Search Results (6)

Introduction: The estimates of the economic burden of smoking provide the basis for a comprehensive assessment of the overall economic impact and evidence for potential public health policy intervention by the government. The aim of this paper is to estimate the smoking-attributable direct healthcare expenditure covered by the Compulsory Health Insurance Fund (CHIF) in Lithuania in 2013. Methods: A prevalence-based and disease-specific annual cost approach was applied to 25 smoking-related diseases or disease categories. Our analysis included only direct government healthcare expenditure (reimbursed by CHIF), including: smoking-attributable outpatient and inpatient care services, medical rehabilitation, reimbursable and publicly procured pharmaceuticals and medical aids, the emergency medical aid (ambulance) service, nursing, and expensive tests and procedures. The smoking-attributable expenditure on the above-mentioned healthcare services was calculated by multiplying the total annual expenditure by the corresponding smoking attributable fractions (SAFs). Results: The total smoking-attributable government expenditure amounted to €37.4 million in 2013. This represented 3% of the total CHIF budget in 2013. Smoking-attributable expenditure on inpatient care and medical rehabilitation services was two times higher for male smokers, than for female smokers. Conclusions: Smoking imposes a significant preventable financial cost within the budget of the Lithuanian healthcare system. A quantitative estimation of smoking related healthcare costs could provide an incentive for the development of smoking cessation services, with additional attention towards male smokers, as well as an important focus on smoking prevention among children and youths. Full article

Objective: The aim of the study was to investigate psychosocial predictors of smoking during pregnancy.
Materials and methods: It was a cross-sectional analysis of a prospective birth-cohort study. The participants were 514 mothers of full-term infants. Women completed questionnaires during hospital stay after delivery. Questionnaire included items on sociodemographic characteristics, planning and emotional acceptance of pregnancy, reproductive history, health-related behavior, emotional well-being, and relationships with a partner.
Results: Smoking during pregnancy was reported by 14.8% of the participants. Prenatal smoking was associated with secondary or lower education, maternal age less than 20 years, childbirth outside of marriage, history of elective abortion, unplanned pregnancy, lack of positive emotional acceptance of pregnancy by mother and father, emotional distress and alcohol consumption during pregnancy. Smoking during pregnancy remained significantly associated with prenatal alcohol consumption, previous elective abortion, and lack of positive emotional acceptance of pregnancy by mother even after adjustment for maternal age, education, and family structure.
Conclusions: Results support an idea of complexity of the relationships among smoking, alcohol use, and emotional well-being. Lack of positive emotional acceptance of pregnancy by mother and history of elective abortions can be considered as possible associates of smoking during pregnancy and suggest that strengthening of positive attitudes toward motherhood could add to lower smoking rates among pregnant women. Full article

The objective of the study was to assess alcohol-related mortality that potentially might explain an increasing trend in overall mortality of Lithuanian population, which started after 2000 and peaked in 2005.
Material and methods. An empiric analysis of national mortality and other statistical data as well as their international comparisons.
Results. An analysis of available data clearly indicates that a decline in mortality in 1998–2000, i.e. during the beginning of the National Programme of Health, as well as its increase in 2001 and 2005 were predominantly determined by cause-specific deaths of two groups: deaths from diseases of the circulatory system (mainly ischemic heart disease) and alcohol consumption-related deaths (liver cirrhosis, accidental poisoning by alcohol, accidents, etc.). A certain proportion of deaths, which were caused by alcohol, were wrongly assigned to the deaths from diseases of the circulatory system due to uncertainties in filling-in death certificates. By approximate estimates, at least one-quarter of increase in all-cause mortality between 2002–2004 and 2005–2007 could be explained by an increase in alcohol consumption, accounting for additional 880 deaths on average per year. In the year 2007, 12.6% (n=5760) of all deaths were somehow related to alcohol consumption. A comparative analysis demonstrated that mortality and alcohol consumption trends were going in parallel over the last decade. The systemic decline in mortality observed in Lithuania from 1995 stopped in 2000 after a decrease in alcohol taxes, which resulted in an increase in alcohol accessibility and consumption. An average annual increase in alcohol consumption over the period of 2001–2004 was 7%; it increased up to 17% in 2005 and accounted for 12% annual increase on average within 2005–2007.
Conclusions. Negative trends in alcohol-related morbidity and mortality in Lithuanian population most notably registered in 2001 and 2005 were largely influenced by uncontrollable increase in alcohol consumption over the last decade. Economic and commercial arguments in decision-making process that neglected health interest of Lithuanian population (decrease of alcohol taxes in 1999, other factors increasing alcohol accessibility and consumption) were those counteracting the implementation of balanced health policy in the country. Full article

Background. Despite much effort spent on antismoking programs in schools in different countries, limited effects have been observed in many cases. Evidence from European countries shows that active tobacco control actions such as ban on tobacco advertising, increase of tobacco taxes could lead to successful results. Our study was aimed to analyze time trends on smoking in Lithuanian school-aged children during the period of 1994–2006 in the context of antismoking policies, which were implemented in Lithuania.
Material and methods. This study was a part of WHO Cross-National Health Behavior in School-Aged Children (HBSC) study carried out in Lithuania. The standardized methods of international HBSC study protocol were applied. Stratified random representative samples of 5428, 4513, 5645, and 5632 students aged 11, 13, and 15 years were included into schoolbased anonymous questionnaire surveys in 1994, 1998, 2002, and 2006, respectively (spring semester). Questions on frequency of smoking, age of initiation and other questions were included. Response rates of each of these four questionnaire surveys were higher than 90%.
Results. Smoking behavior was more common among boys. The prevalence gap in smoking between boys and girls diminished during period of observation. Prevalence of smoking increased significantly among boys during the period of 1994–2002 (11.3%, 19.8%, and 23.6% in 1994, 1998, and 2002, respectively), but started to decline after (17.3% in 2006, P<0.05). Similar trends were observed among girls: 3.6%, 8.5%, 14.6%, and 12.5% of girls reported smoking in cross-sectional surveys of 1994, 1998, 2002, and 2006, respectively. Boys living in rural areas were more frequent smokers than those living in urban areas in 1994–1998 (9.5% vs 13.9%, P<0.05). However, the surveys of 2002–2006 showed opposite changes (25.6% vs 22.1%, P<0.05 and 17.8% vs 16.9%, P>0.05). Urban girls have reported smoking more frequently in comparison with rural girls.
Conclusions. An increase in tobacco smoking among school-aged children was observed in Lithuania during 1994–2002. A decrease in prevalence of smoking was seen during the period of 2002–2006. These trends could be related to the implementation of tobacco control measures in Lithuania. Full article

Alcohol abuse is considered one of the most important risk-taking behaviors among young people in the world. This paper presents the results of the WHO collaborative cross-national study on Health Behavior in School-aged Children (HBSC) carried out in Lithuania and other European countries also in USA, Canada, and Israel in 1994, 1998, 2002, and 2006.
Objective. The aim of this study was to analyze features and trends in alcohol consumption among the samples of 11-, 13-, and 15-year-old adolescents (school-aged children) in Lithuania during 1994–2006. Material and methods. Representative samples of 5428, 4513, 5645, and 5632 respondents aged 11, 13, and 15 years were included into school-based questionnaire surveys in 1994, 1998, 2002, and 2006, respectively. The standardized research methods were applied. The students have filled in the questionnaires anonymously in the classroom according to the methodology of international HBSC study. The students were asked about lifestyle habits, alcohol consumption, and episodes of drunkenness.
Results. The number of students who had been drunk two or more times has increased by 2.5 times (from 9.8%. to 25.6%) during 1994–2006. A significant increase in alcohol consumption was observed among 15- year-old girls – the percentage of girls who have reported alcohol consumption almost approached the percentage of boys (50.3% and 56.8%, respectively; P=0.006). The reported mean age of the onset of first drinking had shifted by 2 years towards younger age during the period of 1994–2006. The comparison of data from 37 countries, participating in this cross-national study, revealed that the prevalence of alcohol consumption among Lithuanian school children is one of the highest (29.0% of boys and 22.1% of girls) and was in the second worst position on a rating scale when comparing with other 36 countries involved in HBSC study. The results suggest that increased use of light alcoholic beverages can cause an increase in the number of drinking teenagers. Ready-to-drink beverages (“alcopops”) at least once per week were used by 15.3% of boys and 17.5% of girls (P=0.216); beer – 16.9% of boys and 5.6% of girls (P<0.001).
Conclusions. A significant shift of the onset of drinking alcohol towards younger age was observed in Lithuania during 1994–2006. In recent years, Lithuanian students as compared to peers from other countries are among those who consume alcohol most frequently. Full article

Increasing alcohol consumption becomes more relevant social and health problem among youth. There is no reason to believe that this problem will decrease or be solved in the future. In such situation, it is necessary to build on the experience and conclusions of research performed by other countries. In this article, the risk factors for alcohol consumption among youth and preventive programs, in which family, school, and community play the main role, are analyzed. Such programs may attract the attention of public health specialists and public health politicians and can be not only declared, but also really implemented. Full article