Journal of health inequalities最新文献_第6页

History of alcohol consumption and cancer burden in Italy 意大利饮酒史与癌症负担

Journal of health inequalities Pub Date : 2021-01-01 DOI: 10.5114/jhi.2021.113168

M. Malvezzi, E. Negri, C. Vecchia

{"title":"History of alcohol consumption and cancer burden in Italy","authors":"M. Malvezzi, E. Negri, C. Vecchia","doi":"10.5114/jhi.2021.113168","DOIUrl":"https://doi.org/10.5114/jhi.2021.113168","url":null,"abstract":"Introduction: Alcohol consumption was traditionally high in Mediterranean countries, particularly in France and Italy, but substantial declines have been observed over the last four decades. Material and methods: We obtained official resident population and death certification data from the World Health Organization (WHO) database for 5 major alcohol-related cancer sites in Italy for the 1970–2017 period. We computed age-standardised (world population) mortality rates and applied a joinpoint model to identify changes in trends. Yearly pure alcohol per capita consumption data (total, beer, spirits and wine) for Italy over the 1961–2018 period were obtained from the WHO European Health for All database. Results: Since the late 1970’s, alcohol consumption has been declining substantially in Italy, from about 20 to 7 litres of ethanol per adult per day. In men upper-respiratory tract cancer mortality fell consistently over the last decade, oral cavity and pharyngeal cancer by 14% to 3.1/100,000 men and 2,103 deaths; oesophageal cancer by 13% to 2.0/100,000 and 1,409 deaths, and laryngeal cancer by 27% to 1.8/100,000 men and 1,428 deaths in 2017. Liver cancer had a rate of 4.9/100,000 men (3,667 deaths) in 2017. Conclusions: This decline in alcohol consumption led to substantial declines in cirrhosis and other chronic liver diseases including liver cancer, and in all major alcohol related cancers (oral cavity and pharynx, oesophagus, larynx, liver, and also breast) in the last few decades in Italy. However, the favourable trends in alcohol-related mortality in Italy and other Mediterranean countries are not reflected in Central-Northern Europe and the USA. Thus, alcohol remains a major cause of cancer and other diseases in Europe.","PeriodicalId":93580,"journal":{"name":"Journal of health inequalities","volume":"70 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83334945","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}

引用次数: 1

”Do-it-yourself” (DIY) e-liquid mixing: users’ motivations and awareness of associated dangers – analysis of social media and online content “自己动手”(DIY)电子液体混合:用户的动机和相关危险的意识——社交媒体和在线内容分析

Journal of health inequalities Pub Date : 2021-01-01 DOI: 10.5114/JHI.2021.107954

Aleksandra Balewska, F. Raciborski

{"title":"”Do-it-yourself” (DIY) e-liquid mixing: users’ motivations and awareness of associated dangers – analysis of social media and online content","authors":"Aleksandra Balewska, F. Raciborski","doi":"10.5114/JHI.2021.107954","DOIUrl":"https://doi.org/10.5114/JHI.2021.107954","url":null,"abstract":"Introduction: Electronic cigarettes (e-cigarettes) produce an aerosol by heating a liquid. Users can buy ready-made electronic liquids (e-liquids) or make some on their own by mixing together appropriate proportions of ingredients. The aim of this study was to determine users’ motivations for manufacturing e-liquids on their own and their awareness of the associated dangers among participants in online forums concerned with e-liquids. Material and methods: We conducted a quantitative and qualitative analysis of online forums and portals related to e-cigarettes. The data was acquired with SentiOne monitoring of respecitive sites. For the detailed analysis, 200 comments were used, all of them written in Polish, between 1 January 2020 and 30 June 2020. The comments were classified into three categories: advice, safety, and motivation for producing Do-It-Yourself (DIY) e-liquids. Results: Most of comment (56%) contained request for advice and respective recommendation on production of e-liquids. We identified four main motivations for producing e-liquids on one’s own: obtaining a particular flavour, aroma, cutting down on e-liquid costs and desire to quit traditional cigarettes. Safety-related issues were discussed in 34% of the postings. Most of them showed an awareness of certain dangers arising from the use of e-cigarettes and DIY production of e-liquids. Conclusions: While choosing the ingredients and/or their proportions for the individual e-cigarettes’ production, users were relating to another users’ experience or e-liquid calculators, which correctness is not subject to control. Ingredients required for producing e-liquids are purchased from physical shops and the online platform allegro.pl. The main motivations for producing e-liquids at home comprised cost and flavour. The intended introduction of additional taxation by Polish government may induce e-cigarette users to consider switching to cheaper alternative – DIY e-liquid production.","PeriodicalId":93580,"journal":{"name":"Journal of health inequalities","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88839873","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}

引用次数: 0

Use of Electronic Nicotine Delivery Systems (ENDS) in Poland in 2019 2019年在波兰使用电子尼古丁输送系统(ENDS)

Journal of health inequalities Pub Date : 2021-01-01 DOI: 10.5114/JHI.2021.107953

K. Janik-Koncewicz, W. Zatoński, M. Zatoński

{"title":"Use of Electronic Nicotine Delivery Systems (ENDS) in Poland in 2019","authors":"K. Janik-Koncewicz, W. Zatoński, M. Zatoński","doi":"10.5114/JHI.2021.107953","DOIUrl":"https://doi.org/10.5114/JHI.2021.107953","url":null,"abstract":"Background: The introduction of Electronic Nicotine Delivery Systems (ENDS) was suspected to be a factor disrupting the stable decline in the nicotine and tobacco market in Poland. Materials and method: A cross-sectional study was conducted in 2019 on a representative sample of 1077 Polish adults aged 18 years and used face-to-face interviews. ENDS use was analysed from respondents aged 20 years and older by gender, age, place of residence and education. Calculations were done using IBM SPSS Statistics 25. Results: Only 3.0% of men and 0.7% of women in Poland were daily (regular) ENDS users in 2019, while 1.6% of men and 0.7% of women were occasional users. The vast majority of respondents (97%) declared that they did not use ENDS at all. ENDS use was most prevalent in the youngest age group (5.3% in men, 1.3% in women), and in urban than rural areas (4.1% of men and 0.9% of women in urban areas vs 1.5% of men and 0.5% of women in rural areas), in men with a secondary education (4.3%), and in women with a primary education (1.2%). Three percent of men (3.1%) were daily (regular) dual users of conventional cigarettes and ENDS, and 3.5% of men using conventional cigarettes used ENDS in exceptional situations (occasionally). Conclusions: Our study showed that despite a decline in conventional cigarette smoking, the prevalence of ENDS use among adults in Poland is low and it did not increase in the recent years. This stands in contrast with research showing that Poland has some of the highest rates of ENDS use among children. However, the system of monitoring of ENDS use in Poland needs to be improved, as the existing data for Poland remains scattered, of poor quality, and based on small samples.","PeriodicalId":93580,"journal":{"name":"Journal of health inequalities","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85729742","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}

引用次数: 1

Youth attitudes to persons with disabilities in relation to the type of their school environment – a pilot study 青少年对残疾人士的态度与学校环境的关系-一项试验研究

Journal of health inequalities Pub Date : 2021-01-01 DOI: 10.5114/jhi.2021.112687

A. Sadziak, Dawid Matczak, M. Wieczorek

引用次数: 2

Discrepancies in breast cancer management 乳腺癌管理的差异

Journal of health inequalities Pub Date : 2021-01-01 DOI: 10.5114/JHI.2021.107956

M. Seweryn, Tomasz Banaś, J. Streb, R. Matkowski, W. Wysocki, J. Augustyńska, Justyna Kopel, Ola Kizińska

{"title":"Discrepancies in breast cancer management","authors":"M. Seweryn, Tomasz Banaś, J. Streb, R. Matkowski, W. Wysocki, J. Augustyńska, Justyna Kopel, Ola Kizińska","doi":"10.5114/JHI.2021.107956","DOIUrl":"https://doi.org/10.5114/JHI.2021.107956","url":null,"abstract":"Introduction: Breast cancer is one of the most frequently diagnosed neoplasms among women, and the number of cases is increasing every year. Although the incidence rate places Poland below the European Union average, the mortality rate shows that a problem with the diagnosis and treatment of breast cancer exists. We tried to answer whether the current path of a breast cancer patient in Poland is optimal, whether patients have access to all possible treatment options, and whether the treatment centre has a significant impact on the treatment method. Material and methods: To achieve the study goals, we obtained data from the National Health Fund on the structure of procedures related to the treatment of breast cancer, and we conducted a survey in hospitals and performed individual in-depth interviews with experts. Results: Among all hospitals in Poland, only 8% (47 hospitals) implement at least 4 of the basic profiles of breast cancer treatment: oncological surgery, clinical oncology, radiotherapy, and access to tailored therapies. Only 9 centres in Poland were accredited as a Breast Cancer Unit. Most hospitalizations related to the treatment of breast cancer are carried out in oncology hospitals (28.8%) and national hospitals (24.8%). However, nearly 27% of hospitalizations took place in units with no more than the 2nd-level of referentiality. The results of the survey and interviews with experts indicate that treatment of breast cancer patients, performed in centres with low reference levels, does not ensure an adequate level of treatment quality and coordination. Conclusions: The right treatment path for a patient with breast cancer is a guarantee of long-term survival and high-quality treatment. Unfortunately, fragmentation of the oncological services in Poland means that there is still no oncological care system for patients with breast cancer that provides an equal level of care to patients regardless of the selected centre for treatment.","PeriodicalId":93580,"journal":{"name":"Journal of health inequalities","volume":"206 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83575284","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}

引用次数: 0

Closing remarks from Calisia Conference sessions: (1) Family healthcare in Poland, Israel, Mozambique, and Ukraine, (2) COVID-19 pandemic, and (3) Human rights in time of armed conflicts 卡利西亚会议的闭幕词:(1)波兰、以色列、莫桑比克和乌克兰的家庭卫生保健;(2)2019冠状病毒病大流行;(3)武装冲突时期的人权

Journal of health inequalities Pub Date : 2021-01-01 DOI: 10.5114/jhi.2021.112343

A. Trybusz

引用次数: 1

The 2019 Oral, Head and Neck Cancer Awareness Week in light of the history of research on laryngeal cancer at the Otolaryngology, Head and Neck Surgery Department of Wrocław University Hospital 根据Wrocław大学医院耳鼻喉科头颈外科喉癌研究历史，举办2019年口腔头颈癌宣传周

Journal of health inequalities Pub Date : 2021-01-01 DOI: 10.5114/JHI.2021.107957

M. Zatoński, Natalia Kucharczyk, Katarzyna Naglik, Ewelina Bobak-Sarnowska, O. Fedorowicz, M. Kowalska, T. Zatoński

引用次数: 0

Welcome adresses from Professor Aurelijus Veryga, Member of Parliament, former Minister of Health of Lithuania 立陶宛国会议员、前卫生部长Aurelijus Veryga教授致欢迎辞

Journal of health inequalities Pub Date : 2021-01-01 DOI: 10.5114/jhi.2021.113166

A. Veryga

引用次数: 1

Contrasts in prevalence and determinants of current tobacco smoking status among adults in Indonesia as indicated by the rural-urban place of residence 印度尼西亚成年人吸烟现状的流行率和决定因素的对比(按城乡居住地显示)

Journal of health inequalities Pub Date : 2021-01-01 DOI: 10.5114/jhi.2021.107100

M. Khan, A. Rahman, TaheraMahnaz Meem, Umama Khan

引用次数: 1

Telemedicine in cardiology – prospects, risks and health inequalities 心脏病学中的远程医疗——前景、风险和健康不平等

Journal of health inequalities Pub Date : 2021-01-01 DOI: 10.5114/jhi.2021.112713

Paweł Gorczyński, Marta Primke, Szymon Czmoch, Katarzyna Śniatała, Łukasz Żytka, Danuta Misiuvianets, V. Naughton, T. Grzelak

{"title":"Telemedicine in cardiology – prospects, risks and health inequalities","authors":"Paweł Gorczyński, Marta Primke, Szymon Czmoch, Katarzyna Śniatała, Łukasz Żytka, Danuta Misiuvianets, V. Naughton, T. Grzelak","doi":"10.5114/jhi.2021.112713","DOIUrl":"https://doi.org/10.5114/jhi.2021.112713","url":null,"abstract":"Telemedicine is an increasingly well-established area of health care that uses information technology to provide remote consultation and health support to patients. Most recently, it is of particular importance due to the COVID-19 pandemic. Notably, technological developments have allowed this form of health care provision to increase in scope and diversify the support provided to patients. Such broadening of scope and diversification of health care provision is particularly prominent in cardiology. It includes primary and secondary teleconsultations, remote monitoring of cardiological (including geriatric) patients by recording and monitoring electrocardiogram records, monitoring cardiac implantable electronic devices, telerehabilitation and tele-education. Moreover, in cardiology, telemedicine provides patients with feasible access to health care professionals while potentially reducing the cost to the health care providers. This article presents a critical evaluation of current applications of telemedicine in cardiology based on the literature. It highlights the advantages, disadvantages and inequalities of this form of cardiological healthcare provision.","PeriodicalId":93580,"journal":{"name":"Journal of health inequalities","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86165399","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}

引用次数: 1