BACKGROUND: The effect of inequalities aggravated by economic recessions in the mortality rates of certain diseases has been previously described. In this study, we analyzed the relationship between socio-economic deprivation and cancer mortality. We focused on lung, colon, prostate, and breast cancers in nine European urban areas over three periods: two before (2000-2003 and 2004-2008) and one after (2009-2014) the onset of the 2008 financial crisis. METHODS: This is an ecological study of trends. The units of analysis were small areas within nine European urban areas. We used a composite deprivation index as a socio-economic indicator. As a mortality indicator, we used the smoothed standardized mortality ratio, calculated using the hierarchical Bayesian model proposed by Besag, York and Mollié. To analyze the evolution of socio-economic inequalities, we fitted an ecological regression model that included the socio-economic indicator, the period of time, and the interaction between these terms. RESULTS: In men, socio-economic inequalities in all-cancer and lung cancer mortality were observed in most of the cities studied, but did not increase after the onset of the economic crisis. In women, only two cities (Stockholm and London) showed socio-economic inequalities in all-cancer and lung cancer mortality; there was also no increase in inequalities. CONCLUSIONS: Our results did not validate our hypothesis that inequalities increase in times of crisis. However, they emphasize the importance of socio-economic measurements for understanding mortality inequalities, and can be used to inform prevention strategies and help plan local health programs aimed at reducing health inequalities.

• Klíčová slova
• Cancer, Economic recession, Europe, Socio-Economic inequalities,
• MeSH
• dospělí MeSH
• ekonomická recese MeSH
• lidé středního věku MeSH
• lidé MeSH
• mortalita trendy   MeSH
• nádory ekonomika   mortalita   MeSH
• socioekonomické faktory * MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• multicentrická studie MeSH
• práce podpořená grantem MeSH
• Geografické názvy
• Evropa MeSH

Since long, socio-economic status, often expressed as an index, is known to correlate with health outcomes like behavioural problems. We constructed a new index that encapsulated not only economic and social but also environmental stressors (ESES), using data of the German Health Interview and Examination Survey for Children and Adolescents, a nation-wide representative surveillance of 17,641 participants aged between 0-17 years. Different factors were selected to account for socio-economic stress (low parental education, low household income, low occupational status of the householder), domestic stress (living in large cities, exposure to tobacco smoke at home, crowded housing, mouldy walls), and prenatal stress (maternal smoking during pregnancy, drinking alcohol during pregnancy). Prior to the calculation of ESES, the different factors were multiplied by weights which were estimated by multivariate linear regression on a number of health outcomes. ESES was then used to predict emotional and social problems (SDQ scores). The resulting ORs were compared with those obtained for an established socio-economic index (SEI). ESES was superior to SEI as it could more clearly identify children and adolescents with emotional or social problems. Different types of stressors (i.e. socio-economic stress, domestic stress and prenatal stress) contributed independently to emotional and social problems.

• MeSH
• dítě MeSH
• emigranti a imigranti MeSH
• lidé MeSH
• mladiství MeSH
• odds ratio MeSH
• poruchy se sníženou pozorností a vyrušováním epidemiologie   MeSH
• poruchy sociálního chování epidemiologie   MeSH
• předškolní dítě MeSH
• prevalence MeSH
• psychický stres epidemiologie   MeSH
• rodina psychologie   MeSH
• společenská třída * MeSH
• těhotenství MeSH
• zdravotnické přehledy MeSH
• zpožděný efekt prenatální expozice psychologie   MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• předškolní dítě MeSH
• těhotenství MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Geografické názvy
• Německo epidemiologie   MeSH

Although cardiovascular disease mortality rates seem to decline, especially among middle-aged people in developed countries, the prevalence of acute coronary syndrome (ACS) increases, representing the most common cause of morbidity in both developed and developing countries and generating large economic burden. It is estimated that one fifth of the ACS patients die suddenly and half of them belong to a fast growing popula- tion age-group, i.e., those between 70 and .80 years. A substantial number of these deaths has been attributed to various lifestyles, modifiable factors; therefore, it can be prevented. However, factors such as dietary habits and behaviours, physical activity, life stress and smoking habits, although thoroughly discussed, are not well understood and appreciated in the spectrum of secondary ACS prevention. The latter deserves further attention under the prism of socio-economic status that has changed dramatically in the last years in some populations. The aim of this review was to discuss the role of lifestyle factors on secondary ACS prevention under the prism of individual's socio-economic status. Based on the retrieved information it was revealed that there is vast evidence that secondary prevention of cardiovascular events cannot be accomplished simply through medical treatment, but it requires a multifaceted approach incorporating lifestyle modifications, too. Therefore, public health policy endeavours should be directed towards multifocal strategies, i.e., to motivate and support cardiac patients to consistently follow treatment regimens and to establish more effective and efficient community lifestyle interventions.

• MeSH
• akutní koronární syndrom prevence a kontrola   MeSH
• celosvětové zdraví MeSH
• cvičení MeSH
• dieta MeSH
• kouření MeSH
• lidé MeSH
• pití alkoholu MeSH
• rizikové faktory MeSH
• sekundární prevence metody   MeSH
• sociální determinanty zdraví * MeSH
• socioekonomické faktory MeSH
• zdravé chování MeSH
• životní styl * MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• přehledy MeSH

Most studies that address the relationship between socio-economic characteristics and soil erosion focus on the effects of soil erosion on socio-economic conditions at different levels, from global to smallholder. Few, if any, efforts are made to address the influence of socio-economic variables on the soil erosion rate as an indicator of landscape degradation. The present study was carried out using spatial data from 402 catchments that cover Poland, to find out how socio-economic variables, which include area-weighted average income per capita (PLN km-2), area-weighted average gross domestic product (PLN km-2), population density (person km-2), and human development index can drive the soil erosion rate (kg ha-1 yr-1), along with annual precipitation, soil and geomorphological variables that include soil organic carbon content, soil water content, clay ratio, stream gradient, and terrain slope. The results showed that the soil erosion rate is indirectly driven by the socio-economic variables in the study catchments, as it is alleviated by increasing population density, the area-weighted average gross domestic product, and the human development index. Furthermore, analyzing the incremental relationship between soil erosion rate and the area-weighted average of socio-economic variables revealed that no uniform change can be observed in the relationship between the area-weighted average socio-economic variables and soil erosion in the study catchments.

• Klíčová slova
• HDI, area-weighted average GDP, area-weighted average income per capita, ecosystem services, landscape, soil erosion regulation,
• MeSH
• eroze půdy MeSH
• lidé MeSH
• monitorování životního prostředí MeSH
• půda * MeSH
• socioekonomické faktory MeSH
• uhlík * analýza   MeSH
• zachování přírodních zdrojů MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Polsko MeSH
• Názvy látek
• půda * MeSH
• uhlík * MeSH

The pattern of socio-economic liability that has emerged due to human onchocerciasis in Africa has been particularly damaging. Due to debilitation and blindness, the sufferer is unable to maintain for long any type of productive activity. As a cause of permanent disability through blindness or serious visual impairment, it withdraws the affected individuals' potential supply of labour years of activity requiring vision. The desertation of many river valleys in the savannah zone that are agriculturally fertile have been attributed mainly to the effects of this disease. This has by definition, meant that emigrants impose demands upon other territories that are often agriculturally less fertile consequently resulting to constant population maladjustment. As a cause of death, infection removes individual's supply of labour years in the future. The social life obtainable in these areas is better imagined than seen. It is a common trend seeing chains of blind adults being led to markets or within cities by children with good vision-constituting destitutes. The distressing skin features give patients prematurely aged appearance and together with dreadful malformation due to sclerosing lymphadenitid, infected individuals show shyness towards free social interactions; even sexual life is greatly affected if not completely hindered. The present economic benefit analysis of control projects, limitations and needs for future studies are disoussed.

• MeSH
• lidé MeSH
• onchocerkóza oční komplikace   ekonomika   epidemiologie   terapie   MeSH
• slepota ekonomika   etiologie   MeSH
• sociální přizpůsobení MeSH
• socioekonomické faktory * MeSH
• zaměstnanost MeSH
• životní styl MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Afrika epidemiologie   MeSH

Fundamental movement skills (FMS), physical fitness (PF) and body fat percentage (BF%) are significantly related to socio-economic status (SES). However, it remains unclear why previous studies have had different findings regarding the direction of the association between SES and FMS, PF and BF%. A suggested explanation is that the direction of the link can be influenced by cultural experiences and traditions. Therefore, the aim of the current study was to investigate links between SES and FMS, PF, BF% of Grade One learners from two different ethno-geographic areas in Cape Town, South Africa. Grade One children (n = 191) (n = 106 boys and n = 85 girls; age (6.7 ± 0.33)) from different socio-economic areas in Cape Town, South Africa, were selected to participate in the study. South African schools are classified into five different quintiles (1 = poorest and 5 = least poor public schools). For this study, two schools were selected, one from quintile 2 and the other from quintile 5. BF% was assessed according to Slaughter's equation. FMS were measured using the Gross Motor Development Test-2 (TGMD-2) and PF via five tests: 1. dynamic strength of lower limb (broad jump); 2. dynamic strength of upper limb and trunk (throwing a tennis ball); 3. speed agility (4 × 10 m shuttle running); 4. cardiorespiratory fitness (20 m shuttle run endurance test (Leger test)) and 5. flexibility (sit and reach test). An analysis of covariance (ANCOVA) found that BF% and WHtR were significantly greater in children with higher SES (Z = 6.04 p < 0.001; Hedg = 0.54), (Z = 3.89 p < 0.001; Hedg = 0.32). Children with lower SES achieved significantly better TGMD-2 standard scores in the locomotor subtest, compared to their peers with higher SES. In the object control subtest, no significant SES-related difference was found. However, ANCOVA showed that girls performed better in FMS than boys. In PF, the main effect of SES was observed in dynamic strength of trunk and upper limb (throwing) and flexibility, where children with lower SES performed significantly better. No significant difference was found in cardiorespiratory performance (CRP) (Beep test), even though children with lower SES achieved better results. Results from the current study suggest that links between SES, PF, FMS and body fat percentage in children seem to be dependent on cultural and traditional experiences. These experiences should therefore be included as an important factor for the development of programmes and interventions to enhance children's lifelong motor behaviour and health strategies.

• Klíčová slova
• adiposity, children, cultural experiences, fundamental movement skills, physical fitness, socio-economic status,
• MeSH
• dítě MeSH
• ekonomický status * MeSH
• lidé MeSH
• motorické dovednosti MeSH
• společenská třída MeSH
• tělesná výkonnost * MeSH
• tuková tkáň MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Geografické názvy
• Jihoafrická republika MeSH

The objective of the study was to examine the effects of perceived stress on depression and subsequently to examine the effects of depression on alcohol use disorders. The data were obtained by an electronic questionnaire survey during the coronavirus disease 2019 (COVID-19) pandemic (n = 1523 Slovak university students). Descriptive, regression, and correlation analysis were used in the analytical processing, while the analyses included students' scores in three diagnostic tools (Perceived Stress Scale (PSS), Patient Health Questionnaire for depression (PHQ 9), and Alcohol Use Disorders Identification Test (AUDIT)), as well as gender and income characteristics. The PSS identified an increased level of perceived stress in female students, while in contrast, the AUDIT showed an increased level of alcohol use disorders in male students. Differences in mental and behavioural disorders between the gender and income categories were significant in most of the analysed cases. In terms of gender-income characteristics, it was possible to confirm a significant positive effect of the PSS score on the PHQ 9 score, as well as a significant positive effect of the PHQ 9 score on the AUDIT score. As a result, efforts to reduce stress will be reflected in a reduction of depressive disorders as well as a reduction of excessive alcohol consumption among students.

• Klíčová slova
• COVID-19 coronavirus pandemic, Slovak students, alcohol dependence, behavioural disorders, depression, gender and income differences, isolation, mental health, socio-economic effects, stress,
• MeSH
• alkoholismus * epidemiologie   MeSH
• COVID-19 psychologie   MeSH
• deprese * epidemiologie   MeSH
• lidé MeSH
• pandemie MeSH
• průřezové studie MeSH
• psychický stres epidemiologie   MeSH
• socioekonomické faktory MeSH
• studenti MeSH
• univerzity MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Geografické názvy
• Slovenská republika MeSH

The paper presents the results of a risk assessment analysis of cancer morbidity in Opole province before and after a political transformation in Poland, i.e. in the 1985-1989 quinquennium and the following two equivalent periods of: 1990-1994 and 1995-1999. Measures of morbidity are given and its growth in males and females are compared with the ageing effect as well as with unemployment. In the paper a general conclusion has been drawn suggesting that the socio-economic transformation begun after 1989 and the resulting stress could have been the one of the possible background effects influencing the health status in the region. It must be accentuated, however, that the relation has not been a subject of statistical proving due to a methodological impossibility; a divagated question is offered for scientific concern and open discussion.

• MeSH
• časoprostorové shlukování MeSH
• charakteristiky bydlení MeSH
• hodnocení rizik MeSH
• lidé MeSH
• lineární modely MeSH
• morbidita trendy   MeSH
• nádory epidemiologie   etiologie   MeSH
• nezaměstnanost MeSH
• psychický stres komplikace   MeSH
• rizikové faktory MeSH
• rozložení podle pohlaví MeSH
• sociální změna * MeSH
• věkové faktory MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Polsko epidemiologie   MeSH

INTRODUCTION: Rheumatic heart disease (RHD) poses a substantial global health challenge, especially impacting resource-limited nations, with over 40.5 million cases reported in 2019. The crucial role of Benzathine penicillin G in both primary and secondary prevention, particularly the latter, emphasizes its significance. METHOD: Following PRISMA guidelines, our systematic review explored Medline, Scopus, Google Scholar, and Embase databases from 1990 to 2022. Registered with PROSPERO ), the review utilized quality appraisal tools, including the PRISMA checklist, Cochrane bias tool and Newcastle-Ottawa scale. The objective was to identify and stratify the impact of socio-economic factors on adherence to secondary prophylaxis in RHD. RESULTS AND DISCUSSION: The impact of education on adherence has been found to be significant. Socially disadvantaged environments significantly influenced adherence, shaped by education, socio-economic status, and geographical location and access to healthcare. Surprisingly, lower education levels were associated with better adherence in certain cases. Factors contributing to decreased adherence included forgetfulness, injection-related fears, and healthcare provider-related issues. Conversely, higher adherence correlated with younger age, latent disease onset, increased healthcare resources, and easy access. CONCLUSION: Patient education and awareness were crucial for improving adherence. Structured frameworks, community initiatives, and outreach healthcare programs were identified as essential in overcoming barriers to secondary prophylaxis. Taking active steps to address obstacles like long-distance commute, waiting time, injection fears, and financial issues has the potential to greatly improve adherence. This, in turn, can lead to a more effective prevention of complications associated with RHD.

• Klíčová slova
• RHD, rheumatic heart disease, secondary prophylaxis,
• Publikační typ
• časopisecké články MeSH
• přehledy MeSH

OBJECTIVE: Research into social inequalities in depression has studied western populations but data from non-western countries are sparse. In this paper, we investigate the extent of social inequalities in depression in Eastern Europe, the relative importance of social position at different points of the life-course, and whether social patterning of depression differs between men and women. METHOD: A cross-sectional study examined 12,053 men and 13,582 women in Russia, Poland and the Czech Republic. Depressive symptoms (16 or above on the CESD-20) were examined in relation to socio-economic circumstances at three phases of the life-course: childhood (household amenities and father's education); own education; current circumstances (financial difficulties and possession of household items). RESULTS: Pronounced social differences in depression exist in men and women throughout Eastern Europe. Depression was largely influenced by current circumstances rather than by early life or education, with effects stronger in Poland and Russia. Odds ratios in men for current disadvantage were 3.16 [95% CI: 2.57-3.89], 3.16 [2.74-3.64] and 2.17 [1.80-2.63] in Russia, Poland and the Czech Republic respectively. Social variables did not explain the female excess in depression, which varied from 2.91 [2.58-3.27] in Russia to 1.90 [1.74-2.08] in Poland. Men were more affected by adult disadvantage than women, leading to narrower sex differentials in the presence of disadvantage. LIMITATIONS: Cross-sectional data with recall of childhood conditions were used. CONCLUSION: Current social circumstances are the strongest influence on increased depressive symptoms in countries which have recently experienced social changes.

• MeSH
• demografie MeSH
• deprese diagnóza   etnologie   psychologie   MeSH
• lidé MeSH
• prevalence MeSH
• progrese nemoci MeSH
• průřezové studie MeSH
• průzkumy a dotazníky MeSH
• rozložení podle pohlaví MeSH
• socioekonomické faktory MeSH
• stupeň vzdělání MeSH
• životní změny * MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Research Support, N.I.H., Extramural MeSH
• Geografické názvy
• Česká republika epidemiologie   MeSH
• Polsko epidemiologie   MeSH
• Rusko epidemiologie   MeSH