Aim. Prediction of primary, general morbidity and mortality of persons with alcohol use disorders, registered at a dispensary in the Kostroma region of Russian Federation. Methods. Statistical data for 24 districts of the Kostroma region, 1999-2012 was analyzed. In addition to graphical method and mapping the least-squares method, ranking, estimation of absolute increase/decrease and the average annual growth/loss rate were used. Information was obtained from the statistical reports of regional addictions dispensary (statistical form number 37), Statistical yearbook of National Research Center of Addictions, Ministry of Health of Russian Federation. Results. Structure of patients treated for alcohol disorders in the Kostroma region almost virtually unchanged over the past 10 years, the proportion of persons with chronic alcoholism was 46.5%, drinkers with harmful consequences - 32.4%, alcoholic psychosis - 21.1%. In 2012 the number of primary identified alcohol consumers with harmful impact on the health was 72.8% less compared to the average index for Russian Federation and 27.5% compared to Central Federal District. We have revealed mild, prone to stabilization trend of increase in the incidence of chronic alcoholism and psychosis for 14 years studied, average annual growth rate was 0.64%. Based on the primary incidence of alcoholism and psychosis the top three districts were: Sudislavsky, Susaninsky and Mezhevskoy, indicators in these areas were almost 2-3 times higher than the average regional index. In 2012 in 12 districts of Kostroma region no cases of alcoholic psychosis were registered. The latter fact is in doubt, as in 7 of 12 districts the positions of addiction psychiatrists were vacant. Over the past 3 years only 38% of patients who required to be treated for alcoholism were admitted for hospital care and 16.7% - for ambulatory care. Conclusion. Analysis of epidemiological data on alcohol situation in the Kostroma region testifies to its stabilization with the trend to improve; established territorial features show the necessity of purposeful planning of preventive measures.
with RA and a SMI experienced significantly greater levels of pain (p=0.04), functional disability (p=0.01), along with poorer disease activity (p=0.03) and poorer quality of life (p<0.03) than those with RA, but without SMI. There was however, no significant difference in the receipt of DMARDS or NSAIDS between the two groups (p>0.12). Conclusion: Prevalence rates of SMI are no greater in RA than the general population. Those with RA and a SMI do however experience significantly poorer clinical outcomes than people with RA but without SMI despite being in receipt of similar medications. Further research is needed to explore why these health inequalities exist and how best to ensure more positive outcomes for this vulnerable population.
The aim of the research. To study prognostic factors of alcohol consumption by students and, on its base, development of measures to prevent the use of alcohol by young people. Materials and methods. It was conducted a survey of 880 students of the First MSMU named after I. M. Sechenov (282 boys, 598 girls). In order to predict the probability of consumption the alcoholic beverages by students used the method of multiple logistic regression analysis. Results. Were identified family predictors of alcohol consumption by students, as well as factors associated with learning, a way of life and the health of young people. Conclusion. These results confirm the need for a comprehensive approach to the prevention of alcohol consumption among students.
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