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KORIŠTENJE PREVENTIVNE ZDRAVSTVENE ZAŠTITE ODRASLOG STANOVNIŠTVA U REPUBLICI SRPSKOJ /
UTILIZATION OF PREVENTIVE HEALTH CARE SERVICES AMONG ADULTS IN REPUBLIC OF SRPSKA

Authors

 

BSlađana Šiljak1, Jelena Niškanović1, Dragana Stojisavljević1

1Institut za javno zdravstvo Republike Srpske, Republika Srpska, Bosna i Hercegovina

 

UDK: 614.2(497.6)"2010" 316.61(497.6)"2010"
616-036.886-084:796


The paper was received 11.01.2018. Accepted: 18.02.2018

Rad primljen 11.01.2018. Rad prihvaćen: 18.02.2018.

 


Corresponding author/ Autor za korespodenciju:


Doc dr sc med. Slađana Šiljak
Jovana Dučića 1, 78 000 Banja Luka
+387 65 856 617
e-mail: sladjanaps@gmail.com



Izvor finansiranja: Ministarstvo zdravlja i socijalne zaštite Republike Srpske uz finansijsku i profesionalnu podršku Svjetske Banke.

 

 

Sažetak

 

Uvod. Nejednakosti u korištenju preventivnih usluga su prisutne u evropskim zemljama.
Cilj rada. Ispitati razlike u korištenju usluga preventivne zdravstvene zaštite u odnosu na demografske, socijalno-ekonomske i karakteristike životnog stila odraslog stanovništva Republike Srpske, Bosna i Hercegovina.
Metode rada. Studija je izvedena po tipu studije presjeka na nacionalnom nivou. Od 4 673 odrasle osobe, 4 128 je anketirano (1 906 muškaraca i 2 222 žena). Bivarijantna logistička regresiona analiza je korištena za procjenu uticaja različitih varijabli na korištenje preventivnih usluga zdravstvene zaštite u RS.
Rezultati. U poređenju sa muškarcima, žene su češće koristile preventivne usluge [UO=5.06; 95% interval povjerenja (95% IP) = 3.48–7.37]. Osobe u gradskom području koriste češće preventivne usluge (UO=1,75; 95% IP = 1.26–2.44), a osobe koje žive same to čine rjeđe (UO=0,40; 95% IP = 0.29–0.54). Ljudi sa srednjim obrazovanjem i siromašni koriste značajno rjeđe preventivne usluge u odnosu na osobe višeg obrazovanog nivoa i bogate. Dvostruko rjeđe preventivne usluge koriste pušači, osobe koje konzumiraju alkohol, osobe čija je fizička aktivnost i procjena zdravlja dobra a dvostruko češće osobe sa prekomjernom tjelesnom masom i zaposleni. Preventivne usluge u odnosu na zdravu populaciju češće koriste osobe oboljele od masovnih nezaraznih oboljenja.
Zaključak. Prisustvo značajnih demografskih i socijalno-ekonomskih nejednakosti, kao i nejednakosti u životnom stilu i zdravstvenom stanju osoba koje koriste preventivne usluge u Republici Srpskoj impliciraju na aktivno provođenje preventivnog Programa u svim zdravstvenim ustanovama RS.

 

 

Ključne reči:

korištenje preventivnih usluga, životni stilovi, istraživanje zdravstvenog stanja, nejednakosti u zdravlju, Republika Srpska

 

 

Abstract

 

Introduction. Inequalities in preventive health care services utilization exist in european countries. The aim of this study was to investigate differencies in utilization of preventive health care services (PHCS) in regard to demographic, socio-economic and lifestyle characteristics among adults in Republic of Srpska (RS), Bosnia and Herzegovina.
Methods. This study is a cross sectional study at the national level. A total of 4 673 adults, 4 128 were interviewed (1 906 males and 2 222 females). Bivariate logistic regression analysis was used to assess the influence of different variables on the utilization of preventive health care services in RS.
Results. As compared with men, women utilized more frequently PHCS [odds ratio (OR) = 5.06; 95% confidence interval (95% CI) = 3.48–7.37]. People in urban areas utilized more frequently (OR=1,75; 95% CI = 1.26–2.44) but those who lived alone utilized less frequently PS (OR=0,40; 95% CI = 0.29–0.54).). People with middle education and poorer utilized PHCS less frequently than those better-off. Two times less fequently utilized PHCS people who are smokers, alcohol consumers, and people with good self perception of health and physical activity but two times more frequently utilized PHCS overweight and employed people. Both males and females who had non communicable diseases more frequently utilized PHCS than people without diseases.
Conclusion. This study has shown that demographic, socio-economic, lifestyle and health status inequalities in the pattern of utilization of preventive health care services in RS initiate active providing of preventive services in health care system.

 

 

Keywords:

preventive health care service utilization, health survey, inequalities in health, Republic of Srpska

 

 

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PDF Šiljak S. et al • MD-Medical Data 2018;10(1): 031-038

 

 

 

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