The prevalence of self-reported underuse of medications due to cost for the elderly: Results from seven European urban communities

Background: The aim of this study was to evaluate the prevalence of self-reported underuse of medications due to procurement costs amongst older persons from seven European urban communities. Methods: The data were collected in a cross-sectional study (“ABUEL, Elder abuse: A multinational prevalence survey”) in 2009. Randomly selected people aged 60–84 years (n = 4,467) from seven urban communities: Stuttgart (Germany), Athens (Greece), Ancona (Italy), Kaunas (Lithuania), Porto (Portugal), Granada (Spain) and Stockholm (Sweden) were interviewed. Response rate - 45.2 %. Ethical permission was received in each country. Results: The results indicate that 3.6 % (n = 162) of the respondents self-reported refraining from buying prescribed medications due to cost. The highest prevalence of this problem was identified in Lithuania (15.7 %, n = 99) and Portugal (4.3 %, n = 28). Other countries reported lower percentages of refraining from buying medications (Germany – 2.0 %, Italy – 1.6 %, Sweden – 1.0 %, Greece – 0.6 %, Spain – 0.3 %). Females refrained more often from buying medications than males (2.6 % vs. 4.4 %, p < 0.0001). The prevalence of this refraining tended to increase with economic hardship. Discussion: These differences between countries can be only partly described by the financing of health-care systems. In spite of the presence of cost reimbursement mechanisms, patients need to make co-payments (or in some cases to pay the full price) for prescribed medications. This indicates that the purchasing power of people in 10.1186/s12913-015-1089-4 the particular country can play a major role and be related with the economic situation in the country. Lithuania, which has reported the highest refrain rates, had the lowest gross domestic product (at the time of conducting this study) of all participating countries in the study. Conclusions: Refraining from buying the prescribed medications due to cost is a problem for women and men in respect to ageing people in Europe. Prevalence varies by country, sex, and economic hardship.The ABUEL was supported by the Executive Agency for Health and Consumers (EAHC) (Grant No., A/2007123) and participating institutions

Self-Rated Health in the Baltic Countries, 1994–1999

Numerous studies have examined the explanations of mortality fluctuations in the former USSR during the last decade of the twentieth century-a time of considerable political and socio-economic changes-but fewer studies have considered the health of these populations during this period. Using individual data from the Norbalt surveys held in 1994 and 1999 in the three Baltic countries, we examine the determinants of self-rated health in the three countries and for the two periods, by way of Bayesian structural equation modelling and directed acyclic graphs. The model takes into account, as possible determinants, alcohol consumption, physical health, psychological distress, education, locus of control, and social support. A major result is the remarkable stability of the model's parameters whatever the country, year, gender, ethnicity, or age-group. Particular attention is given to the role of alcohol consumption and to the association observed between better self-assessed health and higher drinking. © 2010 Springer Science+Business Media B.V

Divorce Trends in Seven Countries Over the Long Transition from State Socialism: 1981–2004

The collapse of communism was a defining geopolitical event of late-20th century Europe, with well-documented economic, social, and political implications. Yet there is a striking absence of research on how it influenced divorce. The objective of this study is to provide an exploratory analysis of trends in divorce over the long transition from communism—starting from the decline of the communist economy in the 1980s and ending with economic revival—in seven countries: Bulgaria, Estonia, Hungary, Lithuania, Poland, Romania, and Russia. We discuss how the transition could be expected to either increase or decrease divorce risks. We analyze retrospective micro-level data on first marriages from the Changing Life Course Regimes in Eastern Europe (CLiCR) dataset. Based on our event-history analyses, we find that divorce rates increased in each country at some stage during the long transition and these increases cannot be explained by compositional change of the marriages. However, no uniform pattern emerged in the timing and duration of the increase in divorce risk. This striking variation leads us to conclude that even the effect of major societal ruptures is contextually contingent

L'opinion publique et l'éducation sexuelle en URSS.

Bodrova V, Stankuniene V., Mytil A. L'opinion publique et l'éducation sexuelle en URSS.. In: Population, 47ᵉ année, n°1, 1992. pp. 204-211

A Turbulent political history and the legacy of state Socialism in the Baltic countries

This chapter provides a survey of the political, socio-economic and demographic development of the Baltic countries. It is meant to give readers a general understanding of the setting in which large urban housing estates were built from the 1960s to the 1980s. The chapter begins with an account of the history of the Baltic countries, including their emergence as independent nations, their incorporation into the USSR and their reappearance on the world map in 1991. The second section analyses the modernisation of the Baltic economies, the Soviet strategies for industrialisation and their impact on the housing sector. The Baltic region enjoyed somewhat higher living standards and exhibited greater openness to Western influences than other union republics, which made Estonia, Latvia and Lithuania attractive to economic migrants from other parts of the USSR. The analysis also shows that the Baltic countries experienced demographic modernisation earlier than other regions of the USSR. A high demand for labour is driven by Soviet strategies for economic development, and slow population growth in the host countries, particularly in Estonia and Latvia, contributed to the persistence of high levels of immigration throughout the post-war decades. Due to their large numbers, migrant workers significantly transformed the composition of the urban population in the Baltic countries. Through a combination of factors, including the housing allocation mechanism, immigrants gained privileged access to new accommodation, and they became over-represented in the housing estates. This development connects the future of the housing estates with the integration of immigrants who settled in the region during the Soviet era

Through civil war, food crisis and drought: trends in fertility and nuptiality in post-Soviet Tajikistan

This article has two objectives. First, it aims to complement and extend existing research on post-socialist demographic change, which has thus far tended to focus on Central and Eastern Europe. It does this by describing the nature of post-Soviet trends in nuptiality and fertility in Tajikistan, the republic with the highest rate of population growth during the Soviet period. It finds evidence for a decrease in period fertility after independence: initially, through a decline at higher orders; then, through a significant decrease in the rate of first births, associated with a dramatic decrease in the rate of first union formation since the mid-1990s. Second, it aims to contribute to the demography of conflict and of food crisis. Most clearly, it finds strong evidence for a decrease in nuptiality and fertility associated with the 1995 food crisi