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Objectives: The objective of this study was to measure the burden of burnout in a sample of healthcare workers (HCWs) consisting of general practitioners, professors from the Faculty of Medicine and Surgery, nurses, medical students and nursing students., Study Design: Cross-sectional questionnaire survey., Methods: A descriptive analysis was carried out, using averages, medians, standard deviations (SD) and ranges for quantitative variables. Univariate, bivariate and multivariate analyses were also performed., Results: In total, 535 HCWs completed the survey. Multivariate analysis shows that increasing age (β = -0.183; P = 0.047), being a university professor (β = -0.118; P = 0.001), having a high physical score (β = -0.370; P < 0.001) and a high mental score (β = -0.574; P < 0.001) resulted in less personal burnout. Low work burnout was associated with being a student (β = -0.144; P < 0.001), a university professor (β = -0.146; P < 0.001), having a high physical score (β = -0.366; P < 0.001) and having a high mental score (β = -0.648; P < 0.001). Being female (β = -0.122; P < 0.001), a university professor (β = -0.333; P = 0.001), a student (β = -0.433; P < 0.001), having a high physical score (β = -0.26; P < 0.01) and having a high mental score (β = -0.460; P < 0.001) were predictors for reduced client burnout. However, high client burnout was seen in individuals who had a commuting time >30 min (β = 0.084; P = 0.012) predicts., Conclusions: This study shows that burnout is an important issue among HCWs and that prevention strategies must be considered, with a particular focus on physical and mental health., (Copyright © 2021 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.)

Objectives: Technostress is an emergent phenomenon related to the pervasive use of technology and is associated with the increased computerisation and digitalisation seen over recent decades. This cross-sectional observational study aims to investigate the impact that stress from the use of technologies (i.e. technostress) has on the productivity and life of an individual., Study Design: Cross-sectional study., Methods: Data were collected using a previously proposed and validated questionnaire. The questionnaire was translated into Italian and transformed into an online format with a Google Docs form. The questionnaire was then associated with a link and QR code (also available in paper format) and disseminated manually and through the use of e-mail and social networks, such as Facebook and Twitter., Results: The study sample included 313 individuals, 54.6% of whom were women. The mean age of the sample participants was 34.7 years. The dependent variables were technstressors (i.e. techno-overload, techno-invasion, techno-complexity, techno-insecurity and techno-uncertainty), role stressors (i.e. role overload and role conflict) and productivity. In the multivariate analysis, techno-overload was significantly associated with female gender (β = 0.128; P = 0.018) and unemployment (β = -0.303; P < 0.001); techno-invasion was significantly associated with female gender (β = 0.098; P = 0.081) and degree-level education (β = 0.149; P = 0.008); techno-complexity was significantly associated with female gender (β = 0.107; P = 0.057) and being married (β = 0.113; P = 0.046); techno-uncertainty was significantly associated with unemployment (β = 0.337; P < 0.001); role overload was significantly associated with female gender (β = 0.160; P = 0.014) and productivity was significantly associated with degree-level education (β = 0.125; P = 0.057)., Conclusions: This observational study evaluated the phenomenon of both work-related and non-work-related technostress of 313 individuals aged between 16 and 65 years. The present study investigated the impact of five techno-stressors, two role stressors and productivity. The results indicate that different techno-stressors are significantly associated with female gender, degree-level education and unemployment. Further research in this field is required to better understand and clarify the epidemiology, clinical presentation and determinants of technostress., (Copyright © 2020 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.)

Objectives: Tobacco packaging represents an important form of promotion of tobacco products and for this reason plain packaging (PP) can be considered an additional tobacco control measure. In Italy the current tobacco packaging is branded with textual warnings. The study investigated the perception of PP with textual warnings (PPTWs) and pictorial warnings (PPPWs) in Italy., Study Design: Cross-sectional., Methods: The study was conducted on adults who were current, never and former smokers. The participants watched out three types of packages (current packaging, PPTWs and PPPWs) and eight pictorial warnings, and indicated which they considered the most effective ones to motivate smoking cessation or reduction and to prevent the onset., Results: 1065 subjects were recruited. The PPPWs were considered the most effective in motivating to quit, reduce and prevent the smoking habits (ranged 83.4%-96.1%) in all tobacco users and age groups (≤40/>40 years) (P < 0.005). In general PP does not seem to be very effective in quitting for three-quarters of the smokers and 60% declared that they would have still started smoking with PP. The younger group believed less than the older one that PP gives a motivation to quit (29.4% vs 39.1%, P = 0.002). The pictures perceived as most effective in communicating the smoking effects were lung cancer and gangrene (about one-third of the sample)., Conclusions: The textual warnings on tobacco products are a measure of control now outdated. Countries still using them should consider the idea of replace them with pictorial warnings that seem to be more effective. It is also desirable in the near future that these countries introduce the PPPWs., (Copyright © 2015 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.)