The developmental process of suicidal ideation among adolescents: social and psychological impact from a nation-wide survey.

Suicidal ideation is a multifactorial phenomenon that is increasingly prevalent among adolescents, especially following the impact of Covid 19 pandemic on their mental health. Its analysis necessitates an interdisciplinary approach that simultaneously considers sociological and psychological perspectives, especially looking at the role of interpersonal relationships and structural inequalities. The present study, based on a face-to-face survey conducted with a representative sample of 4288 adolescents, aims to identify the factors that most differentiate individuals with and without suicidal ideation, proposing a descriptive model of development process of this phenomenon with reference to the Italian context. We analysed variables related to socio-demographic status, relational status, social interactions, and psychological well-being using multiple correspondence analysis and logistic regression models. The results provide evidence for the existence of a direct association between negative psychological status and suicidal ideation but clarify that the psychological aspects are associated with sociodemographic characteristics and have their origins in the social sphere.

Role of Inflammatory Biomarkers (NLR, LMR, PLR) in the Prognostication of Malignancy in Indeterminate Thyroid Nodules.

Indeterminate follicular thyroid lesions (Thyr 3A and 3B) account for 10% to 30% of all cytopathologic diagnoses, and their unpredictable behavior represents a hard clinical challenge. The possibility to preoperatively predict malignancy is largely advocated to establish a tailored surgery, preventing diagnostic thyroidectomy. We analyzed the role of the neutrophil-to-lymphocyte ratio (NLR), the platelet-to-lymphocyte ratio (PLR) and the lymphocyte-to-monocyte ratio (LMR) as prognostic factors of malignancy for indeterminate thyroid nodules. In patients affected by cytological Thyr 3A/3B nodules, NLR, PLR and LMR were retrospectively compared and correlated with definitive pathology malignancy, utilizing student's t-test, ROC analysis and logistic regression. One-hundred and thirty-eight patients presented a Thyr 3A and 215 patients presented a Thyr 3B. After the logistic regression, in Thyr 3A, none of the variables were able to predict malignancy. In Thyr 3B, NLR prognosticated thyroid cancer with an AUC value of 0.685 (p < 0.0001) and a cut-off of 2.202. The NLR results were also similar when considering the overall cohort. The use of cytological risk stratification in addressing the management of indeterminate thyroid nodules in patients is not always reliable. NLR is an easy and reproducible inflammatory biomarker capable of improving the accuracy of preoperative prognostication of malignancy.

Are We Still a Sexist Society? Primary Socialisation and Adherence to Gender Roles in Childhood.

BACKGROUND: The internalisation of gender stereotypes has long-term impacts on the aspirations, opportunities and psychosocial well-being of people. The main objective of this study is to measure the adherence to gender roles among children, analysing the link between their roles' internalisation, the family context and the socioeconomic environment. METHOD: During the Spring 2021, a survey was carried in Rome on children aged 8-11 through a structured questionnaire. The explanatory dimensions of the analysed topics were identified and a survey questionnaire with an ad hoc administration method were developed. RESULTS: The results show a widespread internalisation of traditional gender roles among the respondents and differences by sex were found, since their acceptance is higher among boys for male roles and among girls for female roles. As the age increases, the adherence to male roles decreases for both boys and girls, while high levels of prosociality resulted in a lower adherence to female roles among boys. No significant relations were found with family and environmental variables. CONCLUSIONS: These findings show how the internalisation of gender stereotypes is already traceable at this age, and due to a different path of primary socialisation, boys and girls develop their gender identity consistent with social expectations. The lack of significant relations with environmental variables could be related to the age of the respondents, as the process of primary socialisation imbued with gender stereotypes still does not overlap secondary socialisation. These trends should be monitored during late childhood since at this age children are cognitively plastic, but also vulnerable and influenceable by surrounding stimuli. This research approach, especially if extended to a wider geographical scale, can provide important knowledge to support the relational well-being of children and equal opportunities of society as a whole.

The Impact of Socialisation on Children's Prosocial Behaviour. A Study on Primary School Students.

BACKGROUND: Studying prosociality in children is a complex but relevant issue related to the qualitative development of human interactions. The main objective of the present study is to identify the psychosocial factors that most promote or inhibit the adoption of prosocial behaviours among children. METHOD: In Spring 2021, a survey was conducted amongst primary school children through a structured paper questionnaire. The data analysis has been carried out through bivariate and multivariate statistical techniques. Path analysis has been used. RESULTS: The results highlight the role played by the parental education level, the perception of positive and negative emotions, the adherence to gender roles and the involvement in cyberbullying actions in predicting prosocial tendencies among children. On the other hand, adopting prosocial behaviours affects the screen-time as well as the devices' interference in face-to-face interactions and the attitude towards school. CONCLUSIONS: The results are relevant and useful for the study of trends in prosocial behaviours among children. Family education level, individual status, peer interactions and social conditionings are variables that highly influence this multidimensional phenomenon. Further research is needed, including the definition of new measures and indicators concerning the context where children live and interact with others, with the aim of designing interventions aimed at facilitating relational well-being of children.

Epidemiological Surveillance of Eye Disease and People Awareness in the Abruzzo Region, Italy.

Background and Objectives: Vision impairments and related blindness are major public health problems. The prevalence of eye disease and barriers to optimal care markedly vary among different geographic areas. In the Abruzzo region (central Italy), an epidemiological surveillance on the state of ocular health in the population aged over 50 years was performed in 2019. Materials and Methods: Participants were sampled to be representative of the region's inhabitants. Data were collected through a telephone interview and an eye examination. Prevalence of cataract, glaucoma, retinopathy, and maculopathy was assessed. The Cohen's kappa (k) was used to measure the agreement between the presence of eye disease and awareness of the disease by the participants. Results: Overall, 983 people with a mean age of 66.0 ± 9.5 years were included in the study. The prevalence of cataracts, glaucoma, maculopathy, and retinopathy was 52.6%, 5.3%, 5.6%, and 29.1%, respectively. Among the total of the affected people, those aware of their condition were 21.8% (k = 0.12, slight agreement) for cataract, 65.4% (k = 0.78, substantial agreement) for glaucoma, 7.1% (k = 0.10, slight agreement) for maculopathy, and 0% for retinopathy (k = -0.004, agreement lower than that expected by chance). Refractive defects were corrected in the vast majority of participants. Conclusion: In the Abruzzo region, about two thirds of citizens aged 50 years or over suffer from cataract, glaucoma, retinopathy, or maculopathy, which are recognized as leading causes of blindness. Many people with eye disease do not know they have it. These data can be used by clinicians and policymakers to undertake clinical, political, and social actions.

Effectiveness on major cardiovascular risk factors of an educational program to promote a Mediterranean type of diet among the employees of the company FCA Italia S.p.A.

AIMS: The educational program implemented at the Pratola Serra (Avellino, Italy) facility of the company FCA (Fiat Chrysler Automobiles), had as its goal to raise awareness among people to adopt behaviors inspired by the principles of a Mediterranean diet, physical activity and prevention of the main cardiovascular risk factors. METHODS: The educational program was implemented in two different ways in order to compare, according to an intervention-control scheme, the performance of the subgroups and the effect of the types of intervention. On both groups measurements of the vital parameters were carried out and compared by means of statistical probabilistic tests. RESULTS: The educational intervention was shown to be effective in: encouraging healthy food choices both in the workplace and at home (with a statistically significant reduction in caloric intake, animal protein, saturated fatty acids, cholesterol and glycemic load and an increase in vegetable proteins), significantly increasing physical activity and reducing body weight, body mass index, waist circumference, total cholesterol, LDL cholesterol and blood glucose in the participants. CONCLUSIONS: The educational campaign proved effective in increasing the well-being of the participants, confirming the effectiveness of a multifactorial intervention based on the promotion of a dietary model rather than individual foods.

Bullying and Cyberbullying among Italian Adolescents: The Influence of Psychosocial Factors on Violent Behaviours.

BACKGROUND: The study of adolescents' behaviours and attitudes is crucial to define interventions for the containment of deviance and social discomfort. New ways of social interaction are crystallising violent behaviours which are moving more than ever on a virtual sphere. Bullying and cyberbullying share a common behavioural matrix that has been outlined through specific environmental and individual characteristics. METHODS: A survey carried out in Italy in 2019 on a statistical sample of 3273 students highlighted the influence of several social and individual variables on deviant phenomena. Risk and protective factors in relation to the probability of involvement in bullying and cyberbullying have been shown through a bivariate analysis and a binary logistic regression model. RESULTS: The study shows that presence of stereotypes and social prejudices, tolerance to violence and high levels of self-esteem have resulted as the main risk factors. On the other hand, low levels of tolerance related to the consumption of alcohol and drugs, high levels of trust towards family and friends and being female have been identified as protective factors. CONCLUSIONS: This research confirms the validity of several theories on bullying and cyberbullying phenomena. Furthermore, it identifies specific risk and protective factors and their influence on deviant behaviours, with a focus on environmental characteristics which appear as the key field of work to enhance adolescents' well-being.