Assessment of health risks by working population as a factor in choosing a strategy for self-preservation

UDC: 
614+316.622
Authors: 

S.Yu. Sharypova, M.D. Kornilitsyna

Organization: 

Perm State University, 15 Bukireva St., Perm, 614990, Russian Federation

Abstract: 

The article has aimed to identify and classify behavioral risk-associated strategies of self-preservation among adult working population in urban areas in Russia, perception of health risks taken into account. The research object is represented by people aged 18–68 years who live in three Russian cities with their population beyond 1 million. The empirical basis of the study is quantitative (the method was formalized questionnaire; n = 300) and qualitative data (the method was in-depth interview; n = 17), which have been collected and analyzed within the framework of a mixed methodology per the "additional coverage" type.

Four groups of health risk factors have been studied: living conditions, sanitary and epidemiological, social and natural ones. Health risks have been subjectively assessed by the respondents as a combination of likelihood of negative events and their severity (each indicator was estimated with the range between 0 and 1). Social risk factors (criminal and illegal actions of other people, traffic accidents, terrorist attacks and military actions) have been revealed to be perceived by Russians as the most hazardous to health. Sanitary-epidemiological risks are ranked the second per their significance.

The study identifies specific types of individual self-preservation based on the intention either to reduce risk or avoid it and on the nature of actions (active or passive): acting, avoiding, waiting and adapting. Quantitative data have shown the share of "active" is significantly lower that among Russians than that of "passive" (on average 25 % versus 75 %). Passive behavior is caused not only by a low level of knowledge about risks and ways to minimize them but also by Russians not being interested in solving these issues, the desire to shift responsibility for risk management to others (even if they distrust their strengths and capabilities).

It seems advisable to develop and implement a strategy aimed at preventing and controlling health risks, monitoring of subjective risk perception and using its results to raise people’s awareness about potential hazards. Rospotrebnadzor, within implementing its functions and powers, should provide comprehensive communication about sanitary-epidemiological and other health risks, group and individual ways and methods to minimize them; this communication should be widely available and easily understood per both its form and contents. This will make for correct choice on self-preservation strategies and, consequently, health promotion among the country population.

Keywords: 
health risk, risk assessment, risk perception, living conditions, sanitary and epidemiological factors, social factors, natural factors, risk management strategies
Sharypova S.Yu., Kornilitsyna M.D. Assessment of health risks by working population as a factor in choosing a strategy for self-preservation. Health Risk Analysis, 2025, no. 1, pp. 74–87. DOI: 10.21668/health.risk/2025.1.07.eng
References: 
  1. Onishchenko G.G., Zaitseva N.V., Popova A.Yu. [et al.]. Analiz riska zdorov'yu v strategii gosudarstvennogo sot-sial'no-ekonomicheskogo razvitiya [Health risk analysis in the strategy of state socio-economic development]: monograph in 2 volumes, 2nd ed. In: G.G. Onishchenko, N.V. Zaitseva eds. Moscow; Perm, Perm National Research Polytechnic University Publ., 2024 (in Russian).
  2. Pautov I.S. Modern theoretical approaches in conceptualizing health as a social phenomenon: capability approach and the sociology of risk. Peterburgskaya sotsiologiya segodnya, 2014, no. 5, pp. 289–307 (in Russian).
  3. Kulakova T.A., Volkova A.V. Сommunities, discursive practices and behavioral patterns of digital vigilantism in Russia: politico-axiological approach. Vestnik of Saint Petersburg University. Philosophy and Conflict Studies, 2022, vol. 38, no. 1, pp. 64–81. DOI: 10.21638/spbu17.2022.106
  4. Pokida A.N., Zybunovskaya N.V. Differences in behavioral practices of health maintenance and promotion between knowledge and manual workers. ZNiSO, 2022, vol. 30, no. 9, pp. 18–28. DOI: 10.35627/2219-5238/2022-30-9-18-28 (in Rus-sian).
  5. Zaytseva N.V., Popova A.Yu., Onishchenko G.N., May I.V. Current problems of regulatory and scientific-medical support for the assurance of the sanitary and epidemiological welfare of population in the Russian Federation as the strategic government task. Gigiena i sanitariya, 2016, vol. 95, no. 1, pp. 5–9. DOI: 10.18821/0016-9900-2016-95-1-5-9 (in Russian).
  6. Said M.A.M., Wellun Z., Khamis N.K. Effects of Noise Hazards towards Physiology Especially Heart Rate Perfor-mance among Worker in Manufacturing Industry and Their Prevention Strategies: A Systematic Review. Iran. J. Public Health, 2022, vol. 51, no. 8, pp. 1706–1717. DOI: 10.18502/ijph.v51i8.10251
  7. Balanova M.V., Kozlyuk A.S., Motrenko D.V., Poslentseva L.V., Finochenko T.A. Assessment of working conditions and professional risk. Trudy RGUPS, 2019, no. 4, pp. 9–13 (in Russian).
  8. Telkova I.L. Occupational characteristics and cardiovascular diseases: the risk of development and the challenges for prevention. Clinical-epidemiological analysis. Sibirskii zhurnal klinicheskoi i eksperimental'noi meditsiny, 2012, vol. 27, no. 1, pp. 17–26 (in Russian).
  9. Kozlova O.A., Tukhtarova E.Kh., Ilinbaeva E.A. Methodological issues of assessing the resilience of the working-age population against negative environmental impacts. Economic and Social Changes: Facts, Trends, Forecast, 2017, vol. 10, no. 4, pp. 212–227. DOI: 10.15838/esc.2017.4.52.12 (in Russian).
  10. Dyadik V.V., Dyadik N.V., Klyuchnikova E.M. Economic Assessment of Environmental Effects on Public Health: a Review of Methods. Ekologiya cheloveka, 2021, no. 2, pp. 57–64. DOI: 10.33396/1728-0869-2021-2-57-64 (in Russian).
  11. Semenova N.V., Loginova E.A., Ashvits I.V., Frolov K.V., Putin A.V. The impact of stress on labor efficiency and the possibility of emergency situations at work. Nauchnoe obozrenie. Meditsinskie nauki, 2023, no. 2, pp. 67–72. DOI: 10.17513/srms.1332 (in Russian).
  12. Kamnev A.N., Mikhailova T.A., Shilina I.B. Emotional Burnout and Stress in Social Workers. Sovremennaya zarubezhnaya psikhologiya, 2023, vol. 12, no. 4, pp. 145–156. DOI: 10.17759/jmfp.2023120413 (in Russian).
  13. Soshnikov S., Halfin R., Madyanova V. The behavioral risk factors of non-communicable diseases in the Russian Federation. European Journal of Public Health, 2021, vol. 31, suppl. 3, pp. ckab165.269. DOI: 10.1093/eurpub/ckab165.269
  14. Nosov A.E., Vlasova E.M., Ustinova O.Yu. The influence of age, waist circumference and smoking on the respiratory function indices on the example of employees of a chrome ore mine. Zdravookhranenie Rossiiskoi Federatsii, 2022, vol. 66, no. 3, pp. 232–238. DOI: 10.47470/0044-197X-2022-66-3-232-238 (in Russian).
  15. Stoleski S., Minov J., Mijakoski D., Karadzinska-Bislimovska J. Chronic respiratory symptoms and lung function in agricultural workers – influence of exposure duration and smoking. Open Access Maced. J. Med. Sci., 2015, vol. 3, no. 1, pp. 158–165. DOI: 10.3889/oamjms.2015.014
  16. Gao J., Zheng P., Gao J., Chapman S., Fu H. Workplace smoking policies and their association with male employees' smoking behaviours: a cross-sectional survey in one company in China. Tob. Control, 2011, vol. 20, no. 2, pp. 131–136. DOI: 10.1136/tc.2010.036335
  17. Phelan J.C., Link B.G., Tehranifar P. Social conditions as fundamental causes of health inequalities: theory, evidence, and policy implications. J. Health Soc. Behav., 2010, vol. 51, suppl., pp. S28–S40. DOI: 10.1177/0022146510383498
  18. Chen S., Kawasaki Y., Hu H., Kuwahara K., Yamamoto M., Uehara A., Honda T., Yamamoto S. [et al.]. Smoking Cessation, Weight Gain, and the Trajectory of Estimated Risk of Coronary Heart Disease: 8-Year Follow-up From a Prospective Cohort Study. Nicotine Tob. Res., 2021, vol. 23, no. 1, pp. 85–91. DOI: 10.1093/ntr/ntz165
  19. Zaitseva N.V., Shur P.Z., Lir D.N., Alekseev V.B., Barg А.О., Vindokurov I.V., Khrushcheva Е.V. Methodical ap-proaches to personified assessment of health risks caused by work intensity and its specific components. Health Risk Analysis, 2023, no. 3, pp. 88–97. DOI: 10.21668/health.risk/2023.3.10.eng
  20. Luria P., Perkins С., Lyons М. Health risk perception and environmental problems: findings from ten case studies in the North west of England. Liverpool, 2009, 70 p.
  21. Barg A.O. Peculiarities of behavioral risk factors for health in workers of industrial enterprises. Gigiena i sanitariya, 2016, vol. 95, no. 1, pp. 48–53. DOI: 10.18821/0016-9900-2016-95-1-48-53 (in Russian).
  22. Maralov V.G., Malysheva E.Yu., Smirnova O.V., Perchenko E.L., Tabunov I.A. Razrabotka testa-oprosnika po vy-yavleniyu sposobov reagirovaniya v situatsiyakh opasnosti v yunosheskom vozraste [Development of a questionnaire test to identify ways of responding to dangerous situations in adolescence]. Al'manakh sovremennoi nauki i obrazovaniya, 2012, no. 12–1 (67), pp. 92–96 (in Russian).
  23. Ryazanova E.А. To the problem of typology of the riskogenic behaviour (analysis on the example of an industrial en-terprise of Perm region). Health Risk Analysis, 2016, no. 2, pp. 68–75. DOI: 10.21668/health.risk/2016.2.08.eng
  24. Lebedeva-Nesevria N.A., Markova Yu.S. Health-related behavior of economically active Russians: models and dynamics. Vestnik Permskogo universiteta. Filosofiya. Psikhologiya. Sotsiologiya, 2018, iss. 2, pp. 287–296. DOI: 10.17072/2078-7898/2018-2-287-296 (in Russian).
  25. Lebedeva-Nesevrya N.A., Tsinker M.Yu., Eliseeva S.Yu. Zdorov'e rabotayushchego naseleniya Rossii v ob"ektivnykh i sub"ektivnykh otsenkakh [Health of the working population in Russia in objective and subjective assessments]. Aktual'nye voprosy analiza riska pri obespechenii sanitarno-epidemiologicheskogo blagopoluchiya naseleniya i zashchity prav potrebitelei: materialy VIII Vserossiiskoi nauchno-prakticheskoi konferentsii s mezhdunarodnym uchastiem, 2018, pp. 525–530 (in Russian).
  26. Conner M., Wilding S., Wright C.E., Sheeran P. How does self-control promote health behaviors? A multi-behavior test of five potential pathways. Ann. Behav. Med., 2023, vol. 57, no. 4, pp. 313–322. DOI: 10.1093/abm/kaac053
  27. Sudin S.A., Kornilitsyna M.D. Health-saving practices of Russians during the COVID-19 pandemic (based on empiri-cal research). Aktual'nye problemy razvitiya chelovecheskogo potentsiala v sovremennom obshchestve: materialy X Vserossiiskoi (s mezhdunarodnym uchastiem) nauchno-prakticheskoi konferentsii, Perm, 2023, pp. 157–163 (in Russian).
  28. Krishtalyuk A.N., Makhov S.Yu. Strategiya lichnoi bezopasnosti [Personal Safety Strategy]. Avtonomiya lichnosti, 2011, no. 1 (3), pp. 105–110.
  29. Cohen‐Louck K., Saka Y. Patterns in response to chronic terrorism threats: A construct of emotional, cognitive, and behavioral responses among Israeli citizens. Stress Health, 2017, vol. 33, no. 4, pp. 448–458. DOI: 10.1002/smi.2728
  30. Polukhina E.V., Prosyanyuk D.V. Mixed methods research: Integrating quantitative and qualitative approaches. Politicheskaya kontseptologiya, 2017, no. 1, pp. 49–56 (in Russian).
  31. Zubok Yu.A., Chuprov V.I. Threats in a transforming living environment as a factor of social risks: forecasting and regulation. Sotsiologicheskie issledovaniya, 2017, no. 5, pp. 57–67 (in Russian).
  32. Akulich Μ.Μ., Kombarova E.V. Sotsiologicheskoe izuchenie sotsial'nykh riskov: istoriya i sovremennost' [Sociological study of social risks: history and the present]. Vestnik Tyumenskogo gosudarstvennogo universiteta, 2008, no. 4, pp. 55–62 (in Russian).
  33. Kim H.K., Chung S., Kim Y., Lee S. Conditional risk perception and protection behavior: Testing the behavior motivation hypothesis and the risk reappraisal hypothesis. Soc. Sci. Med., 2022, vol. 298, pp. 114868. DOI: 10.1016/j.socscimed.2022.114868
  34. Veschikova M.I. A Review of Studies of Danger Perception and Prospects of its Study in Clinical Psychology Development. Psikhologicheskaya nauka i obrazovanie, 2014, vol. 6, no. 4, pp. 169–181. DOI: 10.17759/psyedu.2014060415 (in Russian).
  35. Abgadzhava D.A., Aleinikov A.V., Pinkevich A.G. Risk-reflexive determinants of adaptation under threats: An em-pirical study. Vestnik Rossiiskogo universiteta druzhby narodov. Seriya: Sotsiologiya, 2023, vol. 23, no. 4, pp. 787–799. DOI: 10.22363/2313-2272-2023-23-4-787-799 (in Russian).
  36. Medovikova E.A., Morozova I.S. Readiness to risk in the aspect of psychological safety of the person. Ergodesign, no. 3 (17), pp. 229–238. DOI: 10.30987/2658-4026-2022-3-229-238 (in Russian).
  37. Schwappach D.L.B. Review: engaging patients as vigilant partners in safety: a systematic review. Med. Care Res. Rev., 2010, vol. 67, no. 2, pp. 119–148. DOI: 10.1177/1077558709342254
  38. Okan O., de Sombre S., Hurrelmann K., Berens E.-M., Bauer U., Schaeffer D. Gesundheitskompetenz der Bevölkerung im Umgang mit der Coronavirus-Pandemie. Monitor Versorgungsforschung, 2020, vol. 13, no. 3, pp. 40–45. DOI: 10.24945/MVF.03.20.1866-0533.2222
  39. Shlykova E.V. Otnoshenie k risku kak differentsiruyushchii faktor vybora sposoba vynuzhdennoi adaptatsii [Attitude to risk as a differentiating factor in choosing a method of forced adaptation]. Sputnik ezhegodnika «Rossiya reformiruyushchayasya», 2016, iss. 2, pp. 1–15 (in Russian).
Received: 
15.11.2024
Approved: 
02.03.2025
Accepted for publication: 
20.03.2025

You are here