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Risk factors affecting endometriosis in women of reproductive age, ALSWH Study
Olšarová, Karolína ; Dzúrová, Dagmar (advisor) ; Pikhart, Hynek (referee)
This thesis adapts a life course approach in epidemiology to endometriosis. Endometriosis is a highly prevalent chronic disease affecting women in reproductive age. Firstly, the topic of this disease is introduced, the situation and current knowledge in Australia is discussed. Positive changes in a national level are presented. Secondly, early life exposers and maternal behaviour are investigated as possible risk and protective factors. A systematic review of early life factors identified a low birthweight and formula feeding of infants as risk factors for the development of endometriosis. Lastly, the relation of birthweight, weight at childhood and endometriosis was analysed using data of Australian Longitudinal Study on Women's Health. Other risk and protective factors were evaluated and included into the analysis. Logistic regression was used for determination of statistical significance. High weight at 10 years old was found to be a protective factor against endometriosis.
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Cancer and healthy life style: Socio-epidemiological study
Coganová, Klára ; Dzúrová, Dagmar (advisor) ; Kulhánová, Ivana (referee)
The prevalence of cancer in the world continues to grow, faster in economically developed countries. According to current scientific knowledge, at least one third of cases could be prevented by adopting a healthy lifestyle. The present thesis therefore sought to analyze the prevalence of cancer in connection with the lifestyle of the European population, of 63,772 respondents of the SHARE study (The Survey of Health, Aging and Retirement in Europe) in fact. The work contains the theoretical description of the problem and the analytical part. The differences in the prevalence of the diseases of the respondents from 16 European countries were monitored in the empirical part. The relation between the incidence of cancer and the groups of diseases defined by alcohol consumption, smoking, obesity and the lifestyle of the respondents was analyzed by the method of binary logistic regression. The survey was expanded by the summarizing indicator of Healthy Lifestyle Index, compiled from smoking, alcohol consumption, physical activity, body weight, and consumption of fruit and vegetables. The analysis, among other things, showed that with the decline in the healthy lifestyle index, the risk of malignancy in both men and women increased and is more pronounced in males. Keywords: cancer, prevalence, healthy...
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Mortality in countries of Eastern and Southern Europe: trends and patterns
Šplíchal, Matěj ; Rychtaříková, Jitka (advisor) ; Dzúrová, Dagmar (referee)
Mortality in countries of Eastern and Southern Europe: trends and patterns Abstract The purpose of this thesis to is to evaluate any variances and commonality in the trends of mortality rates between southern and eastern Europe for the period beginning at the end of World War II (WWII) to present day. In order that the data used in the analysis of the populations of these two European regions is drawn from broad-based yet controlled demographic parameters, two countries from each region have been targeted. From southern Europe, Italy and Portugal, and from Eastern Europe Hungary and Bulgaria. The thesis will present both the analysis of data that relates to the development of the gross mortality rate together with that of more refined data that calculates the standardised mortality rate. A more in-depth analysis of mortality trends based on mortality tables and decomposition methods will also be presented using indicators of life expectancy at birth, infant mortality and life span, together with methods of decomposition of the difference between two demographic indicators (Kitagawy, R. Pressata, E. Arriagy and V. M. Shkolnikova). The conclusion of the analytical section deals with age variability at death. The hypotheses, set out in the introductory chapter, are evaluated at the end of the paper, based on...
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Sexually transmitted Infections in Prague: Socio-epidemiological analysis
Sekera, Jan Carlos ; Dzúrová, Dagmar (advisor) ; Jágrová, Zdeňka (referee)
This thesis is focused on a situation of sexually transmitted infections in Prague (and in The Czech Republic shallowly) and analyzes this issue relatively to the social epidemiology. The thesis tries to identify the most vulnerable groups of a population. These groups contain homosexual men, individuals having unprotected sex and promiscuous people. Further more, the thesis tries to identify a relation between a high-risk factor and an exposition of a particular infection. For example, it was found out that sexual related risks are mostly determinated by a sexual behavior and a region where the individuals come from. Also, men are more vulnerable group of people than women according to findings of this thesis. A gonorrhoea infection is the most reported sexually transmitted infection in Prague (59,1 % of all cases). Syphilis is the second most common infection of this kind. The highest prevalence of sexually transmitted infections was reported for people with (finished or unfinished) basic education. This group of people represents 14,3 % of all reported cases. Its prevalence is 67,7 patients per ten thousand individuals. A group of people aged 20 - 29 years is another group with high prevalence. Further identification of a sexual behavior in The Czech Republic was one of the main goals of this...
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Cardiovascular disease risk factors based on a longitudinal study SHARE
Zajíčková, Michaela ; Dzúrová, Dagmar (advisor) ; Žejglicová, Kristýna (referee)
Despite decreasing cardiovascular disease mortality rates, these diseases are still the most common cause of death in a number of economically advanced countries, including the Czech Republic. This thesis deals with prevalence of myocardial infarction (the most common forms of ischemic heart disease) and selected risk factors of this disease, using the database of the international project SHARE (The Survey of Health, Aging and Retirement in Europe). The first part describes the development of mortality on circulatory system diseases and the risk factors of myocardial infarction are discussed in the context of the literature. The empirical part of this work analyzes the infarction prevalence and the relationship between infarction prevalence and risk factors in SHARE respondents, both in the group of respondents from European countries and in the subset of respondents from the Czech Republic, using the binary logistic regression method. The analysis showed, among other things, that the main risk factor for myocardial infarction of SHARE respondents was low physical activity among respondents in European countries, so did male respondents in the Czech Republic. In the group of Czech women, the main risk factor was underweight. Out of the social determinants, the impact of education attained in both...
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Gender and social inequalities in mental health
Machů, Vendula ; Dzúrová, Dagmar (advisor) ; Pikhart, Hynek (referee)
Gender inequality is the root cause of the differences in mental disorders prevalence between men and women. The aim of this thesis was to examine social inequalities in mental health, focusing on gender as a critical determinant of mental health and mental illness. In the first chapter, the ways mental health is shaped by gender and other social determinants are discussed. Gender-based discrimination, traditional gender roles, unequal distribution of power and lack of control over life events are the most common risk factors for higher prevalence of mental disorders in women. In the empirical part of this thesis the European countries were grouped based on indicators related to women's mental health. The typology was developed using factor and cluster analyses. Subsequently, logistic regression analysis investigated associations between prevalence of depression and various social determinants of mental health in respondents of the Survey of Health, Ageing and Retirement in Europe (SHARE). The results suggest that risk factors for common mental disorders are gender specific.
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The health care cost analysis for VZP clients during their last year of life
Jirsová, Karolína ; Dzúrová, Dagmar (advisor) ; Lustigová, Michala (referee)
The health care cost analysis for VZP clients during their last year of life Abstract Objective of this thesis is a health care cost analysis for VZP clients, who died in 2014. An analysis of cost has been approached from a few different aspects, but mainly by segmentation of health care providers and chapters of diagnosis by ICD-10. Following analysis has been also processed in this thesis - the analysis of average health care costs of one day in life and the regional analysis of average health care costs of one client by district of permanent residency with use of a direct method of standardisation. The characteristics of population of dead and living clients have been compared in a same reporting period to fulfill problematics of health care costs. The statistics analysis has been processed in the IBM SPSS software with unique data collections provided by VZP. Keywords: Health care cost, Last year of life, VZP clients, IBM SPSS
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