title: The need to improve implementation and use of lifestyle surveillance systems for planning prevention activities: an analysis of the Italian Regions.
abstract: OBJECTIVE
  To describe the level of use of lifestyle surveillance systems in Italy and to identify predictors of their use by the Italian Regions for planning and monitoring purposes.
  
  
  METHODS
  Data were extracted from the 19 Regional Prevention Plans (RPPs) and the health promotion and prevention projects included in them developed by the Italian Regions within the National Prevention Plan 2010-2013.
  
  
  METHODS
  The 19 RPPs and the 702 projects were appraised using a tool specifically developed for the purpose. Multiple logistic regression was performed to identify predictors of use of surveillance systems in the 359 projects that could use them.
  
  
  RESULTS
  The analysis of regional epidemiological contexts does not always rely upon surveillance system data and there were too few projects aimed at the maintenance and the development of these systems. Moreover, fewer than half of projects that could have used surveillance systems for planning and evaluation procedures actually did so, despite the potential value of these data. There was a statistically significant association between Regional Health Care Expenditure (RHCE) and the use of surveillance system data for planning and/or evaluation of the projects (OR 7.81, 95% CI 2.86-21.29).
  
  
  CONCLUSIONS
  Use of surveillance systems for regional prevention planning in Italy is not optimal due to late implementation, presence of different data collecting systems and RGDP inequalities. There is a pressing need for full implementation of surveillance systems to allow better definition of the priorities and objectives of public health interventions.
authors.affiliation: Department of Public Health and Infectious Diseases, Sapienza University of Rome, Piazzale Aldo Moro, 5 00185 Rome, Italy.
authors.forename: B
authors.initials: B
authors.lastname: Unim
authors.affiliation: Department of Public Health and Infectious Diseases, Sapienza University of Rome, Piazzale Aldo Moro, 5 00185 Rome, Italy.
authors.forename: C
authors.initials: C
authors.lastname: De Vito
authors.affiliation: Department of Public Health and Infectious Diseases, Sapienza University of Rome, Piazzale Aldo Moro, 5 00185 Rome, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Massimi
authors.affiliation: Department of Public Health and Infectious Diseases, Sapienza University of Rome, Piazzale Aldo Moro, 5 00185 Rome, Italy.
authors.forename: E
authors.initials: E
authors.lastname: D'Andrea
authors.affiliation: Department of Public Health and Infectious Diseases, Sapienza University of Rome, Piazzale Aldo Moro, 5 00185 Rome, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Rosso
authors.affiliation: Department of Public Health and Infectious Diseases, Sapienza University of Rome, Piazzale Aldo Moro, 5 00185 Rome, Italy. Electronic address: paolo.villari@uniroma1.it.
authors.forename: P
authors.initials: P
authors.lastname: Villari
authors.affiliation: Department of Public Health and Infectious Diseases, Sapienza University of Rome, Piazzale Aldo Moro, 5 00185 Rome, Italy.
authors.forename: C
authors.initials: C
authors.lastname: Marzuillo
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008019:Life Style; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D011159:Population Surveillance; D011314:Preventive Health Services / Q000458:organization & administration*; D055815:Young Adult
keywords: Italy; National prevention plan; Prevention; Recovery plan; Surveillance systems