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WOMEN’S HEALTH IN GYŐR WRITTEN and COMPILED BY: MRS. MÁRIA MIKLÓSY BERTALANFY WHO coordinator WOMEN’S HEALTH IN GYŐR WRITTEN and COMPILED BY: MRS. MÁRIA MIKLÓSY BERTALANFY WHO coordinator WHO Healthy Cities Project, Győr AIHA American-Hungarian partnership program

Population tendencies in the region Live births per 1000 people People 14 12 10 Population tendencies in the region Live births per 1000 people People 14 12 10 8 6 4 2 0 Gyor-M-S region Vas region Zala region Western region 1985 1990 Source: KSH database 1995 years 1998

Population tendencies in the region Deaths per 1000 people 15 14 13. 5 13 Population tendencies in the region Deaths per 1000 people 15 14 13. 5 13 12. 5 12 11. 5 Gyor-M-S region Vas region Zala region Western region 1985 1990 years Source: KSH database 1995 1998

Average life expectancy for women at birth life expectancy 76. 5 76 75. 5 Average life expectancy for women at birth life expectancy 76. 5 76 75. 5 75 74 73. 5 73 72. 5 72 1985 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 years Gyor-M-S Source: HIS database Vas Zala Hungary

mortality per 1000 infants Infant mortality rate in the region (‰) 20 18 16 mortality per 1000 infants Infant mortality rate in the region (‰) 20 18 16 14 12 10 8 6 4 2 0 1980 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 Gyor-M-S Vas Zala Hungary

Infant mortality Region Live births Premature births % Infant mortality ‰ 2000 2001 Győr Infant mortality Region Live births Premature births % Infant mortality ‰ 2000 2001 Győr 2271 2374 7, 6 7, 9 7 7, 4 County 3949 4078 7, 2 7, 6 10, 5 6, 4

Change in ISZB's Standardized Death Rate in the Western region and Hungary among women Change in ISZB's Standardized Death Rate in the Western region and Hungary among women ages 15 -64 (1993 -2000) per 100 000 inhabitants 80 60 40 20 0 Gyor-M-S. m. Vas m. Zala m. Ny-d. regio Magyarorszag 1993 1994 1995 1996 1997 1998 1999 2000

per 100 000 inhabitants Change in Lung Cancer Standardized Death Rate in the Western per 100 000 inhabitants Change in Lung Cancer Standardized Death Rate in the Western region and Hungary 30 among women ages 15 -64 (1993 -2000) 25 20 15 Gyor-M-S. m. Vas m. Zala m. Ny-d. regio Magyarorszag 10 5 0 1993 1994 1995 1996 1997 1998 1999 2000

per 100 000 inhabitants Change in Colon Cancer Standardized Death Rate in the Western per 100 000 inhabitants Change in Colon Cancer Standardized Death Rate in the Western region and Hungary among women ages 15 -64 (1993 -2000) 12 10 8 Gyor-M-S. m. Vas m. Zala m. Ny-d. regio Magyarorszag 6 4 2 0 1993 1994 1995 1996 1997 1998 1999 2000 year

Change in Brest Cancer Standardized Death Rate in the Western Region and Hungary among Change in Brest Cancer Standardized Death Rate in the Western Region and Hungary among women ages 15 -64 (1993 -2000) 35 per 100 000 inhabitants 30 25 20 15 Gyor-M-S. m. Vas m. Zala m. Ny-d. regio Magyarorszag 10 5 0 1993 1994 1995 1996 1997 year 1998 1999 2000

Change in Alcohol Related Liver Disease Standardized Death Rate in the Western region and Change in Alcohol Related Liver Disease Standardized Death Rate in the Western region and Hungary among women ages 15 -64 (1993 -2000) per 100 000 inhabitants 50 40 30 20 10 0 Gyor-M-S. m. Vas m. Zala m. Ny-d. regio Magyarorszag 1993 1994 1995 1996 1997 1998 year 1999 2000

per 100 000 inhabitants Change in Smoking Related Standardized Death Rate in the Western per 100 000 inhabitants Change in Smoking Related Standardized Death Rate in the Western region and Hungary among women ages 15 -64 (1993 -2000) 140 130 120 110 100 90 80 70 60 50 40 Gyor-M-S. m. Vas m. Zala m. Ny-d. regio Magyarorszag 1993 1994 1995 1996 1997 year 1998 1999 2000

% Regular smoking among elementary school children (ages 7 -14) 16 14 12 10 % Regular smoking among elementary school children (ages 7 -14) 16 14 12 10 8 6 4 2 0 6 th grade boys 6 th grade girls 8 th grade boys 8 th grade girls

Rate of regular smokers in high school (ages 14 -18) % 50 45 40 Rate of regular smokers in high school (ages 14 -18) % 50 45 40 35 30 25 20 15 10 5 0 boy girl

 Abortion percentages per 1000 women by age group in Győr 1993 1994 1995 Abortion percentages per 1000 women by age group in Győr 1993 1994 1995 1996 1997 1998 1999 2000 Below age 14 Ages 15 -19 Ages 20 -24 2. 4 27. 4 40. 5 2. 9 25. 4 35. 5 3 25. 6 37. 5 1. 7 23. 7 38. 3 3 21. 1 32. 1 1. 2 19. 7 29. 4 1. 9 17. 5 29. 9 1. 5 17. 1 26

Number of premature births in Győr Number of live births below 2500 gr. Total Number of premature births in Győr Number of live births below 2500 gr. Total live births 386 403 387 350 320 308 265 268 242 266 283 304 5056 4985 4862 4681 4679 4498 4099 3915 3799 3703 3831 3949 Percentage of prematur e births 7. 6 8. 1 8. 0 7. 5 6. 8 6. 4 7. 2 7. 4 7. 7

Abortions per 1000 women in age groups between 1990 and 2001 45 40 35 Abortions per 1000 women in age groups between 1990 and 2001 45 40 35 30 25 20 15 10 -14 15 -19 20 -24 5 0 1993 1994 1995 1996 1997 1998 1999 2000 2001

Mortality of women in Győr by major diseases n women ages 25 -44 : Mortality of women in Győr by major diseases n women ages 25 -44 : Tumors: 30, 1% n Cardiovascular diseases: 24, 8% n Violence: 17, 2% n Digestive system: 10, 1% n Other natural causes: 9, 9% n Pulmonary system: 7, 9% n

Mortality above average national level in Győr n Among n women ages 25 -44 Mortality above average national level in Győr n Among n women ages 25 -44 Breast and other tumors SHH 103% and 107% n Among women ages 60 -74 Arterial sclerosis SHH 113% n Female tumors SHH 118% n

 City of Győr family doctor morbidity data by gender (2001) total Percentage rate City of Győr family doctor morbidity data by gender (2001) total Percentage rate Femal Male e Male Female total 1 Alzheimer’s disease 31 32 0. 07% 0. 06% 2 Tuberculosis 85 52 0. 18% 0. 09% 0. 13% 3 Asthma 503 597 1. 06% 4 Cerebral isch. attacks 650 697 1. 37% 1. 23% 1. 30% 5 Liver diseases 996 526 2. 10% 0. 93% 1. 47% 6 Malignant tumors 867 1219 1. 83% 2. 16% 2. 01% 7 Chronic lower respiratory 1244 1069 2. 62% 1. 89% 2. 23% 8 Cerebrovascular 1256 1255 2. 65% 2. 22% 2. 42% 9 Stomach 1629 1618 3. 43% 2. 87% 3. 13% 10 Osteoporosis 713 3266 1. 50% 5. 79% 3. 83% 11 Lipidaemia 2590 2642 5. 46% 4. 68% 5. 04% 12 Ischaemia heart disease 3041 2890 6. 41% 5. 12% 5. 71% 13 Diabetes 2849 3447 6. 01% 6. 11% 6. 06% 14 Spine elv. + Spondylop. 3620 5202 7. 63% 9. 22% 8. 49% 15 High blood pressure 8963 11550 18. 89% 20. 46% 19. 75% total: 47438 56446 61. 21% 63. 89% 62. 67%

Hospitalization among women ages 12 -29 in Győr in 2001 Days of Number of Hospitalization among women ages 12 -29 in Győr in 2001 Days of Number of cases hospitalization BNO Cause O 8000 Koponyavégű, spontaneous vaginal birth 583 3551 O 0491 Complete or k. m. n. művi vet. without complications, early (up to week 12) 251 261 Caesarean delivery Complete or k. m. n. művi vetélés without complications Veszélyeztetett pregnancy, k. m. n. Idült garatmandula-gyulladás Jóslófájások a befejezett 37. hét előtt Fenyegető vetélés Missed abortion Female infertility, k. m. n. Delivery with vacuum extraction Other and k. m. n. ovary cysts Cervicalis dysplasia, k. m. n. Other lower abdominal pain Incomplete spontaneous vetélés without complications Delivery with elective caesarean, k. m. n. Az ajak festéksejtes naevusai Accute appendicitis k. m. n. Chondromalacia patellae Varicose veins of lower limbs withour ulcer or inflammation 150 97 83 77 63 57 47 33 31 28 26 21 21 20 18 18 17 16 1356 100 333 328 486 297 63 93 231 141 82 57 26 207 45 98 58 31 O 8210 O 0490 O 2690 J 3500 O 4700 O 2000 O 0210 N 9790 O 8140 N 8320 N 8790 R 1030 O 0340 O 8200 D 2200 K 3590 M 2240 I 8390

International Outlook In the past 30 A study from Belfast years in the United International Outlook In the past 30 A study from Belfast years in the United States and about women’s internationally depression health states that the rates are twice as high connection between among women as among social deprivation men, according to a study and diseases strikes entitled “Depression and gender”, written by Frances mainly women. Low M. Culbertson from the salaries, low University of Wisconsin. occupational status Other researches and part-time estimate the rate to be as employment affect high as 3: 1. (Klerman and n women more. Weissman, 1989; Wetzel, 1994).

National perspective n n Based on tests, the frequency of neurotic and psychosomatic conditions National perspective n n Based on tests, the frequency of neurotic and psychosomatic conditions requiring treatment is around 20 -25% In addition to this, the number of alcoholics is estimated at 990, 000, that of drug users at 150 -200, 000, and the number of successful suicides is 4500 -5000. 60% 49% 50% 20% 53% 41% 35% 40% 30% 53% 29% 28% 15% 34% 18% 33% 50 -59 60 23% 10% 0% 16 -19 20 -29 30 -39 40 -49 Ffi No Occurrence of neurotic symptoms in the Hungarian population, by gender /Kopp M. -Skrabski Á. : Hungarian State of Mind/

National data Point averages for depression symptoms by county in 1995 /Kopp M. , National data Point averages for depression symptoms by county in 1995 /Kopp M. , Skrabski Á. , Szedmák S. : National representative morbidity research results and the most important background factors of morbidity data - Végeken, 1997/8. 2 -3. sz. /

Urban data: Number of patients treated by family doctors in Gyor in 1996 Neurosis, Urban data: Number of patients treated by family doctors in Gyor in 1996 Neurosis, personality disorders - (BNO 300 316) GENDER Ages 15 -18 MALE 5 FEMALE 6 ? 11 Ages 19 -34 108 182 290 Ages 35 -59 295 497 792 1996 Family doctors report on patients treated with mental disorders ’ ? GENDER 612 993 1605 Over 60 204 308 512 MALE FEMALE under ages 15 5 18 0 4 0 6 Total 0 ages 35 59 459 656 Age over 60 286 415 894 1310 378 1115 701 2204 10 Data of psychiatric centers in 1997 ( the area covered does not necessarily coincide with the Gyor area) CENTER # 1 CENTER # 2 CENTER # 3 MENTAL HYGI NE E CENTER SUPPORT AMBULATORY CENTER FEMALE 93 115 393 64 690 306 334 681 63 12 ? 208 457 996 1015 75 GENDER MALE ? Ages 1934 145 233 1997 patient number data for hospital psychiatric and mental hygienic wards GENDER WARD # 1 WARD # 2 WARD # 3 MALE FEMALE 26 39 - 43 19 Total 65 43 62

Results of a survey conducted among the citizens of Győr What women think about Results of a survey conducted among the citizens of Győr What women think about their own state of health Subjective opinions regarding state of heath Women Men Excellent Good Adequate Bad Very bad 7, 7% 39, 5% 37, 8% 10, 8% 4, 2% Do you live under stress in everyday life? Wo m en Men 7, 0% 44, 0% 32, 8% 25, 9% Generally yes 37, 0% 45, 8% 41, 6% Yes, sometimes 8, 7% 21, 4% 32, 5% No, almost never 3, 3%

Medicine consumption n n Two weeks prior to this survey have you taken any Medicine consumption n n Two weeks prior to this survey have you taken any medication? Women: 70% Men: 60% n n n Pain killer consumption: Women: 41, 1% Men: 27, 5% n Sedative consumption: n n Women: 13, 2% Men: 5, 4% n n n Constant fatigue Women: 22, 4% Men: 12, 0% Tiring quickly: Women: 23, 6% Men: 15, 6% Tension: Women: 36, 5% Men: 28, 2% Loses temper easily lately: Women: 20, 8% Men: 16, 2% Life is not worth living: Women: 6, 7% Men: 3%

Every day something ceases that makes us sad. But every day something that is Every day something ceases that makes us sad. But every day something that is worth living and fighting for starts. Heraclitus