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Seghieri C, Ferré F, Tortù C, Bertarelli G, Mavrogianni C, Usheva N, Toti F, Moreno L, Agapidaki E, Manios Y. Addressing chronic diseases: a comparative study of policies towards type-2 diabetes and hypertension in selected European countries. Eur J Public Health 2024:ckae070. [PMID: 38573190 DOI: 10.1093/eurpub/ckae070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2024] Open
Abstract
BACKGROUND Type-2 diabetes (T2D) and hypertension (HTN) are two of the most prevalent non-communicable diseases (NCDs): they both cause a relevant number of premature deaths worldwide and heavily impact the national health systems. This study illustrates the impact of HTN and T2D in four European countries (Albania, Bulgaria, Greece and Spain) and compares their policies towards the monitoring and management of HTN and T2D and the prevention of NCDs as a whole. This analysis is conducted throughout the DigiCare4You Project (H2020)-which implements an innovative solution involving digital tools for the prevention and management of T2D and HTN. METHODS The analysis is implemented through desk research, and it is enriched with additional information directly provided by the local coordinators in the four countries, by filling specific semi-structured forms. RESULTS The countries exhibit significant differences in the prevalence of HTN and T2D and available policies and programs targeted to these two chronic conditions. Each country has implemented strategies for HTN and T2D, including prevention initiatives, therapeutic guidelines, educational programs and children's growth monitoring programs. However, patient education on proper disease management needs improvement in all countries, registries about patients affected by HTN and T2D are not always available, and not all countries promoted acts to contain the increasing rates of risk factors related to NCDs. CONCLUSIONS While political awareness of the risks associated with HTN, T2D and NCDs in general is growing, there is a collective need for countries to strengthen their policies for preventing and managing these chronic diseases.
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Affiliation(s)
- Chiara Seghieri
- Department L'EMbeDS, Institute of Management, Sant'Anna School for Advanced Studies, Pisa, Italy
| | - Francesca Ferré
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
| | - Costanza Tortù
- Department L'EMbeDS, Institute of Management, Sant'Anna School for Advanced Studies, Pisa, Italy
| | - Gaia Bertarelli
- Department of Economics, Ca' Foscari University of Venice, Venice, Italy
| | - Christina Mavrogianni
- Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece
| | - Natalya Usheva
- Department of Social Medicine and Health Care Organization, Medical University of Varna, Varna, Bulgaria
| | - Florian Toti
- Department of Internal Medicine, University of Medicine of Tirana, Tirana, Albania
| | - Luis Moreno
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, Universidad de Zaragoza, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria de Aragón (IIS Aragón), Zaragoza, Spain
- Centro de Investigación Biomédica en Red de Fisiopatolo gía de la Oesidad y Nutrición (CIBEROBN), Instituto de salud Carlos III, Madrid, Spain
| | | | - Yannis Manios
- Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece
- Institute of Agri-food and Life Sciences, Hellenic Mediterranean University Research Centre, Heraklion, Greece
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2
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Arapi A, Vellone E, Ivziku D, Duka B, Taci D, Notarnicola I, Stievano A, Prendi E, Rocco G, De Maria M. Psychometric Characteristics of the Self-Care of Chronic Illness Inventory in Older Adults Living in a Middle-Income Country. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4714. [PMID: 36981630 PMCID: PMC10048512 DOI: 10.3390/ijerph20064714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/03/2023] [Revised: 02/24/2023] [Accepted: 03/02/2023] [Indexed: 06/18/2023]
Abstract
Chronic illness requires numerous treatments and self-care is essential in the care process. Evaluation of self-care behaviors facilitates the identification of patients' needs and optimizes education and care processes. This study aimed to test the psychometric characteristics (validity, reliability, and measurement error) of the Albanian version of the Self-Care of Chronic Illness Inventory (SC-CII). Patients with multiple chronic conditions and caregivers were recruited in outpatient clinics in Albania. The patients completed the SC-CII, which includes three scales: self-care maintenance, self-care monitoring, and self-care management. Factorial validity was tested for each scale, with confirmatory factor analysis. Reliability was evaluated with the composite coefficient, Cronbach's alpha, and the global reliability index for multidimensional scales. The construct validity was tested using hypothesis testing and known differences between groups. The measurement error was tested to assess responsiveness to changes. The self-care maintenance and self-care monitoring scales showed a unidimensional factorial structure, while the self-care management scale showed a bidimensional structure. Reliability estimates were adequate for all reliability coefficients. Construct validity was supported. The measurement error was adequate. The Albanian version of the SC-CII shows good psychometric properties in the Albanian sample.
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Affiliation(s)
- Alta Arapi
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy
| | - Ercole Vellone
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy
- Department of Nursing and Obstetrics, Wroclaw Medical University, 50-367 Wroclaw, Poland
| | - Dhurata Ivziku
- Degree Course in Nursing, UniCamillus International Medical University, 00131 Rome, Italy
- Department of Healthcare Professions, Campus Bio-Medico University Hospital Foundation, 00128 Rome, Italy
| | - Blerina Duka
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy
- Degree Course in Nursing, Catholic University “Our Lady of Good Counsel”, 1000 Tirana, Albania
| | - Dasilva Taci
- Degree Course in Nursing, Catholic University “Our Lady of Good Counsel”, 1000 Tirana, Albania
| | - Ippolito Notarnicola
- Degree Course in Nursing, Catholic University “Our Lady of Good Counsel”, 1000 Tirana, Albania
| | - Alessandro Stievano
- Centre of Excellence for Nursing Scholarship, Order of Nurses of Rome, 00173 Rome, Italy
- Department of Clinical and Experimental Medicine, University of Messina, 98100 Messina, Italy
| | - Emanuela Prendi
- Department of Biomedical Sciences, Catholic University “Our Lady of Good Counsel”, 1000 Tirana, Albania
| | - Gennaro Rocco
- Degree Course in Nursing, Catholic University “Our Lady of Good Counsel”, 1000 Tirana, Albania
- Centre of Excellence for Nursing Scholarship, Order of Nurses of Rome, 00173 Rome, Italy
| | - Maddalena De Maria
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy
- Degree Course in Nursing, Catholic University “Our Lady of Good Counsel”, 1000 Tirana, Albania
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3
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Refaeli T, Achdut N. Perceived poverty, perceived income adequacy and loneliness in Israeli young adults: Are social capital and neighbourhood capital resilience factors? HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:668-684. [PMID: 32959947 DOI: 10.1111/hsc.13177] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/20/2019] [Revised: 07/26/2020] [Accepted: 08/25/2020] [Indexed: 06/11/2023]
Abstract
Loneliness is a severe risk factor that has been linked to diminished health outcomes and low quality of life across ages. Young adults have been identified as a high-risk group for experiencing loneliness, but only a few studies have explored the economic and social determinants of loneliness in this age group. Taking a social inequality approach to health, with loneliness as a focus, this study examined: (a) the associations between the following factors - subjective social status (SSS) indicators (perceived poverty and perceived income adequacy), offline and online social capital, and neighbourhood capital - and loneliness; and (2) whether social and neighbourhood capital were moderators in the association between SSS and loneliness. Cross-sectional data for individuals aged 20-29 were taken from the 2017 Israeli Social Survey (N = 1,508). Employing multinomial logit models, we found that perceived poverty was a strong predictor of loneliness. Greater social and neighbourhood capital decreased loneliness, whereas a higher use of online social networks increased loneliness. Neighbourhood capital and perceived trust were moderators, whereas trust was a resilience factor, neighbourhood capital strengthened the negative effect of perceived poverty on loneliness. To reduce the prevalence of loneliness in young adults, policymakers should examine various means of enhancing social and neighbourhood capital along with moderating the use of online social networks. However, they should be aware that interventions of this kind can do little to buffer the strong effect of perceived poverty on loneliness, as in most cases the effect of perceived poverty on the probability of loneliness is not ameliorated by improved social or neighbourhood resources.
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Affiliation(s)
- Tehila Refaeli
- The Charlotte Jack Spitzer Department of Social Work, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Netta Achdut
- The Charlotte Jack Spitzer Department of Social Work, Ben-Gurion University of the Negev, Beer-Sheva, Israel
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4
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Mechili EA, Saliaj A, Xhindoli J, Bucaj J, Sifaki-Pistolla D, Peto E, Zahaj M, Chatzea VE. Primary healthcare personnel challenges and barriers on the management of patients with multimorbidity in Albania. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:380-388. [PMID: 33956363 DOI: 10.1111/hsc.13411] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/10/2020] [Revised: 02/24/2021] [Accepted: 03/26/2021] [Indexed: 06/12/2023]
Abstract
The number of people living with chronic conditions is increasing worldwide with most of these people receiving the needed healthcare services in primary healthcare (PHC) settings. The objective of this study was to explore the main challenges and barriers that PHC providers confront while treating multimorbid patients. This is a qualitative study utilising semi-structured individual in-depth interviews. The study took place in Vlora City, which is the biggest city located in south Albania. Τhe two biggest PHC centres of the city were enrolled. Purposive sampling method was used to recruit PHC practitioners. Main criteria of participation in the study were being fully employed at the enrolled primary care centres, having worked for at least 1 year and to deal with multimorbid patients in daily practice. Data collection took place from September 2019 to January 2020. In total, 36 semi-structured interviews took place with 23 (63.9%) nurses and 12 (33.3%) physicians (general practitioners/family doctors). Communication problems and disputes, lack of materials/equipment and the inappropriate infrastructure, miscommunication and problems in doctor-nurse relationships, coordination problems, lack of protocols and problems in the referral system were reported as the main challenges and barriers that the PHC personnel confront. The findings of this study are critical in understanding challenges that PHC personnel face when dealing with multimorbid patients in PHC settings. The emerged knowledge contributes significantly in a better understanding of the actual situation and to inform health policy makers on how to deal with the existing problems.
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Affiliation(s)
- Enkeleint A Mechili
- Clinic of Social and Family Medicine, School of Medicine, University of Crete, Crete, Greece
- Department of Healthcare, Faculty of Public Health, University of Vlora, Vlora, Albania
| | - Aurela Saliaj
- Department of Healthcare, Faculty of Public Health, University of Vlora, Vlora, Albania
| | - Juliana Xhindoli
- Department of Healthcare, Faculty of Public Health, University of Vlora, Vlora, Albania
| | - Jorgjia Bucaj
- Department of Healthcare, Faculty of Public Health, University of Vlora, Vlora, Albania
| | - Dimitra Sifaki-Pistolla
- Clinic of Social and Family Medicine, School of Medicine, University of Crete, Crete, Greece
| | - Ela Peto
- Department of Healthcare, Faculty of Public Health, University of Vlora, Vlora, Albania
| | - Majlinda Zahaj
- Department of Nursing, Faculty of Public Health, University of Vlora, Vlora, Albania
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Farzad M, MitraMoodi, Sharifi F, Amirabadizadeh H, Amirabadizadeh A, Kazemi T, Javadi A, Nasiri M. Prevalence and factors connected with chronic diseases in the elderly residents of Birjand: a community - based study in Birjand, South Khorasan Province, Iran. J Diabetes Metab Disord 2021; 20:1655-1662. [PMID: 34900817 PMCID: PMC8630296 DOI: 10.1007/s40200-021-00918-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/22/2021] [Accepted: 10/12/2021] [Indexed: 10/19/2022]
Abstract
OBJECTIVES The rapid rise of non-communicable diseases (NCDs) across the elderly has attracted much attention in Iran due to the high rate of population aging in the country. The current survey intended to evaluate the prevalence of and factors associated with five NCDs in the elderly residents of Birjand, a metropolis of South Khorasan, Iran. METHODS Following an observational design, 1820 elderly dwellers of Birjand aged ≥ 60 years residing in urban or rural areas were explored. Data on the target NCDS and socio-demographic features, health behavioral factors, and objective assessment of height and weight were collected using interviews. RESULTS The prevalence of hypertension, diabetes mellitus, chronic obstructive pulmonary disease (COPD), stroke, and cancer was 55.2% (1004/1819), 25.5% (463/1819), 1.0% (18/1807), 4.4% (80/1810), and 1.8% (33/1816), respectively. There was no gender difference concerning the prevalence of COPD, whereas the prevalence of hypertension, diabetes mellitus, and cancer was higher in women than men. Stroke was conversely higher in males than females. The common correlations of the five main NCDs were locality of residence and low body mass index (BMI). Rural residents had higher odds of diabetes mellitus and hypertension and lower odds of stroke. Diabetes mellitus, hypertension, and stroke were associated with a low BMI. Gender, age, and occupation were found to be associated with some of the NCDs. Retired and housewives had more chance to have hypertension and diabetes mellitus than the unemployed elderly. CONCLUSION The findings demonstrated that hypertension, diabetes mellitus, and stroke are the three prevalent NCDs among elders in the area and warrant a specific focus on reducing the burden of diseases and aligning healthcare services to prepare the whole needs of this population.
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Affiliation(s)
- Marjan Farzad
- Cardiovascular Diseases Research Center, School of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran
| | - MitraMoodi
- Social Determinants of Health Research Center, School of Health, Birjand University of Medical Sciences, Birjand, Iran
| | - Farshad Sharifi
- Elderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Hasan Amirabadizadeh
- Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran
| | - Alireza Amirabadizadeh
- Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran
| | - Toba Kazemi
- Cardiovascular Diseases Research Center, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran
- Clinical Research Development Unit of Razi Hospital, Birjand University of Medical Sciences, Birjand, Iran
| | - Abbas Javadi
- Social Determinants of Health Research Center, School of Health, Birjand University of Medical Sciences, Birjand, Iran
| | - Maziar Nasiri
- Student Research Committee, Birjand University of Medical Sciences, Birjand, Iran
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Ngoc NTM, Chuyen NV, Thao NTT, Duc NQ, Trang NTT, Binh NTT, Sa HC, Tran NB, Ba NV, Khai NV, Son HA, Han PV, Wattenberg EV, Nakamura H, Thuc PV. Chromium, Cadmium, Lead, and Arsenic Concentrations in Water, Vegetables, and Seafood Consumed in a Coastal Area in Northern Vietnam. ENVIRONMENTAL HEALTH INSIGHTS 2020; 14:1178630220921410. [PMID: 32435129 PMCID: PMC7223865 DOI: 10.1177/1178630220921410] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/06/2020] [Accepted: 04/02/2020] [Indexed: 05/25/2023]
Abstract
BACKGROUND Heavy metal contamination and related risks for the environment and human health are matters of increasing concern. METHODS The levels of 4 heavy metals (Cr, Cd, Pb, and As) were evaluated in 2 water types (surface and well), 4 types of seafood (tiger shrimp, stuffed snail, snake-head fish, and catfish), and 27 types of vegetables (12 leafy vegetables, 4 pea plants, 4 tuber vegetables, and 7 herbs) that are commonly consumed in northern coastal communes located in Vietnam. Atomic absorption spectrometry was employed for quantification. RESULTS The mean concentrations of heavy metals detected in water, seafood, and vegetable samples exceeded the national permitted standards and World Health Organization (WHO) recommendation values by at least 2-fold, 2.5-fold, and 5-fold for surface water, vegetables, and well water, respectively. The concentrations of all 4 heavy metals detected in seafood samples were higher than the standards. The levels of heavy metals decreased with increasing distance between the sample collection point and the pollution source. CONCLUSIONS This is the first report of heavy metal contamination of common sources of food and water in the northern coastal area of Vietnam. Significantly, the concentrations of heavy metals detected in study samples exceeded the regulatory limits. These results underscore the importance of continued monitoring and the development of intervention measures to ensure that the quality of food and water meets established standards and protects the health of the local population.
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Affiliation(s)
- Nguyen Thi Minh Ngoc
- Faculty of Public Health, Haiphong University of Medicine and Pharmacy, Haiphong, Vietnam
| | - Nguyen Van Chuyen
- Department of Military Hygiene, Vietnam Military Medical University, Hanoi, Vietnam
| | - Nguyen Thi Thu Thao
- Faculty of Public Health, Haiphong University of Medicine and Pharmacy, Haiphong, Vietnam
- Department of Environmental and Preventive Medicine, Kanazawa University, Kanazawa, Japan
| | - Nguyen Quang Duc
- Faculty of Public Health, Haiphong University of Medicine and Pharmacy, Haiphong, Vietnam
| | - Nguyen Thi Thu Trang
- Department of Military Hygiene, Vietnam Military Medical University, Hanoi, Vietnam
| | - Nguyen Thi Thanh Binh
- Faculty of Public Health, Haiphong University of Medicine and Pharmacy, Haiphong, Vietnam
| | - Hoang Cao Sa
- Institute of Health Management Training, Hanoi University of Public Health, Hanoi, Vietnam
| | - Nguyen Bao Tran
- Department of Anatomy, Haiphong University of Medicine and Pharmacy, Haiphong, Vietnam
| | - Nguyen Van Ba
- Oncology Center, 103 Military Hospital, Vietnam Military Medical University, Hanoi, Vietnam
| | - Nguyen Van Khai
- Faculty of Public Health, Haiphong University of Medicine and Pharmacy, Haiphong, Vietnam
| | - Ho Anh Son
- Institute of Biomedicine and Pharmacy, Department of Pathophysiology, Vietnam Military Medical University, Hanoi, Vietnam
| | - Pham Van Han
- Faculty of Public Health, Haiphong University of Medicine and Pharmacy, Haiphong, Vietnam
| | | | - Hiroyuki Nakamura
- Department of Environmental and Preventive Medicine, Kanazawa University, Kanazawa, Japan
| | - Pham Van Thuc
- Department of Clinical Allergo-Immunology, Haiphong University of Medicine and Pharmacy, Haiphong, Vietnam
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Melo SPDSDC, Cesse EÂP, Lira PIC, Rissin A, Cruz RDSBLC, Batista Filho M. Doenças crônicas não transmissíveis e fatores associados em adultos numa área urbana de pobreza do nordeste brasileiro. CIENCIA & SAUDE COLETIVA 2019; 24:3159-3168. [DOI: 10.1590/1413-81232018248.30742017] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2017] [Accepted: 01/24/2018] [Indexed: 11/21/2022] Open
Abstract
Resumo Objetiva-se analisar a prevalência e os fatores associados às Doenças Crônicas não Transmissíveis (DCNT), em adultos residentes numa área urbana de pobreza situada em Recife, Nordeste do Brasil. Trata-se de um estudo transversal, com amostra de 631 adultos de 20 a 59 anos. Analisaram-se possíveis associações das DCNT com fatores demográficos, socioeconômicos, comportamentais e relativos à saúde, por meio de Regressão de Poisson, considerando-se como estatisticamente significantes aqueles com valor de p < 0,05. A prevalência de DCNT foi de 56,7%, sendo maior no sexo masculino (60,8%), entre os adultos com 50-59 anos (80,5%), de menor classe econômica (57,7%) e menor nível de instrução (62%). O problema também predominou entre aqueles com IMC ≥ 25Kg/m2 (34,2%) e que referiram estado de saúde ruim (76,4%). No modelo multivariado hierarquizado, as variáveis estatisticamente significantes foram: escolaridade, IMC, percepção da própria saúde, sexo e faixa etária. Observou-se, neste estudo, uma elevada prevalência de pelo menos uma DCNT, bem como, associação estatisticamente significante entre DCNT e as variáveis: escolaridade, IMC, percepção da própria saúde, sexo e faixa etária. Estes resultados sugerem a necessidade de se intensificar as ações de promoção à saúde, em comunidades carentes, com vistas ao seu melhor controle.
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Affiliation(s)
| | | | | | - Anete Rissin
- Instituto de Medicina Integral Prof. Fernando Figueira, Brazil
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8
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Promoting a Culture of Prevention in Albania: the "Si Je?" Program. PREVENTION SCIENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR PREVENTION RESEARCH 2018; 22:29-39. [PMID: 30498935 DOI: 10.1007/s11121-018-0967-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Albania is a small country on the Balkan Peninsula that recently implemented an innovative primary healthcare program called "Si Je?" (How are you?) which allowed all Albanians aged 40-65 years to receive a free, yearly basic health examination at their local health center. Access to basic primary care is a critical component of a nationwide culture of prevention particularly for the non-communicable diseases that comprise 89% of total deaths in the country. Yet, as in many middle-income countries, a culture of prevention in Albania is often secondary to ensuring basic health infrastructure and healthcare access for those critically in need. Using the social-ecological model as our conceptual framework, this paper provides new insights into the culture of prevention in Albania by analyzing the need for, and implementation of, the Si Je? program using (1) findings from a critical literature review, (2) quantitative data from the database created from this program, and (3) qualitative data from key informant interviews from 15 health center directors. Positive developments towards a culture of prevention include the fact that the Si Je? program has been expanded to those 35-70 years, strengthened links between community and primary care, and participation among rural communities who traditionally have limited primary care access. Challenges include continued urgent health infrastructure needs, politicization of the Si Je? effort, limited participation by some groups (particularly urban men), and regional variations. Despite challenges, Albania appears to be building new infrastructure for a sustainable culture of prevention, particularly around chronic disease.
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Zhao C, Wong L, Zhu Q, Yang H. Prevalence and correlates of chronic diseases in an elderly population: A community-based survey in Haikou. PLoS One 2018; 13:e0199006. [PMID: 29902222 PMCID: PMC6002039 DOI: 10.1371/journal.pone.0199006] [Citation(s) in RCA: 45] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2017] [Accepted: 05/30/2018] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND The escalating problem of multiple chronic conditions among older adults in China draws public health attention due to increasing proportion of the elderly population. This study sought to assess the prevalence of and factors associated with four chronic diseases in older adults in Haikou, the capital city of Hainan Province, China. METHOD In this cross-sectional study, 9432 community-dwelling elderly people aged 60 years and older living in rural or urban areas in Haikou were investigated. The interviews collected self-reported information on the presence of four major chronic diseases, as well as socio-demographic characteristics, lifestyle factors and self-reported height and weight. FINDINGS Overall, 31.7% (2961/9344) reported at least one of the four chronic diseases. The prevalence of hypertension, diabetes mellitus, COPD, and stroke was 26.0% (2449/9407), 8.0% (749/9371), 1.0% (95/9360), and 1.9% (175/9382), respectively. Common correlates of the four major chronic diseases were older age, being engaged in intellectual work, currently being a smoker and obesity. Gender, locality of residence, and alcohol consumptions were also found to be associated to some of the chronic conditions. CONCLUSION This finding indicates that multiple chronic conditions among elderly people in Haikou are prevalent and warrant special attention to reduce diseases burden and align health care services to cater the holistic elderly patients' need.
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Affiliation(s)
- Chanjuan Zhao
- College of Public Health, Hainan Medical University, Haikou, Hainan Province, China
- * E-mail:
| | - Liping Wong
- Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Qing Zhu
- Department of Non-communicable Disease Control and Prevention, Haikou Center for Disease Control and Prevention, Haikou, Hainan Province, China
| | - Hao Yang
- Department of Non-communicable Disease Control and Prevention, Haikou Center for Disease Control and Prevention, Haikou, Hainan Province, China
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