Dobrinka Kostova
Biographic Data
| ID | 280085 |
|---|---|
| NAME | Dobrinka Kostova |
| GIVEN NAMES | Dobrinka |
| FAMILY NAME | Kostova |
| SIGNATURE | KOSTOVA D |
| AFFILIATIONS | Centers for Disease Control and Prevention |
| ORCID | 0000-0003-2414-0166 |
| VERIFIED | Yes |
| TOTAL WORKS | 21 |
| TOTAL CITATIONS | 20 |
| WORKS AS AUTHOR | 21 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 1995 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 2 |
Barriers to accessibility of medicines for hyperlipidemia in low- and middle-income countries
Despite the high burden of hyperlipidemia and the effectiveness of treatment, evidence suggests that the accessibility of hyperlipidemia medicines can be low in many low- and middle-income countries (LMICs). The aim of this study was to identify common barriers to the accessibility of medicines for hyperlipidemia in LMICs. A multimethod analysis and multiple data sources were used to assess the accessibility and barriers of medicines for hyperlip…
The HEARTS partner forum—supporting implementation of HEARTS to treat and control hypertension
Cardiovascular diseases (CVD), principally ischemic heart disease (IHD) and stroke, are the leading causes of death (18. 6 million deaths annually) and disability (393 million disability-adjusted life-years lost annually), worldwide. High blood pressure is the most important preventable risk factor for CVD and deaths, worldwide (10.8 million deaths annually). In 2016, the World Health Organization (WHO) and the United States Centers for Disease C…
Building the health-economic case for scaling up the WHO-HEARTS hypertension control package in low- and middle-income countries
Generally, hypertension control programs are cost-effective, including in low- and middle-income countries, but country governments and civil society are not likely to support hypertension control programs unless value is demonstrated in terms of public health benefits, budget impact, and value-for-investment for the individual country context. The World Health Organization (WHO) and the Pan American Health Organization (PAHO) established a stand…
Assessing costs of a hypertension program in primary care
Objective. In 2021, Mexico launched the HEARTS program to improve the prevention and control of cardiovascular disease (CVD) risk factors in 20 primary care facilities in the states of Chiapas and Yucatán. This study projects the annual cost of program implementation and discusses budgetary implications for scaling up the program. Methods. We obtained district-level data on treatment protocols, medication costs, and other resources required to pr…
Determinants and Diversity of Internationalisation in Political Science
This article examines selected system-level variables. Its premise is that a better understanding of how and why scholars may, or may not, choose an international orientation in their career requires taking into account factors beyond personal preferences or constraints. We suggest that characteristics of national systems shape prospects and strategies of internationalisation and look at two broadly defined variables: resource availability and ca…
Towards a European political science? Opportunities and pitfalls in the internationalisation of political science in Europe
Political science has not remained on the side of the internationalisation road. While continental European political science was criticised for not being internationalised enough in the beginning of this century, much progress has been done since then. This symposium discusses the state of play of the internationalisation trend(s) in European political science. Building on the data collected within the COST programme PROSEPS, the contributions s…
Hypertension in women
Adolescent childbearing was strongly associated with a higher probability of adult female hypertension in India. This finding illustrates the intertemporal relationship between health risk factors during the life cycle, informing the importance of addressing adverse early life events (e.g. child marriage and adolescent childbirth) for hypertension outcomes among women in India
The cost-effectiveness of hypertension management in low-income and middle-income countries
Hypertension in low-income and middle-income countries (LMICs) is largely undiagnosed and uncontrolled, representing an untapped opportunity for public health improvement. Implementation of hypertension control strategies in low-resource settings depends in large part on cost considerations. However, evidence on the cost-effectiveness of hypertension interventions in LMICs is varied across geographical, clinical and evaluation contexts. We conduc…
Noncommunicable disease outcomes and the effects of vertical and horizontal health aid
Foreign health aid forms a substantial portion of health spending in many low- and middle-income countries (LMICs). It can be either vertical (funds earmarked for specific diseases) or horizontal (funds used for broad health sector strengthening). Historically, most health aid has been disbursed vertically toward key infectious diseases, with minimal allocations to noncommunicable diseases (NCDs). High NCD burden in LMICs underscores a need for i…
Revisiting the association between worldwide implementation of the MPOWER package and smoking prevalence, 2008–2017
A decade after the introduction of the WHO MPOWER package, we observed that the countries with higher initial tobacco control preparedness and higher smoking burden were able to reduce the adult daily smoking prevalence significantly
Noncommunicable disease-attributable medical expenditures, household financial stress and impoverishment in Bangladesh
NCD-related household medical expenditure is associated with experiencing financial distress and aggravating poverty in Bangladesh
Chronic Health Outcomes and Prescription Drug Copayments in Medicaid
BACKGROUND: Prescription drug copayments and cost-sharing have been linked to reductions in prescription drug use and expenditures. However, little is known about their effect on specific health outcomes. OBJECTIVE: To evaluate the association between prescription drug copayments and uncontrolled hypertension, uncontrolled hypercholesterolemia, and prescription drug utilization among Medicaid beneficiaries with these conditions. SUBJECTS: Select …
Effect of cigarette prices on smoking initiation and cessation in China
The effect of prices on smoking in China is likely to occur through averting initiation over time. At the population level, cessation behaviour may be less responsive to price increases as the wide range of cigarette prices in China may provide relatively high opportunity for switching to lower priced brands
Smokeless tobacco use in India
A cross-country study of cigarette prices and affordability
In this sample of countries, cigarettes are most affordable in Russia, which has the most room for tobacco tax increase. Affordability is also relatively high in Brazil and China for cigarettes, and in India and Bangladesh for bidis. Although the affordability of cigarettes in India is relatively low, the range of cigarette prices paid is relatively high, providing additional evidence to support the call for simplifying the existing tax structure…
Is youth smoking responsive to cigarette prices? Evidence from low- and middle-income countries
Cigarette price is an important determinant of smoking. The estimated price elasticity of smoking participation is -0.74, and the estimated price elasticity of conditional cigarette demand is approximately -1.37. The total price elasticity of cigarette demand is -2.11, implying that an increase in price of 10% would reduce youth cigarette consumption by 21.1% at the mean
Trust and solidarity in Bulgarian cooperatives
The paper analyzes the strategies of people in agriculture, especially in the mountain regions where the fragmentation of land is significant. The quantity of land there is also limited. This leads to important consequences for the agrarian development. The culture of keeping the lands of the predecessors burdens the market of agricultural lands. The renting of lands depends on the types of plants to be cultivated as the law for renting lands all…
Social Consequences of Unemployment
The paper compares the experience of unemployment in Britain with that in three former state socialist societies - Bulgaria, the Czech Republic and Slovakia, countries with relatively recent welfare systems, providing a low level of coverage for the unemployed. The analysis examines the implications of the different types of welfare regime for financial stress, for social isolation and for psychological wellbeing. While it finds that the implicat…
Employment Experience and Organisational Commitment
This paper compares the level of organisational commitment in three former state socialist societies (Bulgaria, the Czech Republic and Slovakia) with that in a market-based society (Britain). Among the former state socialist societies, Bulgaria represents the country that had remained closest to the patterns of work organisation that prevailed before 1989, whereas the Czech Republic and Slovakia had moved further towards marketisation. The analys…
Auswahlbibliographie Bulgarien (1994-1996)
Bulgarie
En 1991, le gouvernement bulgare adopte une loi foncière révisée en 1992 et à nouveau en 1995. Cette réforme vise à restituer aux propriétaires de 1946 leurs terres et à restaurer ainsi la petite propriété. En outre, les gouvernements successifs cherchent par là à « décommuniser » les campagnes. L'étude des modalités d'application de la loi de 1991 dans la région de la Dobroudja (nord-est du pays) montre que, contrairement à ce qu'on aurait pu at…
Social Consequences of Unemployment
The paper compares the experience of unemployment in Britain with that in three former state socialist societies - Bulgaria, the Czech Republic and Slovakia, countries with relatively recent welfare systems, providing a low level of coverage for the unemployed. The analysis examines the implications of the different types of welfare regime for financial stress, for social isolation and for psychological wellbeing. While it finds that the implicat…
Employment Experience and Organisational Commitment
This paper compares the level of organisational commitment in three former state socialist societies (Bulgaria, the Czech Republic and Slovakia) with that in a market-based society (Britain). Among the former state socialist societies, Bulgaria represents the country that had remained closest to the patterns of work organisation that prevailed before 1989, whereas the Czech Republic and Slovakia had moved further towards marketisation. The analys…
Towards a European political science? Opportunities and pitfalls in the internationalisation of political science in Europe
Political science has not remained on the side of the internationalisation road. While continental European political science was criticised for not being internationalised enough in the beginning of this century, much progress has been done since then. This symposium discusses the state of play of the internationalisation trend(s) in European political science. Building on the data collected within the COST programme PROSEPS, the contributions s…
Bulgarie
En 1991, le gouvernement bulgare adopte une loi foncière révisée en 1992 et à nouveau en 1995. Cette réforme vise à restituer aux propriétaires de 1946 leurs terres et à restaurer ainsi la petite propriété. En outre, les gouvernements successifs cherchent par là à « décommuniser » les campagnes. L'étude des modalités d'application de la loi de 1991 dans la région de la Dobroudja (nord-est du pays) montre que, contrairement à ce qu'on aurait pu at…
Determinants and Diversity of Internationalisation in Political Science
This article examines selected system-level variables. Its premise is that a better understanding of how and why scholars may, or may not, choose an international orientation in their career requires taking into account factors beyond personal preferences or constraints. We suggest that characteristics of national systems shape prospects and strategies of internationalisation and look at two broadly defined variables: resource availability and ca…
Bulgarie
En 1991, le gouvernement bulgare adopte une loi foncière révisée en 1992 et à nouveau en 1995. Cette réforme vise à restituer aux propriétaires de 1946 leurs terres et à restaurer ainsi la petite propriété. En outre, les gouvernements successifs cherchent par là à « décommuniser » les campagnes. L'étude des modalités d'application de la loi de 1991 dans la région de la Dobroudja (nord-est du pays) montre que, contrairement à ce qu'on aurait pu at…
Auswahlbibliographie Bulgarien (1994-1996)
Employment Experience and Organisational Commitment
This paper compares the level of organisational commitment in three former state socialist societies (Bulgaria, the Czech Republic and Slovakia) with that in a market-based society (Britain). Among the former state socialist societies, Bulgaria represents the country that had remained closest to the patterns of work organisation that prevailed before 1989, whereas the Czech Republic and Slovakia had moved further towards marketisation. The analys…
Social Consequences of Unemployment
The paper compares the experience of unemployment in Britain with that in three former state socialist societies - Bulgaria, the Czech Republic and Slovakia, countries with relatively recent welfare systems, providing a low level of coverage for the unemployed. The analysis examines the implications of the different types of welfare regime for financial stress, for social isolation and for psychological wellbeing. While it finds that the implicat…
Trust and solidarity in Bulgarian cooperatives
The paper analyzes the strategies of people in agriculture, especially in the mountain regions where the fragmentation of land is significant. The quantity of land there is also limited. This leads to important consequences for the agrarian development. The culture of keeping the lands of the predecessors burdens the market of agricultural lands. The renting of lands depends on the types of plants to be cultivated as the law for renting lands all…
Is youth smoking responsive to cigarette prices? Evidence from low- and middle-income countries
Cigarette price is an important determinant of smoking. The estimated price elasticity of smoking participation is -0.74, and the estimated price elasticity of conditional cigarette demand is approximately -1.37. The total price elasticity of cigarette demand is -2.11, implying that an increase in price of 10% would reduce youth cigarette consumption by 21.1% at the mean
A cross-country study of cigarette prices and affordability
In this sample of countries, cigarettes are most affordable in Russia, which has the most room for tobacco tax increase. Affordability is also relatively high in Brazil and China for cigarettes, and in India and Bangladesh for bidis. Although the affordability of cigarettes in India is relatively low, the range of cigarette prices paid is relatively high, providing additional evidence to support the call for simplifying the existing tax structure…
Smokeless tobacco use in India
Effect of cigarette prices on smoking initiation and cessation in China
The effect of prices on smoking in China is likely to occur through averting initiation over time. At the population level, cessation behaviour may be less responsive to price increases as the wide range of cigarette prices in China may provide relatively high opportunity for switching to lower priced brands
Chronic Health Outcomes and Prescription Drug Copayments in Medicaid
BACKGROUND: Prescription drug copayments and cost-sharing have been linked to reductions in prescription drug use and expenditures. However, little is known about their effect on specific health outcomes. OBJECTIVE: To evaluate the association between prescription drug copayments and uncontrolled hypertension, uncontrolled hypercholesterolemia, and prescription drug utilization among Medicaid beneficiaries with these conditions. SUBJECTS: Select …
Noncommunicable disease-attributable medical expenditures, household financial stress and impoverishment in Bangladesh
NCD-related household medical expenditure is associated with experiencing financial distress and aggravating poverty in Bangladesh
The cost-effectiveness of hypertension management in low-income and middle-income countries
Hypertension in low-income and middle-income countries (LMICs) is largely undiagnosed and uncontrolled, representing an untapped opportunity for public health improvement. Implementation of hypertension control strategies in low-resource settings depends in large part on cost considerations. However, evidence on the cost-effectiveness of hypertension interventions in LMICs is varied across geographical, clinical and evaluation contexts. We conduc…
Noncommunicable disease outcomes and the effects of vertical and horizontal health aid
Foreign health aid forms a substantial portion of health spending in many low- and middle-income countries (LMICs). It can be either vertical (funds earmarked for specific diseases) or horizontal (funds used for broad health sector strengthening). Historically, most health aid has been disbursed vertically toward key infectious diseases, with minimal allocations to noncommunicable diseases (NCDs). High NCD burden in LMICs underscores a need for i…
Revisiting the association between worldwide implementation of the MPOWER package and smoking prevalence, 2008–2017
A decade after the introduction of the WHO MPOWER package, we observed that the countries with higher initial tobacco control preparedness and higher smoking burden were able to reduce the adult daily smoking prevalence significantly
Hypertension in women
Adolescent childbearing was strongly associated with a higher probability of adult female hypertension in India. This finding illustrates the intertemporal relationship between health risk factors during the life cycle, informing the importance of addressing adverse early life events (e.g. child marriage and adolescent childbirth) for hypertension outcomes among women in India
Building the health-economic case for scaling up the WHO-HEARTS hypertension control package in low- and middle-income countries
Generally, hypertension control programs are cost-effective, including in low- and middle-income countries, but country governments and civil society are not likely to support hypertension control programs unless value is demonstrated in terms of public health benefits, budget impact, and value-for-investment for the individual country context. The World Health Organization (WHO) and the Pan American Health Organization (PAHO) established a stand…
Assessing costs of a hypertension program in primary care
Objective. In 2021, Mexico launched the HEARTS program to improve the prevention and control of cardiovascular disease (CVD) risk factors in 20 primary care facilities in the states of Chiapas and Yucatán. This study projects the annual cost of program implementation and discusses budgetary implications for scaling up the program. Methods. We obtained district-level data on treatment protocols, medication costs, and other resources required to pr…
Determinants and Diversity of Internationalisation in Political Science
This article examines selected system-level variables. Its premise is that a better understanding of how and why scholars may, or may not, choose an international orientation in their career requires taking into account factors beyond personal preferences or constraints. We suggest that characteristics of national systems shape prospects and strategies of internationalisation and look at two broadly defined variables: resource availability and ca…
Towards a European political science? Opportunities and pitfalls in the internationalisation of political science in Europe
Political science has not remained on the side of the internationalisation road. While continental European political science was criticised for not being internationalised enough in the beginning of this century, much progress has been done since then. This symposium discusses the state of play of the internationalisation trend(s) in European political science. Building on the data collected within the COST programme PROSEPS, the contributions s…
The HEARTS partner forum—supporting implementation of HEARTS to treat and control hypertension
Cardiovascular diseases (CVD), principally ischemic heart disease (IHD) and stroke, are the leading causes of death (18. 6 million deaths annually) and disability (393 million disability-adjusted life-years lost annually), worldwide. High blood pressure is the most important preventable risk factor for CVD and deaths, worldwide (10.8 million deaths annually). In 2016, the World Health Organization (WHO) and the United States Centers for Disease C…
Barriers to accessibility of medicines for hyperlipidemia in low- and middle-income countries
Despite the high burden of hyperlipidemia and the effectiveness of treatment, evidence suggests that the accessibility of hyperlipidemia medicines can be low in many low- and middle-income countries (LMICs). The aim of this study was to identify common barriers to the accessibility of medicines for hyperlipidemia in LMICs. A multimethod analysis and multiple data sources were used to assess the accessibility and barriers of medicines for hyperlip…
Economics (13 works) · Medicine (13 works) · Public health (10 works) · Business (9 works) · Environmental health (9 works) · Political science (8 works) · Economic growth (6 works) · Nursing (6 works) · Population (6 works) · Geography (5 works)