An interdisciplinary intervention for health prevention and promotion in a Roman neighborhood

Abstract   Influencing behavioral patterns through primary prevention, possibly addressing more risk factors at a time, is the most effective means to tackle cardiovascular diseases. Many interdisciplinary prevention activities have been coordinated by community nurses outside of specialist centers, resulting in a more effective control of risk factors. Our study aims at describing the impact of an 18-month prevention and promotion, interdisciplinary intervention on lifestyle habits and cardiovascular risk. From December 2018 to May 2020, patients were recruited by 4 General Practitioners (GPs) in the Roman neighborhood of Torresina and received nutritional, physical and psychological counselling to learn healthy lifestyles. Until May 2020 patients had to self-manage their new healthy habits, but during this phase the SARS-CoV-2 pandemic broke out. Patients were assessed at baseline, 6, 12 and 18 months by a nutritionist, a physiotherapist, a psychologist, the 4 GPs and community nurses, and the cardiovascular risk score (CRS) was estimated at every examination. 76 patients were included, with a mean age of 54,6 years. Mean CRS showed a significant reduction between baseline and 12 months (from 4.9 to 3.8, p < 0.001), but this trend was not maintained at 18 months. As for variables included in the calculation of the cardiovascular risk score, both total cholesterol and systolic blood pressure significantly decreased at 6 months of follow up (respectively, from 211.1 to 192 (p < 0.001) and from 133.1 to 123.1(p < 0.001)). Nontheless, the reduction was maintained in the remaining points in time only for systolic blood pressure. Our interdisciplinary educational intervention in a primary care setting resulted in a CRS improvement at 12 months, but this changes where not maintained at 18 months. Community nurses were facilitators in improving health outcomes and patient's satisfaction in the described primary care setting. Key messages Our interdisciplinary educational intervention in a primary care setting resulted in a CRS improvement at 12 months, but this changes where not maintained at 18 months. Community nurses are facilitators in improving health outcomes and patient’s satisfaction in the described primary care setting.


Background:
Domestic violence continues to be a major public health issue that affects millions of individuals worldwide. According to the 2015-2016 India National Family Health Survey, 33% of married women had been victims of spousal physical, sexual, or emotional violence. It was also revealed that spousal abuse differs depending on the level of the husband's alcohol consumption. In this case, determining the link between this consumption and domestic violence is critical.

Methods:
The effects of husbands' alcohol use on the occurrence of domestic violence and associated risk factors were investigated using data from the 2015-2016 India Individual Record Database (DHS) A binomial logistic regression model was used for the analysis. Results: 62554 married women aged 15 to 49 were chosen for this study, of which 31.2% have experienced some form of marital violence. Women with husbands who drink alcohol account for 31% of the sample, with 49.5% of those committing domestic violence against their wives. In a multivariate analysis, women whose spouses drink have a 3.11 times higher chance (p < 0.01; adjOR = 3.11, 95%CI 3-3.23) of experiencing domestic violence than women whose husbands don't drink.

Conclusions:
The effect of the husband's alcohol use on the occurrence of domestic violence can be used to guide evidence-based targeted intervention.

Key messages:
Domestic violence is a public health issue with potential for targeted intervention. Targeted interventions in husbands' alcohol consumption of women who suffer domestic violence might guide useful interventions to address this problem.
Abstract citation ID: ckac130.139 An interdisciplinary intervention for health prevention and promotion in a Roman neighborhood Influencing behavioral patterns through primary prevention, possibly addressing more risk factors at a time, is the most effective means to tackle cardiovascular diseases. Many interdisciplinary prevention activities have been coordinated by community nurses outside of specialist centers, resulting in a more effective control of risk factors. Our study aims at describing the impact of an 18-month prevention and promotion, interdisciplinary intervention on lifestyle habits and cardiovascular risk. From December 2018 to May 2020, patients were recruited by 4 General Practitioners (GPs) in the Roman neighborhood of Torresina and received nutritional, physical and psychological counselling to learn healthy lifestyles. Until May 2020 patients had to self-manage their new healthy habits, but during this phase the SARS-CoV-2 pandemic broke out. Patients were assessed at baseline, 6, 12 and 18 months by a nutritionist, a physiotherapist, a psychologist, the 4 GPs and community nurses, and the cardiovascular risk score (CRS) was estimated at every examination. 76 patients were included, with a mean age of 54,6 years. Mean CRS showed a significant reduction between baseline and 12 months (from 4.9 to 3.8, p < 0.001), but this trend was not maintained at 18 months. As for variables included in the calculation of the cardiovascular risk score, both total cholesterol and systolic blood pressure significantly decreased at 6 months of follow up (respectively, from 211.1 to 192 (p < 0.001) and from 133.1 to 123.1(p < 0.001)). Nontheless, the reduction was maintained in the remaining points in time only for systolic blood pressure. Our interdisciplinary educational intervention in a primary care setting resulted in a CRS improvement at 12 months, but this changes where not maintained at 18 months. Community nurses were facilitators in improving health outcomes and patient's satisfaction in the described primary care setting. Key messages: Our interdisciplinary educational intervention in a primary care setting resulted in a CRS improvement at 12 months, but this changes where not maintained at 18 months. Community nurses are facilitators in improving health outcomes and patient's satisfaction in the described primary care setting.
iii368 European Journal of Public Health, Volume 32 Supplement 3, 2022