Medical, social and demographic characteristics of tuberculosis patients among the female military and female family members of the military

E. A. Belova, V. Dancev, A. A. Kuzin, R. Lemeshkin
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Abstract

Relevance. Health preservation and promotion of among female population is fundamental for healthy demographics and national safety of the Russian Federation. Nowadays the female military make up approximately 8% of active military corps of the Russian Federation Armed Forces. At the same time, service in the army spans within active reproductive age. A woman’s health is largely determined by her social status, level of education, marital status, stress resistance and other factors.The objective is to assess medical, social and demographic characteristics of tuberculosis among social groups of the female military and female family members of the military.Methods. Individual and community medical records (medical histories, annual reports of healthcare services in military districts) were analyzed to identify medical, social and demographic characteristics of the female military, infected with tuberculosis (group 1, n = 62), and female family members of the military (group 2, n = 38), who had received treatment in the referral military medical institution from 2012 throughout 2021. Mathematical and statistic processing were carried out using Statistica10.0 software packages.Results and discussion. Nowadays, tuberculosis incidence in the female military of the Russian Armed Forces is within the limits of epidemic well-being. Unlike general Russian population, no case of HIV infection was detected among the female military infected with tuberculosis and having undergone medical examination from 2012 throughout 2021. A lot of healthcare professionals (17.7%) were registered among the tuberculosis-infected female family members of the military. Clinical forms of tuberculosis were dominated by infiltrative pulmonary tuberculosis (48.4%). Concomitant diseases in the studied cohort of tuberculosis-infected female patients were prevailed by gynecological (35.4%), endocrine (17.7%) and cardiovascular (12.9%) disorders.Conclusion. In the future the study of social, demographic and clinical characteristics of tuberculosis in the female military and female family members of the military allows to provide more targeted prevention, treatment and rehabilitation.
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女军人和女军人家属结核病患者的医疗、社会和人口特征
的相关性。妇女的健康保护和促进是俄罗斯联邦人口健康和国家安全的基础。目前,女兵约占俄罗斯联邦武装部队现役军人总数的8%。与此同时,在军队服役的时间跨越了积极生育年龄。妇女的健康在很大程度上取决于她的社会地位、教育水平、婚姻状况、抗压力能力和其他因素。目的是评估女性军人和女性军人家属的社会群体中结核病的医学、社会和人口特征。分析了个人和社区医疗记录(医疗史、军区医疗服务年度报告),以确定2012年至2021年期间在转诊军事医疗机构接受治疗的感染结核病的女军人(第1组,n = 62)和女军人家属(第2组,n = 38)的医疗、社会和人口特征。采用Statistica10.0软件包进行数理统计处理。结果和讨论。目前,俄罗斯武装部队女军人的结核病发病率在流行病健康范围内。与俄罗斯一般人口不同,从2012年到2021年,在感染结核病并接受过体检的女军人中没有发现艾滋病毒感染病例。在感染结核病的女性军人家庭成员中,登记了许多保健专业人员(17.7%)。临床结核以浸润性肺结核为主(48.4%)。研究队列中女性结核病患者的伴发疾病以妇科(35.4%)、内分泌(17.7%)和心血管(12.9%)为主。今后,对女军人和女军人家属结核病的社会、人口和临床特征进行研究,可以提供更有针对性的预防、治疗和康复。
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28
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