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001-es BibID:	BIBFORM086813
035-os BibID:	(Scopus)85087398268 (cikkazonosító)4833 (WOS)000550348400001
Első szerző:	Ádány Róza (megelőző orvostan és népegészségtan szakorvos)
Cím:	Prevalence of Insulin Resistance in the Hungarian General and Roma Populations as Defined by Using Data Generated in a Complex Health (Interview and Examination) Survey / Róza Ádány, Péter Pikó, Szilvia Fiatal, Zsigmond Kósa, János Sándor, Éva Bíró, Karolina Kósa, György Paragh, Éva Bácsné Bába, Ilona Veres-Balajti, Klára Bíró, Orsolya Varga, Margit Balázs
Dátum:	2020
ISSN:	1661-7827 1660-4601
Megjegyzések:	Data mainly from one-off surveys clearly show that the health of Roma, the largest ethnic minority of Europe, is much worse than that of the general population. However, results from comprehensive exploratory studies are missing. The aim of our study was to create a complex database for comparative and association studies to better understand the background of the very unfavourable health of Roma, especially the high burden of cardiometabolic diseases. A three-pillar (questionnaire-based, physical and laboratory examinations) health survey was carried out on randomly selected samples of the Hungarian general (HG, n = 417) and Roma (HR, n = 415) populations, and a database consisting of more than half a million datapoints was created. Using selected data, the prevalence rates of metabolic syndrome (MetS) and of its components were determined, and to estimate the risk of insulin resistance (IR), surrogate measures (the homeostasis model assessment of insulin resistance index, quantitative insulin sensitivity check index, McAuley and TyG indices and the TG/HDL-C ratio) were calculated. Receiver operating characteristic curve analysis and Youden's method were used to define the optimal cut-off values of each IR index. The prevalence of MetS was very high in both study populations (HG: 39.8%, HR: 44.0%) with no statistically significant difference between the two groups in females or males. The prevalence of MetS showed a very marked increase in the HR 35?49 years age group. Among surrogate measures, the TyG index showed the greatest power for predicting IR/MetS at a cut-off value of 4.69 (77% sensitivity, 84% specificity) and indicated a 42.3% (HG) and 40.5% (HR) prevalence of IR. The prevalence of MetS and IR is almost equally very unfavourable in both groups; thus, the factors underlying the high premature mortality burden of Roma should be further clarified by investigating the full spectrum of risk factors available in the database, with a special focus on the access of Roma people to preventive and curative health services.
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Roma population health survey metabolic syndrome insulin resistance cut-off values for surrogate indices HOMA-IR QUICKI McAuley index TG/HDL-C ratio TyG index
Megjelenés:	International Journal of Environmental Research and Public Health. - 17 : 4833 (2020), p. 1-22. -
További szerzők:	Pikó Péter (1987-) (biológus) Fiatal Szilvia (1978-) (epidemiológus, népegészségügyi szakember) Kósa Zsigmond (1953-) (orvos) Sándor János (1966-) (orvos-epidemiológus) Bíró Éva (1980-) (megelőző orvostan és népegészségtan szakorvos, egészségfejlesztő) Kósa Karolina (1962-) (népegészségügyi szakember) Paragh György (1953-) (belgyógyász) Bácsné Bába Éva (1968-) (bölcsésztanár, szakközgazda) Veres-Balajti Ilona (1965-) (gyógytornász, egészségfejlesztő) Bíró Klára (1970-) (egészségügyi menedzsment) Varga Orsolya (1977-) (orvos, jogász) Balázs Margit (1952-) (sejtbiológus, molekuláris genetikus)
Pályázati támogatás:	GINOP-2.3.2-15-2016-00005 GINOP MTA11010 Egyéb TK2016-78 Egyéb
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001-es BibID:	BIBFORM088695
035-os BibID:	(cikkazonosító)7616 (Scopus)85092894572 (WOS)000585607100001
Első szerző:	Boruzs Klára (környezetkutató vegyész és MBA)
Cím:	Cross-Cultural Adaptation and Lingual Validation of the Beliefs about Medicines Questionnaire (BMQ) : Specific for Cholesterol Lowering Drugs in the Visegrad Countries / Klára Boruzs, Viktor Dombrádi, János Sándor, Gábor Bányai, Robert Horne, Klára Bíró, Attila Nagy
Dátum:	2020
ISSN:	1661-7827 1660-4601
Megjegyzések:	The goal of this study was to translate the Beliefs about Medicines Questionnaire ? Specific (BMQ-Specific) for cholesterol-lowering drugs, into the Hungarian, Slovak, Czech and Polish languages and test their reliability with statistical methods. For this purpose, Cronbach's alpha, confirmatory and exploratory factor analyses were conducted. The analyses included 235 Czech, 205 Hungarian, 200 Polish, and 200 Slovak respondents, all of whom were taking cholesterollowering drugs. The translations from English into the target languages were always done by two independent translators. As part of the validation process these translations were pilot tested and after the necessary alterations, they were translated back into English by a third translator. After the approval by the creator of the questionnaire, nationwide surveys were conducted in all four countries. The results of the confirmatory factor analysis were exceptionally good for the Czech and Slovak translations, while the Polish and Hungarian translations marginally crossed the predetermined thresholds. With the exception of a single Polish question, the results of the exploratory factor analysis were deemed acceptable. The translated versions of BMQ-Specific are reliable and valid tools to assess patients' beliefs about medication, especially medication adherence among patients taking cholesterol-lowering medication. A comparison between the four countries with this questionnaire is now possible.
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk cardiology epidemiology preventive medicine vascular medicine
Megjelenés:	International Journal of Environmental Research and Public Health. - 17 : 20 (2020), p. 1-8. -
További szerzők:	Dombrádi Viktor (1987-) (egészségpolitikai szakember) Sándor János (1966-) (orvos-epidemiológus) Bányai Gábor (1980-) (jogász) Horne, Robert Bíró Klára (1970-) (egészségügyi menedzsment) Nagy Attila Csaba (1981-) (megelőző orvostan és népegészségtan szakorvos, epidemiológus)
Pályázati támogatás:	GINOP 2.3.2-15-2016-00005 Egyéb
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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001-es BibID:	BIBFORM092507
035-os BibID:	(cikkazonosító)1065 (Scopus)85099988414 (WOS)000615149000001
Első szerző:	Deák Máté Sándor
Cím:	Investigating the Geographic Disparities of Amenable Mortality and Related Ambulance Services in Hungary / Deák Máté Sándor, Csató Gábor, Pápai György, Dombrádi Viktor, Nagy Attila, Nagy Csilla, Juhász Attila, Bíró Klára
Dátum:	2021
ISSN:	1661-7827 1660-4601
Megjegyzések:	Abstract: The aim of this study was to investigate how amenable mortality and related ambulance services differ on a county level in Hungary. The differences in mortality rates and ambulance services could identify counties where stronger ambulance services are needed. The datasets for 2018 consisted of county level aggregated data of citizens between the ages 15?64. The study examined how both the mortality rates and the ambulance rescue deliveries differ from the national average. The analyses were narrowed down to disease groups, such as acute myocardial infarction, hemorrhagic and ischemic stroke. Inequalities were identified regarding the distribution of number of ambulance deliveries, several counties had rates more than double that of the national average. For both mortality and ambulance services some of the counties had significantly better results and others had significantly worse compared to the national average. In Borsod-Abaúj-Zemplén county's case, hemorrhagic stroke mortality was significantly higher (1.73 [1.35?2.11]), while ambulance deliveries were significantly lower (0.58 [0.40?0.76]) compared to the national average. The research has shown that regarding the investigated mortality rates and ambulance services there are considerable differences between the counties in Hungary. In this regard policy makers should implement policies to tackle these discrepancies.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk ambulance services amenable mortality acute myocardial infarction hemorrhagic stroke ischemic stroke ambulance service Hungary
Megjelenés:	International Journal of Environmental Research and Public Health. - 18 : 3 (2021), p. 1-8. -
További szerzők:	Csató Gábor Pápai György (1969-) Dombrádi Viktor (1987-) (egészségpolitikai szakember) Nagy Attila Csaba (1981-) (megelőző orvostan és népegészségtan szakorvos, epidemiológus) Nagy Csilla (1970-) (epidemiológus, népegészségügyi szakember) Juhász Attila (1970-) (epidemiológus) Bíró Klára (1970-) (egészségügyi menedzsment)
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001-es BibID:	BIBFORM093886
035-os BibID:	(cikkazonosító)4521 (WOS)000650268600001 (Scopus)85104890979
Első szerző:	Kovács Nóra (népegészségügyi szakember)
Cím:	Inequalities in the Global Burden of Chronic Kidney Disease Due to Type 2 Diabetes Mellitus : an Analysis of Trends from 1990 to 2019 / Kovács Nóra, Nagy Attila, Dombrádi Viktor, Bíró Klára
Dátum:	2021
ISSN:	1661-7827 1660-4601
Megjegyzések:	The prevalence of type 2 diabetes mellitus (T2DM) and the burden of complications are increasing worldwide. Chronic kidney disease (CKD) is one serious complication. Our aim was to investigate the trends and inequalities of the burden of CKD due to T2DM between 1990 and 2019. Data were obtained from the Global Health Data Exchange database. Age-standardized incidence, mortality, and DALYs rates of CKD were used to estimate the disease burden across the Human Development Index (HDI). Joinpoint regression was performed to assess changes in trend, and the Gini coefficient was used to assess health inequality. A higher incidence was observed in more developed countries (p < 0.001), while higher mortality and DALYs rates were experienced in low and middle HDI countries in 2019 (p < 0.001). The trend of incidence has increased since 1990 (AAPC: 0.9-1.5%), while slight decrease was observed in low HDI countries in mortality (APC: -0.1%) and DALYs (APC: -0.2%). The Gini coefficients of CKD incidence decreased from 0.25 in 2006 to 0.23 in 2019. The socioeconomic development was associated with disease burden. Our findings indicate that awareness of complications should be improved in countries with high incidence, and cost-effective preventive, diagnostic, and therapeutic tools are necessary to implement in less developed regions.
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk disease burden chronic kidney disease global burden of disease inequalities socioeconomic development
Megjelenés:	International Journal of Environmental Research and Public Health. - 18 : 9 (2021), p. 1-10. -
További szerzők:	Nagy Attila Csaba (1981-) (megelőző orvostan és népegészségtan szakorvos, epidemiológus) Dombrádi Viktor (1987-) (egészségpolitikai szakember) Bíró Klára (1970-) (egészségügyi menedzsment)
Internet cím:	Intézményi repozitóriumban (DEA) tárolt változat DOI
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