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1.

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
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2.

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.
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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
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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
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4.

001-es BibID:BIBFORM074749
035-os BibID:(Scopus)85052505330 (WOS)000445765600044 (cikkazonosító)1835
Első szerző:Sándor János (orvos-epidemiológus)
Cím:Healthcare utilization and all-cause premature mortality in Hungarian segregated roma settlements : evaluation of specific indicators in a cross-sectional study / János Sándor, Anita Pálinkás, Ferenc Vincze, Nóra Kovács, Valéria Sipos, László Kőrösi, Zsófia Falusi, László Pál, Gergely Fürjes, Magor Papp, Róza Ádány
Dátum:2018
ISSN:1661-7827 1660-4601
Megjegyzések:Roma is the largest ethnic minority of Europe with deprived health status, which is poorly explored due to legal constrains of ethnicity assessment. We aimed to elaborate health indicatorsfor adults living in segregated Roma settlements (SRS), representing the most vulnerable Roma subpopulation. SRSs were mapped in a study area populated by 54,682 adults. Records of alladults living in the study area were processed in the National Institute of Health Insurance Fund Management. Aggregated, age-sex standardized SRS-specific and non-SRS-specific indicators onhealthcare utilization and all-cause premature death along with the ratio of them (RR) were computed with 95% confidence intervals. The rate of GP appointments was significantly higher among SRS inhabitants (RR = 1.152, 95% CI: 1.136?1.167). The proportion of subjects hospitalized (RR = 1.286, 95% CI: 1.177?1.405) and the reimbursement for inpatient care (RR = 1.060, 95% CI: 1.057?1.064) were elevated for SRS. All-cause premature mortality was significantly higher in SRSs (RR = 1.711, 1.085?2.696). Our study demonstrated that it is possible to compute the SRS-specific version of routine healthcare indicators without violating the protection of personal data by converting a sensitive ethical issue into a non-sensitive small-area geographical analysis; there is an SRS-specific healthcare utilization pattern, which is associated with elevated costs and increased risk of all-cause premature death.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Roma minority
legal constraints
healthcare utilization
health status
geographical inequality
Megjelenés:International Journal of Environmental Research and Public Health. - 15 : 9 (2018), p. 1-13. -
További szerzők:Pálinkás Anita (1988-) (népegészségügyi szakember) Vincze Ferenc (1987-) (táplákozástudományi szakember, epidemiológus) Kovács Nóra (1989-) (népegészségügyi szakember) Sipos Valéria (1988-) (népegészségügyi szakember) Kőrösi László Falusi Zsófia Pál László Fürjes Gergely Papp Magor Csongor (1978-) (háziorvostan szakorvos) Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos)
Pályázati támogatás:MTA 11003
MTA
MTA 2006TKI227
MTA
TÁMOP-4.2.2.AA-11/1/KONV-2012-0031)
TÁMOP
GINOP-2.3.2-15-2016-00005
GINOP
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
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5.

001-es BibID:BIBFORM074305
035-os BibID:(Scopus)85049535475 (WOS)000445543500094 (cikkazonosító)1388
Első szerző:Sándor János (orvos-epidemiológus)
Cím:Association between the General Practitioner Workforce Crisis and Premature Mortality in Hungary : cross-Sectional Evaluation of Health Insurance Data from 2006 to 2014 / János Sándor, Anita Pálinkás, Ferenc Vincze, Valéria Sipos, Nóra Kovács, Tibor Jenei, Zsófia Falusi, László Pál, László Kőrösi, Magor Papp, Róza Ádány
Dátum:2018
ISSN:1661-7827 1660-4601
Megjegyzések:The workforce crisis of primary care is reflected in the increasing number of general medicalpractices (GMP) with vacant general practitioner (GP) positions, and the GPs' ageing. Our studyaimed to describe the association between this crisis and premature mortality. Age-sex-standardizedmortality for 18?64 years old adults was calculated for all Hungarian GMPs annually in the periodfrom 2006 to 2014. The relationship of premature mortality with GPs' age and vacant GP positionswas evaluated by standardized linear regression controlled for list size, urbanization, geographicallocation, clients' education, and type of the GMP. The clients' education was the strongest protectivefactor (beta = ??0175; p < 0.001), followed by urban residence (beta = ??0.149; p < 0.001), and bigger listsize (beta1601?2000 = ??0.054; p < 0.001; beta2001??X = ??0.096; p < 0.001). The geographical localizationalso significantly influenced the risk. Although GMPs with a GP aged older than 65 years (beta = 0;p = 0.995) did not affect the risk, GP vacancy was associated with higher risk (beta = 0.010; p = 0.033),although the corresponding number of attributable cases was 23.54 over 9 years. The vacant GPposition is associated with a significant but hardly detectable increased risk of premature mortalitywithout considerable public health importance. Nevertheless, employment of GPs aged more than65 does not impose premature mortality risk elevation.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
primary health care
workforce crisis
general practitioner vacancy
aging of general practitioners
premature mortality
Megjelenés:International Journal of Environmental Research and Public Health. - 15 : 7 (2018), p. 1388-. -
További szerzők:Pálinkás Anita (1988-) (népegészségügyi szakember) Vincze Ferenc (1987-) (táplákozástudományi szakember, epidemiológus) Sipos Valéria (1988-) (népegészségügyi szakember) Kovács Nóra (1989-) (népegészségügyi szakember) Jenei Tibor (1963-) (programtervező informatikus) Falusi Zsófia Pál László Kőrösi László Papp Magor Csongor (1978-) (háziorvostan szakorvos) Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos)
Pályázati támogatás:Swiss Contribution Programme
Egyéb
MTA 11003
OTKA
2006TKI227
OTKA
GINOP-2.3.2-15-2016-00005
GINOP
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

6.

001-es BibID:BIBFORM080979
035-os BibID:(cikkazonosító)3620 (Scopus)85072706740 (WOS)000494748600116
Első szerző:Vincze Ferenc (táplákozástudományi szakember, epidemiológus)
Cím:Prevalence of Chronic Diseases and Activity-Limiting Disability among Roma and Non-Roma People : a Cross-Sectional, Census-Based Investigation / Ferenc Vincze, Anett Földvári, Anita Pálinkás, Valéria Sipos, Eszter Anna Janka, Róza Ádány, János Sándor
Dátum:2019
ISSN:1661-7827 1660-4601
Megjegyzések:The lack of recommended design for Roma health-monitoring hinders the interventions to improve the health status of this ethnic minority. We aim to describe the riskiness of Roma ethnicity using census-derived data and to demonstrate the value of census for monitoring the Roma to non?Roma gap. This study investigated the self-declared occurrence of at least one chronic disease and the existence of activity limitations among subjects with chronic disease by the database of the 2011 Hungarian Census. Risks were assessed by odds ratios (OR) and 95% confidence intervals (95% CI) from logistic regression analyses controlled for sociodemographic factors. Roma ethnicity is a risk factor for chronic diseases (OR = 1.17; 95% CI: 1.16?1.18) and for activity limitation in everyday life activities (OR = 1.20; 95% CI: 1.17?1.23), learning-working (OR = 1.24; 95% CI: 1.21?1.27), family life (OR = 1.22; 95% CI: 1.16?1.28), and transport (OR = 1.03; 95% CI: 1.01?1.06). The population?level impact of Roma ethnicity was 0.39% (95% CI: 0.37?0.41) for chronic diseases and varied between 0 and 1.19% for activity limitations. Our investigations demonstrated that (1) the Roma ethnicity is a distinct risk factor with significant population level impact for chronic disease occurrence accompanied with prognosis worsening influence, and that (2) the census can improve the Roma health-monitoring system, primarily by assessing the population level impact.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Roma minority
health status
census
risk assessment
impact assessment
monitoring
Megjelenés:International Journal of Environmental Research and Public Health. - 16 : 19 (2019), p. 1-15. -
További szerzők:Földvári Anett (1984-) (népegészségügyi felügyelő) Pálinkás Anita (1988-) (népegészségügyi szakember) Sipos Valéria (1988-) (népegészségügyi szakember) Janka Eszter Anna (1989-) (bőrgyógyász, népegészségügyi szakember) Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos) Sándor János (1966-) (orvos-epidemiológus)
Pályázati támogatás:"Public Health Focused Model Programme for Organising Primary Care Services Backed by a Virtual Care Service Centre" (SH/8/1)
Egyéb
MTA 11003, 2006TKI227
MTA
GINOP-2.3.2-15-2016-00005
Egyéb
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:
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