Abstract
Along with the geographical environment, the social environment plays an important role in assessing the state of public health. It is no coincidence that the World Health Organization (WHO) considers the inequality of social conditions as the main cause of negative consequences and spatial inequalities in public health. In the Russian Federation, the issues of social determinants of health are given increased attention as one of the factors of sustainable development of the country. The article considers the system of indicators of social determinants and assesses the state of public health. Public health is assessed from the standpoint of multiple criteria. Through the use of the ASPID-method of integrated assessment, the synthesis of indicators is performed and the integral index is calculated. The integral index characterizes the state of public health from the point of view of social determinants. The ASPID method helps to consider trends in the development of the situation, taking into account different priorities. A two-level hierarchical model of regional assessment is proposed. The article presents the results of several scenarios for an integral assessment of the state of the social determinants of health for the five northern regions Each evaluation scenario allowed to consider the spatial changes of social living conditions estimates from different viewpoints (priorities) and to identify their tendency. The results reveal the potential for using the ASPID method to assess the social conditions of the constituent entities of the Russian Federation and the role of prioritization in the organization of the assessment process. The application of the method can be a valuable tool for analyzing social policies and combating inequities in public health. The results of the studies also illustrate the need for an active social policy in the field of public health in regions with adverse social conditions of life.
Highlights
A two-level hierarchical model of regional assessment is proposed
The article presents the results of several scenarios for an integral assessment of the state of the social determinants of health for the five northern regions Each evaluation scenario allowed to consider the spatial changes of social living conditions estimates from different viewpoints and to identify their tendency
The results reveal the potential for using the ASPID method to assess the social conditions of the constituent entities of the Russian Federation and the role of prioritization in the organization of the assessment process
Summary
АННОТАЦИЯ Наряду с географической средой, социальная среда играет важную роль в оценке состояния общественного здоровья. Неслучайно Всемирная организация здравоохранения (ВОЗ) рассматривает неравенство социальных условий как основную причину негативных последствий и пространственного неравенства в отношении общественного здоровья. В статье рассматривается система показателей социальных детерминант и оценивается состояние общественного здоровья. Посредством применения АСПИД-метода интегральной оценки проводится синтез показателей и рассчитывается интегральный индекс. Интегральный индекс характеризует состояние общественного здоровья с точки зрения социальных детерминантов. В статье приводятся результаты нескольких сценариев интегральной оценки состояния социальных детерминант здоровья для 5 северных регионов. Результаты раскрывают потенциал использования АСПИД-метода для оценки социальных условий субъектов Российской Федерации и роль расстановки приоритетов в организации процесса оценки. Применение метода может быть ценным инструментом анализа социальной политики и борьбы с неравенства в отношении общественного здоровья. Результаты исследований также иллюстрируют необходимость проведения активной социальной политики в сфере общественного здоровья в регионах с неблагоприятными социальными условиями жизни. Geoinformatical and cartographical security of ecological, economic and social aspects of sustainable development
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
