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NATIONAL AND INTERNATIONAL ASPECTS OF TOBACCO CONTROL Szeged, 2011. június 18

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NATIONAL AND INTERNATIONAL ASPECTS OF TOBACCO CONTROL Szeged, 2011. június 18 Population dynamism related to socio-economic factors in Szabolcs-Szatmár-Bereg County in 2009. Kristie L. Foley, PhD Associate Director Medical Humanities Program Davidson College North Carolina, USA.

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NATIONAL AND INTERNATIONAL ASPECTS OF TOBACCO CONTROLSzeged, 2011. június 18

Population dynamism related to socio-economic factors in Szabolcs-Szatmár-Bereg County in 2009

Kristie L. Foley, PhD

Associate Director Medical Humanities ProgramDavidson College

North Carolina, USA

Ildiko RakocziUniversity of DebrecenFaculty of HealthNyiregyházaDr. PeterBalazs Semmelweis University AndreaGrenczerSemmelweis University Budapest

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Szabolcs-Szatmár-Bereg County

Szabolcs-Szatmar-Bereg county is situated in the north-eastern corner of Hungary, bordered with three countries: Romenia, Ukraine and Slovakia

Its area is 5938 km2

Its population is:571 018 (2008)

Roma population: 25 612 (2001)

Number of settlements: 229:

Number of county-boroughs: 1 Other towns:26

Nyíregyháza

ptb and lbw in hungary 2009
PTB and LBW in Hungary 2009

Szabolcs-Szatmar-Bereg county: N. of live births = 5944 (5807 according to health visitors’ reports)N. of PTB/LBW = 652

PTB 9.8%

LBW 8.6%

One of the least developedregions in Hungary with a considerable ethnic Roma population living at lower socio-economic level than the non-Roma population

our hypotheses
Our hypotheses
  • Tobacco smoking and alcohol drinking start at a very early age, sometimes before the age of 10
  • Tobbaco smoking is a considerable factor in the growing number of PTB and LWB
  • Socio-economic level of families affects also negatively the pregnancy outcome
  • According to the day-to-day experinece, there are significant differences between the Roma and non-Roma populations
material and method
Material and Method
  • Data collection about all live births in 2009
  • Collaboration of the Maternity and Child Health Service (MCHS) in data collection
  • Primary information was gathered from theregistry of MCHS visitors
  • In-person survey by interviewer-administered questionnaires
  • Number of questionnaires: 5806
  • Response-rate 75% (n=4355)
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Material and Method

  • In February 2010, MCHS visitors learned the objectives and methods of the project on meetings in the 12 districts. They were also informed about the results of the prior survey (moters of PTW / LBW babies born in 2008.
  • Problems were discussed concerning the 2008 data collection.
  • Visitors informed us about difficulties of data collection stressing the problem of refusing collaboration.
  • Visitors emphasized their interest in the survey, as they expect results that may help their day-to-day activity.
time of child births in weeks n 4355
Time of child births in weeks, N=4355

PTB-frequency = 8.2%

hét

conclusions
Conclusions
  • Unfortunately, there are significant differences between the Roma and non-Roma populations.
  • Considering that health culture is an organic part of the whole life-style, strategies that ensure healthy life-style choices must be well-integrated in family based interventions and in schools.
  • Targeted programs for the young population would increase the likelihood of young girls having sufficient knowledge and social support to make decisions that positively affect their own health and that of their babies.
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Thank you

for your attention!

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