South Eastern European Journal of Public Health (SEEJPH) <p>The South Eastern European Journal of Public Health (SEEJPH) is an open-access international peer-reviewed journal involving all areas of health sciences and public health. Devoted to the global health SEEJPH welcomes submissions of scientists, researchers, and practitioners from all over the world, but particularly pertinent to southern and eastern countries in transition.</p> en-US (Prof. Genc Burazeri PhD) (OJS-Team of Bielefeld University Library) Wed, 17 Mar 2021 00:00:00 +0000 OJS 60 Easter Eggs & ‘Easter Eggs’: Alcohol Branded Chocolate Eggs & Intoxigenic Environments in Ireland <p>Alcohol branded Easter Eggs were observed in a mainstream Irish supermarket. The Public Health (Alcohol) Act, 2018 fails to deal with such child-friendly marketing. An amendment to the current legislation to counter this deficit is urgently required. The absence of such legislation is particularly notable given the longstanding inclusion of clauses to this effect in tobacco control legislation in Ireland.</p> <p><strong>Conflict of interests: </strong>None declared.</p> <p>&nbsp;</p> Frank Houghton Copyright (c) 2021 Frank Houghton Wed, 05 May 2021 00:00:00 +0000 Scenario planning: An alternative approach to European Commission for combating antimicrobial resistance by 2050 <p><strong>Aim</strong>: Antimicrobial resistance (AMR) is one of the major health challenges of the future, but the concrete impact of counteracting measures is still unclear. To study possible outcomes within the European Union, a scenario analysis for the year 2050 was performed on the possible influence of the European Commission (EC).</p> <p><br><strong>Methods</strong>: Scenario planning and development of strategies based on different scenarios.</p> <p><br><strong>Results</strong>: Rational use of antimicrobials in animals and humans, surveillance and monitoring, new antimicrobial therapies, travel and globalization, exposure to the environment, and awareness were recognized as the main driving elements. Four Scenarios were developed: An efficient and impli-cated EC sorts out AMR; An implicated but unsuccessful EC withstands AMR; AMR is managed regardless of the EC disinterest; and A neutral and inefficient EC fails to manage AMR.</p> <p><br><strong>Conclusion</strong>: All the strategies developed on the basis of the four scenarios probe for an increase in European Union's dedication to achieve positive outcomes. These include the development of effective legislation and international coordination.</p> <p><br><strong>Acknowledgment</strong>: Peter Schröder-Bäck, Helmut Brand and Kiranjeet Kaur’s contribution is co-funded through a grant of the European Commission within the Erasmus+ programme (Project: Prevent it. Project reference: 598515-EPP-1-2018-1-IN-EPPKA2-CBHE-JP).</p> <p><br><strong>Conflict of interests:</strong> None declared.</p> Laura Patricia Orellana García, Kiranjeet Kaur, Helmut Brand, Peter Schröder-Bäck Copyright (c) 2021 Laura Patricia Orellana García, Kiranjeet Kaur, Helmut Brand, Peter Schröder-Bäck Tue, 06 Apr 2021 00:00:00 +0000 Assessment of the prevalence and risk factors of low back pain in operating room health workers: An observational study in Italy <p><strong>Aim</strong>: The aim of this study was to assess the prevalence of low back pain (LBP) among health<br>professionals and the possible risk factors.</p> <p><br><strong>Methods</strong>: The study was carried out from April 2018 to October 2018 among all health workers of the <br>Orthopaedic Clinic and the Emergency Department of “Policlinico Umberto I” in Rome. LBP was <br>assessed using the Nordic Questionnaire Musculoskeletal Disorders in the section on lumbar pain. <br>The type of physical activity carried out as prevention was investigated by use of the <br>International Physical Activity Questionnaires. The overall state of health and lifestyle was <br>deter- mined by the Short Form 12-item Health Survey. Job satisfaction and perceived work stress <br>were assessed through the 15-questions of Karasek’s Questionnaire. The intensity of the low back <br>pain was assessed using a Numerical Rating Scale. A univariate analysis was conducted to assess the <br>associations between socio-demographic and working variables. Multiple logistic regression mod- els <br>were used to assess independent correlates of LBP.</p> <p><br><strong>Results</strong>: One hundred thirteen subjects were enrolled, 52 women and 61 men. The annual period- <br>prevalence of lumbar musculoskeletal disorder was found on 79.6% of participants with LBP. <br>Mean value evidence of NRS was 2.66. The highest LBP risk over the 12 months was found in groups <br>with high job demand (OR = 1.18; 95%CI: 1.01 – 1.38), low decision-making opportunities (for <br>decision latitude OR = 0.87; (0-76 – 1.0), and low levels of physical activity (OR = 0.75; 95%CI: <br>0.64 – 0.89).</p> <p><br><strong>Conclusion</strong>: The working environment is a potential risk factor for the development of LBP and is <br>suitable for prevention programmes. The protective effect of physical activity and work-related <br>stress management indicate room for improvements for the prevention of LBP in these HCWs.</p> <p><br><strong>Conflicts of interest</strong>: None declared.</p> Stefano Brauneis, Enza Sorrentino, Vincenza Di Lisa, Gabriella Galluccio, Barbara Piras, Francesca Carella, Edoardo Palozzi, Carmela Generali, Simona Maggiacomo, Silvia D’Aurelio, Insa Backhaus, Filippo La Torre, Ciro Villani, Giuseppe La Torre Copyright (c) 2021 Stefano Brauneis, Enza Sorrentino, Vincenza Di Lisa, Gabriella Galluccio, Barbara Piras, Francesca Carella, Edoardo Palozzi, Carmela Generali, Simona Maggiacomo, Silvia D’Aurelio, Insa Backhaus, Filippo La Torre, Ciro Villani, Giuseppe La Torre Wed, 17 Mar 2021 00:00:00 +0000 Preventive check-up programme for strengthening people-centred primary health care services in Albania: Case study and lessons learnt <p>Non-communicable Diseases (NCDs) in Albania are increasing, yet the country has a low number of outpatient visits per inhabitant per year. A primary health care (PHC) based programme of medical check-ups, with a focus on prevention, was set up in the country in 2015 aiming to address this issue, among others. This manuscript describes the development and status of the programme at key time points after its implementation, and considers some of its outcomes.<br>The current analysis was based on data gathered from the check-up programme information system and the registry of diseases at PHC centres, and guided by the European Framework for Action on Integrated Health Services Delivery.<br>Based on PHC registered cases, a 13% and 34% increase in the prevalence of elevated blood pres-sure and diabetes were observed in 2015 respectively, following the introduction of the check-up programme compared to the previous year. Three years after implementation, about 60% of the population aged 35–70 years old had used the programme at least once, with 61% of the total 954 667 visits provided to women.<br>Overall, the check-up programme in Albania has identified a substantial number of new cases of NCD as well as their associated risk factors in its population. The early detection of NCDs is expected to contribute to the prevention of complications, premature mortality and their associated costs. Albanian politicians and decision-makers should regularly revise and introduce appropriate changes to the check-up programme in the future. In particular, the issue of sustainability and long-term resource mobilization is of particular concern and warrants careful consideration.</p> <p>&nbsp;</p> <p><br><strong>Conflict of interests:</strong> None declared.</p> Alban Ylli, Arnoldas Jurgutis, Genc Burazeri, Gazmend Bejtja, Nazira Artykova, Tetine Sentell Copyright (c) 2021 Alban Ylli, Arnoldas Jurgutis, Genc Burazeri, Gazmend Bejtja, Nazira Artykova, Tetine Sentell Sat, 17 Apr 2021 00:00:00 +0000 Chocolate intake is associated with a lower body mass index in adult men and women in transitional Albania <p><strong>Aim: </strong>In light of the controversial evidence regarding health effects of chocolate intake, we aimed to assess its association with body mass index (BMI) among adult individuals in Albania, a transitional post-communist country in South Eastern Europe which has traditionally employed a Mediterranean dietary pattern.&nbsp;&nbsp;</p> <p>&nbsp;</p> <p><strong>Methods:</strong> A cross-sectional study was conducted in 2003-2006 involving a population-based sample of 737 Tirana residents aged 35-74 years (469 men, 268 women; overall response: 70%). Of these, 565 individuals (373 men and 192 women) provided data on chocolate intake and anthropometrics (77% of the sample). A 105-item food frequency questionnaire, including chocolate consumption, was administered to all individuals. Nine categories were used to assess the average frequency of intake of each food item in the past 12 months. In the analysis, chocolate intake was dichotomized into: consumption of &lt;1/month vs. ≥1/month. A physical examination included measurement of weight and height. Furthermore, information on socio-demographic characteristics and classical risk factors was collected. Multivariable-adjusted general linear model was used to calculate the mean BMI values by chocolate intake groupings.</p> <p>&nbsp;</p> <p><strong>Results:</strong> Upon simultaneous adjustment for socio-demographic characteristics, classical risk factors and nutritional factors, there was an inverse association between BMI and chocolate intake in both sexes (sex-pooled mean BMI: 26.1 among participants who consumed chocolate &lt;1/month vs. 27.0 in those with an intake of ≥1/month; P&lt;0.001).</p> <p>&nbsp;</p> <p><strong>Conclusions:</strong> This study points to a beneficial effect of moderate chocolate intake on lowering BMI, which deserves further vigorous investigation and replication in prospective studies in Albania and other populations.</p> Iris Mone, Bledar Kraja, Jolanda Hyska, Genc Burazeri Copyright (c) 2021 Iris Mone, Bledar Kraja, Jolanda Hyska, Genc Burazeri Wed, 07 Apr 2021 00:00:00 +0000