Browsing by Author "Dastan, Ilker"

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Citation - WoS: 20
Citation - Scopus: 20
Awareness, Treatment, Control of Hypertension, and Associated Factors: Results From a Turkish National Study
(Taylor & Francis Inc, 2018) Dastan, Ilker; Erem, Ayşegül; Cetinkaya, Volkan
Objective: Despite the fact that hypertension (HT) can be diagnosed and easily treated, it is frequently not handled well throughout the world, and as a developing country in Turkey. The objective of this study was to assess the factors associated with the awareness, treatment, and control of HT in Turkey. Methods: Data came from Chronic Diseases and Risk Factors Survey, comprising a nationally representative sample of 12,971 individuals, conducted by the Turkish Ministry of Health in 2011. HT was defined as having systolic/diastolic blood pressure (BP) at least 140/90 mmHg, usage of HT medicines, or having a previous diagnosis. Awareness, treated, and controlled HT were determined by questionnaires/BP measurements. Stepwise multiple logistic regression analysis was used to estimate associated factors. Results: The prevalence of HT was found to be 24.8%. Awareness, treatment, and control rates were 65%, 59%, and 30%, respectively. The risk factors for lack of awareness or treatment of HT were male gender, young age, rural residency, lower education, being employed, sedentary lifestyle, and less physical activity for women, unhealthy dietary habits for men, and modifiable risk factors, including smoking and drinking for men. Increasing age, low education for women, marital status subgroups within gender ( being single for men and being married for women), smoking and alcohol use for men, and diseases such as diabetes and obesity were also correlated with poor control of HT. Conclusion: This study recognized associated risk factors that may guide policies and interventions to enhance awareness, treatment, and control of HT in Turkey.
İzmir İlinde 7-18 Yaş Arası Öğrencilerde Obezite ve Fazla Kilo Prevalansı
(2014) Dastan, Ilker; Çetinkaya, Volkan; Delice, Mehmet Erdem
Amaç: Bu çalışma İzmir ilinde öğrenim gören 7-18 yaş arası öğrencilerin obezite ve fazla kilo prevalanslarını saptamak amacıyla yapılmıştır. Gereç ve Yöntem: İzmir il merkezi ve merkez ilçelerindeki öğrencilerden tabakalı rastgele seçme yöntemi kullanılarak 24 okuldan 2009öğrencinin beden kitle indeksleri (BKİ) Dünya Sağlık Örgütünün persantil tablolarına göre hesaplanıp, 85-94. persantiller arası fazla kilolu,95. persantilden büyük olanlar obez olarak tanımlanmıştır. Yaşa ve cinsiyete göre BKİ, obezite ve kilo fazlalığı dağılımları karşılaştırılmıştır. Bulgular: Çalışmada kızlarda obezite oranı %8.4, erkeklerde %13.1, kilo fazlalığı ise kızlarda %12.1, erkeklerde %15.1 olarak bulunmuştur.Erkeklerin boy, kilo ve BKİ ölçüleri aynı yaştaki kızların ölçülerinden istatistiki olarak daha fazladır. Ayrıca, erkeklerin obezite ve kilo fazlalığıprevalansları kızlardan anlamlı olarak daha yüksektir. Kızların obezite ve kilo fazlalığı prevalansları 11 yaşlarına kadar yükselip sonrasındaazalmakta, erkeklerde ise 11 yaşlarından itibaren azalan oranlar 15 yaşından sonra tekrar artmaktadır. Kızlarda 9-13, erkeklerde 9-11 yaşgrubunda obezite oranı diğer yaş gruplarına göre anlamlı olarak daha yüksektir. Sonuç: İzmir ve diğer metropolitan şehirlerimizdeki çocuk obezitesiyle alakalı yeterli çalışma bulunmamaktadır. Bu çalışmada literatürekıyasla daha geniş bir yaş grubu ve çok sayıda okuldan öğrenci çalışmaya dahil edilmiştir. Bu sayede farklı sosyo-ekonomik düzeydekiailelerin çocuklarının obezite oranları toplumun heterojen yapısına sadık kalınarak incelenebilmiştir. Bu araştırmada elde edilen %10.8obezite sıklığı Türkiyede yapılan diğer çalışmalardan daha yüksektir. Bu sonuç çocukluk ve adolesan çağlarında kilo fazlalığı ve obeziteoranlarının artmaya devam ettiği ve okul çağı çocukları için çok daha önemli bir sorun haline geldiğini göstermektedir
Citation - WoS: 69
Citation - Scopus: 81
Job Satisfaction and Turnover Intention Among Iraqi Doctors - a Descriptive Cross-Sectional Multicentre Study
(Bmc, 2015) Jadoo, Saad Ahmed Ali; Aljunid, Syed Mohamed; Dastan, Ilker; Tawfeeq, Ruqiya Subhi; Mustafa, Mustafa Ali; Ganasegeran, Kurubaran; AlDubai, Sami Abdo Radman
Background: During the last two decades, the Iraqi human resources for health was exposed to an unprecedented turnover of trained and experienced medical professionals. This study aimed to explore prominent factors affecting turnover intentions among Iraqi doctors. Methods: A descriptive cross-sectional multicentre study was carried out among 576 doctors across 20 hospitals in Iraq using multistage sampling technique. Participants completed a self-administered questionnaire, which included socio-demographic information, work characteristics, the 10-item Warr-Cook-Wall job satisfaction scale, and one question on turnover intention. Descriptive and bivariate and multiple logistic regression analyses were conducted to identify significant factors affecting turnover intentions. Results: More than one half of Iraqi doctors (55.2%) were actively seeking alternative employment. Factors associated with turnover intentions among doctors were low job satisfaction score (odds ratio (OR) = 0.97; 95% confidence interval (CI): 0.95, 0.99), aged 40 years old or less (OR = 2.9; 95% CI: 1.74, 4.75), being male (OR = 4.2; 95% CI: 2.54, 7.03), being single (OR = 5.0; 95% CI: 2.61, 9.75), being threatened (OR = 3.5; 95% CI: 1.80, 6.69), internally displaced (OR = 3.1; 95% CI: 1.43, 6.57), having a perception of unsafe medical practice (OR = 4.1; 95% CI: 1.86, 9.21), working more than 40 h per week, (OR = 2.3; 95% CI: 1.27, 4.03), disagreement with the way manager handles staff (OR = 2.2; 95% CI: 1.19, 4.03), being non-specialist, (OR = 3.9, 95% CI: 2.08, 7.13), and being employed in the government sector only (OR = 2.0; 95% CI: 1.09, 3.82). Conclusion: The high-turnover intention among Iraqi doctors is significantly associated with working and security conditions. An urgent and effective strategy is required to prevent doctors' exodus.
Citation - WoS: 6
Citation - Scopus: 7
The Obesity and Overweight Prevalence Among Students Between the Ages of 7 and 18 in Izmir
(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2014) Dastan, Ilker; Cetinkaya, Volkan; Delice, Mehmet Erdem
Objective: The objective of this study is to assess prevalance of obesity and overweight among students between the ages of 7 and 18 in Izmir, Turkey. Material and Methods: The study was conducted in 24 schools with 2009 students that are chosen using a population based stratified cluster sampling method. Employing WHO's reference tables, students having percentiles of body mass index (BMI) between 85 and 95 are considered as overweight and those over 95 are considered as obese. Results: Prevalance of obesity and overweight are found as 8.4%, 12.1% for girls, and 13.1%, 15.1% for boys, respectively. Height, weight and BMI of boys at any age is significantly greater than girls at that age. Further, prevalance of obesity and overweight are significantly higher in boys than girls. Prevalance of obesity or overweight rise up to age of 11 and then decrease in girls, while the decreasing rates begin to increase after age of 15 in boys. Rate of obesity is significantly higher at ages of 9-13 in girls and 9-11 in boys than other age groups. Conclusion: In contrast to the literature, a wider age group and a variety of schools were recruited in this study to assess accurate obesity rates based on the heterogeneous nature of society in the metropolitan city, Izmir. Overall prevalance of obesity of 10.8% obtained in this study is higher than other studies conducted in Turkey. The results indicate that prevalances have been dramatically increasing and becoming a riskier problem for school children in Turkey.
Oecd Ülkeleri ve Türkiye'nin Sağlık Sistemleri, Sağlık Harcamaları ve Sağlık Göstergeleri Karşılaştırması
(2015) Çetinkaya, Volkan; Dastan, Ilker
Ülkelerin tercih ettikleri sağlık sistemleri ve bu sistemlerin özellikleri ülkelerin sağlık harcamalarını ve dolayısıyla sağlıkla alakalı çeşitli çıktılarını etkileyen en önemli faktörlerdir. Bu çalışmada, çeşitli sağlık sistem modelleri kategorize edilerek OECD üyesi ülkelerin ve özel olarak ABD ve Türkiyenin 1980-2012 yılları arasındaki sağlık harcamalarındaki değişimleri, harcamaların GSYİH içindeki payları ve harcamaların ne şekilde finanse edildiği incelenmiştir. Ayrıca, bu farklı sağlık sistemleri ve sağlık harcamalarının ülkelerin sağlık hizmetleri tedariği ve çıktılarına olan etkileri karşılaştırılmıştır. Bu amaçla, sağlık ekonomisi literatüründe sıklıkla kullanılan doğumda beklenen yaşam süresi ve bebek ölüm hızları sağlık indikatörleri olarak, sağlık hizmetlerine ulaşım ve hizmetlere ulaşımdaki hakkaniyet kavramları sağlık çıktıları olarak ele alınmıştır. Farklı sağlık sistemlerine sahip de olsa tüm OECD üyesi ülkelerin kişi başı sağlık harcamaları ve bu sağlık harcamalarının GSYİHndaki payları son 30 yıl içinde önemli derecede artmıştır. Sağlık sistemleri farklı olan ülkelerdeki sağlık harcamaları farklılık gösterse de, bu farklı harcamaların sağlık göstergeleri ve sağlık sistemlerinin başarı ve verimlilikleri ile birebir bir ilişki içinde olmadığı bulunmuştur.
Citation - WoS: 18
Citation - Scopus: 23
Urban and Rural Differences in Hypertension Risk Factors in Turkey
(Aves, 2017) Dastan, Ilker; Erem, Ayşegül; Cetinkaya, Volkan
Objective: Existing literature shows considerable regional differences in terms of hypertension (HT) prevalence in Turkey. The purpose of this study was to analyze some of the known HT risk factors contributing to the variations between urban and rural areas of Turkey in HT development. Methods: We used data from the 2011 Chronic Diseases and Risk Factors Survey that was conducted by the Turkish Ministry of Health on a representative sample of the Turkish adult population aged 20 years or more (n=16.227). HT was defined as having at least one of the following: a mean systolic/diastolic blood pressure of at least 140/90 mm Hg, a previously diagnosed disease, or use of antihypertensive medication. Stepwise multiple logistic regression analysis was used to estimate HT risk factors in urban and rural settings. Results: Although the HT prevalence was higher in rural areas (28.4%) than in urban areas (23.9%), in this study, urbanization was found to be a contributing factor in multivariate regression analysis. Furthermore, separate regressions for urban and rural settings revealed that age, obesity, diabetes, hyperlipidemia, and smoking were independently and positively associated (p<0.05) with HT in both settings, while marital status, employment type, mental health, and lifestyle patterns; nutritional habits; and amount of physical activity and sedentary time (p<0.05) were risk indicators in urban areas only. Conclusion: The findings of our study demonstrate that contributory factors show some variations between urban and rural settings, and on gender within each setting. Taking into account the variations between urban and rural areas in HT development may provide greater insight into the design of prevention strategies.