Bulaşıcı Olmayan Hastalıklar ve Risk Faktörlerinin Sağlık Hizmeti Kullanımı ve Sağlık Statüsü Göstergeleri Üzerindeki Etkilerinin İncelenmesi

Abstract

The aim of this study is to examine the impact of non-communicable diseases (NCDs) and risk factors for NCDs on health service utilisation and health status indicators in Turkey. Another aim is to determine the effect of individual characteristics on NCDs and risk factors for NCDs. It is also aimed to reveal the associations of risk factors for NCDs and NCDs. In order to achieve the aims of the study, the Turkiye Health Survey (THS) data set, which was collected by the Turkish Statistical Institute (TURKSTAT) in 2014, 2016 and 2019 to represent the population of Turkey, was used. According to the results of the study, in terms of risk factors for NCDs other than tobacco and alcohol use in all years, it was determined that individuals in the older age group, generally females, individuals who were not employed or were not in active working life, and individuals whose educational status was illiterate or did not complete a school/primary school were more risky. In terms of tobacco and alcohol use, it was found that individuals in younger age groups, in active working life and with relatively high income level were more risky. In terms of NCDs, it was determined that individuals aged 45 years and over, males in cardiovascular diseases and females in other diseases, individuals who were not employed or not in active working life, illiterate or did not complete a school/primary school and married or widowed were more risky. In the results related to health service utilisation status and frequency, it was found that hypertension, high cholesterol/triglycerides, overweight/obesity and inadequate physical activity among risk factors for NCDs and almost all NCDs increased health service utilisation. In addition to these findings, risk factors for NCDs and NCDs were found to have an impact on poorer health status, limitation of daily and instrumental life activities, physical pain and depressive disorder. Finally, the associations of risk factors for NCDs and NCDs were evaluated and it was found that hypertension, overweight/obesity and insufficient physical activity were the risk factors with the highest association with NCDs.