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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:2023
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. - [Epub ahead of print] (2023). -
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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