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Access type: UnknownAuthor: search.filters.author.Dimitrievska, Ljubica

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    FAMILY SOCIOECONOMIC DIFFERENCES AMONG CHILDREN LIVING WITH OVERWEIGHT AND OBESITY IN NORTH MACEDONIA
    (Institute of Public Health of the Republic of North Macedonia, 2024-12)
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    Wallace, Silver Lorraine
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    Mihajlova, Katerina
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    Dimitrievska, Ljubica
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    Globally, the prevalence of overweight and obesity is increasing among children and adolescents. Halting the rise in obesity is a significant challenge because of the complex interplay of factors and influences. We aimed to explore the role of family socioeconomic status (SES) indicators in relation to overweight and obesity prevalence rates among primary school children in North Macedonia. Materials and methods: Data were collected on a nationally representative sample of children and their parent(s)/caregiver(s) participating in the 6th round of World Health Organization (WHO)-European Childhood Obesity Surveillance Initiative (COSI) in North Macedonia. Every child had their height and weight objectively measured and their family sociodemographic and SES data were obtained through a self-reported record form by their parent(s)/caregiver(s). According to COSI reporting, responses on three SES indicators (parental educational attainment, parental employment status and family-perceived wealth) were categorized in levels for data analysis. Overweight and obesity rates were estimated based on 2007 WHO growth references. Pearson’s χ2-tests, corrected with the Rao-Scott method, were used to test differences in overweight and obesity across various subgroups. Results: The sample consisted of primarily native-born children (97.3%) and parents (mothers - 96.2%; fathers - 97.6%), living in urban areas (66.9%), in two-parent families (84.9%) and spoke Macedonian at home (59.8%). The majority of children lived in families with low to medium SES level. Prevalence of overweight was 30.5% [95% CI: 28.5-32.7], whilst of obesity 14.1% [95% CI: 12.3-16.0]. There were no significant differences observed across family SES indicators in overweight or obesity rates. Conclusion: Our findings contribute towards reporting on family SES among children living with overweight and obesity to better understand and address potential obesity risk factors. Future research should focus on exploring family SES within the long-term context of children’s health-related behaviours.
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    SMOKING HABIT AS A RISK FACTOR ASSOCIATED WITH OCCURRENCE OF LUNG CANCER
    (Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, 2024-07)
    Dimitrievska, Ljubica
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    Grivcevska, Milena
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    Nehteparova, Meliha
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    Lung cancer is one of the most common causes of mortality in the world, right after cardiovascular diseases. The motivation for conducting this study was the fact that the number of newly diagnosed and death cases from lung cancer has been constantly growing, especially in the last few years. The aim of the study was to present lung cancer (LC) as a public health problem today at the global level as well as in the Republic of North Macedonia. This is an analytical case-control study. It included all patients with a confirmed diagnosis of lung cancer (LC) with histopathological analysis (examined group) and patients who have not had any history of malignancy (control group), in a period of six months. Survey data were collected using a specially designed questionnaire. The study included a total of 82 respondents in both, the examined and the control group. Regarding the habit of cigarette smoking, the largest percentage of examined respondents (56%) were current smokers, compared to the control group where the largest percentage (56%) were non-smokers. The results obtained showed that the two groups differed significantly with regards to the habit of cigarette smoking. This study confirmed the association of cigarette smoking habit and lung cancer, where several variables related to smoking were examined (age at which cigarette smoking started, number of cigarettes smoked per day, duration of smoking status, type of cigarettes).
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    SOCIO-DEMOGRAPHIC AND CLINICAL CHARACTERISTICS OF LUNG CANCER PATIENTS IN NORTH MACEDONIA
    (Macedonian Association of Anatomists, 2024-04)
    Dimitrievska, Ljubica
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    Stefanoska, Julijana
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    Nehteparova, Meliha
    Lung cancer disease is one of the most common causes of mortality in the world, coming right after cardiovascular diseases. It is a big and is a special problem in the highly developed countries, especially in the USA, but also in developing countries. The reason for the research is the fact that the number of newly diagnosed and death cases from lung cancer is constantly growing, especially in the last few years. The aim of the study is to determine the influence of socio-demographic factors in the occurrence of lung cancer(gender, age, national and ethnic origin, place of residence) and smoking as the main risk factor associated with this neoplasm. The research is a descriptive study in which 82 patients with pathohistological confirmed lung cancer participated. It was implemented at the Institute for Oncology and Radiotherapy at the clinical center in Skopje for a period of 3 months. A total of 82 patients were registered from Institute for Oncology and Radiotherapy in Skopje, North Macedonia who were diagnosed with primary lung cancer. Of all, 64.7% of them were males and 35.3% were females. Histologically, 51.2% had adenocarcinoma, 25.6 had squamous cell carcinoma, 20.7% had small cell carcinoma and 7.4% had no small cell carcinoma. It was observed that the proportion of females diagnosed with primary lung cancer is increasing. Patients get diagnosed at a later stage of the disease, which calls for screening and early detection of lung cancer.