Browsing by Author "Grujičić, Sandra Šipetić (56676073300)"

Background/Aim: Prehypertension and hypertension are an important public health problem worldwide and although they can be modified, they are often a risk for cardiovascular diseases. The aim of this study was to determine the prevalence of prehypertension and hypertension and associated risk factors in the adult population (15+ years) of Serbia. Methods: The cross-sectional study covered 14,623 adult respondents, but 14,422 volunteered to measure their blood pressure according to a pre-defined protocol. A stratified two-stage national representative random sampling approach was used for the selection of the survey sample. Results: In 2013, 17.7% of Serbian population, aged 15 and over, was normotensive, every third (33.1%) person had prehypertension, and every second (49.3%) had hypertension. The standardized prevalence of prehypertension and hypertension was 40.6% and 34.5%, respectively; 57.8% of the hypertensive population were receiving medical treatment. Among those receiving medical treatment, 35.2% (36.4% males and 33.2% females) had a blood pressure within the normal range. According to the results of multivariate logistic regression analysis, independently significant risk factors for hypertension compared to persons with normotension were older age (50 and more) (p < 0.001), overweight (p < 0.001) and obesity (p < 0.001), moderate (p < 0.001) and large (p < 0.001) waist circumference in both sexes, and nonurban place of residence in females (p = 0.006). In females, independently significant risk factors for prehypertension compared to persons with normotension were older age (50 and more) (p < 0.001), overweight (p < 0.001) and obesity (p < 0.001), moderate (p < 0.001) and large (p < 0.001) waist circumference, but high level of physical activity was significantly protective (p = 0.014). In males, overweight (p < 0.001) and obesity (p < 0.001) were independently significant risk factors for prehypertension. Conclusion: Serbia belongs to countries with a high prevalence of prehypertension and hypertension. Our results emphasize the need for a new public health strategy for the prevention, detection and treatment of prehypertension and hypertension. © 2020 Inst. Sci. inf., Univ. Defence in Belgrade. All rights reserved.

Background/Aim. Motivated and job satisfied health professionals represent a basis of success of modern health institutions. The aim of this study was to investigate whether there was a difference in work motivation and job satisfaction between health workers in urban and rural areas in the region of Central Serbia. Methods. The study included 396 health professionals from urban setting, and 436 from a rural area, employed in four randomly selected health facilities. An anonymous questionnaire was used for data gathering. Statisti-cal analysis was performed using χ2, Student t-test, Spearman's correlation coefficient, and logistic regression analysis. Results. Urban health professionals were significantly more motivated and job satisfied than respondents from rural area. In relation to work motivation factors and job satisfaction of health professionals in urban and rural areas, there were no significant differences in working conditions and current equipment, and in terms of job satisfaction there were no significant differences in relation to income either. Conclusion. In order to in-crease the level of work motivation and job satisfaction of health workers in rural areas, apart from better income, they should get more assistance and support from their supervisors, and awards for good job performance; interpersonal relation-ships, promotion and advancement opportunities, managerial performance and cooperation at work should be improved; employment security should be provided, as well as more independence at work, with professional supervision of health workers. © 2016, Institut za Vojnomedicinske Naucne Informacije/Documentaciju. All rights reserved.