WOMENS HEALTH IN GYOR

1
WOMENS HEALTH IN GYOR
WRITTEN and COMPILED BYMRS. MÁRIA MIKLÓSY
BERTALANFY WHO coordinatorWHO Healthy Cities
Project, GyorAIHA American-Hungarian partnership
program
2
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3
Population tendencies in the regionLive births
per 1000 people
People
14
12
10
Gyor-M-S region
8
Vas region
6
Zala region
4
Western region
2
0
1985
1990
1995
1998
years
Source KSH database
4
Population tendencies in the regionDeaths per
1000 people
people
15
14.5
Gyor-M-S
region
14
Vas region
13.5
13
Zala region
12.5
Western region
12
11.5
1985
1990
1995
1998
years
Source KSH database
5
Average life expectancy for women at birth
76.5
76
75.5
75
life expectancy
74.5
74
73.5
73
72.5
72
1985
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
years
Gyor-M-S
Vas
Zala
Hungary
Source HIS database
6
Infant mortality rate in the region ()
20
18
16
14
mortality per 1000 infants
12
10
8
6
4
2
0
1980
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
Gyor-M-S
Vas
Zala
Hungary
7
Infant mortality
8
Change in ISZB's Standardized Death Rate
in the Western region and Hungary
among women ages 15-64 (1993-2000)
80
60
per 100 000 inhabitants
40
Gyor-M-S. m.
Vas m.
20
Zala m.
Ny-d. regio
Magyarorszag
0
1993
1994
1995
1996
1997
1998
1999
2000
9
Change in Lung Cancer Standardized Death Rate
in the Western region and Hungary
among women ages 15-64 (1993-2000)
30
25
20
per 100 000 inhabitants
15
Gyor-M-S. m.
10
Vas m.
Zala m.
5
Ny-d. regio
Magyarorszag
0
1993
1994
1995
1996
1997
1998
1999
2000
10
Change in Colon Cancer Standardized Death Rate
in the Western region and Hungary
among women ages 15-64 (1993-2000)
12
Gyor-M-S. m.
Vas m.
10
Zala m.
Ny-d. regio
8
Magyarorszag
per 100 000 inhabitants
6
4
2
0
1993
1994
1995
1996
1997
1998
1999
2000
year
11
Change in Brest Cancer Standardized Death Rate
in the Western Region and Hungary
among women ages 15-64 (1993-2000)
35
30
25
20
per 100 000 inhabitants
15
Gyor-M-S. m.
Vas m.
10
Zala m.
5
Ny-d. regio
Magyarorszag
0
1996
1997
1993
1994
1995
1998
1999
2000
year
12
Change in Alcohol Related Liver Disease
Standardized
Death Rate in the Western region and Hungary
among women ages 15-64 (1993-2000)
50
40
per 100 000 inhabitants
30
20
10
Gyor-M-S. m.
Vas m.
Zala m.
Ny-d. regio
Magyarorszag
0
1996
1997
1993
1994
1995
1998
1999
2000
year
13
Change in Smoking Related Standardized Death
Rate in the
Western region and Hungary among women ages
15-64
(1993-2000)
140
130
120
110
100
per 100 000 inhabitants
90
80
Gyor-M-S. m.
70
Vas m.
60
Zala m.
Ny-d. regio
50
Magyarorszag
40
1999
1993
1994
1995
1996
1997
1998
2000
year
14
Regular smoking among elementary school children

(ages 7-14)
16
14
12
10
8
6
4
2
0
6th grade boys
6th grade girls
8th grade boys
8th grade girls
15
Rate of regular smokers in high school (ages
14-18)

50
45
40
35
30
25
20
15
10
5
0
boy
girl
boy
girl
boy
girl
10. oszt. szakmunkás
12. oszt. gimn./szakk.isk.
10. oszt. gimn./szakk.isk.
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Number of premature births in Gyor
Number of live births below 2500 gr.
Percentage of premature births
Total live births
7.6
5056
386
8.1
4985
403
8.0
4862
387
4681
350
7.5
6.8
4679
320
6.8
4498
308
6.5
4099
265
6.8
3915
268
3799
6.4
242
3703
7.2
266
3831
7.4
283
7.7
3949
304
18
Abortions per 1000 women in age groups between
1990 and 2001
45
40
35
30
-14
25
15-19
20
20-24
15
10
5
0
1993
1994
1995
1996
1997
1998
1999
2000
2001
19
Mortality of women in Gyor by major diseases

• women ages 25-44
• Tumors 30,1
• Cardiovascular diseases 24,8
• Violence 17,2
• Digestive system 10,1
• Other natural causes 9,9
• Pulmonary system 7,9

20
Mortality above average national level in Gyor

• Among women ages 25-44
• Breast and other tumors SHH 103 and 107
• Among women ages 60-74
• Arterial sclerosis SHH 113
• Female tumors SHH 118

21
City of Gyor family doctor morbidity data by
gender (2001)
Percentage rate
 
total
 
 
total
Female
Male
 
Female
Male
 
 
0.06
0.06
0.07
 
32
31
Alzheimers disease
1
0.13
0.09
0.18
 
52
85
Tuberculosis
2
1.06
1.06
1.06
 
597
503
Asthma
3
1.30
1.23
1.37
 
697
650
Cerebral isch. attacks
4
1.47
0.93
2.10
 
526
996
Liver diseases
5
2.01
2.16
1.83
 
1219
867
Malignant tumors
6
2.23
1.89
2.62
 
1069
1244
Chronic lower respiratory
7
2.42
2.22
2.65
 
1255
1256
Cerebrovascular
8
3.13
2.87
3.43
 
1618
1629
Stomach
9
3.83
5.79
1.50
 
3266
713
Osteoporosis
10
5.04
4.68
5.46
 
2642
2590
Lipidaemia
11
5.71
5.12
6.41
 
2890
3041
Ischaemia heart disease
12
6.06
6.11
6.01
 
3447
2849
Diabetes
13
8.49
9.22
7.63
 
5202
3620
Spine elv. Spondylop.
14
19.75
20.46
18.89
 
11550
8963
High blood pressure
15
 
 
 
 
 
 
 
 
62.67
63.89
61.21
 
56446
47438
total
 
22
Hospitalization among women ages 12-29 in Gyor in
2001
Days of hospitalization
Number of cases
Cause
BNO
3551
583
Koponyavégu, spontaneous vaginal birth
O8000
261
251
Complete or k.m.n. muvi vet. without
complications, early (up to week 12)
O0491
Caesarean delivery
O8210
1356
150
Complete or k.m.n. muvi vetélés without
complications
O0490
100
97
Veszélyeztetett pregnancy, k.m.n.
O2690
333
83
Idült garatmandula-gyulladás
J3500
328
77
Jóslófájások a befejezett 37. hét elott
O4700
486
63
Fenyegeto vetélés
O2000
297
57
Missed abortion
O0210
63
47
Female infertility, k.m.n.
N9790
93
33
Delivery with vacuum extraction
O8140
231
31
Other and k.m.n. ovary cysts
N8320
141
28
Cervicalis dysplasia, k.m.n.
N8790
82
26
Other lower abdominal pain
R1030
57
21
Incomplete spontaneous vetélés without
complications
O0340
26
21
Delivery with elective caesarean, k.m.n.
O8200
207
20
Az ajak festéksejtes naevusai
D2200
45
18
Accute appendicitis k.m.n.
K3590
98
18
Chondromalacia patellae
M2240
58
17
Varicose veins of lower limbs withour ulcer or
inflammation
I8390
31
16
23
International Outlook

• In the past 30
• years in the
• United States and internationally depression
  rates are twice as high among women as among men,
  according to a study entitled Depression and
  gender, written by Frances M. Culbertson from
  the University of Wisconsin. Other researches
  estimate the rate to be as high as 31. (Klerman
  and Weissman, 1989 Wetzel, 1994).

• A study from Belfast about womens health states
  that the connection between social deprivation
  and diseases strikes mainly women. Low salaries,
  low occupational status and part-time employment
  affect women more.

24
National perspective

• Based on tests, the frequency of neurotic and
  psychosomatic conditions requiring treatment is
  around
• 20-25
• In addition to this, the number of alcoholics is
  estimated at 990,000, that of drug users at
  150-200,000, and the number of successful
  suicides is 4500-5000.

60
53
53
49
50
41
35
34
40
33
29
28
30
23
18
15
20
10
0
16-19
20-29
30-39
40-49
50-59
60
Ffi
No
Occurrence of neurotic symptoms in the
Hungarian population, by gender /Kopp
M.-Skrabski Á. Hungarian State of Mind/
25
National data

Point averages for depression symptoms by
county in 1995 /Kopp M., Skrabski Á., Szedmák S.
National representative morbidity research
results and the most important background factors
of morbidity data - Végeken, 1997/8. 2-3.sz./
26
Urban data
1996
Family doctors
report
Number of patients treated by family doctors in Gy
or in 1996

on patients treated with mental disorders
Neurosis, personality
disorders
(BNO 300
316)
-




GENDER

A
ges
15
-
18

Ages
19
-
34

Ages
35
-
59

Over 60

?

GENDER

under age
ages 15
-
A
ges
19
-
ages 35
-
A
ge
over
?

M
ALE

5

108

295

204

612

5

18

34

59

60

MALE

0

4

145

459

286

894



Data of psychiatric centers in 1997

( the area covered does not necessarily coincide
with the Gyor
area
)

GENDE
R

CENTER 1

CENTER 2

CENTER 3

MENTAL HYGI
ENE
SUPPORT
CENTER

AMBULATORY
CENTER

MALE

93

393

690

334

63

FEMALE

115

64

306

681

12

?
208

457

996

1015

75




1997 patient number data
for hospital psychiatric and mental hygienic
wards


WARD 1

WARD 2

WARD 3

GENDER

MALE
26

-

43


FEMALE

39

43

19

Total

65

43

62


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Results of a survey conducted among the citizens
of Gyor
What women think about their own state of health
Subjective opinions regarding state of
heath Women
Men Excellent Good Adequate Bad Very bad
Do you live under stress in everyday
life?
Wo m en Men Generally yes Yes, sometimes No,
almost never
7,7 7,0 39,5 44,0 37,8
37,0 10,8 8,7 4,2 3,3
32,8 25,9 45,8 41,6 21,4 32,5
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Medicine consumption

• Two weeks prior to this survey have you taken any
  medication?
• Women 70 Men 60
• Pain killer consumption
• Women 41,1 Men 27,5
• Sedative consumption
• Women 13,2 Men 5,4

• Constant fatigue
• Women 22,4 Men 12,0
• Tiring quickly
• Women 23,6 Men 15,6
• Tension
• Women 36,5 Men 28,2
• Loses temper easily lately
• Women 20,8 Men 16,2
• Life is not worth living
• Women 6,7 Men 3

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Every day something ceases that makes us sad. But
every day something that is worth living and
fighting for starts. Heraclitus