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The Dedalo Project, a Community-based Prevention Program for the Promotion of Healthy Behaviors in Adult Population: Model Description and Target Population Assessment
The Journal of Primary Prevention ( IF 2.2 ) Pub Date : 2022-07-14 , DOI: 10.1007/s10935-022-00693-0
Sara Bortoluzzi 1 , Alessandro Coppo 2 , Daniela Alessi 2 , Stefano Parovina 3 , Sara Napoletano 3 , Irene Ammazzagatti 3 , Chiara Airoldi 3 , Angelica Zibetti 4 , Chiara Aleni 3 , Silvia Caristia 3 , Fabrizio Faggiano 2, 3 ,
Affiliation  

Noncommunicable diseases (NCDs) are the leading global cause of death. The Italian National Prevention Plan (INPP) highlights the importance of health promotion and NCD prevention while avoiding health inequalities. In line with the INPP guidelines, we initiated a multicomponent community-based intervention program, named the Dedalo project, to promote healthy and active aging among population living around the Vercelli’s municipality, Italy. A cross-sectional analysis, that used the baseline data of a longitudinal study of the project, evaluated the program’s ability to enroll participants participants who represent the socioeconomic conditions present in the municipality. To this end, we compared the main social characteristics and behaviors of 40–74-year-old subjects (n = 155), who had attended at least one Dedalo activity, to those of same age individuals (n = 124) randomly extracted from the general population. We found that most participants were women (81.3%) and had a higher SES compared to the general population. Furthermore, they were healthier—OR 0.52, 95% CI 0.31–0.87 for self-reported diseases—and displayed healthier behaviors—OR 0.20, 95% CI 0.08–0.46 for smokers; 0.32 95%, CI 0.16–0.64 for fruit/vegetable consumers; and 0.36 95% CI 0.20–0.64 for sweet beverages consumers. Overall, our initial evaluation indicates that the Dedalo project has so far struggled to enroll individuals with low SES, men with any SES, and subjects displaying unhealthy behaviors, thereby failing to meet the INPP goal of preventing NCDs while avoiding health disparities. Thus, efforts should be made to ensure that this community-based intervention program can effectively reach all the target population, in particular those individuals most exposed to behavioral risk factors.



中文翻译:

Dedalo 项目,一项以社区为基础的预防计划,旨在促进成年人口的健康行为:模型描述和目标人群评估

非传染性疾病 (NCD) 是全球主要的死亡原因。意大利国家预防计划 (INPP) 强调了健康促进和非传染性疾病预防的重要性,同时避免了健康不平等。根据 INPP 指导方针,我们启动了一个名为 Dedalo 项目的基于社区的多组成部分干预计划,以促进居住在意大利 Vercelli 市周围的人口健康和积极地老龄化。使用项目纵向研究的基线数据的横断面分析评估了该计划招募代表该市社会经济条件的参与者的能力。为此,我们比较了至少参加过一次 Dedalo 活动的 40-74 岁受试者 (n = 155) 的主要社会特征和行为,与从一般人群中随机抽取的同龄人 (n = 124)。我们发现大多数参与者是女性 (81.3%),并且与一般人群相比,她们的 SES 更高。此外,他们更健康——对于自我报告的疾病,OR 0.52,95% CI 0.31–0.87——并且表现出更健康的行为——对于吸烟者,OR 0.20,95% CI 0.08–0.46;0.32 95%,CI 0.16–0.64,对于水果/蔬菜消费者;0.36 95% CI 0.20–0.64 对于甜饮料消费者。总体而言,我们的初步评估表明,Dedalo 项目迄今为止一直难以招募 SES 低的个体、任何 SES 的男性以及表现出不健康行为的受试者,因此未能达到 INPP 在避免健康差异的同时预防非传染性疾病的目标。因此,

更新日期:2022-07-15
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