Hronične bolesti među studentima: prevalenca, obrazac i uticaj na kvalitet života u vezi sa zdravljem
Sažetak
Uvod/Cilj. Oko 30% studenata ima hronične bolesti i/ili potrebu za posebnom negom. Imajući u vidu da će ova populacija činiti značajni deo radnog sektora, neophodno je da zdravstveni problemi studenata budu prepoznati i adekvatno tretirani. Ciljevi ovog istraživanja bili su procena prevalencije i distribucije hroničnih bolesti u populaciji studenata, kao i procena njihovog kvaliteta života povezanog sa zdravljem (KŽPZ). Metode. Ukupno 1,624 studenta Beogradskog Univerziteta je bilo uključeno u studiju u Studentskoj poliklinici. Studenti su popunjavali sociodemografski upitnik i upitnik o navikama, kao i Bekovu skalu depresije (BSD) i upitnik SF-36 za procenu KŽPZ. Podaci o hroničnim bolestima dobijeni su od ispitanika, a zatim su potvrđeni u istoriji bolesti. Uticaj hroničnih bolesti na KŽPZ procenjen je kroz seriju linearnih regresionih modela. Rezultati. Učestalost hroničnih bolesti u populaciji studenata bila je 16,5%. Najčešće hronične bolesti su bile astma i hronični bronhitis (4,2% i 3,1%). Svi SF-36 domeni, oba kompozitna i ukupan skor bili su niži kod studenata sa hroničnim bolestima u odnosu sa zdrave studente (p < 0.001). Studentkinje sa hroničnim bolestima imale su lošiji KŽPZ u svih osam domena, dok su studenti sa hroničnim bolestima naveli neke domene KŽPZ kao lošije u odnosu na zdrave studente. Nakon uključivanja više varijabli u konačan regresioni model, prisustvo hroničnih bolesti ostalo je značajan prediktor lošijeg KŽPZ [Beta (β -5,69; 95%) interval pouzdanosti (CI): -8,09, -3,28]. Zaključak. Da bi zdravstvene potrebe studenata bile zadovoljene, potrebno je da služba zdravstvene zaštite pruži podršku u prevenciji i lečenju hroničnih bolesti.
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REFERENCES
Lemly DC, Lawlor K, Scherer EA, Kelemen S, Weitzman ER. Col¬lege health service capacity to support youth with chronic medical conditions. Pediatrics 2014; 134(5): 885–91.
Felix JF, Voortman T, van den Hooven EH, Sajjad A, Leermakers ET, Tharner A, et al. Health in children: A conceptual frame-work for use in healthy ageing research. Maturitas 2014; 77(1): 47–51.
Stewart-Brown S, Evans J, Patterson J, Petersen S, Doll H, Balding J, et al. The health of students in institutes of higher education: An important and neglected public health problem? J Public Health Med 2000; 22(4): 492–9.
El Ansari W, Stock C, UK Student Health Group, Snelgrove S, Hu X, Parke S, et al. Feeling healthy?, A survey of physical and psychological wellbeing of students from seven universities in the UK. Int J Environ Res Public Health 2011; 8(5): 1308–23.
Vaez M, Laflamme L. First-year university students' health status and socio-demographic determinants of their self-rated health. Work 2002; 19(1): 71–80.
Crump C, Rivera D, London R, Landau M, Erlendson B, Rodriguez E. Chronic health conditions and school performance among children and youth. Ann Epidemiol 2013; 23(4): 179–84.
Sample size calculator. Available from: https://www.surveysystem.com/sscalc.htm
Beck AT, Steer RA, Brown GK. BDI-II: Beck Depression Inven-tory Manual. 2nd ed. San Antonio, TX: Psychological Corpo-ration; 1996.
Novovic Z, Mihic LJ, Tovilovic S, Jovanovic V, Biro M. Psychomet-ric characteristics of the Beck depression inventory on a Ser-bian student sample. Psihologija 2011; 44: 225–43. (Serbian)
Ware JE, Snow KK, Kosinski M, Gandek B. The SF-36 Health Sur¬vey Manual and interpretation guide. Boston, MA: Nimrod Press; 1993.
Ware JE Jr. SF-36 health survey update. Spine (Phila Pa 1976) 2000; 25(24): 3130–9.
ProQolid Patient-Reported Outcome and Quality of Life In-struments Database SF-36 Health Survey Serbian version. Available from: http://www.proqolid.org/
Klemenc-Ketis Z, Kersnik J, Eder K, Colaric D. Factors associated with health-related quality of life among university students. Srp Arh Celok Lek 2011; 139(3–4): 197–202.
Castren J, Huttunen T, Kunttu K. Users and non-users of web-based health advice service among Finnish university students: Chronic conditions and self-reported health status (a cross-sectional study). BMC Med Inform Decis Mak 2008; 8: 8.
Ayvasik HB, Sümer HC. Individual differences as predictors of illicit drug use among Turkish college students. J Psychol 2010; 144(6): 489–505.
Unwin BK, Goodie J, Reamy BV, Quinlan J. Care of the college stu¬dent. Am Fam Physician 2013; 88(9): 596–604.
Mikolajczyk RT, Brzoska P, Maier C, Ottova V, Meier S, Dudziak U, et al. Factors associated with self-rated health status in uni-versity students: A cross-sectional study in three European countries. BMC Public Health 2008; 8: 215.
Mikami A, Matsushita M, Adachi H, Suganuma N, Koyama A, Ichimi N, et al. Sense of coherence, health problems, and pre-senteeism in Japanese university students. Asian J Psychiatr 2013; 6(5): 369–72.
El Ansari W, Labeeb S, Moseley L, Kotb S, El-Houfy A. Physical and Psychological Well-being of University Students: Survey of Eleven Faculties in Egypt. Int J Prev Med 2013; 4(3): 293–310.
Lee RL, Loke AJ. Health-Promoting Behaviors and Psychoso-cial Well-Being of University Students in Hong Kong. Public Health Nurs 2005; 22(3): 209–20.
Sánchez-López MP, Cuellar-Flores I, Dresch V. The impact of gen¬der roles on health. Women Health 2012; 52(2): 182–96.