Cent Eur J Public Health 2017, 25(Suppl 2)
The Slovak Republic needs to improve health of the population
Peter Jarčuška
Cent Eur J Public Health 2017, 25(Suppl 2):S3 
This special issue is a result of the work of the scientific research team of the Faculty of Economics at the Technical University of Košice under the supervision of assoc. prof. Beáta Gavurová, PhD., MBA, in cooperation with the Slovak Republic health care system institutions – the Ministry of Health of the Slovak Republic, the Institute of Health Policies and the National Health Information Centre. We would like to thank these institutions for active cooperation, an access to the noteworthy database and a valuable support of our research activities. All outputs from this collaboration are aimed at forming a platform for the creation of a strategic...
The impact of selected groups of non-communicable disease deaths on life expectancy in the Slovak republic
Beáta Gavurová, Tatiana Vagašová, Sylvia Dražilová, Peter Jarčuška
Cent Eur J Public Health 2017, 25(Suppl 2):S4-S9 | DOI: 10.21101/cejph.a4954
Aim: The aim of this study was to compute the potential gains in life expectancy (PGLEs) if the five main groups of non-communicable disease deaths were eliminated in the Slovak population during 1996-2014, and to decompose PGLEs by five-year age groups. Methods: PGLEs were computed from mortality reports for deaths from ischaemic heart disease (I20-25), cerebrovascular diseases (I60-I69), cancer (C00-C97), diabetes mellitus (E10-E14), and chronic respiratory diseases (J30-J98) using the life table decomposition technique. Results: In 2014, life expectancy at birth was 76.87 years compared to 72.87 in 1996. The highest impact on...
Disparities of potential gains in life expectancy development between the Slovak Republic and the Czech Republic
Tatiana Vagašová, Beáta Gavurová
Cent Eur J Public Health 2017, 25(Suppl 2):S10-S15 | DOI: 10.21101/cejph.a4955
Aim: The purpose of this paper is to determine how many years a person could be expected to live if a specific cause of death was eliminated, and to compare potential gains in life expectancy (PGLEs) between Slovakia (SVK) and the Czech Republic (CZE). Methods: PGLEs were computed from mortality reports (1996-2013) for deaths from the main groups of chronic diseases, namely ischaemic heart disease (IHD), cerebrovascular diseases (CVD), cancer (CA), diabetes mellitus (DM), and chronic respiratory diseases (CRD) for the Slovak and Czech populations in five-year age groups. Country comparative analysis was conducted by constructing rate...
Mortality amenable to health care in European Union countries and its limitations
Peter Jarčuška, Martin Janičko, Miroslav Barták, Beáta Gavurová, Tatiana Vagašová
Cent Eur J Public Health 2017, 25(Suppl 2):S16-S22 | DOI: 10.21101/cejph.a4956
Aim: The concept of amenable mortality is intended to assess health care system performance. It is defined as "premature deaths that should not occur in the presence of timely and effective health care". The purpose of paper is to analyse differences in amenable mortality across European Union countries and to determine the associations between amenable mortality and life expectancy at birth. Methods: This is a cross-country and time trend analysis. Data on deaths by cause, and five-year age groups were obtained from the World Health Organization database for the 20 European Union countries, throughout the period from 2002 to 2013. The...
On the Structure of Mortality among the Regions in the Slovak Republic
Matúš Kubák, Beáta Gavurová, Peter Jarčuška, Martin Janičko
Cent Eur J Public Health 2017, 25(Suppl 2):S23-S30 | DOI: 10.21101/cejph.a4957
Aim: The Slovak Republic consists of eight regions which may dispose a different structure of cause-specific mortality. The aim of this study is to reveal the regions with higher risk of dying from the main categories of diseases selected according to the chapters of the International Classification of Diseases (ICD-10). Methods: Data were obtained from mortality reports throughout 1996-2014. We applied multinomial logistic regression analysis, where the dependent variable is death categories and the explanatory variables are regions, age, year and gender. The Bratislava region and Diseases of the circulatory system are set as the reference...
Income inequality in non-communicable diseases mortality among the regions of the Slovak Republic
Beáta Gavurová, Viliam Kováč, Michal Šoltés, Sebastian Kot, Jaroslav Majerník
Cent Eur J Public Health 2017, 25(Suppl 2):S31-S36 | DOI: 10.21101/cejph.a4958
Aim: A great amount of non-communicable disease deaths poses a threat for all people and therefore represents the challenge for health policy makers, health providers and other health or social policy actors. The aim of this study is to analyse regional differences in non-communicable disease mortality in the Slovak Republic, and to quantify the relationship between mortality and economic indicators of the Slovak regions. Methods: Standardised mortality rates adjusted for age, sex, region, and period were calculated applying direct standardisation methods with the European standard population covering the time span from 2005 to 2013....
Risk of dying from cancer by socio-demographic indicators in the Slovak Republic
Matúš Kubák, Róbert Štefko, Miroslav Barták, Jaroslav Majerník, Tatiana Vagašová, Michaela Fedelešová
Cent Eur J Public Health 2017, 25(Suppl 2):S37-S43 | DOI: 10.21101/cejph.a5050
Aim: Cancer mortality distribution was investigated by detailed neoplasms groups, age, sex, marital status of deceased, and regions in the Slovak Republic, and examined how these determinants influence the odds of dying due to cancer. Methods: A retrospective analysis of cancer mortality statistics registered in the Slovak Republic during the years 1996-2014. For this time period, data was available only on the underlying subgroups of cancer deaths, place of death, age, year, sex, and marital status. Binary logistic regression was applied for odds of dying calculation influenced by these socio-demographic factors. Results: The...
Impact of infrastructure on mortality in marginalised and segregated communities in the Slovak Republic
Viliam Kováč, Beáta Gavurová
Cent Eur J Public Health 2017, 25(Suppl 2):S44-S50 | DOI: 10.21101/cejph.a4959
Aim: Poverty and social exclusion is measured through different criteria and one of them is the health sector. The relationship between Roma population and the health sector is on the edge of researchers' interest in the Slovak Republic. The purpose of this paper is a quantification of the regional disparities in the development of mortality which is causally linked with selected infrastructural determinants - namely access to water and sewerage. These determinants differently participate in the structure of mortality in marginalised and segregated communities and they deepen regional disparities in health. Methods: It is a spatial analysis...
Similarity of Slovak regions in neoplastic mortality in the context of risk factors and access to health care
Beáta Gavurová, Boris Popesko, Janusz K. Grabara, Samuel Koróny
Cent Eur J Public Health 2017, 25(Suppl 2):S51-S58 | DOI: 10.21101/cejph.a5051
Aim: Access to primary health care is highly connected to the prevention of cancer mortality, since the risk factors threatening health can be early identified. The aim of this paper is, firstly, to explore similarity within and between the regions of the Slovak Republic and cancer mortality patterns, and secondly, to reveal if similar regions are characterised by the similar access to health care or risk factors occurrence. Methods: Data on deaths by sex, type of cancer death and region from 1996 to 2014 is provided by the National Health Information Centre of Slovakia. The relationships between 8 regions and 16 cancer types are described...
Inequalities in cancer deaths by age, gender and education
Marek Gróf, Tatiana Vagašová, Marián Oltman, Ľubomír Skladaný, Lenka Maličká
Cent Eur J Public Health 2017, 25(Suppl 2):S59-S63 | DOI: 10.21101/cejph.a5055
Aim: The economy of each state provides a significant amount of money into the health care system with the aim of knowing the health status of its population in the context of socioeconomic characteristics for effective resource allocation. In recent years, there is a growing number of cancer deaths in Slovakia. Therefore, the structure of cancer deaths according to its primary determinants, such as age, sex and education with the aim of effective implementation of prevention programs in Slovakia was examined. Methods: Main source of data on deaths from 1996 to 2014 was provided by National Health Information Centre in Slovakia. However,...
Time trend, age and sex distribution of deaths from diabetes mellitus at the regional level in the Slovak Republic
Beáta Gavurová, Matúš Kubák, Michal Šoltés, Miroslav Barták, Tatiana Vagašová
Cent Eur J Public Health 2017, 25(Suppl 2):S64-S71 | DOI: 10.21101/cejph.a5052
Aim: To describe the time trends, age and sex distribution of death from diabetes mellitus (E10-E14) as a significant part of endocrine, nutritional and metabolic diseases (E00-E90), during 1996-2014 in the Slovak regions, and to estimate the influence of social characteristics on mortality. Methods: Secondary data on deaths during 1996-2014 were gathered from the National Health Information Center in the Slovak Republic. The total crude death rate per 100,000 of the standard Slovak population and age-standardized death rate per 100,000 of the standard European population were calculated by direct standardization. Multilevel logistic...
Influence of demographic determinants on the number of deaths caused by circulatory system diseases in comparison to the number of deaths caused by neoplasms in Slovak regions from 1996-2014
Ján Fedačko, Daniel Pella, Beáta Gavurová, Samuel Koróny
Cent Eur J Public Health 2017, 25(Suppl 2):S72-S79 | DOI: 10.21101/cejph.a5053
Objectives: The objective of our study was to evaluate the influence of available demographic determinants on the number of deaths caused by circulatory system diseases as compared to deaths caused by neoplasms in Slovakia in 1996-2014. Methods: Mortality data were kindly provided by the National Health Information Centre in Slovakia. The first method was trend curve fitting of death ratios caused by circulatory system diseases (Chapter IX) and of deaths caused by neoplasms (Chapter II) as a function of age for both sexes. The second method comprised a decision tree for classification between deaths caused by Chapter IX and Chapter II...
Influence of demographic factors on standardised rate ratio of age-adjusted mortality rates of men in comparison with women caused by neoplasms and circulatory diseases in Slovak regions during 1996-2013
Beáta Gavurová, Samuel Koróny, Michal Šoltés
Cent Eur J Public Health 2017, 25(Suppl 2):S80-S85 | DOI: 10.21101/cejph.a5057
Aim: The aim of our study was to find statistical associations including trends of standardised rate ratio of age-adjusted mortality rates for the male population as compared to the female population, in relation to available demographic factors (Chapter II - neoplasms vs. Chapter IX - Diseases of the circulatory system, Slovak region and calendar year of death). Methods: Dataset of individual cases of death in Slovakia with some demographic factors during 1996-2013 were provided by Slovak National Health Information Center. We used regression and correlation analyses, as well as analyses of variance and covariance along with descriptive...
Age-adjusted mortality rates of neoplastic and circulatory diseases and their demographic factors in Slovak regions during 1996-2013
Daniel Pella, Ján Fedačko, Rastislav Rajnoha, Beáta Gavurová, Samuel Koróny
Cent Eur J Public Health 2017, 25(Suppl 2):S86-S93 | DOI: 10.21101/cejph.a5056
Aim: Knowledge of the causes of deaths in Slovakia is lacking. This is significant because diet and lifestyle factors are different in central Europe compared to Western, Northern and Southern Europe. This study aims to discern trends of age-adjusted mortality rates caused by various diseases in relation to demographic factors. The aim of our study was to find certain statistical aspects including trends of age-adjusted mortality rates caused by neoplastic (Chapter II) and circulatory diseases (Chapter IX) in the Slovak population in relation to available demographic factors (sex, region and calendar year of death). Methods: Dataset of...
Impact of selected socio-demographic factors on the development of mortality due to circulatory system diseases in the Slovak Republic
Beáta Gavurová, Matúš Kubák
Cent Eur J Public Health 2017, 25(Suppl 2):S94-S103 | DOI: 10.21101/cejph.a5054
Aim: We mapped the situation within a group of diseases of the circulatory system (I00-I99) in the Slovak Republic during 1996-2014. We focused mainly on spatiotemporal differences in mortality while controlling for age and sex. Methods: We performed binary logistic regression aiming to reveal socio-demographic factors that influence the odds of dying due to diseases of the circulatory system (I00-I99). In our analysis, the dependent variable was death diagnosis and the independent variables were age, region, gender, and marital status. Results: Our findings suggest that odds of dying due to diseases of the circulatory system (I00-I99)...