Abstract
According to the Institute for Health Metrics and Evaluation approx. 40% of people aged 15 to 49 and 80% of 50-69 year olds in the world die from non-communicable diseases (NCDs). In Ukraine, in the mentioned age groups, the share of deaths caused by NCDs is significantly higher than in European countries and accounts for approx. 60% and 90% respectively.Aim. The aim of this article is to propose approaches to increase the effectiveness of communicating risks of non-communicable diseases based on the study of preferences of citizens of Ukraine the for health information channels.Material and methods. Data analysis from the Multiple Indicator Cluster Survey (2012) shows that employees of health facilities have significantly more trust than friends and relatives, employees of pharmacies, the Internet and television.Results and discussion. A comparison of public awareness of children’s health, the basics of reproductive health, data on smoking and alcohol consumption shows a higher health awareness and a propensity for healthier behavior among those who trust medical doctors compared to other channels of information.Conclusions. A framework for the training of medical staff on NCD prevention is proposed, which provides for the acquisition of professional and communication competencies for effective work with patients.
Highlights
According to the Institute for Health Metrics and Evaluation[1] approx. 40% of people aged 15 to 49 and 80% of 50-69 year olds in the world die from circulatory and respiratory diseases, malignant neoplasms and diabetes, commonly called non-communicable diseases (NCDs)
Based on the analysis of descriptive statistics, methods of pairwise comparison with application of Bonferoni adjustment for relative terms and analysis of variance (ANOVA) for averages, statistically significant differences in health awareness are established, in particular in family planning methods, children’s health, NCDs determinants in groups of respondents formed on the basis of their trusting health information sources
Training of health workers for effective prevention of NCDs should be carried out in two areas: 1) professional training (WHAT to say/ask: the presence of risk factors, advice on counseling or lifestyle changes, etc.); 2) communication training
Summary
In 2015, the mortality in the working age population due to NCDs (617 per 100 thousand population) in our country was one and a half times higher than the average for the WHO European Region (380 per 100 thousand) and more than three times – for the Scandinavian countries (186 per 100 thousand); and mortality due to coronary heart disease (CHD) (93 people per 100 thousand population from 0 to 64 years old) is 2.4 and more than 8 times higher than in the European region and the Scandinavian countries, respectively. The most common causes of death among NCDs in people aged 15–49 years are the diseases listed in Table 1 according to the data[1]. The difference in mortality due to diseases of the circulatory system between men and women in 2017 ranged from 250 to 260 cases per 100 thousand population in Kyiv (705 per 100 thousand population for men and 451 per 100 thousand population for women) and in Odessa Region (814 and 555 per 100 thousand population, respectively), up to 480-510 cases per 100 thousand population in Kyiv Region (1109 and 623 per 100 thousand population, respectively) and in Chernihiv Region (1044 and 538 per 100 thousand population, respectively) areas with a national figure of 322 cases per 100 thousand population (786 and 464 per 100 thousand population, respectively)
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