Abstract
The article presents the results of the analysis of the priority health-related quality of life criteria of metropolis residents (St. Petersburg), who live on the territories under the environmental risk and have the signs specific for respiratory diseases. The survey targets analyzing the severity of the main functioning types in the health-related quality of life structure taken in conjunction with the environmental factors. The clinical and statistical analysis and screening questionnaire were performed with the use the specialized questionnaire WHO, to identify the risk factors, the prevalence of the clinical symptoms and chronic respiratory diseases. The importance of the impact was established with deterioration of the life quality indicators at various degrees of the clinical status of the patients at the chronic respiratory disease development stages. The priority health-related quality of life assessment criteria were developed by the types of functioning, providing for classification of the urban residents by medical and environmental risk groups. Insufficient medical awareness and medical preventive care of urban residents were found to increase the impact of the adverse environmental factors on the development of the respiratory diseases. The revealed regularities allowed developing the medical and environmental programs for organizational and functional interaction of the experts.
Highlights
Modern risk-oriented methodology of the feasibility of distribution of population by groups, objects and territories of risk [8, 9, 17]
The screening questionnaire conducted among urban residents, revealed that the probability of the formation and development of the chronic respiratory diseases affecting the health-related quality of life indicators (RR=2,11 at p=0,01) was considerably higher in the group of urban residents, who lived in environmentally unfavorable territories, smoked and had insufficient medical awareness
It is noted that the impact of environmental factors of the urban environment contribute to increasing the incidence and other chronic diseases for specific preclinical, clinical and functional manifestations, which you can change and add as we have developed the program for the study health-related quality of life
Summary
Modern risk-oriented methodology of the feasibility of distribution of population by groups, objects and territories of risk [8, 9, 17]. Need to be methodical and scientific explanation of complex medico-social, hygiene and ecological regional studies with the use of integrated quantitative and qualitative indicators of health and health-related quality of life of the population of administrative territories with high anthropogenic load, which can serve as criteria of effectiveness of implementation of regional environmental programs [1, 14, 16, 21].
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