Milena Maričić - Academia.edu (original) (raw)

Papers by Milena Maričić

Research paper thumbnail of The last 3 decade of vaccination coverage in the Balkan and Eastern Europe countries with reference to the impact of the COVID-19 pandemic

Frontiers in pharmacology, Jun 6, 2024

Research paper thumbnail of Evaluation of factors influencing acceptance of HPV vaccination among adolescents and young adults: Contribution of a nurse

Education and Research in Health Sciences, Dec 31, 2022

Research paper thumbnail of Contribution of nurses and midwives in the prevention of cervical cancer: A critical review

Education and Research in Health Sciences, 2023

Uvod: Karcinom grlića materice je maligna bolest koja je vodeći uzrok smrti kada je reč o karcino... more Uvod: Karcinom grlića materice je maligna bolest koja je vodeći uzrok smrti kada je reč o karcinomu kod žena. Razvija se kroz niz prekarcinoznih pra mena epitela koje se nazivaju cervikalnim intraepitelnim neoplazijama. Kroz proces karcinogeneze, genetske i molekularne promene transformišu ćelije cerviksa u invazivni karcinom, koji se može širiti u okolno tkivo, limfne čvorove i druge organe. Naža lost, i pored značajnih napredaka u poznavanju patogeneze i razvoju metoda rane detekcije, karcinom grlića materice je bio i ostaje, jedna od centralnih i vanredno složenih oblasti ginekološke onkologije i predstavlja značajan globalni zdravstveni izazov. Cilj: Osnovni cilj istraživanja bio je istražiti dopri nos medicinskih sestara i babica u prevenciji karci noma grlića materice i prikazati detaljnija razmatra nja o različitim pristupima i metodama koje koriste u svom radu, kao i njihovom angažovanju u informisanju i podizanju svesti među ženama. Metod: M etodologija istraživanja obuhvatila je detaljno pretraživanje relevantnih medicinskih aka demskih baza podataka, uz precizno definisan cilj, što je usmerilo istraživanje i omogućilo identifika ciju relevantnih informacija o doprinosu medicin skih sestara i babica u prevenciji karcinoma grlića materice. Kvalitativna analiza primarnih rezultata sprovedena je radi sinteze podataka, ističući domi nantne teme. Zaključak: Medicinske sestre imaju značajnu od govornost u sprovođenju preventivnih aktivnosti. Efikasna implementacija programa prevencije, uz opsežnu edukaciju iz oblasti javnog zdravlja, mogu značajno doprineti smanjenju incidencije karcinoma grlića materice. Da bi se unapredio njihov doprinos i poboljšao pristup i metode prevencije, neophodna je usklađena saradnja između zdravstvenih profesi onalaca i donosilaca političkih odluka.

Research paper thumbnail of Social Isolation and Loneliness Among the Elderly

Annals of Nursing

Old age is a physiological process that leads to numerous changes in the body and mental and soci... more Old age is a physiological process that leads to numerous changes in the body and mental and social functioning. Social isolation and loneliness (SI&L), which represent both objective and subjective experiences of social disconnection, have emerged as two key constructs that affect people's health and are particularly relevant to the physical and mental health and longevity of the elderly. The aim of this review is to assess the frequency of SI&L among the elderly, factors related to SI&L, as well as their impact on the quality of life and health of the elderly, and the role of nurses and technicians in their healthcare. We performed a search of the PubMed database using the keywords “loneliness”, “social isolation” and “elderly”. The prevalence of SI&L among the elderly ranges from 10% to 28%. Significant factors related to SI&L are female gender, unmarried status, older age, poor income, lower level of education, living alone, low quality of social relationships, poor self-ass...

Research paper thumbnail of The assessment of women's health literacy and the factors that determine it

Zdravstvena pismenost žena može značajno uticati na različite aspekte ženskog zdravlja. Cilj ove ... more Zdravstvena pismenost žena može značajno uticati na različite aspekte ženskog zdravlja. Cilj ove studije bio je procena odnosa zdravstvene pismenosti, socio-demografskih karakteristika i zdravstvenog ponašanja žena u oblasti reproduktivnog zdravlja u Srbiji. Istraživanje je sprovedeno kao studija preseka, na uzorku žena starijih od 18 godina, sa teritorije Republike Srbije, stratifikovanom prema regionu, vrsti naselja i starosnim kategorijama. Pri proceni zdravstvene pismenosti žena korišćena je standardizovana verzija evropskog upitnika o zdravstvenoj pismenosti (HLS-EU-Q47). Ograničeni nivoi zdravstvene pismenosti bili su znatno prisutniji među ženama srednjeg životnog doba, među onima koje žive u ruralnim područjima, koje su svoje zdravlje procenile kao loše ili veoma loše i koje su pokazale negativnije zdravstveno ponašanje u oblasti reproduktivnog zdravlja, što ukazuje na potrebu za primenom preventivnih programa i strategije sa ciljem unapređenja nivoa zdravstvene pismenosti.H...

Research paper thumbnail of Factors associated with health literacy

Zdravstvena zaštita, 2020

SAŽETAK Svetska zdravstvena organizacija definiše zdravstvenu pismenost kao kognitivne i socijaln... more SAŽETAK Svetska zdravstvena organizacija definiše zdravstvenu pismenost kao kognitivne i socijalne veštine i sposobnost pristupa, razumevanja i korišćenja informacija na način koji promoviše i štiti zdravlje ljudi. Osobe koje imaju viši novo zdravstvene pismenosti odgovornije su za svoje i porodično zdravlje, kao i za zdravlje svoje zajednice. Zdravstveni radnici i istraživači, kao i kreatori zdravstvene politike, prepoznali su potrebu da se fokusiraju na zdravstvenu pismenost kao mogući faktor kojim se mogu smanjiti zdravstvene razlike. Međutim, precizna priroda odnosa između zdravstvene pismenosti i faktora koji je određuju i dalje je prilično nejasna.

Research paper thumbnail of Epidemiological characteristics and trends of birth movements in Serbia

Zdravstvena zaštita, 2020

SAŽETAK Uvod/Cilj: U poslednjih nekoliko decenija pad stope fertiliteta je zabeležen u gotovo svi... more SAŽETAK Uvod/Cilj: U poslednjih nekoliko decenija pad stope fertiliteta je zabeležen u gotovo svim državama sveta. Cilj istraživanja je analiza epidemioloških karakteristika i trenda kretanja porođaja u Srbiji u periodu 2007-2016. godine. Metode: Istraživanje je dizajnirano kao deskriptivna epidemiološka studija. Podaci su preuzeti iz Zdravstveno statističkih godišnjaka za period 2007-2016. godine. U analizi podataka korišćene su opšta stopa fertiliteta, stopa mortinataliteta, stopa rađanja, stopa mortaliteta odojčadi i stopa prevremenih porođaja, a trend stopa analiziran je korišćenjem jednačine linearnog trenda. Rezultati: Prosečna stopa opšteg fertiliteta u Srbiji u periodu 2007-2016. godine je bila 1,5 deteta po ženi. U periodu 2007-2016. godine u Srbiji je registrovano 660.069 porođaja sa ukupno 671.715 rođene dece, od kojih je 4.054 mrtvorođeno (0,6%). Dve trećine (66,1%) mrtvorođene dece je bilo prevremeno rođeno. Sa starošću porodilja raste broj prevremenih porođaja. Od 667.661 živorođenih u porodilištima je umrlo 924 novorođenčadi (0,1%). U posmatranom periodu registruje se kontinuirani trend opadanja broja porođaja (y=68.427-439,99x, R 2 =0,628), kao i broja živorođene dece (y=69.084-421,44x, R 2 =0,591). Trend stopa mrtvorođenih (mortinataliteta) pokazuje neznatno opadanje (y=6,138-0,012x, R 2 =0,016), kao i trend stopa mortaliteta novorođenčadi (y=1,882-50,091x, R 2 =0,683), ali dolazi do porasta trenda opšte stope fertiliteta (y=39,481+0,242x, R 2 =0,544). Prosečna opšta stopa fertiliteta za desetogodišnji period iznosila je 41,1 živorođenih na 1000 žena fertilnog perioda i kretala se od 38,2‰ do 41,7‰. Najveće povećanje stope fertilititeta beleži se u starosnoj grupi 40-44 godine sa 3,8‰ u 2007. godini na 9,9‰ u 2016. godini (2,6 puta više), a zatim u starosnoj grupi 30-39 godina sa 43,2‰ u 2007. godini na 63,0‰ u 2016. godini (1,4 puta više). Beleži se pad stope fertiliteta u starosnoj dobi 20-29 godina sa 80,4‰ u 2007. godini na 72,2‰ u 2016. godini. Najveće stope mrtvorođenosti (mortinataliteta) beleže se u najstarijoj grupi 45-49 godine (23,3‰), a najniža kod osoba mlađih od 15 godina (0,7‰). Zaključak: Mere politike prema revitalizaciji rađanja moraju angažovati sve nivoe društva na izgradnji svesti i moralne odgovornosti prema fertilitetu.

Research paper thumbnail of Attitudes of Primary School Teachers Toward Inclusive Education

Frontiers in Psychology

BackgroundThe aims of our study are related to examining the relevance of teachers' attitudes... more BackgroundThe aims of our study are related to examining the relevance of teachers' attitudes toward the implementation of inclusive education. In addition, its subject is related to the implications on inclusive education policies, limitations of the existing study along with the recommendations for our future research endeavors.MethodsThe research is a cross-sectional study type. The sample included 64 primary school teachers in the lower grades of primary school (grades 1–4), selected by using simple random sampling, in three primary schools on the territory of Belgrade, Serbia in 2021 (26, 17, and 21 primary school teachers). The Questionnaire for Teachers, which was used as a research instrument, was taken from the Master's Thesis Studen Rajke, which was part of the project “Education for the Knowledge Society” at the Institute for Educational Research in Belgrade. Dependent variables measured in the study referred to the attitudes of primary school teachers toward incl...

Research paper thumbnail of Factors associated with health literacy

Svetska zdravstvena organizacija definiše zdravstvenu pismenost kao kognitivne i socijalne veštin... more Svetska zdravstvena organizacija definiše zdravstvenu pismenost kao kognitivne i socijalne veštine i sposobnost pristupa, razumevanja i korišćenja informacija na način koji promoviše i štiti zdravlje ljudi. Osobe koje imaju viši novo zdravstvene pismenosti odgovornije su za svoje i porodično zdravlje, kao i za zdravlje svoje zajednice. Zdravstveni radnici i istraživači, kao i kreatori zdravstvene politike, prepoznali su potrebu da se fokusiraju na zdravstvenu pismenost kao mogući faktor kojim se mogu smanjiti zdravstvene razlike. Međutim, precizna priroda odnosa između zdravstvene pismenosti i faktora koji je određuju i dalje je prilično nejasna.

Research paper thumbnail of The Unmet Healthcare Needs: Evidence from Serbia

Iranian Journal of Public Health, 2020

Background: We aimed to determine the socio-economic factors associated with unmet healthcare nee... more Background: We aimed to determine the socio-economic factors associated with unmet healthcare needs of the population aged 20 and over in Serbia. Methods: We used data from the 2013 National Health Survey (NHS) of the population of Serbia. We focused only on the data concerning the population aged 20 and over. The final sample thus included 13,765 participants. The logistic regression was used to examine the socio-economic factors associated with unmet health care needs. Results: According to the data obtained in this study, 26.2% of the population aged 20 and over reported unmet health care needs during the previous 12 months. The multivariate analysis shows that significant indicators of unmet healthcare needs include: gender, age, marital status, level of education, financial and employment status. Conclusion: Females, the elderly and those with the lowest levels of education and household income, as well as those who are divorced and unemployed are at highest risk of unmet healt...

Research paper thumbnail of Comparison of nystatin and fluconazole effects in the healing of oral candidiasis in immunocompromised individuals: A systematic review

Medicinski casopis, 2018

Oral candidiasis is a common fungal infection of the mouth in immunocompromised individuals. It o... more Oral candidiasis is a common fungal infection of the mouth in immunocompromised individuals. It occurs when it meets ideal conditions for breeding and represents an obstacle to patients. Candida treatment consists of solving the contributing factors and in addition application of certain antifungal drugs, including nystatin and fluconazole. The evaluation of the efficacy of these drugs is important in narrowing the choice of drugs in the selection therapy. The purpose of this study was to compare the efficacy of nystatin and fluconazole in the treatment of candida albicans. For this study two databases were searched: PubMed and SCIndex-in order to find papers that are appropriate in their content in making the conclusion which meet the criteria of validity and significance. In search of papers different combinations of keywords were used based on the obtained studies that had dealt with comparing one of these two antifungal drugs. After analysing all of these studies, a number of studies that fulfilled the criteria of validity and significance reduced to 8. The results of the studies compared have shown that the advantage in the treatment of oral candidiasis has fluconazole. The use of fluconazole in the treatment of fungal infection Candida albicans is completely safe and the patients treated with this drug showed a longer period without recurrence compared to the patients treated with nystatin.

Research paper thumbnail of Barriers affecting the oral health of people diagnosed with depression: A systematic review

Slovenian Journal of Public Health, 2020

Introduction The problems of oral health of people diagnosed with depression are not adequately r... more Introduction The problems of oral health of people diagnosed with depression are not adequately recognized, either in developed or developing countries. Social stigma, lack of self-interest, or even inadequate approaches of dental doctors towards the unique situation of this group of people this lead to excessive oral health problems. Methods The bibliographic database PubMed/Medline, Google Scholar, and Whiley online library were searched using the following text and MeSH as separate key terms and in combination: depression and oral health/dental caries/periodontal disease/tooth loss/utilization of oral health services/and barriers. The content of documents was analysed using qualitative methodology. Results Twenty-six original studies were included in the review. Level/severity of depression, medication and medical comorbidity are the most important medical barriers influencing the oral health of people diagnosed with depression. Dental fear and anxiety are mostly combined with lo...

Research paper thumbnail of Association between depression levels and self-perceived oral health among medical students

Acta Facultatis Medicae Naissensis, 2020

The aim of the study was to determine the correlation between depression levels, oral health, ora... more The aim of the study was to determine the correlation between depression levels, oral health, oral health habits and subjective feelings in the region of the mouth and teeth in senior medical students. A total of 103 students at the final study year at the Faculty of Medical Science, University of Kragujevac, participated in the research. Two types of questionnaires were used in this research-Beck Depression Inventory-II and Oral Health Questionnaire for Adults. Statistical analysis was performed using SPSS, version 21. Chi-square test was performed and the results with p-value less than 0.05 were considered statistically significant. There was no statistically significant difference between the levels of depression among genders. Twenty-one point four percent of students had depression. The correlation between depression levels and oral health variables showed that frequency of brushing teeth and avoiding smiling were significant between different levels of depression among females. The problems with biting food and problems in social interaction were significant among genders. Depressive feelings were noticed among senior medical students and they affected their selfperceived oral health. Oral health promotion programs targeting the young population could help improving oral health behaviour.

Research paper thumbnail of Barriers affecting the oral health of people diagnosed with depression: A systematic review

Slovenian Journal of Public Health, Oct 18, 2020

The problems of oral health of people diagnosed with depression are not adequately recognized, ei... more The problems of oral health of people diagnosed with depression are not adequately recognized, either in developed or developing countries. Social stigma, lack of self-interest, or even inadequate approaches of dental doctors towards the unique situation of this group of people this lead to excessive oral health problems. Methods: The bibliographic database PubMed/Medline, Google Scholar, and Whiley online library were searched using the following text and MeSH as separate key terms and in combination: depression and oral health/dental caries/periodontal disease/tooth loss/utilization of oral health services/and barriers. The content of documents was analysed using qualitative methodology. Results: Twenty-six original studies were included in the review. Level/severity of depression, medication and medical comorbidity are the most important medical barriers influencing the oral health of people diagnosed with depression. Dental fear and anxiety are mostly combined with low oral hygiene and bad oral health. Socioeconomic status, dental insurance, bad habits and education also have important roles in the oral health status of people diagnosed with depression. Conclusion: Including individuals with depression and oral health problems in national health programs, creating specific prevention programs, or subsidizing the cost of treatment are some of the recommendations suggested as solutions. Uvod: Težave z ustnim zdravjem pri ljudeh z diagnozo depresije niso ustrezno prepoznane niti v razvitih državah niti v državah v razvoju. Družbena zaznamovanost, pomanjkanje zanimanja zase ali celo neustrezen pristop zobozdravnikov do edinstvene situacije pri tej skupini ljudi povzročajo čezmerne težave z zdravjem ustne votline. Metode: Bibliografska podatkovna zbirka PubMed/Medline, Googlov učenjak in spletna knjižnica Whiley so bili preiskani z uporabo naslednjega besedila in izrazov MeSH kot ločenih ključnih izrazov in v kombinaciji: depresija in ustno zdravje/zobni karies/parodontalna bolezen/izguba zob/uporaba zobozdravstvenih storitev/in ovire. Vsebina dokumentov je bila analizirana s kvalitativno metodologijo. Rezultati: V pregled je bilo vključenih 26 izvirnih študij. Stopnja/resnost depresije, zdravila in pridružene bolezni so najpomembnejše zdravstvene ovire, ki vplivajo na ustno zdravje ljudi z diagnozo depresije. Tesnoba in strah pred zobozdravstvenimi posegi sta večinoma povezana s slabo ustno higieno in slabim zdravjem ustne votline. Pri ustnem zdravju ljudi z diagnozo depresije imajo pomembno vlogo tudi socialno-ekonomski status, zobozdravstveno zavarovanje, slabe navade in izobrazba. Sklep: Vključitev posameznikov z depresijo in težavami z ustnim zdravjem v nacionalne zdravstvene programe, oblikovanje posebnih preventivnih programov ali zagotavljanje ugodnejših cen storitev so nekatera priporočila, ki so bila predlagana kot rešitev.

Research paper thumbnail of Association between depression levels and self-perceived oral health among medical students

Acta Facultatis Medicae Naissensis, 2020

The aim of the study was to determine the correlation between depression levels, oral health, ora... more The aim of the study was to determine the correlation between depression levels, oral health, oral health habits and subjective feelings in the region of the mouth and teeth in senior medical students. A total of 103 students at the final study year at the Faculty of Medical Science, University of Kragujevac, participated in the research. Two types of questionnaires were used in this research-Beck Depression Inventory-II and Oral Health Questionnaire for Adults. Statistical analysis was performed using SPSS, version 21. Chi-square test was performed and the results with p-value less than 0.05 were considered statistically significant. There was no statistically significant difference between the levels of depression among genders. Twenty-one point four percent of students had depression. The correlation between depression levels and oral health variables showed that frequency of brushing teeth and avoiding smiling were significant between different levels of depression among females. The problems with biting food and problems in social interaction were significant among genders. Depressive feelings were noticed among senior medical students and they affected their selfperceived oral health. Oral health promotion programs targeting the young population could help improving oral health behaviour.

Research paper thumbnail of Health Literacy in Female – Association with Socioeconomic Factors and Effects on Reproductive Health

Serbian Journal of Experimental and Clinical Research, 2018

The aim of the study is to assess the health literacy of women who are using health services with... more The aim of the study is to assess the health literacy of women who are using health services within the Gynecology Obstetric Clinic “Narodni Front” in Belgrade. Testing of health literacy was conducted as a cross-sectional study in the period October-November 2012. As instruments of research the following questionnaires are used: Short Test of Functional Health Literacy in Adults and General information questionnaire of respondents who referred to the demographic, social and economic characteristics of respondents, self-assessment of health, use of health services, health knowledge and behavior in the area of reproductive health. Inadequate health literacy level is registered in every ten respondents. The education level of the respondents proved to be a significant predictor of health literacy. Demographic and socio-economic characteristics of the patients (age, occupation, marital status) as well as self-evaluation of the health status were not significantly related to the health ...

Research paper thumbnail of Epidemiological characteristics and trends of a Nationwide measles outbreak in Mongolia, 2015–2016

BMC Public Health, 2019

Background: Mongolia was one of the four countries that received a measles-elimination certificat... more Background: Mongolia was one of the four countries that received a measles-elimination certificate from the World Health Organization Regional Office for the Western Pacific in 2014. Following the outbreaks in many countries including China, a large measles outbreak occurred in Mongolia in 2015. This study reports 2015-2016 measles outbreak incidence, mortality, and complications, according to time, geographical distribution, and host characteristics. Methods: The epidemiological characteristics and trends of measles outbreak were analyzed using the Mongolian national surveillance data reported to the Center for Health Development, Ministry of Health, from January 2015 to December 2016. Results: In total, 23,464 cases of measles including eight deaths were reported in 2015, and 30,273 cases of measles including 132 deaths were reported in 2016, which peaked in June 2015 and March 2016, respectively. Majority of the cases were reported from Ulaanbaatar (35,397, 65.9%). The highest attack rates were 241 per 10,000 population in Darkhan-Uul aimag, and 263 per 10,000 population in Ulaanbaatar. Measles-related death, nosocomial infection, and complications were most frequent among children aged < 1 year. Conclusions: Following no reports of measles since 2011, a large nationwide outbreak occurred in Mongolia, despite the high vaccination coverage in the past. The highest incidence rate was reported in Ulaanbaatar city, and Umnugovi aimag in 2015 and Darkhan-Uul aimag in 2016. The most affected age group were aged < 1 year and those aged 15-24 years. Mortality cases were prominent among children aged < 1 year who were not eligible for vaccination. A systematic vaccination strategy is required to prevent another measles outbreak.

Research paper thumbnail of The last 3 decade of vaccination coverage in the Balkan and Eastern Europe countries with reference to the impact of the COVID-19 pandemic

Frontiers in pharmacology, Jun 6, 2024

Research paper thumbnail of Evaluation of factors influencing acceptance of HPV vaccination among adolescents and young adults: Contribution of a nurse

Education and Research in Health Sciences, Dec 31, 2022

Research paper thumbnail of Contribution of nurses and midwives in the prevention of cervical cancer: A critical review

Education and Research in Health Sciences, 2023

Uvod: Karcinom grlića materice je maligna bolest koja je vodeći uzrok smrti kada je reč o karcino... more Uvod: Karcinom grlića materice je maligna bolest koja je vodeći uzrok smrti kada je reč o karcinomu kod žena. Razvija se kroz niz prekarcinoznih pra mena epitela koje se nazivaju cervikalnim intraepitelnim neoplazijama. Kroz proces karcinogeneze, genetske i molekularne promene transformišu ćelije cerviksa u invazivni karcinom, koji se može širiti u okolno tkivo, limfne čvorove i druge organe. Naža lost, i pored značajnih napredaka u poznavanju patogeneze i razvoju metoda rane detekcije, karcinom grlića materice je bio i ostaje, jedna od centralnih i vanredno složenih oblasti ginekološke onkologije i predstavlja značajan globalni zdravstveni izazov. Cilj: Osnovni cilj istraživanja bio je istražiti dopri nos medicinskih sestara i babica u prevenciji karci noma grlića materice i prikazati detaljnija razmatra nja o različitim pristupima i metodama koje koriste u svom radu, kao i njihovom angažovanju u informisanju i podizanju svesti među ženama. Metod: M etodologija istraživanja obuhvatila je detaljno pretraživanje relevantnih medicinskih aka demskih baza podataka, uz precizno definisan cilj, što je usmerilo istraživanje i omogućilo identifika ciju relevantnih informacija o doprinosu medicin skih sestara i babica u prevenciji karcinoma grlića materice. Kvalitativna analiza primarnih rezultata sprovedena je radi sinteze podataka, ističući domi nantne teme. Zaključak: Medicinske sestre imaju značajnu od govornost u sprovođenju preventivnih aktivnosti. Efikasna implementacija programa prevencije, uz opsežnu edukaciju iz oblasti javnog zdravlja, mogu značajno doprineti smanjenju incidencije karcinoma grlića materice. Da bi se unapredio njihov doprinos i poboljšao pristup i metode prevencije, neophodna je usklađena saradnja između zdravstvenih profesi onalaca i donosilaca političkih odluka.

Research paper thumbnail of Social Isolation and Loneliness Among the Elderly

Annals of Nursing

Old age is a physiological process that leads to numerous changes in the body and mental and soci... more Old age is a physiological process that leads to numerous changes in the body and mental and social functioning. Social isolation and loneliness (SI&L), which represent both objective and subjective experiences of social disconnection, have emerged as two key constructs that affect people's health and are particularly relevant to the physical and mental health and longevity of the elderly. The aim of this review is to assess the frequency of SI&L among the elderly, factors related to SI&L, as well as their impact on the quality of life and health of the elderly, and the role of nurses and technicians in their healthcare. We performed a search of the PubMed database using the keywords “loneliness”, “social isolation” and “elderly”. The prevalence of SI&L among the elderly ranges from 10% to 28%. Significant factors related to SI&L are female gender, unmarried status, older age, poor income, lower level of education, living alone, low quality of social relationships, poor self-ass...

Research paper thumbnail of The assessment of women's health literacy and the factors that determine it

Zdravstvena pismenost žena može značajno uticati na različite aspekte ženskog zdravlja. Cilj ove ... more Zdravstvena pismenost žena može značajno uticati na različite aspekte ženskog zdravlja. Cilj ove studije bio je procena odnosa zdravstvene pismenosti, socio-demografskih karakteristika i zdravstvenog ponašanja žena u oblasti reproduktivnog zdravlja u Srbiji. Istraživanje je sprovedeno kao studija preseka, na uzorku žena starijih od 18 godina, sa teritorije Republike Srbije, stratifikovanom prema regionu, vrsti naselja i starosnim kategorijama. Pri proceni zdravstvene pismenosti žena korišćena je standardizovana verzija evropskog upitnika o zdravstvenoj pismenosti (HLS-EU-Q47). Ograničeni nivoi zdravstvene pismenosti bili su znatno prisutniji među ženama srednjeg životnog doba, među onima koje žive u ruralnim područjima, koje su svoje zdravlje procenile kao loše ili veoma loše i koje su pokazale negativnije zdravstveno ponašanje u oblasti reproduktivnog zdravlja, što ukazuje na potrebu za primenom preventivnih programa i strategije sa ciljem unapređenja nivoa zdravstvene pismenosti.H...

Research paper thumbnail of Factors associated with health literacy

Zdravstvena zaštita, 2020

SAŽETAK Svetska zdravstvena organizacija definiše zdravstvenu pismenost kao kognitivne i socijaln... more SAŽETAK Svetska zdravstvena organizacija definiše zdravstvenu pismenost kao kognitivne i socijalne veštine i sposobnost pristupa, razumevanja i korišćenja informacija na način koji promoviše i štiti zdravlje ljudi. Osobe koje imaju viši novo zdravstvene pismenosti odgovornije su za svoje i porodično zdravlje, kao i za zdravlje svoje zajednice. Zdravstveni radnici i istraživači, kao i kreatori zdravstvene politike, prepoznali su potrebu da se fokusiraju na zdravstvenu pismenost kao mogući faktor kojim se mogu smanjiti zdravstvene razlike. Međutim, precizna priroda odnosa između zdravstvene pismenosti i faktora koji je određuju i dalje je prilično nejasna.

Research paper thumbnail of Epidemiological characteristics and trends of birth movements in Serbia

Zdravstvena zaštita, 2020

SAŽETAK Uvod/Cilj: U poslednjih nekoliko decenija pad stope fertiliteta je zabeležen u gotovo svi... more SAŽETAK Uvod/Cilj: U poslednjih nekoliko decenija pad stope fertiliteta je zabeležen u gotovo svim državama sveta. Cilj istraživanja je analiza epidemioloških karakteristika i trenda kretanja porođaja u Srbiji u periodu 2007-2016. godine. Metode: Istraživanje je dizajnirano kao deskriptivna epidemiološka studija. Podaci su preuzeti iz Zdravstveno statističkih godišnjaka za period 2007-2016. godine. U analizi podataka korišćene su opšta stopa fertiliteta, stopa mortinataliteta, stopa rađanja, stopa mortaliteta odojčadi i stopa prevremenih porođaja, a trend stopa analiziran je korišćenjem jednačine linearnog trenda. Rezultati: Prosečna stopa opšteg fertiliteta u Srbiji u periodu 2007-2016. godine je bila 1,5 deteta po ženi. U periodu 2007-2016. godine u Srbiji je registrovano 660.069 porođaja sa ukupno 671.715 rođene dece, od kojih je 4.054 mrtvorođeno (0,6%). Dve trećine (66,1%) mrtvorođene dece je bilo prevremeno rođeno. Sa starošću porodilja raste broj prevremenih porođaja. Od 667.661 živorođenih u porodilištima je umrlo 924 novorođenčadi (0,1%). U posmatranom periodu registruje se kontinuirani trend opadanja broja porođaja (y=68.427-439,99x, R 2 =0,628), kao i broja živorođene dece (y=69.084-421,44x, R 2 =0,591). Trend stopa mrtvorođenih (mortinataliteta) pokazuje neznatno opadanje (y=6,138-0,012x, R 2 =0,016), kao i trend stopa mortaliteta novorođenčadi (y=1,882-50,091x, R 2 =0,683), ali dolazi do porasta trenda opšte stope fertiliteta (y=39,481+0,242x, R 2 =0,544). Prosečna opšta stopa fertiliteta za desetogodišnji period iznosila je 41,1 živorođenih na 1000 žena fertilnog perioda i kretala se od 38,2‰ do 41,7‰. Najveće povećanje stope fertilititeta beleži se u starosnoj grupi 40-44 godine sa 3,8‰ u 2007. godini na 9,9‰ u 2016. godini (2,6 puta više), a zatim u starosnoj grupi 30-39 godina sa 43,2‰ u 2007. godini na 63,0‰ u 2016. godini (1,4 puta više). Beleži se pad stope fertiliteta u starosnoj dobi 20-29 godina sa 80,4‰ u 2007. godini na 72,2‰ u 2016. godini. Najveće stope mrtvorođenosti (mortinataliteta) beleže se u najstarijoj grupi 45-49 godine (23,3‰), a najniža kod osoba mlađih od 15 godina (0,7‰). Zaključak: Mere politike prema revitalizaciji rađanja moraju angažovati sve nivoe društva na izgradnji svesti i moralne odgovornosti prema fertilitetu.

Research paper thumbnail of Attitudes of Primary School Teachers Toward Inclusive Education

Frontiers in Psychology

BackgroundThe aims of our study are related to examining the relevance of teachers' attitudes... more BackgroundThe aims of our study are related to examining the relevance of teachers' attitudes toward the implementation of inclusive education. In addition, its subject is related to the implications on inclusive education policies, limitations of the existing study along with the recommendations for our future research endeavors.MethodsThe research is a cross-sectional study type. The sample included 64 primary school teachers in the lower grades of primary school (grades 1–4), selected by using simple random sampling, in three primary schools on the territory of Belgrade, Serbia in 2021 (26, 17, and 21 primary school teachers). The Questionnaire for Teachers, which was used as a research instrument, was taken from the Master's Thesis Studen Rajke, which was part of the project “Education for the Knowledge Society” at the Institute for Educational Research in Belgrade. Dependent variables measured in the study referred to the attitudes of primary school teachers toward incl...

Research paper thumbnail of Factors associated with health literacy

Svetska zdravstvena organizacija definiše zdravstvenu pismenost kao kognitivne i socijalne veštin... more Svetska zdravstvena organizacija definiše zdravstvenu pismenost kao kognitivne i socijalne veštine i sposobnost pristupa, razumevanja i korišćenja informacija na način koji promoviše i štiti zdravlje ljudi. Osobe koje imaju viši novo zdravstvene pismenosti odgovornije su za svoje i porodično zdravlje, kao i za zdravlje svoje zajednice. Zdravstveni radnici i istraživači, kao i kreatori zdravstvene politike, prepoznali su potrebu da se fokusiraju na zdravstvenu pismenost kao mogući faktor kojim se mogu smanjiti zdravstvene razlike. Međutim, precizna priroda odnosa između zdravstvene pismenosti i faktora koji je određuju i dalje je prilično nejasna.

Research paper thumbnail of The Unmet Healthcare Needs: Evidence from Serbia

Iranian Journal of Public Health, 2020

Background: We aimed to determine the socio-economic factors associated with unmet healthcare nee... more Background: We aimed to determine the socio-economic factors associated with unmet healthcare needs of the population aged 20 and over in Serbia. Methods: We used data from the 2013 National Health Survey (NHS) of the population of Serbia. We focused only on the data concerning the population aged 20 and over. The final sample thus included 13,765 participants. The logistic regression was used to examine the socio-economic factors associated with unmet health care needs. Results: According to the data obtained in this study, 26.2% of the population aged 20 and over reported unmet health care needs during the previous 12 months. The multivariate analysis shows that significant indicators of unmet healthcare needs include: gender, age, marital status, level of education, financial and employment status. Conclusion: Females, the elderly and those with the lowest levels of education and household income, as well as those who are divorced and unemployed are at highest risk of unmet healt...

Research paper thumbnail of Comparison of nystatin and fluconazole effects in the healing of oral candidiasis in immunocompromised individuals: A systematic review

Medicinski casopis, 2018

Oral candidiasis is a common fungal infection of the mouth in immunocompromised individuals. It o... more Oral candidiasis is a common fungal infection of the mouth in immunocompromised individuals. It occurs when it meets ideal conditions for breeding and represents an obstacle to patients. Candida treatment consists of solving the contributing factors and in addition application of certain antifungal drugs, including nystatin and fluconazole. The evaluation of the efficacy of these drugs is important in narrowing the choice of drugs in the selection therapy. The purpose of this study was to compare the efficacy of nystatin and fluconazole in the treatment of candida albicans. For this study two databases were searched: PubMed and SCIndex-in order to find papers that are appropriate in their content in making the conclusion which meet the criteria of validity and significance. In search of papers different combinations of keywords were used based on the obtained studies that had dealt with comparing one of these two antifungal drugs. After analysing all of these studies, a number of studies that fulfilled the criteria of validity and significance reduced to 8. The results of the studies compared have shown that the advantage in the treatment of oral candidiasis has fluconazole. The use of fluconazole in the treatment of fungal infection Candida albicans is completely safe and the patients treated with this drug showed a longer period without recurrence compared to the patients treated with nystatin.

Research paper thumbnail of Barriers affecting the oral health of people diagnosed with depression: A systematic review

Slovenian Journal of Public Health, 2020

Introduction The problems of oral health of people diagnosed with depression are not adequately r... more Introduction The problems of oral health of people diagnosed with depression are not adequately recognized, either in developed or developing countries. Social stigma, lack of self-interest, or even inadequate approaches of dental doctors towards the unique situation of this group of people this lead to excessive oral health problems. Methods The bibliographic database PubMed/Medline, Google Scholar, and Whiley online library were searched using the following text and MeSH as separate key terms and in combination: depression and oral health/dental caries/periodontal disease/tooth loss/utilization of oral health services/and barriers. The content of documents was analysed using qualitative methodology. Results Twenty-six original studies were included in the review. Level/severity of depression, medication and medical comorbidity are the most important medical barriers influencing the oral health of people diagnosed with depression. Dental fear and anxiety are mostly combined with lo...

Research paper thumbnail of Association between depression levels and self-perceived oral health among medical students

Acta Facultatis Medicae Naissensis, 2020

The aim of the study was to determine the correlation between depression levels, oral health, ora... more The aim of the study was to determine the correlation between depression levels, oral health, oral health habits and subjective feelings in the region of the mouth and teeth in senior medical students. A total of 103 students at the final study year at the Faculty of Medical Science, University of Kragujevac, participated in the research. Two types of questionnaires were used in this research-Beck Depression Inventory-II and Oral Health Questionnaire for Adults. Statistical analysis was performed using SPSS, version 21. Chi-square test was performed and the results with p-value less than 0.05 were considered statistically significant. There was no statistically significant difference between the levels of depression among genders. Twenty-one point four percent of students had depression. The correlation between depression levels and oral health variables showed that frequency of brushing teeth and avoiding smiling were significant between different levels of depression among females. The problems with biting food and problems in social interaction were significant among genders. Depressive feelings were noticed among senior medical students and they affected their selfperceived oral health. Oral health promotion programs targeting the young population could help improving oral health behaviour.

Research paper thumbnail of Barriers affecting the oral health of people diagnosed with depression: A systematic review

Slovenian Journal of Public Health, Oct 18, 2020

The problems of oral health of people diagnosed with depression are not adequately recognized, ei... more The problems of oral health of people diagnosed with depression are not adequately recognized, either in developed or developing countries. Social stigma, lack of self-interest, or even inadequate approaches of dental doctors towards the unique situation of this group of people this lead to excessive oral health problems. Methods: The bibliographic database PubMed/Medline, Google Scholar, and Whiley online library were searched using the following text and MeSH as separate key terms and in combination: depression and oral health/dental caries/periodontal disease/tooth loss/utilization of oral health services/and barriers. The content of documents was analysed using qualitative methodology. Results: Twenty-six original studies were included in the review. Level/severity of depression, medication and medical comorbidity are the most important medical barriers influencing the oral health of people diagnosed with depression. Dental fear and anxiety are mostly combined with low oral hygiene and bad oral health. Socioeconomic status, dental insurance, bad habits and education also have important roles in the oral health status of people diagnosed with depression. Conclusion: Including individuals with depression and oral health problems in national health programs, creating specific prevention programs, or subsidizing the cost of treatment are some of the recommendations suggested as solutions. Uvod: Težave z ustnim zdravjem pri ljudeh z diagnozo depresije niso ustrezno prepoznane niti v razvitih državah niti v državah v razvoju. Družbena zaznamovanost, pomanjkanje zanimanja zase ali celo neustrezen pristop zobozdravnikov do edinstvene situacije pri tej skupini ljudi povzročajo čezmerne težave z zdravjem ustne votline. Metode: Bibliografska podatkovna zbirka PubMed/Medline, Googlov učenjak in spletna knjižnica Whiley so bili preiskani z uporabo naslednjega besedila in izrazov MeSH kot ločenih ključnih izrazov in v kombinaciji: depresija in ustno zdravje/zobni karies/parodontalna bolezen/izguba zob/uporaba zobozdravstvenih storitev/in ovire. Vsebina dokumentov je bila analizirana s kvalitativno metodologijo. Rezultati: V pregled je bilo vključenih 26 izvirnih študij. Stopnja/resnost depresije, zdravila in pridružene bolezni so najpomembnejše zdravstvene ovire, ki vplivajo na ustno zdravje ljudi z diagnozo depresije. Tesnoba in strah pred zobozdravstvenimi posegi sta večinoma povezana s slabo ustno higieno in slabim zdravjem ustne votline. Pri ustnem zdravju ljudi z diagnozo depresije imajo pomembno vlogo tudi socialno-ekonomski status, zobozdravstveno zavarovanje, slabe navade in izobrazba. Sklep: Vključitev posameznikov z depresijo in težavami z ustnim zdravjem v nacionalne zdravstvene programe, oblikovanje posebnih preventivnih programov ali zagotavljanje ugodnejših cen storitev so nekatera priporočila, ki so bila predlagana kot rešitev.

Research paper thumbnail of Association between depression levels and self-perceived oral health among medical students

Acta Facultatis Medicae Naissensis, 2020

The aim of the study was to determine the correlation between depression levels, oral health, ora... more The aim of the study was to determine the correlation between depression levels, oral health, oral health habits and subjective feelings in the region of the mouth and teeth in senior medical students. A total of 103 students at the final study year at the Faculty of Medical Science, University of Kragujevac, participated in the research. Two types of questionnaires were used in this research-Beck Depression Inventory-II and Oral Health Questionnaire for Adults. Statistical analysis was performed using SPSS, version 21. Chi-square test was performed and the results with p-value less than 0.05 were considered statistically significant. There was no statistically significant difference between the levels of depression among genders. Twenty-one point four percent of students had depression. The correlation between depression levels and oral health variables showed that frequency of brushing teeth and avoiding smiling were significant between different levels of depression among females. The problems with biting food and problems in social interaction were significant among genders. Depressive feelings were noticed among senior medical students and they affected their selfperceived oral health. Oral health promotion programs targeting the young population could help improving oral health behaviour.

Research paper thumbnail of Health Literacy in Female – Association with Socioeconomic Factors and Effects on Reproductive Health

Serbian Journal of Experimental and Clinical Research, 2018

The aim of the study is to assess the health literacy of women who are using health services with... more The aim of the study is to assess the health literacy of women who are using health services within the Gynecology Obstetric Clinic “Narodni Front” in Belgrade. Testing of health literacy was conducted as a cross-sectional study in the period October-November 2012. As instruments of research the following questionnaires are used: Short Test of Functional Health Literacy in Adults and General information questionnaire of respondents who referred to the demographic, social and economic characteristics of respondents, self-assessment of health, use of health services, health knowledge and behavior in the area of reproductive health. Inadequate health literacy level is registered in every ten respondents. The education level of the respondents proved to be a significant predictor of health literacy. Demographic and socio-economic characteristics of the patients (age, occupation, marital status) as well as self-evaluation of the health status were not significantly related to the health ...

Research paper thumbnail of Epidemiological characteristics and trends of a Nationwide measles outbreak in Mongolia, 2015–2016

BMC Public Health, 2019

Background: Mongolia was one of the four countries that received a measles-elimination certificat... more Background: Mongolia was one of the four countries that received a measles-elimination certificate from the World Health Organization Regional Office for the Western Pacific in 2014. Following the outbreaks in many countries including China, a large measles outbreak occurred in Mongolia in 2015. This study reports 2015-2016 measles outbreak incidence, mortality, and complications, according to time, geographical distribution, and host characteristics. Methods: The epidemiological characteristics and trends of measles outbreak were analyzed using the Mongolian national surveillance data reported to the Center for Health Development, Ministry of Health, from January 2015 to December 2016. Results: In total, 23,464 cases of measles including eight deaths were reported in 2015, and 30,273 cases of measles including 132 deaths were reported in 2016, which peaked in June 2015 and March 2016, respectively. Majority of the cases were reported from Ulaanbaatar (35,397, 65.9%). The highest attack rates were 241 per 10,000 population in Darkhan-Uul aimag, and 263 per 10,000 population in Ulaanbaatar. Measles-related death, nosocomial infection, and complications were most frequent among children aged < 1 year. Conclusions: Following no reports of measles since 2011, a large nationwide outbreak occurred in Mongolia, despite the high vaccination coverage in the past. The highest incidence rate was reported in Ulaanbaatar city, and Umnugovi aimag in 2015 and Darkhan-Uul aimag in 2016. The most affected age group were aged < 1 year and those aged 15-24 years. Mortality cases were prominent among children aged < 1 year who were not eligible for vaccination. A systematic vaccination strategy is required to prevent another measles outbreak.