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WOMEN’S HEALTH IN GY ŐR

WOMEN’S HEALTH IN GY ŐR. WRITTEN and COMPILED BY : MRS. MÁRIA MIKLÓSY BERTALANFY WHO coordinator WHO Healthy Cities Project, Győr AIHA American-Hungarian partner ship program. Population tendencies in the region Live births per 1000 people. People. 14. 12. 10. Gyor-M-S region. 8.

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WOMEN’S HEALTH IN GY ŐR

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  1. WOMEN’S HEALTH IN GYŐR WRITTEN and COMPILED BY:MRS. MÁRIAMIKLÓSY BERTALANFY WHO coordinatorWHO Healthy Cities Project, GyőrAIHA American-Hungarian partnership program

  2. 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

  3. 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

  4. 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

  5. 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

  6. Infant mortality

  7. 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

  8. Change in Lung Cancer Standardized Death Rate in the Western region and Hungary 30 among women ages 15-64 (1993-2000) 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

  9. 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

  10. Change in Brest Cancer Standardized Death Rate in the Western Region and Hungary among women ages 15-64 (1993-2000) 35 30 25 per 100 000 inhabitants 20 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

  11. 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

  12. 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

  13. 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

  14. 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.

  15. Number of premature births in Győr Number of live births below 2500 gr. Total live births Percentage of premature births 386 5056 7.6 403 4985 8.1 387 4862 8.0 350 4681 7.5 320 4679 6.8 308 4498 6.8 265 4099 6.5 268 3915 6.8 3799 6.4 242 3703 7.2 266 3831 283 7.4 304 3949 7.7

  16. 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

  17. Mortality of women in Győr 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%

  18. Mortality above average national level in Győr • 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%

  19. City of Győr family doctor morbidity data by gender (2001) total Percentage rate Male Female Male Female total 1 Alzheimer’s disease 31 32 0.07% 0.06% 0.06% 2 Tuberculosis 85 52 0.18% 0.09% 0.13% 3 Asthma 503 597 1.06% 1.06% 1.06% 4 Cerebral isch. attacks 650 697 1.37% 1.23% 1.30% 5 Liver diseases 996 526 2.10% 0.93% 1.47% 6 Malignant tumors 867 1219 1.83% 2.16% 2.01% 7 Chronic lower respiratory 1244 1069 2.62% 1.89% 2.23% 8 Cerebrovascular 1256 1255 2.65% 2.22% 2.42% 9 Stomach 1629 1618 3.43% 2.87% 3.13% 10 Osteoporosis 713 3266 1.50% 5.79% 3.83% 11 Lipidaemia 2590 2642 5.46% 4.68% 5.04% 12 Ischaemia heart disease 3041 2890 6.41% 5.12% 5.71% 13 Diabetes 2849 3447 6.01% 6.11% 6.06% 14 Spine elv. + Spondylop. 3620 5202 7.63% 9.22% 8.49% 15 High blood pressure 8963 11550 18.89% 20.46% 19.75% total: 47438 56446 61.21% 63.89% 62.67%

  20. Days of hospitalization Hospitalization among women ages 12-29 in Győr in 2001 Number of cases BNO Cause O8000 Koponyavégű, spontaneous vaginal birth 583 3551 O0491 Complete or k.m.n. művi vet. without complications, early(up to week 12) 251 261 O8210 Caesarean delivery 150 1356 O0490 Complete or k.m.n. művi vetélés without complications 97 100 O2690 Veszélyeztetett pregnancy, k.m.n. 83 333 J3500 Idült garatmandula-gyulladás 77 328 O4700 Jóslófájások a befejezett 37. hét előtt 63 486 O2000 Fenyegető vetélés 57 297 O0210 Missed abortion 47 63 N9790 Female infertility, k.m.n. 33 93 O8140 Delivery with vacuum extraction 31 231 N8320 Other and k.m.n. ovary cysts 141 28 N8790 Cervicalis dysplasia, k.m.n. 26 82 R1030 Other lower abdominal pain 21 57 O0340 Incomplete spontaneous vetélés without complications 21 26 O8200 Delivery with elective caesarean, k.m.n. 20 207 D2200 Az ajak festéksejtes naevusai 18 45 K3590 Accute appendicitis k.m.n. 18 98 M2240 Chondromalacia patellae 17 58 I8390 Varicose veins of lower limbs withour ulcer or inflammation 16 31

  21. A study from Belfast about women’s 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. In the past 30 years in the United States and internationally depression rates are twice as high among women as among men, according toa 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 3:1.(Klerman and Weissman, 1989; Wetzel, 1994). International Outlook

  22. National perspective 60% 53% 53% 49% 50% 41% 35% 34% 40% 33% • 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. 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/

  23. National data Point averages for depression symptomsby county in 1995 /Kopp M., Skrabski Á., Szedmák S.:National representativemorbidity research resultsand the most important background factors of morbidity data - Végeken, 1997/8. 2-3.sz./

  24. FEMALE 6 182 497 308 993 ? 11 290 792 512 1605 FEMALE 0 6 233 656 415 1310 Total 0 10 378 1115 701 2204 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

  25. Results of a survey conducted among the citizens of Győr 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 men 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%

  26. 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% Medicine consumption

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

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