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    Wyświetlanie 1-2 z 2
    Tytuł:
    Inequalities in breast cancer incidence and stage distribution between urban and rural female population in Swietokrzyskie Province, Poland
    Autorzy:
    Paszko, A.
    Krzyżak, M.J.
    Charkiewicz, A.E.
    Ziembicka, D.
    Żendzian-Piotrowska, M.
    Szpak, A.S.
    Florek-Łuszczki, M.
    Maślach, D.
    Powiązania:
    https://bibliotekanauki.pl/articles/2082946.pdf
    Data publikacji:
    2019
    Wydawca:
    Instytut Medycyny Wsi
    Tematy:
    breast cancer
    incidence
    inequalities in health
    urban and rural population
    stage distribution
    Opis:
    Introduction and objective. One of the main factors determining the burden of breast cancer is the effectiveness of measures taken to combat this cancer including urban-rural differences. The aim of the study was to analyse the differences in breast cancer incidence and disease stage distribution among urban and rural women in the Świętokrzyskie Province as a part of a strategy for breast cancer control. Materials and method. The study of disease stage distribution included 483 female residents of Świętokrzyskie Province who were diagnosed in 2013 with invasive breast cancer, and reported to Świętokrzyskie Office for Cancer Registration. Urban-rural differences in breast cancer incidence in 2002–2013 were presented using Range Ratio (RR). Changes in incidence trends in urban and rural areas were analysed using joinpoint models. Annual Percentage Change (APC) of the rates was calculated for each time trend. Results. Breast cancer incidence rate in the urban female population was higher than in rural women with RR, amounting to 1.43. However, the analysis of trends showed that the pace and direction of change were developing negatively among inhabitants of rural areas. In 2002–2013, in rural women, the age-standardized rate (ASR) values increased by 2.8% per year (p<0.05). The course of ASR trends showed statistically significant urban-rural differences (p=0.004). Analysis of urban-rural differences in disease stage distribution revealed a non-significantly higher proportion of cases with localised stage in urban than in rural areas, amounting to 51.0% and 43.9%, respectively. Conclusions. Existing health inequalities indicate the need to intensify activities in rural areas and should be the starting point for making key decisions in combating breast cancer.
    Źródło:
    Annals of Agricultural and Environmental Medicine; 2019, 26, 1; 169-164
    1232-1966
    Pojawia się w:
    Annals of Agricultural and Environmental Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Is socio-economic status associated with adverse birth outcomes in Poland?
    Autorzy:
    Genowska, A.
    Fryc, J.
    Szpak, A.
    Tyszko, P.
    Powiązania:
    https://bibliotekanauki.pl/articles/2083113.pdf
    Data publikacji:
    2019
    Wydawca:
    Instytut Medycyny Wsi
    Tematy:
    low birth weight
    newborns
    health status
    social inequalities in health
    urbanization
    education
    salary
    unemployment
    Opis:
    Introduction. Low birth weight (LBW) is an important indicator of the healthy of the population and reflects the living conditions, health and health behaviours of pregnant women. Objective. To assess the relationship between Gross Enrollment Rate at the Tertiary Education Level, average salary, Gross Domestic Product per capita, unemployment, housing area, urbanization and low birth weight in Polish sub-regions. Materials and method. An ecological study was undertaken using data on socio-economic and demographic features and LBW in 2005–2014. The units of observation were 66 Polish sub-regions according to the NUTS-3 classification. Two models were used to assess the influence of SES variables on LBW incidence rate in a 10-year study period. The first was the Poisson regression model adjusted for density of population, which was followed by the multivariable model using the GEE method of model parameters estimation. Results. In Poland, significant slow changes in the LBW incidence rate were observed in 2005–2014 (AAPC = –0.44%/year). In model 1, the increase in LBW was associated with an increase in unemployment (1.005) and decrease of average salary (0.987), GERTEL (0.990) and housing area (0.991). In model 2, an unfavorable association was detected between the density of population (1.068) and a still existing relationship with unemployment (1.004), average salary (0.990) and GERTEL (0.991). Conclusion. Protective factors for newborns’ health were a higher level of education and income. The results indicate the need to take actions to reduce the risk factors of LBW among pregnant women living in densely populated areas.
    Źródło:
    Annals of Agricultural and Environmental Medicine; 2019, 26, 2; 369-374
    1232-1966
    Pojawia się w:
    Annals of Agricultural and Environmental Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-2 z 2

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