World Health Organization Regional Office for Europe (country office Serbia)

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World Health Organization Regional Office for Europe (country office Serbia)

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Publications

Utility of data from a national health survey: Do socioeconomic inequalities in morbidity exist in Serbia?

Janković, Janko; Marinković, Jelena; Simić, Snežana

(2011)

TY  - JOUR
AU  - Janković, Janko
AU  - Marinković, Jelena
AU  - Simić, Snežana
PY  - 2011
UR  - https://omorika.sfb.bg.ac.rs/handle/123456789/404
AB  - Aims: The aim of this study was to analyse the impact of demographic and socioeconomic factors on morbidity in Serbia. Additionally, knowing that there is no a gold standard for measuring morbidity we were concerned whether the results of this study depend on the choice of morbidity indicator. Methods: Data from the 2006 National Health Survey for Serbia were used. A representative sample of 14,522 persons aged  gt = 20 years were interviewed. The associations between demographic factors (age, gender, marital status, and type of settlement), socioeconomic indicators (education and wealth index), and health status (morbidity index derived from self-reported data) were examined using linear and logistic regression analyses. Results: Women, elderly people, those who live in urban settings, and those with lower education had higher morbidity regardless of using a morbidity index as a continuous variable (composite index ranging from 0 to 20) or a categorical variable (morbidity status tertiles). Respondents who belong to the most deprived group had higher scores of morbidity index in comparison with the respondents from the most affluent group, but no significant association was found when morbidity status was examined as the outcome. In addition, when those who belong to the middle class group were compared to the most affluent group, they had good more frequently than average morbidity status. Conclusions: This study suggests that demographic and socioeconomic inequalities in morbidity exist in Serbia. Wise and comprehensive health policies and interventions for reducing these inequalities are urgently needed which primarily focus on the most disadvantaged socioeconomic groups.
T2  - Scandinavian Journal of Public Health
T1  - Utility of data from a national health survey: Do socioeconomic inequalities in morbidity exist in Serbia?
EP  - 238
IS  - 3
SP  - 230
VL  - 39
DO  - 10.1177/1403494811401477
UR  - conv_960
ER  - 
@article{
author = "Janković, Janko and Marinković, Jelena and Simić, Snežana",
year = "2011",
abstract = "Aims: The aim of this study was to analyse the impact of demographic and socioeconomic factors on morbidity in Serbia. Additionally, knowing that there is no a gold standard for measuring morbidity we were concerned whether the results of this study depend on the choice of morbidity indicator. Methods: Data from the 2006 National Health Survey for Serbia were used. A representative sample of 14,522 persons aged  gt = 20 years were interviewed. The associations between demographic factors (age, gender, marital status, and type of settlement), socioeconomic indicators (education and wealth index), and health status (morbidity index derived from self-reported data) were examined using linear and logistic regression analyses. Results: Women, elderly people, those who live in urban settings, and those with lower education had higher morbidity regardless of using a morbidity index as a continuous variable (composite index ranging from 0 to 20) or a categorical variable (morbidity status tertiles). Respondents who belong to the most deprived group had higher scores of morbidity index in comparison with the respondents from the most affluent group, but no significant association was found when morbidity status was examined as the outcome. In addition, when those who belong to the middle class group were compared to the most affluent group, they had good more frequently than average morbidity status. Conclusions: This study suggests that demographic and socioeconomic inequalities in morbidity exist in Serbia. Wise and comprehensive health policies and interventions for reducing these inequalities are urgently needed which primarily focus on the most disadvantaged socioeconomic groups.",
journal = "Scandinavian Journal of Public Health",
title = "Utility of data from a national health survey: Do socioeconomic inequalities in morbidity exist in Serbia?",
pages = "238-230",
number = "3",
volume = "39",
doi = "10.1177/1403494811401477",
url = "conv_960"
}
Janković, J., Marinković, J.,& Simić, S.. (2011). Utility of data from a national health survey: Do socioeconomic inequalities in morbidity exist in Serbia?. in Scandinavian Journal of Public Health, 39(3), 230-238.
https://doi.org/10.1177/1403494811401477
conv_960
Janković J, Marinković J, Simić S. Utility of data from a national health survey: Do socioeconomic inequalities in morbidity exist in Serbia?. in Scandinavian Journal of Public Health. 2011;39(3):230-238.
doi:10.1177/1403494811401477
conv_960 .
Janković, Janko, Marinković, Jelena, Simić, Snežana, "Utility of data from a national health survey: Do socioeconomic inequalities in morbidity exist in Serbia?" in Scandinavian Journal of Public Health, 39, no. 3 (2011):230-238,
https://doi.org/10.1177/1403494811401477 .,
conv_960 .
10
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Inequalities that hurt: demographic, socio-economic and health status inequalities in the utilization of health services in Serbia

Janković, Janko; Simić, Snežana; Marinković, Jelena

(2010)

TY  - JOUR
AU  - Janković, Janko
AU  - Simić, Snežana
AU  - Marinković, Jelena
PY  - 2010
UR  - https://omorika.sfb.bg.ac.rs/handle/123456789/316
AB  - Background: The aim of this study was to analyse demographic, socio-economic and health status inequalities by gender in the utilization of health services in Serbia. Methods: Data from 2006 National Health Survey for Serbia were used. A total of 14 522 persons from six geographical regions of Serbia aged  gt = 20 years were completely interviewed. Logistic regression analyses were used to study the effects of demographic (age, gender, marital status and type of settlement), socio-economic (education and Wealth Index) and health status (self-perceived health) variables on the utilization of health services [visits to general practitioner (GP), private doctor, dentist and hospitalization]. All analyses were carried out separately for males and females. Results: As compared with women (reference category), a lower percentage of men visited a GP [odds ratio (OR)=0.61; 95% confidence interval (95% CI) = 0.57-0.65], private doctor (OR = 0.62; 95% CI = 0.57-0.67) and dentist (OR = 0.81; 95% CI = 0.76-0.87), but there were no gender differences in hospitalization. Both males and females who belong to disadvantaged classes were less likely to have visited a GP, a private doctor or a dentist in 12 months before the interview, regardless of their health status. No inequalities by social class were observed for the hospitalization among persons with poor self-perceived health status, i.e. those in most need. Conclusions: This study has shown that demographic, socio-economic and health status inequalities in the utilization of health services exist in Serbia. Wise health policy with equitable utilization of health services, regardless these inequalities should be a priority in shaping Serbian health care system reform.
T2  - European Journal of Public Health
T1  - Inequalities that hurt: demographic, socio-economic and health status inequalities in the utilization of health services in Serbia
EP  - 396
IS  - 4
SP  - 389
VL  - 20
DO  - 10.1093/eurpub/ckp189
UR  - conv_940
ER  - 
@article{
author = "Janković, Janko and Simić, Snežana and Marinković, Jelena",
year = "2010",
abstract = "Background: The aim of this study was to analyse demographic, socio-economic and health status inequalities by gender in the utilization of health services in Serbia. Methods: Data from 2006 National Health Survey for Serbia were used. A total of 14 522 persons from six geographical regions of Serbia aged  gt = 20 years were completely interviewed. Logistic regression analyses were used to study the effects of demographic (age, gender, marital status and type of settlement), socio-economic (education and Wealth Index) and health status (self-perceived health) variables on the utilization of health services [visits to general practitioner (GP), private doctor, dentist and hospitalization]. All analyses were carried out separately for males and females. Results: As compared with women (reference category), a lower percentage of men visited a GP [odds ratio (OR)=0.61; 95% confidence interval (95% CI) = 0.57-0.65], private doctor (OR = 0.62; 95% CI = 0.57-0.67) and dentist (OR = 0.81; 95% CI = 0.76-0.87), but there were no gender differences in hospitalization. Both males and females who belong to disadvantaged classes were less likely to have visited a GP, a private doctor or a dentist in 12 months before the interview, regardless of their health status. No inequalities by social class were observed for the hospitalization among persons with poor self-perceived health status, i.e. those in most need. Conclusions: This study has shown that demographic, socio-economic and health status inequalities in the utilization of health services exist in Serbia. Wise health policy with equitable utilization of health services, regardless these inequalities should be a priority in shaping Serbian health care system reform.",
journal = "European Journal of Public Health",
title = "Inequalities that hurt: demographic, socio-economic and health status inequalities in the utilization of health services in Serbia",
pages = "396-389",
number = "4",
volume = "20",
doi = "10.1093/eurpub/ckp189",
url = "conv_940"
}
Janković, J., Simić, S.,& Marinković, J.. (2010). Inequalities that hurt: demographic, socio-economic and health status inequalities in the utilization of health services in Serbia. in European Journal of Public Health, 20(4), 389-396.
https://doi.org/10.1093/eurpub/ckp189
conv_940
Janković J, Simić S, Marinković J. Inequalities that hurt: demographic, socio-economic and health status inequalities in the utilization of health services in Serbia. in European Journal of Public Health. 2010;20(4):389-396.
doi:10.1093/eurpub/ckp189
conv_940 .
Janković, Janko, Simić, Snežana, Marinković, Jelena, "Inequalities that hurt: demographic, socio-economic and health status inequalities in the utilization of health services in Serbia" in European Journal of Public Health, 20, no. 4 (2010):389-396,
https://doi.org/10.1093/eurpub/ckp189 .,
conv_940 .
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