Predictors of reproductive-related primary health care utilization womens health in Serbia

[S. S. Đorđević]

125 listova

Uvod: Implementacija preventivnih usluga povezanih sa reproduktivnim zdravljem u primarnoj zdravstvenoj zaštiti postaje sve važnija oblast zdravstvene zaštite za zdravlje celokupne populacije. Cilj: Cilj studije je identifikovanje prediktora korišćenja primarne zdravstvene zaštite u vezi sa reproduktivnim zdravljem žena starijih od 15 godina u Republici Srbiji. Materijal i metod: Istraživanje je sprovedeno kao studija preseka na stanovništva Srbije, čime je obuhvaćeno 6747 žena, uzrasta preko 15 godina, u okviru nacionalnog, populacionog istraživanja „Istraživanje zdravlja stanovništva Srbije 2019.godine“. Instrument istraživanja su bili upitnici koji su prilagođeni specifičnostima našeg područja, a u skladu su sa standardima upitnika Evropskog istraživanja zdravlja (EHIS). Rezultati: Od ukupno 6747 ispitanica, izabranog ginekologa ima 15,9% u privanim ustanovama, a 33,8% u državnim ustanovama (51,8 %). U Srbiji je 67,2% žena uradilo Papa test bilo kada u životu, dok četvrtina žena nikada u životu nije uradila Papa test (24,3%). Verovatnoću da nikada ne urade Papa test imaju: najmlađa starosna grupa, neudate ispitanice sa osnovnim obrazovanjem, žene nižeg socioekonomskog statusa. Žene koje su pretežno učestvovale u organizovanom skriningu raka dojke (39,5%) su bile starosti 65+ godina. Žene sa srednjim obrazovanjem, udate žene iz imućnije finansijske kategorije su pokazale značajno veću učestalost samoinicijativnog mamografskog pregleda. Zaključak: Rezultati istraživanja treba da posluže za unapređenje organizacije i sprovođenja usluga preventivne zdravstvene zaštite u oblasti reproduktivnog zdravlja žena

Introduction: The implementation of preventive services related to reproductive health in primary health care is becoming increasingly important for the health of the entire population. Aim: The study aims is to identify predictors of primary health care utilization related to women's reproductive health aged 15 and above in the Republic of Serbia. Material and method: Material and method: The research was conducted as a cross-sectional study on a representative sample of the population of Serbia, encompassing a total of 6747 women aged over 15, as part of the national, population study "Health Survey of the Population of Serbia 2019." The research instrument was questionnaires adapted to the specifics of our area, and in accordance with the standards of the European Health Survey (EHIS) questionnaire. Results: Out of a total of 6747 respondents, 15.9% of the selected gynecologists are in private institutions, and 33.8% are in state institutions (51.8%). In Serbia, 67.2% of women have had a Pap test at any time in their life, while a quarter of women have never had a Pap test in their life (24.3%). The probability of never doing a Pap test is: the youngest age group, unmarried respondents with primary education, women of lower socioeconomic status. Women who hardly participated in organized breast cancer screening (39.5%) were aged 65+. Women with secondary education, married women from the immunological financial category showed a significantly higher frequency of self-initiated mammography examination. Conclusion: The research results should contribute to the improvement of the organization and implementation of preventive health care activities, including a focus on women's reproductive health.

žene, primarna zdravstvena zaštita, nacionalno istraživanje zdravlja, reproduktivno zdravlje.

women, primary health care, national health survey, reproductive health.

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