应征参加军事训练的俄罗斯人与健康有关的生活质量

A. S. Dybin
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摘要

相关性。保持俄罗斯联邦武装部队动员预备役人员的健康对于国家的国防能力至关重要。在过去十年中,有关应征参加军事训练的俄罗斯人的健康状况和与健康相关的生活质量的公开研究极为稀少。为评估应征参加军事训练的俄罗斯公民与健康相关的生活质量,我们开展了一项观察性非实验分析跨领域单阶段抽样研究。样本量包括 88 个观察单位。研究以世界卫生组织生活质量调查问卷简版(WHOQOL-BREF)为主要研究工具。除绝对值外,每个领域的得分还以占最高可能得分的百分比的形式进行报告。除世卫组织生活质量调查问卷外,研究还使用了一份标准问卷,调查俄罗斯联邦武装部队中的慢性非传染性疾病、相关风险因素、无指征的药物和精神药物消费情况。数据以分类和定量变量的形式呈现。统计分析包括确保数据正态分布的 Kolmogorov-Smirnov 标准和非参数统计。当 I 类错误概率小于 5%(P < 0.05)时,差异具有显著性。对 2023 年应征参加军事训练的俄罗斯人进行的生活质量调查显示了相当高的结果(占最大可能值的 79.7%)。社会福利是最脆弱的领域(73.9%),最关键的问题包括货币津贴(65.4%)、娱乐和娱乐设施的可用性(68.2%)和医疗质量(70%)。统计显示,生活质量得分与受访者的收入水平、是否患有肠胃疾病和酗酒有很大关系。世界卫生组织生活质量调查问卷简版(WHOQOL-BREF)是一种极好的、省时的筛查工具,可以揭示影响俄罗斯应征入伍公民生活质量的最关键的健康问题。通过根据俄罗斯联邦武装部队医疗保健指导文件确定需要进行广泛检查的对象,研究结果有助于提高疾病的早期发现率,保护国家动员后备力量的健康。
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Health-related quality of life among Russians called up for military training
Relevance. Maintaining healthy mobilization reserves of the Armed Forces of the Russian Federation is critical for the country’s defense capacities. Over the past decade, open-access studies on the health status and health-related quality of life among Russians called up for military training have been extremely scarce.The objective is to assess health-related quality of life among Russians called up for military training.Methods. An observational non-experimental analytical cross-field single-stage sample study was performed to assess health-related quality of life among Russian citizens called up for military training. The sample size included 88 observation units. The study relied on the short version of the WHO Quality of Life questionnaire (WHOQOL-BREF) as a principle research tool. In addition to absolute values, each domain scores were reported as % of the maximum possible score. In addition to the WHOQOL-BREF, the research utilized a standard questionnaire for chronic non-communicable diseases, associated risk factors, drug and psychotropic substance consumption without indication among the Armed Forces of the Russian Federation. The data were presented as categorical and quantitative variables. Statistical analysis included the Kolmogorov-Smirnov criterion to ensure normal distribution of data and nonparametric statistics. The difference was significant when the Type I error probability was less than 5 % (p < 0.05).Results and discussion. The quality of life study among Russians called up for military training in 2023 showed fairly high results (79.7 % of maximum possible value). Social well-being was the most vulnerable domain (73.9 %), with most critical problems to include monetary allowance (65.4 %), availability of recreation and entertainment facilities (68.2 %), and quality of medical care (70 %). Statics showed that quality of life scores were significantly dependent on the level of respondents’ income, presence of gastrointestinal diseases, and alcohol abuse.Conclusions. The short version of the WHO quality of life questionnaire (WHOQOL-BREF) is an excellent and time-sparing screening tool allowing to reveal most critical health-related challenges affecting quality of life among Russian citizens called up for military training. By identifying subjects in need of extensive examination according to the guidance documents on medical care in the Armed Forces of the Russian Federation, the study results allow to improve early disease detection and preserve the health of country’s mobilization reserve.
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