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Soós R, Bakó C, Gyebrovszki Á, Gordos M, Csala D, Ádám Z, Wilhelm M. Nutritional Habits of Hungarian Older Adults. Nutrients 2024; 16:1203. [PMID: 38674893 PMCID: PMC11053580 DOI: 10.3390/nu16081203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2024] [Revised: 04/12/2024] [Accepted: 04/16/2024] [Indexed: 04/28/2024] Open
Abstract
There are many nutritional changes that come with aging, mostly as consequences of health regression. Malnutrition and overweight often start with inadequate food consumption, followed by alterations in biochemical indices and body composition. In our study, we aimed to analyze the feeding habits and energy and nutrient intake of a Hungarian elderly population, focusing on macronutrient, water, fruit, and vegetable consumption while searching for possible nutritional factors leading to NCD and many other chronic diseases in this population. Two questionnaires were used. These were the Mini Nutritional Assessment (MNA) and one asking about nutritional habits, and a 3-day feeding diary was also filled. Subjects (n = 179, 111; females (F), 68 males (M), older than 50 years were recruited. Based on MNA results, 78 adults (43.57% of the studied population) were malnourished or at risk of malnutrition, although, according to BMI categories, 69% were overweight and 7.3% were obese among M, while 42.3% were overweight among F. The average daily meal number was diverse. The amount of people consuming fruit (11.7%) and vegetables (8.93%) several times a day was extremely low (15.3% of F and 4.4% of M). Daily fruit consumption in the whole sample was 79.3%. Overall, 36.3% consumed 1 L of liquid and 0.5 L of consumption was found in 15.1% of participants. A significant gender difference was found in water consumption, with F drinking more than M (p ≤ 0.01). In our sample, 27.93% of the respondents took dietary supplements. Further analysis and research are needed to explore the specific health implications of and reasons behind these findings.
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Affiliation(s)
- Rita Soós
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary;
| | - Csilla Bakó
- Institute of Sport Sciences and Physical Education, Faculty of Sciences, University of Pécs, 7624 Pécs, Hungary;
| | - Ádám Gyebrovszki
- Doctoral School of Biology and Sportbiology, Faculty of Sciences, University of Pécs, 7624 Pécs, Hungary; (Á.G.); (D.C.)
| | - Mónika Gordos
- Doctoral School of Biology and Sportbiology, Faculty of Sciences, University of Pécs, 7624 Pécs, Hungary; (Á.G.); (D.C.)
| | - Dávid Csala
- Doctoral School of Biology and Sportbiology, Faculty of Sciences, University of Pécs, 7624 Pécs, Hungary; (Á.G.); (D.C.)
| | - Zoltán Ádám
- Department of Pharmaceutical Biotechnology, Faculty of Pharmacy, University of Pécs, 7624 Pécs, Hungary;
- Wnt-Signaling Research Group, Szentagothai Research Center, University of Pécs, 7624 Pécs, Hungary
| | - Márta Wilhelm
- Institute of Sport Sciences and Physical Education, Faculty of Sciences, University of Pécs, 7624 Pécs, Hungary;
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Balázs B, Boros Á, Pankovics P, Nagy G, Szekeres S, Urbán P, Reuter G. Detection and complete genome characterization of a genogroup X (GX) sapovirus (family Caliciviridae) from a golden jackal (Canis aureus) in Hungary. Arch Virol 2024; 169:100. [PMID: 38630394 PMCID: PMC11024015 DOI: 10.1007/s00705-024-06034-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2024] [Accepted: 04/01/2024] [Indexed: 04/19/2024]
Abstract
In this study, a novel genotype of genogroup X (GX) sapovirus (family Caliciviridae) was detected in the small intestinal contents of a golden jackal (Canis aureus) in Hungary and characterised by viral metagenomics and next-generation sequencing techniques. The complete genome of the detected strain, GX/Dömsöd/DOCA-11/2020/HUN (PP105600), is 7,128 nt in length. The ORF1- and ORF2-encoded viral proteins (NSP, VP1, and VP2) have 98%, 95%, and 88% amino acid sequence identity to the corresponding proteins of genogroup GX sapoviruses from domestic pigs, but the nucleic acid sequence identity values for their genes are significantly lower (83%, 77%, and 68%). During an RT-PCR-based epidemiological investigation of additional jackal and swine samples, no other GX strains were detected, but a GXI sapovirus strain, GXI/Tótfalu/WBTF-10/2012/HUN (PP105601), was identified in a faecal sample from a wild boar (Sus scrofa). We report the detection of members of two likely underdiagnosed groups of sapoviruses (GX and GXI) in a golden jackal and, serendipitously, in a wild boar in Europe.
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Affiliation(s)
- Benigna Balázs
- Department of Medical Microbiology and Immunology, Medical School, University of Pécs, Szigeti út 12., Pécs, H-7624, Hungary
| | - Ákos Boros
- Department of Medical Microbiology and Immunology, Medical School, University of Pécs, Szigeti út 12., Pécs, H-7624, Hungary
| | - Péter Pankovics
- Department of Medical Microbiology and Immunology, Medical School, University of Pécs, Szigeti út 12., Pécs, H-7624, Hungary
| | - Gábor Nagy
- Department of Animal Physiology and Health, Hungarian University of Agriculture and Life Science, Kaposvár, Hungary
| | - Sándor Szekeres
- Department of Parasitology and Zoology, University of Veterinary Medicine, Budapest, Hungary
- HUN-REN-UVMB Climate Change: New Blood-Sucking Parasites and Vector-Borne Pathogens Research Group, Budapest, Hungary
| | - Péter Urbán
- Szentágothai Research Centre, Bioinformatics Research Group, Genomics and Bioinformatics Core Facility, University of Pécs, Pécs, Hungary
| | - Gábor Reuter
- Department of Medical Microbiology and Immunology, Medical School, University of Pécs, Szigeti út 12., Pécs, H-7624, Hungary.
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Kerek Á, Szabó Á, Bányai K, Kaszab E, Bali K, Papp M, Kovács L, Jerzsele Á. Resistome analysis of Escherichia coli isolates from layers in Hungary. Acta Vet Hung 2024; 72:1-10. [PMID: 38578711 DOI: 10.1556/004.2024.00988] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2023] [Accepted: 02/28/2024] [Indexed: 04/07/2024]
Abstract
The authors aimed to investigate eight strains of Escherichia coli (E. coli) strains from Hungarian layer flocks for antimicrobial resistance genes (ARG), using metagenomic methods. The strains were isolated from cloacal swabs of healthy adult layers. This study employed shotgun sequencing-based genetic and bioinformatic analysis along with determining phenotypic minimum inhibitory concentrations. A total of 59 ARGs were identified in the eight E. coli isolates, carrying ARGs against 15 groups of antibiotics. Among these, 28 ARGs were identified as transferable. Specifically, four ARGs were plasmid-derived, 18 ARGs were phage-derived and an additional six ARGs were predicted to be mobile, contributing to their mobility and potential spread between bacteria.
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Affiliation(s)
- Ádám Kerek
- 1Department of Pharmacology and Toxicology, University of Veterinary Medicine, István street 2, H-1078 Budapest, Hungary
- 2National Laboratory of Infectious Animal Diseases, Antimicrobial Resistance, Veterinary Public Health and Food Chain Safety, University of Veterinary Medicine Budapest, Hungary
| | - Ábel Szabó
- 1Department of Pharmacology and Toxicology, University of Veterinary Medicine, István street 2, H-1078 Budapest, Hungary
| | - Krisztián Bányai
- 1Department of Pharmacology and Toxicology, University of Veterinary Medicine, István street 2, H-1078 Budapest, Hungary
- 2National Laboratory of Infectious Animal Diseases, Antimicrobial Resistance, Veterinary Public Health and Food Chain Safety, University of Veterinary Medicine Budapest, Hungary
- 4Veterinary Medical Research Institute, Hungária krt. 21, H-1143, Budapest, Hungary
| | - Eszter Kaszab
- 2National Laboratory of Infectious Animal Diseases, Antimicrobial Resistance, Veterinary Public Health and Food Chain Safety, University of Veterinary Medicine Budapest, Hungary
- 3One Health Institute, University of Debrecen, Nagyerdei krt. 98., Debrecen, H-4032, Hungary
- 7Department of Microbiology and Infectious Diseases, University of Veterinary Medicine, István u 2., Budapest, H-1078, Hungary
| | - Krisztina Bali
- 2National Laboratory of Infectious Animal Diseases, Antimicrobial Resistance, Veterinary Public Health and Food Chain Safety, University of Veterinary Medicine Budapest, Hungary
- 7Department of Microbiology and Infectious Diseases, University of Veterinary Medicine, István u 2., Budapest, H-1078, Hungary
| | - Márton Papp
- 2National Laboratory of Infectious Animal Diseases, Antimicrobial Resistance, Veterinary Public Health and Food Chain Safety, University of Veterinary Medicine Budapest, Hungary
- 5Centre for Bioinformatics, University of Veterinary Medicine, István street 2, H-1078 Budapest, Hungary
| | - László Kovács
- 6Department of Animal Hygiene, Herd Health and Mobile Clinic, University of Veterinary Medicine, István street 2, H-1078 Budapest, Hungary
| | - Ákos Jerzsele
- 1Department of Pharmacology and Toxicology, University of Veterinary Medicine, István street 2, H-1078 Budapest, Hungary
- 2National Laboratory of Infectious Animal Diseases, Antimicrobial Resistance, Veterinary Public Health and Food Chain Safety, University of Veterinary Medicine Budapest, Hungary
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Zsirai L, Kun A, Visolyi GÁ, Svébis MM, Domján BA, Tabák Á. Birthweight trends and their explanatory factors in Hungary between 1999 and 2018: an analysis of the Hungarian Tauffer registry. Reprod Health 2024; 21:52. [PMID: 38609984 PMCID: PMC11015640 DOI: 10.1186/s12978-024-01787-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Accepted: 04/05/2024] [Indexed: 04/14/2024] Open
Abstract
BACKGROUND The increasing birthweight trend stopped and even reversed in several high income countries in the last 20 years, however the reason for these changes is not well characterized. We aimed to describe birthweight trends of term deliveries in Hungary between 1999 and 2018 and to investigate potential maternal and foetal variables that could drive these changes. METHODS We analysed data from the Hungarian Tauffer registry, a compulsory anonymized data collection of each delivery. We included all singleton term deliveries in 1999-2018 (n = 1,591,932). We modelled birthweight trends separately in 1999-2008 and 2008-2018 in hierarchical multiple linear regression models adjusted for calendar year, newborn sex, maternal age, gestational age at delivery, and other important determinants. RESULTS Median birthweights increased from 3250/3400 g (girl/boy) to 3300/3440 g from 1999 to 2008 and decreased to 3260/3400 g in 2018. When we adjusted for gestational age at delivery the increase in the first period became more pronounced (5.4 g/year). During the second period, similar adjustment substantially decreased the rate of decline from 2.5 to 1.4 g/year. Further adjustment for maternal age halved the rate of increase to 2.4 g/year in the first period. During the second period, adjustment for maternal age had little effect on the estimate. CONCLUSIONS Our findings of an increasing birthweight trend (mostly related to the aging of the mothers) in 1999-2008 may forecast an increased risk of cardiometabolic diseases in offsprings born in this period. In contrast, the decreasing birthweight trends after 2008 may reflect some beneficial effects on perinatal morbidity. However, the long-term effect cannot be predicted, as the trend is mostly explained by the shorter pregnancies.
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Affiliation(s)
- László Zsirai
- Department of Gynaecology and Family Planning, Istenhegyi GeneDiagnostic Center, Budapest, Hungary
| | - Attila Kun
- Department of Obstetrics and Gynaecology, Tolna County Balassa János Hospital, Szekszárd, Hungary
- Outpatient Department of Obstetrics and Gynecology, Paks Health Centre, Paks,, Hungary
| | - Gergely Á Visolyi
- Károly Rácz School of PhD Studies, Semmelweis University, Budapest, Hungary
- Department of Internal Medicine and Oncology, Semmelweis University Faculty of Medicine, 26 Üllői Str., Budapest, H-1085, Hungary
- Bajcsy-Zsilinszky Teaching Hospital, Budapest, Hungary
| | - Márk M Svébis
- Károly Rácz School of PhD Studies, Semmelweis University, Budapest, Hungary
- Department of Internal Medicine and Oncology, Semmelweis University Faculty of Medicine, 26 Üllői Str., Budapest, H-1085, Hungary
| | - Beatrix A Domján
- Department of Internal Medicine and Oncology, Semmelweis University Faculty of Medicine, 26 Üllői Str., Budapest, H-1085, Hungary
| | - Ádám Tabák
- Department of Internal Medicine and Oncology, Semmelweis University Faculty of Medicine, 26 Üllői Str., Budapest, H-1085, Hungary.
- UCL Brain Sciences, University College London, London, UK.
- Department of Public Health, Semmelweis University Faculty of Medicine, Budapest, Hungary.
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Huber A, Kovács E, Horváth A, Sahin-Tóth J, Kaptás Á, Juhász E, Kristóf K, Dobay O. Prevalence, serogroup distribution and risk factors of Neisseria meningitidis carriage in high school and university students in Hungary. Vaccine 2024; 42:2271-2277. [PMID: 38423809 DOI: 10.1016/j.vaccine.2024.02.064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2023] [Revised: 02/12/2024] [Accepted: 02/22/2024] [Indexed: 03/02/2024]
Abstract
Neisseria meningitidis causes life-threatening invasive meningococcal disease (IMD) with high mortality worldwide. Asymptomatic pharyngeal meningococcus colonisation is an important reservoir for the spread of the bacterium. The aim of this study was to determine N. meningitidis colonisation rates in asymptomatic high school and university students and to identify risk factors for carriage. Oropharyngeal swab samples and data from a self-reported questionnaire were obtained from overall 610 students, among them 303 university students and 307 high school students, aged between 15 and 31 years in Budapest, Hungary, between November 2017 and December 2018. Meningococcal carriage and serogroup of N. meningitidis were determined by RT-PCR from DNA extracted directly from the specimen. N. meningitidis was identified in 212 (34.8 %) of the participants. Significantly higher carriage rate was found among high school students (48.9 %) compared to university students (20.5 %). Peak of colonisation rate was among 17-19-year-old students (48.7 %). Most carriage isolates were non-typable (87.3 %). From the 212 meningococcus carriers, 19 were colonised by serogroup B (9 %), 5 by serogroup C (2.4 %), and 1 had serogroup Y (0.5 %). Significantly higher colonisation rate was found among males (42.4 %) than in females (33.1 %). Antibiotic use in the past 2 months has decreased the rate of meningococcal colonisation. Recent respiratory infection, active or passive smoking and attending parties have not influenced meningococcal colonisation rate significantly. In conclusion, we have found high asymptomatic meningococcus carriage rate among high school students and young adults, however, the majority of the colonizing meningococci were non-typable.
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Affiliation(s)
- Annamária Huber
- Institute of Medical Microbiology, Semmelweis University, Budapest, Hungary
| | - Eszter Kovács
- Institute of Medical Microbiology, Semmelweis University, Budapest, Hungary
| | - Andrea Horváth
- Institute of Medical Microbiology, Semmelweis University, Budapest, Hungary
| | - Judit Sahin-Tóth
- Institute of Medical Microbiology, Semmelweis University, Budapest, Hungary
| | - Ákos Kaptás
- Institute of Medical Microbiology, Semmelweis University, Budapest, Hungary
| | - Emese Juhász
- Institute of Laboratory Medicine, Semmelweis University, Budapest, Hungary
| | - Katalin Kristóf
- Institute of Laboratory Medicine, Semmelweis University, Budapest, Hungary
| | - Orsolya Dobay
- Institute of Medical Microbiology, Semmelweis University, Budapest, Hungary.
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Kovács F, Balla N, Bozó A, Harmath A, Jakab Á, Tóth Z, Nagy F, Majoros L, Kovács R. Epidemiology, clinical characteristics, outcome and biofilm forming properties in candidaemia: A single-centre retrospective 4-year analysis from Hungary. Mycoses 2024; 67:e13727. [PMID: 38650397 DOI: 10.1111/myc.13727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2024] [Revised: 04/03/2024] [Accepted: 04/08/2024] [Indexed: 04/25/2024]
Abstract
BACKGROUND Candidaemia is a life-threatening disease that is associated with high mortality, especially in intensive care units (ICUs). The number of comprehensive studies dealing with the epidemiologic characteristics of biofilm-related properties is limited. OBJECTIVE This study evaluated the clinical characteristics of candidaemia, to assess the biofilm-forming properties of isolates, and to identify the risk factors of mortality. PATIENTS AND METHODS A total of 149 candidaemia episodes from the University of Debrecen, Clinical Centre, between January 2020 and December 2023 were investigated retrospectively. The susceptibility of Candida isolates to fluconazole, amphotericin B, anidulafungin, caspofungin, and micafungin was evaluated and compared to the susceptibility of 1-day-old biofilms. Multivariate logistic regression analysis was applied to identify the independent predictors of 30-day mortality rate. RESULTS The most common Candida species was Candida albicans (41%), followed by C. parapsilosis (20%), C. glabrata (14%), C. tropicalis (13%), rare Candida species (7%), and C. krusei (5%). Sixty-six percent of Candida isolates were biofilm formers and 44% had high metabolic activity. The 30-day mortality rate was 52%, which was higher in ICUs (65%). The logistic regression analysis revealed several factors significantly influencing mortality including ICU admission (odds ratio [OR] 2.99, 95% confidence interval [CI] 1.17-8.04, p = 0.025), fluconazole treatment (OR 4.12, 95% CI 1.62-11.42, p = .004), and pneumonia (OR 0.261, 95% CI 0.1-0.67, p = .006). CONCLUSIONS This comprehensive analysis supports the better characterisation of candidaemia in healthcare settings, which ultimately may reduce mortality among patients.
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Affiliation(s)
- Fruzsina Kovács
- Department of Medical Microbiology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
- Doctoral School of Pharmaceutical Sciences, University of Debrecen, Debrecen, Hungary
- Medical Microbiology, Clinical Centre, University of Debrecen, Debrecen, Hungary
| | - Noémi Balla
- Department of Medical Microbiology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
- Doctoral School of Pharmaceutical Sciences, University of Debrecen, Debrecen, Hungary
- Medical Microbiology, Clinical Centre, University of Debrecen, Debrecen, Hungary
| | - Aliz Bozó
- Medical Microbiology, Clinical Centre, University of Debrecen, Debrecen, Hungary
| | - Andrea Harmath
- Department of Medical Microbiology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
- Doctoral School of Pharmaceutical Sciences, University of Debrecen, Debrecen, Hungary
| | - Ágnes Jakab
- Medical Microbiology, Clinical Centre, University of Debrecen, Debrecen, Hungary
| | - Zoltán Tóth
- Medical Microbiology, Clinical Centre, University of Debrecen, Debrecen, Hungary
| | - Fruzsina Nagy
- Medical Microbiology, Clinical Centre, University of Debrecen, Debrecen, Hungary
| | - László Majoros
- Department of Medical Microbiology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
- Medical Microbiology, Clinical Centre, University of Debrecen, Debrecen, Hungary
| | - Renátó Kovács
- Department of Medical Microbiology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
- Medical Microbiology, Clinical Centre, University of Debrecen, Debrecen, Hungary
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Kovacs N, Piko P, Juhasz A, Nagy C, Oroszi B, Ungvari Z, Adany R. 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. GeroScience 2024; 46:2017-2031. [PMID: 37798385 PMCID: PMC10828334 DOI: 10.1007/s11357-023-00926-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Accepted: 08/27/2023] [Indexed: 10/07/2023] Open
Abstract
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.
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Affiliation(s)
- Nora Kovacs
- Department of Public Health and Epidemiology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
- ELKH-DE Public Health Research Group, Department of Public Health and Epidemiology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
| | - Peter Piko
- Department of Public Health and Epidemiology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
- Center for Epidemiology and Surveillance, National Laboratory for Health Security, Semmelweis University, Budapest, Hungary
| | - Attila Juhasz
- Center for Epidemiology and Surveillance, National Laboratory for Health Security, Semmelweis University, Budapest, Hungary
| | - Csilla Nagy
- Center for Epidemiology and Surveillance, National Laboratory for Health Security, Semmelweis University, Budapest, Hungary
| | - Beatrix Oroszi
- Center for Epidemiology and Surveillance, National Laboratory for Health Security, Semmelweis University, Budapest, Hungary
| | - Zoltan Ungvari
- Vascular Cognitive Impairment and Neurodegeneration Program, Oklahoma Center for Geroscience and Healthy Brain Aging, Department of Biochemistry and Molecular Biology, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
- Department of Health Promotion Sciences, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
- International Training Program in Geroscience, Doctoral School of Basic and Translational Medicine, Departments of Public Health and Translational Medicine, Semmelweis University, Budapest, Hungary
- The Peggy and Charles Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
| | - Roza Adany
- Department of Public Health and Epidemiology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
- ELKH-DE Public Health Research Group, Department of Public Health and Epidemiology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
- Center for Epidemiology and Surveillance, National Laboratory for Health Security, Semmelweis University, Budapest, Hungary.
- Department of Public Health, Semmelweis University, Budapest, Hungary.
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8
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Horvath VJ, Békeffy M, Németh Z, Szelke E, Fazekas-Pongor V, Hajdu N, Svébis MM, Pintér J, Domján BA, Mészáros S, Körei AE, Kézdi Á, Kocsis I, Kristóf K, Kempler P, Rozgonyi F, Takács I, Tabák AG. The effect of COVID-19 vaccination status on all-cause mortality in patients hospitalised with COVID-19 in Hungary during the delta wave of the pandemic. GeroScience 2024; 46:1881-1894. [PMID: 37755581 PMCID: PMC10828407 DOI: 10.1007/s11357-023-00931-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Accepted: 09/04/2023] [Indexed: 09/28/2023] Open
Abstract
The high mortality of patients with coronavirus disease 2019 (COVID-19) is effectively reduced by vaccination. However, the effect of vaccination on mortality among hospitalised patients is under-researched. Thus, we investigated the effect of a full primary or an additional booster vaccination on in-hospital mortality among patients hospitalised with COVID-19 during the delta wave of the pandemic. This retrospective cohort included all patients (n = 430) admitted with COVID-19 at Semmelweis University Department of Medicine and Oncology in 01/OCT/2021-15/DEC/2021. Logistic regression models were built with COVID-19-associated in-hospital/30 day-mortality as outcome with hierarchical entry of predictors of vaccination, vaccination status, measures of disease severity, and chronic comorbidities. Deceased COVID-19 patients were older and presented more frequently with cardiac complications, chronic kidney disease, and active malignancy, as well as higher levels of inflammatory markers, serum creatinine, and lower albumin compared to surviving patients (all p < 0.05). However, the rates of vaccination were similar (52-55%) in both groups. Based on the fully adjusted model, there was a linear decrease of mortality from no/incomplete vaccination (ref) through full primary (OR 0.69, 95% CI: 0.39-1.23) to booster vaccination (OR 0.31, 95% CI 0.13-0.72, p = 0.006). Although unadjusted mortality was similar among vaccinated and unvaccinated patients, this was explained by differences in comorbidities and disease severity. In adjusted models, a full primary and especially a booster vaccination improved survival of patients hospitalised with COVID-19 during the delta wave of the pandemic. Our findings may improve the quality of patient provider discussions at the time of admission.
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Affiliation(s)
- Viktor J Horvath
- Department of Internal Medicine and Oncology, Semmelweis University Faculty of Medicine, 2/a Korányi S. Str, 1083, Budapest, Hungary.
| | - Magdolna Békeffy
- Department of Internal Medicine and Oncology, Semmelweis University Faculty of Medicine, 2/a Korányi S. Str, 1083, Budapest, Hungary
| | - Zsuzsanna Németh
- Department of Internal Medicine and Oncology, Semmelweis University Faculty of Medicine, 2/a Korányi S. Str, 1083, Budapest, Hungary
| | - Emese Szelke
- Department of Internal Medicine and Oncology, Semmelweis University Faculty of Medicine, 2/a Korányi S. Str, 1083, Budapest, Hungary
| | - Vince Fazekas-Pongor
- Department of Public Health, Semmelweis University Faculty of Medicine, Budapest, Hungary
| | - Noémi Hajdu
- Department of Internal Medicine and Oncology, Semmelweis University Faculty of Medicine, 2/a Korányi S. Str, 1083, Budapest, Hungary
| | - Márk M Svébis
- Department of Internal Medicine and Oncology, Semmelweis University Faculty of Medicine, 2/a Korányi S. Str, 1083, Budapest, Hungary
| | - József Pintér
- Department of Internal Medicine and Oncology, Semmelweis University Faculty of Medicine, 2/a Korányi S. Str, 1083, Budapest, Hungary
| | - Beatrix A Domján
- Department of Internal Medicine and Oncology, Semmelweis University Faculty of Medicine, 2/a Korányi S. Str, 1083, Budapest, Hungary
| | - Szilvia Mészáros
- Department of Internal Medicine and Oncology, Semmelweis University Faculty of Medicine, 2/a Korányi S. Str, 1083, Budapest, Hungary
| | - Anna E Körei
- Department of Internal Medicine and Oncology, Semmelweis University Faculty of Medicine, 2/a Korányi S. Str, 1083, Budapest, Hungary
| | - Árpád Kézdi
- Department of Internal Medicine and Oncology, Semmelweis University Faculty of Medicine, 2/a Korányi S. Str, 1083, Budapest, Hungary
| | - Ibolya Kocsis
- Department of Laboratory Medicine, Semmelweis University Faculty of Medicine, Budapest, Hungary
| | - Katalin Kristóf
- Department of Laboratory Medicine, Semmelweis University Faculty of Medicine, Budapest, Hungary
| | - Péter Kempler
- Department of Internal Medicine and Oncology, Semmelweis University Faculty of Medicine, 2/a Korányi S. Str, 1083, Budapest, Hungary
| | - Ferenc Rozgonyi
- Department of Laboratory Medicine, Semmelweis University Faculty of Medicine, Budapest, Hungary
| | - István Takács
- Department of Internal Medicine and Oncology, Semmelweis University Faculty of Medicine, 2/a Korányi S. Str, 1083, Budapest, Hungary
| | - Adam G Tabák
- Department of Internal Medicine and Oncology, Semmelweis University Faculty of Medicine, 2/a Korányi S. Str, 1083, Budapest, Hungary
- Department of Public Health, Semmelweis University Faculty of Medicine, Budapest, Hungary
- UCL Brain Sciences, University College London, London, UK
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9
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Vincze K, Bíró M, Kamocsai M, Andriska P, Sánta B, Lázár Z. [Epidemiological and treatment characteristics of patients with chronic obstructive pulmonary disease on maintenance inhaled therapy between 2011 and 2019 in Hungary]. Orv Hetil 2024; 165:338-345. [PMID: 38431909 DOI: 10.1556/650.2024.32981] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2023] [Accepted: 01/10/2024] [Indexed: 03/05/2024]
Abstract
Bevezetés: A krónikus obstruktív tüdőbetegség (COPD) morbiditása
és mortalitása a világon és hazánkban is emelkedik. A betegség kezelésének
alapja a fenntartó inhalációs terápia és a betegek ezzel szembeni jó
adherenciája, de hazánkban a kezelt betegek tekintetében kevés adattal
rendelkezünk. Célkitűzés: A COPD miatt 2011 és 2019 között
kezelt betegek főbb epidemiológiai és terápiás jellemzőinek meghatározása és
ezek összehasonlítása. Módszerek: A Nemzeti Egészségbiztosítási
Alapkezelő adatbázisának használatával vizsgáltuk a 2011 és 2019 között
fenntartó inhalációs kezelés alatt álló COPD-s betegek adatait (>40 év, az
adott évben vagy az azt megelőző bármelyik évben J44-es BNO-kódra felírt
fenntartó inhalációs gyógyszert váltott ki minimum 1 alkalommal, melyet kevesebb
mint 1 éven belül követett még két további kiváltás). A betegek adatai a
bekerülés évétől kezdve minden évben elemzésre kerültek. A betegek korát, nemét,
inhalációs kezelési sémáit, a fenntartó inhalációs kezeléssel szembeni
adherenciát (gyógyszerkiváltás alapján) és a retard oralis teofillinkészítmények
kiváltását hasonlítottuk össze évenként (khi2-próba).
Eredmények: Összesen 227 251 beteg adatait elemeztük
(2011–2019: 81 308–160 241 fő/év). 2011-ben a 70 év feletti és férfi betegek,
míg 2019-ben a 60–69 éves és női betegek voltak többségben. Az egykomponensű,
hosszú hatású hörgőtágítót és az inhalációs kortikoszteroidot kiváltó betegek
aránya a megfigyelési időszakban csökkent, míg a kettős bronchodilatatorok
kiváltása megjelent és fokozatosan emelkedett. A betegek csak valamivel több
mint felének esetében (2019: 51,6%) volt jó a fenntartó inhalációs kezeléssel
szembeni adherencia (>180 nap/év). Az oralis teofillinkészítményt kiváltók
száma nem csökkent (2019-ben a kiváltók aránya: 32%).
Megbeszélés: 2011 és 2019 között a fenntartó inhalációs
kezelés alatt álló COPD-s betegek száma elmarad a regisztrált betegek számától.
A fenntartó inhalációs terápiával szembeni adherencia a betegek jelentős
részében nem megfelelő. Az oralis teofillinkészítményeket kiváltók aránya magas.
Következtetés: A COPD-s betegek fenntartó inhalációs
kezelésével szembeni adherencia javítása szükséges, hogy hazánkban a betegség
prognózisa kedvezőbb legyen. Orv Hetil. 2024; 165(9): 338–345.
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Affiliation(s)
- Krisztina Vincze
- 1 Semmelweis Egyetem, Általános Orvostudományi Kar, Pulmonológiai Klinika Budapest, Tömő u. 25-29., 1083 Magyarország
| | - Margit Bíró
- 2 Jász-Nagykun-Szolnok Vármegyei Hetényi Géza Kórház-Rendelőintézet, Pulmonológiai Osztály Szolnok Magyarország
| | - Márta Kamocsai
- 3 Győr-Moson-Sopron Vármegyei Petz Aladár Egyetemi Oktató Kórház, Pulmonológiai Osztály Győr Magyarország
| | - Péter Andriska
- 4 Healthware Tanácsadó Kft., Egészségfinanszírozási Üzletág Budapest Magyarország
| | - Balázs Sánta
- 5 Chiesi Hungary Kft. Budapest Magyarország
- 6 Szent Borbála Kórház, Tüdőgyógyászati Osztály Tatabánya Magyarország
| | - Zsófia Lázár
- 1 Semmelweis Egyetem, Általános Orvostudományi Kar, Pulmonológiai Klinika Budapest, Tömő u. 25-29., 1083 Magyarország
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10
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Schwartz K, Vizin G, Boros S. Acute Musculoskeletal Complaints Vary According to the Perceived Stress Among Hungarian Professional Dancers. J Dance Med Sci 2024; 28:21-27. [PMID: 37818918 DOI: 10.1177/1089313x231200471] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/13/2023]
Abstract
Introduction: Studies showed that professional dance is often associated with a high degree of acute musculoskeletal injuries. These injuries' etiology predominantly describes their biomechanical or other extrinsic factors, but there is a limited number of scientific reports dealing with the perceived stress or mental health status concerning the physical complaints especially, among Hungarian professional dancers. Materials and Methods: In this study, we used validated questionnaires (RESTQ, SEFIP, Mental Health Test) filled out by Hungarian professional female dancers (N = 168) via an online platform anonymously and analyzed statistically. Results: Our findings showed a significantly positive relationship between musculoskeletal complaints and perceived stress, an elevated level of general stress, and a higher level of resilience in this population compared to the general population. Conclusion: Dancers demonstrate a heightened perception of stress; however, they exhibit elevated scores on resilience assessments, indicative of heightened functionality in their daily lives. Stress, per se, may not be directly regarded as a causative factor for acute musculoskeletal conditions, but it could potentially influence the severity of pain sensations and subjective pain levels in the context of existing injuries. Additional investigations are warranted to elucidate the precise mechanisms by which stress exacerbates the pain experience among dancers.
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Affiliation(s)
- Kristóf Schwartz
- Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary
- Institute of Health Promotion and Sport Sciences, ELTE Eötvös Loránd University, Budapest, Hungary
| | - Gabriella Vizin
- Department of Clinical Psychology and Addiction, ELTE Eötvös Loránd University, Budapest, Hungary
- Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary
| | - Szilvia Boros
- Institute of Health Promotion and Sport Sciences, ELTE Eötvös Loránd University, Budapest, Hungary
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11
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Tomisa G, Sánta B, Horváth A, Németh L, Tamás B, Gálffy G, Tamási L, Eszes N. Risk of exacerbation and mortality in asthma: a 10-year retrospective financial database analysis of the Hungarian Health Insurance Fund. BMJ Open Respir Res 2024; 11:e002006. [PMID: 38413122 PMCID: PMC10900350 DOI: 10.1136/bmjresp-2023-002006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2023] [Accepted: 01/19/2024] [Indexed: 02/29/2024] Open
Abstract
INTRODUCTION Asthma is the most prevalent obstructive pulmonary disease, with drastically improved treatment options over the past decades. However, there is still a proportion of patients with suboptimal level of asthma control, leading to multiple hospitalisation due to severe acute exacerbation (SAE) and earlier death. In our study, we aimed to assess the risk of SAEs and mortality in patients who suffered an SAE. METHODS The database of the National Health Insurance Fund was used to retrospectively analyse the data of all asthmatic patients who had been hospitalised for an SAE between 2009 and 2019. We used a competing risk model to analyse the effect of each exacerbation on the risk of further SAEs with age, sex, Charlson index and the number of severe and moderate exacerbations included as covariates. RESULT Altogether, 9257 asthmatic patients suffered at least one exacerbation leading to hospitalisation during the study time. The majority (75.8%) were women, and the average age was 58.24 years. Most patients had at least one comorbidity. 3492 patients suffered at least one further exacerbation and 1193 patients died of any cause. In the competing risk model, each SAE increased the risk of further exacerbations (HR=2.078-7.026; p<0.0001 for each case) but not death. The risk of SAEs was also increased by age (HR=1.008) female sex (HR=1.102) and with the number of days of the first SAE (HR=1.007). CONCLUSIONS Even though asthma is generally a well-manageable disease, there still are many patients who suffer SAEs that significantly increase the risk of further similar SAEs.
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Affiliation(s)
- Gábor Tomisa
- Department of Pulmonology, Semmelweis University, Budapest, Hungary
| | - Balázs Sánta
- Department of Pulmonology, Szent Borbala Korhaz, Tatabanya, Hungary
- Chiesi Hungary Ltd, Budapest, Hungary
| | - Alpár Horváth
- Chiesi Hungary Ltd, Budapest, Hungary
- Pulmonology Institute of Törökbálint, Törökbálint, Hungary
| | | | | | | | - Lilla Tamási
- Department of Pulmonology, Semmelweis University, Budapest, Hungary
| | - Noémi Eszes
- Department of Pulmonology, Semmelweis University, Budapest, Hungary
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12
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Batar P, Alizadeh H, Rokszin G, Abonyi-Toth Z, Demeter J. Comorbidities and outcomes of patients with chronic myeloid leukemia treated with tyrosine kinase inhibitors: a real-world, nationwide, retrospective study from Hungary. Pathol Oncol Res 2024; 30:1611497. [PMID: 38444749 PMCID: PMC10913892 DOI: 10.3389/pore.2024.1611497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Accepted: 02/07/2024] [Indexed: 03/07/2024]
Abstract
Purpose: This study aimed to provide real-world evidence on the characteristics, treatment patterns, and outcomes of patients with chronic myeloid leukemia (CML) receiving tyrosine kinase inhibitor (TKI) treatment in Hungary between 2011 and 2019. Patients and methods: This nationwide, retrospective study included patients who were newly diagnosed with CML in Hungarian clinical practice between January 2011 and December 2019. The analysis was based on the reimbursed prescription claims for imatinib, bosutinib, dasatinib, nilotinib, or ponatinib with the ICD-10 code C9210 in a public pharmacy between January 2009 and December 2019 using data from the National Health Insurance Fund (NHIF) of Hungary. CML incidence and prevalence, TKI treatment patterns, comorbidities, and overall survival (OS) were examined. Results: Between 2011 and 2019, altogether 1,407 patients were diagnosed with CML, with an annual average of 156 patients. The number of patients newly initiating first-line TKI therapy for CML significantly increased between 2011 and 2019 (2011: n = 136 vs. 2019: n = 191; p = 0.0043). Nilotinib was typically prescribed for younger patients (≤64 years), while older patients (≥65 years) mostly received imatinib. The most common comorbidity of CML patients was hypertension, and the proportion of patients with other malignancies was relatively high in all treatment groups. 5-year OS was 77.1% during the whole study period. Patients initiating first-line TKI treatment for CML in 2015 had significantly better 4-year OS compared to those starting treatment in 2011 (82.4% vs. 73.5%, respectively, (HR 0.53 (95%CI 0.32-0.87) p = 0.0118). Conclusion: This study is the first to provide insights into the characteristics, treatment patterns, and outcomes of CML patients treated with TKIs in Hungarian clinical practice between 2011 and 2019. We found slightly lower OS rates compared to other European countries, however, there was a statistically significant improvement in 4-year OS during the study period. The management of CML was in line with international guidelines and recommendations.
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Affiliation(s)
- Peter Batar
- Department of Hematology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
| | - Hussain Alizadeh
- 1st Department of Medicine, Division of Haematology, Clinical Center, Medical School, University of Pecs, Pecs, Hungary
| | | | - Zsolt Abonyi-Toth
- RxTarget Ltd., Szolnok, Hungary
- Department of Biostatistics, University of Veterinary Medicine, Budapest, Hungary
| | - Judit Demeter
- Department of Internal Medicine and Oncology, Faculty of Medicine, Semmelweis University, Budapest, Hungary
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13
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Molnár GA, Vokó Z, Sütő G, Rokszin G, Nagy D, Surján G, Surján O, Nagy P, Kenessey I, Wéber A, Pálosi M, Müller C, Kásler M, Wittmann I, Kiss Z. Effectiveness of SARS-CoV-2 primary vaccines and boosters in patients with type 2 diabetes mellitus in Hungary (HUN-VE 4 Study). BMJ Open Diabetes Res Care 2024; 12:e003777. [PMID: 38267204 PMCID: PMC10823926 DOI: 10.1136/bmjdrc-2023-003777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/19/2023] [Accepted: 12/14/2023] [Indexed: 01/26/2024] Open
Abstract
INTRODUCTION Type 2 diabetes mellitus is a risk factor for severe COVID-19 infection and is associated with increased risk of complications. The present study aimed to investigate effectiveness and persistence of different COVID vaccines in persons with or without diabetes during the Delta wave in Hungary. RESEARCH DESIGN AND METHODS Data sources were the national COVID-19 registry data from the National Public Health Center and the National Health Insurance Fund on the total Hungarian population. The adjusted incidence rate ratios and corresponding 95% CIs were derived from a mixed-effect negative binomial regression model. RESULTS A population of 672 240 cases with type 2 diabetes and a control group of 2 974 102 non-diabetic persons free from chronic diseases participated. Unvaccinated elderly persons with diabetes had 2.68 (95% CI 2.47 to 2.91) times higher COVID-19-related mortality rate as the 'healthy' controls. Primary immunization effectively equalized the risk of COVID-19 mortality between the two groups. Vaccine effectiveness declined over time, but the booster restored the effectiveness against mortality to over 90%. The adjusted vaccine effectiveness of the primary Pfizer-BioNTech against infection in the 14-120 days of postvaccination period was 71.6 (95% CI 66.3 to 76.1)% in patients aged 65-100 years with type 2 diabetes and 64.52 (95% CI 59.2 to 69.2)% in the controls. Overall, the effectiveness tended to be higher in individuals with diabetes than in controls. The booster vaccines could restore vaccine effectiveness to over 80% concerning risk of infection (eg, patients with diabetes aged 65-100 years: 89.1 (88.1-89.9)% with Pfizer-on-Pfizer, controls 65-100 years old: 86.9 (85.8-88.0)% with Pfizer-on-Pfizer, or patients with diabetes aged 65-100 years: 88.3 (87.2-89.2)% with Pfizer-on-Sinopharm, controls 65-100 years old: 87.8 (86.8-88.7)% with Pfizer-on-Sinopharm). CONCLUSIONS Our data suggest that people with type 2 diabetes may have even higher health gain when getting vaccinated as compared with non-diabetic persons, eliminating the marked, COVID-19-related excess risk of this population. Boosters could restore protection.
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Affiliation(s)
- Gergő A Molnár
- Second Department of Medicine and Nephrology-Diabetes Center, University of Pécs Medical School, Pécs, Hungary
| | - Zoltán Vokó
- Center for Health Technology Assessment, Semmelweis University, Budapest, Hungary
| | - Gábor Sütő
- Second Department of Medicine and Nephrology-Diabetes Center, University of Pécs Medical School, Pécs, Hungary
| | | | - Dávid Nagy
- Center for Health Technology Assessment, Semmelweis University, Budapest, Hungary
- Syreon Research Institute, Budapest, Hungary
| | - György Surján
- Institute of Digital Health Sciences, Semmelweis University, Budapest, Hungary
| | - Orsolya Surján
- National Center for Public Health and Pharmacy, Budapest, Hungary
| | - Péter Nagy
- National Institute of Oncology, Budapest, Hungary
- Institute of Oncochemistry, University of Debrecen, Debrecen, Hungary
| | - István Kenessey
- National Institute of Oncology, Budapest, Hungary
- Department of Pathology, Forensic and Insurance Medicine, Semmelweis University, Budapest, Hungary
| | - András Wéber
- National Institute of Oncology, Budapest, Hungary
| | | | - Cecília Müller
- National Center for Public Health and Pharmacy, Budapest, Hungary
| | - Miklós Kásler
- National Institute of Oncology, Budapest, Hungary
- Central-Eastern European Academy of Oncology, Budapest, Hungary
| | - István Wittmann
- Second Department of Medicine and Nephrology-Diabetes Center, University of Pécs Medical School, Pécs, Hungary
| | - Zoltan Kiss
- Second Department of Medicine and Nephrology-Diabetes Center, University of Pécs Medical School, Pécs, Hungary
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14
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Joó T, Fadgyas-Freyler P, Vitrai J, Kollányi Z. [The social cost of ill health among the working-age population in 2019 in Hungary]. Orv Hetil 2024; 165:110-120. [PMID: 38245898 DOI: 10.1556/650.2024.32955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2023] [Accepted: 11/04/2023] [Indexed: 01/23/2024]
Abstract
Bevezetés: Hazánkban a várható egészséges életévek száma
alacsonyabb, mint a nyugdíjkorhatár, vagyis a 30 és 64 éves kor közötti magyar
lakosság megromlott egészségi állapota jelentős termeléskiesést okoz. A
gazdasági szempontokon túl a munkaképes korú korosztály romlott egészségi
állapotát más társadalmi szereplő nézőpontjából is lehet vizsgálni, a közvetett
költségeket az emberitőke-megközelítésnek megfelelően kalkulálva.
Célkitűzés: Becslésünk célja az volt, hogy megvilágítsuk,
mekkora veszteségeket okoz Magyarország számára évről évre az, hogy lakosai
jelentősen rövidebb és betegebb életre számíthatnak, mint más országok hasonló
helyzetű lakosai. Módszer: Az elemzés első részében a 30–64
éves korosztályra vonatkozóan 2019-re összesítettük a megromlott egészség és a
betegségek okozta korlátozottság miatt elvesztett, egészségben eltöltött időt. A
vizsgált korosztályra vonatkozó magyar értékeket a visegrádi országok, Ausztria
és az Európai Unió megfelelő értékeivel vetettük össze. Az elemzés második
részében a betegségben töltött időhöz kapcsolódó társadalmi költségeket mutattuk
be, melyek között megkülönböztettünk közvetlen, pénzmozgással járó költségeket,
valamint közvetett, az elmaradt bevételekben vagy termelésben megtestesülő
költségeket. Eredmények: Az eredmények alapján megállapítható,
hogy 2019-ben Magyarországon a munkanapok egyhetedében az egészségproblémák
miatt csökkent a termelékenység és a teljesített munkaidő. Átlagosan 51 naptári
nap, ennek megfelelően 35 munkanap elveszett egészséges idő jutott minden 30–64
éves munkaképes magyarra. A közvetlen költségek, vagyis az Egészségbiztosítási
Alap természetbeni kiadásainak, valamint a betegek és az önkéntes
(magán)biztosítás által finanszírozott kiadásainak összege 1446 milliárd Ft-ot
tett ki. A közvetett költségek, amelyek a korai halálozásnak és a betegségeknek
betudható munkaévveszteség következtében fellépő kiadásokat jelentik, további
2279 milliárd Ft terhet jelentettek. Következtetés: A 30–64
évesek közvetlen és közvetett kiadásainak összege 2019-ben 3425 milliárd Ft-ot
tett ki, a GDP 7,21%-át. Jól ismert, hogy a fejlett országokban, így
Magyarországon is azok a nem fertőző, krónikus betegségek okozzák a legnagyobb
egészségveszteséget, amelyek egészséges életmóddal megelőzhetők. Az ország
versenyképességének javításához emiatt elengedhetetlen az egészséges életmód
előmozdítása és az azt elősegítő fizikai és szociális környezet kialakítása. Orv
Hetil. 2024; 165(3): 110–120.
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Affiliation(s)
- Tamás Joó
- 1 Semmelweis Egyetem, Egészségügyi Menedzserképző Központ, Egészségbiztonsági Nemzeti Laboratórium, Adatvezérelt Egészség Divízió Budapest, Üllői u. 26., 1085 Magyarország
| | | | - József Vitrai
- 3 Széchenyi István Egyetem, Egészség- és Sporttudományi Kar, Preventív Egészségtudományi Tanszék Győr Magyarország
| | - Zsófia Kollányi
- 4 ELTE Eötvös Loránd Tudományegyetem, Társadalomtudományi Kar, Közgazdaságtudományi Intézet Budapest Magyarország
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15
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Hilal S, Kolozsvári LR, Indrayathi PA, Saeed SN, Rurik I. Psychological Distress and Food Insecurity among International Students at a Hungarian University: A Post-Pandemic Survey. Nutrients 2024; 16:241. [PMID: 38257134 PMCID: PMC10820830 DOI: 10.3390/nu16020241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Revised: 12/28/2023] [Accepted: 01/09/2024] [Indexed: 01/24/2024] Open
Abstract
The aim of the present study was two-fold: Firstly, to estimate the prevalence of psychological distress among international students at a Hungarian university two years after the COVID-19 outbreak; and secondly, to identify its demographic and socioeconomic factors, with special regard to the students' food-security status. A cross-sectional study using a self-administered questionnaire was carried out from 27 March to 3 July 2022 among international students at the University of Debrecen. The questionnaire included information on demographic and socioeconomic characteristics, food-security status (six-item United States Department of Agriculture Food Security Survey Module (USDA-FSSM)), and psychological distress (Depression, Anxiety and Stress Scale (DASS-21)). Bivariate analysis was conducted to examine the potential associations between demographic/socioeconomic factors and psychological distress. Additionally, multiple logistic regression was employed to further analyze these associations. Of 398 participants, 42.2%, 48.7%, and 29.4% reported mild to extremely severe depression, anxiety, and stress, respectively. The ages 18-24 (AOR = 2.619; 95% CI: 1.206-5.689) and 25-29 (AOR = 2.663; 95% CI: 1.159-6.119), reporting a low perception of health status (AOR = 1.726; 95% CI: 1.081-2.755), and being food insecure (AOR = 1.984; 95% CI: 1.274-3.090) were significantly associated with depressive symptoms. Being female (AOR = 1.674; 95% CI: 1.090-2.571), reporting a low perception of health status (AOR = 1.736; 95% CI: 1.098-2.744), and being food insecure (AOR = 2.047; 95% CI: 1.327-3.157) were significantly associated with anxiety symptoms. Furthermore, being female (AOR = 1.702; 95% CI: 1.026-2.824)), living with roommates (AOR = 1.977; 95% CI: 1.075-3.635), reporting a low perception of health status (AOR = 2.840; 95% CI: 1.678-4.807), and being food insecure (AOR = 2.295; 95% CI:1.398-3.767) were significantly associated with symptoms of stress. Psychosocial programs combined with strategies to alleviate food insecurity are required to enhance international students' mental health and well-being.
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Affiliation(s)
- Soukaina Hilal
- Department of Family and Occupational Medicine, University of Debrecen, 4032 Debrecen, Hungary; (L.R.K.); (P.A.I.)
- Doctoral School of Health Sciences, University of Debrecen, 4032 Debrecen, Hungary; (S.N.S.); (I.R.)
| | - László Róbert Kolozsvári
- Department of Family and Occupational Medicine, University of Debrecen, 4032 Debrecen, Hungary; (L.R.K.); (P.A.I.)
- Doctoral School of Health Sciences, University of Debrecen, 4032 Debrecen, Hungary; (S.N.S.); (I.R.)
| | - Putu Ayu Indrayathi
- Department of Family and Occupational Medicine, University of Debrecen, 4032 Debrecen, Hungary; (L.R.K.); (P.A.I.)
- Doctoral School of Health Sciences, University of Debrecen, 4032 Debrecen, Hungary; (S.N.S.); (I.R.)
| | - Sami Najmaddin Saeed
- Doctoral School of Health Sciences, University of Debrecen, 4032 Debrecen, Hungary; (S.N.S.); (I.R.)
- Department of Public Health and Epidemiology, University of Debrecen, 4028 Debrecen, Hungary
| | - Imre Rurik
- Doctoral School of Health Sciences, University of Debrecen, 4032 Debrecen, Hungary; (S.N.S.); (I.R.)
- Department of Family Medicine, Semmelweis University, 1085 Budapest, Hungary
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16
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Kovács D, Szmolka A, Kovács L, Körösi L, Eszterbauer E. A semi-nested PCR method with increased sensitivity for the specific, direct detection of Salmonella enterica strains in poultry ectoparasites. Acta Vet Hung 2024; 71:137-141. [PMID: 38090949 DOI: 10.1556/004.2023.01011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2023] [Accepted: 12/03/2023] [Indexed: 01/10/2024]
Abstract
The darkling beetle, Alphitobius diaperinus, and the poultry red mite, Dermanysuss gallinae are among the most common pests of poultry farms. Both pests can be carriers and reservoirs of various pathogens including zoonotic ones like Salmonella. Salmonellosis is one of the most common foodborne diseases reported in the EU. We developed a semi-nested PCR method for the direct detection of Salmonella enterica. When testing the specificity of the novel PCR, we successfully detected various S. enterica strains, whereas Escherichia coli and Citrobacter strains gave negative results. The authenticity of the PCR products was confirmed by DNA sequencing. The sensitivity of the semi-nested PCR was tested on serial dilution of bacterial cultures and extracted DNA. We found our new method more sensitive than the previous PCRs. We also screened ectoparasite samples, collected from a poultry farm in Hungary, and three out of the eight samples were positive for S. Enteritidis. This novel PCR seems suitable for the detection of S. enterica strains in poultry ectoparasites without the need of sample pre-enrichment.
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Affiliation(s)
- Dorottya Kovács
- 1HUN-REN Veterinary Medical Research Institute, Budapest, Hungary
| | - Ama Szmolka
- 1HUN-REN Veterinary Medical Research Institute, Budapest, Hungary
| | - László Kovács
- 2University of Veterinary Medicine Budapest, Budapest, Hungary
- 3Poultry-Care Kft, Újszász, Hungary
| | | | - Edit Eszterbauer
- 1HUN-REN Veterinary Medical Research Institute, Budapest, Hungary
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17
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Hillebrand JF, Ziólkiewicz OA, Zsuffa JA, Horváth AA, Katz S. [Impact of the COVID-19 pandemic on the mental and physical health of Hungarian and foreign medical students studying in Hungary]. Orv Hetil 2023; 164:2055-2064. [PMID: 38160443 DOI: 10.1556/650.2023.32940] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2023] [Accepted: 11/06/2023] [Indexed: 01/03/2024]
Abstract
Bevezetés: A COVID–19-pandémia következtében az
orvostanhallgatóknak meg kellett küzdeniük a pandémia okozta stresszel, a
lezárások és a szociális távolságtartás miatti izolációval, a távoktatás
kihívásaival, ráadásul a képzés jellegéből adódóan részt kellett venniük az
egészségügyi veszélyhelyzet kezelésében is. Célkitűzés:
Kutatásunk fő célja a pandémia hatásainak elemzése volt a Magyarországon tanuló
magyar és külföldi orvostanhallgatók esetében. Módszer:
Vizsgálatunk 300 orvostanhallgató részvételével történt. A felméréshez 60
kérdésből felépülő szociodemográfiai körülményekkel, COVID–19-fertőzéssel,
életmóddal, szorongással és alvásminőséggel kapcsolatos kérdőívet használtunk.
Az adatgyűjtést 2022. január 1. és 2022. április 1. között végeztük.
Eredmények: A legjelentősebb változások a pandémiát
megelőző és a lezárásokat követő, korlátozásoktól mentes időszakokat
összehasonlítva, hogy csökkent a napi szintű baráti találkozások száma, csökkent
a hetente 2–5 alkalommal testmozgást végzők aránya, naponta átlagosan 30 perccel
nőtt a közösségi médiás platformokon eltöltött idő, viszont 11%-kal csökkent a
hetente legalább egyszer alkoholt fogyasztók aránya, és csökkent az egy
alkalommal elfogyasztott alkoholegységek száma is. Az orvostanhallgatók
szorongásának mértéke enyhe és közepes fokú volt a Generalized Anxiety
Disorder-7 (GAD7) szerinti értékelés alapján. A hallgatók átlagos elalvási ideje
22,6 perc, továbbá a Pittsburgh Sleeping Quality Index (PSQI) értékei alapján az
első- és a harmadéves hallgatók a „rossz alvók” csoportjába tartoznak.
Megbeszélés: A pandémia nagymértékben befolyásolta a
Magyarországon tanuló orvostanhallgatók életét. A hallgatók rosszabbul alszanak,
és nagyobb mértékben szoronganak, mint hasonló korú társaik, ráadásul a
protektív faktornak tekinthető személyes találkozások és fizikai aktivitások
mértéke is csökkent. Következtetés: Kutatásunk eredményei
rávilágítanak az orvostanhallgatók szomatopszichoszociális egészségének
vizsgálatának fontosságára, hiszen ezek jelentős hatással lehetnek a következő
évtizedek betegellátásának minőségére. Orv Hetil. 2023; 164(52): 2055–2064.
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Affiliation(s)
| | | | - János András Zsuffa
- 2 Semmelweis Egyetem, Általános Orvostudományi Kar, Családorvosi Tanszék Budapest Magyarország
- 4 Országos Mentális, Ideggyógyászati és Idegsebészeti Intézet, Neurokognitív Kutatási Központ Budapest Magyarország
| | - András Attila Horváth
- 3 Semmelweis Egyetem, Általános Orvostudományi Kar, Anatómiai, Szövet- és Fejlődéstani Intézet 1094 Budapest, Tűzoltó utca 58. Magyarország
- 4 Országos Mentális, Ideggyógyászati és Idegsebészeti Intézet, Neurokognitív Kutatási Központ Budapest Magyarország
| | - Sándor Katz
- 3 Semmelweis Egyetem, Általános Orvostudományi Kar, Anatómiai, Szövet- és Fejlődéstani Intézet 1094 Budapest, Tűzoltó utca 58. Magyarország
- 4 Országos Mentális, Ideggyógyászati és Idegsebészeti Intézet, Neurokognitív Kutatási Központ Budapest Magyarország
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Mózes N, Takács J, Ungvari Z, Feith HJ. Screening attendance disparities among Hungarian-speaking Roma and non-Roma women in central and eastern European countries. Front Public Health 2023; 11:1292598. [PMID: 38186708 PMCID: PMC10771837 DOI: 10.3389/fpubh.2023.1292598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2023] [Accepted: 12/08/2023] [Indexed: 01/09/2024] Open
Abstract
The Roma populations in Central and Eastern Europe are two to three times more likely to have unmet health needs compared to non-Roma residents. The aim of the present study was to investigate the disparity in screening attendance between Hungarian-speaking Roma (R) and non-Roma (nR) women in Hungary (HU-R:322; nR:294), Romania (RO-R:258; nR:183), and Slovakia (SK-R:146; nR:163), while also identifying the factors that influence attendance at any kind of screening tests in both populations. In order to examine these factors, a multiple binary logistic regression was conducted. The findings revealed significant associations between attendance at any kind of screening tests and certain factors among different groups. Among Hungarian Roma women, it was found that having a chronic disease and smoking were linked to attendance at any kind of screening tests (p = 0.009). Specifically, having a chronic disease increased the odds of attendance (OR = 1.71 [1.01, 2.90]), while smoking decreased the odds (OR = 0.57[0.365, 0.91]). In Romania, the study found that not having health insurance decreased the odds of attendance among Roma women (OR = 0.50 [0.27, 0.91]), whereas having a chronic disease increased the odds (OR = 2.87 [1.44, 5.72]) (p = 0.006). Among non-Roma women in Romania, physical inactivity was associated with a decreased likelihood of attendance at any kind of screening tests (OR = 0.48 [0.25, 0.95]). Among Slovakian Roma women, not having health insurance (OR = 0.09[0.02, 0.36]) and smoking (OR = 0.25[0.11, 0.61]) were found to decrease the odds of attendance (p < 0.001). On the other hand, non-Roma women in Slovakia with chronic diseases were more likely to attend at any kind of screening tests (OR = 2.52[1.12, 5.66]). Our research emphasizes the impact of lacking health insurance on screening attendance, particularly among the Roma population. It also highlights the significance of health-related behaviours such as smoking and physical inactivity in relation to missed screening tests, which in turn contribute to the development of non-communicable diseases. Therefore, promoting targeted screening programs for the Roma community is crucial to ensure their access to screening tests, especially in cases of chronic illnesses.
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Affiliation(s)
- Noémi Mózes
- Department of Public Health, Faculty of Medicine, Semmelweis University, Budapest, Hungary
- Doctoral School of Health Sciences, Semmelweis University, Budapest, Hungary
| | - Johanna Takács
- Department of Social Sciences, Faculty of Health Sciences, Semmelweis University, Budapest, Hungary
| | - Zoltan Ungvari
- Vascular Cognitive Impairment, Neurodegeneration, and Healthy Brain Aging Program, Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States
- Oklahoma Center for Geroscience and Healthy Brain Aging, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States
- International Training Program in Geroscience, Doctoral School of Basic and Translational Medicine/Department of Public Health, Semmelweis University, Budapest, Hungary
- Department of Health Promotion Sciences, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States
| | - Helga Judit Feith
- Department of Social Sciences, Faculty of Health Sciences, Semmelweis University, Budapest, Hungary
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Ozsvári-Vidákovich M, Fekete JT, Szakony S, Theisz J, Gasparics R, Körmendy M, Ádám Z, Sziller I. [Prevalence of intrahepatic cholestasis of pregnancy and its association with gestational diabetes in an urban population in Hungary]. Orv Hetil 2023; 164:1985-1992. [PMID: 38108863 DOI: 10.1556/650.2023.32933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Accepted: 10/11/2023] [Indexed: 12/19/2023]
Abstract
Bevezetés: A terhességi intrahepaticus cholestasis a várandósság
alatt előforduló leggyakoribb májbetegség, amelyre viszketés, a májenzimek és a
szérum-összepesavszint emelkedése jellemző. A betegség jelentősen emeli az
újszülöttkori morbiditást és mortalitást. Célkitűzés: Célunk a
terhességi cholestasis élveszülésekhez viszonyított hazai gyakoriságának és a
terhesség alatt kialakuló kórképekkel mutatott összefügésének elemzése volt.
Módszerek: Szakambulanciánkon 2019. január 1. és 2021.
június 30. között olyan várandósoknál vizsgáltuk az intrahepaticus terhességi
cholestasis előfordulását, akik viszketés miatt jelentkeztek vizsgálatra, és a
szülésük osztályunkon történt. A betegségek diagnózisát a nemzetközi definíciók
alapján állítottuk fel. Az epepangás és a terhességi kórképek kapcsolatát
becsült részvételi valószínűség szerinti párosítással (propensity score
matching) elemeztük. Eredmények: A vizsgált
időszakban osztályunkon összesen 5827 várandós szült; közülük 105 (1,8%) esetben
állapítottunk meg a terhesség alatt kialakult viszketést, amelyet 88 (1,5%)
esetben a májenzimek emelkedése, 17 (0,3%) esetben pedig ezeken kívül a szérum
összepesavszintjének emelkedése is kísért. A terhességi viszketés és a
terhességi epepangás nem jelzett kapcsolatot az anyai életkorral, a korábbi
terhességek és szülések számával, és nem mutatott szezonalitást. A betegséggel
kezelt várandósokban szignifikánsan nagyobb volt a gestatiós diabetes
gyakorisága (16,2%), mint a teljes szülészeti populációban (8,3%), valamint az
illesztett kontrollcsoportban (6,7%) (p<0,05, illetve p<0,05). A
terhességi epepangás nem mutatott kapcsolatot a terhességi magas vérnyomás
különböző formáival, a méhen belüli növekedés elmaradásával és a macrosomiával
sem. Következtetés: Adataink alapján a terhességi epepangás
hazai prevalenciája megegyezik az európai gyakorisággal, és szoros kapcsolatot
mutat a gestatiós cukorbetegséggel. Orv Hetil. 2023; 164(50): 1985–1992.
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Affiliation(s)
- Magdolna Ozsvári-Vidákovich
- 1 Dél-budai Centrumkórház - Szent Imre Egyetemi Oktatókórház, Szülészeti és Nőgyógyászati Osztály 1115 Budapest, Tétényi út 12-16. Magyarország
| | - János Tibor Fekete
- 2 Semmelweis Egyetem, Általános Orvostudományi Kar, Bioinformatikai Tanszék Budapest Magyarország
| | - Szilvia Szakony
- 3 Dél-budai Centrumkórház - Szent Imre Egyetemi Oktatókórház, Központi Laboratórium Budapest Magyarország
| | - János Theisz
- 4 Dél-budai Centrumkórház - Szent Imre Egyetemi Oktatókórház, Gasztroenterológiai Profil Budapest Magyarország
| | - Roland Gasparics
- 5 Dél-budai Centrumkórház - Szent Imre Egyetemi Oktatókórház, Anyagcsere Központ Budapest Magyarország
| | - Miklós Körmendy
- 6 Dél-budai Centrumkórház - Szent Imre Egyetemi Oktatókórház, Bőrgyógyászati Szakrendelés Budapest Magyarország
| | - Zsolt Ádám
- 7 TritonLife Róbert Magánkórház, Szülészeti és Nőgyógyászati Osztály Budapest Magyarország
| | - István Sziller
- 1 Dél-budai Centrumkórház - Szent Imre Egyetemi Oktatókórház, Szülészeti és Nőgyógyászati Osztály 1115 Budapest, Tétényi út 12-16. Magyarország
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Maráz A, Nagy B, Macher T, Jeskó J, Tischler E, Csongvai C, Kearney M. Nationwide Study of Real-World Treatment Patterns and Clinical Outcomes in Patients with Metastatic Urothelial Carcinoma in Hungary. Adv Ther 2023; 40:5475-5488. [PMID: 37831384 PMCID: PMC10611888 DOI: 10.1007/s12325-023-02694-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2023] [Accepted: 09/21/2023] [Indexed: 10/14/2023]
Abstract
INTRODUCTION Data describing real-world treatment patterns in patients with metastatic urothelial carcinoma (mUC) in Central-Eastern Europe are scarce, and data from Hungary have not been published. This retrospective, nationwide, real-world study investigated patient characteristics, treatment patterns, comorbidities, and clinical outcomes in patients with mUC in Hungary. METHODS Adults diagnosed with mUC from January 2016 through June 2021 were identified using the National Health Insurance Fund Administration database. Overall survival (OS) was estimated using the Kaplan-Meier method. RESULTS In total, 2523 patients with mUC were identified. Median follow-up was 7.1 months. Overall, 50% of patients received an identified systemic anticancer treatment; within this subgroup, first-line treatment was platinum-based chemotherapy (PBC) in 86%, non-PBC in 8%, and immune checkpoint inhibitor (ICI) in 6%. The proportion of patients receiving treatment increased from 41% in 2016 to 59% in 2020, driven by increased use of first-line PBC or first-line ICI treatment. Comorbidities were more common in patients receiving first-line ICI treatment vs PBC or non-PBC and in patients receiving carboplatin + gemcitabine vs cisplatin + gemcitabine. Overall, only 24% received a second-line treatment. Unadjusted median OS from the start of first-line treatment in the PBC, non-PBC, and ICI subgroups was 12.8, 7.5, and 6.3 months, respectively. Median OS from date of diagnosis in untreated patients was 7.8 months. OS comparisons adjusted for differences in baseline characteristics between subgroups could not be performed. CONCLUSION To our knowledge, this is the first study to assess treatment patterns in patients with mUC in clinical practice in Hungary, using the national health insurance database. Rates of first- and second-line treatment were consistent with those observed in other countries. Avelumab first-line maintenance treatment became available for reimbursement in Hungary in late 2022, after the study period. Given the evolving landscape of reimbursed treatments in Hungary, further analyses are warranted.
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Affiliation(s)
- Anikó Maráz
- Department of Oncotherapy, University of Szeged, Korányi Fasor 12, 6720, Szeged, Hungary.
| | - Bence Nagy
- Healthware Consulting Ltd., Budapest, Hungary
| | | | | | - Erika Tischler
- Merck Kft., Budapest, Hungary
- Merck KGaA, Darmstadt, Germany
| | - Csaba Csongvai
- Merck Kft., Budapest, Hungary
- Merck KGaA, Darmstadt, Germany
| | - Mairead Kearney
- Global Value Demonstration, Market Access and Pricing (GVAP), The Healthcare Business of Merck KGaA, Darmstadt, Germany
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Barabás Á, Nagy M, Grestyák Molnárné AK, Nagy AC, Pazmany V, Zahatňanská M, Konečná M, Sedlák V, Mydlárová Blaščáková M, Poráčová J, Erdei Jávorné R. Nutrition habits and physical activity of disabled adolescents in Hungary. Cent Eur J Public Health 2023; 31:S55-S61. [PMID: 38272479 DOI: 10.21101/cejph.a8058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Accepted: 12/14/2023] [Indexed: 01/27/2024]
Abstract
OBJECTIVES The overall aim of the research is to gain insight into the lifestyle and health behaviour of young people with disabilities aged 12-18 years, and to learn about the factors shaping their health. In this study, our aim was to investigate the eating habits and physical activity of adolescents with disabilities and the influencing factors. METHODS The study's source population was young people aged 12-18 with disabilities in the Szabolcs-Szatmár-Bereg County. A total of 239 completed questionnaires were processed and analysed. Boys were overrepresented in the study. RESULTS The results show that inadequate eating habits also exist in the population we studied, the consumption of certain foods correlates with the education level of parents. A more secure social background is a protective factor in terms of physical activity. The survey was made with the aim of intervention much needed. With precise knowledge of the health behaviour of the target group, our goal is to develop a complex intervention programme adapted to the needs of children with disabilities. CONCLUSION The eating habits of adolescents with disabilities in the Szabolcs-Szatmár-Bereg County are unsatisfactory. Experience and results show that differentiated health promotion of young people with disabilities is necessary.
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Affiliation(s)
- Ágota Barabás
- Department of Health Methodology and Prevention, Faculty of Health Sciences, University of Debrecen, Nyiregyhaza, Hungary
| | - Melinda Nagy
- Department of Biology, Faculty of Education, J. Selye University, Komarno, Slovak Republic
| | | | - Attila Csaba Nagy
- Department of Health Informatics, Faculty of Health Sciences, University of Debrecen, Debrecen, Hungary
| | - Viktoria Pazmany
- Department of Health Methodology and Prevention, Faculty of Health Sciences, University of Debrecen, Nyiregyhaza, Hungary
| | - Mária Zahatňanská
- Institute of Pedagogy, Andragogy and Psychology, Faculty of Humanities and Natural Sciences, University of Presov, Presov, Slovak Republic
| | - Mária Konečná
- Department of Biology, Faculty of Humanities and Natural Sciences, University of Presov, Presov, Slovak Republic
| | - Vincent Sedlák
- Department of Biology, Faculty of Humanities and Natural Sciences, University of Presov, Presov, Slovak Republic
| | - Marta Mydlárová Blaščáková
- Department of Biology, Faculty of Humanities and Natural Sciences, University of Presov, Presov, Slovak Republic
| | - Janka Poráčová
- Department of Biology, Faculty of Humanities and Natural Sciences, University of Presov, Presov, Slovak Republic
| | - Renáta Erdei Jávorné
- Department of Health Methodology and Prevention, Faculty of Health Sciences, University of Debrecen, Nyiregyhaza, Hungary
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Major D, Fazekas-Pongor V, Pártos K, Tabák AG, Ungvari ZI, Eörsi D, Árva D, Terebessy A. Effect of school lockdown due to the COVID-19 pandemic on screen time among adolescents in Hungary: a longitudinal analysis. Front Public Health 2023; 11:1233024. [PMID: 38098820 PMCID: PMC10720660 DOI: 10.3389/fpubh.2023.1233024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Accepted: 11/16/2023] [Indexed: 12/17/2023] Open
Abstract
Introduction Studies indicate that due to school lockdown during the Coronavirus Disease 2019 (COVID-19) pandemic, screen time increased more steeply than pre-pandemic years. The aim of our study was to examine changes in screen time and its components (screen time spent on videos, games, homework, and other activities) of adolescents affected by COVID-19 school closures compared to controls from pre-pandemic years and to assess the effect of family structure and family communication. Methods Two sets of ninth-grader boys and girls transitioning into 10th grade were included in the analysis. The 'pre-COVID classes' (controls) completed the baseline survey in February 2018 and the follow-up survey in March 2019. 'COVID classes' (cases) completed the baseline survey in February 2020 (1 month before the COVID-19-related school lockdowns) and the follow-up survey in March 2021. Linear mixed models stratified by sex were built to assess the change in screen time over one year adjusted for family structure and communication. Results Our study population consisted of 227 controls (128 girls, 99 boys) and 240 cases (118 girls, 122 boys). Without COVID-19, overall screen time did not change significantly for boys, but there was a decrease in screen time for gaming by 0.63 h, which was accompanied by an increase of 1.11 h in screen time for other activities (consisting mainly of social media and communication). Because of the pandemic, all components increased by 1.44-2.24 h in boys. Girls' screen time and its components remained stable without school lockdown, while it increased for videos and homework by 1.66-2.10 h because of school lockdown. Living in a single-parent household was associated with higher, while better family communication resulted in lower screen time. Discussion Our results indicate that COVID-19-related school lockdowns modified the age-specific increase in screen time for boys and girls as well. This trend, however, may be counterbalanced by improving communication between family members.
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Affiliation(s)
- David Major
- Department of Public Health, Faculty of Medicine, Semmelweis University, Budapest, Hungary
| | - Vince Fazekas-Pongor
- Department of Public Health, Faculty of Medicine, Semmelweis University, Budapest, Hungary
| | - Katalin Pártos
- Department of Public Health, Faculty of Medicine, Semmelweis University, Budapest, Hungary
| | - Adam G. Tabák
- Department of Public Health, Faculty of Medicine, Semmelweis University, Budapest, Hungary
- Department of Internal Medicine and Oncology, Faculty of Medicine, Semmelweis University, Budapest, Hungary
- UCL Brain Sciences, University College London, London, United Kingdom
| | - Zoltan I. Ungvari
- Oklahoma Center for Geroscience and Healthy Brain Aging, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States
- Vascular Cognitive Impairment and Neurodegeneration Program, Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States
- Peggy and Charles Stephenson Cancer Center, Oklahoma City, OK, United States
- International Training Program in Geroscience, Doctoral School of Basic and Translational Medicine, Departments of Translational Medicine and Public Health, Semmelweis University, Budapest, Hungary
- Department of Health Promotion Sciences, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States
| | - Dániel Eörsi
- Doctoral School of Mental Health Sciences, Semmelweis University, Budapest, Hungary
| | - Dorottya Árva
- Department of Public Health, Faculty of Medicine, Semmelweis University, Budapest, Hungary
| | - András Terebessy
- Department of Public Health, Faculty of Medicine, Semmelweis University, Budapest, Hungary
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Sipos D, Biro AA, Busa F, Freihat O, Tollár J, Pandur AA, Kovács Á, Deutsch K, Csima MP. Reduced burnout in medical and health science students during the pandemic COVID-19 - a follow-up study of a single institution in Hungary. BMC Med Educ 2023; 23:893. [PMID: 37993921 PMCID: PMC10666327 DOI: 10.1186/s12909-023-04867-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Accepted: 11/13/2023] [Indexed: 11/24/2023]
Abstract
BACKGROUND The coronavirus pandemic has significantly impacted lives worldwide, especially of medical and health science students. In Hungary, education has been relegated to the online space, with a substantial proportion of students having to attend medical secondments. Increased stress, uncertainty, and the presence of medical secondments can have an impact on students' premature burnout. METHODS In 2021, we conducted a follow-up survey among students of the University of Pécs studying medicine and health sciences in two data collection periods (from March to May and September to November). Our online questionnaire consisted of the Maslach Burnout Inventory General Survey for Students and our self-designed questionnaire. We used descriptive and paired two-sample t-tests for data analysis at a 95% confidence interval (p ≤ 0.05). RESULTS We excluded from our survey respondents whose data we could not follow-up; finally, 183 students' responses were analyzed. The majority of students were female (n = 148; 80.9%). Overall, there was a significant decrease in both exhaustion (EX) and cynicism (CY) scores (p = 0.001; p = 0.004). Female respondents had higher EX scores, but a significant decrease was observed for both genders (p ≤ 0.05). Excluding paramedic students, a significant decrease in EX scores was observed for the specialties we studied (p ≤ 0.05). General medicine students' CY scores decreased; physiotherapy students' profesisonal efficacy (PE) scores increased significantly (p ≤ 0.05). Students who were on medical secondments (n = 127; 69. 4%) were found to be more affected by burnout, but in all cases, these scores significantly improved (p ≤ 0.05). Students serving in the National Ambulance Service (n = 76; 41.5%), Hospitals (n = 44; 24.0%), or both (n = 7; 3.8%) had a significant decrease in their burnout score (p ≤ 0.05). Students who served in either a hospital or a hospital and National Ambulance Service had significantly improved CY and PE scores (p ≤ 0.05). Students concerned about their health had elevated EX and CY scores, which also improved (p ≤ 0.05). CONCLUSIONS In conclusion, medical secondments positively affected student burnout scores for medicine and health sciences students at our institution. This fact implies that it is necessary to have more internships in real-life settings during the training. TRIAL REGISTRATION Our survey has been approved by the Medical Research Council (Case No IV/4573-1/2021/ECU).
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Affiliation(s)
- David Sipos
- Department of Medical Imaging, Faculty of Health Sciences, University of Pécs, Szent Imre street 14/B, Kaposvár, 7400, Hungary.
- Radiation Oncology, Research, and Teaching Center, Dr. József Baka Diagnostic, "Moritz Kaposi" Teaching Hospital, Guba Sándor street 40, Kaposvár, 7400, Hungary.
| | - Anett Anna Biro
- Department of Medical Imaging, Faculty of Health Sciences, University of Pécs, Szent Imre street 14/B, Kaposvár, 7400, Hungary
| | - Flora Busa
- Department of Medical Imaging, Faculty of Health Sciences, University of Pécs, Szent Imre street 14/B, Kaposvár, 7400, Hungary
| | - Omar Freihat
- Department of Medical Imaging, Faculty of Health Sciences, University of Pécs, Szent Imre street 14/B, Kaposvár, 7400, Hungary
- College of Health Science, Abu Dhabi University, Department of Public Health, Abu Dhabi, United Arab Emirates
| | - József Tollár
- Department of Medical Imaging, Faculty of Health Sciences, University of Pécs, Szent Imre street 14/B, Kaposvár, 7400, Hungary
- Radiation Oncology, Research, and Teaching Center, Dr. József Baka Diagnostic, "Moritz Kaposi" Teaching Hospital, Guba Sándor street 40, Kaposvár, 7400, Hungary
| | - Attila András Pandur
- Department of Oxyology, Emergency Care, Faculty of Health Sciences, University of Pécs, Vörösmarty 4, Pécs, 7621, Hungary
| | - Árpád Kovács
- Department of Medical Imaging, Faculty of Health Sciences, University of Pécs, Szent Imre street 14/B, Kaposvár, 7400, Hungary
- Department of Oncoradiology, Faculty of Medicine, University of Debrecen, Nagyerdei 98, Debrecen, 4032, Hungary
| | - Krisztina Deutsch
- Institute of Emergency Care and Pedagogy of Health, Faculty of Health Sciences, University of Pécs, Vörösmarty Street 4, Pécs, 7621, Hungary
| | - Melinda Petőné Csima
- Department of Medical Imaging, Faculty of Health Sciences, University of Pécs, Szent Imre street 14/B, Kaposvár, 7400, Hungary
- Institute of Education, MATE - Hungarian University of Agriculture and Life Sciences, Guba Sándor street 40, Kaposvár, 7400, Hungary
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Szigeti R, Balázs N, Urbán R. Antecedents and components of burnout among Hungarian teachers in a cross-sectional study: Development of the Burnout Antecedents and Components Questionnaire. Acta Psychol (Amst) 2023; 241:104080. [PMID: 37976918 DOI: 10.1016/j.actpsy.2023.104080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2023] [Revised: 09/08/2023] [Accepted: 11/06/2023] [Indexed: 11/19/2023] Open
Abstract
BACKGROUND Studies have focused more on the outcome than on the antecedents of burnout. We aimed to develop a new measurement tool for burnout, including the antecedents and different components drawing from theories of the developmental aspect of burnout. METHODS In this cross-sectional study we tested the Burnout Antecedents and Components Questionnaire on a convenience sample of teachers (n = 618, 83.9 % women; mean age 44.52 years). We used confirmatory factor analyses to test our measurement model. We examined the concurrent validity with the Maslach Burnout Inventory. We also tested construct validity with depression, overcommitment, demographic characteristics and work-related factors. RESULTS The confirmatory factor analyses supported our measurement model with seven primary factors (need to prove oneself, overload of tasks, neglecting one's needs, conflict between values, interpersonal conflicts, passivity, and emotional drain) and three second-order factors (excessive effort, conflict, and total depletion). The covariates in the Maslach Burnout Inventory showed that emotional exhaustion had a strong relationship with the first- and second-order factors. Overcommitment showed a stronger relationship with factors at the beginning whereas depression showed a stronger relationship with factors at the end of the process. Demographic characteristics and work-related factors did not show strong associations. CONCLUSIONS The Burnout Antecedents and Components Questionnaire is a promising measurement tool with good convergent validity. Future research should further validate our questionnaire for burnout research, prevention, and screening. It adds a new dimension to the measurement of burnout. The approach involving the antecedents in measuring burnout among teachers can guide future research and tailored prevention programs.
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Affiliation(s)
- Réka Szigeti
- Doctoral School of Psychology, Institute of Psychology, Eötvös Loránd University (ELTE PPK), Budapest, Hungary; Mental Health for Wellbeing Foundation, Calmschool Project, Budapest, Hungary.
| | - Noémi Balázs
- Doctoral School of Psychology, Institute of Psychology, Eötvös Loránd University (ELTE PPK), Budapest, Hungary; Mental Health for Wellbeing Foundation, Calmschool Project, Budapest, Hungary.
| | - Róbert Urbán
- Institute of Psychology, Eötvös Loránd University (ELTE PPK), Budapest, Hungary.
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Kollányi Z, Bálint L, Susovits K, Csépe P, Kovács K. Inequalities in Diabetes Mortality Between Microregions in Hungary. Int J Public Health 2023; 68:1606161. [PMID: 38024213 PMCID: PMC10643225 DOI: 10.3389/ijph.2023.1606161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Accepted: 10/16/2023] [Indexed: 12/01/2023] Open
Abstract
Objectives: Regional differences in diabetes mortality are high in Hungary. In our cross-sectional study, we aim to reveal the drivers of the inequalities in diabetes mortality across the 197 microregions of Hungary. To account for the influence of changes in healthcare and social conditions, we compared two periods (2009-12 and 2013-16). Methods: Traditional and re-conceptualized deprivation- and healthcare provison measures were used in OLS regression models. Results: Microregions with a high proportion of population living in "service deserts," especially in regard to the lack of grocery stores, suffer the highest rates of diabetes mortality. Alcohol-related mortality has been proven to be a similarly and surprisingly strong predictor of diabetes mortality. Conclusion: Food provision should be supported in areas characterized by low service density, and alcohol policy should be strengthened and targeted.
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Affiliation(s)
- Zsófia Kollányi
- Faculty of Social Sciences, Eötvös Loránd University, Budapest, Hungary
| | - Lajos Bálint
- Hungarian Demographic Research Institute (HDRI), Budapest, Hungary
- Department of Sociology, Faculty of Humanities and Social Sciences, University of Pécs, Pécs, Hungary
| | - Kitti Susovits
- National Institute of Pharmacy and Nutrition (Hungary), Budapest, Hungary
| | - Péter Csépe
- Department of Public Health, Faculty of Medicine, Semmelweis University, Budapest, Hungary
| | - Katalin Kovács
- Hungarian Demographic Research Institute (HDRI), Budapest, Hungary
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26
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Umami A, Zsiros V, Maróti-Nagy Á, Máté Z, Sudalhar S, Molnár R, Paulik E. Healthcare-seeking of medical students: the effect of socio-demographic factors, health behaviour and health status - a cross-sectional study in Hungary. BMC Public Health 2023; 23:2126. [PMID: 37904112 PMCID: PMC10614407 DOI: 10.1186/s12889-023-17041-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Accepted: 10/21/2023] [Indexed: 11/01/2023] Open
Abstract
BACKGROUND Medical students are more likely to have various physical and psychological issues, but less information is available about the healthcare-seeking behaviour for physical and mental health issues. The aim of this study is to determine the factors affecting medical students' healthcare-seeking when visiting a general practitioner (GP) and/or psychologist. METHODS 688 medical students (326 International and 362 Hungarian,) participated in a cross-sectional study. The information was gathered using a self-administered online questionnaire and covered socio-demographic background, health behaviour, general and mental health status and healthcare-seeking. For analysing adjusted associations, multivariable logistic regression models were used. RESULTS Overall, 56.8% of medical students visit the GP; and 17.2%, the psychologist. Hungarian medical students visited the GP with chronic diseases, International medical students were more likely to visit a GP when they encountered sexual activity and had chronic diseases. Moreover, there was a significant correlation between sex, alcohol consumption, and perceived stress in the total sample of psychologist visits. When Hungarian medical students were in their clinical years and had a poor self-rated mental health, they were more likely to visit a psychologist. Whereas female international medical students and those who had poor self-rated mental health were more likely to seek psychological help. CONCLUSION Students visit a GP and/or psychologist is associated with a variety of factors, including socio-demographic background, health behaviours, and health issues. Medical schools should encourage help-seeking behaviours and early disclosure of medical students. Their ability to grasp healthcare attitudes and designing treatments will be important for both their academic success and future profession.
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Affiliation(s)
- Afriza Umami
- Department of Public Health, Albert Szent-Györgyi Medical School, University of Szeged, Dóm tér 10, Szeged, H-6720, Hungary.
- Stikes Muhammadiyah Bojonegoro, Bojonegoro, Indonesia.
| | - Viktória Zsiros
- Department of Public Health, Albert Szent-Györgyi Medical School, University of Szeged, Dóm tér 10, Szeged, H-6720, Hungary
| | - Ágnes Maróti-Nagy
- Department of Public Health, Albert Szent-Györgyi Medical School, University of Szeged, Dóm tér 10, Szeged, H-6720, Hungary
| | - Zsuzsanna Máté
- Department of Public Health, Albert Szent-Györgyi Medical School, University of Szeged, Dóm tér 10, Szeged, H-6720, Hungary
| | | | - Regina Molnár
- Department of Public Health, Albert Szent-Györgyi Medical School, University of Szeged, Dóm tér 10, Szeged, H-6720, Hungary
| | - Edit Paulik
- Department of Public Health, Albert Szent-Györgyi Medical School, University of Szeged, Dóm tér 10, Szeged, H-6720, Hungary
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Ghanem AS, Móré M, Nagy AC. Assessing the impact of sociodemographic and lifestyle factors on oral health: a cross-sectional study in the Hungarian population. Front Public Health 2023; 11:1276758. [PMID: 37927886 PMCID: PMC10623121 DOI: 10.3389/fpubh.2023.1276758] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2023] [Accepted: 10/09/2023] [Indexed: 11/07/2023] Open
Abstract
Introduction Oral health, a critical aspect of overall well-being, is influenced by various sociodemographic and lifestyle factors, with poor oral health associated with systemic diseases and diminished quality of life. Methods This cross-sectional study leverages data from the Hungarian European Health Interview Survey (EHIS) representative of the Hungarian population, to conduct a comprehensive examination of the intersection between these factors and oral health, aiming to identify potential risk factors and contribute to the development of targeted interventions. The research examined associations between sociodemographic/lifestyle factors and oral health. Statistical techniques included Pearson's Chi-square test, multivariate and ordinal logistic regression analyses. Weighting was applied to assure the representativeness of the population and enhance the validity of the survey results. Results The study identifies gender, age, education, financial status, smoking, and self-perceived oral health as key factors influencing oral health outcomes. Notably, regular dental visits significantly reduced the risk of poor oral health and caries. Females, non-smokers, university graduates, high-income individuals, and those with good self-perceived health had fewer missing teeth and better self-perceived oral health. Teeth extractions due to decay, especially when not replaced, significantly increased the perception of poor oral health, while regular dental visits improved it. Discussion The study highlights the need for personalized oral health interventions considering the different sociodemographic and lifestyle factors, along with promotion of healthy lifestyle, more frequent dental office visits and equitable dental care access. The findings offer the potential to inform regional oral health policies and prevention strategies, improving oral health and overall wellbeing.
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Affiliation(s)
- Amr Sayed Ghanem
- Department of Health Informatics, Institute of Health Informatics, Faculty of Health Sciences, University of Debrecen, Debrecen, Hungary
| | - Marianna Móré
- Institute of Social and Sociological Sciences, Faculty of Health Sciences, University of Debrecen, Nyíregyháza, Hungary
| | - Attila Csaba Nagy
- Department of Health Informatics, Institute of Health Informatics, Faculty of Health Sciences, University of Debrecen, Debrecen, Hungary
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Pankovics P, Nagy A, Nyul Z, Juhász A, Takáts K, Boros Á, Reuter G. Human cases of lymphocytic choriomeningitis virus (LCMV) infections in Hungary. Arch Virol 2023; 168:275. [PMID: 37853289 PMCID: PMC10584706 DOI: 10.1007/s00705-023-05905-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Accepted: 09/07/2023] [Indexed: 10/20/2023]
Abstract
Lymphocytic choriomeningitis (LCM) is a "neglected" rodent-borne viral zoonotic disease caused by lymphocytic choriomeningitis virus (LCMV) (family Arenaviridae). The aim of this retrospective clinical and laboratory study was to detect LCMV RNA, using RT-PCR, in cerebrospinal fluid samples collected from patients with central nervous system (CNS) infections of unknown aetiology from over a 12-year period in Hungary. Between 2009 and 2020, a total of 74 cerebrospinal fluid samples were tested using an in-house LCMV-specific RT-PCR-based method at the Department of Medical Microbiology and Immunology, University of Pécs. The mean age of the 74 patients included in our study was 24 years (min. 5, max. 74), with a predominance of men (44 [59.5%]; women, 30 [40.5%]). Two (2.7%) cerebrospinal fluid samples were found to be positive for LCMV RNA by RT-PCR and sequencing. The first LCMV case was a 5-year-old preschool boy who had a hamster bite on his left-hand finger, and the second LCMV case was a 74-year-old man who was living in a village and had incipient dementia and a previous permanent functional CNS impairment. The two detected LCMV strains (MW558451 and OM648933) from the year 2020 belonged to two different genetic lineages (I and II). These two cases of CNS inflammation of unknown origin represent the first published human LCMV infections confirmed by molecular methods in Hungary.
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Affiliation(s)
- Péter Pankovics
- Department of Medical Microbiology and Immunology Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.
| | - Arnold Nagy
- Department of Paediatrics, Medical School, Medical School, University of Pécs, Pécs, Hungary
| | - Zoltán Nyul
- Department of Paediatrics, Medical School, Medical School, University of Pécs, Pécs, Hungary
| | - Annamária Juhász
- Department of Neurology, Medical School, University of Pécs, Pécs, Hungary
| | - Károly Takáts
- Department of Medical Microbiology and Immunology Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary
| | - Ákos Boros
- Department of Medical Microbiology and Immunology Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary
| | - Gábor Reuter
- Department of Medical Microbiology and Immunology Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary
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Lipienné Krémer I, Dió M, Vitrai J, Soósné Kiss Z. [Burnout syndrome among Hungarian midwives in 2014 and 2022]. Orv Hetil 2023; 164:1592-1599. [PMID: 37987703 DOI: 10.1556/650.2023.32884] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Accepted: 07/31/2023] [Indexed: 11/22/2023]
Abstract
INTRODUCTION The healthcare sector is the most studied area of burnout, as the mental health of healthcare workers has a significant impact on the mental health of the people they care for. OBJECTIVE The aim of our study was to investigate whether there have been changes in the dimensions of burnout among midwives, and how the relationships between burnout and the individual factors and working conditions that influence it have evolved, using national data from 2014 and 2022. METHOD An anonymous, voluntary, questionnaire-based survey of midwives working exclusively in maternity units was conducted using the Maslach Burnout Inventory questionnaire, which measures burnout, and questions on respondents' demographic characteristics and working conditions. Multivariate ordinal logistic regression was used to explore associations between burnout and respondent characteristics, and associations were characterized by odds ratios. RESULTS Among the dimensions of burnout, no change in depersonalization was observed in 2022, but both emotional exhaustion and personal ineffectiveness were significantly more common in 2022 than in 2014. Responses from 224 midwives in 2014 and 152 midwives in 2022 were analyzed. Looking at the influencing factors, higher levels of burnout in 2014 were significantly associated with poorer perceived health, lack of a partner, smoking, shorter time in healthcare, having a job in a larger city, feeling overworked and dissatisfied. In 2022, on the other hand, younger age, smoking, shorter time in healthcare, feeling overworked, dissatisfied and unvalued were associated with higher levels of burnout. Looking at the combined effect of these factors, willingness to attend a health promotion lecture and having a second job also showed a significant effect on burnout in 2022. DISCUSSION The authors discuss the change in burnout among midwives and the possible reasons for the correlations shown. CONCLUSION The results of the first study on burnout among midwives in Hungary show that improving the working conditions of midwives is essential for the functioning of family-friendly midwifery. In addition, to prevent burnout, more emphasis should be placed on the prevention of the risk factors identified in the study in education and training. Orv Hetil. 2023; 164(40): 1592-1599.
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Affiliation(s)
- Ibolya Lipienné Krémer
- 1 Semmelweis Egyetem, Egészségtudományi Kar, Szülészeti és Nőgyógyászati Klinikai Ismeretek Tanszék Budapest Magyarország
| | - Mihály Dió
- 2 Semmelweis Egyetem, Egészségtudományi Kar, Képalkotó Analitikus és Orvostechnikai Tanszék Budapest Magyarország
| | - József Vitrai
- 3 Széchenyi István Egyetem, Egészség- és Sporttudományi Kar, Preventív Egészségtudományi Tanszék Győr, Szent Imre út 26-28., 9024 Magyarország
| | - Zsuzsanna Soósné Kiss
- 3 Széchenyi István Egyetem, Egészség- és Sporttudományi Kar, Preventív Egészségtudományi Tanszék Győr, Szent Imre út 26-28., 9024 Magyarország
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Dézsi AJ, Erdei C, Demeter T, Kovács A, Nagy G, Mensch K, Németh O, Hermann P, Tóth G, Füst Á, Kiss EV, Kőhidai L, Zalatnai A, Márton K. Prevalence of Sjögren's syndrome in patients with dry mouth in the region of Central Hungary. Oral Dis 2023; 29:2756-2764. [PMID: 35611648 DOI: 10.1111/odi.14264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Revised: 03/29/2022] [Accepted: 05/21/2022] [Indexed: 11/27/2022]
Abstract
OBJECTIVE One-third of the Hungarian population suffers from xerostomia. Since there is no evidence of the actual prevalence of Sjögren's syndrome (SS) in Hungary, this study aimed to evaluate the same. MATERIALS AND METHODS Data were collected from the Faculty of Dentistry, Semmelweis University from 2008 to 2015. A diagnosis of SS was established based on the American College of Rheumatology and European League Against Rheumatism criteria. RESULTS Of the 1076 patients examined with sicca symptoms, 188 patients had confirmed SS. Primary SS (pSS) was diagnosed in 135 patients and secondary SS (sSS) was confirmed in 53 patients. According to the available statistical records of the public health service of Hungary, there were an average of 16 (0.0014%, 5-26) newly diagnosed SS cases in the entire population and 141 SS patient-practitioner consultations (49-232) per 100,000 inhabitants in the country over the past 10 years (based on the past 10 years: 2011-2020). CONCLUSION Results revealed that approximately 1/5th-1/6th of patients with sicca symptoms have SS, among whom 72% and 285 have pSS and sSS, respectively. Global Hungarian records simultaneously revealed that the number of both new diagnoses and doctor-SS patient encounters has significantly decreased (by 50%) yearly over the last decade.
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Affiliation(s)
- Anna Júlia Dézsi
- Department of General Dental Preclinical Practice, Faculty of Dentistry, Semmelweis University, Budapest, Hungary
| | - Csilla Erdei
- Department of General Dental Preclinical Practice, Faculty of Dentistry, Semmelweis University, Budapest, Hungary
| | - Tamás Demeter
- Department of General Dental Preclinical Practice, Faculty of Dentistry, Semmelweis University, Budapest, Hungary
| | - Alexandra Kovács
- Department of Conservative Dentistry, Faculty of Dentistry, Semmelweis University, Budapest, Hungary
| | - Gábor Nagy
- Department of Community Dentistry, Faculty of Dentistry, Semmelweis University, Budapest, Hungary
| | - Károly Mensch
- Department of Oral Diagnostic, Faculty of Dentistry, Semmelweis University, Budapest, Hungary
| | - Orsolya Németh
- Department of Community Dentistry, Faculty of Dentistry, Semmelweis University, Budapest, Hungary
| | - Péter Hermann
- Department of Prosthodontics, Faculty of Dentistry, Semmelweis University, Budapest, Hungary
| | - György Tóth
- Department of General Dental Preclinical Practice, Faculty of Dentistry, Semmelweis University, Budapest, Hungary
| | - Ágnes Füst
- Department of Ophthalmology, Faculty of Medicine, Semmelweis University, Budapest, Hungary
| | - Emese Virág Kiss
- National Institute of Locomotor System and Disability, Budapest, Hungary
| | - László Kőhidai
- Department of Genetics, Cell- and Immunobiology, Faculty of Medicine, Semmelweis University, Hungary
| | - Attila Zalatnai
- 1st Department of Pathology and Experimental Cancer Research, Faculty of Medicine, Semmelweis University, Budapest, Hungary
| | - Krisztina Márton
- Department of General Dental Preclinical Practice, Faculty of Dentistry, Semmelweis University, Budapest, Hungary
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Reuter G, Boros Á, Pankovics P. Molecular epidemiology and characterization of endemic, epidemic and imported hepatitis A virus (HAV) strains in Hungary (2003-2022). Acta Microbiol Immunol Hung 2023; 70:246-251. [PMID: 37490367 DOI: 10.1556/030.2023.02099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Accepted: 07/12/2023] [Indexed: 07/27/2023]
Abstract
Hepatitis A virus (HAV) is one of the most important etiological agents of acute viral hepatitis but comprehensive molecular epidemiological study with chrono-phylogeographical data are not available from Hungary.Between 2003 and 2022, a total of 8,307 HAV infections were registered officially in Hungary of which 400 (4.8%) HAV IgM antibody-positive serum samples were collected countrywide. HAV genomic RNA was successfully detected in 216/400 (54%) sera by RT-PCR subsequently confirmed by sequencing. The complete nucleotide sequences of VP1 region were determined in 32 representative HAV strains. Based on the sequence analysis, 150 (69.4%) strains were characterized as HAV sub-genotype IA and 66 (30.6%) as sub-genotype IB, respectively. Based on the combined epidemiological and molecular data, epidemic, endemic, and imported HAV strains were also characterized. The first two registered countrywide outbreaks started among men-sex-with men (MSM) in 2011 (sub-genotype IA) and 2021 (sub-genotype IB), the continuously circulating endemic/domestic HAV strain (sub-genotype IA) in East Hungary and the travel-related sub-genotype IB strains from Egypt should be highlighted. All HAV strains are deposited in the HAVNET database (https://www.rivm.nl/en/havnet).In this 20-year-long comprehensive molecular epidemiological study, we report the genetic characterization and geographic distribution of endemic, epidemic and imported HAV strains for the first time in Hungary with continuous co-circulation of sub-genotypes IA and IB HAV strains since 2003. These data provide basic information about the HAV situation in the country in an international context and can promote more effective national public health intervention strategies for the prevention of HAV transmissions and infections.
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Affiliation(s)
- Gábor Reuter
- Department of Medical Microbiology and Immunology, Medical School, University of Pécs, Pécs, Hungary
| | - Ákos Boros
- Department of Medical Microbiology and Immunology, Medical School, University of Pécs, Pécs, Hungary
| | - Péter Pankovics
- Department of Medical Microbiology and Immunology, Medical School, University of Pécs, Pécs, Hungary
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Balla S, Vajas A, Pásztor O, Rentka A, Lukucz B, Kasza M, Nagy A, Fodor M, Nagy V. Analysis of the Association between Retinal Artery Occlusion and Acute Ischaemic Stroke/ST-Elevation Myocardial Infarction and Risk Factors in Hungarian Patients. Medicina (Kaunas) 2023; 59:1680. [PMID: 37763799 PMCID: PMC10534709 DOI: 10.3390/medicina59091680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/04/2023] [Revised: 09/04/2023] [Accepted: 09/12/2023] [Indexed: 09/29/2023]
Abstract
Background and Objectives: We aimed to analyse data on retinal artery occlusion (RAO) patients to explore correlations with acute ischaemic stroke (AIS), ST-elevation myocardial infarction (STEMI), and cardio/cerebrovascular comorbidities. Patients and Methods: Our retrospective cohort study included 169 RAO and 169 age- and gender-matched control patients. We examined the association of AIS, STEMI, and related comorbidities such as hypertension (HT), type 1 and type 2 diabetes (T1DM and T2DM, respectively), hyperlipidaemia, and ischaemic heart disease (IHD) with RAO. We also recorded atrial fibrillation in our RAO patients. Results: Our results demonstrated that RAO patients developed both AIS and STEMI at a significantly higher rate compared to controls (p < 0.001 for both). We also found that RAO patients had a significantly higher prevalence of HT and hyperlipidaemia (p1 = 0.005, p2 < 0.001) compared to controls. Multiple risk factors together significantly increased the odds of developing AIS and STEMI. Conclusions: Our results suggest that through identifying and treating the risk factors for RAO patients, we can reduce the risk of AIS, STEMI, and RAO of the fellow eye. Considering that ophthalmologists are often the first detectors of these cardiovascularly burdened patients, collaboration with colleagues from internal medicine, cardiology, and neurology is essential to achieve secondary prevention.
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Affiliation(s)
- Szabolcs Balla
- Department of Ophthalmology, University of Debrecen, 4032 Debrecen, Hungary (O.P.); (A.R.); (M.F.); (V.N.)
| | - Attila Vajas
- Department of Ophthalmology, University of Debrecen, 4032 Debrecen, Hungary (O.P.); (A.R.); (M.F.); (V.N.)
| | - Orsolya Pásztor
- Department of Ophthalmology, University of Debrecen, 4032 Debrecen, Hungary (O.P.); (A.R.); (M.F.); (V.N.)
| | - Anikó Rentka
- Department of Ophthalmology, University of Debrecen, 4032 Debrecen, Hungary (O.P.); (A.R.); (M.F.); (V.N.)
| | - Balázs Lukucz
- Department of Technology and Economics, University of Budapest, 1111 Budapest, Hungary;
| | - Márta Kasza
- Medical Centre, Hungarian Defence Forces, 1134 Budapest, Hungary;
| | - Attila Nagy
- Department of Public Health and Epidemiology, Faculty of Medicine, University of Debrecen, 4032 Debrecen, Hungary;
| | - Mariann Fodor
- Department of Ophthalmology, University of Debrecen, 4032 Debrecen, Hungary (O.P.); (A.R.); (M.F.); (V.N.)
| | - Valéria Nagy
- Department of Ophthalmology, University of Debrecen, 4032 Debrecen, Hungary (O.P.); (A.R.); (M.F.); (V.N.)
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Kovács-Tóth B, Kuritárné Szabó I. [The impact of adverse childhood experiences on mental and somatic health in childhood and adolescence]. Orv Hetil 2023; 164:1447-1455. [PMID: 37717239 DOI: 10.1556/650.2023.32851] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Accepted: 06/19/2023] [Indexed: 09/19/2023]
Abstract
Multiple studies prove that children who were exposed to adverse childhood experiences within their families are increasingly at risk of various high-risk behaviours, bullying, mental and somatic disorders. In children/adolescents who undergo terrifying experiences on a repetitive, sometimes daily basis without being provided support and the basic safety they would need, all aspects of personality development will be seriously affected. Urgent action is needed in Hungary to identify these children and provide them with therapeutic support. The field of childhood adversities and their consequences has been undeservedly neglected by research, despite the fact that preventive and therapeutic interventions could be specifically designed based on this knowledge during childhood and adolescence. In our study, we present international data on the prevalence of adverse childhood experiences. We discuss in detail the association of adverse childhood experiences with biological and cognitive impairments attachment disorders, externalising and internalising disorders, somatic disorders and health risk behaviours in childhood and adolescence. Besides presenting empirical data on adverse experiences and consequences, the purpose of our publication is to raise awareness and sensitisation among professionals. Orv Hetil. 2023; 164(37): 1447-1455.
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Affiliation(s)
- Beáta Kovács-Tóth
- 1 Debreceni Egyetem, Általános Orvostudományi Kar, Magatartástudományi Intézet Debrecen, Nagyerdei krt. 98., 4032 Magyarország
| | - Ildikó Kuritárné Szabó
- 1 Debreceni Egyetem, Általános Orvostudományi Kar, Magatartástudományi Intézet Debrecen, Nagyerdei krt. 98., 4032 Magyarország
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Ulambayar B, Ghanem AS, Kovács N, Trefán L, Móré M, Nagy AC. Cardiovascular disease and risk factors in adults with diabetes mellitus in Hungary: a population-based study. Front Endocrinol (Lausanne) 2023; 14:1263365. [PMID: 37780630 PMCID: PMC10538629 DOI: 10.3389/fendo.2023.1263365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/20/2023] [Accepted: 09/01/2023] [Indexed: 10/03/2023] Open
Abstract
Introduction Diabetes mellitus (DM) and cardiovascular disease (CVD) such as acute myocardial infarction, stroke, and coronary artery disease are highly prevalent conditions that are responsible for significant morbidity and mortality, particularly in Hungary. The conditions are attributed to identical risk factors, and individuals with DM are primarily susceptible to cardiovascular complications, which are the leading causes of death and disability in patients with DM. The objective of this study was to estimate the prevalence of CVD in individuals with DM and to investigate the association between potential risk factors and the presence of CVD among individuals with DM in a population-based sample. Methods The study was based on data from three waves of the European Health Interview Surveys (EHIS) conducted in Hungary in 2009, 2014, and 2019. Results The prevalence of CVD among patients with DM decreased during the study period and that socioeconomic factors, cardiometabolic risk factors including high blood pressure and high cholesterol, and depression are major contributors to CVD burden in patients with DM in Hungary. Discussion Our findings suggest the importance of regular check-up for hypertension and hypercholesterolemia, better focus on socioeconomic status, as well as ongoing monitoring of mental health among patients with diabetes. Further research is needed to understand the potential causes behind the observed decrease in CVD prevalence.
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Affiliation(s)
- Battamir Ulambayar
- Department of Health Informatics, Institute of Health Informatics, Faculty of Health Sciences, University of Debrecen, Debrecen, Hungary
| | - Amr Sayed Ghanem
- Department of Health Informatics, Institute of Health Informatics, Faculty of Health Sciences, University of Debrecen, Debrecen, Hungary
| | - Nóra Kovács
- Department of Public Health and Epidemiology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
| | - László Trefán
- Department of Health Informatics, Institute of Health Informatics, Faculty of Health Sciences, University of Debrecen, Debrecen, Hungary
| | - Marianna Móré
- Institute of Social and Sociological Sciences, Faculty of Health Sciences, University of Debrecen, Nyíregyháza, Hungary
| | - Attila Csaba Nagy
- Department of Health Informatics, Institute of Health Informatics, Faculty of Health Sciences, University of Debrecen, Debrecen, Hungary
- Coordinating Centre for Epidemiology, University of Debrecen, Debrecen, Hungary
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Mózes N, Feith HJ. [Comparative study of factors influencing cytological screening for cervical cancer attendance in Hungary among Roma and non-Roma population, in relation to Slovak and Romanian results]. Orv Hetil 2023; 164:1416-1425. [PMID: 37695714 DOI: 10.1556/650.2023.32842] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Accepted: 05/18/2023] [Indexed: 09/13/2023]
Abstract
INTRODUCTION To the present day, the prevalence and incidence of cervical cancer remains very significant. For disadvantaged groups such as the Roma, screening for the disease should be given increased attention, as members of this minority have lower access to health care and lower average health literacy. OBJECTIVE The aim of our study was to assess the prevalence of cytological screening for cervical cancer among Hungarian-speaking Roma and non-Roma populations in Hungary, Romania and Slovakia, in relation to the possible influencing factors. We also investigated respondents' perceptions of the importance of cervical cancer screening and HPV vaccination. In this paper, we focus on presenting the data from Hungary in relation to the results from the other two countries. The study sample size was 1366. METHOD Data were presented as mean ± SD and proportion. To compare Roma and non-Roma samples, the independent samples t-test was used. Cross tabulation with Pearson's chi-square test with calculating phi/Cramér's V effect size (p<0.05) was used to reveal association between ethnicity and studied variables. RESULTS In Hungary, a higher proportion of Roma women (p = 0.004) did not attend cytological screening for cervical cancer compared to non-Roma women, a difference confirmed in the other two countries. Non-Roma women attached greater importance to attendance at cervical cancer screening (p = 0.022). The Roma population aged 18-65 years had lower rates of annual cytological screening for cervical cancer compared to non-Roma in all age groups, while the annual screening rate decreased with age, regardless of ethnicity. CONCLUSION Further health promotion to prevent cervical cancer in the Roma and non-Roma population would be necessary, regardless of national borders, specifically to address risk factors in all age groups, with a focus on young people, who are less aware of the risk, and older age groups, who mostly believe that the disease does not affect them due to their age. Orv Hetil. 2023; 164(36): 1416-1425.
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Affiliation(s)
- Noémi Mózes
- 1 Semmelweis Egyetem, Egészségtudományi Doktori Iskola Budapest Magyarország
| | - Helga Judit Feith
- 2 Semmelweis Egyetem, Egészségtudományi Kar, Társadalomtudományi Tanszék Budapest, Vas u. 17., 1088 Magyarország
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Ábrám Z, Varga C. [Epidemics of historical importance in Hungary II.]. Orv Hetil 2023; 164:1398-1403. [PMID: 37660347 DOI: 10.1556/650.2023.ho2764] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Accepted: 02/21/2023] [Indexed: 09/05/2023]
Affiliation(s)
- Zoltán Ábrám
- 1 Marosvásárhelyi George Emil Palade Orvosi, Gyógyszerészeti, Tudomány- és Technológiai Egyetem, Közegészségtani Tanszék Marosvásárhely Románia
| | - Csaba Varga
- 2 Pécsi Tudományegyetem, Általános Orvostudományi Kar, Orvosi Népegészségtani Intézet, Környezetegészségtani Tanszék Pécs, Szigeti út 12., 7624 Magyarország
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Szabó L, Boros J. Socio-economic differences among low-birthweight infants in Hungary. Results of the Cohort '18 -Growing Up in Hungary birth cohort study. PLoS One 2023; 18:e0291117. [PMID: 37656714 PMCID: PMC10473525 DOI: 10.1371/journal.pone.0291117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Accepted: 08/23/2023] [Indexed: 09/03/2023] Open
Abstract
BACKGROUND As Hungary had the fifth-highest rate of low-birthweight (LBW) in the EU27 in 2020, LBW still remains a public health problem for the country. OBJECTIVE Our goal is to examine whether LBW in Hungary is determined by the mothers' educational attainment, adjusted for other maternal characteristics (SES, health behaviour and psychological status during pregnancy) among mothers who gave birth in 2018-2019 in Hungary. METHODS Source of data is the first and second wave of the Cohort '18 -Growing Up in Hungary longitudinal birth cohort study (n = 8185). It is based on a nationwide representative sample of pregnant women who gave birth between March 2018 and April 2019. All data were self-reported by mothers. We examined the association between maternal educational attainment and the risk of giving birth to an LBW-child (<2500g) by using logistic regression analysis. The highest educational attainment of the mother is measured by a five-value categorical variable (ISCED 97: 0-1; 2; 3C; 3-4; 5-6). RESULTS 5.9% of women had LBW children. This rate is 18.0% among the lowest educated women with ISCED 97: 0-1; and it is 3.6% among the highest educated women with ISCED 97: 5-6. The adjusted predicted probabilities of LBW for these two groups of women are 13.5%, and 3.4% respectively, adjusted for household income quantiles, Roma ethnic background, residence place, smoking, alcohol consumption, and depression during pregnancy; controlled for mother's height, age at birth, parity and child's sex. Compared to women with the lowest level of education, the risk of giving birth to an LBW child decreases by 34.6% for those with the second level of education, by 60.1% for those with the third level of education, by 72.5% for those with the fourth level of education and by 77.2% for those with the highest level of education. Smoking during pregnancy significantly increases the risk of giving birth to an LBW by 54.9%. Being depressed at 7th month of pregnancy decreased the risk of giving birth to an LBW child in our sample by 13.2%, however the relationship is not significant. CONCLUSION Our analysis confirmed that maternal educational attainment has a significant impact on the risk of LBW net of by other maternal SES and health behaviour factors. Nevertheless, even after adjusting for these covariates, inequality in LBW by maternal educational attainment persists.
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Affiliation(s)
- Laura Szabó
- Hungarian Demographic Research Institute, Budapest, Hungary
| | - Julianna Boros
- Hungarian Demographic Research Institute, Budapest, Hungary
- Institute of Behavioural Sciences, Semmelweis University, Budapest, Hungary
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Pataki J, Dombrádi V, Sárváry A, Szőllősi GJ. Breast cancer screening and its associating factors among hungarian women aged 45-65: a cross-sectional study based on the European health interview surveys from 2009 to 2019. BMC Public Health 2023; 23:1679. [PMID: 37653363 PMCID: PMC10472565 DOI: 10.1186/s12889-023-16608-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2023] [Accepted: 08/24/2023] [Indexed: 09/02/2023] Open
Abstract
BACKGROUND In 2020, globally 685,000 people died, and 2.3 million women were diagnosed with breast cancer. The main cause of cancer deaths among women is breast cancer, which account for 15.5% of all cancer deaths. Most of these could have been avoided with timely diagnosis. The aim of our study was to determine the proportion of breast screening participation in Hungary, and to identify possible factors that may influence breast screening attendance. METHODS Our data were gathered from the cross-sectional European Health Interview Surveys conducted in Hungary in 2009, 2014, and 2019. In terms of categorical characteristics, Pearson's chi-square test was performed to evaluate the differences between people who have attended breast screening within two years and who have only attended more than two years ago. To determine the factors that may have an impact on the uptake of screening, generalized linear model with logit link function regarding binomial probability distribution was executed. RESULTS The responses of 2626 women between the age 45-65 were included in our study. In 2009 85% (n=741), in 2014 90% (n=851) and in 2019 87% (n=699) of the respondents claimed to have ever attended a breast screening in their life. In 2009 68% (n=594), in 2014 66% (n=630) and in 2019 64% (n=515) said that they have taken part in breast screening within two years (p=0.331). From 2014 to 2019 (AOR=0.72 [0.57-0.89]) the chance of attending breast screening was decreasing. We observed that both secondary (AOR=1.97 [1.60-2.44]) and tertiary educational level (AOR=2.23 [1.67-3.00]), higher perceived income (AOR=1.54 [1.25-1.90]), and more frequent meeting with the doctor (AOR=1.77 [1.39-2.27]) and with the specialist (AOR=1.88 [1.54-2.28]) appeared as protective factors of breast screening attendance. CONCLUSIONS Our results show that the lifetime prevalence of breast screening participation is high, however the recommended biennial rate is relatively low. To increase the participation rate, various initiatives would be needed, especially for women in identified risk groups, which are lower educational level, lower perceived income, and less frequent meeting with the doctor and with the specialist.
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Affiliation(s)
- Jenifer Pataki
- Faculty of Health Sciences, University of Debrecen, Debrecen, Hungary
- Doctoral School of Health Sciences, University of Debrecen, Debrecen, Hungary
| | - Viktor Dombrádi
- Health Services Management Training Centre, Faculty of Health and Public Administration, Semmelweis University, Budapest, Hungary
| | - Attila Sárváry
- Department of Integrative Health Sciences, Faculty of Health Sciences, University of Debrecen, Debrecen, Hungary
| | - Gergő József Szőllősi
- Coordination Center for Research in Social Sciences, Faculty of Economics and Business, University of Debrecen, Debrecen, Hungary
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Diószegi J, Rihmer Z, Torzsa P, Pál L, Czifra Á, Gonda X, Sándor J. Psychiatric health care need in Hungary identified by the short screening algorithm of depression and suicide risk used in general medical practices. Sci Rep 2023; 13:14249. [PMID: 37652947 PMCID: PMC10471575 DOI: 10.1038/s41598-023-41437-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Accepted: 08/26/2023] [Indexed: 09/02/2023] Open
Abstract
Suicides are often related to depression. General medical practices (GMPs) should play a role in screening depression. We aimed to test the screening algorithm of Rihmer and Torzsa for depression and suicide and determine the prevalence and number of patients in the nationwide representative Hungarostudy 2002 population, and to estimate the corresponding extra health care need in an average GMP and in the Hungarian population in addition to patients who are already cared for by specialized care. The short version of the Beck Hopelessness Scale (BHS) and the Hungarian version of the short form of the Beck Depression Inventory (BDI-9) were used to screen for suicide risk and depression. The prevalence of suicidal thoughts and depression was determined and findings were extrapolated to an average GMP of 1,600 adults and to the population over 25 years of age. This screening would generate a considerable extra psychiatric care to organize and implement in an average GMP and throughout the country. Our findings show that with easily administered screening instruments a significant number of patients likely to have depression can be identified at the primary care level, arguing for the establishment of the extra psychiatric care capacity in Hungary.
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Affiliation(s)
- Judit Diószegi
- Department of Public Health and Epidemiology, Faculty of Medicine, University of Debrecen, Kassai út 26, Debrecen, 4028, Hungary.
| | - Zoltán Rihmer
- Department of Psychiatry and Psychotherapy, Faculty of Medicine, Semmelweis University, Balassa utca 6, Budapest, 1082, Hungary
- National Institute of Mental Health, Neurology and Neurosurgery, Amerikai út 57, Budapest, 1145, Hungary
| | - Péter Torzsa
- Department of Family Medicine, Faculty of Medicine, Semmelweis University, Stáhly u. 7-9, Budapest, 1085, Hungary
| | - László Pál
- Department of Public Health and Epidemiology, Faculty of Medicine, University of Debrecen, Kassai út 26, Debrecen, 4028, Hungary
| | - Árpád Czifra
- Department of Public Health and Epidemiology, Faculty of Medicine, University of Debrecen, Kassai út 26, Debrecen, 4028, Hungary
| | - Xenia Gonda
- Department of Psychiatry and Psychotherapy, Faculty of Medicine, Semmelweis University, Balassa utca 6, Budapest, 1082, Hungary
| | - János Sándor
- Department of Public Health and Epidemiology, Faculty of Medicine, University of Debrecen, Kassai út 26, Debrecen, 4028, Hungary
- ELKH-DE Public Health Research Group, Department of Public Health and Epidemiology, Faculty of Medicine, University of Debrecen, Kassai út 26, Debrecen, 4028, Hungary
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Ladányi E, Salfer B, Balla J, Kárpáti I, Reusz G, Szabó L, Andriska P, Németh L, Wittmann I, Laczy B. Deficiencies in the Recognition and Reporting of Chronic Kidney Disease in Patients With Type 2 Diabetes Mellitus; A Hungarian Nationwide Analysis. Int J Public Health 2023; 68:1606151. [PMID: 37705761 PMCID: PMC10496514 DOI: 10.3389/ijph.2023.1606151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Accepted: 08/17/2023] [Indexed: 09/15/2023] Open
Abstract
Objectives: Recognition of chronic kidney disease (CKD) is crucial in type 2 diabetes mellitus (T2DM). We conducted a nationwide epidemiological study to evaluate T2DM-associated CKD in Hungary between 2016 and 2020. Methods: Annual incidence and prevalence rates of registered CKD amongst all pharmacologically treated T2DM patients were analyzed in different age-groups by the central database of the Hungarian Health Insurance Fund Management. Statistical methods included Poisson regression, Bonferroni test, Chi-square test. Results: We found 499,029 T2DM patients and 48,902 CKD patients in 2016, and 586,075 T2DM patients and 38,347 CKD patients in 2020. The majority of all prevalent T2DM and CKD patients were older (aged 60-69 years: 34.1% and 25.8%; ≥70 years: 36.1% and 64.4%, respectively). The annual incidence of T2DM and incidence rates of CKD in T2DM decreased in 2017-2020 (p < 0.001). The annual prevalence of T2DM increased (p < 0.01), the prevalence rates of CKD in T2DM were low and decreased from 9.8% to 6.5% in 2016-2020 (p < 0.001). Conclusion: Incidence and prevalence of T2DM-associated CKD decreased significantly in Hungary in 2016-2020. Lower prevalence rates of CKD may suggest under-recognition and/or under-reporting.
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Affiliation(s)
| | | | - József Balla
- Department of Nephrology, Institute of Internal Medicine, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
| | - István Kárpáti
- Department of Nephrology, Institute of Internal Medicine, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
| | - György Reusz
- First Department of Pediatrics, Semmelweis University, Budapest, Hungary
| | | | | | | | - István Wittmann
- Second Department of Medicine and Nephrology-Diabetes Center, University of Pécs Medical School, Pécs, Hungary
| | - Boglárka Laczy
- Second Department of Medicine and Nephrology-Diabetes Center, University of Pécs Medical School, Pécs, Hungary
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Dános K, Horváth A, Halász J, Tamás L, Polony G. Patient delay and its clinical significance among head and neck cancer patients in Hungary. Pathol Oncol Res 2023; 29:1611206. [PMID: 37674645 PMCID: PMC10477355 DOI: 10.3389/pore.2023.1611206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/26/2023] [Accepted: 08/01/2023] [Indexed: 09/08/2023]
Abstract
Introduction: Head and neck cancers represent a major health problem in Hungary. With their high incidence and mortality rates, Hungary is one of the world leaders in these indicators. The length of patient delay, defined as time from onset of symptoms to first medical consultation, is unknown in Hungarian patients with head and neck cancer. We aimed to use a representative sample of the Hungarian head and neck cancer patient population to determine patient delay according to disease localization and stage and to identify correlations with other clinical parameters. Methods: In our retrospective study, we reviewed patient documentation. For the inclusion, the patients had to be diagnosed with malignant tumors of the oral cavity, oropharynx, hypopharynx or larynx at the Department Head and Neck Surgery of Semmelweis University between 2012 and 2017. Results: We identified 236 patients who met the inclusion criteria. The median delay was 9.5 weeks (range 0-209 weeks) and the mean delay of patients was 17.57 weeks (SD 23.67). There was a significant difference in patient delay data by location. Among glottic cancers, the most common diagnosis was an early stage (67%), compared with other localizations, including most commonly the oropharynx (81%) and hypopharynx (80%), where a locoregionally advanced stage was more frequent. Discussion: Compared to data from different countries, the delay of Hungarian patients with head and neck cancer is significantly longer, which may contribute to the high mortality in Hungary. Screening and patient education in high-risk groups could contribute to earlier diagnosis and thus improve prognosis.
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Affiliation(s)
- Kornél Dános
- Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Semmelweis University, Budapest, Hungary
| | - Angéla Horváth
- Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Semmelweis University, Budapest, Hungary
- Department of Pathology, Forensic and Insurance Medicine, Faculty of Medicine, Semmelweis University, Budapest, Hungary
| | - Judit Halász
- Department of Pathology, Forensic and Insurance Medicine, Faculty of Medicine, Semmelweis University, Budapest, Hungary
| | - László Tamás
- Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Semmelweis University, Budapest, Hungary
| | - Gábor Polony
- Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Semmelweis University, Budapest, Hungary
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Oláh B, Bíró É, Kósa K. Residence in segregated settlements (colonies) rather than Roma identity increases the risk of unfavourable mental health in Hungarian adults. Front Public Health 2023; 11:1205504. [PMID: 37588115 PMCID: PMC10427114 DOI: 10.3389/fpubh.2023.1205504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Accepted: 07/14/2023] [Indexed: 08/18/2023] Open
Abstract
Background Roma are the largest and most disadvantaged minority in Europe, but there is few research on how mental health and social support of Roma people living in segregated settlements compares to the majority population. Our aim was to compare the subjective well-being, life satisfaction, mental status, and social support of representative samples of adults living in segregated settlements (colonies) and identifying as Roma with those of the general population in Hungary. Methods A cross-sectional study was conducted with random samples of 417 individuals from the general Hungarian adult population (55.6% female, mean age = 43.89 ± 12.61 years) and 394 adults living in segregated settlements (colonies) (73.9% female, mean age = 42.37 ± 12.39 years). Demographic questions were used as well as the WHO Well-Being Index (WBI-5), the single item Life Satisfaction Scale, the 12-item version of the General Health Questionnaire (GHQ-12), and the Oslo Social Support Scale (OSSS-3). Results Residents of colonies reported significantly lower levels of subjective well-being and life satisfaction than the general population. The proportion of individuals at high risk for mental morbidity was more than twice as high among colony dwellers (16.4%) as in non-colony dwellers (7.6%). Similar unfavorable differences were seen at the expense of self-identified Roma compared to self-identified Hungarians but no difference was found in terms of social support either by type of residence or ethnicity. 32.2% of colony-dwellers self-identified themselves as Hungarian. Mental health assessed by principal component was directly determined by settlement type of permanent residence, age, educational attainment, employment, financial status, and social support but not ethnic identity. Conclusion The study based on representative data shows that residents of segregated settlements are in worse mental health than those not living in colonies; that housing segregation is not limited to Roma people, and that housing conditions and financial status are major social determinants of mental health for which data must be collected to avoid using self-reported Roma identity as a proxy measure of socioeconomic deprivation.
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Affiliation(s)
- Barnabás Oláh
- Department of Behavioural Sciences, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
| | - Éva Bíró
- Department of Public Health and Epidemiology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
| | - Karolina Kósa
- Department of Behavioural Sciences, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
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Baglyas S, Valkó L, Donka D, Fodor G, Hansági E, Méhész I, Gál J, Lorx A. Prevalence of suspected obesity hypoventilation syndrome in Hungarian Intensive Care Units during the COVID-19 pandemic. Clin Respir J 2023; 17:771-779. [PMID: 37499628 PMCID: PMC10435938 DOI: 10.1111/crj.13667] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Accepted: 07/10/2023] [Indexed: 07/29/2023]
Abstract
INTRODUCTION The symptoms of obesity hypoventilation syndrome (OHS) may be present for years with concomitant progressive comorbidities, and the condition is frequently diagnosed late as a result of acute-on-chronic hypercapnic respiratory failure. Although some data exist on intensive care unit (ICU) prevalence, mortality and morbidity of OHS, little is known about the ICU mortality of these chronic respiratory failure patients during the COVID-19 pandemic. METHODS We performed a cross-sectional observational study in five Hungarian Intensive Care Units for 4 months during the COVID-19 pandemic. All ICU patients were screened for OHS risk factors by treating physicians. Risk factors were defined as obesity (body mass index [BMI] ≥ 30 kg/m2 ) and at least one of the following: Epworth Sleepiness Score ≥ 6; symptoms of right heart failure; daytime or night-time hypoxemia; presence of loud snoring; witnessed apnoea. We calculated prevalence, mortality and factors associated with unfavourable outcome. RESULTS A total of 904 ICU patients were screened for OHS risk factors. Overall 79 (8.74 ± 5.53%) patients were reported to have met the criteria for suspected OHS with a mortality rate of 40.5%; 69% (54 patients) of the cohort displayed at least 3 symptoms related to OHS before their acute illness. COVID-19 infection was associated with higher mortality in OHS-suspected patients, independently of actual BMI. CONCLUSION Despite the increased risk of obese patients, suspected OHS did not show higher prevalence than expected during the COVID-19 pandemic in critically ill patients. COVID-19 infection however was a risk for mortality in these patients, independent of actual BMI.
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Affiliation(s)
- Szabolcs Baglyas
- Department of Anesthesiology and Intensive CareSemmelweis UniversityBudapestHungary
| | - Luca Valkó
- Department of Anesthesiology and Intensive CareSemmelweis UniversityBudapestHungary
| | - Dániel Donka
- Department of Anesthesiology, Intensive Care and Emergency MedicineBajcsy‐Zsilinszky HospitalBudapestHungary
| | - Gábor Fodor
- Central Department of Anesthesiology and Intensive CarePetz Aladár County Teaching HospitalGyőrHungary
| | - Edit Hansági
- Department of Anesthesiology and Intensive CareSaint Barbara County HospitalTatabányaHungary
| | - István Méhész
- Central Department of Anesthesiology and Intensive CareUzsoki Street HospitalBudapestHungary
| | - János Gál
- Department of Anesthesiology and Intensive CareSemmelweis UniversityBudapestHungary
| | - András Lorx
- Department of Anesthesiology and Intensive CareSemmelweis UniversityBudapestHungary
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Feher A, Fejes E, Kapus K, Jancsak C, Nagy GD, Horvath L, Tibold A, Feher G. The association of problematic usage of the internet with burnout, depression, insomnia, and quality of life among Hungarian high school students. Front Public Health 2023; 11:1167308. [PMID: 37559742 PMCID: PMC10407570 DOI: 10.3389/fpubh.2023.1167308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Accepted: 07/12/2023] [Indexed: 08/11/2023] Open
Abstract
Introduction The extensive availability of the internet has led to the recognition of problematic usage of the internet (PUI) or so called internet addiction (IA), probably mostly involving adolescents. Aim Here we present a study focusing on the incidence and consequences (including burnout, which is relatively rarely studied) of internet addiction among high school students using a questionnaire-based non-random sampling cross-sectional survey. Included questionnaires were the Problematic Internet Use Questionnaire, the Maslach Burnout Inventory General Survey for Students MBI-GS (S), the 9-item short version of Beck Depression Inventory (BDI-SF), the Athens Insomnia Questionnaire and the EQ-5D (quality of life) questionnaire. Data were evaluated the exertion of Student's t-test, chi square test and Pearson's rank-order correlation. Logistic regression analysis was used to determine the significance of the different parameters as independently associated with PUI. Results Overall 3,000 paper-based questionnaires were successfully delivered and 2,540 responses received (response rate of 84.6%). 1,309 males (mean age 17.6 ± 1.43 years) (51.5%) and 1,231 females (mean age 17.5 ± 1.4 years) (48.5%) took part in our study. Problematic usage of the internet was detected in 486 (19.1%) students (232 males, mean age 17.6 ± 1.35 years and 254 females, mean age 17.34 ± 1.37 years). In a logistic regression analysis sleep disturbance (OR: 1.84, 95% CI: 1.83-2.03), depression (OR: 1.97, 95% CI: 1.77-2.02) and burnout (OR: 1.8, 95% CI: 1.16-1.94) were significantly associated with PUI. Conclusion Nearly one fifth of our study population suffered from PUI, which was strongly associated with school burnout, insomnia and depression, which underlines the importance of this phenomenon.
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Affiliation(s)
- Andrea Feher
- Centre for Occupational Medicine, Medical School, University of Pécs, Pécs, Hungary
- Szent Rafael Hospital, Zalaegerszeg, Hungary
| | | | - Krisztian Kapus
- Centre of Excellence for Interdisciplinary R&D and Innovation of the University of Szeged, Social Responsibility Competence Centre, Interdisciplinary Family R&D Centre Research Group, Szeged, Hungary
| | - Csaba Jancsak
- Centre of Excellence for Interdisciplinary R&D and Innovation of the University of Szeged, Social Responsibility Competence Centre, Interdisciplinary Family R&D Centre Research Group, Szeged, Hungary
| | - Gabor Daniel Nagy
- Centre of Excellence for Interdisciplinary R&D and Innovation of the University of Szeged, Social Responsibility Competence Centre, Interdisciplinary Family R&D Centre Research Group, Szeged, Hungary
| | - Lilla Horvath
- Centre for Occupational Medicine, Medical School, University of Pécs, Pécs, Hungary
| | - Antal Tibold
- Centre for Occupational Medicine, Medical School, University of Pécs, Pécs, Hungary
| | - Gergely Feher
- Centre for Occupational Medicine, Medical School, University of Pécs, Pécs, Hungary
- Department of Primary Health Care, Medical School, University of Pécs, Pécs, Hungary
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Csomós G, Borza EM, Farkas JZ. Exploring park visitation trends during the Covid-19 pandemic in Hungary by using mobile device location data. Sci Rep 2023; 13:11078. [PMID: 37422583 PMCID: PMC10329667 DOI: 10.1038/s41598-023-38287-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Accepted: 07/06/2023] [Indexed: 07/10/2023] Open
Abstract
Sweeping changes in park visitation have accompanied the Covid-19 pandemic. In countries where governments imposed strict lockdowns during the first wave, park visitation declined in cities. The benefits of visiting urban green spaces on people's mental and physical health and well-being are generally acknowledged; many people in confinement during lockdowns reported increasing mental health issues. Therefore, based on lessons learned from the Covid-19 pandemic's first wave, urban parks and other urban green spaces remained open in most countries in subsequent pandemic phases. Furthermore, many studies have reported an overall increase in park visitation after strict lockdowns imposed in the pandemic's first wave have been removed. This study aims to investigate park visitation trends in Hungary based on a dataset of 28 million location data points from approximately 666,000 distinct mobile devices collected in 1884 urban parks and other urban green spaces in 191 settlements between June 1, 2019, and May 31, 2021. Findings demonstrate that park visitation increased in the inter-wave period of 2020, compared to the pre-pandemic period of 2019, and decreased in Waves 2-3 of 2021, compared to Wave 1 of 2020.
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Affiliation(s)
- György Csomós
- Department of Civil Engineering, Faculty of Engineering, University of Debrecen, 2-4 Ótemető út, Debrecen, 4028, Hungary.
| | - Endre Márk Borza
- CIAS, Corvinus University of Budapest, 8 Fővám tér, Budapest, 1093, Hungary
| | - Jenő Zsolt Farkas
- Centre for Economic and Regional Studies, Great Plain Research Department, 3 Rakóczi út, Kecskemét, 6000, Hungary
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Szeifert NM, Szilágyi S, Sebők B, Bérdi M. [Changes of violent suicide attempts during the first two years of COVID-19 pandemic in Dr. Manninger Jenő National Traumatology Center, Hungary.]. Orv Hetil 2023; 164:1003-1011. [PMID: 37738110 DOI: 10.1556/650.2023.32786] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Accepted: 04/01/2023] [Indexed: 09/24/2023]
Abstract
INTRODUCTION During the pandemic years in Hungary, the completed suicide rates have risen significantly. Violent suicide attempts represent the majority of completed suicides. OBJECTIVE In our study, we analyzed the change of the number of inpatients treated in Dr. Manninger Jenő National Traumatology Center between 2016 and 2021 due to violent suicide attempts, focusing on the trend in the first two years of the pandemic outbreak. METHOD We used an interrupted time-series analysis with Prais-Winsten regression, controlling autoagressive and seasonal effects, to estimate the effect of the pandemic on the violent suicide attempt rates in our sample. RESULTS In the first two pandemic years, the number of inpatients treated in Dr. Manninger Jenő National Traumatology Center due to violent suicide attempts rose significantly, compared to the previous years. After the rapid rise observed in 2020, decreasing numbers were seen in 2021. DISCUSSION AND CONCLUSION Analyzing the numbers of violent suicide attempts between 2016 and 2021, an increase in the number of attempts was observed during the first two pandemic years. Orv Hetil. 2023; 164(26): 1003-1011.
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Affiliation(s)
- Noémi Mónika Szeifert
- 1 Dr. Manninger Jenő Baleseti Központ Budapest Magyarország
- 2 Országos Sportegészségügyi Intézet Budapest, Karolina út 27., 1113 Magyarország
- 3 Eötvös Loránd Tudományegyetem, Pedagógiai és Pszichológiai Kar, Klinikai Pszichológia és Addiktológia Tanszék Budapest Magyarország
| | - Simon Szilágyi
- 4 Péterfy Sándor Utcai Kórház-Rendelőintézet, Krízisintervenciós és Pszichiátriai Osztály Budapest Magyarország
| | - Barbara Sebők
- 1 Dr. Manninger Jenő Baleseti Központ Budapest Magyarország
| | - Márk Bérdi
- 5 Alapítvány az Öngyilkosság Ellen, Péterfy Sándor Utcai Kórház-Rendelőintézet, Krízisintervenciós és Pszichiátriai Osztály Budapest Magyarország
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Dajnoki K, Pató BSG, Kun AI, Varga E, Tóth A, Kálmán BG, Kovács IÉ, Szabó S, Szabó K, Majó-Petri Z, Dávid LD, Poór J. Impact of the three waves of COVID-19 pandemic on the HR practices of Hungarian organizations-Experience from an empirical study. PLoS One 2023; 18:e0283644. [PMID: 37294801 PMCID: PMC10256187 DOI: 10.1371/journal.pone.0283644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Accepted: 03/13/2023] [Indexed: 06/11/2023] Open
Abstract
Over recent decades, the practice of human resource management in the transitional countries of Eastern Europe and in Hungary has changed significantly. Especially in local subsidiaries of foreign-owned companies and in the leading domestic large organizations, HRM has become a strategic function, while in the practice of small and medium-sized enterprises it is less common. COVID-19 hit companies, institutions and individuals unexpectedly, not only in Hungary but also in the more developed regions of the world. This crisis has also highlighted the fact that larger and better prepared organizations and public institutions have found it easier to weather this global human catastrophe. We analyze how the key tasks of HRM have changed during the successive waves, along four hypotheses. Initially, health protection, communication and home-office organization were the focus of the work of human resource professionals. In the second and third waves, securing and retaining staff became more important.
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Affiliation(s)
- Krisztina Dajnoki
- Faculty of Economics and Business, University of Debrecen, Debrecen, Hungary
| | - Beáta Sz. G. Pató
- Faculty of Social Sciences, Eötvös Loránd University, Budapest, Hungary
| | - András István Kun
- Faculty of Economics and Business, University of Debrecen, Debrecen, Hungary
| | - Erika Varga
- Hungarian University of Agriculture and Life Sciences, Szent István Campus, Gödöllő, Hungary
| | - Arnold Tóth
- Faculty of Finance and Accountancy, Budapest Business School, Budapest, Hungary
| | - Botond Géza Kálmán
- Institute of Business, Budapest Metropolitan University of Applied Sciences, Budapest, Hungary
| | - Ildikó Éva Kovács
- Institute of Business, Budapest Metropolitan University of Applied Sciences, Budapest, Hungary
| | - Szilvia Szabó
- Institute of Business, Budapest Metropolitan University of Applied Sciences, Budapest, Hungary
| | - Katalin Szabó
- Hungarian University of Agriculture and Life Sciences, Szent István Campus, Gödöllő, Hungary
| | - Zoltán Majó-Petri
- Faculty of Economics and Business Administration, University of Szeged, Szeged, Hungary
| | - Lóránt Dénes Dávid
- Faculty of Social Sciences, Eötvös Loránd University, Budapest, Hungary
- Institute of Rural Development and Sustainable Economy, Hungarian University of Agriculture and Life Sciences, Gödöllő, Hungary
- Faculty of Economics and Business, John von Neumann University, Kecskemét, Hungary
| | - József Poór
- Faculty of Economics and Informatics, J. Selye University, Komarno, Slovakia
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Vári B, Győri F, Katona Z, Berki T. The Impact of Age and Body Composition on Bone Density among Office Worker Women in Hungary. Int J Environ Res Public Health 2023; 20:5976. [PMID: 37297580 PMCID: PMC10252181 DOI: 10.3390/ijerph20115976] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Revised: 05/25/2023] [Accepted: 05/26/2023] [Indexed: 06/12/2023]
Abstract
The study's aim was to investigate bone condition and see its associations with body composition and age among office worker women in Hungary. In total, 316 individuals participated in this study from Csongrad-Csanad county in 2019. Participants' ages ranged from 18 to 62, with a mean of 41 years. A questionnaire was used to gather sociodemographic information, whereas body composition was measured using the Inbody 230, and bone density and bone quality were measured with the SONOST 3000 ultrasound device. Results were analyzed using descriptive statistics, ANOVA with Tukey's post hoc test, correlation analysis, and an independent sample t-test. The results show that Body Fat Mass, Body Mass Index, Obesity Degree, and Percent Body Fat increase significantly as age increases, and Bone Quality Index and t-score decrease substantially. Furthermore, Bone Density and Bone Quality Index were positively influenced by most components of body composition. The differences between normal and osteopenia bone quality showed that Basal Metabolic Rate, Bone Mineral Content, Fat-Free Mass, Mineral Mass, Skeletal Lean Mass, and Skeletal Muscle Mass were lower in participants with osteopenia. Our results provide more evidence of the effects of body composition and age on bone density and quality. It was the first study in Hungary investigating this phenomenon, which could be useful for professionals and researchers who intend to understand the associations of bone density.
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Affiliation(s)
- Beáta Vári
- Institute of Physical Education and Sports Science, Faculty of Education, University of Szeged, 6720 Szeged, Hungary; (B.V.)
- Doctoral School of Health Science, Faculty of Health Science, University of Pécs, 7621 Pécs, Hungary
| | - Ferenc Győri
- Institute of Physiotherapy and Sports Science, Faculty of Health Science, University of Pécs, 7621 Pécs, Hungary
- Sports Science Research Group, Research Institute, Gál Ferenc University, 6720 Szeged, Hungary
| | - Zoltán Katona
- Institute of Physical Education and Sports Science, Faculty of Education, University of Szeged, 6720 Szeged, Hungary; (B.V.)
| | - Tamás Berki
- Institute of Physical Education and Sports Science, Faculty of Education, University of Szeged, 6720 Szeged, Hungary; (B.V.)
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Liszkay G, Benedek A, Polgár C, Oláh J, Holló P, Emri G, Csejtei A, Kenessey I, Polányi Z, Knollmajer K, Várnai M, Vokó Z, Nagy B, Rokszin G, Fábián I, Barcza Z, Gyulai R, Kiss Z. Significant improvement in melanoma survival over the last decade: A Hungarian nationwide study between 2011 and 2019. J Eur Acad Dermatol Venereol 2023; 37:932-940. [PMID: 36785988 DOI: 10.1111/jdv.18960] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Accepted: 02/02/2023] [Indexed: 02/15/2023]
Abstract
BACKGROUND Recent real-world studies have reported significant improvements in the survival of malignant melanoma in the past few years, mainly as a result of modern therapies. However, long-term survival data from Central Eastern European countries such as Hungary are currently lacking. METHODS This nationwide, retrospective study examined melanoma survival in Hungary between 2011-2019 using the databases of the National Health Insurance Fund (NHIF) and Central Statistical Office (CSO) of Hungary. Crude overall survival and age-standardized 5-year net survival as well as the association between age, sex and survival were calculated. RESULTS Between 2011 and 2019, 22,948 newly diagnosed malignant melanoma cases were recorded in the NHIF database (47.89% male, mean age: 60.75 years (SD: ±16.39)). Five-year overall survival was 75.40% (women: 80.78%; men: 69.52%). Patients diagnosed between 2017-2019 had a 20% lower risk of mortality compared to patients diagnosed between 2011-2012 (HR 0.80, 95% CI 0.73-0.89; p < 0.0001). Age-standardized 5-year net survival rates in 2011-2014 and 2015-2019 were 90.6% and 95.8%, respectively (women: 93.1% and 98.4%, men: 87.8% and 92.7%, respectively). The highest age-standardized 5-year net survival rates were found in the 0-39 age cohort (94.6% in the 2015-2019 period). CONCLUSION Hungary has similar melanoma survival rates to Western European countries. Based on net survival, the risk of dying of melanoma within 5 years was cut by more than half (55%) during the study period, which coincides with the successful implementation of awareness campaigns and the wide availability of modern therapies.
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Affiliation(s)
- Gabriella Liszkay
- Department of Molecular Immunology and Toxicology and the National Tumorbiology Laboratory, National Institute of Oncology, Budapest, Hungary
| | | | - Csaba Polgár
- Department of Molecular Immunology and Toxicology and the National Tumorbiology Laboratory, National Institute of Oncology, Budapest, Hungary
| | - Judit Oláh
- Department of Dermatology and Allergology, University of Szeged, Szeged, Hungary
| | - Péter Holló
- Department of Dermatology, Venereology and Dermatooncology, Semmelweis University, Budapest, Hungary
| | - Gabriella Emri
- Department of Dermatology, University of Debrecen, Debrecen, Hungary
| | - András Csejtei
- Department of Oncoradiology, Markusovszky University Teaching Hospital, Szombathely, Hungary
| | - István Kenessey
- Department of Molecular Immunology and Toxicology and the National Tumorbiology Laboratory, National Institute of Oncology, Budapest, Hungary
| | | | | | - Máté Várnai
- MSD Pharma Hungary Ltd., Budapest, Hungary
- Center for Health Technology Assessment, Semmelweis University, Budapest, Hungary
| | - Zoltán Vokó
- Center for Health Technology Assessment, Semmelweis University, Budapest, Hungary
| | - Balázs Nagy
- Center for Health Technology Assessment, Semmelweis University, Budapest, Hungary
| | | | - Ibolya Fábián
- RxTarget Ltd., Szolnok, Hungary
- University of Veterinary Medicine, Budapest, Hungary
| | - Zsófia Barcza
- Syntesia Medical Communications Ltd., Budapest, Hungary
| | - Rolland Gyulai
- Department of Dermatology, Venereology and Oncodermatology, Faculty of Medicine, University of Pécs, Pécs, Hungary
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Zemplényi A, Sághy E, Kónyi A, Szabó L, Wittmann I, Laczy B. Prevalence, Cardiometabolic Comorbidities and Reporting of Chronic Kidney Disease; A Hungarian Cohort Analysis. Int J Public Health 2023; 68:1605635. [PMID: 37065645 PMCID: PMC10101229 DOI: 10.3389/ijph.2023.1605635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Accepted: 03/21/2023] [Indexed: 04/01/2023] Open
Abstract
Objectives: Chronic kidney disease (CKD) implies increased comorbidity burden, disability, and mortality, becoming a significant public health problem worldwide, however, prevalence data are lacking in Hungary.Methods: We determined CKD prevalence, stage distribution, comorbidities using estimated glomerular filtration rate (eGFR), albuminuria, and international disease codes in a cohort of healthcare utilizing residents within the catchment area of the University of Pécs, in the County Baranya, Hungary, between 2011 and 2019 by database analysis. The number of laboratory-confirmed and diagnosis-coded CKD patients were compared.Results: Of the total 296,781 subjects of the region, 31.3% had eGFR tests and 6.4% had albuminuria measurements, of whom we identified 13,596 CKD patients (14.0%) based on laboratory thresholds. Distribution by eGFR was presented (G3a: 70%, G3b: 22%, G4: 6%, G5: 2%). Amongst all CKD patients 70.2% had hypertension, 41.5% diabetes, 20.5% heart failure, 9.4% myocardial infarction, 10.5% stroke. Only 28.6% of laboratory-confirmed cases were diagnosis-coded for CKD in 2011–2019.Conclusion: CKD prevalence was 14.0% in a Hungarian subpopulation of healthcare-utilizing subjects in 2011–2019, and substantial under-reporting of CKD was also found.
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Affiliation(s)
- Antal Zemplényi
- Center for Health Technology Assessment and Pharmacoeconomic Research, Faculty of Pharmacy, University of Pécs, Pécs, Hungary
| | - Eszter Sághy
- Center for Health Technology Assessment and Pharmacoeconomic Research, Faculty of Pharmacy, University of Pécs, Pécs, Hungary
| | - Anna Kónyi
- Center for Health Technology Assessment and Pharmacoeconomic Research, Faculty of Pharmacy, University of Pécs, Pécs, Hungary
| | | | - István Wittmann
- Second Department of Medicine and Nephrology-Diabetes Center, University of Pécs Medical School, Pécs, Hungary
- *Correspondence: István Wittmann,
| | - Boglárka Laczy
- Second Department of Medicine and Nephrology-Diabetes Center, University of Pécs Medical School, Pécs, Hungary
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