School Health Services and Health Education Curricula in Greece: Scoping Review and Policy Plan.

The new generation's health and wellbeing is of paramount importance: it constitutes United Nations' priority, complies with Children's Rights and responds to the Sustainable Development Goals of the United Nations. In this perspective, school health and health education, as facets of the public health domain targeted at young people, deserve further attention after the unprecedented COVID-19 pandemic crisis in order to revise policies. The key objectives of this article are (a) to review the evidence generated over a span of two decades (2003-2023), identifying the main policy gaps by taking Greece as a case study, and (b) to provide a concrete and integrated policy plan. Following the qualitative research paradigm, a scoping review is used to identify policy gaps in school health services (SHS) and school health education curricula (SHEC). Data are extracted from four databases: Scopus, PubMed, Web of Science and Google Scholar, while the findings are categorized into the following themes following specific inclusion and exclusion criteria: school health services, school health education curricula, school nursing, all with reference to Greece. A corpus of 162 out 282 documents in English and Greek initially accumulated, is finally used. The 162 documents consisted of seven doctoral theses, four legislative texts, 27 conference proceedings, 117 publications in journals and seven syllabuses. Out of the 162 documents, only 17 correspond to the set of research questions. The findings suggest that school health services are not school-based but a function of the primary health care system, whereas health education retains a constantly changing position in school curricula, and several deficiencies in schoolteachers' training, coordination and leadership impede the implementation. Regarding the second objective of this article, a set of policy measures is provided in terms of a problem-solving perspective, towards the reform and integration of school health with health education.

Health knowledge and motives on tattooing: A community-based cross-sectional study in Greece.

BACKGROUND: Tattooing is becoming an increasingly common trend mainly but not merely among the youth. However, the choice of ink body art is associated with an increase of dermatological complications. AIM: To assess young persons' health knowledge and motives toward tattooing. METHODS: The main instrument used was an online structured questionnaire with scaling and dichotomous questions, consisting of three components: (a) the participants' sociodemographic profile, (b) health knowledge assessment, (c) motives toward or against tattooing. Simple univariate techniques and multiple logistic regression were used to data analysis. Two logistic models were developed having as dependent variable whether the respondents have or would like to have a tattoo. The independent variables in the models were sociodemographic characteristics of participants and three variables concerning respondents' health knowledge and motives on tattooing. RESULTS: The study sample amounted to 629 young adults living in Athens, the capital city of Greece. The prevailing age group among tattooed persons was 19-25 years old (69.5%), with females being more likely to be tattooed than males. Among tattooed participants, knowledge in specific health complications appeared high, while in other potential complications was particularly low. The main motives identified were ideology/message and aesthetics/fashion (77% in total). Quite interesting, participants with medium and high health knowledge level showed, respectively 50%, and three times higher probability of having tattoos compared to low level. Only 16.2% of the tattooed participants regarded tattoo as dangerous to health (p < 0.0005). CONCLUSIONS: The likelihood of acquiring ink body art is increasing critically among young adults. Even though this tendency is accompanied with adequate levels of knowledge concerning health hazards, systematic health education programs for more informed and safe choices are needed to be implemented, with particular emphasis on young people.

Applying the concept of lifestyle in association with aggression and violence in Greek cohabitating couples.

The current study investigated the role of lifestyle as a significant factor related to the aggression and violence between cohabitating partners. Based on previous research, lifestyle was defined as a special reflection of socialization into society and working life, where different lifestyles should also be able to produce different patterns of socialization into people's roles as partners. It was found that gender and years of cohabitating were significantly related to Emotional aggression and Sexual violence; lifestyle patterns were associated with specific forms of violence. More specifically, the lifestyles of Pleasure & Elegance and the one of Culture-Intellectualism were found to promote Emotional aggression. Also, the lifestyle of Yuppies/Workaholic and that of Physical activities stimulated the appearance of Sexual violence between partners. Moreover, individuals with Tradition-Religiousness lifestyle were more likely to show lower levels of Physical & Sexual violence while the adherents of the Substance abuse lifestyle pattern appeared to have an inclination towards Physical & Sexual Violence. Finally, the occurrence of one form of violent behaviour was likely to be related to the other forms of violent behaviour.

Predicting human cloning acceptability: a national Greek survey on the beliefs of the public.

BACKGROUND: In the era of human genome research, there is a large theoretical debate among scientists and authorities on the ethical dimension based on the moral liberty of the individuals and the scientific and economic dimension based on the freedom and the independence of the scientific and technological activities. Meanwhile, the understanding of beliefs on human cloning (HC) and its acceptability are important for the development of evidence-based policy making. However, previous research in the field of public beliefs towards human genetics is limited. Therefore, in the present study, we investigated the role of public beliefs as predictors of the acceptability of the respondents to use HC. METHODS: Personal interviews were conducted with 1020 men and women of urban areas in Greece. Stratified random sampling was performed to select participants. Several scientists, experts in HC, evaluated the content of the instrument initially developed. The final questionnaire was the result of a pilot study. RESULTS: The acceptability of HC for the cure of incurable diseases and transplantation need is very high (70.7 and 58.6%, respectively). Public's intention to have recourse to HC because of "bringing" back to life a loved person or because of reproductive disorders was reported by 35 and 32.5%, respectively. With respect to the role of beliefs: increasing scores of reasons of social benefits, moral/religious reasons and legislative reasons increased the public's intention to have recourse to HC; inversely, decreasing scores of reasons of human commodification/exploitation increased public's intention to have recourse to HC. Additionally, low rates of church attendance appeared to be correlated with high reported acceptability of HC. CONCLUSION: There is great public concern regarding the application of HC, which probably reflects the existing ambivalence over the relationship between technology and society. Scientists and policymakers should take into account these indicators of public disquiet and should manage the public involvement in policy decisions, from which they have so far been excluded.

Identifying the public's knowledge and intention to use human cloning in Greek urban areas.

PURPOSE: The understanding of the public's knowledge on human cloning (HC) and its acceptability are considered important for the development of evidence-based policy making. The aim of this research study was to investigate the demographic and socioeconomic variables that affect the public's knowledge and intention to use HC in urban areas of Greece. Additionally, the possible association of religiousness with the knowledge and the intention to use HC were also investigated. METHODS: Individual interviews were conducted with 1020 men and women of urban areas in Greece. Stratified random sampling was performed to select the respondents. Several scientists, experts in HC, evaluated the content of the instrument initially developed. The final questionnaire was consequently the result of a pilot study. RESULTS: Almost half of the respondents (51.5%) believed that "HC is a sort of in vitro fertilization" and 42.9% that "it has already been applied to human being." They were not aware that "the cloned fetus grows in the woman's uterus" (41.5%) and that "HC could regenerate human organs" (41.7%). The acceptability of human cloning for the cure of terminal diseases and transplantation need is very high (70.7% and 58.6%, respectively). The public's intention to have recourse to cloning on the grounds of "bringing" back to life a loved person or because of reproductive disorders was reported as desire by 35% and 32.5%, respectively. The occupational category (scientists, self-employed, and artists), the Intention to use HC, and the number of children are highly significant predictors of valid knowledge about HC. Low rates of church attendance appeared to relate with high reported Intention to use HC, and increasing scores of valid knowledge about HC increased the public's Intention to use HC. CONCLUSIONS: A number of specific demographic and socioeconomic characteristics and high scores of knowledge provide a persuasive justification in demonstrating intention toward HC. The current study suggests that these findings should receive further attention by policymakers and scientists within the Greek context.