v626 European Journal of Public Health, Volume 30 Supplement 5, 2020
and food consumption habits could provide effective preven-
tion of transmission of the parasites. The aim of this study was
to determine the knowledge, attitude and practice of preven-
tion of helminth infections among first and final professional
year students of College of Medicine, University of Lagos and
determine the association between the students’ levels and
their responses.
Methods:
A cross-sectional study was carried out among 485 students
with 222 students at first professional level and 263 students in
the final year, based on the study population. A standardized
questionnaire was used to collect data and the data collected
were analyzed using Statistical Package of Social Science (SPSS
version 22.0).
Results:
Response rate was 93.4% (453 out of 485). Majority of the
respondents 329(72.6%) had good knowledge on the preven-
tion of helminth infections, 384(84.7%) of the respondents
had positive attitude towards the prevention of helminth
infection and most of the respondents 420(92.7%) had good
practice of the preventing helminth infections. The final year
students however possessed a significant higher knowledge,
better attitude and practice of preventing helminth infections
than the first year students (p = 0.000, 0.002 and 0.003
respectively), hereby indicating a significant relationship
between students’ level and their knowledge, attitude and
practice of preventing helminth infections.
Conclusions:
The study revealed that the respondents generally had good
knowledge, attitude and practices of the prevention of
helminth infections and that there is a significant relationship
between these and the students’ year or level of study
Key messages:
 Knowledge, attitude and practice of the students will affect
their provision of public health services on prevention of
helminth infections among the general populace when they
eventually graduate.
 Years of training affect the knowledge, attitude and practice
of undergraduate students of CMUL in prevention of
helminth infections.
Nutritional ‘‘hot topics’’ in studies published as SR/
MA in cancer prevention between 2010 and 2018
Dawid Storman
D Storman1, MM Bala1, M Koperny2, J Zajac1, P Tobola1, M Swierz1,
W Staskiewicz3, M Gorecka3, A Skuza3
1
Chair of Epidemiology and Preventive Medicine, Department of,
Jagiellonian University Medical College, Krakow, Poland
2
Agency for Health Technology Assessment and Tariff System, Krakow,
Poland
3
Students Scientific Group of Systematic Reviews, Jagiellonian University
Medical College, Krakow, Poland
Contact: dawstor@wp.pl
Background:
The number of systematic reviews and meta analysis (SR/MA)
is increasing, also in the field of nutrition.
Objectives:
The aim of this work was to analyse the frequency of exploring
the effects of specific nutritional interventions in studies
published as SR/MA focused on cancer prevention.
Methods:
The main study was a systematic survey of SR/MA on nutrition
in cancer prevention published between 2010 and 2018
identified through search in 3 databases. The protocol of the
study was registered (CRD42019121116 in PROSPERO). All
steps of the survey were done by two reviewers independently
with any conflicts resolved by discussion or by the third
reviewer. The quality and risk of bias were assessed using
AMSTAR 2 and ROBIS tools amid subsample of 101 SR/MA.
We grouped all dietetic interventions by year and analysed
frequency.
Results:
Among 737 SR/MA meeting the inclusion criteria, an average
number of publications was 83/year ranging from 38 (in 2010)
to 118 (in 2015). The most commonly studied food categories
were: non-alcoholic beverages (127 publications in total; on
average 14/year) and vitamins and/or minerals (157 publica-
tions in total; on average 17/ year) with coffee as one of the
most popular (on average 7 SR/MA per year). The most
commonly analysed vitamins were vitamin D, C, and E, while
amid minerals calcium and selenium. Red meat and processed
meat were comparably popular with about 4 dedicated
publications every year. SR/MA about fruits and vegetables
and alcohol appeared on average about 8 times every year. The
overall quality of SR/MA assessed in a subsample of randomly
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selected 101 of included articles was poor (97% were classified
as having a low quality).
Conclusions:
In SR/MA published between 2010 and 2018, each food
category appears many times, while for example coffee - many
times every year. Detailed analysis per food item may help
identify potential research waste in the field of nutrition in
cancer prevention.
Key messages:
 Currently, coffee is the ‘hottest’ nutritional topic in cancer
prevention.
 The general quality of SR/MA published in the field of
cancer prevention is low.
Investigation of vitamin utilization in primary care in
Istanbul
Ömer Ataç
A Ataç1, Aydin2, Kiraci3, Akici2
1
Department of Public Health, School of Medicine, Istanbul Medipol
University, Istanbul, Turkey
2
Department of Medical Pharmacology, School of Medicine, Marmara
University, Istanbul, Turkey
3
Siemens Turkey, Istanbul, Turkey
Contact: oatac@medipol.edu.tr
Background:
Vitamins which are necessary for maintaining health and
preventing some medical conditions can be used upon
physician recommendation or as self-medication for supple-
mental purposes. In this study, we aimed to examine the usage
of vitamins in primary care prescriptions.
Methods:
Prescriptions of 1431 family physicians in 2016 selected by
systematic sampling in Istanbul were examined in this cross-
sectional study (n = 5,936,852). Among these vitamins, the
ones containing ATC code of A11 were determined, where the
usage of these drugs and drug groups were analyzed in terms of
age, sex, diagnosis, and concurrent usage with other medicines.
Results:
We identified vitamins in 8.3% of all prescriptions. In vitamin-
containing prescriptions, 71.4% of them were written for
women and 32.3% of them were written for people aged
between 45-65 (mean age: 47.0  1.38 years). Vitamins
comprised 34.9% of all drugs in those prescriptions. The most
common vitamins are vitamin D and analogues (41.3%),
vitamin B1, plain and in combination with Vitamin B6 and
B12 (37.4%), and multivitamin (20.9%). The most common
drugs co-prescribed with vitamins were alimentary tract and
metabolism (20.9%) and blood and blood forming organs
(13.3%) drugs. Among the prescriptions with single diagnosis
(n = 131,194), we mostly encountered vitamin D deficiency
(23.1%) as the indication. Vitamin D analogues were found to
be significantly likely to be prescribed for women (44.4%) than
men (32.7%, p < 0.001) and vitamin B and its combinations
were more likely to be written for men compared to that in
women (43.3% vs. 35.2%, respectively; p < 0.001).
Conclusions:
The majority of vitamins prescribed in primary care seem to
contain D and B vitamins, which are more likely to be

prescribed for women and middle-aged population. This
research is expected to shed light on future studies which
aim to understand overall consumption of vitamins in
different settings.
DE HEALTH DETERMINANTS AND INEQUALITIES AND
SUSTAINABLE DEVELOPMENT GOALS
Improving Pupils’ Health & Wellbeing: Team around
the School Pilot and Evaluation
Melissa Brown
M Brown1, A Goulding1
1
Children and Families Support Service, Gateshead Council, Newcastle
Upon Tyne, UK
Contact: melissa.brown5@nhs.net
Background:
Permanent school exclusion in Gateshead doubled from 2014 -
2017. A Behaviour Conference was held in July 2017 to
formulate an action plan to curb this trend, including piloting
’Team around the School’ (TAS). TAS is a local network of
services, meeting on a regular basis to have shared conversa-
tions about pupils where early help may prevent escalation.
Resources from several agencies are pooled to provide support
for families, focusing on solutions and encouraging resilience.
Aim:
To prevent future complex crisis interventions, reduce a ’refer
on’ culture, and align Early Help with school improvement.
Methods:
The pilot ran at one Gateshead secondary school from January
2018 to July 2018. There were 17 TAS meetings during the
pilot period. Four families, three referrers, six pupils and two
managers were interviewed from 16th July - 3rd August 2018.
Structured surveys, interviews and administrative data were
used to determine effectiveness.
Results:
Professionals viewed the programme as ’successful’, however,
there were some logistical issues, including gaining consent,
capacity (physical rooms, funding and staffing) and integrating
wider services into the programme. Pupils found the
experience helpful and improved their overall health and
wellbeing, at home and in school. Some saw dramatic
improvements in attendance, presentation, attitude and
behaviour, along with a more stable home life. Referrers
were happy with the process and outcomes, finding TAS to be
helpful in early intervention, with quick turnarounds. Families
felt empowered, with improved communication and positive
outcomes. Three plans were made, and three cases stepped up
to Early Help. Four cases closed after reduction in risk. Two
children moved schools.
Conclusions:
TAS appears to successfully provide early support and
intervention, reducing the risk of escalation, while also
providing families with increased autonomy.
Key messages:
 A pupil’s health and wellbeing is closely linked with their
home life and life in school.
 Close agency working can improve a pupil’s outcome in
school and overall health and wellbeing.
Examining social determinants by locale to inform
community linkages
Judith Davis
J Davis1
1
1445, Central Michigan University, Mount Pleasant, Mi, USA
Contact: mrsjudithdavis@gmail.com
16th World Congress on Public Health 2020 2020–01 v627
Key messages:
 The vitamins appear to be mostly prescribed for women and
middle-aged people.
 The majority of vitamins prescribed in primary care seem to
constitute D and B vitamins.
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Achieving a long-lasting impact on health outcomes requires
focus not just on patient care, but also on community
approaches aimed at improving population health through
addressing gaps in Social Determinants of Health (SDOH).
SDOH have been found to disproportionately affect those in
low-income brackets and the disabled to varying degrees based
on locale. The purpose of this exploratory research was to
determine 1) which SDOH have the greatest negative impact
on disabled and elderly populations within four targeted states
(Iowa, Ohio, Minnesota, Wisconsin) and 2) if there is a
difference in negative SDOH impact between metro and non-
metro locales. Individual-level data were obtained from
disabled persons aged 65 years or older who responded to
the Centers for Disease Control and Prevention’s 2017
Behavioral Risk Factor Surveillance System (BRFSS) survey.
Utilizing these data, frequency distributions were obtained
using SPSS. Rank order variation in SDOH was observed
among four Midwestern states and between metro vs. non-
metro geographic regions. Frequency distributions assisted in
identifying the greatest negative impacting SDOH on elderly
disabled populations. An examination of the rank order tables
allowed the investigator to accurately assess the rank of
negative impacts.
There were variabilities in responses to questions with moving
two or more times within 12 months having the lowest
negative impact. When regrouped based upon SDOH negative
impacts, were you able to pay your bills was the most frequent
SDOH across all states. Feeling unsafe or extremely unsafe in
your neighborhood was the highest negatively impacted SDOH
within states. Cited determinants in three categories were
highest in Ohio. Ohio also had the highest proportion of
negatively impacted SDOH across all states. No money for
balanced meals was a close second SDOH across states.
Key messages:
 Social Determinants Impacting Elderly Disabled.
 Impact of Social Determinants by Geography.
A review of social determinants of health for
dashboard development for SDG 3.4 for sub-Sahara
Africa
Oluwatosin Adjanor
O Adjanor1, J Johnson1,2,3, W Wuenstel1,2, S Jamu1,4, L Gabitiri5,
A Smith1, R Greenhill1,6
1
Health Professions, Central Michigan University, Mount Pleasant, Michigan,
USA
2
American College of Healthcare Executives, Chicago, Illnois, USA
3
America Public Health Association, Washington, DC, USA
4
5
Research, Stepping Stone Insight, Salt Lake, Utah, USA
Epidemiology, University of Botswana, Gaborone, Botswana
6
Healthcare Management, Texas Tech University, Lubbock, Texas, USA
Contact: adjan1oo@cmich.edu
Background:
All sustainable developmental goals (SDGs) require imple-
menting sustainable strategies and monitoring to track
progress. But what is known of sub-Sahara Africa (SSA)’s
efforts in following this stride to reduce by 30% mortality from
non-communicable diseases (NCDs) through prevention
(SDG 3.4), by considering the effect of social determinants
of health (SODHs) on type 2 diabetes increasing prevalence?