{"title":"Alcohol consumption trends and burden of alcohol-related health problems in Latvia","authors":"Laura Isajeva, L. Spriņģe, I. Gobiņa","doi":"10.5114/jhi.2021.112838","DOIUrl":"https://doi.org/10.5114/jhi.2021.112838","url":null,"abstract":"","PeriodicalId":93580,"journal":{"name":"Journal of health inequalities","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82175377","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":"How has Norway beaten the COVID-19 pandemic?","authors":"Zuzanna Opolska","doi":"10.5114/JHI.2021.107951","DOIUrl":"https://doi.org/10.5114/JHI.2021.107951","url":null,"abstract":"","PeriodicalId":93580,"journal":{"name":"Journal of health inequalities","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84665639","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}
L. Aarø, M. Zatoński, K. Janik-Koncewicz, W. Zatoński
{"title":"Tobacco and alcohol policies and measures. Closing remarks from the 2nd World Calisia Conference on Family Health","authors":"L. Aarø, M. Zatoński, K. Janik-Koncewicz, W. Zatoński","doi":"10.5114/jhi.2021.112844","DOIUrl":"https://doi.org/10.5114/jhi.2021.112844","url":null,"abstract":"During the 2 nd World Calisia Conference on Family Health in Poland, a number of presentations focussed on smoking and use of alcohol. In this text, some of the presentations on smoking are discussed within the “Diffusion of innovations” theoretical framework. A selection of the presentations on alcohol use are referred to and changes in alcohol use are examined in the context of national alcohol control programmes. Finally, new evidence of inequalities between and within countries are examined. Comprehensive action to reduce burden of disease and health inequalities caused by tobacco and alcohol as documented during this conference is urgently needed.","PeriodicalId":93580,"journal":{"name":"Journal of health inequalities","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73849970","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":"Alcohol availability, premature mortality, and life expectancy in Estonia","authors":"Relika Stoppel","doi":"10.5114/jhi.2021.112839","DOIUrl":"https://doi.org/10.5114/jhi.2021.112839","url":null,"abstract":"","PeriodicalId":93580,"journal":{"name":"Journal of health inequalities","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89538857","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}
S. Kaplan, E. Kaplan, C. Turkler, P. Kırıcı, M. Bülbül
{"title":"Recurrent ectopic pregnancy risk factors and clinical features: a case-control study in Turkey","authors":"S. Kaplan, E. Kaplan, C. Turkler, P. Kırıcı, M. Bülbül","doi":"10.5114/JHI.2021.107955","DOIUrl":"https://doi.org/10.5114/JHI.2021.107955","url":null,"abstract":"","PeriodicalId":93580,"journal":{"name":"Journal of health inequalities","volume":"82 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78423956","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":"Poland’s population policy during the COVID-19 pandemic","authors":"J. Szymborski","doi":"10.5114/jhi.2021.107952","DOIUrl":"https://doi.org/10.5114/jhi.2021.107952","url":null,"abstract":"The aim of this study is to initiate a discussion on the directions of research on the impact of the pandemic on demographic processes in Poland. Due to the dramatic increase in the number of deaths in 2020, the focus is on one of the four main goals of Poland’s population policy, namely to improve the health of the population and reduce mortality. Some have argued that the unfavourable course of the pandemic in Poland is mainly determined by two factors: the poor health condition of the population as a result of many years of neglect of disease prevention and risk factors, and persistent weaknesses in the functioning of the healthcare system. Therefore, this paper proposes a list of research problems in the field of public health that need to be urgently addressed. Particular emphasis is placed on a syn-demic approach (infections, chronic diseases, socioecological factors), as well as health education, prevention of infectious diseases, legislative measures, the social dimension of health, and interdisciplinary cooperation.","PeriodicalId":93580,"journal":{"name":"Journal of health inequalities","volume":"112 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79660437","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}
K. Janik-Koncewicz, W. Zatoński, K. Zatońska, Zuzanna Stępnicka, A. Basiak-Rasała, M. Zatoński, Katarzyna Połtyn-Zaradna
{"title":"Cigarette smoking in Poland in 2019: the continuing decline in smoking prevalence","authors":"K. Janik-Koncewicz, W. Zatoński, K. Zatońska, Zuzanna Stępnicka, A. Basiak-Rasała, M. Zatoński, Katarzyna Połtyn-Zaradna","doi":"10.5114/JHI.2020.101878","DOIUrl":"https://doi.org/10.5114/JHI.2020.101878","url":null,"abstract":"The aim of the study: To present comprehensive national estimates of prevalence of cigarette smoking by sociodemographic characteristics in Poland in 2019 and to analyse the changes in smoking prevalence in the Polish population after 2014. Material and methods: A cross-sectional survey on a representative sample of adult Polish population was conducted on 4-11 July 2019 by the Public Opinion Research Center (Centrum Badania Opinii Społecznej). A total of 1016 adults (42.4% men and 57.6% women) aged 20 years and older were included in the analysis. Data for smoking prevalence were analysed according to gender, age groups, birth cohorts, place of residence and education. Statistical analysis was done using Statistica 13.1 and assumed a significance level of p < 0.05. Results: Of the total sample population, 21.8% of Polish adults declared they are daily smokers (in the general population this would translate to 6.8 million Poles, including 3.9 million men and 2.9 million women), 27.8% that they are ex-smokers and 50.4% that they never smoked tobacco. More men than women declared they are daily smokers (26.9% vs 18.1%) and ex-smokers (36.2% vs 21.5%), and women were more likely to declare they are never smokers than men (60.3% vs 36.9%). Conclusions: Poland has experienced a decrease in smoking prevalence since 1976 in men and since 1982 in women. In 2019 the most important factor shaping smoking prevalence in Poland was education. Sex differences in smoking rates have been converging since late 1970s. Those with lower levels of education, as well as middle-aged men and women (45-64 years old) were found to have the highest levels of daily smoking and should be offered targeted support promoting smoking cessation. There is an urgent need to bring back and strengthen a national tobacco control strategy in Poland. This should include systematic annual surveys of smoking behaviours on a representative sample of Polish population using a standardised methodology.","PeriodicalId":93580,"journal":{"name":"Journal of health inequalities","volume":"79 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76137008","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}
K. Janik-Koncewicz, M. Parascandola, Jacqueline Bachand, M. Zatoński, K. Przewoźniak, W. Zatoński
{"title":"E-cigarette use among Polish students: findings from the 2016 Poland Global Youth Tobacco Survey","authors":"K. Janik-Koncewicz, M. Parascandola, Jacqueline Bachand, M. Zatoński, K. Przewoźniak, W. Zatoński","doi":"10.5114/JHI.2020.103223","DOIUrl":"https://doi.org/10.5114/JHI.2020.103223","url":null,"abstract":"Use of e-cigarettes has increased dramatically in recent years around the world. The aim of this study is to provide comprehensive national estimates of e-cigarette and tobacco use among Polish youth. A national, representative school-based cross-sectional survey among students was conducted in 2016 in Poland within the Global Youth Tobacco Survey, using a standard self-administered questionnaire, sample design and data collection protocol. A total of 5,154 eligible students (51.6% boys and 48.4% girls) aged between 11-17 years completed the survey. Among them 26.9% (31.5% of boys and 21.8% of girls) were current (use at least once in the past 30 days) e-cigarette users and 20.5% (21% of boys and 19.9% of girls) were current cigarette smokers. Fourteen percent of students were dual users of conventional cigarettes and e-cigarettes. Both cigarette and e-cigarette use increased with age, rural residence, having more pocket money, and having parents or close friends who smoke. There was also a strong correlation between use of conventional cigarettes and e-cigarettes. Current e-cigarette use was 68.7% among current cigarette smokers, while current cigarette use was 54.8% among current e-cigarette users. Daily cigarette smoking among youth has decreased substantially in Poland from 24% in 1998 to 4.8% in 2016 in boys, and from 14.4% to 3.6% in girls. However, the rapid rise in e-cigarette use poses a potential danger of reversing the tobacco use trend. Continued monitoring is needed to track the use of e-ciga-rettes and their impact on conventional cigarette use among youth in Poland.","PeriodicalId":93580,"journal":{"name":"Journal of health inequalities","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77839982","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 the current drinking pattern in Poland. A study among people hospitalised at the Institute of Psychiatry and Neurology in Warsaw","authors":"A. Silczuk, W. Zatoński","doi":"10.5114/jhi.2020.95522","DOIUrl":"https://doi.org/10.5114/jhi.2020.95522","url":null,"abstract":"This paper presents an outline of a research project that will be carried out in 2020 in the Detoxification Ward and the Rehabilitation Therapy Ward of the Department of Prevention and Treatment of Addictions of the Institute of Psychiatry and Neurology in Warsaw, Poland. The cross-sectional study will describe the population of alcohol-dependent people and characterise the dominant drinking pattern in this population. In particular, the frequency of alcohol use and preferences in terms of volume of alcohol bottles will be assessed. An additional objective of the study will be to compare the population of people hospitalised for alcohol withdrawal syndromes with people hospitalised for rehabilitation therapy. The hypothesis will be interrogated that an increase in demand for small vodka bottles (SVBs) correlates with the change in the current pattern of alcohol drinking. So far the drinking pattern in Poland has been described as a pattern of heavy drinking – so-called binge drinking. With growing interests of consumers in SVBs there is a high probability of the appearance of a new pattern, constituting a model in which the patient drinks alcohol in small portions several times a day, maintaining a relatively stable blood alcohol concentration. In recent decades an increased alcohol consumption per capita per year in Poland and mortality rates due to alcohol use have been observed. Therefore, if confirmed by the study, this new emerging drinking pattern may become one of the main tasks and challenges for Public Health. Key WordS: alcohol, drinking pattern, alcohol-related diseases. addreSS for correSpoNdeNce: Dr Andrzej Silczuk, Institute of Psychiatry and Neurology in Warsaw, 9 Sobieskiego St., 02-957 Warsaw, Poland, e-mail: asilczuk@ipin.edu.pl DOI: https://doi.org/10.5114/jhi.2020.95522 IntroductIon For the past two decades we have been documenting the scale, health impact, and economic underpinnings of alcohol consumption in Poland. Our research has shown that alcohol is a leading contributor to Poland’s high levels of premature mortality, which remains among the highest in the European Union [1-12]. It is particularly concerning that no improvement has been observed in this period in terms of alcohol-related harm. On the contrary, since 2003 we have seen a rapid increase in alcohol consumption in Poland, from 6.5 to 10.2 litres of pure alcohol per capita of the adult population per year. At the same time, patterns of drinking have been changing. Beer has replaced vodka as the most consumed type of alcohol, although hard spirits still account for about one-third of all alcohol consumed. More recently, we have seen indications that the traditional dominant pattern of alcohol consumption – “binge drinking” (sessions of drinking large amounts of alcohol at one event) – has been increasingly replaced by the consumption of smaller portions of alcohol with shorter intervals between drinks, but throughout the whole day. We have described the accompa","PeriodicalId":93580,"journal":{"name":"Journal of health inequalities","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73146169","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":"Non-melanoma skin cancer as an occupational disease. What is the impact on the society and the welfare system?","authors":"C. Girvalaki, A. Cardone, P. Weinert, S. John","doi":"10.5114/JHI.2020.101599","DOIUrl":"https://doi.org/10.5114/JHI.2020.101599","url":null,"abstract":"The aim of this special article is to highlight the relevance of NMSC as an occupational disease as well as the regulatory gaps at European and Member State level, while at the same time promoting early screening and raising awareness. To support that, we conducted an extensive search (PubMed, Google Scholar) of the most recent scientific work related to NMSC and its epidemiology worldwide and in Europe, the causality of the disease, the economic burden of work-related UVR skin cancer, the role of screening and early detection and the regulatory gaps. Non-melanoma skin cancer (NMSC) refers to all the types of cancer of the skin that are not melanoma. In recent decades, the incidence of NMSC has continuously increased and will continue to do so in Europe and worldwide. NMSC is by far the most common cancer diagnosed in light-skinned people. The role of ultraviolet radiation (UVR) in carcinogenesis has been investigated by scientists and solar radiation has been classified by WHO/IARC as a Group 1 human carcinogen. Indeed, 90% of NMSC can be attributed to excessive exposure to UVR. Outdoor workers are exposed to an UVR dose of at least 2 to 3 times higher than indoor workers. NMSC has a significant impact in reducing patients’ quality of life as they potentially undergo repeated rounds of surgery or recurrence and, as a result, can suffer significant consequences for their appearance, self-esteem, and well-being. For these reasons, actions and measures are required at European level in order to promote early screening and detection of skin malignancies as well as to increase awareness and protection of outdoor workers.","PeriodicalId":93580,"journal":{"name":"Journal of health inequalities","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78829785","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}