Generational differences in selected aspects of social situation and health status of foreigners living in the Czech Republic.

OBJECTIVES: Demographic differentiation caused by the history of migration in the Czech and Slovak Republics led the authors of this article to analyse generational differences in the groups of foreigners living in the Czech Republic (CR) and the impact of generational differences on selected aspects of their social situation and perceived health. The crucial research question was whether and to what degree do different generations of foreigners vary from each other and what impact this has had on their social situation and health determinants. METHODS: The main goal was to examine mutual relationships between selected characteristics of social situation and health determinants in various groups of foreigners living in the CR. A total of 1,003 questionnaires among foreigners officially living in the Czech Republic were collected and analysed. In the area of subjective perception of health, a comparison of foreigners with Czech citizens (representative sample of Czech seniors; 1,172 respondents) in the age category 65+ was made in order to find out whether this perception differs between senior foreign nationals and senior Czechs. RESULTS: Older individuals (50-64 years and 65+ years) appeared to have the best integration into Czech society. This age generation felt positive about stay and migration status in the CR. Older foreigners differ from older Czech citizens who tend to refer to their health as very good to rather good compared to foreigners who described their health as neither good nor bad. The middle generation (30-49 years) of foreigners was characterized by hard work and the initial stages of integration into Czech society. This group also reported positive feelings about living in the CR relative to their home country. CONCLUSION: The oldest generation of foreigners is the best integrated in the Czech Republic (with regard to selected aspects tested in this article). This generation is able to offer new immigrant effective integration strategies. However, they assess their subjective health one degree worse in comparison with Czech seniors (representative sample), this finding should lead to the setting of preventive programmes related to a healthy lifestyle, including lifestyle for foreigners living in the Czech Republic.

Analysis of quality of life in older adults in the Czech Republic and Brazil - a systematic review / Análise da qualidade de vida em idosos da República Tcheca e Brasil ­uma revisão sistemática / Análisis de la calidad de vida en adultos mayores en la República Checa y Brasil: una revisión sistemática

The objective of this study was to search for original articles that approach the Brazilian and Czech  elderly's quality of life in different dimensions. A systematic review was developed and the searches were carried out in Pub-Med/MEDLINE, LILACS, SciELO and PsycINFO databases. The quests were performed using the English language, over the period ranging from July 2008 through June 2018. Thirty  studies, 27 with  Brazilian elderly, 2 with Czech elderly and 1 with both populations,  were found according to selected inclusion criteria. The results show that the Czech elderly have a lower quality of life perception than the Brazilian ones. When living in rural areas, the latter showed good results for autonomy, psychological and physical factors as well as low consumption of alcohol and tobacco. The different dimensions of quality of life can be improved for the Czech and Brazilian elderly for health education and social purposes.

O objetivo deste estudo foi pesquisar artigos originais com a abordagem da qualidade de vida de idosos Brasileiros e Tchecos, em diferentes dimensões. A revisão sistemática foi desenvolvida, e as buscas realizadas no Pub-Med/MEDLINE, LILACS, SciELO and PsycINFO databases.As questões foram respondidas usando-se a língua inglesa, no período compreendido entre julho de 2008 e julho de 2018. Foram encontrados 30 estudos, 27 com idosos brasileiros, 2 com idosos tchecos e 1 com ambas as populações,de acordo com os critérios de inclusão. Os resultados mostraram que os idosos tchecos têm uma percepção de qualidade de vida mais baixa que os idosos brasileiros. Ao viver em áreas rurais, estes últimos apresentaram bons resultados de autonomia, fatores psicológicos e físicos, bem como baixo consumo de álcool e tabaco. As diferentes dimensões da qualidade de vida podem ser melhoradas, tanto para os idosos checos quanto brasileiros, para fins de educação em saúde e para fins sociais.

El objetivo de este estudio fue buscar artículos originales que aborden la calidad de vida de los brasileños y checos de edad avanzada, en diferentes dimensiones. Se realizó una revisión sistemática y se realizaron búsquedas en las bases de datos Pub-Med / MEDLINE, LILACS, SciELO y PsycINFO. Las preguntas se respondieron utilizando el idioma inglés, entre julio de 2008 y julio de 2018. Se encontraron treinta estudios, 27 con ancianos brasileños, 2 con ancianos checos y 1 con ambas poblaciones, de acuerdo con los criterios de inclusión. Los resultados mostraron que las personas mayores checas tienen una percepción más baja de la calidad de vida que las personas mayores brasileñas. Al vivir en zonas rurales, este último mostró buenos resultados de autonomía, factores psicológicos y físicos, así como un bajo consumo de alcohol y tabaco. Las diferentes dimensiones de la calidad de vida pueden mejorarse, tanto para los ancianos checos como para los brasileños, con fines de educación sanitaria y sociales.

Risk Factors for Malnutrition in Seniors Aged 75+ Living in Home Environment in Selected Regions of the Czech Republic.

BACKGROUND AND AIM: Nutrition is an important social determinant of health that influences the ageing process. The aim of this study was to evaluate the nutritional condition of a group of seniors and identify the bio-psycho-social factors that increase the risk of malnutrition. METHODS: The research was conducted using a quantitative method. The standardised scales Mini Nutritional Assessment - Short Form (MNA-SF) and the Geriatric depression scale (GDS-5) were used to evaluate the nutritional condition and tendency towards depression of the tested group. This group consisted of seniors aged 75 and above living in home environment in the Ceské Budejovice region. The group was comprised of 320 seniors, 115 men (35.9%) and 205 women (64.1%), which corresponds to the composition of the population in the chosen region of the Czech Republic. Statistical data analysis was conducted using SASD 1.4.10 and SPSS 15.0 programs. Pearson's chi-squared test (Χ²) and Cramér's V were chosen for statistical testing. The significance level was set at 5%. RESULTS: The average BMI value of the seniors was 26.2 kg/m² (overweight). This value decreased with age. More than one third of the respondents were evaluated as being at risk of malnutrition (36.3%). Unintended weight loss was determined as the strongest risk factor of malnutrition. Seniors who had lowered their food intake stated unintended weight loss 10 times more often than respondents with no noticeable reduction in food intake. Seniors who showed signs of depression indicated weight loss three and a half times more often than respondents without depression. Meanwhile acute illness increased the risk by three times. Depression was found to be the cause and also the consequence of malnutrition. CONCLUSION: Despite the high prevalence of overweight and obesity, a large proportion of the respondents were running the risk of malnutrition. It was concluded that the strongest risk factors for malnutrition in the respondents were unintended weight loss, depression and lowered food intake. Compared to biological factors, social and economic factors were less significant in causing malnutrition in seniors.

Selected parameters of social exclusion among immigrants in the Czech Republic.

This article deals with the issue of social exclusion of immigrants in the Czech Republic. A review of expert sources indicates that immigrants are most often excluded from the labour market, housing market, and in communication with institutions. These areas became the target of our research. We observed how they were affect by knowledge of the Czech language, length of residence and type of work performed. The study was conducted using quantitative research strategies, interviews, and a questionnaire, the clarity of which was ensured by a double translation. The research group consisted of immigrants, namely Vietnamese, Slovak, Russian, Ukrainian, and Polish nationalities, living in selected regions of the Czech Republic. Results showed that there were statistically significant differences among the immigrant groups. The Vietnamese were least satisfied with housing conditions; they often reported living in overcrowded apartments and dormitories, and saw little chance of changing their situation because of discrimination by landlords. With regard to Czech language skills, the greater difference between Czech and Vietnamese and the relative similarity between Czech and the other studied immigrant languages also played a role. As a result, this indicator also showed the greatest dissatisfaction among the Vietnamese. For employees, poor knowledge of Czech corresponds to lower socioeconomic status.

Socioeconomic status and health of immigrants.

The aim of this article is to acquaint the general public with select socioeconomic status (SES) parameters (type of work, education level, employment category, and net monthly income) of select nationalities (Ukrainians, Slovaks, Vietnamese, Poles, and Russians) from a total of 1,014 immigrants residing in the Czech Republic. It will also present a subjective assessment of socioeconomic status and its interconnection with subjective assessment of health status. This work was carried out as part of the "Social determinants and their impact on the health of immigrants living in the Czech Republic" project (identification number LD 13044), which was conducted under the auspices of the European Cooperation in Science and Technology (COST) agency. Quantitative methodology in the form of a questionnaire was selected to facilitate the research aim. Data was processed using the Statistical Package for Social Sciences (SPSS), version 16.0 (SPSS, Inc., Chicago, IL, USA). Statistical analyses were performed using the Pearson chi-square test, adjusted residual analysis, and multivariate correspondence analysis. The results of these tests demonstrated a statistically significant relationship between subjective assessments of socioeconomic status and the following related select characteristics: type of work performed (manual/intellectual), employment categories, education, and net monthly income. Results indicate that those situated lowest on the socioeconomic ladder feel the poorest in terms of health; not only from a subjective perspective, but also in terms of objective parameter comparisons (e.g. manual laborers who earn low wages). As the level of subjective SES assessment increases, the level of subjective health assessment increases, as well. Thus, the relationship has a natural gradient, as was described by Wilkinson and Marmot in 2003. Our study found no evidence of a healthy immigrant effect. Therefore, it was not possible to confirm that health status deteriorates with length of residence, or that the health status of immigrants with a residence duration of less than 5 to 10 years is statistically significantly better than immigrants who have resided in the Czech Republic for 10 years or more. We conclude that, by increasing the education levels of immigrants, or actively selecting qualified foreign workers (according to set criteria), the number of people in the Czech Republic who positively assess their health status will surge. In terms of prevention, it is essential to focus on manual laborers and to differentiate specific methods to improve their health status (e.g. awareness-raising campaigns in large plants and factories), given that they comprise the weakest group in this regard.

Subjective Social Status in select Ukrainians, Vietnamese, and Mongolians living in the Czech Republic.

OBJECTIVES: This article discusses methods of examining subjective social status (SSS), which is based on the concept of social determinants of health described by Wilkinson and Marmot in 1998. METHODS: SSS research was conducted with Cooperation from the Scientific and Technical Research (COST) program, with financial support from the Czech Ministry of Education, Youth and Sports. This study is part of a project entitled the "Health and Social Status of Immigrants and Asylum Seekers in the Czech Republic" (registration number OC 10031), which was started in 2010 and concluded in May 2011. The study included 246 respondents of which: 69 (28.1%) had emigrated from Vietnam; 93 (37.8%) from the Ukraine; and 84 (34.1%) from Mongolia. In terms of qualitative strategies, 13 individual immigrants and asylum seekers were personally interviewed. This research was thus conceived as being both quantitative-qualitative, which included the use of the appropriate technical tools (i.e., questionnaires and interviews with select immigrants and asylum seekers). SSS was determined using the Pearson's chi-square test, as well as through correspondence and cluster analyzes. Sign schemes were used to detect select significant relationships in contingency tables. The minimum significance level chosen was α ≤ 0.05. RESULTS: When examining the SSS of select nationalities, differences were observed in the perception of subjective social status. The correspondence analysis results clearly show that Ukrainians best perceived their social status (within the selected parameters). One measure of subjectively perceived social status related to Czech language proficiency (i.e., one criterion was the comprehension of spoken Czech; e.g., whether the respondent could read or speak Czech, or how they assessed their own Czech proficiency). CONCLUSION: The SSS study clearly revealed typical links among select nationalities living in the Czech Republic, and highlighted risks related to the degree of integration (and its relationship to social exclusion). This study served as a pilot project for follow-up research conducted by the second COST project entitled: "Social Determinants of Health and their Impact on the Health of Immigrants Living in the Czech Republic" (registration number LD 13044 COST). The follow-up study included 1 000 respondents of Slovak, Vietnamese, Ukrainian, Russian and Polish nationality and is currently underway at the Faculty of Health and Social Studies at the University of South Bohemia in the Czech Republic. The methodological tools used were taken from the COST pilot project (which is the topic of this article) and were adjusted as needed (i.e., both objective and subjective criteria were used for examining social status).