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001-es BibID:BIBFORM092434
Első szerző:Nagy Csilla (epidemiológus, népegészségügyi szakember)
Cím:Hierarchical spatio-temporal mapping of premature mortality due to alcoholic liver disease in Hungary, 2005-2010 / Nagy Csilla, Juhász Attila, Papp Zoltán, Beale Linda
Dátum:2014
ISSN:1101-1262
Megjegyzések:Background: Excess alcohol consumption is a major public health issue in Hungary, with high mortality rates from alcohol disease. In addition, excess alcohol consumption has been found to differ by socioeconomic and environmental factors. Methods: The spatial pattern of mortality from alcoholic liver disease across Hungary for the period 2005 and 2010, at municipality level, was investigated by sex using Bayesian modelling. The changes in mortality over this 6-year period were analysed using hierarchical spatio-temporal disease mapping. The association between the spatial distribution of mortality from alcoholic liver disease and cirrhosis and deprivation (by sex) was also assessed using a Hungarian-specific deprivation index. Results: A statistically significant association was found between mortality and deprivation status in males. Areas of significantly highest age-adjusted relative risks were found, for males, in the south-western part, and at the eastern border of the country. A number of areas showed area-specific trends that were significantly steeper than the national average mortality trend. Conclusion: Using our findings, population groups with increasing mortality trends were identified, which may help decision makers fund effective health promotion programmes to reduce mortality rates in the working-age population.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
alcohol
Megjelenés:European Journal Of Public Health. - 24 : 5 (2014), p. 827-833. -
További szerzők:Juhász Attila (1970-) (epidemiológus) Papp Zoltán Beale, Linda
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001-es BibID:BIBFORM092432
Első szerző:Nagy Csilla (epidemiológus, népegészségügyi szakember)
Cím:Mortality amenable to health care and its relation to socio-economic status in Hungary, 2004-08 / Nagy Csilla, Juhász Attila, Beale Linda, Páldy Anna
Dátum:2012
ISSN:1101-1262
Megjegyzések:Background: Recently, research focus has returned to amenable mortality to health care, despite the decreasing trend, as it remains a significant contributor to social and economic loss due to premature death. This article assesses the trends of amenable mortality over time and, its spatial inequalities with respect to deprivation, in Hungary. Methods: An ecological analysis of mortality amenable to health care was carried out using smoothed indirectly standardized mortality ratios, calculated by full hierarchical Bayesian methods, at municipality level. The association between the spatial distribution of amenable mortality and deprivation was also assessed using a Hungarian specific deprivation index. Results: Trends of mortality amenable to health care were characterized by a decreasing pattern across the studied period, 1996?2008. Areas of significantly high risk of amenable mortality were identified in the North-eastern, Eastern and South-western parts of Hungary. A statistically significant association was found between amenable mortality and deprivation status in both genders. After correcting for bias due to socio-economic confounders, the patterns of areas with excess risks significantly changed. Conclusion: Differences in deprivation alone cannot explain the spatial distribution of mortality amenable to health care. This study highlights the importance of exploring other factors (e.g. health-care system and individual life style) beyond socio-economic status, which affect health inequalities particularly for health policy makers, who are responsible for the mitigation of health disparities.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:European Journal Of Public Health. - 22 : 5 (2012), p. 620-624. -
További szerzők:Juhász Attila (1970-) (epidemiológus) Beale, Linda Páldy Anna
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
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