Светска здравствена организација (СЗО) дефинисала је квалитет живота као перцепцију појединца о сопственом положају у животу у контексту културе и система вредности у којем живи, као и у односу на његове сопствене циљеве, очекивања, стандарде и интересовања. То је широк концепт на који утичу физичко здравље појединца, психичко стање, степен самосталности, социјални односи и најважније појаве у окружењу. Квалитет живота није једноставан концепт за дефинисање, односно субјективност и комплексност квалитета живота представља изазов не само са аспекта дизајнирања и састављања скала за мерење, већ и бодовања и оцењивања. Инструменти за процену квалитета живота могу бити општи (генерички) или специфични упитници. У генеричке инструменте за испитивање квалитета живота спадају: инструменти Светске здравствене организације (World Health Organization Quality of Life (WHOQOL-100, WHOQOL-BREF), LEIPAD упитник, CASP-19, QLQ упитник (Quality of life questionnaire).
Background/Aim. Domestic violence against women is a significant public health problem resulting in serious health and social consequences, for women and their families. The aim of this study was to analyze the sociodemographic characteristic of women who were exposed to domestic violence, as well as the impact of violence on women's health. Methods. Data from cross-sectional study from the 2013 National Health Survey in Serbia were used analyzing 6,320 women aged 20-75 years. Univariate and multivariate logistic regression analyses were implemented to assess the association of exposure to domestic violence against women with sociodemographic characteristics, as well as with selected health indicators and health risk behaviors. Results. Out of total number of examined women, 307 (4.9%) reported that they experienced physical and/or psychological violence in the last 12 months. Divorced or separated women, poor women and women with poor social support had greater odds for exposure to domestic violence. Women who had experienced domestic violence were less likely to perceived their health as good than women who had not experienced domestic violence [adjusted odds ratio (AOR) = 0.47; 95% confidence interval (CI) = 0.32-0.71], and more likely to report severe or very severe pain (AOR = 2.41; 95% CI = 1.74-3.33), stress and pressure exposure (AOR = 2.62; 95% CI = 1.89-3.64) and depression (AOR = 3.24; 95% CI = 2.08-5.03). Exposure to violence was also associated with the use of sleeping pills or sedative (AOR = 2.21; 95% CI = 1.67-2.93), with frequent use of alcohol (AOR = 1.42; 95% CI = 1.08-1.86) and abortion (AOR = 3.11; 95% CI = 1.48-6.54). Conclusion. Women, victims of domestic violence are more likely to have physical and mental disorders compared to women who are not victims of domestic violence. Violence prevention demands a multisectoral approach, in which the health sector has a central role that includes early identification and recognition of abuse, appropriate care as well as documenting and reporting violence.
Background/AimThe aim of this study was to determine the link between dental visits and independent sociodemographic factors and smoking in the adult population in Serbia.Methods This cross-sectional study represents an analysis of 2013 National Health Survey for the population of Serbia (without data of Kosovo and Metohia population). Study included 13,404 adults 20 years and over. The mean age of participants was 51.7 years including 7,221 females (53.9%) and 6,183 males (46.1%). In order to determine possible predictors of a dental visit the multivariate logistic regression model was implemented.Visit to a dentist was dependent variable while the independent variables were: sex, age, marital status, type of settlement, region, education, employment status, Wealth Index and smoking status. Results Significant differences were observed between categories of dental visit and all independent variables except marital and smoking status. In multivariate model odds of visiting dentist in period "12 months or longer" vs. "in last 6 months" were the highest among older respondents (OR=1.03; 95%CI=1.02-1.04), from rural area (OR=1.17; 95%CI=1.03-1.32), with low (OR=2.55; 95%CI=2.12-3.07) and middle (OR=1.76; 95%CI=1.54-2.00) education level, unemployed (OR=1.20; 95%CI=1.06-1.37), who belong to poorer (OR=1.30; 95%CI=1.08-1.54) or the poorest class (OR=1.71; 95%CI=1.38-2.12) and smokers (OR=1.13; 95%CI= 1.01-1.26). Conclusion Study demonstrated that sociodemographic factors and smoking are important factors related to visit to a dentist. This study can help to advance regular visits to a dentist and programs of health education focusing on oral health and smoking cessation as well.Key words: visit to a dentist, adults, sociodemographic factors, smoking Apstrakt Uvod/Cilj Cilj ove studije bio je utvrĎivanje povezanosti izmeĎu posete stomatologu i nezavisnih socio-demografskih faktora i pušenja kod odrasle populacije u Srbiji. Metode Istraživanje predstavlja analizu podataka dobijenih u okviru Nacionalnog istraživanja zdravlja stanovništva Srbije koje je sprovedeno 2013. godine kao studija preseka na reprezentativnom uzorku odraslog stanovništva Srbije (bez podataka o stanovništvu Kosova i Metohije). Studija je obuhvatila 13404 ispitanika starosti 20 godina i više. Prosečna starost ispitanika bila je 51,7 godina, uključujući 7221 ženu (53,9%) i 6183 muškarca (46,1%). Prediktori učestalosti posete stomatologu analizirani su 4 multivarijantnom logističkom regresijom. Poseta stomatologu je bila zavisna promenljiva, dok su nezavisne promenljive bile: pol, starost, bračni status, tip naselja, region, obrazovanje, radni status, indeks blagostanja i pušački status. Rezultati Postoje značajne razlike izmeĎu kategorija posete stomatologu i svih nezavisnih promenljivih osim bračnog i pušačkog statusa. Rezultati multivarijantnog modela pokazali su da su šanse za posetu stomatologu u periodu "12 meseci ili duže" u odnosu na "u poslednjih 6 meseci" bile najveće kod starijih ispitanika (UO=1,03; 95%IP=1,02-1,04), onih koji žive u naselj...
This research shows that the attitudes of respondents of both age groups indicate a lack of awareness about suicide, its causes and dynamics of development of this public health problem. This leaves space for more intensive educational work in the mental health of the population, especially young people and for further research of the suicide problem as a basis for developing strategies.
Background/Aim. Oral diseases appear to be the major risk factors for tooth loss, but social factors and other determinants could play an important role as well. The aim of this study was to determine whether the possible independent sociodemographic risk factors and depressive disorders could contribute to the tooth loss in the adult population of Serbia. Methods. This cross-sectional study analysed the 2013 National Health Survey results for the population of Serbia (without the data for Kosovo and Metohia population). The sample was selected to provide the statistically reliable estimates at the national level. Study included 13,519 adults of 20 years of age, or above. The mean age of participants was 49.9 years including 6,998 (51.8%) females and 6,518 (48.2%) males. The number of missing teeth was dependent variable while the independent variables were: gender, age, marital status, education, employment status, Wealth Index, smoking status, body mass index (BMI), milk and milk products intake, fruit intake excluding juices, vegetable and salad intake (excluding potato), and depression. To measure the current depression, the standardized and validated the Patient Health Questionnaire (PHQ)-8 score was used. Edentulism (complete or partial) was defined as a loss of natural teeth. In order to determine the predictors of tooth loss, the bivariate and multivariate logistic regression models were implemented for all types of tooth loss. Results. The significant differences were observed among the categories of edentulism in relation to independent variables except vegetable and salad intake. The prevalence of all missing teeth was highest in the females, the respondents with a low level of education, inactive, underweight (BMI < 18.5) and respondents with moderately severe depressive episodes (PHQ-8 score 15 to 19). In the multivariate model, we found that the demographic factors (age, living with a partner), socioeconomic factors (primary and secondary education, Wealth Index), smoking, BMI, the PHQ-8 score and the depressive symptoms were significantly associated with partial tooth loss. Conclusion. Study demonstrated that sociodemographic and lifestyle factors as well as the symptoms of depresssion are also important factors related to the tooth loss. This study can help to advance the need for health programs focusing on education, smoking cessation, dietary habits as well as regular visits to the dentist.
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