WOMEN’S HEALTH IN GYŐR

WRITTEN and COMPILED BY:MRS. MÁRIA MIKLÓSY BERTALANFY WHO coordinatorWHO Healthy Cities Project, GyőrAIHA American-Hungarian partnership program

02468

101214

1985 1990 1995 1998

years

People

Gyor-M-S regionVas regionZala regionWestern region

Population tendencies in the region

Live births per 1000 people

Source: KSH database

people

11.512

12.513

13.514

14.515

1985 1990 1995 1998

years

Gyor-M-Sregion

Vas region

Zala region

Western region

Population tendencies in the region

Deaths per 1000 people

Source: KSH database

Average life expectancy for women at birth

7272.5

7373.574

74.575

75.576

76.5

1985 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000

years

life

exp

ecta

ncy

Gyor-M-S Vas Zala Hungary

Source: HIS database

Infant mortality rate in the region (‰)

02468

101214161820

1980 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000

mor

tali

ty p

er 1

000

infa

nts

Gyor-M-S Vas Zala Hungary

Infant mortalityInfant mortality

Region Live births

Premature births

%

Infant mortality

‰

20002000 20012001 20002000 20012001 20002000 20012001

GyőrGyőr 22712271 23742374 7,67,6 7,97,9 77 7,47,4

CountyCounty 39493949 40784078 7,27,2 7,67,6 10,510,5 6,46,4

Change in ISZB's Standardized Death Rate in the Western region and Hungary

among women ages 15-64 (1993-2000)

0

20

40

60

80

1993 1994 1995 1996 1997 1998 1999 2000

per

100

000

inh

abit

ants

Gyor-M-S. m.Vas m.Zala m.Ny-d. regioMagyarorszag

Change in Lung Cancer Standardized Death Rate in the Western region and Hungary among women ages 15-64 (1993-2000)

0

5

10

15

20

25

30

1993 1994 1995 1996 1997 1998 1999 2000

per

100

000

inh

abit

ants

Gyor-M-S. m.Vas m.Zala m.Ny-d. regioMagyarorszag

Change in Colon Cancer Standardized Death Ratein the Western region and Hungary

among women ages 15-64 (1993-2000)

0

2

4

6

8

10

12

1993 1994 1995 1996 1997 1998 1999 2000year

per

100

000

inh

abit

ants Gyor-M-S. m.

Vas m.Zala m.Ny-d. regioMagyarorszag

Change in Brest Cancer Standardized Death Rate in the Western Region and Hungaryamong women ages 15-64 (1993-2000)

0

5

10

15

20

25

30

35

1993 1994 1995 1996 1997 1998 1999 2000year

per

100

000

inh

abit

ants

Gyor-M-S. m.Vas m.Zala m.Ny-d. regioMagyarorszag

Change in Alcohol Related Liver Disease Standardized Death Rate in the Western region and Hungary

among women ages 15-64 (1993-2000)

0

10

20

30

40

50

1993 1994 1995 1996 1997 1998 1999 2000year

per

100

000

inh

abit

ants

Gyor-M-S. m. Vas m. Zala m.

Ny-d. regio Magyarorszag

Change in Smoking Related Standardized Death Rate in the Western region and Hungary

among women ages 15-64 (1993-2000)

405060708090

100110120130

140

1993 1994 1995 1996 1997 1998 1999 2000year

per

100

000

inh

abit

ants

Gyor-M-S. m.Vas m.Zala m.Ny-d. regioMagyarorszag

Regular smoking among elementary school children (ages 7-14)

0

2

4

6

8

10

12

14

16

6th grade boys 6th grade girls 8th grade boys 8th grade girls

%

Rate of regular smokers in high school (ages 14-18)

0

5

10

15

20

25

30

35

40

45

50

boy girl boy girl boy girl

%

 

Abortion percentages per 1000 women by age group in Győr

  Below age 14 Ages 15-19 Ages 20-24

1993 2.4 27.4 40.5

1994 2.9 25.4 35.5

1995 3 25.6 37.5

1996 1.7 23.7 38.3

1997 3 21.1 32.1

1998 1.2 19.7 29.4

1999 1.9 17.5 29.9

2000 1.5 17.1 26

2001 1.1 13 23

Number of premature births in Győr

7.73949304

7.43831283

7.23703266

6.43799242

6.83915268

6.54099265

6.84498308

6.84679320

7.54681350

8.04862387

8.14985403

7.65056386

Percentage of premature

birthsTotal live births

Number of live births below 2500 gr.

Abortions per 1000 women in age groups between 1990 and 2001

0

5

10

15

2025

30

35

4045

1993 1994 1995 1996 1997 1998 1999 2000 2001

-1415-1920-24

Mortality of women in Győr by major diseases

women ages 25-44 : Tumors: 30,1% Cardiovascular diseases: 24,8% Violence: 17,2% Digestive system: 10,1% Other natural causes: 9,9% Pulmonary system: 7,9%

Mortality above average national level

in Győr Among women ages 25-44 Breast and other tumors SHH 103%

and 107%

Among women ages 60-74 Arterial sclerosis SHH 113% Female tumors SHH 118%

62.67%63.89%61.21% 5644647438total: 

        

19.75%20.46%18.89% 115508963High blood pressure15

8.49%9.22%7.63% 52023620Spine elv. + Spondylop.14

6.06%6.11%6.01% 34472849Diabetes13

5.71%5.12%6.41% 28903041Ischaemia heart disease12

5.04%4.68%5.46% 26422590Lipidaemia11

3.83%5.79%1.50% 3266713Osteoporosis10

3.13%2.87%3.43% 16181629Stomach9

2.42%2.22%2.65% 12551256Cerebrovascular8

2.23%1.89%2.62% 10691244Chronic lower respiratory7

2.01%2.16%1.83% 1219867Malignant tumors6

1.47%0.93%2.10% 526996Liver diseases5

1.30%1.23%1.37% 697650Cerebral isch. attacks4

1.06%1.06%1.06% 597503Asthma3

0.13%0.09%0.18% 5285Tuberculosis2

0.06%0.06%0.07% 3231Alzheimer’s disease 1

totalFemaleMale FemaleMale  

Percentage rate total  

City of Győr family doctor morbidity data by gender (2001)

Hospitalization among women ages 12-29 in Győr in 2001

3116Varicose veins of lower limbs withour ulcer or inflammationI8390

5817Chondromalacia patellaeM2240

9818Accute appendicitis k.m.n.K3590

4518Az ajak festéksejtes naevusaiD220020720Delivery with elective caesarean, k.m.n.O8200

2621Incomplete spontaneous vetélés without complicationsO0340

5721Other lower abdominal painR1030

8226Cervicalis dysplasia, k.m.n.N8790

14128Other and k.m.n. ovary cystsN832023131Delivery with vacuum extractionO8140

9333Female infertility, k.m.n.N97906347Missed abortionO0210

29757Fenyegető vetélésO2000

48663Jóslófájások a befejezett 37. hét előttO4700

32877Idült garatmandula-gyulladásJ3500

33383Veszélyeztetett pregnancy, k.m.n.O269010097Complete or k.m.n. művi vetélés without complicationsO0490

1356150Caesarean deliveryO8210

261251Complete or k.m.n. művi vet. without complications, early (up to week

12)O0491

3551583Koponyavégű, spontaneous vaginal birthO8000

Days of hospitalization

Number of casesCauseBNO

International Outlook

A study from Belfast about women’s health states that the connection between social deprivation and diseases strikes mainly women. Low salaries, low occupational status and part-time employment affect women more.

In the past 30 years in the United States and internationally

depression rates are twice as high among women as among men, according to a study entitled “Depression and gender”, written by Frances M. Culbertson from the University of Wisconsin. Other researches estimate the rate to be as high as 3:1. (Klerman and Weissman, 1989; Wetzel, 1994).

National perspective 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.

15%

28%

18%

35%

23%

41%

29%

49%

34%

53%

33%

53%

0%

10%

20%

30%

40%

50%

60%

16-19 20-29 30-39 40-49 50-59 60

FfiNo

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., 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 dataUrban data::

Number of patients treated by family doctors in Gyor in 1996

Neurosis, personality disorders (BNO 300- 316)

GENDER Ages 15-18 Ages 19-34 Ages 35-59 Over 60

MALE 5 108 295 204 612 FEMALE 6 182 497 308 993

11 290 792 512 1605

1996 Family doctors

’

report

on patients treated with mental disorders

GENDER under age 5

ages 15 -18

Ages 19-34

ages 35 -59

Age over 60

MALE 0 4 145 459 286 894 FEMALE 0 6 233 656 415 1310

Total 0 10 378 1115 701 2204

Data of psychiatric centers in 1997

( the area covered does not necessarily coincide with the Gyor area)

GENDER CENTER # 1 CENTER # 2 CENTER # 3 MENTAL HYGIENE CENTER

SUPPORT AMBULATORY

CENTER

MALE 93 393 690 334 63 FEMALE 115 64 306 681 12

208 457 996 1015 75

1997 patient number data for hospital psychiatric and mental hygienic wards

GENDER WARD # 1 WARD # 2 WARD # 3

MALE 26 - 43 FEMALE 39 43 19

Total 65 43 62

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 MenExcellentGoodAdequateBadVery bad

7,7% 7,0%39,5% 44,0%37,8% 37,0%10,8% 8,7%4,2% 3,3%

Do you live under stress in everyday life?

Wo m en Men

Generally yesYes, sometimesNo, almost never

32,8% 25,9%45,8% 41,6%21,4% 32,5%

Medicine consumption Two weeks prior to this

survey have you taken any medication?

Women: 70% Men: 60%

Pain killer consumption: Women: 41,1% Men: 27,5%

Sedative consumption: Women: 13,2% Men: 5,4%

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 worth living and fighting for starts.

Heraclitus