Page 44 - IJSA, Vol. 6, No 1, 2023
P. 44

International Journal of Science Annals, Vol. 6, No. 1, 2023
                      рrint ISSN: 2617-2682; online ISSN: 2707-3637; DOI:10.26697/ijsa

            The mean age of the patients was M=62.11 (SD=12.71)   diseases were 95 (66.9%) male and 47 (33.1%) female.
            years,  ranging  between  24  and  93  years  old.  A   The  results  of  the  analyzes  of  the  further  risk  factors
            significant  gender  differences  is  found  only  for  the   show  no  statistically  significant  relationship  between
            presence of accompanying cardiovascular diseases – the   gender and the indicators of physical activity, smoking,
            relative share in men is statistically significantly greater   unhealthy diet, presence of stress, education, overweight
                                  2
            than that those of women, χ  (1, N=312)=3.945, p=0.049   and alcohol abuse.
            (see Table 2). Among the patients with cardiovascular

            Table 2
            Analysis of the Relationship between Gender and Cardiovascular Disease

                                 Absence of cardiovascular diseases   Presence of cardiovascular diseases
                     Gender
                                  People (n)      Percentage (%)*     People (n)      Percentage (%)*
                     Male            95               55.9               95                66.9
                     Female          75               44.1               47                33.1

            Note. *Percentage (%) refers to the relative frequency of each of the gender group within the patients with or without
            cardiovascular diseases (e.g., 55.9% of the patients without cardiovascular diseases were male).

            Concomitant cardiovascular diseases were, as expected,   The  results  comparative  analysis  of  survived  and
            more common in the age groups 60-74 and 75+ years old,   deceased  patient  groups  with  regard  to  various  socio-
            while in the two younger groups – 15-44 and 45-59 years   economic characteristics and health-related behavior of
            old – they  were less common. Interestingly, unhealthy   the  patients  show  significant  differences  in  age,
            eating prevails among the oldest patients (75+ years) and   education,  marital  status,  type  of  work,  smoking  and
            has a significantly smaller relative share in the 45-59 age   alcohol  abuse.  The  deceased  patient  group  has
            group. The presence of the self-reported stress dominates   statistically  significantly  higher  average  age,  a  higher
            among  the  oldest  patients  (75+  years)  and  has  a   percentage  of  smokers,  university  graduates,  alcohol
            significantly smaller relative share in the age group 15-  abusers, married and persons having a job with mainly
            44 years old. The group of patients between 15 and 44   mental  work.  The  survived  patient  group  has  a
            years  old  has  a  significantly  higher  percentage  of   statistically  significantly  lower  average  age  and  lower
            graduates than the other age groups.               share of non-smokers, are rather persons with secondary
            With regard to their marital status, the study participants   or primary education, not abusing alcohol, are divorced
            were  divided  into  4  groups:  married  –  185  people  or   or  single,  and  persons  with  jobs  that  include  mainly
            48.9%,  single  –  108  people  or  28.6%,  divorced  –  44   physical  work.  For  the  rest  of  the  indicators,  the
            people  or  11.6%  and  widowed  –  41  people  or 10.8%.   difference  between  the  two  considered  groups  is  not
            Marital  status  does  not  correlate  with  indicators  of   statistically significant.
            physical activity, cardiovascular disease, unhealthy diet   The results of a multiple binary regression analysis that
            and  presence  of  stress.  A  statistically  significant   analyzed  the  factors  that  potentially  influence  fatal
            relationship  between  marital  status  and  smoking  was   outcome  from  stomach  cancer  are  summarized  in
            found:  the  widowed  and  married  patients  have   Table A.
            significantly higher rates of smokers than single patients   Marital status has the greatest influence – the risk of fatal
            do. Higher education has a significantly higher relative   outcome for married compared to not married persons is
            share  of  married  persons  and  consequentially  a   about 257 times greater. On second place as an indicator
            significantly  smaller  share  for  unmarried.  Overweight   is the type of work, with the risk of a fatal outcome being
            and  alcohol  abuse  were  significantly  more  among   about  27  times  greater  for  those  performing  primarily
            married persons and significantly less among unmarried   mental work compared to those with primarily physical
            persons.                                           work.  Further  factors  with  significant  influence  are
            Factors that Affect the Fatal Outcome              smoking behavior, alcohol abuse and higher education.
            Just over the half of the patients (51.9%) in the sample   With borderline significance (p<0.10) are the indicators
            were still alive at the time point of the study, 182 (48.1%)   age and unhealthy diet.
            were dead. Before comparing the groups of deceased and   In order to consider the combined influence of the studied
            survived participants with regard to their socio-economic   indicators  and  eliminate  possible  confounding  factors,
            characteristics, we first compared them regarding clinical   we  put  the  variables  all  together  in  the  regression
            severity.  For  this  purpose,  the  tumor  stage  indicator,   equation  and  applied  the  “Backward  conditional”
            known for its objectivity and in formativeness, was used.   procedure. The achieved percentage of correct answers
            The  results  of  the  performed  Fisher-Freeman-Halton   from the classification table was 86.5. Thus, in the final
            exact test show no statistically significant difference in   version  of  the  equation  (p<0.001),  five  of  the  studied
            the frequency distribution of patients by the categories of   indicators remain – marital status, type of work, presence
            the tumor stage indicator, meaning that the two groups   of stress, smoking and age. The obtained results give us
            were statistically equal in terms of clinical severity. This   reason to claim that, compared to unmarried, widowers
            is  a  good  prerequisite  for  correctly  performing  the   have about 70 times higher risk of dead, married – about
            subsequent comparisons.                            47, and divorced – about 7 times. Mainly mental versus

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