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NATIONAL AND INTERNATIONAL ASPECTS OF TOBACCO CONTROL Szeged, 2011. június 18

NATIONAL AND INTERNATIONAL ASPECTS OF TOBACCO CONTROL Szeged, 2011. június 18 Population dynamism related to socio-economic factors in Szabolcs-Szatmár-Bereg County in 2009. Kristie L. Foley, PhD Associate Director Medical Humanities Program Davidson College North Carolina, USA.

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NATIONAL AND INTERNATIONAL ASPECTS OF TOBACCO CONTROL Szeged, 2011. június 18

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  1. NATIONAL AND INTERNATIONAL ASPECTS OF TOBACCO CONTROLSzeged, 2011. június 18 Population dynamism related to socio-economic factors in Szabolcs-Szatmár-Bereg County in 2009 Kristie L. Foley, PhD Associate Director Medical Humanities ProgramDavidson College North Carolina, USA Ildiko RakocziUniversity of DebrecenFaculty of HealthNyiregyházaDr. PeterBalazs Semmelweis University AndreaGrenczerSemmelweis University Budapest

  2. Szabolcs-Szatmár-Bereg County Szabolcs-Szatmar-Bereg county is situated in the north-eastern corner of Hungary, bordered with three countries: Romenia, Ukraine and Slovakia Its area is 5938 km2 Its population is:571 018 (2008) Roma population: 25 612 (2001) Number of settlements: 229: Number of county-boroughs: 1 Other towns:26 Nyíregyháza

  3. PTB and LBW in Hungary 2009 Szabolcs-Szatmar-Bereg county: N. of live births = 5944 (5807 according to health visitors’ reports)N. of PTB/LBW = 652 PTB 9.8% LBW 8.6% One of the least developedregions in Hungary with a considerable ethnic Roma population living at lower socio-economic level than the non-Roma population

  4. Our hypotheses • Tobacco smoking and alcohol drinking start at a very early age, sometimes before the age of 10 • Tobbaco smoking is a considerable factor in the growing number of PTB and LWB • Socio-economic level of families affects also negatively the pregnancy outcome • According to the day-to-day experinece, there are significant differences between the Roma and non-Roma populations

  5. Material and Method • Data collection about all live births in 2009 • Collaboration of the Maternity and Child Health Service (MCHS) in data collection • Primary information was gathered from theregistry of MCHS visitors • In-person survey by interviewer-administered questionnaires • Number of questionnaires: 5806 • Response-rate 75% (n=4355)

  6. Material and Method • In February 2010, MCHS visitors learned the objectives and methods of the project on meetings in the 12 districts. They were also informed about the results of the prior survey (moters of PTW / LBW babies born in 2008. • Problems were discussed concerning the 2008 data collection. • Visitors informed us about difficulties of data collection stressing the problem of refusing collaboration. • Visitors emphasized their interest in the survey, as they expect results that may help their day-to-day activity.

  7. Ethnic distribution of mothers (self-determined) N:4355

  8. Ethnic distribution of mothers (based on the interviewer’s answers) N:4355

  9. Time of child births in weeks, N=4355 fő PTB-frequency = 8.2% hét

  10. Starting age of pregnant mothers’ smoking fő életkor

  11. Mothers’ ethnicity related smoking habits

  12. Ethnicity related PTB frequency

  13. Ethnicity related LBW frequency

  14. Conclusions • Unfortunately, there are significant differences between the Roma and non-Roma populations. • Considering that health culture is an organic part of the whole life-style, strategies that ensure healthy life-style choices must be well-integrated in family based interventions and in schools. • Targeted programs for the young population would increase the likelihood of young girls having sufficient knowledge and social support to make decisions that positively affect their own health and that of their babies.

  15. Thank you for your attention!

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