According to experts’ data, the war between Ukraine and Russia may become one of the bloodiest in modern history – the scale of losses on both sides is already much higher than in a typical war of the modern era. The objective: to determine the consequences of the war with the Russian Federation for the public health of Ukrainian population in the regions temporarily occupied by Russian army and located in the war zone.Materials and methods. The research materials were the data from scientific literature and personal practical experience in the organization of public health care. The method of the system approach, the bibliosemantic method and the method of structural and logical analysis were used. Results. The analysis of the was consequences with the Russian Federation for public health in the regions that are temporarily occupied and are located in the zone of active hostilities shows that they are complex and include medical-demographic, socio-economic and behavioral-biological groups. The main negative medico-demographic consequences include: an increase in the incidence of socially significant and infectious diseases, mental exhaustion with an increase in the level of psychological and mental problems with a high risk of post-traumatic stress disorder development with an increase in the general and premature mortality of the population without receiving medical help and self-medication and a high level of forced population migration. The main socio-economic consequences that negatively affect the state of public health include: the tragic loss of relative persons, housing and property, a decrease in the economic level of the population, the loss of social status of the large part of the population, a low level of access to the Internet and mobile communications connection or its complete absence (forced isolation), the significant damage of the infrastructure of the energy supply system for life, a low level of access to medical services and medicines. The main behavioral and biological consequences that negatively affect the state of public health include: the loss of previously stable conditions of quality life, living in unfavorable sanitary and hygienic conditions and in constant stress, the loss of motivation for behavior directed at a responsible attitude to personal health.Conclusions. The war with the Russian Federation has a significant negative impact on the state of public health in Ukraine.
The aim: We aimed to conduct a prospective analysis of the epidemiology of cerebrovascular disease and stroke among the adult population of Kyiv City, Ukraine the last 12 years. Materials and methods: We analyzed sectoral statistical reports of cerebrovascular disease and stroke in Kyiv City for 2009-2020. The statistical method and the method of system approach were used in this study. Results: We established that during the last 12 years there was a decrease in the incidence of cerebrovascular disease and stroke among the adult population of Kyiv (reduction of 1.83 times (p <0.05) with t reliability criteria 26.89). However, the incidence remains high (476.62 per 100,000 population). At the same time, the prevalence of cerebrovascular isease remains stable, and among the working-age population tends to increase. The incidence of stroke indicates a positive trend (251.3 per 100,000 adult population of Kyiv in 2009 and 95.0 – in 2020, respectively). In particular, the number of primary registered strokes decreased 2.64 times (p ≤0.05) with a reliability criterion of 5.7 which is 1.94 (p≤0.05) times lower than in Ukraine generally. During the study period, 27,928 people died in Kyiv from a stroke. The mortality rate of stroke among the adult population in the city decreased from 96.14 per 100,000 in 2009 to 57.17 in 2020. This significant decline occurred over the past two years. Conclusions: A significant reduction in the incidence of cerebrovascular disease and stroke in the adult population of Kyiv during the last 12 years has been established. This might be caused by increased stroke prevention work, provided to the city population, and by a higher level of availability and quality of medical care in recent years.
The aim: Is to investigate relationships between trusted sources of health information and people's behavior, including their attitudes toward vaccination and their willingness to seek medical care. Materials and methods: The responses of 4,354 mothers of children under 5 years of age from all regions of Ukraine, who participated in the Multi-Indicator Cluster Household Survey (MICS-2012) were analyzed. The respondents were divided into separate groups using two-step cluster analysis. Results: 6 clusters of respondents were identified, depending on the trusted source of health information identified by them, including those who trust only physicians (50.0%), friends (15.3%), all information channels (15.2%) or do not trust anyone (6.0%). The most important statistically significant differences in the level of vaccination coverage and willingness to seek medical care were found for a group of people who do not trust any source of information about health or trust only information from the Internet. People who trust information from physicians or pharmacy workers were the most active in vaccinating and seeking medical care. Conclusions: Communication with patients who do not trust anyone through social networks seems to be a promising way to raise awareness of this group of people about health and increase the level of trust in physicians or certain medical services.
Доказательные подходы к коммуникации в сфере неинфекционных заболеваний: определение каналов 1 Национальная медицинская академия последипломного образования имени П.Л. Шупика, г. Киев, Украина 2 Ужгородский национальный университет, г. Ужгород, Украина
Мета: визначити основні медико-демографічні проблеми України, які підлягають рішенню в межах діяльності системи громадського здоров’я країни. Матеріали і методи. Матеріалами дослідження слугували дані державної і галузевої статистичної звітності та оперативні дані Центру громадського здоров’я МОЗ України з питань медико-демографічної ситуації в країні. Використано статистичний метод та метод структурно-логічного аналізу. Результати. Демографічна ситуація в Україні характеризується зниженням рівня народжуваності за період 2014–2019 рр. на 19,4 % з перевищенням показника смертності населення на 6,16 на 100 тис. населення. При цьому частка випадків смерті чоловіків працездатного віку в загальній кількості смертей складає 20,3 %. Частка сільського населення має тенденцію до скорочення і становить 30,99 % в його загальній кількості. Відзначають високі рівні зареєстрованих випадків поширеності хвороб як серед всього, так і серед дитячого населення. Спостерігають тенденцію до зниження вказаних показників, що є чинником зменшення звертань населення до закладів охорони здоров’я. Встановлено різке погіршення епідемічної ситуації в країні та високі рівні саморуйнівної поведінки населення. При цьому більшість населення безвідповідально ставиться до власного здоров’я. Висновки. В Україні реєструють складну медико-демографічну ситуацію, яка потребує від системи громадського здоров’я комплексних, цілеспрямованих та ефективних дій, спрямованих на зниження рівня смертності дітей та осіб працездатного віку, профілактику, раннє виявлення та ефективне лікування неінфекційних хвороб, подолання епідемій вакцинокерованих інфекцій, забезпечення доступу населення до здоров’язберігальних технологій та формування у населення відповідального ставлення до власного здоров’я.
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