12th European Public Health Conference 2019–01: Poster Displays 647

 Preferential choice of antidepressant by general practitioner remains low. Our study aims to characterize the selection of
or women treat with co-prescription (tamoxifen and the indigent by considering geographical determinants in order
antidepressant). to better understand the weakness of access to care.
Methods:
Knowledge, Attitudes and Beliefs towards Electronic We have mapped the selection of the indigent based on the
Cigarettes among University Students in Austria geolocation data collected with a GIS. We carried out spatial
Priyamvada Paudyal analyses to measure access to localities, health center and the
main access roads. We have also integrated population data
P Paudyal1, M Movia1
1 and geo-environmental characteristics. All these data were
Brighton and Sussex Medical School, Brighton, UK
Contact: [email protected] aggregated in 500 m cells to provide all variables on a single
Background: scale. A total of 9 variables were generated to characterize the
The popularity of e-cigarette is increasing recently, both as an spatial targeting’s worst-of. We combined two cluster analyses,

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alternative nicotine delivery tool or smoking cessation aid. i.e., k-means, and hierarchical clustering.
Austria is a country with a high smoking prevalence; 28% of Results:
the population are current smoker and 21% have tried e- We obtain a characterization of the selection into four classes.
cigarettes at least once. In this current context, it is important These classes highlight that the community-based selection of
to understand the opinion regarding e-cigarettes. the worst-off is unequal in terms of distances to localities,
Methods: health centres, and isolation. The results refine our knowledge
This cross-sectional survey examined the use, knowledge, of geographical accessibility to health centres by illustrating
attitudes and beliefs towards e-cigarettes among undergraduate that distances to the health care centre are not the only
students from Carinthia University of Applied Sciences in geographical determinants to be considered.
Austria. The anonymous questionnaire was handed out in 29 Conclusions:
classrooms during compulsory lecturers, and completed This study is a contribution to the analysis of the characteriza-
questionnaire was returned to a provided box in the front of tion of the targeting of the worst-off. The results suggest that it
the classroom. Descriptive summary statistics was used to is important to strengthen support for the most isolated worst-
summarize the results using SPSS 24. Statistical significance off for an access care. More broadly, this study shows that it is
was considered at p < 0.05. necessary to integrate the geographical dimension into the
Results: definition of targeting the worst-off.
A total of 528 students were approached and all returned the Key messages:
questionnaire giving a 100% completion rate. 83.7% were  It is necessary to integrate the geographical dimension into the
female and half (50.2%) were in the age group 20 and 24. definition of targeting the worst-off.
96.6% of students reported being aware of e-cigarettes and  It is important to strengthen support for the most isolated
32.4% mentioned trying e-cigarettes at least once. 71.2% worst-off for an access care.
reported of ever smoking tobacco. 53.8% disagreed that e-
cigarettes are an effective way for smoking cessation and only Recognition and Participation of Colorectal Cancer
10.3% agreed recommending it to a friend or family for Screening in Turkey: Meta-analysis of Literature
smoking cessation. 78.1% believed that e-cigarettes are Sevil Aydoğan
harmful to the health of those who use them and 58.2%
S Aydoğan1, S Metintaş1, MF Önsüz1
disagreed that the use of e-cigarettes should be prohibited on 1
Department of Public Health, Eskişehir Osmangazi University Medicine
University Campus premises. Faculty, Eskişehir, Turkey
Conclusions: Contact: [email protected]
To our knowledge, this study is the first of its kind performed Background:
in Austria. Our study shows that self-reported ever use of e- The aim of the study was to perform a systematic review and
cigarettes is 1.5 times higher among this population than meta-analysis of studies about the proportion of recognition of
among the general population in Austria. Majority of fecal occult blood test (FOBT) and colonoscopy (CS) methods
participants disagreed that e-cigarettes are an effective way and participation to them in any period of life for colorectal
for smoking cessation. There seems a gap in knowledge cancer (CRC) screening in Turkey.
regarding the e-cigarette which needs to be addressed among Methods:
the university students. PubMed, Web of Science, Google Scholar, Turkey Citation
Key messages: Index and YOK Thesis Center databases were screened both in
 In Austria, e-cigarettes use is 1.5 times higher among Turkish and English language to identify relevant studies and
university students compared to the general population. key words ’colorectal cancer’, ’colon cancer’, ’cancer screen-
 Knowledge gap regarding e-cigarettes needs to be addressed ing’, ’information’, ’attitude’, ’behavior’, ’awareness’ and
among the university students. ’Turkey’ were. Criteria for inclusion in the analysis were;
conducted in Turkey, original and cross-sectional, conducted
Spatial characterization of the targeting’s worst-off CRC risky groups (having CRC in the first degree patients and
au Burkina Faso 50 and above age), studies that give the number of participants
Emmanuel Bonnet and number of taking FOBT and CS screening in any period of
their lives and/or the number of knowing them. The studies
E Bonnet1, A Nikiéma2, FA Roy1, V Ridde3 that met the criteria were read as double blind. The data were
1
Résiliences, IRD, Bondy, France
2
INSS, CNRST, Ouagadougou, Burkina Faso
entered into the Open Meta Analyst demo program. Because of
3
CEPED, IRD, Paris, France p < 0.001 in the heterogeneity test, random effects model was
Contact: [email protected] used in group analysis of the articles. The proportion and 95%
Introduction: confidence interval of knowing and taking FOBT and CS were
In 2014, the Government of Burkina Faso received technical calculated from the total number of cases.
and financial support from the World Bank to test the PBF Results:
project with various equity measures. Health equity measures A total of 1176 articles were reached in first review.
included community based selection of worst-off and user fee Duplications and inappropriated studies were eliminated,
exemption for them at the point of service. This selection was and 52 studies were selected. Eight studies about recognition
carried out in 8 health districts. More than 110,000 worst-off FOBT, 16 about participation FOBT, 9 about recognition CS
have been selected. Several analyses show that their use of care and 17 about participation CS were taken in analysis. After