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PL
W artykule przedstawiono analizy wybranych wskaźników zdrowia publicznego monitorowanych przez Eurostat w ramach strategii zrównoważonego rozwoju. Analizy oparto na danych pochodzących z baz Eurostat (on-line) i INSEE (on-line). Dane przedstawione w tabelach i na rysunkach prezentują dynamikę zmiennych. W wyniku przedstawionych analiz można wnioskować, że we wszystkich rozpatrywanych obszarach zdrowia publicznego istnieje znaczne zróżnicowanie pomiędzy krajami UE. Niemalże we wszystkich wymiarach poprawiają się wskaźniki zdrowia publicznego mieszkańców Unii: zmniejsza się dystans między oczekiwaną długością zdrowego życia mężczyzn i kobiet; maleje przeciętna śmiertelność z powodu chorób przewlekłych i samobójstw; nie wzrasta wskaźnik narażenia ludności miejskiej na zanieczyszczenia powietrza; mniejsza część ludności deklaruje uciążliwość z powodu hałasu.
EN
The paper presents analyses of selected indicateurs from public health area monitored by Eurostat in the framework of the sustainable development strategy. Analyses are based on data derived from databases of the INSEE and the Eurostat. The data shown in tables and figures present the dynamics of variables. It could be concluded that in all are as of public health, there is considerable variation between countries in the EU. Almost in all dimensions of public health of the EU population improves: the gap between the healthy life expectancy of men and women is reducing, the average mortality from chronic diseases and suicide is decreasing , the urban population exposure to air pollution does not increase, a nuisance because of the noise is declared by smaller part of the population.
EN
As part of the European Public Health project IMCA II validity and practicability of “air pollution” as a respiratory health indicator were analyzed. The definitions of air quality as an indicator proposed by the WHO project ECOEHIS and by IMCA I were compared. The public availability of the necessary data was checked through access to web-based data-bases. Practicability and interpretation of the indicator were discussed with project partners and external experts. Air quality serves as a kind of benchmark for the good health-related environmental policy. In this sense, it is a relevant health indicator. Although air quality is not directly in the responsibility of health policy, its vital importance for the population’s health should not be neglected. In principle, data is available to calculate this IMCA indicator for any chosen area in Europe. The indicator is relevant and informative, but calculation and interpretation need input from local expert knowledge. The European health policy is well advised to take air quality into account. To that end, an interdisciplinary approach is warranted. The proposed definition of air quality as a (respiratory) health indicator is workable, but correct interpretation depends on expert and local knowledge.
EN
The relationship between the public health status and income inequality has been taken into consideration in the last two decades. One of the important questions in this regard is that whether the changes in income inequality will lead to changes in health indicators or not. To answer this question, life expectancy is used as a health indicator and the Gini coefficient is used as an income inequality indicator. In this study, the relationship between income inequality and the public health has been investigated by panel data in Eviews software during 2000–2011 in 65 low-and middle-income countries. By using panel data and considering fixed effects and heterogeneity of sections, the relationship between income inequality and public health status is a significant negative relationship.
PL
Artykuł ma charakter poglądowy. Przedstawia związek między migracjami a zdrowiem publicznym. Od stuleci migracje przyczyniają się do szerzenia chorób zakaźnych i chorób psychicznych, wpływając na rozwój cywilizacji. Najważniejszą procedurą wypracowaną dla potrzeb walki z epidemiami jest kwarantanna. Walka z chorobami zakaźnymi, a więc i migracje, przyczyniła się do postępu naukowo-technicznego w medycynie.
EN
This review article presents the relationship between migration and public health. For centuries, migrations have contributed to the spread of infectious diseases and mental disorders, moreover, have impacted the development of civilization. The most important procedure developed to combat epidemics in the past is quarantine. The fight against infectious diseases and therefore migrations contributed to scientific and technical progress in medicine.
EN
The article looks at the issue of public health understood as an important factor of production. The author also analyzes the impact of the population’s health on economic growth. Korporowicz discusses a variety of approaches to public health, with a particular emphasis on a socioeconomic approach. She highlights the economic aspect of health as a component of human capital that creates the basis for examining living conditions and socioeconomic development. Health also needs to be evaluated for the purposes of economic calculations in the area of health protection policies, the author says. Such evaluations are used to determine the costs of health insurance, for example in the case of car accidents. The author counters a popular belief that the level of human capital is exclusively associated with education and public spending on education. According to Korporowicz, the health status of the population influences the level of human capital, while healthcare needs to be treated as a major socioeconomic category. Health is a resource that is subject to wear and can be enhanced and partly replenished by adequate investment. It plays an increasingly important role in the structure of production. Without it, uninhibited economic growth is impossible, the author argues. Korporowicz sets out to prove that health and healthcare can be analyzed in terms of the theory of public goods. Health is an asset that can be used in a specific way, the author says, but its benefits cannot be directly accessed through the market; nor is health subject to competition because the more health there is among individuals, the more society benefits as a whole. This is what sets public goods apart from private goods, which means that the idea of analyzing health on the basis of the public goods theory is justified, the author argues. It needs to be assumed that economic growth is impossible without a healthy and efficiently functioning innovative and creative society, Korporowicz adds. In modern economies, economic efficiency strongly depends on the intellectual potential and health of the population, the author concludes.
EN
Since the United Nations Security Council’s declaration that a disease outbreak may be considered a threat to the stability and security of state, the widespread use of the term “health security” has begun. This paper presents the concept of health security along with its threats, with particular focus on the new phenomena related to globalisation which contribute to the occurrence of new health threats. The threats to Poland’s health security are divided into internal and external. Internal ones may occur when the authorities do not meet the health needs of society. However, policymakers from industrialized countries put emphasis on protecting the population from external health security threats, especially from those that may become cross-border threats.
EN
This article explores various factors that affect implementation of the Polish health strategy, namely National Health Programme (NHP). On the basis of the concept of the Health Policy Triangle, the authors identify several factors of effective implementation of the NHP for the years 2016–2020 under the current legislation and organisational conditions. Those factors are divided into two groups: internal (dependant on NHP policy document) and external ones (related to legal and organisational context of programme’s implementation). Next, each factor is briefly characterised to provide some general guidance for the NHP for the next period. The final part of the article contain a list of proposed actions and decisions to be taken in order to ensure higher effectiveness of the next NHP.
EN
Unhealthy lifestyle choices and passive behaviour are a significant problem for many developed countries. They lead to a decrease in public health in the form of diseases related to contemporary civilization, such as: cardiovascular diseases, type II diabetes and obesity. This increases the costs generated in the healthcare system. The share of costs resulting from combating these diseases increases every year. The choice of a transport mode used when commuting is often perceived as one of the factors leading to more proactive behaviour and thus decreasing the externalities not only connected directly with transport such as pollution, noise, congestion and accidents, but also those connected with public health. The paper shows the results of a study performed in Poland, which was meant to identify and measure the relations between the transport choices and other proactive choices of commuters. A logistic regression model was estimated to identify the occurrence and intensity of these relations. The goal of the article is, therefore, to assess whether the choice of a transport mode used when commuting is connected with other types of proactive behaviour of citizens. In particular, the author wishes to determine if people choosing a car as their mode of transport tend to be generally less active than people choosing public transport or those who commute actively.
EN
The bill to amend the statute provides for a prohibition of the sale of the listed drinks to persons under 18 years of age on the premises of schools and other units of the educational system and in vending machines. The implementation of the proposed bans requires an analysis and a substantive decision, in particular regarding the harmfulness of drinks containing caffeine or taurine when consumed by minors. The possibility of achieving the required objective with the use of other measures should be considered. The proposed regulations determining criminal liability for noncompliance with the prohibitions on the advertising and sale of such drinks may be considered disproportionately harsh, as both their advertising and sale will be punished more severely than the advertising or sale of alcohol.
EN
Introduction. According to epidemiologic research, the number of obese and overweight children is increasing. A common way of dealing with this problem is enacting legislation regarding food served in educational institutions. In Poland, the regulations regarding the assortment of school shops are contained in the Ordinance of the Minister of Health of 26th June 2015 (and its subsequent amendments). Aim. The main aim of this study is to evaluate the product range of school shops and vending machines in Rzeszów. Methods and materials. The study covered 52 primary and secondary schools in Rzeszów. The schools included in the study had 15568 students altogether. Products bought by students in school shops and vending machines were recorded over the period of 3 days. Results. The study has shown a statistically significant relationship (p <0.001) between the amount and types of products bought in primary and secondary schools. Healthy snacks only made up a small percentage of products sold. Secondary schools sold 20% more snacks with high sugar content compared to primary schools. A majority of products sold were compliant with regulations (p=0.12). Conclusions. The assortment of school shops has changed after the implementation of the Ordinance of the Minister of Health of 26 June 2015 (and its subsequent amendments). The newly introduced restrictions significantly narrowed down the range of products offered in schools, reducing the number of products containing more than 15g of sugar (13.5g per 100g/ml in case of dairy products) or 10g of fat per portion.
EN
The initiative to draw up a Public Health Act deserves support. This draft rightly aims to complement the normative basis of disease treatment with normative basis of preventive medicine. The bill, however, requires further work on: clarifying the title of the Act and its scope and extent, the competence of the minister responsible for health, determine the statutory framework for a National Health Program, public health policy on the international and EU level.
EN
Regarding the prevalence of illicit psychoactive drugs about one third of the adults in Germany are experienced with such kind of drugs. Consumption of classical illegal drugs like heroin and cocaine seems to be unchanged. This article focuses essentially on ‘natural and synthetic drugs’ with respect to (i) injecting drug users (IDU) with the potential of spreading blood borne infections such as, e.g., HBV, HCV and HIV and (ii) people actively participating in sexual exposure settings where psychotropic drugs are concomitantly used. Entactogenic [1,2] drugs are also in demand in these settings especially for sexual stimulation. The addressed issues are to highlight the complexity of the misuse of illicit psychotropic drugs in Germany, and then both targeting directly the individual, temporally limited as well as permanently following hazards of health; furthermore, the indirect consequences are the increasing spread of STIs (sexually transmitted infections) that poses the next relevant issues for public health and social importance. The drugs discussed here are no longer restricted to the most-atrisk populations [3] but have been expanded to include the general population
EN
Healthcare systems in Europe are constantly undergoing reforms which adapt them to social, economic and political requirements. The aim of this article is to examine the efficiency of healthcare systems in 30 European countries in 2014. The Network Data Envelopment Analysis (NDEA) model was used. The efficiency of the countries’ overall health systems and their two main components were examined: the public health system and the medical care system. The models include variables that are out of control of policy makers and the ones that can be controlled by them. The research results show that countries which reformed their healthcare systems achieved higher efficiency more often.
EN
Installing outdoor gyms (OGs) has become popular in many countries worldwide. To date, data about the perceptions and behaviours of its users are still being determined. Therefore, this study aimed to determine who and how uses the facilities and how their users perceive them. The sample comprised 1,036 exercisers aged 44.1±16.1 years. For over 85% of users, OGs are the facilities where they follow their planned exercise programme, with 56.2% declaring exercising solely there. The main perceived advantages of OGs are free-to-access (42.6%) and outdoor location (40.4%), while disadvantages are dependence on the season (57.2%) and the technical condition of devices (24.9%). The predominant motive for using OGs is to maintain and improve their health (38.6%) and stay fit (27.9%). OGs are an essential alternative to indoor gyms in situations of limited availability under pandemic conditions. For many people, they are even the only place to exercise.
EN
The aim of the article is to give an overview of the first month of the novel coronavirus outbreak and public reactions to the news in the media comments and social media environments. The pandemic is still in its initial phase at the time of the publishing of the article and the knowledge about virus SARS-CoV-2 and disease COVID-19 is increasing on a daily basis. During the first month of the virus outbreak the growing flow of information and rapid escalation of the situation made the topic more noticeable in both the media and social media and thus provided a fertile basis for jokes and internet memes, legends, fake news, misinformation and conspiracy theories, etc., as was the case with the former bigger epidemics and pandemics. As it has also been observed previously, the consequences of some fake news, misinformation and conspiracy theories may often be more harmful for the society than the disease itself. Several motives and storylines are universal and surge as similar situations arise both in Estonia and in the rest of the world. The article also presents a small selection of more prominent topics and examples of the outbreak from social media environments during the initial phase of international awareness of the novel coronavirus.
EN
On October 9-10, 2017, the International Scientific Conference „Polish, European and Global Nursing” was held in Warsaw, Poland. The main organizer of the conference was the National Council of Nurses and Midwives in Warsaw. The event was an excellent opportunity to seriously discuss the situation of nurses and midwives and other topics in a large group of experts, pondering such issues as how to restore the dignity and prestige of the profession, and also how to initiate a discussion on the psychological and psychiatric consequences of a terrorist attack on the human body.
EN
Food safety is secured with its accurate quality and therefore, food should be adequately controlled with effective measures. The objective of this paper is to analyse the activities of the Veterinary Inspection (VI) while presenting its role and operational efficacy in the domain of food safety and quality. The analysis has demonstrated that the VI executes animal health protection and veterinary protection of public health. The authority is obliged to supervise the safety of animal-origin food products at the stages of production, marketing and direct sales. Its control measures also cover the health of reproduction animals and its health quality. The Veterinary Inspections also cover animal protection regulations, rules for animal identification and registration, and the transport of animals. Furthermore, the body imposes veterinary requirements on animal farms. It has been demonstrated that the VI also monitors illegal substances, chemical, biological and medical product residues as well as radioactive contamination in animals and poultry, and the trade and volumes of veterinary medicinal products. The competencies of the VI enable the authority to effectively execute its statutory responsibilities. However, the domain in which the VI operates does not include all business entities of the food chain. This creates challenges for the comprehensive supervision of food production and distribution and suggests that the currently proposed concept of the National Food Safety Inspection will increase the efficacy of control measures on this new body in comparison with the VI.
EN
This paper reflects on a practitioner-grounded metaphor – the mosaic – as a means to think the relationship between health and the environment in two policy initiatives, a walking and a conservation group. These were both part of Thames Chase Community Forest, a UK-based nature program to combat ill-health, poverty and social exclusion for those on the fringe of large urban conurbations. Using multiple research methods, the paper questions the simple, literal, equal-but-separate notions of the two pre-set policy parameters to show how the solidarity that mattered could not be fixed in advance. It was a mosaic-in-the-making, that came to life along the way, within the shifting ground of patterned regularities, people and happenings that often escape the net of rapid approaches to ethnographic policy research. Such reflections might usefully offer fresh soundings for policy-makers to contemplate, not merely a blueprint to be followed.
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