Sağlık Bilimleri Fakültesi / Faculty of Health Sciences

Permanent URI for this collectionhttps://hdl.handle.net/11727/1402

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    The Effect of Poverty on Depression Among Turkish Children
    (2020) Yilmaz, Fikriye; Gungor Ozcan, Deniz; Gokoglu, Asena Gokce; Turkyilmaz, Dilara; 0000-0002-4884-3803; AAZ-4775-2020
    This study was conducted to determine the effect of poverty on depression among Turkish children. The data of the study were collected in 2019 by using a questionnaire. A total of 4276 children were selected by multi-stage cluster sampling in Ankara, Turkey. The questionnaire consisted of questions for determining the socio-demographic characteristics and health status of the children. It also included multidimensional poverty indicators (socioeconomic status of the family, Family Welfare Scale [FWS] and UNICEF Child Deprivation Index [U-CDI]) and Child Depression Inventory (CDI). The data were analyzed using descriptive statistics, Chi-Square Test and Binary Logistic Regression Analysis. Of the participants, 50.2% were girls, the average age was 12.94 +/- 1.17 years, and 86.1% lived in a family with a medium level of socio-economic status. FWS scores showed that 37.7% of them had poor economic status. According to U-CDI, 48.1% of the children were deprived. CDI scores indicated that 34.5% of the children were depressed. In this study, living in a single-parent family (OR = 1.470), having a poor or moderate perception of health (OR = 2.095), having any disease (OR = 1.485), deprivation according to CDI (OR = 1.382), going to bed or school hungry from time to time (OR = 1.930) and working to earn money (OR = 2.450) were identified as important risk factors for high depression (p < 0.05). The multiple deprivation status of children is a major determinant of their depression levels.
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    Effects of Early Life Factors on the Health and Quality of Life of Older Adults
    (2018) Yilmaz, Fikriye; Tekin, Rukiye N.; 0000-0002-4884-3803; 28745423; AAF-7789-2020; AAZ-4775-2020
    Background: Few studies on the effects of early life factors on the health and quality of life of adults have been conducted in Turkey. We aimed to investigate the effects of early life factors on the health and quality of life of older adults. Methods: We administered a questionnaire to 350 adults, aged 50-89years, living in Cankaya, Ankara. The questionnaire covered sociodemographic characteristics, early life characteristics, health status, and the World Health Organization Quality of Life-Ageing scale. Data were analyzed using chi(2) tests, independent samples t-tests, one-way anova, and binary logistic regression analysis. Results: The analyses showed that the most important risk factors for chronic disease were being >= 65years (odds ratio (OR)=2.34), having a chronic health problem before 18years of age (OR=2.48), experiencing prolonged hospitalization or bed rest before 18years of age (OR=2.65), and experiencing parental unconcern during early life (OR=2.13) (P<0.05). In addition, having a high school education or less includes people who have primary or secondary or high school diploma (OR=1.65), having lived in a village (OR=1.65), having a low family economic status (OR=2.40), and having experienced one negative event (OR=1.41) or two or more negative events (OR=1.39) during their early lives were identified as important risk factors for low quality of life (P<0.05). Conclusion: Early life factors are among the important determinants of the health and quality of life of older adults in Turkey.
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    Evaluation of Inappropriate Medication Use and Compliance in Elderly People
    (2018) Yilmaz, Fikriye; Colak, Meric Yavuz; 0000-0002-4884-3803; 0000-0002-0294-6874; 29564987; AAZ-4775-2020; AAA-4360-2021
    Objective: The aim of this study is to evaluate the potentially inappropriate medication use and medication compliance in elderly patients who buy prescribed drugs from a pharmacy in Ankara. Methods: In this cross-sectional field study, 200 older people who bought prescribed drugs from a pharmacy which is close to several hospitals in Ankara in April 2016 were chosen as random sample. A questionnaire consisting of questions related to socio-demographic characteristics, health status, drug use of elderly and Morisky Green Levine Medication Adherence Scale (MGLS) was used to collect data. The appropriateness of the drugs prescribed for elderly was determined by the pharmacist according to Beers criteria. The data were evaluated by descriptive statistics and Chi-Square test. Results: 57.4% of the 200 elderly patients in the study are women and the mean age is 72.55 +/- 6.34 years; 72.6% of them are below high school. When the medication compliance was examined, 36.3% of them did not comply with the drug treatment according to MGLS. It was determined that having sufficient information about the drug, education level, occupation and polymorbidity affect medication adherence (p < 0.05). When the appropriateness evaluated according to Beers Criteria, 41.7% of the subjects were prescribed potentially inappropriate medications (PIM). According to the analysis, the number of drugs prescribed and the type of the chronic disease have effects on the inappropriate prescription (p < 0.05). Conclusion: According to the study, the prevalence of inappropriate medication use in the elderly is higher than the medication non-adherence.