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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
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001-es BibID:	BIBFORM113387
035-os BibID:	(cikkazonosító)1941 (WoS)001028539800001 (Scopus)85165101070
Első szerző:	Wasnik, Rahul Naresh
Cím:	Screening for Patients with Visual Acuity Loss in Primary Health Care : A Cross Sectional Study in a Deprived Hungarian Population / Wasnik Rahul Naresh, Győri-Dani Veronika, Vincze Ferenc, Papp Magor, Pálinkás Anita, Sándor János
Dátum:	2023
ISSN:	2227-9032
Megjegyzések:	Screening for visual acuity loss (VAL) is not applied systematically because of uncertain recommendations based on observations from affordable countries. Our study aimed to evaluate the effectiveness of primary health care-based screening. A cross-sectional investigation was carried out among adults who did not wear glasses and did not visit an ophthalmologist in a year (N = 2070). The risk factor role of sociodemographic factors and the cardiometabolic status for hidden VAL was determined by multivariable linear regression models. The prevalence of unknown VAL of at least 0.5 was 3.7% and 9.1% in adults and in the above-65 population. Female sex (b = 1.27, 95% CI: 0.35; 2.18), age (b = 0.15, 0.12; 0.19), and Roma ethnicity (b = 2.60, 95% CI: 1.22; 3.97) were significant risk factors. Higher than primary school (b(secondaryschoolwithoutgraduation) = -2.06, 95% CI: -3.64; -0.47; and b(secondaryschoolwithgraduation) = -2.08, 95% CI: -3.65; -0.51), employment (b = -1.33, 95% CI: -2.25; 0.40), and properly treated diabetes mellitus (b = -2.84, 95% CI: -5.08; -0.60) were protective factors. Above 65 years, female sex (b = 3.85, 95% CI: 0.50; 7.20), age (b = 0.39, 95% CI: 0.10; 0.67), Roma ethnicity (b = 24.79, 95% CI: 13.83; 35.76), and untreated diabetes (b = 7.30, 95% CI: 1.29; 13.31) were associated with VAL. Considering the huge differences between the health care and the population's social status of the recommendation-establishing countries and Hungary which represent non-high-income countries, the uncertain recommendation of VAL screening should not discourage general practitioners from organizing population-based screening for VAL in non-affordable populations.
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk visual acuity loss screening primary care general health check deprivation
Megjelenés:	Healthcare (Switzerland). - 11 : 13 (2023), p. 1-12. -
További szerzők:	Győri-Dani, Veronika Vincze Ferenc (1987-) (táplákozástudományi szakember, epidemiológus) Papp Magor Csongor (1978-) (háziorvostan szakorvos) Pálinkás Anita (1988-) (népegészségügyi szakember) Sándor János (1966-) (orvos-epidemiológus)
Pályázati támogatás:	Swiss Contribution Programme (SH/8/1) Egyéb GINOP-2.3.2-15-2016-00005 Egyéb Stipendium Hungaricum Scholarship Program (grant SHE-10324-004/2019 to RNW) Egyéb
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001-es BibID:	BIBFORM110953
035-os BibID:	(cikkazonosító)1220 (Scopus)85159131938 (WoS)000987318500001
Első szerző:	Wasnik, Rahul Naresh
Cím:	Effectiveness of and Inequalities in COVID-19 Epidemic Control Strategies in Hungary : A Nationwide Cross-Sectional Study / Rahul Naresh Wasnik, Ferenc Vincze, Anett Földvári, Anita Pálinkás, János Sándor
Dátum:	2023
ISSN:	2227-9032
Megjegyzések:	Introduction: Before the mass vaccination, epidemiological control measures were the only means of containing the COVID-19 epidemic. Their effectiveness determined the consequences of the COVID-19 epidemic. Our study evaluated the impact of sociodemographic, lifestyle, and clinical factors on patient-reported epidemiological control measures. Methods: A nationwide representative sample of 1008 randomly selected adults were interviewed in person between 15 March and 30 May 2021. The prevalence of test-confirmed SARS-CoV-2 infection was 12.1%, of testing was 33.7%, and of contact tracing among test-confirmed infected subjects was 67.9%. The vaccination coverage was 52.4%. Results: According to the multivariable logistic regression models, the occurrence of infection was not influenced by sociodemographic and lifestyle factors or by the presence of chronic disease. Testing was more frequent among middle-aged adults (aOR = 1.53, 95% CI 1.10?2.13) and employed adults (aOR = 2.06, 95% CI 1.42?3.00), and was more frequent among adults with a higher education (aORsecondary = 1.93, 95% CI 1.20?3.13; aORtertiary = 3.19, 95% CI 1.81?5.63). Contact tracing was more frequently implemented among middle-aged (aOR41-7y = 3.33, 95% CI 1.17?9.45) and employed (aOR = 4.58, 95% CI 1.38?15.22), and those with chronic diseases (aOR = 5.92, 95% CI 1.56?22.47). Positive correlation was observed between age groups and vaccination frequency (aOR41-70y = 2.94, 95% CI 2.09?4.15; aOR71+y = 14.52, 95% CI 7.33?28.77). Higher than primary education (aORsecondary = 1.69, 95% CI 1.08?2.63; aORtertiary = 4.36, 95% CI 2.46?7.73) and the presence of a chronic disease (aOR = 2.58, 95% CI 1.75?3.80) positively impacted vaccination. Regular smoking was inversely correlated with vaccination (aOR = 0.60; 95% CI 0.44?0.83). Conclusions: The survey indicated that testing, contact tracing, and vaccination were seriously influenced by socioeconomic position; less so by chronic disease prevalence and very minimally by lifestyle. The etiological role of socioeconomic inequalities in epidemic measure implementation likely generated socioeconomic inequality in COVID-19-related complication and death rates.
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk COVID-19 epidemic epidemiological measures effectiveness social status inequalities
Megjelenés:	Healthcare (Switzerland). - 11 : 9 (2023), p. 1-12. -
További szerzők:	Vincze Ferenc (1987-) (táplákozástudományi szakember, epidemiológus) Földvári Anett (1984-) (népegészségügyi felügyelő) Pálinkás Anita (1988-) (népegészségügyi szakember) Sándor János (1966-) (orvos-epidemiológus)
Pályázati támogatás:	Stipendium Hungaricum Scholarship Program (grant SHE-10324-004/2019 to R.N.W.) Egyéb Eötvös Loránd Research Network (TKCS-2021/32) Egyéb
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