Imperial College London

DrFilipposFilippidis

Faculty of MedicineSchool of Public Health

Lecturer in Public Health
 
 
 
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Contact

 

+44 (0)20 7594 7142f.filippidis

 
 
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Location

 

310Reynolds BuildingCharing Cross Campus

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Summary

 

Publications

Publication Type
Year
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70 results found

AlSaud AM, Taddese HB, Filippidis FT, 2018, Trends and correlates of the public's perception of healthcare systems in the European Union: a multilevel analysis of Eurobarometer survey data from 2009 to 2013., BMJ Open, Vol: 8

OBJECTIVE: The aim of the study is to assess trends in public perceptions of health systems in 27 European Union (EU) member states following the financial crisis (2009-2013), in order to discuss observed changes in the context of the financial crisis. DESIGN: Repeated cross-sectional studies. SETTING: 27 EU countries. PARTICIPANTS: EU citizens aged 15 years and older. METHODS: The study mainly uses the Eurobarometer Social Climate Survey, conducted annually between 2009 and 2013, thereby analysing 116 706 observations. A multilevel logistic regression was carried out to analyse trends over time and the factors associated with citizens' perceptions of their healthcare systems. RESULTS: Europeans generally exhibit positive perceptions of their national healthcare systems, 64.0% (95% CI 63.6% to 64.4%). However, we observed a significant drop in positive perceptions in the years following the crisis, especially within countries most affected by the crisis. Concerning fiscal characteristics, wealthier countries and those dedicating higher proportion of their national income to health were more likely to maintain positive perceptions. At the individual level, perceptions of healthcare systems were significantly associated with respondents' self-perceptions of their social status, financial capacity and overall satisfaction in life. CONCLUSIONS: Our finding confirms previous observations that citizens' perceptions of their healthcare systems may reflect their overall prospects within the broader socioeconomic systems they live in; which have in turn been affected by the financial crisis and the policy measures instituted in response.

JOURNAL ARTICLE

Feliu A, Filippidis FT, Joossens L, Fong GT, Vardavas CI, Baena A, Castellano Y, Martínez C, Fernández Eet al., 2018, Impact of tobacco control policies on smoking prevalence and quit ratios in 27 European Union countries from 2006 to 2014., Tob Control

BACKGROUND: Tobacco use is still highly prevalent in Europe, despite the tobacco control efforts made by the governments. The development of tobacco control policies varies substantially across countries. The Tobacco Control Scale (TCS) was introduced to quantify the implementation of tobacco control policies across European countries OBJECTIVE: To assess the midterm association of tobacco control policies on smoking prevalence and quit ratios among 27 European Union (EU) Member States (EU27). METHODS: Ecological study. We used the TCS in EU27 in 2007 and the prevalence of tobacco and quit ratios data from the Eurobarometer survey (2006 (n=27 585) and 2014 (n=26 793)). We analysed the relationship between the TCS scores and smoking prevalence and quit ratios and their relative changes (between 2006 and 2014) by means of scatter plots and multiple linear regression models. RESULTS: In EU27, countries with higher scores in the TCS, which indicates higher tobacco control efforts, have lower prevalence of smokers, higher quit ratios and higher relative decreases in their prevalence rates of smokers over the last decade. The correlation between TCS scores and smoking prevalence (rsp=-0.444; P=0.02) and between the relative changes in smoking prevalence (rsp=-0.415; P=0.03) was negative. A positive correlation was observed between TCS scores and quit ratios (rsp=0.373; P=0.06). The percentage of smoking prevalence explained by all TCS components was 28.9%. CONCLUSION: EU27 should continue implementing comprehensive tobacco control policies as they are key for reducing the prevalence of smoking and an increase tobacco cessation rates in their population.

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Filippidis FT, Laverty AA, Mons U, Jimenez-Ruiz C, Vardavas CIet al., 2018, Changes in smoking cessation assistance in the European Union between 2012 and 2017: pharmacotherapy versus counselling versus e-cigarettes., Tob Control

BACKGROUND: The landscape of smoking cessation may have changed in Europe recently. OBJECTIVES: To identify changes in use of smoking cessation assistance in the European Union (EU) and factors associated with use of cessation assistance. METHODS: Data from the 2012 (n=9921) and 2017 (n=9489) waves of the Eurobarometer survey were used. Self-reported use of smoking cessation assistance was assessed among smokers who had ever tried to quit and former smokers. Changes in use of each type of assistance were assessed using logistic regression. RESULTS: Among current and former smokers, those who had ever attempted to quit without assistance increased from 70.3% (2012) to 74.8% (2017). Current smokers were more likely to have used any assistance compared with former smokers (P<0.001). Use of e-cigarettes for smoking cessation assistance increased (3.7% to 9.7%)%), while use of pharmacotherapy (14.6% to 11.1%)%) and smoking cessation services (7.5% to 5.0%)%) declined. Younger people were more likely to have reported e-cigarette use for smoking cessation but less likely to have used a cessation service. Individuals living in countries with comprehensive smoking cessation policies were more likely to have used any cessation assistance (adjusted OR (aOR)=1.78; 95% CI 1.15 to 2.76), pharmacotherapy (aOR=3.44; 95% CI 1.78 to 6.66) and smoking cessation services (aOR=2.27; 95% CI 1.27 to 4.06) compared with those living in countries with weak smoking cessation policies. CONCLUSIONS: These findings highlight the need for approaches that ensure that smokers get support to quit smoking across the EU. The question of whether the availability of e-cigarettes will displace other methods, and the impact of such a displacement, should be closely evaluated.

JOURNAL ARTICLE

Laverty AA, Thompson H, Cetateanu A, Filippidis FTet al., 2018, Macro-environmental factors and physical activity in 28 European Union countries., Eur J Public Health, Vol: 28, Pages: 300-302

Data from the representative 2013 Eurobarometer survey were combined with macro-environmental data to assess relationships with different domains of physical activity (PA) in 28 European Union countries. Higher mean annual temperatures were the only macro-environmental factor found to be associated with levels of physical activity; an increase in the mean annual temperature by 1°C was associated with-0.94 fewer minutes of vigorous-intensity activity per week (95% CI: -1.66 to -0.23). This highlights the importance of modifiable influences (e.g. opportunities for active travel) on PA and underscores the potential of public health interventions to raise levels of physical activity.

JOURNAL ARTICLE

Palladino R, Hone T, Filippidis FT, 2018, Changes in support for bans of illicit drugs, tobacco, and alcohol among adolescents and young adults in Europe, 2008-2014, INTERNATIONAL JOURNAL OF PUBLIC HEALTH, Vol: 63, Pages: 23-31, ISSN: 1661-8556

JOURNAL ARTICLE

Alshaikh MK, Filippidis FT, Al-Omar HA, Rawaf S, Majeed A, Salmasi A-Met al., 2017, The ticking time bomb in lifestyle-related diseases among women in the Gulf Cooperation Council countries; review of systematic reviews, BMC PUBLIC HEALTH, Vol: 17, ISSN: 1471-2458

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Filippidis FT, Gerovasili V, Millett C, Tountas Yet al., 2017, Medium-term impact of the economic crisis on mortality, health-related behaviours and access to healthcare in Greece, SCIENTIFIC REPORTS, Vol: 7, ISSN: 2045-2322

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Filippidis FT, Girvalaki C, Mechili E-A, Vardavas CIet al., 2017, Are political views related to smoking and support for tobacco control policies? A survey across 28 European countries, TOBACCO INDUCED DISEASES, Vol: 15, ISSN: 1617-9625

JOURNAL ARTICLE

Filippidis FT, Jawad M, Vardavas CI, 2017, Trends and correlates of waterpipe use in the European Union: analysis of selected Eurobarometer surveys (2009-2017)., Nicotine Tob Res

Introduction: To assess the trends and correlates of waterpipe use between 2009 and 2017 in the 28 European Union (EU) member states. Methods: We analysed data from wave 72.3 (2009, n=27,788); wave 77.1 (2012, n=26,751); wave 82.4 (2014, n=27,801); and wave 87.1 (2017, n=27,901) of the Eurobarometer survey. Representative samples of EU residents aged ≥15 years were asked to report ever use of waterpipe. Regular waterpipe use, i.e. at least once a month was also assessed in 2017. Associations of ever and current use with sociodemographic factors were assessed with multi-level logistic regression. Results: The prevalence of ever waterpipe use in the EU increased from 11.6% in 2009 to 16.3% in 2014 before dropping to 12.9% in 2017, but there was wide variation between EU member states, ranging from 2.3% (Croatia, 2009) to 41.7% (Latvia, 2017). Regular waterpipe use was highest in Austria (3.6%), Latvia (2.5%) and Belgium (2.0%) in 2017. Respondents aged 15-24 years were 11.43 times more likely (95% Confidence Interval [CI]: 10.71-12.21) to have ever used waterpipe compared to those 55 years and older. Regular and ever waterpipe use were also more likely among current and former cigarette smokers. Males (adjusted Odds Ratio [aOR]=1.64; 95% CI: 1.58-1.70) and those living in urban areas (aOR=1.36; 95% CI: 1.30-1.42) were more likely to have ever used waterpipe. Conclusion: A substantial proportion of EU citizens, especially young men, have tried waterpipe. Regular use is relatively limited, but more systematic surveillance is required to monitor trends across the EU. Implications: Data on waterpipe use in the European Union (EU) are scarce. The prevalence of ever waterpipe use in the EU increased from 11.6% in 2009 to 16.3% in 2014 before dropping to 12.9% in 2017, with wide variation between EU member states. Males, those living in urban areas, younger respondents and current or former cigarette smokers were more likely to be ever or regular users of waterpipe.

JOURNAL ARTICLE

Filippidis FT, Laverty AA, Fernandez E, Mons U, Tigova O, Vardavas CIet al., 2017, Correlates of self-reported exposure to advertising of tobacco products and electronic cigarettes across 28 European Union member states, TOBACCO CONTROL, Vol: 26, Pages: e130-e133, ISSN: 0964-4563

JOURNAL ARTICLE

Filippidis FT, Laverty AA, Gerovasili V, Vardavas CIet al., 2017, Two-year trends and predictors of e-cigarette use in 27 European Union member states, TOBACCO CONTROL, Vol: 26, Pages: 98-104, ISSN: 0964-4563

JOURNAL ARTICLE

Filippidis FT, Laverty AA, Hone T, Been JV, Millett Cet al., 2017, Association of Cigarette Price Differentials With Infant Mortality in 23 European Union Countries., JAMA Pediatr, Vol: 171, Pages: 1100-1106

Importance: Raising the price of cigarettes by increasing taxation has been associated with improved perinatal and child health outcomes. Transnational tobacco companies have sought to undermine tobacco tax policy by adopting pricing strategies that maintain the availability of budget cigarettes. Objective: To assess associations between median cigarette prices, cigarette price differentials, and infant mortality across the European Union. Design, Setting, and Participants: A longitudinal, ecological study was conducted from January 1, 2004, to December 31, 2014, of infant populations in 23 countries (comprising 276 subnational regions) within the European Union. Interventions: Median cigarette prices and the differential between these and minimum cigarette prices were obtained from Euromonitor International. Pricing differentials were calculated as the proportions (%) obtained by dividing the difference between median and minimum cigarette price by median price. Prices were adjusted for inflation. Main Outcomes and Measures: Annual infant mortality rates. Associations were assessed using linear fixed-effect panel regression models adjusted for smoke-free policies, gross domestic product, unemployment rate, education, maternal age, and underlining temporal trends. Results: Among the 53 704 641 live births during the study period, an increase of €1 (US $1.18) per pack in the median cigarette price was associated with a decline of 0.23 deaths per 1000 live births in the same year (95% CI, -0.37 to -0.09) and a decline of 0.16 deaths per 1000 live births the following year (95% CI, -0.30 to -0.03). An increase of 10% in the price differential between median-priced and minimum-priced cigarettes was associated with an increase of 0.07 deaths per 1000 live births (95% CI, 0.01-0.13) the following year. Cigarette price increases across 23 European countries between 2004 and 2014 were associated with 9208 (95% CI, 8601-9814) fewer infant deaths; 3195 (95% CI, 3017-3372

JOURNAL ARTICLE

Korompoki E, Filippidis FT, Nielsen PB, Del Giudice A, Lip GYH, Kuramatsu JB, Huttner HB, Fang J, Schulman S, Marti-Fabregas J, Gathier CS, Viswanathan A, Biffi A, Poli D, Weimar C, Malzahn U, Heuschmann P, Veltkamp Ret al., 2017, Long-term antithrombotic treatment in intracranial hemorrhage survivors with atrial fibrillation, NEUROLOGY, Vol: 89, Pages: 687-696, ISSN: 0028-3878

JOURNAL ARTICLE

Laverty AA, Been JV, Millett C, Filippidis FTet al., 2017, A SMOKE-FREE GENERATION? A smoke-free world to protect child health, BMJ-BRITISH MEDICAL JOURNAL, Vol: 359, ISSN: 1756-1833

JOURNAL ARTICLE

Laverty AA, Filippidis FT, Fernandez E, Vardavas CIet al., 2017, E-cigarette use and support for banning e-cigarette use in public places in the European Union, PREVENTIVE MEDICINE, Vol: 105, Pages: 10-14, ISSN: 0091-7435

JOURNAL ARTICLE

Rajani NB, Vlachantoni IT, Vardavas CI, Filippidis FTet al., 2017, The association between occupational secondhand smoke exposure and life satisfaction among adults in the European Union, TOBACCO INDUCED DISEASES, Vol: 15, ISSN: 1617-9625

JOURNAL ARTICLE

Vardavas C, Filippidis FT, Ward B, Faure M, Jimenez-Ruiz C, Gratziou C, Katsaounou P, Lozano F, Behrakis P, Radu-Loghin Cet al., 2017, Plain packaging of tobacco products in the European Union: an EU success story?, EUROPEAN RESPIRATORY JOURNAL, Vol: 50, ISSN: 0903-1936

JOURNAL ARTICLE

Vardavas CI, Girvalaki C, Filippidis FT, Oder M, Kastanje R, de Vries I, Scholtens L, Annas A, Plackova S, Turk R, Gruzdyte L, Rato F, Genser D, Schiel H, Balazs A, Donohoe E, Vardavas AI, Tzatzarakis MN, Tsatsakis AM, Behrakis PKet al., 2017, Characteristics and outcomes of e-cigarette exposure incidents reported to 10 European Poison Centers: a retrospective data analysis, TOBACCO INDUCED DISEASES, Vol: 15, ISSN: 1617-9625

JOURNAL ARTICLE

Agaku IT, Blecher E, Filippidis FT, Omaduvie UT, Vozikis A, Vardavas CIet al., 2016, Impact of cigarette price differences across the entire European Union on cross-border purchase of tobacco products among adult cigarette smokers, TOBACCO CONTROL, Vol: 25, Pages: 333-340, ISSN: 0964-4563

JOURNAL ARTICLE

Alshaikh MK, Filippidis FT, Baldove JP, Majeed A, Rawaf Set al., 2016, Women in Saudi Arabia and the Prevalence of Cardiovascular Risk Factors: A Systematic Review, JOURNAL OF ENVIRONMENTAL AND PUBLIC HEALTH, ISSN: 1687-9805

JOURNAL ARTICLE

Filippidis FT, 2016, Emigrating young physicians leave Greece with an aging health workforce, JOURNAL OF PUBLIC HEALTH, Vol: 38, Pages: E587-E587, ISSN: 1741-3842

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Filippidis FT, 2016, Tobacco control: a victim of political instability in Greece, LANCET, Vol: 387, Pages: 338-339, ISSN: 0140-6736

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Filippidis FT, Agaku IT, Girvalaki C, Jimenez-Ruiz C, Ward B, Gratziou C, Vardavas CIet al., 2016, Relationship of secondhand smoke exposure with sociodemographic factors and smoke-free legislation in the European Union, EUROPEAN JOURNAL OF PUBLIC HEALTH, Vol: 26, Pages: 344-349, ISSN: 1101-1262

JOURNAL ARTICLE

Filippidis FT, Agaku IT, Vardavas CI, 2016, Geographic variation and socio-demographic determinants of the co-occurrence of risky health behaviours in 27 European Union member states, JOURNAL OF PUBLIC HEALTH, Vol: 38, Pages: E13-E20, ISSN: 1741-3842

JOURNAL ARTICLE

Filippidis FT, Gerovasili V, Man WD-C, Quint JKet al., 2016, Trends in mortality from respiratory system diseases in Greece during the financial crisis, EUROPEAN RESPIRATORY JOURNAL, Vol: 48, Pages: 1487-1489, ISSN: 0903-1936

JOURNAL ARTICLE

Filippidis FT, Laverty AA, 2016, Perceptions of opportunities for physical activity in 28 European countries, PREVENTIVE MEDICINE, Vol: 86, Pages: 136-140, ISSN: 0091-7435

JOURNAL ARTICLE

Filippidis FT, Laverty AA, Vardavas CI, 2016, Experimentation with e-cigarettes as a smoking cessation aid: a cross-sectional study in 28 European Union member states, BMJ OPEN, Vol: 6, ISSN: 2044-6055

JOURNAL ARTICLE

Filippidis FT, Mian SS, Millett C, 2016, Perceptions of quality and safety and experience of adverse events in 27 European Union healthcare systems, 2009-2013, INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE, Vol: 28, Pages: 721-727, ISSN: 1353-4505

JOURNAL ARTICLE

Filippidis FT, Tzoulaki I, 2016, GREECE GIVING UP ON TOBACCO CONTROL, ADDICTION, Vol: 111, Pages: 1306-1307, ISSN: 0965-2140

JOURNAL ARTICLE

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