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2017, vol. 4, br. 2, str. 521-527
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Uticaj sociodemografskih faktora na upotrebu antihipertenzivnih lekova kod odraslih u Republici Srbiji - studija preseka
The influence of sociodemographic factors on the use of antihypertensive drugs among adults in Serbia: Cross-sectional study
aDepartment of Biostatistics, Institute of Public Health Kragujevac, Kragujevac bUniverzitet u Kragujevcu, Fakultet medicinskih nauka, Katedra za socijalnu medicinu, uvod u medicinu i veštinu komunikacije sa pacijentom, Srbija + Univerzitet u Kragujevcu, Fakultet medicinskih nauka, Srbija cUniverzitet u Kragujevcu, Fakultet medicinskih nauka, Katedra za higijenu sa ekologijom, medicinu rada i fizičko vaspitanje, Srbija + Univerzitet u Kragujevcu, Fakultet medicinskih nauka, Srbija dUniverzitet u Kragujevcu, Fakultet medicinskih nauka, Srbija
e-adresa: sidartagothama@gmail.com
Sažetak
Uvod: Uprkos saznanju da imaju povišen krvni pritisak koji je lekovima moguće držati pod kontrolom, deo pacijenata ignoriše preporuke lekara i odbija lečenje. Cilj istraživanja bio je analiza uticaja socio-demografskih faktora na lečenje hipertenzije među odraslima u Srbiji. Predmet i metode: U istraživanju su korišćeni podaci Nacionalnog istraživanja zdravlja stanovništva Republike Srbije, sprovedenog 2013. godine. Uzorak su činili ispitanici koji su imali dijagnostikovan povišen krvni pritisak, njih 5073. Zavisna varijabla u istraživanju bila je binarna (leči/ne leči hipertenziju), a nezavisne su bile socio-demografske karakteristike ispitanika. Uticaj socio-demografskih prediktora na lečenje povišenog krvnog pritiska ispitivana je logističkom regresijom. Rezultati: Od ukupno 5073 dijagnostikovanih hipertoničara, 91,3% njih leči povičen pritisak. Univarijantna analiza pokazuje da žene, stariji, srednje bogati, oni koji prate zdravstvene teme putem televizije, ali ne i preko interneta, koji su bili na stacionarnom lečenju u perthodnih 12 meseci, ili koristili usluge dnevne bolnice značajno češće leče hipertenziju. Rezultati logističke regresije pokazuju da su značajni prediktori u lečenju hipertenzije: starost, pol, materijalno stanje i praćenje zdravstvenih tema putem televizije i interneta. Najsnažniji prediktor je materijalno stanje. Srednje bogati ispitanici gotovo tri puta češće leče hipertenziju u poređenju sa najbogatijima (OR=2.94, 95%CI=1.54-5.59). Statistički značajna razlika u lečenju nije zabeležena između najbogatijih i najsiromasnijih (p> 0.05). Muškarci 1.5 češće leče hipertenziju u poređenju sa ženama (OR=1.54, 95%CI=1.02-2.32). Ispitanici koji prate zdravstvene teme putem interneta 1.7 puta češće leče povišen krvni pritisak u poređenju sa ispitanicima koji iste ne prate (OR=1.72, 95%CI=1.07-2.76). Zaključak: Ispitivanje uticaja socio-demografskih karakteristika pacijenata na sve što značaju lečenja predstavlja važan korak u razvoju strategija lečenja obolelih.
Abstract
Background: Despite the knowledge that they have high blood pressure, which can be controlled with medicines, one portion of the patients still ignores doctor's advice. The aim of the research was to examine the impact of socio-demographic factors for treatment of hypertension among adults in Serbia. Subjects and methods: In the study, we used data from the National Health Survey of the Republic of Serbia in 2013. The sample consisted of respondents who had diagnosed hypertension, 5073 of them. The dependent variable in the study was binary (treatment, or no treatment of hypertension) and independent was socio-demographic characteristics of respondents. Logistic regression was used to determine sociodemographic predictors associated with blood pressure control. Results: From a total of 5073 diagnosed hypertensive patients, 91.3% of them cures high blood pressure. Women, older, medium rich patients, those who follow health topics on television and those who do not follow them on the Internet, who, in the past year, have been hospitalized or used the services of daily care significantly more often treat hypertension. The results of binary logistic regression in which the dependent variable is the treatment of high blood pressure, showed that a statistically significantly predictors are: age, gender, the wealth index and monitoring topics related to health through television and the Internet. In the treatment of hypertension, the strongest predictor was the index of well-being. Thus, people who are medium rich are almost three times more likely to treat high blood pressure compared to the richest (OR=2.94, 95%CI=1.54-5.59). A statistically significant difference in treatment is not recorded between the richest and the poorest (p> 0.05). Men are 1.5 times more likely to treat their tension as compared to women (OR=1.54, 95%CI=1.02-2.32). People following itopics related to the health via the internet are1.7 times more likely to treat hypertension in comparison to subjects who do not follow these topics via the Internet (OR=1.72, 95%CI=1.07-2.76). Conclusion: Analysis of the impact of sociodemographic characteristics on the awareness of patients about the importance of treatment of hypertension is an important step in defining the strategies for treatment of patients.
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