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Title: Environmental and socioeconomic determinants of cardiovascular disease: The case of Poland Authors:  Sylwia Roszkowska - University of Lodz (Poland) [presenting]
Barbara Kula - Univerity of Lodz (Poland)
Natalia Pawelec - Univerity of Lodz (Poland)
Michal Swieczkowski - Medical University of Bialystok (Poland)
Adrian Kubis - J Sniadecki Memorial Provincial Integrated Hospital in Bialystok (Poland)
Anna Tomaszuk-Kazberuk - Medical University of Bialystok (Poland)
Hanna Bachorzewska-Gajewska - Medical University of Bialystok (Poland)
Lukasz Kuzma - Medical University of Bialystok (Poland)
Abstract: The aim is to assess the influence of environmental and socioeconomic factors on the prevalence of hospitalization for cardiovascular disease (CVD). The rate of CVD hospitalizations in Poland is one of the highest in Europe. The risk of hospitalization in patients with CVD is related not only to lifestyle, but also to environmental, economic, social factors and the organization of the health care system. Using the National Institute of Public Health, Central Statistical Office and Voivodeship Inspectorates for Environmental Protection in Poland data and panel data techniques (including spatial ones), the impact of environmental and socioeconomic factors on CVD in Poland has been estimated. The age- and sex-standardized data on the prevalence of hospitalization due to CVD in Poland in 2012-2019 on poviats level were explained using a set of air quality indicators (namely PM2.5, SO2, NO2), environmental factors, organization of the health care system and regional determinants of the socioeconomic situation. The results of the provided analyses indicate that regional indicators such as the share of physicians and healthcare expenditure, air quality, green areas density, working-age population structure, unemployment rate and GDP were associated with changes in CVD hospitalizations. The increasing number of CVD hospitalizations in the last decade is most noticeable in regions with low socioeconomic development.