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Home    Συμπτώματα δυσλειτουργίας του αναπνευστικού συστήματος και χρήση των υπηρεσιών υγείας σε σχέση με την επαγγελματική κατάσταση στη διεθνή μελέτη ECRHS II  

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Identifier 000350771
Title Συμπτώματα δυσλειτουργίας του αναπνευστικού συστήματος και χρήση των υπηρεσιών υγείας σε σχέση με την επαγγελματική κατάσταση στη διεθνή μελέτη ECRHS II
Alternative Title Respiratory symptoms and use of health services in relation with employment status
Author Ρουμελιωτάκη, Θεανώ
Thesis advisor Μοσχανδρέα, Ιωάννα
Κογεβίνας, Μ.
Abstract Background: A large number of studies examine respiratory health in relation to occupational exposure, but unemployment has hardly been examined. Employment status has been connected with negative health outcomes, through its direct or indirect effects, such as poverty and stress. Unemployment is also a determinant of poor disease management. Objective: The aim of this study was to examine the respiratory health and use of healthcare services of unemployed adults in comparison with employed subjects. The prevalence of three respiratory symptoms (wheeze, chronic cough and chronic phlegm) and two diseases (asthma and chronic bronchitis) was estimated for the period of completion of the study, as well as the cumulative incidence for new onset of those symptoms and diseases during the period of follow-up. Methods: The analysis is based on data from the study ECRHS II. The sample consists of 10.933 subjects, aged 26 - 56 years, who answered an extensive questionnaire. For the statistical analysis the methods used include binary logistic regression for odds ratio estimation, Log-binomial regression and Poisson regression for cumulative incidence estimation, as well as, proportional hazards Cox regression for survival analysis. Results: The results showed an increased prevalence for wheezing without a cold (OR=1.49, 95% CI 1.02-2.18) and asthma (asthma symptoms or medication: OR=2.08, 95%CI 1.25-3.45, clinical asthma: OR=2.24, 95%CI 1.11-4.53) for unemployed subjects in relation with employed. Cumulative incidence estimation showed that unemployed had 91% higher risk of chronic cough during follow-up, (RR=1.91 95%CI 1.21, 3.02) than those who were employed. Lastly, unemployed tend to have visited a hospital due to respiratory problems, more often than employed, even though it was not statistically significant for more symptoms or diseases. Conclusion: Prevalence of wheezing and asthma was higher for unemployed subjects compared to employed. At the same time, unemployed adults contact more often healthcare services due to respiratory problems.
Physical description v, 38 σ. : πιν. ; 30 εκ.
Language Greek
Subject Asthma
Bronchitis
Cumulative incidence
ECRHS
Health service
Occupational Exposure adverse effects
Prevalence
Respiratory System
Respiratory symptoms
Άσθμα
Αθροιστική επίπτωση
Αναπνευστικά συμπτώματα
Ανεργία
Βρογχίτιδα
Επιπολασμός
Υπηρεσίες υγείας
Issue date 2007-12-14
Collection   School/Department--School of Medicine--Department of Medicine--Post-graduate theses
  Type of Work--Post-graduate theses
Notes Πρόγραμμα μεταπτυχιακών σπουδών: "Δημόσια Υγεία και Διοίκηση Υπηρεσιών Υγείας"
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