Delivery of cardio-metabolic preventive services to Hungarian Roma of different socio-economic strata

János Sándor, Attila Nagy, Anett Földvári, Edit Szabó, Orsolya Csenteri, Ferenc Vincze, Valéria Sipos, Nóra Kovács, Anita Pálinkás, Magor Papp, Gergely Fürjes, Róza Ádány

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background. Because the cardiovascular mortality in Hungary is high, particularly among the socio-economically deprived and the Roma, it is implied that primary health care (PHC) has a limited ability to exploit the opportunities of evidence-based preventions, and it may contribute to social health inequalities. Objectives. Our study investigated the underuse of PHC preventive services. Methods. Random samples of adults aged 21-64 years free of hypertension and diabetes mellitus were surveyed with participation rate of 97.7% in a cross-sectional study. Data from 2199 adults were collected on socio-demographic status, ethnicity, lifestyle and history of cardio-metabolic preventive service use. Delivery rates were calculated for those aged 21-44 years and those aged 45-64 years, and the influence of socio-demographic variables was determined using multivariate logistic regression. Results. Delivery rates varied between 12.79% and 99.06%, and the majority was far from 100%. Although most preventive service use was independent of education, younger participants with vocational educations underutilized problematic drinking (P = 0.011) and smoking (P = 0.027) assessments, and primary or less educated underutilized blood glucose (P = 0.001) and serum cholesterol (P = 0.005) checks. Health care measures of each lifestyle assessment (Pnutrition = 0.032; Psmoking = 0.021; Palcohol = 0.029) and waist circumference measurement (P = 0.047) were much less frequently used among older Roma. The blood glucose check (P = 0.001) and family history assessment (P = 0.043) were less utilized among Roma. Conclusions. The Hungarian PHC underutilizes the cardio-metabolic prevention contributing to the avoidable mortality, not generating considerably health inequalities by level of education, but contributing to the bad health status among the Roma.

Original languageEnglish
Pages (from-to)83-89
Number of pages7
JournalFamily Practice
Volume34
Issue number1
DOIs
Publication statusPublished - 2017

Fingerprint

Roma
Economics
Primary Health Care
Health Status
Blood Glucose
Life Style
Vocational Education
Demography
Education
Aptitude
Mortality
Hungary
Waist Circumference
Drinking
Diabetes Mellitus
Cross-Sectional Studies
Logistic Models
Smoking
Cholesterol
Hypertension

Keywords

  • Cardiovascular disorders
  • Cross-sectional research
  • Health disparities
  • Metabolic syndrome
  • Prevention
  • Primary care
  • Survey

ASJC Scopus subject areas

  • Family Practice

Cite this

Delivery of cardio-metabolic preventive services to Hungarian Roma of different socio-economic strata. / Sándor, János; Nagy, Attila; Földvári, Anett; Szabó, Edit; Csenteri, Orsolya; Vincze, Ferenc; Sipos, Valéria; Kovács, Nóra; Pálinkás, Anita; Papp, Magor; Fürjes, Gergely; Ádány, Róza.

In: Family Practice, Vol. 34, No. 1, 2017, p. 83-89.

Research output: Contribution to journalArticle

Sándor, J, Nagy, A, Földvári, A, Szabó, E, Csenteri, O, Vincze, F, Sipos, V, Kovács, N, Pálinkás, A, Papp, M, Fürjes, G & Ádány, R 2017, 'Delivery of cardio-metabolic preventive services to Hungarian Roma of different socio-economic strata', Family Practice, vol. 34, no. 1, pp. 83-89. https://doi.org/10.1093/fampra/cmw102
Sándor, János ; Nagy, Attila ; Földvári, Anett ; Szabó, Edit ; Csenteri, Orsolya ; Vincze, Ferenc ; Sipos, Valéria ; Kovács, Nóra ; Pálinkás, Anita ; Papp, Magor ; Fürjes, Gergely ; Ádány, Róza. / Delivery of cardio-metabolic preventive services to Hungarian Roma of different socio-economic strata. In: Family Practice. 2017 ; Vol. 34, No. 1. pp. 83-89.
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abstract = "Background. Because the cardiovascular mortality in Hungary is high, particularly among the socio-economically deprived and the Roma, it is implied that primary health care (PHC) has a limited ability to exploit the opportunities of evidence-based preventions, and it may contribute to social health inequalities. Objectives. Our study investigated the underuse of PHC preventive services. Methods. Random samples of adults aged 21-64 years free of hypertension and diabetes mellitus were surveyed with participation rate of 97.7{\%} in a cross-sectional study. Data from 2199 adults were collected on socio-demographic status, ethnicity, lifestyle and history of cardio-metabolic preventive service use. Delivery rates were calculated for those aged 21-44 years and those aged 45-64 years, and the influence of socio-demographic variables was determined using multivariate logistic regression. Results. Delivery rates varied between 12.79{\%} and 99.06{\%}, and the majority was far from 100{\%}. Although most preventive service use was independent of education, younger participants with vocational educations underutilized problematic drinking (P = 0.011) and smoking (P = 0.027) assessments, and primary or less educated underutilized blood glucose (P = 0.001) and serum cholesterol (P = 0.005) checks. Health care measures of each lifestyle assessment (Pnutrition = 0.032; Psmoking = 0.021; Palcohol = 0.029) and waist circumference measurement (P = 0.047) were much less frequently used among older Roma. The blood glucose check (P = 0.001) and family history assessment (P = 0.043) were less utilized among Roma. Conclusions. The Hungarian PHC underutilizes the cardio-metabolic prevention contributing to the avoidable mortality, not generating considerably health inequalities by level of education, but contributing to the bad health status among the Roma.",
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AU - Sándor, János

AU - Nagy, Attila

AU - Földvári, Anett

AU - Szabó, Edit

AU - Csenteri, Orsolya

AU - Vincze, Ferenc

AU - Sipos, Valéria

AU - Kovács, Nóra

AU - Pálinkás, Anita

AU - Papp, Magor

AU - Fürjes, Gergely

AU - Ádány, Róza

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N2 - Background. Because the cardiovascular mortality in Hungary is high, particularly among the socio-economically deprived and the Roma, it is implied that primary health care (PHC) has a limited ability to exploit the opportunities of evidence-based preventions, and it may contribute to social health inequalities. Objectives. Our study investigated the underuse of PHC preventive services. Methods. Random samples of adults aged 21-64 years free of hypertension and diabetes mellitus were surveyed with participation rate of 97.7% in a cross-sectional study. Data from 2199 adults were collected on socio-demographic status, ethnicity, lifestyle and history of cardio-metabolic preventive service use. Delivery rates were calculated for those aged 21-44 years and those aged 45-64 years, and the influence of socio-demographic variables was determined using multivariate logistic regression. Results. Delivery rates varied between 12.79% and 99.06%, and the majority was far from 100%. Although most preventive service use was independent of education, younger participants with vocational educations underutilized problematic drinking (P = 0.011) and smoking (P = 0.027) assessments, and primary or less educated underutilized blood glucose (P = 0.001) and serum cholesterol (P = 0.005) checks. Health care measures of each lifestyle assessment (Pnutrition = 0.032; Psmoking = 0.021; Palcohol = 0.029) and waist circumference measurement (P = 0.047) were much less frequently used among older Roma. The blood glucose check (P = 0.001) and family history assessment (P = 0.043) were less utilized among Roma. Conclusions. The Hungarian PHC underutilizes the cardio-metabolic prevention contributing to the avoidable mortality, not generating considerably health inequalities by level of education, but contributing to the bad health status among the Roma.

AB - Background. Because the cardiovascular mortality in Hungary is high, particularly among the socio-economically deprived and the Roma, it is implied that primary health care (PHC) has a limited ability to exploit the opportunities of evidence-based preventions, and it may contribute to social health inequalities. Objectives. Our study investigated the underuse of PHC preventive services. Methods. Random samples of adults aged 21-64 years free of hypertension and diabetes mellitus were surveyed with participation rate of 97.7% in a cross-sectional study. Data from 2199 adults were collected on socio-demographic status, ethnicity, lifestyle and history of cardio-metabolic preventive service use. Delivery rates were calculated for those aged 21-44 years and those aged 45-64 years, and the influence of socio-demographic variables was determined using multivariate logistic regression. Results. Delivery rates varied between 12.79% and 99.06%, and the majority was far from 100%. Although most preventive service use was independent of education, younger participants with vocational educations underutilized problematic drinking (P = 0.011) and smoking (P = 0.027) assessments, and primary or less educated underutilized blood glucose (P = 0.001) and serum cholesterol (P = 0.005) checks. Health care measures of each lifestyle assessment (Pnutrition = 0.032; Psmoking = 0.021; Palcohol = 0.029) and waist circumference measurement (P = 0.047) were much less frequently used among older Roma. The blood glucose check (P = 0.001) and family history assessment (P = 0.043) were less utilized among Roma. Conclusions. The Hungarian PHC underutilizes the cardio-metabolic prevention contributing to the avoidable mortality, not generating considerably health inequalities by level of education, but contributing to the bad health status among the Roma.

KW - Cardiovascular disorders

KW - Cross-sectional research

KW - Health disparities

KW - Metabolic syndrome

KW - Prevention

KW - Primary care

KW - Survey

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