Sense of coherence (SOC) occupies the central place within the salutogenic model. It is an important contributor to the development and maintenance of people's health. This study aimed to assess the ...strength of sense of coherence (SOC) among nurses and the relationship between the strength of SOC and socio-demographic and work-related factors. A cross-sectional study was conducted in 2018. Linear regression was used to describe strength of association between SOC and socio-demographic and work-related factors. A total of 713/1300 nurses completed an SOC-29-item questionnaire for the assessment of SOC. The mean value for total SOC score (SOCS) was 145.0 points (SD 22.1, range 81-200). The results of the multivariate linear regression revealed statistically significant positive associations between SOCS and age (>40 years), level of education (master of nursing and bachelor of nursing), and transportation mode by car. Our study suggested SOC as an important and influential health-promoting personal resource of nurses which might offer protection regarding work-related stress.
Aiming at highlighting the importance of social networking for health of elderly, the association between social support and self-perceived health (SPH) was assessed in Slovenia.
Data from three ...consecutive cross-sectional surveys on health behaviour in Slovenia (2008, 2012 and 2016), for 4599 elderly, aged 65-75 years, were pooled. Association between poor SPH (PSPH) and social support (taking into account also existence of extended personal social network (EPSN)), adjusted for confounders, was analysed by multiple logistic regression.
The PSPH odds were statistically significantly higher in single/divorced/living in extramarital partnership/widowed, all without EPSN (OR = 2.99; p = 0.005), and single/divorced with EPSN (OR = 1.49; p = 0.053) in comparison to married with EPSN.
Irrespective of gender, socio-economic status or health-related factors, elderly with low level of social support were more likely to perceive their health as poor/very poor. Public health measures to reduce isolation of elderly should be included in the action plan in the frame of the Longevity strategy.
Background: The prevalence of overweight and obesity among children has increased dramatically in recent decades. The survey examined overweight and obesity in the population of boys and girls from ...Ljubljana, the capital of Slovenia, aged seven through fourteen from 1991 to 2011. Methods: An annually repeated cross-sectional study of data from the national SLOFIT monitoring system was used. The body mass index cut-off points of the International Obesity Task Force were used to identify the prevalence of overweight and obesity. Multinomial logistic regression was used for modelling the probability of overweight and obesity as a function of time (year of measurement), sex and age of subjects. Results: In 1991-2011 period, the odds for overweight and obesity among primary school children (n = 376,719) increased every year by 1.7% (95% CI: 1.6-1.9) and 3.7% (3.4-4%) respectively. Boys have 1.17 (95% CI: 1.15-1.20) times higher odds of becoming overweight and 1.39 (95% CI: 1.35-1.44) times higher odds of becoming obese than girls. In comparison to the reference group (age of 14), the highest odds for overweight were found at the ages of nine and ten (1.39; 95% CI: 1.34-1.44), while for the obesity the highest odds were at the age of eight (2.01; 95% CI: 1.86-2.16). Conclusion: From 1991 to 2011, overweight and obesity clearly became more prevalent in children from Ljubljana. This trend has been more obvious among boys than girls. In comparison to 14-year-old boys and girls, the highest odds for excessive weight were found below the age of 10.
Aim: Aiming at assessing the state of the Slovenian population health according to the latest available data, and comparing it with health in selected countries, the objective was to analyse the ...burden of disease (BoD) data available in a selected database.
Methods: The Institute for Health Metrics and Evaluation Global Burden of Disease Study (IHME-GBD) database was used. Causes of all three big IHME-GBD groups: A) communicable, maternal/neonatal conditions, and nutritional deficiencies, B) non-communicable diseases, and C) injuries, in total 18 groups of causes, were observed. Overall mortality, Disability Adjusted Life Years (DALYs), Years of Life Lost (YLLs) and Years Lived with Disability (YLDs) (all per 100.000 population), were used as indicators. Percentage of BoD generated by selected cause, and the ratios of rates in 2019 versus rates in 2014 (reference year) in Slovenia, and the ratios of rates in Slovenia versus rates in Western Europe Region countries (WERC) were analysed. Ratios >1.20 or ˂0.83 were considered as important.
Results: When considering mortality, the greatest burden was generated by cardiovascular diseases and neoplasms. In maternal/neonatal conditions, an important decrease in overall (0.68) and premature (0.68) mortality, while in nutritional deficiencies an increase in overall mortality (1.27) were observed. An increase in overall mortality was noticed also in neurological disorders (1.21), diabetes (1.21) and skin diseases (1.24). Mortality rates were higher in Slovenia than in WERC in digestive diseases, substance use, unintentional injuries and self-harm. When considering disability, the greatest burden was generated by musculoskeletal and mental disorders, and unintentional injuries. Disability rates were higher in Slovenia than in WERC in maternal/neonatal conditions, and unintentional and transport injuries.
Conclusion: In the observed five-year time span, cardiovascular diseases and neoplasms remained at the forefront. However, their burden didn’t change. Causes with burden expressed by disability, musculoskeletal and mental disorders, and unintentional injuries, which has been neglected in the past due to lack of indicators, proved to be an important problem as well. MPHPs in which a lot has to be done to reach rates in WERC, digestive diseases, substance use, and injuries, were identified.
To determine cadmium content in the most frequently consumed foods of plant origin grown in different regions of Slovenia, assess cadmium content in the biological materials (blood and hair) from ...Slovenian young men, and verify the hypothesis that the cadmium pollution of the environment varies across regions in Slovenia.
We analyzed cadmium concentration in 982 composite samples of foods of plant origin, and determined the cadmium burden in the population by analyzing cadmium content in whole blood and hair samples from 742 randomly selected healthy men aged 18-26 years.
There were significant differences in cadmium content in the analyzed foods with respect to the regions in Slovenia where were the foods of plant origin were produced (p<0.001). The median cadmium content in 463 blood specimens was 0.5 microg/L, and 4 ng/g in 245 hair specimens. Cadmium content in the blood and hair samples from study participants varied significantly across regions in Slovenia (p<0.001 and p<0.003, respectively). Cadmium content in foods of plant origin and cadmium burden in the blood showed only a weak correlation (Spearman's r=0.13), whereas the correlation between cadmium content in the foods and hair was much stronger (Spearman's r=0.55).
Our research confirmed the hypothesis of regionally different environmental pollution with cadmium, and clearly showed the connection between cadmium burden in foods and in population in Slovenia.
Aim: This article aims to present a study protocol that represents a tool developed for a learning needs assessment. With a pilot study, based on the presented concept of a model study, we will be ...able to assess what mental health learning content is not yet part of formal higher education for professionals working in community mental health centres, but has been identified as necessary for inclusion. The presented tool is transferable with appropriate modifications. The goal is to conduct multiple research with the same basic tool at all levels of the educational system and in continuing professional education for all professionals who work with people. Methods: The learning needs assessment study protocol presented uses both quantitative and qualitative research approaches. It is expected that the research will be conducted in several interrelated phases that holistically cover the needs assessment process. Results: The pilot study will provide insight into the advantages and disadvantages of the prepared learning needs assessment tool. Through the research study, the learning needs of professionals working in community mental health centres, will be identified. Conclusion: Professional mental health care workers must be equipped with the necessary knowledge, skills, attitudes, and values to perform their work with quality. By implementing appropriate mental health learning content in educational processes from pre-school education to higher education and further to continuing professional education, we can impact the mental health of the entire population. Since this can lead to acquiring the competencies necessary to care of one’s own mental health and that of others, it can be considered an important public health intervention. Source of funding None declared Acknowledgements The authors gratefully acknowledge Maja Dizdarevic, Vera Grebenc, Kaja Krajc, Vesna Svab, Matej Vinko and Nika Vuksa Jurejevcic for their invaluable contribution when creating the methodological document. Conflict of interest None declared.
Objectives
Self-rated health can be influenced by several characteristics of the social environment. The aim of this study was to evaluate the relationship between self-rated health and self-assessed ...social class in Slovenian adult population.
Methods
The study was based on the Countrywide Integrated Non-communicable Diseases Intervention Health Monitor database. During 2004, 8,741/15,297 (57.1%) participants aged 25–64 years returned posted self-administered questionnaire. Logistic regression was used to determine unadjusted and adjusted estimates of association between poor self-rated health and self-assessed social class.
Results
Poor self-rated health was reported by 9.6% of participants with a decrease from lower to upper-middle/upper self-assessed social class (35.9 vs. 3.7%). Logistic regression showed significant association between self-rated health and all self-assessed social classes. In an adjusted model, poor self-rated health remained associated with self-assessed social class (odds ratio for lower vs. upper-middle/upper self-assessed social class 4.23, 95% confidence interval 2.46–7.25;
P
< 0.001).
Conclusions
Our study confirmed differences in the prevalence of poor self-rated health across self-assessed social classes. Participants from lower self-assessed social class reported poor self-rated health most often and should comprise the focus of multisectoral interventions.
Medical education is challenging, but for some students it can be very stressful. Studies suggest that stress during medical education can have a negative impact on students' mental health and that ...burnout is frequent among medical school students. The aim of this study was to measure burnout among students of medicine/dentistry (M/D) at the Faculty of Medicine, University of Ljubljana, Slovenia, in relation to their perception of stress, so as to enable planning preventative activities for students at risk. The data were collected in a cross-sectional study, carried out in spring 2008 among the total population of MID students of 1St, 3rd, 4th and 6th year, using a self-administered online questionnaire. Oldenburg Burnout Inventory (OLBI) instrument was used. Separate burnout scores were calculated for the exhaustion and disengagement dimensions of burnout, and related to students'perception of stress. Multiple linear regression method was carried out to adjust the association estimates for several potential confounders (gender, study program, relationship status, and grade). The overall response rate was 47.2%, and a total of 476 students participated. Students scored higher on exhaustion than on disengagement dimension--the mean value of burnout scores on the exhaustion dimension scale was -1.68, while it was -4.58 on the disengagement dimension scale. The results showed a statistically significant difference between high and low risk-for-stress groups of students in both burnout dimensions (average value of burnout scores on the exhaustion scale: high risk-for-stress group -3.69, low risk-for-stress group 0.19, p<0.001; average value of burnout scores on the disengagement scale: high risk-for-stress group -5.57, low risk-for-stress group -3.65, p<0.001). After adjustment for potential confounders differences on both burnout subscales remained almost unchanged. Results confirmed our hypothesis that M/D students of Ljubljana Faculty of Medicine who frequently experience stress (especially those with poor coping mechanisms), exhibit higher degree of burnout.
PDF
