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

001-es BibID:BIBFORM073739
Első szerző:Bíró Éva (megelőző orvostan és népegészségtan szakorvos, egészségfejlesztő)
Cím:Inequalities in Hungarian adolescents' health, health behaviour and wellbeing, based upon the results of a cross-sectional survey at settlement level, using the Health Behaviour in School-aged Children questionnaire / Éva Bíró, Dóra Dezső, János Sándor, Róza Ádány
Dátum:2018
ISSN:0190-7409
Megjegyzések:The aim of our study was to assess the impact of horizontal inequality on adolescents' health and behaviourwithin a country and to check the usability of the questionnaire of Health Behaviour in School-aged Children(HBSC) survey at local level. Sampling and data collection was carried out in accordance with the protocol of theHBSC survey among the 5th, 7th, 9th and 11th grade students in Debrecen (Nsampling frame=11,765,Nsample=1310), the second largest city of Hungary. Data on socioeconomic status of the families, variablesrelated to well-being and health behaviour of the children were involved in the analysis. Horizontal inequalitywas measured by comparison of the local data with the national average, and for this purpose, a t-test and twosampletest of proportion was used. The families of the involved children in Debrecen are in better socio-economicstatus, and the health-related behaviour, as well as the well-being of the school-aged citizens of Debrecenis favourable than the national average. Based on the results, it is submitted that horizontal inequalities relatingthe place of residence in school-aged children's health and behaviour exist in Hungary and the effect of socioeconomicconditions is well demonstrated. The HBSC questionnaire is appropriate to obtain information on thehealth behaviour of children at settlement level and the gathered data can be used for planning health promotioninterventions, tackling problems identified at local level.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
Inequality
School-aged children
Health behaviour
Settlement level HBSC
questionnaire
Megjelenés:Children and Youth Services Review. - 90 (2018), p. 15-20. -
További szerzők:Kölesné Dezső Dóra (1985-) (orvos) Sándor János (1966-) (orvos-epidemiológus) Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos)
Pályázati támogatás:TÁMOP-4.1.2.E-15/1/KONV-2015-0001
TÁMOP
GINOP-2.3.2-15-2016-00005
GINOP
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

3.

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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