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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67 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

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

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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., Tob Control, Vol: 26, Pages: e130-e133

BACKGROUND: Despite advertising bans in most European Union (EU) member states, outlets for promotion of tobacco products and especially e-cigarettes still exist. This study aimed to assess the correlates of self-reported exposure to tobacco products and e-cigarettee advertising in the EU. METHODS: We analysed data from wave 82.4 of the Eurobarometer survey (November-December 2014), collected through interviews in 28 EU member states (n=27 801 aged ≥15 years) and data on bans of tobacco advertising extracted from the Tobacco Control Scale (TCS, 2013). We used multilevel logistic regression to assess sociodemographic correlates of self-reported exposure to any tobacco and e-cigarette advertisements. RESULTS: 40% and 41.5% of the respondents reported having seen any e-cigarette and tobacco product advertisement respectively within the past year. Current smokers, males, younger respondents, those with financial difficulties, people who had tried e-cigarettes and daily internet users were more likely to report having seen an e-cigarette and a tobacco product advertisement. Respondents in countries with more comprehensive advertising bans were less likely to self-report exposure to any tobacco advertisements (OR 0.87; 95% CI 0.79 to 0.96 for one-unit increase in TCS advertising score), but not e-cigarette advertisements (OR 1.08; 95% CI 0.95 to 1.22). CONCLUSION: Ten years after ratification of the Framework Convention for Tobacco Control, self-reported exposure to tobacco and e-cigarette advertising in the EU is higher in e-cigarette and tobacco users, as well as those with internet access. The implementation of the Tobacco Products Directive may result in significant changes in e-cigarette advertising, therefore improved monitoring of advertising exposure is required in the coming years.

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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

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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

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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

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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

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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

Palladino R, Hone T, Filippidis FT, 2017, Changes in support for bans of illicit drugs, tobacco, and alcohol among adolescents and young adults in Europe, 2008-2014., Int J Public Health

OBJECTIVES: This study assessed the support for bans for tobacco, alcohol, and illicit drugs in adolescents and young adults across the European Union (EU). METHODS: Data were analysed for the years 2008, 2011, and 2014 for 27 EU member states. 37,253 individuals aged 15-24 years were interviewed ascertaining their support for banning tobacco, alcohol, cannabis, cocaine, heroin, and ecstasy. Changes over time were assessed using multilevel logistic regression. RESULTS: Support for banning heroin, ecstasy, and cocaine was constantly greater than 90%, although support fell over time. Support for cannabis ban declined (from 67.6% in 2008 to 53.7% in 2014) as well as support for alcohol ban (from 8.9% in 2008 to 6.9% in 2014) and tobacco ban (from 17.9% in 2008 to 16.5% in 2014). CONCLUSIONS: Support for banning substances among EU adolescents and young adults varied, with high support for heroin, cocaine, and ecstasy, but less support for banning cannabis, tobacco, and alcohol. There was reduction in support of banning all substances between 2008 and 2014, but this varied substantially between European countries.

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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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

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Hone T, Palladino R, Filippidis FT, 2016, Association of searching for health-related information online with self-rated health in the European Union., Eur J Public Health, Vol: 26, Pages: 748-753

BACKGROUND: The Internet is widely accessed for health information, but poor quality information may lead to health-worsening behaviours (e.g. non-compliance). Little is known about the health of individuals who use the Internet for health information. METHODS: Using the Flash Eurobarometer survey 404, European Union (EU) citizens aged ≥15 (n = 26 566) were asked about Internet utilisation for health information ('general' or 'disease-specific'), the sources used, self-rated health, and socioeconomic variables. Multivariable logistic regression was employed to assess the likelihood of bad self-rated health and accessing different health information sources (social networks, official website, online newspaper, dedicated websites, search engines). RESULTS: Those searching for general information were less likely to report bad health [odds ratios (OR) = 0.80; 95% confidence intervals (CI): 0.70-0.92], whilst those searching for disease-specific information were more likely (OR = 1.22; 95% CI: 1.07-1.38). Higher education and frequent doctor visits were associated with use of official websites and dedicated apps for health. Variation between EU member states in the proportion of people who had searched for general or disease-specific information online was high. CONCLUSIONS: Searching for general health information may be more conducive to better health, as it is easier to understand, and those accessing it may already be or looking to lead healthier lives. Disease-specific information may be harder to understand and assimilate into appropriate care worsening self-rated health. It may also be accessed if health services fail to meet individuals' needs, and health status is currently poor. Ensuring individuals' access to quality health services and health information will be key to addressing inequalities in health.

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Laverty AA, Vardavas CI, Filippidis FT, 2016, Design and marketing features influencing choice of e-cigarettes and tobacco in the EU, EUROPEAN JOURNAL OF PUBLIC HEALTH, Vol: 26, Pages: 838-841, ISSN: 1101-1262

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