Birth statistics related to the socio- economic situation in Borsod-Abaúj- Zemplén County in Hungary in 2009 Andrea Grenczer, Péter Balázs MD, PhD., Ildikó.

Slides:



Advertisements
Similar presentations
1 Examples of Fixed-Effect Models. 2 Almond et al. Babies born w/ low birth weight(< 2500 grams) are more prone to –Die early in life –Have health problems.
Advertisements

A comparison of the characteristics of childless women and mothers in the ONS Longitudinal Study Simon Whitworth Martina Portanti Office for National Statistics.
Prenatal Care ..
Case-Control Studies (Retrospective Studies). What is a cohort?
Risk of Low Birth Weight Associated with Family Poverty in Korea Bong Joo Lee Se Hee Lim Department of Social Welfare, Seoul National University. A Paper.
DECISION SUPPORT RESEARCH TEAM “Providing expertise to improve health & wellbeing of families” Retention in a Study of Prenatal Care: Implications of attrition.
FAMILY MEDICINE PRACTICE EXPERIENCES FROM TURKEY Dokuz Eylül University Medicine Faculty Family Medicine Department December 2014, Zagreb.
2005 NORTH DAKOTA Pregnancy Nutrition Surveillance System.
2006 NORTH CAROLINA Pregnancy Nutrition Surveillance System.
Problems in Birth Registration What is the National Standard? Why is the data so important? Joanne M. Wesley Office of the State Registrar.
Challenges of Adolescence
Are exposures associated with disease?
® Introduction Mental Health Predictors of Pain and Function in Patients with Chronic Low Back Pain Olivia D. Lara, K. Ashok Kumar MD FRCS Sandra Burge,
SITUATION ANALYSIS AND IDENTIFICATION OF NEEDS IN THE AREA OF FAMILY POLICY IN SLOVENIA Ružica Boškić Child Observatory Social protection Institute of.
Smoking during Pregnancy in the Kalkaska county Kate Galloup Misty Donley Audrey Munn.
Presenting Statistical Aspects of Your Research Analysis of Factors Associated with Pre-term Births in North Carolina.
2008 NORTH DAKOTA Pregnancy Nutrition Surveillance System.
2010 WISCONSIN Pregnancy Nutrition Surveillance System.
Population Health and Policy review for Republic of Kazakhstan Madina Takenova Kazakhstan School of Public Health Kazakhstan APACPH conference Early career.
Community Health Assessment Report Benton & Franklin Counties 1996 Summary.
Perinatal Care in the Community Elizabeth “Betty” Jordan DNSc, RNC Assistant Professor Johns Hopkins School of Nursing Perinatal Care in the Community.
EDCO 215, Fall 2011 Getting Former Foster Youth into College: A Group Presentation by.
Early Childhood Adversity
AUSTRALIAN INDIGENOUS HEALTH. Indigenous population  At 30 June 2011, the estimated Australian Indigenous population was 669,736.  In 2011, NSW had.
SECTION B: SOCIAL ISSUES IN THE UK Study Theme 2: Wealth and Health in the UK 5.
Background Introduction Student: Kristoffer Seem  Mathematics  University of Wisconsin-Eau Claire Faculty mentor: Dr. Aziz Student: Kristoffer Seem 
Epidemiology of smoking and quitting in Hungary Edit Paulik, László Nagymajtényi Department of Public Health, Faculty of Medicine, University of Szeged.
Healthy Women, Healthy Babies Jeffrey Levi, PhD Executive Director Trust for America’s Health.
1 NATIONAL AND INTERNATIONAL ASPECTS OF TOBACCO CONTROL Szeged, június 18. Priority aspects of the program: Increasing Capacity of Tobacco Reasearch.
East Boston Nicole Sforza, Kelly Royce, Katherine Rosa, Karen Liaw, and Richard Kintu.
2012 State of the Science Congress on Nursing Research Jeanne Alhusen 1, Deborah Gross 1, Matthew Hayat 2, and Phyllis Sharps 1 1 Johns Hopkins University.
Health of vulnerable children and young people in Nottinghamshire Dr Kate Allen Public Health Consultant Sally Handley Senior Public Health Manager Nottinghamshire.
Prospective Cohort Study of Thai Children SECONDHAND SMOKING IN PREGNANT WOMEN AND TIME OF THE FIRST TOOTH ERUPTION DIEN HOA ANH VU PhD Student – Faculty.
Perinatal Health: From a women’s health lifespan perspective Diana Cheng, M.D. Medical Director, Women’s Health Center for Maternal and Child Health 1.
INFANT BIRTH OUTCOMES AMONG SUBSTANCE USING WOMEN: WHY QUITTING SMOKING IS JUST AS IMPORTANT AS QUITTING HARDER DRUGS Beth Bailey, PhD; Judy McCook, PhD,
Heartland Health 2020 Population Health Unnatural Causes Vignette.
Introduction More than 2 out of 3 adults and one third of children between 6 – 19 years of age are obese or overweight (1,2). Obese individuals accrued.
1 NATIONAL AND INTERNATIONAL ASPECTS OF TOBACCO CONTROL Szeged, június 18 Population dynamism related to socio-economic factors in Szabolcs-Szatmár-Bereg.
Intimate Partner Violence During Pregnancy: Arguing As a Risk Factor in a Population-Based Survey Kenneth D. Rosenberg, MD, MPH (a,b), Katherine D. Woods,
Smoking and Pregnancy By: Tarina C.. Introduction  In this presentation, I would like to show you the outcomes and consequences many people suffer with.
State of the Child: Madison County Developed and Presented by Cecilia Freer, MPA Freer Consulting April 25, Freer Consulting.
Prospective Cohort Study of Thai Children SECONDHAND SMOKING IN PREGNANT WOMEN AND TIME OF THE FIRST TOOTH ERUPTION DIEN HOA ANH VU PhD Student – Faculty.
Using Fragile Families Data to Study Health. Baseline Health Measures Mother: prenatal health behaviors (smoking drinking, drug use); prenatal care use.
Human Population Size. Questions for Today: What are the Major Factors that affect Human Population Size? How are fertility rates analyzed? What are the.
Changes in smoking habits among years old adolescents 1 Semmelweis University, Faculty of Medicine, Institute of Public Health 2 Eötvös Lóránd University,
2010 NORTH CAROLINA Pregnancy Nutrition Surveillance System.
The Course of Demographic Revolutions in Europe Kateřina IVANOVÁ Department of Social Medicine and Health Care Management.
Incorporating Preconception Health into MCH Services
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics Occupational exposure to.
Do Roma have a comparable or worse health status than non-Roma? Assoc. Prof. JP van Dijk MD PhD Department of Community & Occupational Health University.
Prevalence of Depression and its Risk Factors in Antenatal Women consulting at the Outpatient Department of the UERMMMCI Aclan Agbanlog Agoncillo, K Agoncillo,
WHY should we be concerned about smoking during pregnancy? 27% of women are smokers during their childbearing years. In the National Health Interview Survey.
Monday, June 23, 2008Slide 1 KSU Females prospective on Maternity Services in PHC Maternity Services in Primary Health Care Centers : The Females Perception.
Factors associated with maternal smoking during early pregnancy: relationship to low-birth-weight infants and maternal attitude toward their pregnancy.
FROM RESEARCH TO POLICY ON INEQUALITIES IN HEALTH Michael Marmot International Centre for Health and Society University College London LONDON PUBLIC HEALTH.
Society for Prevention Research 21st Annual Meeting (May 28-31, 2013) in San Francisco, CA A. Fogarasi-Grenczer 1, I. Rákóczi 2, K. L. Foley PhD. 3, P.
Secondhand smoke (SHS) is environmental tobacco smoke (ETS) that is inhaled involuntarily and passively. SHS is a combination of “sidestream” smoke, which.
Allegheny County Maternal and Child Heath Indicators Report 2014 Michael Balke Faculty Advisor: Dr. Christina Wassel, PhD, MPH, FAHA Site Preceptor: Dr.
Timalsina U, Sharma S, Giri S, Basyal B, Bhandari S, Neupane M
2014 Unit 4 SAC Revision GlobalHealth.
Family and household structure Part 2
Homelessness – the Roma – Child Poverty
Society for Prevention Research 21st Annual Meeting, The Science of Prevention: Building a Comprehensive National Strategy for Well-being, May 28 – May.
THE IMPACT OF SOCIAL FACTORS ON TOBACCO SMOKING DURING PREGNANCY
NORTH CAROLINA 2008 Pregnancy Nutrition Surveillance System.
Welcome West Virginia Perinatal Partnership
Lower Hudson Valley Community Health Dashboard: Maternal and Infant Health in Westchester, Rockland, and Orange counties Last Updated: 3/20/2019.
Presentation transcript:

Birth statistics related to the socio- economic situation in Borsod-Abaúj- Zemplén County in Hungary in 2009 Andrea Grenczer, Péter Balázs MD, PhD., Ildikó Rákóczi Semmelweis University, Faculty of Health Sciences, Inst. of Public Health, Dept. of Family Care and Methodology Semmelweis University, Faculty of General Medicine, Institute of Public Health University of Debrecen, Health Care Faculty, Inst. of Health Sciences, Dept. of Family Care Methodology and Public Health NATIONAL AND INTERNATIONAL ASPECTS OF TOBACCO CONTROL Szeged, június 18.

Public Health Significance of our research Prevalence of tobacco smoking is rising among teenager girls and young females in Hungary Smoking females belong to the most endangered population during their pregnancy Proportion of smoking females is about 40%, expectant mothers are smoking nearly in 30% Decreasing trend of fertility is observed and tobacco smoking does influence fertility Smoking during pregnancy has a negative impact on the health status of mother and fetus alike

The present outcomes of our study: Results of our prior studies (Counties Vas and Szabolcs-Szatmár-Bereg : research in families with preterm and IUGR babies, n=460) proved that there is a strong relationship with smoking during pregnancy and numerous further socioeconomic farctors. Smoking expectant mothers and families are living in the lower clasess and their majority have some kind of social disadvantages. In order to see more exactly the effects of social circumstances and the tobacco smoking, we extended the research to all live births cases registered in BAZ County in 2009.

Significant features of BAZ County (Hungarian Central Statisctical Office 2009) Socio-economic indices: - low level of employment - nationwide higher unimployment - great proportion of Roma population - nationwide higher proportion of people on social support system - highest proportion of criminal cases Health care indices: - great proportion of drug addicted persons - lowest life expectancy at birth - highest infant mortality (national average: 5,1‰, BAZ-County: 9 ‰ ) - great proportion of preterm birth (PTB) and low birth weigth (LBW) babies (national average: 8,7 % BAZ-County: 10,5 %) Low economic activity

The aim of this research: Identify factors of socioeconomic environment and life-style and determine the current health status of tobacco smoking expectant mothers in BAZ County. This way, we can pinpoint the most endangered populations, quantify the real extent of health consequences, further we can determine the number of experts and the means needed to prevent or decrease frequency of tobacco smoking. Topics of research: Identification of exposed populations (in socio-cultural-economic terms) Impact of smoking during pregnancy on specific lifestyle factors (nutrituion, drug addiction, physical activity) Impact of smoking during pregnancy on the expectant mother’s health status (entire obstetrical history with complaints, symptoms, conditions such as previous PTB and birth of IUGR babies) Impact of smoking during pregnancy on the newborns’ status (adaptivity, physical measures, chronic conditions) ETS exposition, stress situations Who is smoking during the pregnancy?

Methods: We concerned all live birth cases in 2009, inquiring the mothers using structured interviews in BAZ Couunty. Sample size N=4685, which is 67% of the total population (N=6927) concerned. Double source of information about expectant mothers: The 1st set of questions was answered by members of the Mother and Child Health Service besed on objective medical documents (events of family visits and consultations, obsterical ward documentation, laboratory and other parameters). The 2nd set of questions answered the mothers of newborn babies by methods of structured interviews (socioeconomic status, general and obstetrical history, health status, lifestyle factors, detailed questions about tobacco smoking and EPDS questions about depression. Statistical evaluation by SPSS version 15 IBR by Semmelweis University. The whole research was made possible by Grant Number 1 R01 TW from the Fogarty International Center, the National Cancer Institute, and the National Institutes on Drug Abuse, within the National Institutes of Health (NIH). Its contents are solely the responsibility of the authors and do not necessarily represent the official view of the NIH

Some outcomes presented: 1. figure: Smoking before pregnancy in the BAZ County sample in 2009.

2. figure: Frequency of smoking during pregnancy (N=4612) in BAZ County in smoked Non smoked

1. table: Significance of socio-economic factors (education, family status) of expectant mothers. VariablesNever smoked (n=2012) Regular Smokers (n=1074) Education: Less than 8 classes or basic school 46 %91 % Gymnasium28,5 %8,2 % Higher education (college or university) 25,5 %0,8 % Family status: married59,4 %26,6 % Registered partnership36,8 %66,1 % Divorced1,5 %2,6 % Single mother2,2 %4,7 %

2. table: Specific socio-economic factors (employment, self-determined ethnicity, income per capita) VariablesNever smoked (n=2012) Regular Smokers (1074 fő) Employment: Employed before the pregnancy 49,5 %14,2 % Unimployed before the pregnancy 18 %33,7 % On maternity leave before pregnancy 23,9 %40,4 % Performing heavy physical activity 4,4 %11,3 % Self-determined ethnicity Non-Roma/Roma 75,3 % / 24,4 % Non-Roma/Roma 37,9 % / 61,5 % Per capita family income less than HUF 35,8 %79,5 %

Dwelling: 51% of the sample in towns, 49% in villages and farm houses 3. table: Dwelling of Smokers and Non-Smokers VariablesNon-Smokers (n=2022 fő) Regular Smokers (n=1080 fő) Inner city area41 %23,8 % House owner61 %40,8 % Living with parents30,4 %40,2 % Sublet4,8 %13,2 % „ideal” dwelling (not owercrowded, dry with amenities) 64,3 %19,6 % 6 or more persons living together in a house/flat 24 %51,7 %

4. table: ETS in both populations 5. table: Obstetrical hystory VariablesNever smoked (n=2022)Regular Smokers (n=1080) Husband/Partner is smoking29.1 %76.7 % Exposed in confined areasOften: 14.5 % Seldom: 23.3 % Often: 62.8 % Seldom: 22.9 % Never smoked (n=2022)Regular Smoker (n=1080) Unexpected pregnancy27.3 %62 % Period of becoming pregnant9.7 moths11.9 months Average of pregnancy weeks38.85 weeks38.24 weeks Babies’ Body Weight gr gr ( gr)

Conclusions Smoking during pregnancy is a problem rahter in the lower social classes thus related to the social structure of the society. The risk of becoming regular smoker is cleraly greater if the parents are of lower education, people are living in partnership or singles, in there is unimployment in he family or the per capita income is very low. Among Roma the frequency is twice greater than in the non-Roma population. Smoking expectant mothers and their family members light a cigarette often in confined spaces (within the house) presenting examples for the next generation thus making acceptable or even social norm the tobacco smoking. Expectant mothers are not only endangered by their own smoking, they are exposed very frequently also to ETS (Percentage of ETS exposition among non-smokers is only 37%, while 85% of regular smoker expectant mothers are exposed to addtional intoxication by ETS. Probably they are not avoiding smoking people, because they do not realize the danger being smokers themselves). Smoking mothers are less conscious in becoming pregnant proven by the high percentage of unexpected pregnancies. Tobacco smoking impacts fertility and the body weigt of the baby to be born.

Thank you for attention