Medical activity of middle-aged Russians in the «pre-pandemic» and «pandemic» periods
- Авторлар: Gordeeva S.S.1, Sharypova S.Y.1
-
Мекемелер:
- Perm State University
- Шығарылым: Том 67, № 6 (2023)
- Беттер: 479-486
- Бөлім: HEALTH CARE ORGANIZATION
- ##submission.dateSubmitted##: 25.10.2024
- URL: https://cardiosomatics.orscience.ru/0044-197X/article/view/637834
- DOI: https://doi.org/10.47470/0044-197X-2023-67-6-479-486
- EDN: https://elibrary.ru/tgxfit
- ID: 637834
Дәйексөз келтіру
Толық мәтін
Аннотация
Introduction. Solving the health saving problem of middle-aged people in a risk social context is impossible without increasing the level of their medical activity, as well as forming a value attitude to health.
Material and methods. The study was conducted on the data of the Russian Longitudinal Monitoring Survey of the National Research University “Higher School of Economics” for 2018–2021. The analysis of statistical data was carried out using the methods of descriptive statistics and correlation analysis, the calculation of the odds ratio and cluster analysis were carried out.
Results. Middle-aged Russians are characterized by a low level of medical activity, which is due to their health status. Gender has an impact on the indicators of medical activity: men demonstrate a lower level of medical activity, despite low health indicators. In modern conditions, models of medical activity are varied: from passive practices without prevention to highly active practices combined with preventive examinations. An “inconsistent” model of medical activity with a predominance of self-treatment practices without preventive motives for visiting a doctor is the most common pattern during the COVID-19 pandemic.
Limitations. When studying the medical activity of middle-aged Russians in the “pre-pandemic” and “pandemic” periods, 17,631 questionnaires were evaluated during 2018–2021, which is sufficient to achieve the set goal. This study has limitations related to the survey period: data is not available after 2021, but the COVID-19 pandemic has officially ended in May 2023.
Conclusion. Insufficient medical activity of the middle age group of the population, especially during crises (including during the pandemic), presents itself as a risk factor for health loss, reduces the ability of institutional medicine to diagnose diseases at an early stage. The predominance of attitudes towards maintaining employment and income among middle-aged people, as well as an independent search for information on the Internet to resolve health issues, increases commitment to self-treatment practices.
Compliance with ethical standards. The study does not require the submission of a biomedical ethics committee or other documents.
Contribution of the authors:
Gordeeva S.S. — research concept and design, writing the text, editing;
Sharypova S.Yu. — writing the text, statistical data processing, compilation of the list of literature, editing.
All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.
Acknowledgment. The study was carried out for Russian Science Foundation grant account No. 23-18-00480 «Self-protective strategies of people in Russia in the new normality».
Conflict of interests. The authors declare absence of conflict of interests.
Received: August 13, 2023
Accepted: October 11, 2023
Published: December 23, 2023
Негізгі сөздер
Авторлар туралы
Svetlana Gordeeva
Perm State University
Хат алмасуға жауапты Автор.
Email: ssgordeyeva@mail.ru
ORCID iD: 0000-0002-5309-8318
Candidate of Sociological Sciences, Associate Professor at the Department of Sociology of Perm State University, Perm, 614990, Russian Federation.
e-mail: ssgordeyeva@mail.ru
РесейSofia Sharypova
Perm State University
Email: noemail@neicon.ru
ORCID iD: 0000-0003-3519-8531
Ресей
Әдебиет тізімі
- Markova Yu.S. Socio-cultural factors of values’ formation and implementation among the middle-aged Russians. Sotsial’no-ekonomicheskie nauki. 2017; (4): 200–9. https://doi.org/10.15593/2224-9354/2017.4.18 https://elibrary.ru/yneiou (in Russian)
- Kartseva M.A., Kuznetsova P.O. Health, income, age: empirical analysis of health inequality in Russia. Monitoring obshchestvennogo mneniya: ekonomicheskie i sotsial’nye peremeny. 2023; (2): 160–85. https://doi.org/10.14515/monitoring.2023.2.2355 (in Russian)
- Lachman M.E. Development in midlife. Annu. Rev. Psychol. 2004; 55: 305–31. https://doi.org/10.1146/annurev.psych.55.090902.141521
- Zanjani F.A.K., Schaie K.W., Willis S.L. Age group and health status effects on health behavior change. Behav. Med. 2006; 32(2): 36–46. https://doi.org/10.3200/BMED.32.2.36-46
- Blanchard C.M., Denniston M.M., Baker F., Ainsworth S.R., Courneya K.S., Hann D.M., et al. Do adults change their lifestyle behaviors after a cancer diagnosis? Am. J. Health Behav. 2003; 27(3): 246–56. https://doi.org/10.5993/ajhb.27.3.6
- Goroshko N.V., Emel’yanova E.K., Patsala S.V. The problem of medical activity of the russian population during COVID-19. Sotsial’nye aspekty zdorov’ya naseleniya. 2022; 68(3): 15. https://doi.org/10.21045/2071-5021-2022-68-3-15 https://elibrary.ru/qtysrx (in Russian)
- Lisitsyn Yu.P. Public Health and Healthcare [Obshchestvennoe zdorov’e i zdravookhranenie]. GEOTAR-Media; 2010. (in Russian)
- Mackian S., Bedri N., Lovel H. Up the garden path and over the edge: where might health-seeking behaviour take us? Health Policy Plan. 2004; 19(3): 137–46. https://doi.org/10.1093/heapol/czh017
- Rosenstock I.M. Why people use health services. Milbank Q. 2005; 83(4): 1–32. https://doi.org/10.1111/j.1468-0009.2005.00425.x
- Cronin T., Sheppard J., de Wildt G. Health-seeking behaviour for schistosomiasis: a systematic review of qualitative and quantitative literature. Pan. Afr. Med. J. 2013; 16: 130. https://doi.org/10.11604/pamj.2013.16.130.3078
- Simoes E., Kunz S., Schmahl F. Utilisation gradients in prenatal care prompt further development of the prevention concept. Gesundheitswesen. 2009; 71(7): 385–90. https://doi.org/10.1055/s-0029-1214401
- Abramov A.Yu., Kicha D.I., Rukodaynyy O.V. The medical activity and satisfaction of population need in medical care. Problemy sotsial’noy gigieny, zdravookhraneniya i istorii meditsiny. 2018; 26(5): 266–70. https://doi.org/10.32687/0869-866X-2018-26-5-266-270 https://elibrary.ru/yqzggd (in Russian)
- Andriyanova E.A., Pozdnova Yu.A. Formation of social stereotypes factors of urban population concerning the out-patient-polyclinic help. Izvestiya Saratovskogo universiteta. Seriya: Sotsiologiya. Politologiya. 2012; 12(1): 40–5. https://elibrary.ru/ozbomx (in Russian)
- Lekhtsier V.L., Gotlib A.S., Finkel’shteyn I.E. Medical choice of chronic patients in a large Russian city: situations, practices, factors. Sotsiologicheskiy zhurnal. 2019; 25(2): 78–98. https://doi.org/10.19181/socjour.2019.25.2.6387 https://elibrary.ru/ezvdpp (in Russian)
- Korolenko A.V. Medical activity as a factor of public health (on the example of the Vologda Oblast). In: Collection of Articles of the XII Ural Demographic Forum «Paradigms and Models of Demographic Development» [Sbornik statey XII Ural’skogo demograficheskogo foruma «Paradigmy i modeli demograficheskogo razvitiya»]. Ekaterinburg; 2021: 131–40. (in Russian)
- WCIOM. Quality of medical services: the request of the population; 2018. Available at: https://wciom.ru/analytical-reviews/analiticheskii-obzor/kachestvo-mediczinskikh-uslug-zapros-naseleniya (in Russian)
- WCIOM. A healthy lifestyle and how to adhere to it; 2022. Available at: https://wciom.ru/analytical-reviews/analiticheskii-obzor/zdorovyi-obraz-zhizni-i-kak-ego-priderzhivatsja (in Russian)
- Khodakova O.V., Koshevaya N.V. Self-assessment of health as an element of self-preserving behavior and addition to dispersonization of adults. Sovremennye problemy zdravookhraneniya i meditsinskoy statistiki. 2019; (4): 309–26. https://doi.org/10.24411/2312-2935-2019-10099 https://elibrary.ru/naebki (in Russian)
- Budnik Ya.I., Sharshakova T.M. Satisfaction of population with out-patient medical care (based on the materials of a public opinion poll). Problemy zdorov’ya i ekologii. 2011; (4): 124–8. https://elibrary.ru/umbqvj (in Russian)
- Fattahi H., Seproo F.G., Fattahi A. Effective factors in people’s preventive behaviors during COVID-19 pandemic: a systematic review and meta-synthesis. BMC Public Health. 2022; 22(1): 1218. https://doi.org/10.1186/s12889-022-13621-y
- Joseph N., Colaco S.M., Fernandes R.V., Krishna S.G., Veetil S.I. Perception and self-medication practices among the general population during the ongoing COVID-19 pandemic in Mangalore, India. Curr. Drug Safety. 2023; 18(2): 233–45. https://doi.org/10.2174/1574886317666220513101349
- Lusmilasari L., Putra A.D.M., Sandhi A., Saifullah A.D. COVID-19 preventive behavior practices and determinants: a scoping review. Open Access Maced. J. Med. Sci. 2022; 10(F): 23–32. https://doi.org/10.3889/oamjms.2022.8162
- Shestakova T.V. About the level of sanitary literacy on pharmaceutical issues of the economically active population: XXIX Russian National Congress «Man and Medicine». Kardiovaskulyarnaya terapiya i profilaktika». 2022; 21(2S): 64–5. https://doi.org/10.15829/1728-8800-2022-S2 https://elibrary.ru/pyemit (in Russian)
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