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Unformatted text preview: Determinants of health-promoting lifestyle behaviour in the rural areas of Hungary EDIT PAULIK 1* , FERENC BO KA 2 , ARANKA KERTE SZ 3 , SA NDOR BALOGH 3 and LA SZLO NAGYMAJTE NYI 1 1 Department of Public Health, Faculty of Medicine and 2 Physical Education and Sport Sciences Institute, Juha sz Gyula Teacher Training Faculty, University of Szeged, Szeged, Hungary and 3 National Institute of Primary Health Care, Budapest, Hungary *Corresponding author. E-mail: firstname.lastname@example.org SUMMARY Today chronic non-communicable diseases are the major cause of death and disability worldwide. Chronic diseases are determined by common risk factors (e.g. smoking). The purpose of this study was to develop a health-promot- ing behaviour index, and to evaluate the impact of the social and the demographic characteristics of the individ- uals, self-rated health and certain features of settlements on the score of this index. A population-based, cross-sec- tional health survey was conducted. Altogether 91 settle- ments with various sizes of population, and at various stages of social, economic and infrastructural develop- ment took part in the survey. The survey was based on interviewer-administered questionnaires, 3380 subjects filled in the questionnaires correctly, and the response rate was 82.4%. Questions on lifestyle factors referred to smoking, nutritional habits and physical activity. Low level (5.5%) of people have achieved the complete health-promoting behaviour, including non-smoking, healthy nutrition and physical activity. There were signifi- cant associations between health-promoting behaviour and demographic, social and economic characteristics of the individuals and their dwelling place. The lower preva- lence of healthy lifestyle activities among lower educated, lower income and aged people living in small settlements call the attention to the higher risk of these people. On planning interventions, special attention should be paid to the geographically, infrastructurally, socially and demo- graphically disadvantaged population groups to provide equal opportunities for them, to live a healthy way of life. The application of the health-promoting index might be used to monitor the effects of interventions to alter life- style at community level. Key words : determinants of health; health-promoting behaviour index INTRODUCTION Chronic non-communicable diseases (NCDs) are the major cause of death and disability worldwide. Nowadays the total number of people dying from chronic diseases is twice as many as that of all infectious diseases, maternal and perinatal conditions, and nutritional deficiencies combined ( WHO, 2005 ). The great- est disease burden in Europe also comes from NCDs: no less than 86% of deaths and 77% of the disease burden in the WHO European Region are caused by them ( WHO Regional Office for Europe, 2006 )....
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