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. 2012 Aug;57(4):719-33.
doi: 10.1007/s00038-012-0341-5. Epub 2012 Feb 14.

The Italian health surveillance (SiVeAS) prioritization approach to reduce chronic disease risk factors

Eduardo J Simoes  1 , Sergio Mariotti, Alessandra Rossi, Alicia Heim, Felipe Lobello, Ali H Mokdad, Emanuele Scafato
Affiliations

The Italian health surveillance (SiVeAS) prioritization approach to reduce chronic disease risk factors

Eduardo J Simoes et al. Int J Public Health. 2012 Aug.

Abstract

Objective: Because public health funds are limited, programs need to be prioritized.

Methods: We used data on 15 risk factors from Italy's public health surveillance to inform prioritization of programs. We ranked risk factors using a score based on the product of six criteria: deaths attributable to risk factors; prevalence of risk factors; risk factor prevalence trend; disparity based on the ratio of risk factor prevalence between low and high education attainment; level of intervention effectiveness; and cost of the intervention.

Results: We identified seven priorities: physical inactivity; cigarette smoking (current smoking); ever told had hypertension; not having blood pressure screening; ever told had high cholesterol; alcohol (heavy drinking); not eating five fruits and vegetables a day; and not having a fecal occult blood test.

Conclusions: This prioritization method should be used as a tool for planning and decision making.

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