COVID-19大流行前莫斯科几个行政区成年人口中非传染性疾病危险因素的流行情况

S. I. Feiginova, A. A. Savina
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引用次数: 2

摘要

介绍。目前,公共政策越来越重视非传染性疾病,因为这是造成人口死亡、残疾和发病结构的主要原因。在这方面,目前正在实施许多政府方案,以预防非传染性疾病和纠正风险因素。芬兰在执行北卡累利阿项目方面的经验表明,通过机构间合作预防非传染性疾病是有效的。因此,俄罗斯联邦卫生部的优先工作领域之一已成为形成加强公共卫生的统一系统。2020年,莫斯科卫生部批准了《加强莫斯科人口公共卫生地区方案》,并在此基础上开始制定地区方案。目标。分析2017-2019年北部、东北部和南部行政区成年人口中非传染性疾病风险因素的流行情况。材料和方法。所使用的材料是加强莫斯科北部行政区、东北部行政区和南部行政区人口公共卫生的方案。结果。在预防性医学检查和临床检查过程中,最多的病理异常是在调查(调查表)和全科医生的检查期间发现的,即在临床检查第一阶段的开始和结束时。根据预防性医学检查和临床检查的结果,营养不良、体力活动少和超重等危险因素的贡献最大(超过50%),高血糖所占比例最小(从1.2%至2.9%)。在39-60岁年龄组(主要是妇女)中,已确定的非传染性疾病风险因素所占比例很高,在老年人口(60岁以上)中约占40%。
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Prevalence of risk factors for non-communicable diseases among the adult population of several administrative districts of Moscow before the COVID-19 pandemic
Introduction. Currently, increased attention of public policy is paid to non-communicable diseases, which are the leading causes in the structure of mortality, disability and morbidity of the population. In this connection, many government programs are currently being implemented to prevent non-communicable diseases and correct risk factors. Finland's experience in the implementation of the North Karelia project has shown the effectiveness of the prevention of noncommunicable diseases through interagency cooperation. As a result, one of the priority areas of work of the Ministry of Health of the Russian Federation has become the formation of a unified system of strengthening public health. In 2020, the Moscow Department of Health approved the Regional Program for Strengthening the Public Health of the Moscow Population, on the basis of which district programs began to be developed. Objective. Analysis of the prevalence of risk factors for non-communicable diseases among the adult population of the Northern, North-Eastern and Southern administrative districts for 2017–2019. Materials and methods. The materials used were programs to strengthen the public health of the population of the Northern Administrative District, Northern Eastern Administrative District and the Southern Administrative District of Moscow. Results. The largest number of pathological abnormalities in the course of a preventive medical examination and clinical examination is revealed during a survey (questionnaire) and examination by a general practitioner, i. e. at the beginning and at the end of the first stage of clinical examination. According to the results of preventive medical examinations and clinical examination, the greatest contribution (more than 50 %) is made by such risk factors as inappropriate nutrition, low physical activity and overweight, the smallest proportion was hyperglycemia (from 1.2 % to 2.9 %). A high percentage of identified risk factors for non-communicable diseases is noted in the age group 39–60 years old (mainly among women), about 40 % – in the elderly population (over 60 years old).
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