Cent Eur J Public Health 2017, 25(1)

Prevalence and Risk Factors of Osteoporosis in Postmenopausal Women with Type 2 Diabetes Mellitus

Ivan Raška Jr., Mária Rašková, Vít Zikán, Jan Škrha

Cent Eur J Public Health 2017, 25(1):3-10 | DOI: 10.21101/cejph.a4717  

Objective: Patients with type 2 diabetes (T2DM) are at increased risk of fractures. The aim of this study is to analyze the prevalence and risk factors of osteoporosis and osteoporosis related fractures in postmenopausal women with T2DM. Methods: A total of 112 postmenopausal women with T2DM and 171 control nondiabetic women received a standardized questionnaire on osteoporosis risk factors, and were evaluated for bone mineral density (BMD, by using a dual energy X-ray absorptiometry), biochemical markers of bone and glucose metabolism, soluble receptor for advanced glycation end products (sRAGE) and its gene polymorphisms (rs1800625...

Sexually Transmitted Infections - Prevalence, Knowledge and Behaviours among Professional Defence Forces in Estonia: a Pilot Study

R. David Parker, Kristi Rüütel

Cent Eur J Public Health 2017, 25(1):11-14 | DOI: 10.21101/cejph.a4498  

Objectives: Our study assessed sexually transmitted infections (STI) occurrence and risk behaviours from a sample of the defence forces of Estonia. Previous research on military personnel yields various results on the prevalence of STIs and high risk behaviours. The increasing recognition of high risk behaviours among military personnel is evident given increased programmes that focus on education of drug use and risky sexual behaviours. Many militaries conduct routine, periodic screening for diseases such as HIV and viral hepatitis at entry and pre-foreign deployment. Protecting deployed forces from secondary infections is important as persons...

Prevalence of Diet Atherogenicity and Coexistence of Lipid Disorders and Arterial Hypertension among 50-year-old Inhabitants of Wroclaw, Poland

Bożena Regulska-Ilow, Anna Mandecka, Rafał Ilow, Alicja Kowalisko, Klaudia Konikowska

Cent Eur J Public Health 2017, 25(1):15-21 | DOI: 10.21101/cejph.a4365  

Objective: The incorrect composition of a diet, its atherogenicity, is conducive to the occurrence of lipid disorders, arterial hypertension (HTN), diabetes, and metabolic syndrome (MetS). The aim of the study was to evaluate the prevalence of incorrect anthropometric and biochemical parameters as well as diet atherogenicity. Methods: The study group included 1,520 adults (880 women, 640 men). The nutritional status evaluation was based on respondents' BMI and waist circumference. The diet atherogenicity was estimated using Keys Index (KI) and P/S ratio. Total cholesterol (TCh), LDL cholesterol as well as triglycerides (TG) concentration...

Experience of Czech Children with Alcohol Consumption in Relation to Selected Family Indicators

Lenka Hodačová, Jindra Šmejkalová, Eva Čermáková, Michal Kalman

Cent Eur J Public Health 2017, 25(1):22-28 | DOI: 10.21101/cejph.a4381  

Objective: The aim of this study is to monitor and analyze the influence of chosen family indicators related to alcohol consumption and experience of drunkenness in a representative sample of Czech children. Methods: Data for our work were obtained from the Health Behaviour in School Aged Children (HBSC) study - a World Health Organization (WHO) cross national study. The sample consisted of 4,293 children aged 11, 13 and 15 years. Data collection was conducted in June 2010 in 88 randomly selected schools in the Czech Republic using standardized questionnaires. Statistical analysis was performed in the program NCSS 9, methods of descriptive...

Socioeconomic Characteristics, Health Risk Factors and Alcohol Consumption among the Homeless in North-Eastern Part of Poland

Jerzy Romaszko, Robert Kuchta, Cezary Opalach, Anna Bertrand-Bucińska, Anna Maria Romaszko, Beata Giergielewicz-Januszko, Adam Buciński

Cent Eur J Public Health 2017, 25(1):29-34 | DOI: 10.21101/cejph.a4464  

Background: Homelessness is a form of social pathology, which is for various reasons undesirable and as far as possible limited by efforts such as programmes that assist in transitioning out of homelessness. Because, as time passes, the homeless population undergoes both quantitative and qualitative changes, the process of developing these programmes requires up-to-date information on the extent and profile of this phenomenon that takes into account the characteristics of a given country. Methods: A 12-month study of homeless individuals (ETHOS categories 1.1, 2.1 and 3.1) was conducted between December 2013 and November 2014 in Olsztyn,...

Sense of Coherence vs. Mental Load in Nurses Working at a Chemotherapy Ward

Grażyna Dębska, Małgorzata Pasek, Ewa Wilczek-Rużyczka

Cent Eur J Public Health 2017, 25(1):35-40 | DOI: 10.21101/cejph.a4305  

Objectives: The aim of this study was to analyze the relationship between the sense of coherence and the level of mental load among nurses working at a chemotherapy ward. Methods: The study, conducted in 2013, included 164 nurses working at inpatient chemotherapy wards in Krakow, Poznan, Kielce, and Gliwice (Poland). The mean age of the study participants was 43.07 ± 7.99 years. The study was based on a diagnostic survey with Antonovsky's Sense of Coherence Scale (SOC-29) and Meister questionnaire. Results: The levels of Mental Load, Monotony and Unspecific Load, correlated inversely with the levels of Coherence, Manageability,...

Epidemiology of Suicidal Behaviour in Shumadia District, Serbia: a Fifteen-year Retrospective Study

Snežana Radovanović, Dragan Vasiljević, Mirjana Milosavljević, Ivana Simić-Vukomanović, Svetlana Radević, Nataša Mihailović, Sanja Kocić

Cent Eur J Public Health 2017, 25(1):41-45 | DOI: 10.21101/cejph.a4306  

Objectives: The purpose of this study is to analyze epidemiological characteristics of suicide, as well as to emphasize possible risk factors. Methods: This is a retrospective study, covering the period of fifteen years (1996-2010), which aims at discovering the relevant factors which have an influence on suicidal behaviour. This research uses the data from the documentation of the Ministry of Internal Affairs of Serbia and Police Department in Kragujevac, hospitalization reports of patients treated at Psychiatric Clinic of the Clinical Centre Kragujevac, as well as the medical records of patients treated at the Health Centre Kragujevac....

Estimation of the Population Susceptibility Against Measles in Slovakia

Jana Zibolenová, Zuzana Chladná, Viera Švihrová, Tibor Baška, Iveta Waczulíková, Henrieta Hudečková

Cent Eur J Public Health 2017, 25(1):46-54 | DOI: 10.21101/cejph.a4914  

Objective: In Slovakia, thanks to a highly effective vaccination programme, no domestic cases of measles have been reported since 1999. However, there are several outbreaks of measles currently hitting some countries in Europe. Difficulties in reaching the goal of measles elimination make it necessary to monitor the status of the population susceptibility to prevent similar outbreaks in the future. We hypothesize that immunity wanes overtime, which can substantially impact the population susceptibility. This work introduces a model that estimates a proportion of individuals susceptible to measles in the Slovak population in 2015. Methods:...

Understanding the Influence of Socioeconomic Environment on Paediatric Antiretroviral Treatment Coverage: Towards Closing Treatment Gaps in Sub-Saharan Africa

Daniel A. Adeyinka, Meirion R. Evans, Chamberline E. Ozigbu, Hugo van Woerden, Esther F. Adeyinka, Olanrewaju Oladimeji, Chris Aimakhu, Deborah Odoh, Dick Chamla

Cent Eur J Public Health 2017, 25(1):55-63 | DOI: 10.21101/cejph.a4479  

Objective: Many sub-Saharan African countries have massively scaled-up their antiretroviral treatment (ART) programmes, but many national programmes still show large gaps in paediatric ART coverage making it challenging to reduce AIDS-related deaths among HIV-infected children. We sought to identify enablers of paediatric ART coverage in Africa by examining the relationship between paediatric ART coverage and socioeconomic parameters measured at the population level so as to accelerate reaching the 90-90-90 targets. Methods: Ecological analyses of paediatric ART coverage and socioeconomic indicators were performed. The data were obtained...

Pressure Pain Sensitivity: Marker for Stress Affecting General Health

Václav Vaněček, Milan Tuček, Søren Ballegaard

Cent Eur J Public Health 2017, 25(1):64-66 | DOI: 10.21101/cejph.a4931  

Objective: The study examined the links between pressure pain sensitivity (PPS) measured during preventive medical examination of men, their health status and occupation. Method: A one year (2015-2016) convenience sampling technique was used to gain primary data from actual medical examination, health records (personal and occupational history) and pressure pain sensitivity (PPS) measured by Ull Meter equipment during preventive medical examination of 371 men of different occupations (average age 43.6±10.4 years, range 19-66 years). Measured PPS values of 60 or more indicate high PPS, contrary PPS values to 40 indicate low PPS....

Care for Haemoglobinopathy Patients in Slovakia

Viera Fábryová, Peter Božek, Monika Drakulová, Andrea Kollárová, Zuzana Laluhová Striežencová, Michaela Macichová, Adriena Sakalová

Cent Eur J Public Health 2017, 25(1):67-71 | DOI: 10.21101/cejph.a4471  

Background: The paper presents the results od 22-year study of screening and follow-up of haemoglobinopathies in Slovakia, an overview of genetic mutations, the coincidence with hereditary haemochromatosis mutations, and the procedure in genetic councelling. Methods: Between 1993-2015, in three centres in Bratislava and in one centre in Kosice, carriers of beta-thalassaemic genes or other haemoglobinopathies were searched for. Diagnosis was performed by haematologists, whereby the family history was evaluated, together with the overall clinical condition, blood count and blood smear, iron and haemolysis parameters, mutations of hereditary...

Public Health Crisis in War and Conflict - Health Security in Aggregate

John Quinn, Tomáš Zelený, Rammika Subramaniam, Vladimír Bencko

Cent Eur J Public Health 2017, 25(1):72-76 | DOI: 10.21101/cejph.a4455  

Objective: Public health status of populations is multifactorial and besides other factors it is linked to war and conflict. Public health crisis can erupt when states go to war or are invaded; health security may be reduced for affected populations. Methods: This study reviews in aggregate multiple indices of human security, human development and legitimacy of the state in order to describe a predictable global health portrait. Results: Paradigm shift of large global powers to that non-state actors and proxies impact regional influence through scaled conflict and present major global health challenges for policy makers. Small...

Prevalence of Conventional Cardiovascular Risk Factors in Patients with Acute Coronary Syndromes in Slovakia

Roman Alberty, Martin Studenčan, František Kovář

Cent Eur J Public Health 2017, 25(1):77-84 | DOI: 10.21101/cejph.a4351  

Background: Acute coronary syndrome (ACS) is a major health problem and the leading cause of death and disability in Slovakia. This is the first study to describe the prevalence rate of conventional cardiovascular risk factors in patients hospitalized for ACS. Methods: Hypertension, diabetes mellitus, hyperlipidemia and cigarette smoking were documented in 1,567 cases (mean age, SD: 66.1±12.0 years, 34.8% of females) enrolled in the SLOVAKS registry from August 2011 through September 2011. Results: Overall, 83.5% (95% CI, 81.6-85.2%) of the patients with ACS had hypertension, 65.0% (62.5-67.2%) had a hyperlipidemic profile,...