Assessing the impact of socio-economic factors on human health and using the results to make management decisions to ensure health and epidemiological well-being of the population (a Sverdlovsk region case study)
T.M. Derstuganova5, B.T. Velichkovskiy4, V.B. Gurvich1, A.N. Varaksin2, O.L. Malykh3, N.I. Kochneva3, S.V. Yarushin1
1Yekaterinburg Medical Scientific Center for Prevention and Health Protection in Industrial Workers, the Federal Service on Customers' Rights Protection and Human Well-Being Surveillance, Russian Federation, Yekaterinburg, 30 Popova St, 620014,
2 Institute of Industrial Ecology Ural Branch of Russian Academy of Sciences, Russian Federation, Yekaterinburg, 20a Kovalevskoy St, 620990,
3 The Sverdlovsk Region Departemnt of the Federal Service on Customers' Rights Protection and Human Well-Being Surveillance, Russian Federation, Yekaterinburg, 3Otdelniy Lane, 620078,
4 N.I. Pirogov Russian National Research Medical University, Russian Federation. Moscow, 1 Ostrovityanova St, 117997,
5 Center for Hygiene and Epidmeiology in the Sverdlovsk Region, Russian Federation, Yekaterinburg, 3 Otdelniy Lane, 620078
Using factor, typological, correlation and regression analytical methods, we determined statistically significant correlations between the mortality rates among working age Sverdlovsk Region citizens and socio-economic indicators (the standards of living accommodation, healthcare quality, the level of social tension, dependency ratio) as well as comparing the increases in these indicators, taking into account the various time periods. We identified the influence of purchasing power on the mortality rates among working age people and assessed the economic damage to health due to premature death among working age people which is probabilistically associated with the impact of socio-economic factors. We identified the major directions for further work to ensure management decision-making by Russian regional executive authorities, local self-governing bodies and by the institutions of the Federal Service on Customers' Rights Protection and Human Well-Being Surveillance, to ensure health and epidemiological well-being of the population.
- Velichkovsky B.T. Zhiznesposobnost natsii. Rol sotsialnogo stressa i geneticheskikh protsessov v popu-lyatsii v razvitii demograficheskogo krizisa i izmenenii sostoyaniya zdorovya naseleniya Rossii [The viability of the nation. The role of social stress and genetic processes in the population in the development of the demographic cri-sis and changes in the health of the Russian population]. Moscow: Russian Academy of Medical Sciences, 2009, 175 p.
- Malykh O.L., Kochneva N.I., Zaikina T.M. Razvitiye metodicheskikh podkhodov k ispolzovaniyu re-gressionnykh modeley dlya otsenki vliyaniya sotsialno-ekonomicheskikh faktorov riska na zdorovye nase-leniya v sisteme sotsialno-gigiyenicheskogo monitoringa (na primere Sverdlovskoy oblasti) [The development of methodological approaches to the use of regression models to assess the impact of socio-economic risk fac-tors on population health in the public health monitoring (for example, Sverdlovsk region)]. Uralsky meditsin-sky zhurnal, 2010, no. 2, pр. 9–15.