic BP and/or diastolic BP ≥140/90 mm Hg), hypertension (presenting or being treated for RBP) and its awareness and control, according to sex, age class and educational level.ResultsIn 2018/2019, a significant reduction was observed in systolic BP and diastolic BP in men (1998/2002: 136/86 mm Hg; 2008/2012: 132/84 mm Hg; and 2018/2019: 132/78 mm Hg) and women (132/82 mm Hg, 126/78 mm Hg and 122/73 mm Hg), and in the prevalence of RBP (50%, 40% and 30% in men and 39%, 25% and 16% in women) and of hypertension (54%, 49% and 44% in men and 45%, 35% and 32% in women). Trends were consistent by age and education attainment. In 2018/2019, hypertensive men and women with controlled BP were only 27% and 41%, but a significant favourable trend was observed.ConclusionsData from 2018/2019 underlined that RBP is still commonly observed in the Italian population aged 35–74 years, however, the WHO RBP target at that time may be considered met.
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Naticchioni, Paolo, and Andrea Ricci. "Investire nello studio: evoluzione dei rendimenti salariali dell'istruzione in Italia." QA Rivista dell'Associazione Rossi-Doria, no. 4 (December 2009): 7–28. http://dx.doi.org/10.3280/qu2009-004001.
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- In this paper we analyze the evolution of Educational wage premia (Ewp) in the Italian private sector. Drawing upon the Household income and wealth survey (Bank of Italy) we show that Ewp showed a general decrease between 1993 and 2004, at all quantiles of the wage distribution. Our findings do not depend on the type of educational attainments. A number of robustness checks and various econometric specifications are also applied in order to address matters of sample selection. Thus Italy is situated as an outlier among the Oecd countries, where the Ewp have generally increased over the last few decades.
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Ruggera, Lucia. "Licensed professions: a new look at the association between social origins and educational attainments in Italy." Higher Education 82, no. 2 (April 19, 2021): 369–86. http://dx.doi.org/10.1007/s10734-021-00701-y.
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AbstractIt has long been known that Italy is characterized by the highest levels of professional regulation in Europe, but little attention has been given to the link between professional regulation and educational stratification. This article investigates the association between social origins and education by focusing on fields of study within tertiary education and by disaggregating the upper class of social origin into different micro-classes of professionals. Thus, since these professions are regulated in the first place by educational fields of study, it assesses how processes of social closure enhance occupational intergenerational immobility in the professional employment in Italy. Recently, deregulation of liberal professions in Italy has been central in many public and political debates. It contributes to these debates by examining the micro-level dynamics in the professionals’ social reproduction and related practises of social exclusion, which may have strong implications for policy interventions. By using ISTAT’s “Sbocchi Professionali dei Laureati” survey (2011), and employing multinomial logistic regressions, it shows how social selection into highly regulated fields of study is guided by parents’ professional domain. The analyses indicate that both sons and daughters of licensed professionals are more inclined to graduate in a field of study that is in line with the father’s profession and that this propensity is stronger among children of regulated self-employed professionals.
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Sobot, Ankica. "The impact of education on time use of elderly population in Serbia." Stanovnistvo 53, no. 2 (2015): 67–86. http://dx.doi.org/10.2298/stnv1502067s.
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The active ageing concept, which implies individual and broader social benefits, is defined for mitigating the negative effects of intensive population ageing. It redefines the perception of ageing in accordance with the positive trends in terms of health and life span of older persons' life. One of the factors which has certain impact on some aspects of active ageing is education. The researches confirm its influence on the health and vitality of the elderly, as well as on their economic activity. It is important not only as a dimension of socio-economic status, but also from the perspective of certain behavior, the availability of learning, the possibility of adopting valid information and the use of new technological achievements for the purpose of healthy lifestyle. The top ten countries in 2015 regarding Active Ageing Index have up to four times higher shares of highly educated persons among those aged 50 or over (between 23% and 34%), compared to the countries which are at the back of the AAI list. However, Italy is ranked second, regarding the participation in society despite the fact that less than 10% of persons aged 50 or over are highly educated. By contrast, Estonia has only high index in employment, while in relation to the other spheres is very low ranking, regardless there are 34% of highly educated among persons aged 50 or over. The first example shows that it is possible to achieve partial progress despite low prevalence of high education. Another indicates that the attainment in active ageing can be limited by other factors despite high proportion of highly educated. It is possible to conclude that in either of these two cases high education did not impact, but that these characteristics of active ageing are the consequences of other factors. Participation in society, in addition to volunteering and political engagement, implies caring for children or the elderly. It is possible that the incidence of these activities have more important influence on the positioning of Italy in this sphere. Relatively high index of employment could be explained by the influence of socio-economic conditions and the necessity of working engagement of older persons due to social security and living standards of households. This could be said for Estonia because it is placed into the group of countries with lower GDP per capita. The research regarding the time use in Serbia, used in this paper as the framework for studying the lifestyle of older people, shows that the paid work is the most evident differentiation between those who have entered the older age (65 or older) and those who are on the threshold of this limit (55-64 years). Regarding leisure time, it is clear that more passive forms (watching television and resting) prevail. Reading, walking, visiting, spending time with family and the provision of informal help partially mitigate this picture. However, weak commitment to cultural events and physical activity, poor involvement in different spheres of social life, almost the absence of voluntary work and additional training undermine the concept of active ageing. Highly educated persons have the most of leisure time but, in relation to persons with lower educational levels, there is no substantial differentiation regarding the activities that mark active ageing. In comparison with others, they spent less time watching TV and movies as well as resting, but more time walking, visiting, reading, using a computer or providing informal support. Tertiary education has proved to be a point of differentiation among females who approach the entry into older age. It does not only mean more time in paid work, but also less time in unpaid activities, compared to women with lower educational levels. In addition, highly educated women aged 65 or over more frequently perform paid jobs than those with primary education. It is not the specificity of male population. High education did not eliminate the specificities of overpowering cultural pattern of gender roles. Men more engage in paid jobs and have more leisure time, while women spend more time in performing household tasks. Women more devote to reading books, going to the cinema, volunteering, and the participation in religious activities as compared to men. Male respondents spend more time resting, exercising and visiting sport events. However, in both cases passive forms of leisure time prevail, although there are some specificities. In comparison with those who had lower educational levels, highly educated persons evaluated their health as good or very good two times more frequently, but it has not resulted in significant difference in terms of commitment to the activities that mark active ageing. The widespread of tertiary education does not mean unconditional acceptance of this model. In addition to social conditions, living circumstances and cultural norms, lifestyle is important as an advantage or a disadvantage for the realization of active ageing. Lower education levels are an additional challenge in terms of advancing all preconditions for accepting and spreading the model of active aging.
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Tundo, Pietro, Paul Anastas, David StC Black, Joseph Breen, Terrence J. Collins, Sofia Memoli, Junshi Miyamoto, Martyn Polyakoff, and William Tumas. "Synthetic pathways and processes in green chemistry. Introductory overview." Pure and Applied Chemistry 72, no. 7 (January 1, 2000): 1207–28. http://dx.doi.org/10.1351/pac200072071207.
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ContentsGreen Chemistry in the International ContextThe Concept of green ChemistryDefinition of green chemistry | Green chemistry: Why now? | The historical context of green chemistry | The emergence of green chemistryThe Content of Green ChemistryAreas of green chemistry | Preliminary remarks | Alternative feedstocks | Benign reagents/synthetic pathways | Synthetic transformations | Solvents/reaction conditionsGreen Chemistry in the International ContextIt has come to be recognized in recent years, that the science of chemistry is central to addressing the problems facing the environment. Through the utilization of the various subdisciplines of chemistry and the molecular sciences, there is an increasing appreciation that the emerging area of green chemistry1is needed in the design and attainment of sustainable development. A central driving force in this increasing awareness is that green chemistry accomplishes both economic and environmental goals simultaneously through the use of sound, fundamental scientific principles. Recently, a basic strategy has been proposed for implementing the relationships between industry and academia, and hence, funding of the research that constitutes the engine of economic advancement; it is what many schools of economics call the "triple bottom line" philosophy, meaning that an enterprise will be economically sustainable if the objectives of environmental protection, societal benefit, and market advantage are all satisfied2. Triple bottom line is a strong idea for evaluating the success of environmental technologies. It is clear that the best environmentally friendly technology or discovery will not impact on the market if it is not economically advantageous; in the same way, the market that ignores environmental needs and human involvement will not prosper. This is the challenge for the future of the chemical industry, its development being strongly linked to the extent to which environmental and human needs can be reconciled with new ideas in fundamental research. On the other hand, it should be easy to foresee that the success of environmentally friendly reactions, products, and processes will improve competitiveness within the chemical industry. If companies are able to meet the needs of society, people will influence their own governments to foster those industries attempting such environmental initiatives. Of course, fundamental research will play a central role in achieving these worthy objectives. What we call green chemistry may in fact embody some of the most advanced perspectives and opportunities in chemical sciences.It is for these reasons that the International Union of Pure and Applied Chemistry (IUPAC) has a central role to play in advancing and promoting the continuing emergence and impact of green chemistry. When we think about how IUPAC furthers chemistry throughout the world, it is useful to refer to IUPAC's Strategic Plan. This plan demonstrates the direct relevance of the mission of IUPAC to green chemistry, and explains why there is growing enthusiasm for the pursuit of this new area as an appropriate activity of a scientific Union. The IUPAC Strategic Plan outlines among other goals:IUPAC will serve as a scientific, international, nongovernmental body in objectively addressing global issues involving the chemical sciences. Where appropriate, IUPAC will represent the interests of chemistry in governmental and nongovernmental forums.IUPAC will provide tools (e.g., standardized nomenclature and methods) and forums to help advance international research in the chemical sciences.IUPAC will assist chemistry-related industry in its contributions to sustainable development, wealth creation, and improvement in the quality of life.IUPAC will facilitate the development of effective channels of communication in the international chemistry community.IUPAC will promote the service of chemistry to society in both developed and developing countries.IUPAC will utilize its global perspective to contribute toward the enhancement of education in chemistry and to advance the public understanding of chemistry and the scientific method.IUPAC will make special efforts to encourage the career development of young chemists.IUPAC will broaden the geographical base of the Union and ensure that its human capital is drawn from all segments of the world chemistry community.IUPAC will encourage worldwide dissemination of information about the activities of the Union.IUPAC will assure sound management of its resources to provide maximum value for the funds invested in the Union.Through the vehicle of green chemistry, IUPAC can engage and is engaging the international community in issues of global importance to the environment and to industry, through education of young and established scientists, the provision of technical tools, governmental engagement, communication to the public and scientific communities, and the pursuit of sustainable development. By virtue of its status as a leading and internationally representative scientific body, IUPAC is able to collaborate closely in furthering individual national efforts as well as those of multinational entities.An important example of such collaboration in the area of green chemistry is that of IUPAC with the Organization for the Economical Cooperation and Development (OECD) in the project on "Sustainable Chemistry", aimed at promoting increased awareness of the subject in the member countries. During a meeting of the Environment Directorate (Paris, 6 June 1999), it was proposed that United States and Italy co-lead the activity, and that implementation of five recommendations to the member countries be accorded the highest priority, namely:research and developmentawards and recognition for work on sustainable chemistryexchange of technical information related to sustainable chemistryguidance on activities and tools to support sustainable chemistry programssustainable chemistry educationThese recommendations were perceived to have socio-economic implications for worldwide implementation of sustainable chemistry. How IUPAC and, in particular, its Divisions can contribute to this effort is under discussion. IUPAC is recognized for its ability to act as the scientific counterpart to OECD for all recommendations and activities. Although the initiatives being developed by the OECD are aimed primarily at determining the role that national institutions can play in facilitating the implementation and impact of green chemistry, it is recognized that each of these initiatives also has an important scientific component. Whether it is developing criteria or providing technical assessment for awards and recognition, identifying appropriate scientific areas for educational incorporation, or providing scientific insight into the areas of need for fundamental research and development, IUPAC can play and is beginning to play an important role as an international scientific authority on green chemistry.Other multinational organizations including, among others, the United Nations, the European Union, and the Asian Pacific Economic Community, are now beginning to assess the role that they can play in promoting the implementation of green chemistry to meet environmental and economic goals simultaneously. As an alternative to the traditional regulatory framework often implemented as a unilateral strategy, multinational governmental organizations are discovering that green chemistry as a nonregulatory, science-based approach, provides opportunities for innovation and economic development that are compatible with sustainable development. In addition, individual nations have been extremely active in green chemistry and provide plentiful examples of the successful utilization of green chemistry technologies. There are rapidly growing activities in government, industry, and academia in the United States, Italy, the United Kingdom, the Netherlands, Spain, Germany, Japan, China, and many other countries in Europe and Asia, that testify to the importance of green chemistry to the future of the central science of chemistry around the world.Organizations and Commissions currently involved in programs in green chemistry at the national or international level include, for example:U.S. Environmental Protection Agency (EPA), with the "Green Chemistry Program" which involves, among others, the National Science Foundation, the American Chemical Society, and the Green Chemistry Institute;European Directorate for R&D (DG Research), which included the goals of sustainable chemistry in the actions and research of the European Fifth Framework Programme;Interuniversity Consortium "Chemistry for the Environment", which groups about 30 Italian universities interested in environmentally benign chemistry and funds their research groups;UK Royal Society of Chemistry, which promotes the concept of green chemistry through a "UK Green Chemistry Network" and the scientific journal Green Chemistry;UNIDO-ICS (International Centre for Science and High Technology of the United Nations Industrial Development Organization) which is developing a global program on sustainable chemistry focusing on catalysis and cleaner technologies with particular attention to developing and emerging countries (the program is also connected with UNIDO network of centers for cleaner production); andMonash University, which is the first organization in Australia to undertake a green chemistry program.Footnotes:1. The terminology "green chemistry" or "sustainable chemistry" is the subject of debate. The expressions are intended to convey the same or very similar meanings, but each has its supporters and detractors, since "green" is vividly evocative but may assume an unintended political connotation, whereas "sustainable" can be paraphrased as "chemistry for a sustainable environment", and may be perceived as a less focused and less incisive description of the discipline. Other terms have been proposed, such as "chemistry for the environment" but this juxtaposition of keywords already embraces many diversified fields involving the environment, and does not capture the economic and social implications of sustainability. The Working Party decided to adopt the term green chemistry for the purpose of this overview. This decision does not imply official IUPAC endorsement for the choice. In fact, the IUPAC Committee on Chemistry and Industry (COCI) favors, and will continue to use sustainable chemistry to describe the discipline.2. J. Elkington, < http://www.sustainability.co.uk/sustainability.htm
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Checchi, Daniele, Carlo V. Fiorio, and Marco Leonardi. "Intergenerational Persistence in Educational Attainment in Italy." SSRN Electronic Journal, 2008. http://dx.doi.org/10.2139/ssrn.1198692.
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Leoni, Silvia. "An Agent-Based Model for Tertiary Educational Choices in Italy." Research in Higher Education, December 14, 2021. http://dx.doi.org/10.1007/s11162-021-09666-4.
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AbstractAlthough the low level of tuition fees and the absence of other access barriers, Italy is characterized by low educational attainments at the university level. This work models the choice of young Italians to attend university or leave education and enter the labor market, by making use of an agent-based model that reproduces the Italian higher education and policy system. The aim is to analyze the determinants behind university enrollment decisions possibly causing the low level of attainment and explore three alternative scenarios that propose the expansion of financial support and the increase in the average income gap between skilled and unskilled individuals. The model implies that the individual preference to enroll at university depends upon (i) economic motivations, represented by the expectations on future income, which are formed through interaction within individuals’ social network; (ii) influence from peers; (iii) effort of obtaining a university degree. Results show that the model can reproduce observable features of the Italian system, and highlights low income levels and the following full resort to regional scholarships. Experimented scenarios show that policies expanding financial support to education are ineffective, while an increase in the gap between average income of skilled and unskilled workers leads to an increase in enrollment in university, signaling that labor market policies may be more effective than educational policies in raising the number of students in higher education.
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Stefani, Serena, Gabriele Prati, Iana Tzankova, Elena Ricci, Cinzia Albanesi, and Elvira Cicognani. "Gender differences in civic and political engagement and participation among Italian young people." Social Psychological Bulletin 16, no. 1 (March 30, 2021). http://dx.doi.org/10.32872/spb.3887.
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A substantial amount of literature has revealed gender gaps in political participation. However, little is known about such gaps when using more comprehensive measures of civic and political participation including online participation. In the present study, we recruited a sample (n = 1792) of young people living in Italy. Controlling for age, majority/minority status, socioeconomic status, respondents’ educational attainment, and parents’ educational attainment, we found that female participants reported higher scores on online and civic participation, while male participants were more likely to report political and activist participation. The effect size for these gender differences was small. In addition, we did not find any gender differences in voting behavior in the last European parliamentary elections, national parliamentary elections, and local elections. These findings highlight the need to move toward a more comprehensive and detailed picture of gender gaps in political engagement and participation including different types of participation.
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Bonaccio, Marialaura, Augusto Di Castelnuovo, Simona Costanzo, Mariarosaria Persichillo, Chiara Cerletti, Maria Benedetta Donati, Giovanni de Gaetano, and Licia Iacoviello. "Abstract 031: Socioeconomic Trajectories Across the Life Course and Risk of All-cause and Cardiovascular Mortality: Prospective Findings From the Moli-sani Study." Circulation 137, suppl_1 (March 20, 2018). http://dx.doi.org/10.1161/circ.137.suppl_1.031.
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Introduction: A life course approach has been suggested as the most appropriated to establish the actual impact of socioeconomic status (SES) on health outcomes. Hypothesis: We assessed the hypothesis that SES trajectories from childhood to adulthood are useful to better evaluate the role of SES towards mortality risk in a large general population-based cohort. Methods: Longitudinal analysis on 22,194 subjects recruited in the general population of the Moli-sani study, Italy (2005-2010). Educational attainment (low/high) and SES in adulthood (measured by a score including occupational social class, housing and overcrowding, and dichotomized as low/high) were used to define four possible trajectories both in low and high SES in childhood (age of 8). Hazard ratios (HR) with 95% confidence intervals (95%CI) were calculated by multivariable Cox regression and competing risk models. Results: Over a median follow-up of 8.3 years (182,924 person-years), 1155 all-cause, of which 414 cardiovascular (CVD), deaths were ascertained. In the group with low SES in childhood, as opposed to those stably low (low education and low SES in adulthood), an upward in both educational attainment and material factors in adulthood was associated with lower risk of both all-cause (HR=0.64; 95%CI 0.52-0.79; Table) and CVD mortality (HR=0.62; 0.43-0.88), respectively. Subjects with high childhood SES experienced an increased risk of total and CVD death in absence of higher educational attainment despite a higher SES in adulthood (HR=1.47; 1.04-2.07 and HR=1.75;1.00-3.05, respectively) as compared to the group with both high education and high SES in adulthood. Conclusions: In conclusion, for individuals with low SES in childhood, an upward of both educational attainment and material factors over the life course is associated with lower risk of total and CVD death. In advantaged groups in childhood, lack of a higher educational attainment, rather than material factors, over the life course appears to be unfavourably associated with survival.
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Bonomi Bezzo, Franco, Michele Raitano, and Pieter Vanhuysse. "Beyond human capital: how does parents’ direct influence on their sons’ earnings vary across eight OECD countries?" Oxford Economic Papers, February 25, 2023. http://dx.doi.org/10.1093/oep/gpad007.
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Abstract This article asks to what degree the association between parents’ education and sons’ earnings is mediated by various forms of sons’ human capital across eight large OECD countries. We exploit the OECD Program for the International Assessment of Adult Competencies (PIAAC) database, which provides information on four dimensions of human capital (educational attainment, field of study, cognitive skills, and proxies of non-cognitive skills). We find that the intergenerational transmission process is wholly mediated just by sons’ formal educational attainment in Germany, Norway, and the USA. By contrast, in France, Italy, Spain, Poland, and the UK, a significant residual association remains after we control for all dimensions of sons’ human capital. While we cannot exclude that this residual association is due to unobservable background-related skills sons might have, this also points to family origin factors unrelated to human capital accumulation—such as social ties—that might play a role in the intergenerational transmission of labour market advantages in these countries.
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Agrusti, Gabriella, and Francesca Corradi. "Teachers’ Perceptions and Conceptualizations of Low Educational Achievers: A Self-Fulfilling Prophecy of Disengagement for Future NEETs." Qualitative Report, August 20, 2015. http://dx.doi.org/10.46743/2160-3715/2015.2256.
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The NEETs phenomenon in Italy is not a recent one, but it increased dramatically after the Global Financial Crisis. As in France many different factors influence it, but the prevailing two are the skills mismatch and the youth generations’ discouragement. Whereas in France the role of the school is crucial into tackling NEETs, in Italy the initiatives are mainly carried out by local authorities and small and medium enterprises. Therefore, more research is needed that sheds lights on teachers’ role in dealing with low educational achievers. This exploratory study investigates teachers’ perceptions and conceptualizations of low educational achievers in upper secondary schools, analysing their response to the issues connected to low attainment in terms of teaching strategies. From the study emerged strong communicative barriers between teachers and students that could lead teachers to stigmatize low achievers in their academic failure, ingenerating lack of self-esteem and disengagement in young people.
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Kjesbu, I., N. Mikkelsen, K. Sibilitz, M. Wilhelm, C. P. Gil, M. C. Iliou, U. Zeymer, et al. "P2509Less effect of cardiac rehabilitation for elderly cardiac patients with lower educational attainment." European Heart Journal 40, Supplement_1 (October 1, 2019). http://dx.doi.org/10.1093/eurheartj/ehz748.0838.
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Abstract Background Previous analyses from EU-CaRE study have shown that elderly cardiac patients with basic education have a greater burden of cardiovascular risk factors and a lower exercise capacity at baseline of cardiac rehabilitation (CR). We hypothesize that participation in CR will diminish this socioeconomic gap. Purpose To describe if educational level predicts the benefits of CR in an elderly population in Europe. Methods The observational EU-CaRE study is a prospective study with eight participating CR centers in seven countries (Denmark, France, Germany, the Netherlands, Italy, Spain and Switzerland). Consecutive patients age 65 or older with coronary heart disease or valve surgery participating in CR were included. Data were obtained at baseline (T0) and at the end of CR (T1) and include risk factors for cardiovascular disease, clinical and psychological assessment, medical treatment and exercise capacity. Patients were divided into basic, intermediate and higher educational levels. We compared changes from T0-T1 by multiple regression models. Results A total of 1621 (99% of included) patients were eligible for follow-up analyses. At baseline patients with basic education had more diabetes, higher BMI, lower exercise capacity (VO2 peak) and higher scores for depression (GAD) and anxiety (PHQ-9). At T1 they had improved significantly less on these parameters. The results were not affected by adjustment for gender, age, country and baseline value of the variable. Use of evidence-based medication did not differ by level of education. Difference between T0 and T1 Factor High Intermediate Basic p-value* N total 1621 N=386 N=775 N=460 BMI, mean (SD) −0.16 (0.71) −0.08 (0.82) −0.26 (0.95) 0.794 LDL (mmol/L), mean (SD) −0.07 (0.63) −0.11 (0.62) −0.04 (0.58) 0.978 HbA1c (mmol/mol), mean (SD) 0.23 (3.70) 0.52 (4.39) 0.04 (5.79) 0.021 GAD score, mean (SD) −0.92 (2.72) −0.76 (3.07) −0.13 (3.47) 0.003 PHQ-9 score, mean (SD) −1.45 (3.21) −1.16 (3.36) −0.93 (4.49) <0.001 Diet score, mean (SD) 0.57 (1.72) 0.63 (1.90) 0.23 (1.81) 0.003 VO2 peak (ml/kg/min), mean (SD) 2.47 (2.90) 1.95 (2.78) 1.75 (2.56) 0.016 *Adjusted for gender, age, country and baseline value. Difference in VO2peak, GAD and PHQ score Conclusions In this large European study with high-quality data from 7 CR centers we found an increased gap disfavoring the lower educated elderly patients participating in CR. These results indicate that “one-size cardiac rehabilitation” does not fit all and indicate that a more personalized CR with attention to the different needs of some patient groups is appropriate. Acknowledgement/Funding Horizon2020
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Gries, Thomas, Margarete Redlin, and Moonum Zehra. "Educational Assimilation of First-Generation and Second-Generation Immigrants in Germany." Journal of International Migration and Integration, July 12, 2021. http://dx.doi.org/10.1007/s12134-021-00863-9.
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AbstractUsing data from the German Socio-Economic Panel for 1984–2018, we analyze the intergenerational education mobility of immigrants in Germany by identifying the determinants of differences in educational stocks for first- and second-generation immigrants in comparison to individuals without a migration background. Our results show that on average, first-generation immigrants have fewer years of schooling than native-born Germans and have a disproportionate share of lower educational qualifications. This gap is strongly driven by age at immigration, with immigration age and education revealing a nonlinear relationship. While the gap is relatively small among individuals who migrate at a young age, integrating in the school system at secondary school age leads to large disadvantages. Examining the educational mobility of immigrants in Germany, we identify an inter-generational catch-up in education. The gap in education between immigrants and natives is reduced for the second generation. Finally, we find that country of origin differences can account for much of the education gap. While immigrants with an ethnic background closer to the German language and culture show the best education outcomes, immigrants from Turkey, Italy, and other southern European countries and especially the group of war refugees from Syria, Afghanistan, Iraq and other MENA countries, have the lowest educational attainment.
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Kan, Man-Yee, Muzhi Zhou, Daniela Veronica Negraia, Kamila Kolpashnikova, Ekaterina Hertog, Shohei Yoda, and Jiweon Jun. "How do Older Adults Spend Their Time? Gender Gaps and Educational Gradients in Time Use in East Asian and Western Countries." Journal of Population Ageing, August 8, 2021. http://dx.doi.org/10.1007/s12062-021-09345-3.
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AbstractThis study is the first to document how older adults in East Asian and Western societies spend their time, across four key dimensions of daily life, by respondent’s gender and education level. To do this, we undertook a pioneering effort and harmonized cross-sectional time-use data from East Asian countries (China, Japan, South Korea, Taiwan) with data from the Multinational Time Use Study (Canada, Denmark, Finland, France, Italy, The Netherlands, Norway, Spain, United Kingdom, United States; to which we refer as Western countries), collected between 2000 and 2015. Findings from bivariate and multivariate models suggest that daily time budgets of East Asian older adults are different from their counterparts in most Western countries. Specifically, gender gaps in domestic work, leisure, and sleep time were larger in East Asian contexts, than in Western countries. Gender gaps in paid work were larger in China compared to all other regions. Higher levels of educational attainment were associated with less paid work, more leisure, and less sleep time in East Asian countries, while in Western countries they were associated with more paid work, less domestic work, and less sleep. Interestingly, Italy and Spain, two Southern European welfare regimes, shared more similarities with East Asian countries than with other Western countries. We interpret and discuss the implications of these findings for population aging research, and welfare policies.
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Kjesbu, I., N. Mikkelsen, K. Sibilitz, M. Wilhelm, C. P. Gil, M. C. Iliou, U. Zeymer, et al. "P6218Greater burden of risk factors and need of cardiac rehabilitation in elderly patients with lower educational attainment." European Heart Journal 40, Supplement_1 (October 1, 2019). http://dx.doi.org/10.1093/eurheartj/ehz746.0822.
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Abstract Background A socioeconomic gap in cardiac rehabilitation (CR) has been described in younger populations but whether this is also true in the ageing population is unknown. Purpose To describe if poorer education is a predictor for exercise capacity, comorbidity, lifestyle- and risk factors and medical treatment at baseline in CR in an elderly population. Methods The observational EU-CaRE study is a European prospective study with eight participating CR centers in seven countries (Denmark, France, Germany, the Netherlands, Italy, Spain and Switzerland). Patients aged 65 or older with CHD or valve surgery participating in CR were consecutively included. Educational attainment was divided into basic, intermediate and high Results A total of 1626 patients were included. Educational attainment differed across centers (p<0.001). The groups differed little regarding index event, comorbidity and medical treatment. However, patients with only basic education had more diabetes, higher BMI, less physical activity, lower exercise capacity and higher scores for depression (PHQ 9) and anxiety (GAD). Differences were not affected by adjustment for age, gender and country. Demographics and risk factor control N=1626 High (N=388) Intermediate (N=788) Basic (N=460) p-value* DEMOGRAPHICS Age (yrs), median (IQR) 72 (68, 76) 71 (68, 75) 74 (70, 78) <0.001 Men 330 (86.8%) 603 (79.3%) 291 (67.4%) <0.001 RISK FACTORS p-value** LDL >1.8 mmol/l*** 255 (66.1%) 518 (66.8%) 293 (63.7%) 0.060 Systolic BP >140 mmHg 85 (22.0%) 179 (23.1%) 100 (21.7%) 0.601 Smoker 26 (6.8%) 80 (10.3%) 46 (10.0%) 0.214 Moderate exercise <4days/week 179 (46.4%) 340 (43.9%) 271 (58.9%) 0.024 BMI >27 kg/m2 133 (35.5%) 389 (50.2%) 255 (55.4%) <0.001 VO2 peak <80% of predicted 220 (57.0%) 443 (57.2%) 252 (54.8%) 0.037 HbA1c >48mmol/mol*** 115 (29.8%) 264 (34.1%) 230 (50.0%) <0.001 Diet score, mean (SD) 6.50 (2.28) 5.93 (2.47) 7.32 (2.35) <0.001 GAD score, median (IQR) 2.0 (0.0,4.0) 2.0 (0.0,5.0) 3.5 (0.0,7.0) 0.051 PHQ-9 score, median (IQR) 4.0 (1.0,7.0) 4.0 (1.0,7.0) 6.0 (2.0,10.0) 0.020 Abbreviations: IQR, interquartile range; SD, standard deviation; ACS, acute coronary syndrome; CAD, coronary artery disease. *Adjusted for center. **Adjusted for center, age, gender. ***Only for ischemic heart disease patients. Conclusions The results emphasize the need of CR in this patient-group and that a targeted CR approach should be considered to achieve equal health opportunities also in the elderly. Acknowledgement/Funding Horizon2020
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Sesti, Flavia, Valentina Minardi, Giovanni Baglio, Ruth Bell, Peter Goldblatt, Maurizio Marceca, Maria Masocco, Stefano Campostrini, and Michael Marmot. "Social determinants of mental health in Italy: the role of education in the comparison of migrant and Italian residents." International Journal for Equity in Health 21, no. 1 (August 23, 2022). http://dx.doi.org/10.1186/s12939-022-01720-6.
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AbstractMental health is impacted by social, economic, and environmental factors, the Social Determinants of Health (SDH). Migrants experiencing precarious living and working conditions may be more at risk of poor mental health than the majority population.This paper aims to evaluate the relationship of educational attainment and other SDH with depressive symptoms among the resident population, including Italians and migrants.This study examined the respondents to the Italian “Progressi delle Aziende Sanitarie per la Salute in Italia” (PASSI) surveillance system, 2014–18. The sample of 144.055 respondents is composed of the resident working adults aged 25–69 with Italian citizenship (n = 136.514) and foreign citizenship (n = 7.491).Findings show that among Italians high level of education appears to be a protective factor for mental health, in accordance with the international evidence (adjPR: tertiary education 0,74 p-value = 0.000). However, among immigrants high level of education is associated with the presence of depressive symptoms (adjPR: tertiary education: 1.61 p-value = 0.006), particularly for men (adjPR: tertiary education: 2.40 p-value = 0.006). The longer the length of stay in Italy for immigrants the higher the risk of depressive symptoms: adjPR for 10+ years: 2.23 p-value = 0.005.The data show that high education could represent a risk factor for mental health of immigrants. Moreover, among migrants there are some significant mental health inequities between male and female related to the duration of stay in Italy, economic activity and educational level.Considering that health is related to the nature of society as well as to access to technical solutions, multicultural societies require culturally oriented interventions for tackling health inequities. This means developing evidence-based policies in order to tackle health inequalities in the population as a whole, including culturally oriented measures in the larger framework of developing diversity sensitive services.
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Cascella, Clelia, Julian Scott Williams, and Maria Pampaka. "Gender differences in mathematics outcomes at different levels of locality to inform policy and practice." European Educational Research Journal, March 10, 2021, 147490412199721. http://dx.doi.org/10.1177/1474904121997211.
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This paper reports research into the relationship between personal and contextual variables and gendered differences in students’ attainment in mathematics that take account of ‘place’ at different levels of intra-national locality (i.e. regional and macro-geographical levels, within the same country). A multilevel analysis performed on secondary data collected in Italy, where on average boys outperform girls in mathematics, showed that gender differences at local levels are complex and nuanced and not always consistent with the national picture. Moreover, gender differences in mathematics are associated with socio-cultural and economic factors that vary by region. We argue that educational research focusing on national and international level findings (such as for example PISA) should explore the association between gender differences in mathematics and sub-national socio-cultural and economic contexts in order to adequately inform policy and practice. Finally, we suggest that European researchers of inequality may need to attend to regionality and localities of place, and that the principle of subsidiarity could imply that policy and practice be devolved to the levels that research proves to be relevant.
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Bonaccio, M., A. Di Castelnuovo, S. Costanzo, M. Persichillo, A. De Curtis, C. Cerletti, M. B. Donati, G. de Gaetano, and L. Iacoviello. "Socioeconomic trajectories and risk of hospitalization in the Moli-sani Study cohort." European Journal of Public Health 29, Supplement_4 (November 1, 2019). http://dx.doi.org/10.1093/eurpub/ckz185.033.
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Abstract Background A life course approach was used to explore the impact of socioeconomic status (SES) on risk of hospitalizations for all-cause and for cardiovascular disease (CVD). Methods Longitudinal analyses on 19,999 subjects apparently free from CVD and cancer, recruited in the Moli-sani Study, Italy (2005-2010). Low and high SES in childhood, educational attainment (low/high) and SES during adulthood (measured by a score including material resources and dichotomized as low/high) defined the trajectories over life course. First hospital admissions were recorded by direct linkage with hospital discharge form registry. Hazard ratios (HR) with 95% confidence interval (95%CI) were calculated by multivariable Cox-regression. Results Over a median follow up of 7.3 y, we ascertained a total of 7,594 all-cause and 2,539 CVD hospitalizations. Poor childhood SES was associated with 11% and 17% increased risk of all-cause and CVD hospitalizations, respectively. Among subjects with poor childhood SES, an upward trajectory in education was associated with lower risk of hospital admission for all-cause (HR = 0.85; 95%CI 0.76-0.94) and CVD (HR = 0.78; 0.64-0.95), as opposed to subjects remained stably low (low education and adulthood SES). Individuals with high childhood SES, but not educational achievement, were at 26% increased risk of hospitalization for any cause, as compared to the stably high SES group, while failure to achieve both educational and material advancements was associated with 37% higher risk of CVD hospitalization. Conclusions In a large sample of healthy adults, social mobility (educational and/or material upward trajectories) was associated with lower incidence of hospital admissions for all-cause and CVD. Key messages Social mobility may counterbalance the negative health burden associated with low early-life SES. High SES in childhood poorly affects hospitalization risk if no additional achievements across life course occur.
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HÜBELOVÁ, Dana, Alice KOZUMPLÍKOVÁ, Petra KOSOVÁ, and Veronika WALICOVÁ. "Relationship between socio-demographic and economic determinants of cause-specific mortality in the EU countries in the period 2011 – 2014." Geographia Cassoviensis 14, no. 2 (2020). http://dx.doi.org/10.33542/gc2020-2-01.
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The article focuses on determinants of mortality and evaluates selected socio-demographic and economic sets of indicators. Our data matrix includes 112 observations for the EU28 countries in the period 2011 – 2014 (5 indicators of socio-demographic and economic determinants of health and 5 indicators of standardized cause-specific mortal-ity). The data is calculated using canonical correlation analysis, composite indicator and multiple regressions. Computed cause-specific mortality index shows most favourable mortality structures in Finland and France and unfavourable in Hungary. The correla-tions between socio-demographic, economic determinants and cause-specific mortality in the EU countries exist on the following levels. In the countries with very high GDP per capita generally people less often die of circulation disorders (e.g., Finland, France, Ger-many) and with lower GDP per capita it shows higher mortality rates relate to circulation system disorders and diabetes (e.g., Estonia, Lithuania, Hungary). In the countries with lower levels of educational attainment, people generally most often die of circulation dis-orders (e.g., Czech Republic, Slovakia, Italy) and people with higher educational attain-ment more often die of disease of nervous system (e.g., Finland, Belgium, Denmark). The levels of socio-demographic and economic determinants and the mortality structures correlate in the EU countries, but show different quality. The regional disparities in cause-specific mortality still persist between the countries of the northern, the western and the southern Europe. An unfavourable rate mortality was further affirmed in eastern and south-eastern Europe.
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Prescott, E., E. Prisca, N. Mikkelsen, M. C. Iliou, M. Wilhelm, A. Van't Hof, U. Zeymer, et al. "P1557Sustainable effectiveness of cardiac rehabilitation in elderly patients in 7 European countries: main results from the EU-CARE study." European Heart Journal 40, Supplement_1 (October 1, 2019). http://dx.doi.org/10.1093/eurheartj/ehz748.0317.
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Abstract Background The EU-CaRE project aims to obtain the evidence base to improve, tailor and optimise cardiac rehabilitation (CR) programmes regarding sustainable effectiveness, cost-effectiveness and participation level in the elderly. Purpose To compare the effect of CR programmes in 7 European countries on the main outcome. Methods The observational EU-CaRE study is a prospective study with eight participating CR sites in seven countries (Denmark, France, Germany, Italy, the Netherlands, Spain and Switzerland). Consecutive patients age 65 or older with coronary heart disease or valve surgery undergoing CR were included. Data were obtained at baseline (T0), at the end of CR (T1) and at 1 year (T2). VO2peak was assessed by cardiopulmonary exercise test. We compared changes in VO2peak across sites in multilevel regression models for repeated measures, adjusting for age, gender, baseline VO2peak, comorbidities, CVD risk factors and educational attainment. Results are reported separately for patients undergoing surgery (CABG/valve replacement) and other indications (MI/stable CAD/PCI). Results 1633 patients were included, and VO2peak was available at all three timepoints for 1243 patients (76%), 492 undergoing surgery and 751 for other indications. Lag time from index event to first CPET and baseline VO2peak varied significantly across centres. Mean age was 72.9 (range 65–90), mean VO2peak at T0 was 16.49 (SD 4.94), at T1, 18.55 (5.33) and at T2 19.03 (5.43) ml/kg/min. For patients not undergoing surgery mean improvement T0-T1 was 1.57 (2.98) and T0-T2 was 1.40 (3.17) ml/kg/min (both p<0.001). In the surgery patients as expected baseline VO2peak was lower but in contrast to non-surgery continued to improve after CR: T0-T1 improvement was 2.77 (2.76) and T0-T2 improvement was 4.29 (3.83) (both p<0.001). At one-year follow-up surgery and non-surgery patients had similar VO2peak (p=0.59). The greatest mean improvement in a site from baseline to one year was 2.04 (3.74) and the smallest 0.59 (2.54) ml/kg/min for non-surgery and, correspondingly 6.13 (4.83) and 1.29 (2.06) ml/kg/min for surgery patients (both multivariable adjusted p for differences between sites p<0.001). In addition to age and gender, baseline and one-year VO2peak was lower in patients with diabetes, hypertension, smokers, patients with other co-morbidity, lower educational attainment and lower mental component score of the SF36. These factors had no systematic impact on the effect of CR. VO2peak at baseline, after CR and 1 year Conclusions The study provides high-quality data on the effectiveness of current CR programmes in Western Europe. Overall, CR was effective in achieving significant improvements in exercise and maintaining these effects. There were significant differences in effect between sites indicating a potential for improvement by adapting CR programs. Acknowledgement/Funding Horizon 2020