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head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2024, vol. 30, issue1
Subject Area:Public Health
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DOI: 10.5272/jimab.2024301.5375
Published online: 16 February 2024

Original article
J of IMAB. 2024 Jan-Mar;30(1):5375-5380
COVID-19 AND REGIONAL HEALTH INEQUALITIES IN BULGARIA
Dima TsanovaORCID logoCorresponding Autoremail, Eleonora Mineva-DimitrovaORCID logo, Borislava IvanovaORCID logo,
Department of Social Medicine and Health Management, Faculty of Public Health, Medical University – Pleven, Bulgaria.

ABSTRACT:
Purpose: The study aims to analyze regional health and socioeconomic inequalities in Bulgaria.
Methods: An ecological epidemiological study was conducted. The 28 regions in Bulgaria were compared according to death rates due to COVID-19, the share of people 65+, availability of physicians, hospital beds for active and intensive care per 10,000 people, and the average annual salary of employed people /2021/. Data were statistically processed with SPSS v.26, the Pearson coefficient was used.
Results: The death rates due to COVID-19 in Bulgaria vary widely, and the regions with the highest rates in 2021 are Kyustendil /642.440/0000/, Vidin /591.150/0000/, Montana /533.980/0000/, Gabrovo /533.480/0000/ and Vratsa /531.900/0000/. All five regions have ageing rates higher than the national average of the availability of physicians per population - lower than the average, respectively 36.60/0000, 35.50/0000, 34.90/0000, 37.60/0000 and 38.10/0000. Among the areas with high levels of death rates, Vidin stands out with very low availability of hospital beds for active and intensive treatment - 37.80/0000, but Gabrovo and Montana have higher. A moderate correlation was found between the death rate due to COVID-19 and the ageing of the population, but for other factors, no correlation was established.
Conclusions: Reducing regional health inequalities in Bulgaria is one of the possible ways to control and reduce the death rate in the country, especially due to COVID-19.

Keywords: inequalities, COVID-19, Bulgaria, ageing, hospital care,

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Please cite this article as: Tsanova D, Mineva-Dimitrova E, Ivanova B. COVID-19 and Regional Health Inequalities in Bulgaria. J of IMAB. 2024 Jan-Mar;30(1):5375-5380. [Crossref - 10.5272/jimab.2024301.5375]

Corresponding AutorCorrespondence to: Dima Tsanova, Department of Social Medicine and Health Management, Faculty of Public Health, Medical University – Pleven; 1, Sv. Kliment Ohridski Str. 5800 Pleven, Bulgaria; E-mail: dima.tsanova@mu-pleven.bg

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Received: 26 July 2023
Published online: 16 February 2024

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