Gender disparities in mortality from infectious diseases in Serbia, 1991–2014: a time of civil wars and global crisis

Ilic, Milena D; Ilić, Irena

doi:10.1017/s0950268816001345

Cited by 5 publications

(2 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The emergence of health crises brings both physical and psychological effects to people. Different from ordinary diseases, diseases that trigger health crises often have higher infectious and mortality rates (10,11). Once people are infected by a disease that triggers a health crisis, their demand for health resources is often several times higher than usual (12,13).…”

Section: Methodsmentioning

confidence: 99%

Study on the Experience of Public Health System Construction in China's COVID-19 Prevention

Zhang

2021

Front. Public Health

View full text Add to dashboard Cite

Background: China's experience in the process of COVID-19 prevention provides a reference for other countries in the world. This article studied the experience of public health system construction in China's COVID-19 prevention.Methods: Based on literature review and theoretical analysis, this paper constructs a theoretical framework of national public health system construction in health crisis. Based on this theoretical framework, combined with the policies and measures formulated by the Chinese government in the process of COVID-19 prevention, this article evaluate the advantages and deficiencies of China's public health system construction in response to COVID-19.Results: The Chinese government ensured the adequate supply of health resources, improved people's ability to pay medical expenses, and adopted advanced public health propaganda methods based on the Internet to help people grasp the basic information and development trend of COVID-19 in the process of COVID-19 prevention. At the same time, the utilization efficiency of health resources was low in China, people's ability to pay for medical expenses was unequal, and the disclosure of virus information in the early stage of the outbreak of COVID-19 is not timely.Conclusions: Other countries can learn from the advantages of China's public health system construction and avoid China's deficiencies in the process of public health system construction, which will help them improve the efficiency of COVID-19 prevention.

show abstract

Section: Methodsmentioning

confidence: 99%

Study on the Experience of Public Health System Construction in China's COVID-19 Prevention

Zhang

2021

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…Serbia is a country in southeastern Europe where the previous three decades marked its socio-political landscape from the end of the last to the beginning of this century, representing a time-frame of civil wars and global crisis; in addition to 1991-1999 civil wars, the break-up of Yugoslavia, influx of arrivals of more than a million refugees, devastating impact of the United Nations-imposed economic sanctions (1992-1995), a 78-d NATO’s bombing in 1999, political changes and transition to democracy in 2000, and global financial crisis in 2008. As the result of dramatic socio-economic changes, the population of Serbia has experienced significant health problems[ 23 , 24 ]. This study aimed to evaluate the direction and magnitude of the national trends in mortality of suicide by hanging in Serbia from 1991 to 2020, with special emphasis on age, period and cohort effects.…”

Section: Introductionmentioning

confidence: 99%

Trends in suicide by hanging, strangulation, and suffocation in Serbia, 1991-2020: A joinpoint regression and age-period-cohort analysis

Ilic¹,

Ilić²

2022

WJP

View full text Add to dashboard Cite

BACKGROUND Hanging is one of the most commonly used methods for suicide in both sexes worldwide. In a number of countries, hanging mortality has increased over the last decades. Nevertheless, there is a scarcity of studies that have explored the patterns and trends for mortality of suicide by hanging on global, regional and national levels, as most evaluations are limited to certain populations. AIM To assess the trends of suicide mortality by hanging, strangulation, and suffocation in Serbia, from 1991 to 2020. METHODS This nationwide study, with epidemiological descriptive study design, was carried out based on official data. The age-standardized rates (ASRs, expressed per 100000 persons) were calculated by direct standardization, using the World Standard Population. Mortality trends from suicide by hanging were assessed using the joinpoint regression analysis: The average annual percent change (AAPC) with the corresponding 95% confidence interval (95%CI) was calculated. Age-period-cohort analysis was performed to address the possible underlying reasons for the observed suicide trends. RESULTS Over the 30-year period studied, there were 24340 deaths by hanging (17750 males and 6590 females) in Serbia. In 2020, the ASR of deaths by hanging was 4.5 per 100000 persons in both sexes together (7.6 in males vs 1.7 in females). The trends of suicide mortality by hanging decreased significantly between 1991 and 2020 in both males (AAPC = -1.7% per year; 95%CI: -2.0 to -1.4) and females (AAPC = - 3.5% per year; 95%CI: -3.9 to -3.1). Mortality rates of suicide by hanging had a continuously decreasing tendency in both sexes together in all age groups: The only exception was among males in 40-49 age group, with an increasing trend of suicide by hanging from 1991 to 2011 (by +0.3% per year). CONCLUSION The trends in suicide mortality by hanging have been decreasing in Serbia in the last three decades in both sexes, but this was more pronounced in women than in men. Despite the decreasing trends observed in mortality of suicide by hanging, further research is needed for better clarification of trends and help in suicide prevention in the future.

show abstract

Tuberculosis case fatality is higher in male than female patients in Europe: a systematic review and meta-analysis

Pape,

Karki,

Heinsohn

et al. 2024

Infection

View full text Add to dashboard Cite

Purpose Epidemiological TB data indicate differences in infection prevalence, progression rates, and clinical disease incidence between sexes. In contrast, evidence on sex-specific differential (post) TB case fatality in Europe has not been synthesized systematically. Methods We searched electronic databases and grey literature up to December 2020 for studies reporting sex-stratified TB death data for Europe. The JBI critical appraisal tools served for bias risk assessment and subgroup analyses for studying heterogeneity. Random-effects models meta-analyses enabled estimating pooled relative risks of sex-associated TB fatality. Considering associations of comorbidities and risk factors on fatality differences, we applied relative risk meta-regression. Results Based on 17,400 records screened, 117 studies entered quantitative analyses. Seventy-five studies providing absolute participant data with moderate quality and limited sex stratification reported 33 to 235,000 TB cases and 7 to 27,108 deaths. The pooled male-to-female TB fatality risk ratio was 1.4 [1.3–1.5]. Heterogeneity was high between studies and subgroups. Study time, concurrent comorbidities (e.g., HIV, diabetes, cancers), and mean participant ages showed no effect modification. We identified higher male TB fatality in studies with higher homelessness (coefficient 3.18, 95% CI [-0.59 to 6.94], p-value 0.10) and lower migrants proportion (coefficient − 0.24, 95% CI [− 0.5 to 0.04], p-value 0.09). Conclusion We found 30–50% higher TB case fatality for males in Europe. Except for homelessness, migration, and a trend for some comorbidities, assessing effect modification could not reduce our meta-analysis’ high heterogeneity. Public health authorities should take heed of this higher risk of dying in male patients’ treatment services.

show abstract

Gender disparities in mortality from infectious diseases in Serbia, 1991–2014: a time of civil wars and global crisis

Cited by 5 publications

References 31 publications

Study on the Experience of Public Health System Construction in China's COVID-19 Prevention

Study on the Experience of Public Health System Construction in China's COVID-19 Prevention

Trends in suicide by hanging, strangulation, and suffocation in Serbia, 1991-2020: A joinpoint regression and age-period-cohort analysis

Tuberculosis case fatality is higher in male than female patients in Europe: a systematic review and meta-analysis

Contact Info

Product

Resources

About