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1.

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
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
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2.

001-es BibID:BIBFORM100963
035-os BibID:(cikkazonosító)3545 (Scopus)85126518868 (WOS)000775307600001
Első szerző:Bácsné Bába Éva (bölcsésztanár, szakközgazda)
Cím:Physical Activity Pattern Characterized by Domains and Dimensions of the Roma Population in Comparison with That of the General Population in Northeast Hungary / Bácsné Bába Éva, Pikó Péter, Müller Anetta, Ráthonyi Gergely, Balogh Péter, Kósa Zsigmond, Kovács Nóra, Sándor János, Ádány Róza, Bács Zoltán
Dátum:2022
ISSN:1661-7827 1660-4601
Megjegyzések:Our study focuses on examining physical activity, as one of the most influential health determinants by domains and dimensions among Roma, the largest vulnerable ethnic minority in Europe. The study was carried out on a sample representative of the Hungarian Roma (HR) population (n = 350) living in segregated colonies in Northeast Hungary in comparison with the Hungarian general (HG) population sample (n = 343) from the same region. Data were collected using the International Physical Activity Questionnaire (IPAQ) long-form and physical activity was quantified as MET-min/week. Scores were calculated for walking, moderate and vigorous-intensity activities for each domain (work, transport, domestic and gardening, leisure) and as an overall total. The HR population-similarly to the HG-is characterized by moderate or high physical activity; however, this level is achieved by work and housework/gardening instead of leisure time activities, which is worryingly low among HR females, but its prevalence is significantly (p < 0.001) lower in both sexes than among the HG population in the vigorous activity category. HR men move (walk and cycle) significantly more during transport than HG men. Our results may direct the attention of decision-makers to improve the health of Roma by increasing leisure-time physical activity.
Tárgyszavak:Társadalomtudományok Gazdálkodás- és szervezéstudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:International Journal of Environmental Research and Public Health. - 19 : 6 (2022), p. 1-14. -
További szerzők:Pikó Péter (1987-) (biológus) Müller Anetta Éva (1973-) Ráthonyi Gergely Gábor (1985-) (informatikus agrármérnök) Balogh Péter (1970-) (agrármérnök) Kósa Zsigmond (1953-) (orvos) Kovács Nóra (1989-) (népegészségügyi szakember) Sándor János (1966-) (orvos-epidemiológus) Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos) Bács Zoltán (1969-) (agrármérnök)
Pályázati támogatás:GINOP-2.3.2-15-2016-00005
GINOP
TK2016-78
MTA
ÚNKP-21-4
Egyéb
Nemzeti Kutatási, Fejlesztési és Innovációs Alap, Projekt azonosító: 135784
Egyéb
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
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3.

001-es BibID:BIBFORM100356
035-os BibID:(cikkazonosító)2258 (Scopus)85124623434 (WOS)000778835500001
Első szerző:Bekele, Bayu Begashaw (PhD hallgató)
Cím:The Effect of the COVID-19 Pandemic on the Social Inequalities of Health Care Use in Hungary : a Nationally Representative Cross-Sectional Study / Bayu Begashaw Bekele, Bahaa Aldin Alhaffar, Rahul Naresh Wasnik, János Sándor
Dátum:2022
ISSN:1661-7827 1660-4601
Megjegyzések:Background: The social representation of restricted health care use during the COVID-19 pandemic has not been evaluated properly yet in Hungary. Objective: Our study aimed to quantify the effect of COVID-19 pandemic measures on general practitioner (GP) visits, specialist care, hospitalization, and cost-related prescription nonredemption (CRPNR) among adults, and to identify the social strata susceptible to the pandemic effect. Methods: This cross-sectional study was based on nationally representative data of 6611 (Nprepandemic = 5603 and Npandemic = 1008) adults. Multivariable logistic regression models were applied to determine the sociodemographic and clinical factors influencing health care use by odds ratios (ORs) along with the corresponding 95% confidence intervals (CI). To identify the social strata susceptible to the pandemic effect, the interaction of the time of data collection with the level of education, marital status, and Roma ethnicity, was tested and described by iORs. Results: While the CRPNR did not change, the frequency of GP visits, specialist care, and hospitalization rates was remarkably reduced by 22.2%, 26.4%, and 6.7%, respectively, during the pandemic. Roma proved to be not specifically affected by the pandemic in any studied aspect, and the pandemic restructuring of health care impacted the social subgroups evenly with respect to hospital care. However, the pandemic effect was weaker among primary educated adults (iORGP visits, high-school vs. primary-education = 0.434; 95% CI 0.243?0.776, ORspecialist visit, high-school vs. primary-education = 0.598; 95% CI 0.364?0.985), and stronger among married adults (iORGP visit, widowed vs. married = 2.284; 95% CI 1.043?4.998, iORspecialist visit, widowed vs. married = 1.915; 95% CI 1.157?3.168), on the frequency of GP visits and specialist visits. The prepandemic CRPNR inequality by the level of education was increased (iORhigh-school vs. primary-education = 0.236; 95% CI 0.075?0.743). Conclusion: Primary educated and widowed adults did not follow the general trend, and their prepandemic health care use was not reduced during the pandemic. This shows that although the management of pandemic health care use restrictions was implemented by not increasing social inequity, the drug availability for primary educated individuals could require more support.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
CRPNR
COVID-19 pandemic
hospital admission
GP visit
Hungary
interaction effect
Roma
specialist care
Megjelenés:International Journal of Environmental Research and Public Health. - 19 : 4 (2022), p. 1-17. -
További szerzők:Alhaffar, M. H. D. Bahaa Aldin Wasnik, Rahul Naresh (1993-) Sándor János (1966-) (orvos-epidemiológus)
Pályázati támogatás:BM/6327-3/2021, FEIF/951/2021-ITM
Egyéb
SHE-15324-002/2018 to BBB
Egyéb
SHE-10324-004/2019 to RNW
Egyéb
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
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4.

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
Borító:

5.

001-es BibID:BIBFORM081165
035-os BibID:(cikkazonosító)3797 (Scopus)85073119873 (WOS)000494779100011
Első szerző:Harsha, Nouh
Cím:Enhancing Primary Adherence to Prescribed Medications through an Organized Health Status Assessment-Based Extension of Primary Healthcare Services / Nouh Harsha, Magor Papp, László Kőrösi, Árpád Czifra, Róza Ádány, János Sándor
Dátum:2019
ISSN:1661-7827 1660-4601
Megjegyzések:This study was part of monitoring an intervention aimed at developing a general practitioner cluster (GPC) model of primary healthcare (PHC) and testing its effectiveness in delivering preventive services integrated into the PHC system. The aim was to demonstrate whether GPC operation could increase the percentage of drugs actually dispensed. Using national reference data of the National Health Insurance Fund for each anatomical-therapeutic chemical classification ATC group of drugs, dispensed-to-prescribed ratios standardized (sDPR) for age, sex, and exemption certificate were calculated during the first quarter of 2012 (before-intervention) and the third quarter of 2015 (post-intervention). The after-to-before ratios of the sDPR as the relative dispensing ratio (RDR) were calculated to describe the impact of the intervention program. The general medication adherence increased significantly in the intervention area (RDR = 1.064; 95% confidence interval (CI): 1.054-1.073). The most significant changes were observed for cardiovascular system drugs (RDR = 1.062; 95% CI: 1.048-1.077) and for alimentary tract and metabolism-specific drugs (RDR = 1.072; 95% CI: 1.049-1.097). The integration of preventive services into a PHC without any specific medication adherence-increasing activities is beneficial for medication adherence, especially among patients with cardiovascular, alimentary tract, and metabolic disorders. Monitoring the percentage of drugs actually dispensed is a useful element of PHC-oriented intervention evaluation frames.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
medication adherence
relative dispensing ratio
primary healthcare
health status assessment
patient-physician cooperation
Megjelenés:International Journal of Environmental Research and Public Health. - 16 : 20 (2019), p. 1-13. -
További szerzők:Papp Magor Csongor (1978-) (háziorvostan szakorvos) Kőrösi László Czifra Árpád (1983-) (belgyógyász) Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos) Sándor János (1966-) (orvos-epidemiológus)
Pályázati támogatás:Swiss Contribution Program (SH/8/1)
Egyéb
GINOP-2.3.2-15-2016-00005
GINOP
Stipendium Hungaricum Scholarship Program grant 124219
Egyéb
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

6.

001-es BibID:BIBFORM072391
035-os BibID:(Scopus)85042269715 (WOS)000426721400178 (cikkazonosító)353
Első szerző:Janka Eszter Anna (bőrgyógyász, népegészségügyi szakember)
Cím:Is the Definition of Roma an Important Matter? The Parallel Application of Self and External Classification of Ethnicity in a Population-Based Health Interview Survey / Eszter Anna Janka, Ferenc Vincze, Róza Ádány, János Sándor
Dátum:2018
ISSN:1661-7827 1660-4601
Megjegyzések:The Roma population is typified by a poor and, due to difficulties in ethnicity assessment, poorly documented health status. We aimed to compare the usefulness of self-reporting and observer-reporting in Roma classification for surveys investigating differences between Roma and non-Roma populations. Both self-reporting and observer-reporting of Roma ethnicity were applied in a population-based health interview survey. A questionnaire was completed by 1849 people aged 18?64 years; this questionnaire provided information on 52 indicators (morbidity, functionality, lifestyle, social capital, accidents, healthcare use) indicators. Multivariate logistic regression models controlling for age, sex, education and employment were used to produce indicators for differences between the self-reported Roma (N = 124) and non-Roma (N = 1725) populations, as well as between observer-reported Roma (N = 179) and non-Roma populations (N = 1670). Differences between interviewer-reported and self-reported individuals of Roma ethnicity in statistical inferences were observed for only seven indicators. The self-reporting approach was more sensitive for two indicators, and the observer-reported assessment for five indicators. Based on our results, the selfreported identity can be considered as a useful approach, and the application of observer-reporting cannot considerably increase the usefulness of a survey, because the differences between Roma and non-Roma individuals are much bigger than the differences between indicators produced by selfreported or observer-reported data on individuals of Roma ethnicity.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Roma health
ethnicity assessment
self-reporting
observer-reporting
health interview survey
Megjelenés:International Journal of Environmental Research and Public Health. - 15 : 2 (2018), p. 353-374. -
További szerzők:Vincze Ferenc (1987-) (táplákozástudományi szakember, epidemiológus) Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos) Sándor János (1966-) (orvos-epidemiológus)
Pályázati támogatás:TÁMOP-6.2.5-B-13/1-2014-0001
TÁMOP
GINOP-2.3.2-15-2016-00005
GINOP
WHO 2015/580661-1
Egyéb
(MTA-TKI: 2011TKI473
MTA
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

7.

001-es BibID:BIBFORM089542
035-os BibID:(cikkazonosító)8998 (Scopus)85097481352 (WOS)000598017000001
Első szerző:Kasabji, Feras (népegészségügy)
Cím:Self-Declared Roma Ethnicity and Health Insurance Expenditures : a Nationwide Cross-Sectional Investigation at the General Medical Practice Level in Hungary / Feras Kasabji, Alaa Alrajo, Ferenc Vincze, László Kőrösi, Róza Ádány, János Sándor
Dátum:2020
ISSN:1661-7827 1660-4601
Megjegyzések:Introduction: The inevitable rising costs of health care and the accompanying risk of increasing inequalities raise concerns. In order to make tailored policies and interventions that can reduce this risk, it is necessary to investigate whether vulnerable groups (such as Roma, the largest ethnic minority in Europe) are being left out of access to medical advances. Objectives: The study aimed to describe the association between general medical practice (GMP) level of average per capita expenditure of the National Health Insurance Fund (NHIF), and the proportion of Roma people receiving GMP in Hungary, controlled for other socioeconomic and structural factors. Methods: A cross-sectional study that included all GMPs providing care for adults in Hungary (N = 4818) was conducted for the period 2012?2016. GMP specific data on health expenditures and structural indicators (GMP list size, providing care for adults only or children also, type and geographical location of settlement, age of GP, vacancy) for secondary analysis were obtained from the NHIF. Data for the socioeconomic variables were from the last census. Age and sex standardized specific socioeconomic status indicators (standardized relative education, srEDU; standardized relative employment, srEMP; relative housing density, rHD; relative Roma proportion based on self-reported data, rRP) and average per capita health expenditure (standardized relative health expenditure, srEXP) were computed. Multivariate linear regression model was applied to evaluate the relationship of socioeconomic and structural indicators with srEXP. Results: The srEDU had significant positive (b = 0.199, 95% CI: 0.128; 0.271) and the srEMP had significant negative (b = -0.282, 95% CI: -0.359; -0.204) effect on srEXP. GP age > 65 (b = -0.026, 95% CI: -0.036; -0.016), list size <800 (b = -0.043, 95% CI: -0.066; -0.020) and 800?1200 (b = -0.018, 95% CI: -0.031; -0.004]), had significant negative association with srEXP, and GMP providing adults only (b = 0.016, 95% CI: 0.001;0.032) had a positive effect. There was also significant expenditure variability across counties. However, rRP proved not to be a significant influencing factor (b = 0.002, 95% CI: -0.001; 0.005). Conclusion: As was expected, lower education, employment, and small practice size were associated with lower NHIF expenditures in Hungary, while the share of self-reported Roma did not significantly a ect health expenditures according to our GMP level study. These findings do not suggest the necessity for Roma specific indicators elaborating health policy to control for the risk of widening inequalities imposed by rising health expenses.
taa, km
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
inequality
healthcare financing
general medical practice
health policy
self-reported Roma ethnicity
Megjelenés:International Journal of Environmental Research and Public Health. - 17 (2020), p. 1-17. -
További szerzők:Alrajo, Alaa Vincze Ferenc (1987-) (táplákozástudományi szakember, epidemiológus) Kőrösi László Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos) Sándor János (1966-) (orvos-epidemiológus)
Pályázati támogatás:Swiss Contribution Program (SH/8/1)
Egyéb
GINOP-2.3.2-15-2016-00005
Egyéb
Stipendium Hungaricum Scholarship Program (SHE-26763-004/2020)
Egyéb
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

8.

001-es BibID:BIBFORM080512
035-os BibID:(cikkazonosító)3153 (Scopus)85071778867 (WOS)000487037500148
Első szerző:Kovács Nóra (népegészségügyi szakember)
Cím:Factors associated with practice-level performance indicators in primary health care in Hungary : a nationwide cross-sectional study / Nóra Kovács, Anita Pálinkás, Valéria Sipos, Attila Nagy, Nouh Harsha, László Kőrösi, Magor Papp, Róza Ádány, Orsolya Varga, János Sándor
Dátum:2019
ISSN:1661-7827 1660-4601
Megjegyzések:The performance of general practitioners (GPs) is frequently assessed without considering the factors causing variability among general medical practices (GMPs). Our cross-sectional national-based study was performed in Hungary to evaluate the influence of GMP characteristics on performance indicators. The relationship between patient's characteristics (age, gender, education) and GMP-specific parameters (practice size, vacancy of GP's position, settlement type, and county of GMP) and the quality of care was assessed by multilevel logistic regression models. The variations attributable to physicians were small (from 0.77% to 17.95%). The education of patients was associated with 10 performance indicators. Practicing in an urban settlement mostly increased the quality of care for hypertension and diabetes care related performance indicators, while the county was identified as one of the major determinants of variability among GPs' performance. Only a few indicators were affected by the vacancy and practice size. Thus, the observed variability in performance between GPs partially arose from demographic characteristics and education of patients, settlement type, and regional location of GMPs. Considering the real effect of these factors in evaluation would reflect better the personal performance of GPs.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
primary healthcare
Megjelenés:International Journal of Environmental Research and Public Health. - 16 : 17 (2019), p. 1-15. -
További szerzők:Pálinkás Anita (1988-) (népegészségügyi szakember) Sipos Valéria (1988-) (népegészségügyi szakember) Nagy Attila Csaba (1981-) (megelőző orvostan és népegészségtan szakorvos, epidemiológus) Harsha, Nouh (1979-) Kőrösi László Papp Magor Csongor (1978-) (háziorvostan szakorvos) Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos) Varga Orsolya (1977-) (orvos, jogász) Sándor János (1966-) (orvos-epidemiológus)
Internet cím:Intézményi repozitóriumban (DEA) tárolt változat
DOI
Borító:

9.

001-es BibID:BIBFORM095550
035-os BibID:(cikkazonosító)7052 (Scopus)85108952405 (WOS)000671271500001
Első szerző:Lovas Szabolcs (tudományos segédmunkatárs)
Cím:Presumed Exposure to Chemical Pollutants and Experienced Health Impacts among Warehouse Workers at Logistics Companies : a Cross-Sectional Survey / Szabolcs Lovas, Károly Nagy, János Sándor, Balázs Ádám
Dátum:2021
ISSN:1661-7827 1660-4601
Megjegyzések:During intercontinental shipping, freight containers and other closed transport devices are applied. These closed spaces can be polluted with various harmful chemicals that may accumulate in poorly ventilated environments. The major pollutants are residues of pesticides used for fumigation as well as volatile organic compounds (VOCs) released from the goods. While handling cargos at logistics companies, workers can be exposed to these pollutants, frequently without adequate occupational health and safety precautions. A cross-sectional questionnaire survey was conducted among potentially exposed warehouse workers and office workers as controls at Hungarian logistics companies (1) to investigate the health effects of chemical pollutants occurring in closed spaces of transportation and storage and (2) to collect information about the knowledge of and attitude toward workplace chemical exposures as well as the occupational health and safety precautions applied. Pre-existing medical conditions did not show any significant difference between the working groups. Numbness or heaviness in the arms and legs (AOR = 3.99; 95% CI = 1.72?9.26) and dry cough (AOR = 2.32; 95% CI = 1.09?4.93) were significantly associated with working in closed environments of transportation and storage, while forgetfulness (AOR = 0.40; 95% CI = 0.18?0.87), sleep disturbances (AOR = 0.36; 95% CI = 0.17?0.78), and tiredness after waking up (AOR = 0.40; 95% CI = 0.20?0.79) were significantly associated with employment in office. Warehouse workers who completed specific workplace health and safety training had more detailed knowledge related to this workplace chemical issue (AOR = 8.18; 95% CI = 3.47?19.27), and they were significantly more likely to use certain preventive measures. Warehouse workers involved in handling cargos at logistics companies may be exposed to different chemical pollutants, and the related health risks remain unknown if the presence of these chemicals is not recognized. Applied occupational health and safety measures at logistics companies are not adequate enough to manage this chemical safety issue, which warrants awareness raising and the introduction of effective preventive strategies to protect workers' health at logistics companies.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
chemical pollutant
freight container
logistics
pesticide
volatile organic compound
warehouse
Megjelenés:International Journal of Environmental Research and Public Health. - 18 : 13 (2021), p. 1-14. -
További szerzők:Nagy Károly (1986-) (népegészségügyi felügyelő) Sándor János (1966-) (orvos-epidemiológus) Ádám Balázs (1973-) (megelőző orvostan és népegészségtan szakorvos)
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

10.

001-es BibID:BIBFORM092553
035-os BibID:(cikkazonosító)3206 (WOS)000639196000001 (Scopus)85102693631
Első szerző:Merzah, Mohammed
Cím:Roma Socioeconomic Status Has a Higher Impact on Smoking Behaviour than Genetic Susceptibility / Mohammed Merzah, Zsigmond Kósa, János Sándor, Shewaye Natae, Péter Pikó, Róza Ádány, Szilvia Fiatal
Dátum:2021
ISSN:1661-7827 1660-4601
Megjegyzések:It is a matter of speculation whether the high prevalence of smoking among Hungarian Roma (HR) is related to genetic, gene-environmental interactions or cultural factors. Our aim is to compare the genetic susceptibility and possible effects of determinants associated with smoking behaviours in the Hungarian general (HG) and Roma populations. A complex health survey including three pillars (questionnaire, physical and laboratory examinations) was carried out (NHG = 412 and NHR = 402). Risk allele frequencies of ten single-nucleotide polymorphisms (SNPs) were compared, and their combined effect was estimated by computing unweighted and weighted genetic risk scores (GRS, wGRS). The effects of genetic and environmental factors were investigated in regression analyses after confounders were introduced. Socio-economic status (SES) was calculated based on the Kuppuswamy scale 2019. Risk allele frequencies of only four SNPs were found to be different between populations (p < 0.01). Median values of GRS did not differ, while the wGRS median was slightly higher among Roma individuals (5.2 vs. 4.9; p = 0.02). Roma individuals were more likely to be heavy smokers (ORmales = 2.05, 95% CI [1.47?2.86]; ORfemales = 1.89, 95% CI [1.58? 2.25]. Smokers have lower SES compared to never smokers (SES ?HR = ?0.039, p = 0.023; ?HG = ?0.010, p = 0.049). An inverse relationship was found between SES and smoking behaviours (p < 0.0001) and was found to be a better predictor of smoking behaviours than genetic susceptibility. Our study findings suggest that the high prevalence of smoking behaviours and nicotine-dependence were not revealed to have a genetic susceptibility among HR individuals; therefore, the highest efforts should be focused on targeting SES-related factors in the Roma population. Strengths of the study: This is the first study carried out to investigate and detect the most relevant factors and the possible genetic background of the extremely high prevalence of smoking based in the Roma population. Limitations of the study: No standard instrument has been used to assess the intensity of addiction to nicotine. Because of some participants' unwillingness to define themselves as Roma, the overall HR population was not represented by the sample of this study.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
smoking behaviours
genetic susceptibility
Roma
socioeconomic status
SNP
Megjelenés:International Journal of Environmental Research and Public Health. - 18 : 6 (2021), p. 1-12. -
További szerzők:Kósa Zsigmond (1953-) (orvos) Sándor János (1966-) (orvos-epidemiológus) Natae, Shewaye (1982-) (PhD hallgató) Pikó Péter (1987-) (biológus) Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos) Fiatal Szilvia (1978-) (epidemiológus, népegészségügyi szakember)
Pályázati támogatás:GINOP-2.3.2-15-2016-00005
Egyéb
MTA11010 and TK2016-78
Egyéb
OTKA 135784
Egyéb
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

11.

001-es BibID:BIBFORM083647
035-os BibID:(cikkazonosító)1289 (Scopus)85079793280 (WOS)000522388500165
Első szerző:Mihailovic, Natasa
Cím:Alcohol consumption among the elderly citizens in Hungary and Serbia : comparative assessment / Natasa Mihailovic, Gergő József Szőllősi, Nemanja Rancic, Sándor János, Klára Boruzs, Attila Csaba Nagy, Yuriy Timofeyev, Viktorija Dragojevic-Simic, Marko Antunovic, Vladimir Reshetnikov, Róza Ádány, Mihajlo Jakovljevic
Dátum:2020
ISSN:1661-7827 1660-4601
Megjegyzések:Studies in the alcohol consumption area are mostly related to the (ab)use of alcohol in young people. However, today, a growing number of researchers are emphasizing the clinical and public health significance of alcohol consumption in the elderly. In the WHO reports, harmful alcohol consumption is responsible for 5.3% of the global burden of the disease. The aim of this study was to investigate the prevalence of alcohol consumption among men and women aged 55 and over in Serbia and Hungary, leveraging data from the 2013 Serbian National Health Survey and from the 2014 Hungarian National Health Survey. Respondents aged 55 and over were analysed based on logistic multivariate models. The prevalence of alcohol consumption was 41.5% and 62.5% in Serbia and Hungary, respectively. It was higher among men in both countries, but among women, it was significantly higher in Hungary than in Serbia. The statistically significant predictors affecting alcohol consumption in Serbia included age, education, well-being index, long-term disease and overall health status, with marital status being an additional factor among men. In Hungary, education and long-term disease affected alcohol consumption in both sexes, while age and employment were additional factors among women. In both countries for both sexes, younger age, more significantly than primary education and good health, was associated with a higher likelihood of alcohol consumption.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
alcohol consumption
socio-demographic factors
Hungary
Serbia
Megjelenés:International Journal of Environmental Research and Public Health. - 17 : 4 (2020), p. 1-13. -
További szerzők:Szőllősi Gergő József (1991-) (népegészségügyi ellenőr, népegészségügyi szakember) Rancic, Nemanja Sándor János (1966-) (orvos-epidemiológus) Boruzs Klára (1983-) (környezetkutató vegyész és MBA) Nagy Attila Csaba (1981-) (megelőző orvostan és népegészségtan szakorvos, epidemiológus) Timofeyev, Yuriy Dragojevic-Simic, Viktorija Antunovic, Marko Reshetnikov, Vladimir Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos) Jakovljevic, Mihajlo
Pályázati támogatás:TÉT_16-1-2016-014
egyéb
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

12.

001-es BibID:BIBFORM083910
035-os BibID:(cikkazonosító)1680 (Scopus)85080976447 (WOS)000522389200220
Első szerző:Nagy-Pénzes Gabriella (népegészségügyi szakember, egészségfejlesztés specialista)
Cím:Does Better Health-Related Knowledge Predict Favorable Health Behavior in Adolescents? / Gabriella Nagy-Pénzes, Ferenc Vincze, János Sándor, Éva Bíró
Dátum:2020
ISSN:1661-7827 1660-4601
Megjegyzések:The importance of puberty on later health status and behavior is indisputable, which also means that it is worth making intervention efforts during this period of life. However, whether better health-related knowledge is correlated with favorable health behavior in adolescents is an important, still unanswered question. Our objective was to examine this relationship. The participants were ninth-grade secondary school students. Data were collected using anonymous, self-administered questionnaires. The knowledge-related questions were compiled by the authors, while the questions concerning eating habits, physical activity, demographic and socioeconomic data were taken from the Health Behavior in School-Aged Children survey. The relationship between knowledge and behavior was investigated with structural equation modeling adjusted for gender, age, and socioeconomic status. The results demonstrated a good fit to the data, but better knowledge was not related to behavior in our sample. This finding suggests that adolescents' health behavior is highly influenced by the living context; therefore, appropriate knowledge is necessary but not sufficient to improve adolescents' behavior. Hence, comprehensive health promotion programs could provide solutions for encouraging healthy behavior
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
health behavior
health-related knowledge
youth
physical activity
nutrition
Megjelenés:International Journal of Environmental Research and Public Health. - 17 : 5 (2020), p. 1-12. -
További szerzők:Vincze Ferenc (1987-) (táplákozástudományi szakember, epidemiológus) Sándor János (1966-) (orvos-epidemiológus) Bíró Éva (1980-) (megelőző orvostan és népegészségtan szakorvos, egészségfejlesztő)
Pályázati támogatás:EFOP-3.6.3-VEKOP-16-2017-00009
Egyéb
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:
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