The Health and Functional Age Trend Self-assessment of the Older Workers and Retirees in Ukraine from Online Data Human Health Passport in COVID-19 Pandemic

Abstract

For a general health assessment of the workers in organized industries, and unorganized groups of the unemployed and retirees, systematic online health monitoring has been used. Health monitoring includes a scale assessment of functional tests. The actual state of population health is still not included in the registers of National Statistics of Ukraine for example workers, pensioners and unemployment. The purpose of the study was systemic online health monitoring, to assess the impact of professional, demographic, and socio-economic factors in the Covid-19 pandemic condition and the limited capacity of the health care system in Ukraine. Methods: The study used the intrinsic capacity assessment scales, the five-question scale to detect muscle dysfunction in older persons, as well as some questions regarding residual performance, psychophysiological methods, and characteristics of the functional age. The questionnaire Human Health Passport 1.1 includes 70 questions; 21 of them were assessed by 1 point for positive answer and zero for negative case. The screening was carried out online on social media to Internet users aged 31 to 90. In the study 377 respondents of which 83.83% were employees. The Human Health Passport screening showed reliability (Cronbach alfa = 0.737), and correlation relationships of the main estimated indicators are significant. So, 54% of respondents do need health care under a physician’s supervision. The 39% of respondents need should convey the proper individual schedule of workout and labour hours, as well as physical activity and breathing exercises because only 7% of respondents are healthy. Correlation analysis of the scale results showed a significant relationship between age, with static balancing, falls during the last 6 months, and the ability to 5 times sit to stand test within 14 seconds. The optimal management of Human Health Passport screening helps to reduce the harmful influence on the environment, and transport expenses for doctor visits and saves the doctor's time for patient examination and prevention of the exposure and the spread of COVID-19. The screening showed the existing reserves of training for health promotion and, the overstrain of the functional systems of the body in the working population - 76%—by the purpose. _________________________________________________________________________________________ Keywords: remote health screening; retirees; biological age; ageing; elderly workers