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001-es BibID:	BIBFORM115171
035-os BibID:	(WoS)001081655000001 (Scopus)85173726282
Első szerző:	Kovács Nóra (népegészségügyi szakember)
Cím:	Comparative analysis of health status and health service utilization patterns among rural and urban elderly populations in Hungary : a study on the challenges of unhealthy aging / Kovacs Nora, Piko Peter, Juhasz Attila, Nagy Csilla, Oroszi Beatrix, Ungvari Zoltan, Adany Roza
Dátum:	2024
ISSN:	2509-2715 2509-2723
Megjegyzések:	The demographic transition poses a significant challenge for health systems, especially in Central and Eastern European (CEE) countries, where the healthcare needs of aging populations are on the rise. This study aimed to describe and compare the health status and utilization of health services among the elderly residing in urban and rural areas of the most deprived region in Hungary. A comprehensive health survey was conducted in 2022, involving a randomly selected sample of 443 older adults (??65 years) in Northeast Hungary. Multivariable logistic regression models adjusting for age, sex, education, financial status, chronic diseases, and activity limitations were used to investigate the association between type of residence and health service use. Among the study participants, 62.3% were female, 38.3% attained primary education, 12.5% reported a bad or very bad financial situation and 52.6% lived in urban areas. Overall, 24% of the elderly rated their health as very good or good (27.8% in urban and 19.7% in rural areas), while 57.8% (52.6% and 63.5% in urban and rural areas) reported limitations in daily activities. Compared to urban residents, rural residents reported lower rates of dentist visits (p?=?0.006), specialist visits (p?=?0.028), faecal occult blood testing (p?<?0.001), colorectal cancer screening with colonoscopy (p?=?0.014), and breast cancer screening (p?=?0.035), and a higher rate of blood pressure measurement (p?=?0.042). Multivariable models indicated that urban residence was positively associated with faecal occult blood testing (OR?=?2.32, p?=?0.014), but negatively associated with blood pressure (OR?=?0.42, p?=?0.017) and blood glucose measurements (OR?=?0.48, p?=?0.009). These findings highlight the influence of residence on health service utilization among older adults in Hungary. Further comprehensive studies are needed to better understand the health needs of the elderly population and to develop policies aimed at promoting healthy aging in CEE countries.
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Population ageing Preventive services Place of residence Central and Eastern Europe (CEE) Older adults
Megjelenés:	GeroScience. - 46 : 2 (2024), p. 2017-2031. -
További szerzők:	Pikó Péter (1987-) (biológus) Juhász Attila (1970-) (epidemiológus) Nagy Csilla (1970-) (epidemiológus, népegészségügyi szakember) Oroszi Beatrix (1970-) (orvos, epidemiológus) Ungvári Zoltán Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos)
Pályázati támogatás:	GINOP-2.3.2- 15-2016-00005 GINOP TK2016-78 Egyéb TKCS-2021/32 Egyéb 135784 OTKA ÚNKP-22-4-II-DE-268 Egyéb TKP2021-NKTA-47 Egyéb
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001-es BibID:	BIBFORM091878
035-os BibID:	(cikkazonosító)2206 (Scopus)85101229383 (WOS)000628159300001
Első szerző:	Nagy Csilla (epidemiológus, népegészségügyi szakember)
Cím:	Preventive Metformin Monotherapy Medication Prescription, Redemption and Socioeconomic Status in Hungary in 2018-2019 : A Cross-Sectional Study / Csilla Nagy, Attila Juhász, Péter Pikó, Judit Diószegi, György Paragh, Zoltán Szabó, Orsolya Varga, Róza Ádány
Dátum:	2021
ISSN:	1661-7827 1660-4601
Megjegyzések:	This study was designed to characterize the spatial distribution of metformin medication used as first-line monotherapy for prevention of T2DM in relationship with the socioeconomic status (level of deprivation) and T2DM mortality at district level in a nationwide cross-sectional ecological study for the first time in a European country, Hungary. Risk analysis was used to estimate the relationships between socioeconomic status, characterized by tertiles of deprivation index, and mortality caused by diabetes, and metformin medication (both prescription and redemption) for the years of 2018 and 2019 at the district level. The spatial distribution of districts with a higher relative frequency of metformin prescriptions and redemptions showed a positive correlation with socio-economic deprivation. Significant association between the relatively high T2DM mortality and the highest level of deprivation could also be detected, but less-deprived regions with high T2DM mortality and low metformin utilization could also be identified. Although the statistical associations detected in this ecological study do not indicate a causal relationship, it is reasonable to suppose that the underuse of metformin medication may contribute to the unfavourable T2DM mortality in certain regions. Our findings underline the need for more effective preventive services including metformin medication to decrease T2DM morbidity and mortality burden.
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk socioeconomic status metformin redemption rate preventive medication
Megjelenés:	International Journal of Environmental Research and Public Health. - 18 : 5 (2021), p. 1-10. -
További szerzők:	Juhász Attila (1970-) (epidemiológus) Pikó Péter (1987-) (biológus) Diószegi Judit (1978-) (megelőző orvostan és népegészségtan szakorvos) Paragh György (1953-) (belgyógyász) Szabó Zoltán (1973-) (belgyógyász, kardiológus) Varga Orsolya (1977-) (orvos, jogász) Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos)
Pályázati támogatás:	GINOP-2.3.2-15-2016-00005 GINOP
Internet cím:	DOI Intézményi repozitóriumban (DEA) tárolt változat
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