Browsing by Author "Šipetić, Sandra B. (6701802171)"

Study objective - To determine the influence and the effect of the war in the former Yugoslavia and of the United Nations economic sanctions on mortality from infectious diseases. Design - This was a descriptive study analysing mortality data time series. Setting - Central Serbia, Yugoslavia. Participants - The population of central Serbia was the subject of the study (about six million inhabitants). Measurements - Mortality rates were standardised directly, using the 'European population') as the standard. Regression analysis and analysis of covariance were undertaken. Main results - During the period 1973-93, mortality from infectious diseases showed a decreasing trend. From 1987-90, and in both men and women, mortality from infectious diseases was significantly higher than expected on the basis of the trend for the preceding period (p = 0.020 and p = 0.000). In addition, there was a statistically significant departure from the preceding trend (p = 0.036) in men between 1991 and 1993 (the period of the war and UN sanctions) - the main effect being in younger age groups. Conclusion - The economic crisis in the former Yugoslavia during the 1980s followed by the outbreak of the war and the damaging effects of UN economic sanctions had a distinctly adverse effect on mortality from infectious diseases.

Background: The aim of this study was to evaluate some hypotheses about factors related to the development of type 1 diabetes mellitus. Methods: A case-control study was conducted in Belgrade during the period 1994-1997. A total of 105 recently onset diabetic and 210 control children, individually matched by age (± 1 year), sex and place of residence, were included in the study. Results: According to multivariate regression analysis, the following factors were related to type 1 diabetes: stressful events and symptoms of psychological dysfunction during the 12 months preceding the onset of the disease [odds ratio (OR) 3.48, 95% confidence interval (CI) 2.15-5.65; and OR 2.15, 95% CI 1.33-3.48], irregular vaccination (OR 16.98, 95% CI 1.38-208.92), infection during 6 months preceding the onset of the disease (OR 4.23, 95% CI 1.95-9.17), higher education of father (OR 1.50, 95% CI 1.05-2.14), mother's consumption of nitrosoamines-rich food during pregnancy (OR 4.33, 95% CI 1.95-9.61), alcohol consumption by father (OR 3.80, 95% CI 1.64-8.78), insulin-dependent and non-insulin-dependent diabetes mellitus in three generations of children's relatives (OR 20.04, 95% CI 4.73-84.81; and OR 5.52, 95% CI 2.45-12.46), and use of ultrasound diagnostic techniques during pregnancy (OR 0.42, 95% CI 0.17-1.00). Conclusions: Among non-genetic factors, those affecting the child during pregnancy are especially important because of their preventability. © The Author 2005. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.