Modern Demographic Trends in Ukraine as a Ground for Realization of Prevention Strategies

Грузєва, Тетяна С; Diachuk, Mykhаilo D; Inshakova, Hanna V; Zamkevych, Viktoria B

doi:10.36740/wlek201910132

Cited by 11 publications

(7 citation statements)

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“…В Україні в останні десятиріччя погіршились умови відтворення трудових ресурсів, їхні кількісні й якісні характеристики, здатність до самовідтворення [7,18]. Це зумовлено несприятливою ситуацією як у кількісному (зменшення чисельності населення, надвисокої смертності при низькій народжуваності), так і в якісному (низька очікувана тривалість життя, демографічне старіння населення) відношенні.…”

Section: вступunclassified

“…Що старшими були жінки репродуктивного віку, то вищим був темп приросту вікових коефіцієнтів народжуваності для відповідних груп: темп приросту у 2018 р. порівняно з 2000 р. у віковій групі жінок 25-29 років становив 46,62%, 30-34 роки -112,45%, 35-39 років -206,89%, 40-44 роки -205 Згідно з результатами демографічного обстеження дітородних орієнтацій у країнах Європейського Союзу, середнім ідеальним віком для народження дитини є 25 років, а верхньою межею для материнства жінки -39 років. В Україні поступово формується модель вікової народжуваності за взірцем багатьох розвинутих країн Європи: зменшується внесок у загальну народжуваність молодих жінок (15)(16)(17)(18)(19) років) -15,5% у 2000 р. і 4,83% у 2018 р. і підвищується внесок старших (35-49 років) -5,6% у 2000 р. і 14,62% у 2018 р. При цьому найбільший вплив на забезпечення відтворення населення має репродуктивна поведінка жінок віком 20-24 і 25-29 років, бо саме в цьому віці рівень народжуваності в жінок є найвищим (73,3 і 80,3 на 1000 жінок відповідного віку). Внесок цих жінок у загальну народжуваність становив 67,7% у 2000 р. і 54,28% у 2018 р. Збільшився і середній вік матері при народженні дитини, який характеризує інтервал часу між народженням матері і народженням її дітей -з 23,9 до 28,3 року.…”

Section: результати дослідження та їх обговоренняunclassified

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Current state of reproductive potential of Ukrainian women

Антипкін

Lapshin

Marushko

et al. 2020

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Objective of the study: to assess the main indicators of the reproductive potential of women in Ukraine in dynamics over the period 2000-2018.Materials and methods. Analysis was performed using the data of the State Statistics Service of Ukraine and the State Institution “Center for Medical Statistics of the Ministry of Health of Ukraine” for the period 2000–2018. The methods of a systematic approach, structural-logical, epidemiological analysis were used.Results. Reproductive process dynamic in Ukraine in the XXI century had nonlinear character – increase in the general fertility rate from 7.7 per 1000 population in 2000 to 11.4 in 2012 and the total fertility rate from 1.11 to 1.6, respectively with further deterioration trend – 8.7 and 1.3 in 2018, respectively. Low rates of population reproduction in Ukraine in the XXI century were kept on the background of insufficient resources to ensure the reproduction of the country's population – decrease of the number of women of childbearing age from 12,582.7 thousand in 2000 to 9,998.6 thousand in 2018 with adverse changes in the age profile towards older age groups, high level incidence of reproductive system in women.In 2000–2018 years there is a high level with a negative trend in the prevalence of menstrual disorders (increase by 38.5%), cervical inflammatory diseases (increase by 82.5%), malignant neoplasms of uterine body (increase by 39,9%), mammary glands (increase by 11.99%), cervix (increase by 5.06%), high frequency, with a negative trend, in the incidence of diabetes in pregnant (increase by 662.5%), thyroid disease (increase by 17.3%), circulatory system diseases (increase by 34.4%), urogenital system (increase by 8.7%). In the same time it was achieved a reduction of reproductive losses due to forced abortions by 1.75 times, decrease of mortality during first year of life by 1.7 times and feto-infantile losses of 1.4 times. Conclusion. In recent decades, in Ukraine kept unfavorable demographic situation - decrease in population due to extremely high mortality with low birth rates and low life expectancy.

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Section: вступunclassified

Section: результати дослідження та їх обговоренняunclassified

Current state of reproductive potential of Ukrainian women

Антипкін

Lapshin

Marushko

et al. 2020

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“…Since 1990, the proportion of people over 60 in the age structure of the population has increased from 18.3% to 20.4% in 2000 and 23.9% in 2020. The proportion of people over 65 has increased from 12,0% to 13.6 and 17.1%, respectively [9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Health of the Elderly People as the Basis for Formation of Medical and Social Needs

et al. 2021

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The aim: The identification and determination of needs that the population of older age groups have in medical and social services on the basis of health data and the results of a survey. Material and methods: Because of bibliographic, epidemiological, medical-statistical, analytical methods the research has investigated the problems of healthy aging, tendencies in population health of the population of Ukraine of senior age groups during 2000-2017, features and tendencies of health of a sample contingent of urban population of elderly age according to appeals in health care facilities during 2009-2019. The use of the sociological method, the self-evaluation of elderly people of their own health, characteristics of lifestyle and medical activity are determined, the needs of older people in medical and social services were assessed. Results: Negative tendencies to increase during 2000-2017 the prevalence of pathology among the population older than working age by 22.8%, including blood diseases in 2 times, endocrine system – in 1.8 times, urogenital system – by 1.5 times, digestive organs – by 1.4 times, tumors and nervous system – by 1.3 times. Among the urban elderly population, the prevalence of sensory diseases, including ear and eye diseases, endocrine disorders, injuries and poisonings, has increased, and mental health indicators have deteriorated. The sociological survey found a low level of self-esteem (31.5±3.5 per 100 had health problems, 10.1±2.3 are significant). Self-medication was practiced by 76.4±3.2 per 100 respondents, 74.2±3.3 were not followed or they violated the doctor's recommendations. 56.2 ±3.7 per 100 respondents had physical examinations in the non-right time 29.7±3.4 had not it. There was a significant prevalence of risk factors, including hypodynamics (21.9±3.1 per 100), tobacco use (29.8±3.4), malnutrition (37.1±3.6), overweight (obesity) (32, 6±3.5), arterial hypertension (37.6±3.6), hypercholesterolemia (28.7±3.4), glucosemia 16.3±2.8). The research has discovered the needs of older people in health care and social services, inter alia in preventive counseling (65.2±3.6 per 100), the introduction of electronic technologies in health care (68.5±3.5), information educational services on health issues (67.4±3.5), provision of services in hospitals at home (66.3±3.5), in increasing the availability of rehabilitation (43.8±3.7), specialized counseling (34.3±3.6) and emergency medical care (16.2±2.8), improvement of socio-economic determinants (78.0±3.1), introduction of activities (48.3±3.7), joint training programs for older people (42.1±3.7), the development of certain skills, the use of technical means, assistive devices (67.4±3.5), the formation of a conducive to better health environment (58, 4±3.7). Conclusions: The low level of the elderly people's health, the tendency to increase the burden of disease, the prevalence of risk factors for disease and low medical activity lead to significant needs for medical and social services of preventive, treatment-diagnostic, rehabilitation, improving socio-economic determinants, measures to reduce social isolation.

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“…The implementation of tasks aimed at improving population health in modern conditions is complicated by a number of problems, including aging, the negative impact of socio-economic and environmental determinants, increasing health inequalities, epidemic of non-infectious and pandemic infectious diseases, uncontrolled migration, etc. [3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Self-Assessment of the Content of the Public Health Master's Educational Program for Compliance With the European Public Health Core Competences Programme

et al. 2021

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The aim: Determining the compliance of the developed Public Health Educational Program with the principles and basic provisions of the WHO-ASPHER Competency Framework for Public Health Workforce in the European Region. Materials and methods: The study used bibliographic and information-analytical methods and content analysis. A comparative analysis compliance of the content of the Public Health Master's Educational Program, developed in Bogomolets National Medical University, with the provisions of the WHO-ASPHER Competency Framework for Public Health Workforce in the European Region in terms of providing academic disciplines in the ECTS credits (European credit transfer and accumulation system), has been carried out. Results: Comparative analysis of the components of the University Public Health Master's Educational Program and regulations of the WHO-ASPHER Competency Framework for Public Health Workforce in the European Region has identified a high level of their compliance in all areas of competence formation, including science and practice, health promotion, legislation, policy, ethics, common health and safety in health, leadership and operational mind-set, cooperation and partnership, communication, culture and advocacy, strategic and resource management, professional development, organizational training and adaptability. The competence-based educational program provides future professionals with theoretical knowledge and practical skills for a clear understanding of public health problems, a reasonable choice of methods for solving them, taking into account modern practices; forming partnerships, effective communication and cooperation on a cross-sectoral basis, developing leadership skills, organizing and providing people-centred public health services. Conclusions: Self-assessment of the content of Public Health Master's Educational Program for compliance with European educational standards for the formation of the necessary competencies is an important tool for its quality formation and improvement. A comparative analysis of the university's Public Health Master's Educational Program, with the European Competency Framework for Public Health Workforce, has identified a high level of compliance.

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Modern Demographic Trends in Ukraine as a Ground for Realization of Prevention Strategies

Cited by 11 publications

References 0 publications

Current state of reproductive potential of Ukrainian women

Current state of reproductive potential of Ukrainian women

Health of the Elderly People as the Basis for Formation of Medical and Social Needs

Self-Assessment of the Content of the Public Health Master's Educational Program for Compliance With the European Public Health Core Competences Programme

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