in Albania - Instituti i Shendetit Publik

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ALBANIAN MEDICAL JOURNAL SUPPLEMENTHaemoglobinopathies in Albania: A public healthchallengeManika Kreka 1,2 , Gentiana Qirjako 3 , Eleni Nastas 2 , Anila Godo 2 ,Bledi Kreka 41Faculty of Technical Medical Sciences, University of Medicine, Tirana, Albania;2Service of Onco-Haematology Service, National Center of Haemoglobinopathies, University Hospital CenterMother Teresa , Tirana, Albania;3Faculty of Public Health, University of Medicine, Tirana, Albania;4Oncology Service, University Hospital Center Mother Teresa , Tirana, Albania.Haemoglobinoapathies are part of a considerablegroup of chronic genetic diseases, which are alwaysin focus of public health and are at a greaterimportance. About 7% of the world s populationis considered to be carrier of abnormal andpathological gene of hemoglobin.Our aim was to describe the register of haemoglobinopathicpatients data in the National Centerof Haemoglobinopathies in Albania.The mean age of individuals with haemoglobinopathiespatients studied was 17.3 years forfemales and 16.4 years for males. The mean age ofour patients is younger than in other countries. 65patients belong to the youngest age-group (1-10years old). About 97% of our patients were bornand live in the west area of Albania and only 3%live in North Albania (Fier: 68 patients; Tirana: 55patients; Kavaja: 40 patients; Vlora: 36 patients;Durrës: 23 patients; in cities of North Albania: 15patients).Patients diagnosed with Beta Thalassaeamia andIntermedia constitute 84.5% of the total, andpatients with Sickle Cell Disease constitute 15.5%.Patients over 18 years of age have a higher frequencyof thalassaemia compared to the Sickle Cell Disease.Haemoglobinoapathies are a great public healthproblem in Albania. Prevention policies related tobirth control of individuals with Haemoglobinopathiesis a serious challenge.Keywords: Haemoglobinoapathies, Sickle Cell Disease, thalasemia.22 ALBANIAN MEDICAL JOURNAL SUPPLEMENT
INTERNATIONAL PUBLIC HEALTH CONFERENCE IN TIRANA, ALBANIASelf-reported health and type 2 diabetes mellitus in arepresentative sample of Albanian adults: a crosssectionalstudyArjan Bregu 1 , Ervin Toçi 2 , Afrim Pirraçi 3 , Jolanda Hyska 2 , Gentiana Qirjako 2 ,Irida Pano 4 , Llukan Rrumbullaku 51Ministry of Health, Tirana, Albania;2Institute of Public Health, Tirana, Albania;3University Hospital Center Mother Teresa , Tirana, Albania;4Faculty of Technical Medical Sciences, University of Medicine, Tirana, Albania;5Faculty of Medicine, University of Medicine, Tirana, Albania.Aim: Type 2 diabetes mellitus (DM) is an incurablechronic disease. Full collaboration and participationof individual patients is required to successfullymanage and control DM. This could affect patientsperception of their health status. In this context, ouraim was to assess the association of self-rated healthand DM.Methods: A cross-sectional survey was carried outin a representative sample of adults aged e 18 yearsold in Tirana, during April-November 2012. 845randomly selected individuals accepted to participate(response rate: 84.5%). Participants were askedwhether they had been ever told by a doctor thatthey had diabetes and to rate their own health status.Basic socio-demographic data were also collected.Results: Mean age of participants was 50.4 yearsold (51.3 years in men and 49.7% in women). Theoverall prevalence of diabetes in this sample ofadults was 11.5%. Approximately 7% ofparticipants rated their own health status as poor(7.0% of men and 7.4% of women). The overallprevalence of diabetes was 11.5%. DM prevalencewas significantly higher among those self-perceivingtheir health status as poor (35.2%) and average(23.0%) compared to 5.1% of diabetics withgood health status. In multivariable adjustedanalysis, self-perceived poor health was stronglyassociated with diabetes (OR=6.5, 95% CI=2.9-14.7).Conclusion: DM might be associated withsignificantly worse quality of life even aftercontrolling for a number of socio-demographicfactors. There is need for urgent patient educationinterventions in order to reduce the stress related toDM among Albanian patients.Keywords: adults, Albania, diabetes mellitus, self-perceived health.ALBANIAN MEDICAL JOURNAL SUPPLEMENT23
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