Roczniki Panstwowego Zakladu Higieny最新文献

{"title":"Dietary diversity score and the incidence of chronic kidney disease in an agricultural Moroccan adults population.","authors":"Rachida Moustakim,&nbsp;Mohamed Mziwira,&nbsp;Mohammed El Ayachi,&nbsp;Rekia Belahsen","doi":"10.32394/rpzh.2022.0221","DOIUrl":"https://doi.org/10.32394/rpzh.2022.0221","url":null,"abstract":"<p><strong>Background: </strong>Healthy diet plays an important role in the management of chronic kidney disease (CKD) and in the prevention of related comorbidities. Dietary diversity score (DDS) is well recognized as an indicator for assessing diet quality and food security. However, its association with CKD has not been investigated.</p><p><strong>Objective: </strong>The aim of this study was to estimate the prevalence of CKD and to evaluate its association with DDS among a Moroccan adults from Sidi Bennour province.</p><p><strong>Materials and methods: </strong>A cross sectional study was conducted among 210 individuals. General information among others was collected. Weight, height and waist circumference were measured and body mass index (BMI) was calculated. Blood samples were collected and the serum creatinine was determined. Subsequent glomerular filtration rate (eGFR) was estimated by the modification of diet in renal disease (MDRD) formula and the chronic kidney disease was defined by an eGFR<60 ml/min/1.73m². Dietary intake was assessed using a 24-hours dietary recall, and DDS was computed according to the FAO guidelines.</p><p><strong>Results: </strong>The participants mean age was 54.18±13.45 years, with a sex ratio of 0.38 and 4.4% as the prevalence of chronic kidney disease. The dietary diversity score was lower than 3 (lowest DDS) in 14.4% of the subjects, between 4 and 5 (medium DDS) in 72.5% and higher than 6 (high DDS) in 13.1% of the subjects. Subjects with higher DDS consistently have a higher level of eGFR compared to those with lower DDS while the DDS was not associated with the incidence of CKD in the present study.</p><p><strong>Conclusion: </strong>Even if no statistically significant association was found between CKD and dietary diversity, there is a relationship of higher eGFR levels among the study participants with higher dietary diversity.</p>","PeriodicalId":35951,"journal":{"name":"Roczniki Panstwowego Zakladu Higieny","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40378880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Human milk metabolome: Impact of gestational age, lactational stage and maternal diet.","authors":"Malwina Wójcik,&nbsp;Hanna Mojska","doi":"10.32394/rpzh.2022.0214","DOIUrl":"https://doi.org/10.32394/rpzh.2022.0214","url":null,"abstract":"<p><p>Human breast milk due to its unique composition and the ability to adapt to the needs of the infant, is referred to as the \"gold standard\". Exclusive breastfeeding is recommended for the first 6 months of a inflant's life. The composition of breast milk and its metabolites is not constant and varies depending on the influence of various factors. Its analysis allows for rational management of infant nutrition. Intermediate and final metabolites of human milk are formed as a result of various metabolic processes in the mammary gland, and their role and the influence of various factors on them are not fully determined in the context of the proper development of infants. Metabolomic studies can be used to identify intermediate and terminal metabolites in breast milk. The aim of the study was to review the current literature on the variability of human milk metabolome depending on factors such as gestational age, lactation stage and mother's diet. A review of current research shows that the composition of human milk metabolome varies depending on various factors. Better understanding of metabolome of breast milk could be crucial in the future programming of metabolic processes in infants, which is crucial in preventing many diseases and maintaining health.</p>","PeriodicalId":35951,"journal":{"name":"Roczniki Panstwowego Zakladu Higieny","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40395062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sense of self-efficacy and the content of energy and nutrients in the diet of elite Polish basketball players.","authors":"Maria Gacek","doi":"10.32394/rpzh.2022.0203","DOIUrl":"https://doi.org/10.32394/rpzh.2022.0203","url":null,"abstract":"<p><strong>Background: </strong>In research on the subject, the predictive importance of personal resources is indicated for diet quality.</p><p><strong>Objective: </strong>The aim of the study was quantitative assessment of diet depending on the level of generalised self- efficacy among elite Polish basketball players.</p><p><strong>Material and methods: </strong>Food diaries (2 training days and 1 no training day) of 48 basketball players were analysed. Further assessed were 144 food rations based on the Diet 6.0 program, and the results were compared to the current Polish nutritional standards. The Generalised Self-Efficacy Scale (GSES) was also used. Statistical analyses were performed by estimating Spearman's rank correlation coefficients (p<0.05).</p><p><strong>Results: </strong>The share of energy from proteins, fats and carbohydrates was 18.2%, 29.4% and 52.4%, respectively. Of the mineral salts, the average diet contained: 2,107.6 mg sodium, 2,918.3 mg potassium, 736.3 mg calcium, 1,372.2 mg phosphorus, 380.1 mg magnesium, and 11.6 mg iron. Of the vitamins, the average diet contained: 1,100.3 μg of vitamin A, 5.3 μg of vitamin D, vitamin E in the amount of 8.2 mg, 78.1 mg of vitamin C, 1.1 mg vitamin B1, 1.3 mg vitamin B2, 1.9 mg of vitamin B6, 271.7 μg of vitamin B9 and 4.7 μg of vitamin B12. It was also shown that as the sense of self-efficacy developed, the supply of energy, water, protein, digestible carbohydrates, energy from carbohydrates, sucrose and PUFAs also increased in the players' diets. At the same time, along with the increase in self-efficacy, the supply of: Na, K, Ca, Mg, P, Fe, Cu and iodine as well as vitamins: A, E, B1, B3, B6 and C, also increased in the players' diets.</p><p><strong>Conclusions: </strong>Incomplete diet balance has been demonstrated, as well as significant relationships between the level of self-efficacy and the supply of certain nutrients in the diet of elite Polish basketball players. The obtained results indicate the legitimacy of diet monitoring and nutritional education as well as considering personality traits in activities promoting maintaining a proper diet among athletes.</p>","PeriodicalId":35951,"journal":{"name":"Roczniki Panstwowego Zakladu Higieny","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40396501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The theory of reasoned action in describing tongue cleaning adherence among college going students of Indie: A model guided study.","authors":"Mridula Tak,&nbsp;Sagrika Grover,&nbsp;Kailash Asawa,&nbsp;Jacob John,&nbsp;Bharathraj Shetty,&nbsp;Darshan Devang Divakar","doi":"10.32394/rpzh.2022.0213","DOIUrl":"https://doi.org/10.32394/rpzh.2022.0213","url":null,"abstract":"<p><strong>Background: </strong>Just mere brushing of teeth is not enough for maintaining good oral health. Regular cleaning of tongue is equally important for maintaining good oral hygiene and to escape social embarrassment and personal discomfort, which could arise as a result of halitosis.</p><p><strong>Objective: </strong>To test the variables of Theory of Reasoned Action to explain the behavior of tongue cleaning among college going students of Udaipur city, Rajasthan, India.</p><p><strong>Material and methods: </strong>A descriptive cross-sectional survey was conducted amongst 756 college going students of Udaipur city, India using an online self-administered structured questionnaire which was designed based on our study objectives. Logistic regression analysis and structural equation modelling (SEM) were employed for statistical analysis. Confidence level and level of significance were set at 95% and 5% respectively.</p><p><strong>Results: </strong>Logistic regression analysis showed that with one unit increase in subjective norm, the tongue cleaning behavior odds increased significantly by 1.124. Also, the tongue cleaning behavior odds was 1.77 times significantly greater among those brushing their teeth twice a day than those brushing once a day. Structural Equation modelling also evidenced the significant direct effect of subjective norm on tongue cleaning behavior (β = 0.2, p≤0.05).</p><p><strong>Conclusion: </strong>Our results highlighted the importance of subjective norms in espousing tongue cleaning preventive behaviour habit. It is thus recommended to highpoint the role of significant others in changing tongue cleaning behaviour.</p>","PeriodicalId":35951,"journal":{"name":"Roczniki Panstwowego Zakladu Higieny","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40396937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in premature cerebrovascular disease mortality in the Polish population aged 25-64 years, 2000-2016.","authors":"Alicja Cicha-Mikołajczyk,&nbsp;Aleksandra Piwońska,&nbsp;Witold Śmigielski,&nbsp;Wojciech Drygas","doi":"10.32394/rpzh.2022.0192","DOIUrl":"https://doi.org/10.32394/rpzh.2022.0192","url":null,"abstract":"<p><strong>Background: </strong>Many scientific reports have shown a decrease in total cerebrovascular disease (CeVD) mortality over the past few decades, but too little attention has been paid to premature mortality. CeVD accounted for 22.5% and 17.8% of premature cardiovascular disease deaths in Poland, in 2000 and 2016, respectively.</p><p><strong>Objective: </strong>The aim of the study was to analyse premature CeVD mortality in the Polish population in the recent years, the dynamics of its changes and the potential factors that may have contributed to the decline in mortality. The main goal of the study was to overview the levels and trends in premature CeVD mortality with an emphasis on haemorrhagic, ischaemic and unspecified (not specified as haemorrhagic or ischaemic) stroke.</p><p><strong>Material and methods: </strong>The analysis was based on a database of the Central Statistical Office of Poland and included data from 2000-2016 on premature cerebrovascular deaths occurring between 25 and 64 years of age (N=104,786). CeVD and haemorrhagic, ischaemic or unspecified stroke were coded with ICD-10 codes I60-I69, I61-I62, I63 and I64, respectively. The analysis included assessment of CeVD deaths distribution and evaluation of age-specific mortality rates in 10-year age groups and age-standardised mortality rates (SMR) in the age group 25-64 years, separately for men and women. Trends in SMRs have been studied in the period 2000-2016.</p><p><strong>Results: </strong>The number of CeVD deaths decreased by 32.8% in men and 48.8% in women. There was a two-fold decline in CeVD mortality: from 59 to 29 male and from 30 to 12 female per 100,000. In addition, a 2-year increase in the median age of CeVD death was observed (Men: 56.4 to 58.4 years, Women: 56.4 to 58.7 years, p<0.001). A statistically significant decline in mortality (per 100,000) was also noticed for haemorrhagic stroke (Men: 18.7 to 10.4; Women: 9.6 to 3.8), ischaemic stroke (Men: 11.8 to 8.4; Women: 4.7 to 3.0) and unspecified stroke (Men: 19.7 to 3.5; Women: 9.1 to 1.3).</p><p><strong>Conclusions: </strong>A substantial decline in premature CeVD mortality was observed in the period 2000-2016. Additionally, the number of deaths that could not be classified as haemorrhagic or ischaemic stroke death decreased significantly. The increasingly widespread use of new post-stroke therapies and their availability make it possible to expect a further decrease in CeVD mortality. However, the necessary actions should be taken to compensate for the disparities in CeVD mortality between men and women.</p>","PeriodicalId":35951,"journal":{"name":"Roczniki Panstwowego Zakladu Higieny","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40318896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors for low birth weight in El Jadida province, Morocco. Case-control study.","authors":"Houda Elfane,&nbsp;Sanaa El-Jamal,&nbsp;Mohamed Mziwira,&nbsp;Imane Barakat,&nbsp;Khadija Sahel,&nbsp;Mohammed El Ayachi,&nbsp;Rekia Belahsen","doi":"10.32394/rpzh.2022.0206","DOIUrl":"https://doi.org/10.32394/rpzh.2022.0206","url":null,"abstract":"<p><strong>Background: </strong>Low birth weight (LBW) is considered to be one of the most important indicators of a newborn's chances of survival, and a major risk of medium- and long-term morbidity.</p><p><strong>Objective: </strong>To identify risk factors associated with low birth weight newborns among pregnant women during childbirth in Moroccan hospital environment with a view to proposing avenues of intervention for its prevention.</p><p><strong>Material and methods: </strong>Data concerning the weight of newborns at birth, nutritional education, pregnancy monitoring and other risk factors, etc. were collected from 312 pregnant women who gave birth in the maternity ward of El-Jadida Provincial Hospital in Morocco.</p><p><strong>Results: </strong>The study identified 156 cases of newborns with LBW and 156 controls of normal-weight newborns. After adjustment for the variables included in the analysis, the determined factors associated with LBW are nutritional education [OR: 6.22 (2.60-14.87), P<0.001], illiterate women [OR: 8.74 (1.65-46.08), P=0.011], insufficient pregnancy monitoring [OR: 5.69 (2.74-11.83),P<0.001], pregnant women with a normal weight [OR: 3.84 (1.73-8.52), P=0.001], lack of psychological support [OR: 3.23 (1.72-6.08), P<0.001] and tiring domestic activity [OR: 2.13 (1.14-3.99), P=0.017].</p><p><strong>Conclusion: </strong>Promotion of nutrition for pregnant women, proper implementation of maternal health programs and improvement of their social condition are the modifiable factors that should help reduce LBW risk.</p>","PeriodicalId":35951,"journal":{"name":"Roczniki Panstwowego Zakladu Higieny","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40395064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of membrane-destructive processes in rats with induced carcinogenesis of the colon using the cytostatic vincristine.","authors":"Oksana Kachur,&nbsp;Liudmyla Fira,&nbsp;Petro Lykhatskyі,&nbsp;Dmytro Fira,&nbsp;Nataliya Garlitska","doi":"10.32394/rpzh.2022.0212","DOIUrl":"https://doi.org/10.32394/rpzh.2022.0212","url":null,"abstract":"<p><strong>Background: </strong>Every year the number of cases of colorectal cancer increases. Chemotherapy is one of the main methods of treating cancer. However, chemotherapeutic treatment of colorectal cancer is inextricably linked to hepatotoxic reactions.</p><p><strong>Objective: </strong>The aim of this study was to investigate the effect of the cytostatic vincristine on the background of previous enterosorption correction with the drug aut-m in adenocarcinoma of the colon.</p><p><strong>Material and methods: </strong>To simulate carcinogenesis, dimethylhydrazine (DMH) was administered subcutaneously to 77 rats for 30 weeks at a dose of 7.2 mg/kg body weight. After simulation of colon cancer, the animals were intragastricly administered entorosorbent at a dose of 1 ml of suspension (corresponding to 0.2 g of net weight of the drug) per 100 g of body weight of the animal, daily for 21 days. After detoxification therapy, rats with simulated carcinogenesis were administered the daily cytostatic vincristine at a dose of 0.23 mg/kg for 14 days.</p><p><strong>Results: </strong>It was found that prolonged administration of dimethylhydrazine is accompanied by destructive changes in plasma membranes, as evidenced by increased activity of enzymes alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase, and serum urea.</p><p><strong>Conclusions: </strong>The used sorbent aut-m showed an effective effect on reducing the manifestations of cytolytic processes in induced carcinogenesis, as indicated by the normalization of the studied parameters. The cytostatic vincristine, which was used in rats with induced colorectal cancer after enterosorption therapy, did not significantly affect the enhancement of cytolytic processes, which confirms the effectiveness of previous sorption measures under these conditions.</p>","PeriodicalId":35951,"journal":{"name":"Roczniki Panstwowego Zakladu Higieny","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40395065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Covid-19 knowledge, attitudes, and practices among healthcare workers in urban community Bangkok, Thailand.","authors":"Jadsada Kunno,&nbsp;Pataraporn Yubonpunt,&nbsp;Busaba Supawattanabodee,&nbsp;Budsaba Wiriyasirivaj,&nbsp;Chavanant Sumanasrethakul","doi":"10.32394/rpzh.2022.0200","DOIUrl":"https://doi.org/10.32394/rpzh.2022.0200","url":null,"abstract":"<p><strong>Objective: </strong>This study examined associations between socio-demographic characteristics and knowledge, attitudes, and practices (KAP) related to COVID-19 among healthcare workers in Bangkok, Thailand.</p><p><strong>Materials and methods: </strong>A cross-sectional online survey was distributed among healthcare workers in Bangkok, Thailand from July - August 2021.</p><p><strong>Results: </strong>A total of 637 responses were received. Most participants were clinical workers (68.4%), and nearly half (47.3%) had been at risk of infection with COVID-19 (ever screening test). Binary logistic regression analysis found associations between high knowledge scores and the 26-35-year age group (OR=1.776-1.562, 95%CI 1.021-2.853), having a bachelor's degree or higher (OR=1.672, 95%CI 1.058-2.644), and clinical workers (OR=1.784, 95CI% 1.188-2.678). The 36 year and above age group was associated with higher attitude scores (OR=2.406, 95%CI 1.567-3.695). Higher practice scores were associated with females (OR=1.913, 95%CI 1.057-3.464), and clinical workers (OR=1.903, 95CI% 1.170-3.095). Correlation analysis found a positive correlation between practice scores and knowledge (r=0.322, p <0.001) and attitudes (r=0.263, p <0.001).</p><p><strong>Conclusion: </strong>Although healthcare workers demonstrated overall high knowledge, attitude, and practice scores, this study identified several factors that influence KAP. This study can guide public health strategies regarding healthcare workers during the third wave of the COVID-19 pandemic in Thailand.</p>","PeriodicalId":35951,"journal":{"name":"Roczniki Panstwowego Zakladu Higieny","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40318953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of nutritional status, dietary intake and adherence to dietary recommendations in type 1 diabetic children and adolescents.","authors":"Sanaa El-Jamal,&nbsp;Houda Elfane,&nbsp;Hamid Chamlal,&nbsp;Khadija Sahel,&nbsp;Imane Barakat,&nbsp;Mohamed Mziwira,&nbsp;Aziz Fassouane,&nbsp;Rekia Belahsen","doi":"10.32394/rpzh.2022.0222","DOIUrl":"https://doi.org/10.32394/rpzh.2022.0222","url":null,"abstract":"<p><strong>Background: </strong>Currently, T1D is one of the most common chronic diseases in children and adolescents. The International Diabetes Federation (IDF) estimates that more than 1.1 million children and adolescents are living with (T1D). A few studies have evaluated the relationship between dietary intake and glycemic control (GC) in people with T1D, and in particular, children and adolescents.</p><p><strong>Objective: </strong>The aim of this study was to evaluate the relationship between anthropometric characteristics, lipid profile, inflammation, dietary intake and GC in comparison with international guidelines.</p><p><strong>Materials and methods: </strong>The study included a sample of 240 children, aged 15 years old or less with T1D. A structured questionnaire was used to collect information on the socio-demographic status, disease characteristics, and diet of the participants. Weight, height, and WC were measured and WHtR and BMI were calculated. Biochemical measurements were determined. Dietary intake was assessed using three 24-hour recalls.</p><p><strong>Results: </strong>Saturated fat intake was five times higher than recommended. Only 8.3% of participants reached the recommended level of fiber. Overweight, obesity, TC, TG, HDL and CRP were significantly higher in children with poor GC to those with good GC. In addition, participants with poor GC had significantly low intakes of calories, carbohydrates, fiber, MUFAs, and PUFAs and high intakes of fat and SFAs. The use of Bivariate correlation analyses showed that calorie, protein, fat and fiber intake were positively correlated with weight, height, WC, and GO, whereas carbohydrate intake was negatively associated with these parameters. On the contrary, CO showed a negative correlation with calorie, protein, fat and fiber intake and a positive correlation with carbohydrate intake.</p><p><strong>Conclusions: </strong>The results revealed that the dietary quality was poor and adherence to dietary recommendations was low with insufficient fiber intake and excess SFA. These results suggest that GC can be improved by a healthy, balanced diet by increasing fiber intake and limiting SFA intake. Liczba pobrań: 2.</p>","PeriodicalId":35951,"journal":{"name":"Roczniki Panstwowego Zakladu Higieny","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40379324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Socio-economic characteristics, health status and access to health care in an elderly Moroccan community: study of the gender factor.","authors":"Mohamed Mziwira,&nbsp;Azzelarab Ahaji,&nbsp;Kaoutar Naciri,&nbsp;Rekia Belahsen","doi":"10.32394/rpzh.2022.0224","DOIUrl":"https://doi.org/10.32394/rpzh.2022.0224","url":null,"abstract":"<p><strong>Background: </strong>In Western societies, gender differences in health and health behavior are extensively documented, but less is known about gender health disparities in Morocco. Aging is not yet a research topic or a source of concern. However, the country will face significant demographic aging in the future.</p><p><strong>Objective: </strong>The purpose of this study was to investigate gender differences in indicators associated with socioeconomic status, health status, and access to health care among the elderly population of the El Jadida region in Morocco.</p><p><strong>Material and methods: </strong>It is a cross-sectional study on a random sample of 537 persons, aged 60 and older (136 women and 401 men) from the El Jadida region.</p><p><strong>Results: </strong>When compared to their male counterparts, older Moroccan women face a number of disadvantages, including lower levels of education and literacy, lower levels of employment, rising rates of widowhood and living alone, and a lower likelihood of receiving formal pension benefits. In terms of health status, half of older women do not have medical coverage, almost all feel more tired, and, in discomfort, half suffer from total and central obesity, with more visual, oral, and memory health problems. Older Moroccan men, on the other hand, have greater hypertension, smoke and consume more tobacco and alcohol, and are more anxious, depressed, and insomniac. Overall, for both sexes, the perception of self-rated health status was deemed poor, with three health problems reported per person. Many other demographic, psychosocial, and economic indicators were not significantly related to gender.</p><p><strong>Conclusions: </strong>In Morocco, older people face a variety of problems that have a negative impact on their perception of aging. Furthermore, there are gender differences in socioeconomic status, prevalence, symptoms, and correlates of chronic diseases, health service use, and lifestyle. Longitudinal studies and immediate implementation of medical policy for this population are needed.</p>","PeriodicalId":35951,"journal":{"name":"Roczniki Panstwowego Zakladu Higieny","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40379558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}