Medical and social characteristics of youth from the perspective of assessing reproductive potential: a multicentral study in the Far Eastern Federal District. A cross-sectional one-step study

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Introduction. In the context of the demographic crisis in modern Russia, the focus of the state’s demographic policy is aimed at young people. The reproductive health (RH) and positive reproductive attitudes (RA) of young people, whose number is progressively declining, are especially important for ensuring population reproduction. Aim. To assess the RH and RA of the student-age population from the standpoint of demographic potential. Materials and methods. A cross-sectional study was conducted based on an anonymous online interview of young people using a specially created questionnaire. The statistical database was developed based on 2005 questionnaires completed by I–VI-year students and residents of medical universities of four subjects of the Far Eastern Federal District: Amur State Medical Academy (Amur Region), Chita State Medical Academy (Trans-Baikal Territory), Banzarov Buryat State University (Republic of Buryatia), Ammosov North-Eastern Federal University (Republic of Sakha, Yakutia). Mathematical analysis of the results was performed using the IBM SPSS Statistics version 25.0 software. Differences were considered significant at p 0.05. Results. 11.4% of female and 1.1% of male respondents had chronic diseases of the reproductive system. Reproductive diseases accounted for 82.8% of gynecological pathology: 54.2% of polycystic ovary syndrome, 11.3% of pelvic inflammatory disease, 8.9% of external endometriosis, 5.4% of menstrual disorders, 3% of female infertility [pχ2 0.001, odds ratio 22.97 (95% confidence interval 13.05–40.46)]. In 32.7% of respondents, sexual debut occurred before the age of 18. The majority of respondents (67.8%) do not consider early onset of sexual activity to be a risk factor for RH (pχ2 0.001), and 68.2% received information about the contraception method for the first time in their lives from unreliable sources of information (friends/relatives, Internet resources), and only 31.8% from healthcare professionals. Contraceptive methods currently used include condoms (88.2%), oral contraceptives (20.5%), withdrawal (18.8%), rhythm method (8.6%), and intrauterine contraceptives (1.2%). 5.8% of respondents have children, 94.2% are childless, of which 6% are childfree. In the future, 94% of respondents plan to have children at 20–24 years (11.8%), 25–29 years (62.7%), 30–34 years (15.7%), 35 years and older (3.8%). Causes of delayed childbearing and voluntary childlessness include getting an education (77.7%; pχ2 = 0.019), fear of financial difficulties (56.8%; pχ2 = 0.619), career priority (47.7%; pχ2 = 0.680), common law marriage (46.8%; pχ2 = 0.103), not sure about the future (33.0%; pχ2 = 0.620), relationship problems within a couple (27.0%; pχ2 0.001), do not want to be responsible (22.4%; pχ2 0.001). In general, 70.5% of respondents consider the state policy aimed at supporting motherhood to be effective; 29.5% do not or rather do not consider it effective (pχ2 0.001). The majority of respondents considered the improvement of housing conditions to be the most effective measure for deciding on the birth of a child in a young family [66.2%; pχ2 0.001, odds ratio 1.29 (95% confidence interval 1.13–1.48)]. The desired number of children was 2.05 ± 0.9 [0; 4], and in case of adequate living, material, and financial conditions available, it was 2.37 ± 1.0 [0; 4] (p 0.05). Conclusion. The state of RH and RA in modern youth can have a negative impact on the quality of the demographic potential of the population. Active cross-departmental work with young people on education in the field of RH and the fostering of commitment to its protection, education of family-oriented values, and positive RA is necessary.

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Continuity and Change in Reproductive Attitudes of Teenage Women, Their Mothers, and Maternal Grandmothers in South Africa
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Descriptive epidemiological study of glaucoma in the Far Eastern Federal District covering the years 2012 to 2019
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BackgroundAlthough several studies have attempted investigating sex-related knowledge, attitudes, and practices among young people in China, deeper insights were still needed to further understand how this population could be supported to make healthy and safe sexual choices. Against this background, this study used a large set of secondary data to examine associations among sexual and reproductive health (SRH) knowledge, sexual attitudes, and sexual behaviour.MethodsA cross-sectional study was employed to explore the associations among SRH knowledge, sexual attitudes, and sexual behaviour with a publicly available survey data among the 1196 university students from freshmen to Ph.D. candidates. Descriptive analysis was used to describe the sociodemographic characteristics of the university students by gender. Associations of sociodemographic factors with sources and categories of SRH knowledge, categories of contraceptive knowledge, sexual attitudes, and sexual behavior were explored with Poisson regressions and logistic regressions, respectively. The mediating effects of sociodemographic factors on the associations between SRH knowledge and sexual behavior, observed sexual attitudes on the associations of SRH knowledge with sexual behavior, and latent sexual attitudes on the relationship between SRH knowledge and sexual behavior were analyzed in order.ResultsDescriptive analysis showed that the sample was dominated by age group (18 to 24 years), undergraduates, females, limited contraceptive knowledge, unfavorable sexual attitudes, and insufficient knowledge sources. Regression analyses showed that sociodemographic factors had significant associations with SRH knowledge, sexual attitudes, and sexual behavior. Subsequently, the mediating effects of sociodemographic factors on the associations of SRH knowledge and sexual attitudes with sexual behavior were confirmed. Controlling for sociodemographic factors, the effects of sexual attitudes on the associations between SRH knowledge and sexual behaviour could be verified. Structural equation modeling indicated that the linear sequence of sources and categories of SRH knowledge → sexual attitudes → sexual behaviour model and the triangle mediating effects of sexual behaviour → sexual attitudes → SRH knowledge model existed.ConclusionsSociodemographic factors and observed sexual attitudes mediated the associations between SRH knowledge and sexual behaviour. The sequence relationship: sources and categories of SRH knowledge → sexual attitudes → sexual behavior and the mediating relationship: sexual behavior → sexual attitude → sources and categories of SRH knowledge & sexual behavior → sources and categories of SRH knowledge and sexual behavior → sexual attitude → categories of contraceptive knowledge & sexual behavior → categories of contraceptive knowledge were confirmed in the sample. This study also identified an urgent need for the university students to access to SRH comprehensive knowledge.

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Институтом экономических исследований Дальневосточного отделения Российской академии наук, при поддержке Научного Совета по вопросам регионального развития при Президиуме РАН, издается научный журнал «Пространственная экономика».

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Интегральная оценка ресурсного потенциала агропродовольственных систем регионов Дальневосточного федерального округа
  • Jan 1, 2023
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Риски возникновения опасных инфекционных болезней животных на юго-востоке Российской Федерации
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  • 10.36604/1998-5029-2021-82-8-20
Impact of the COVID-19 pandemic on mortality dynamics in the Far Eastern Federal District
  • Dec 22, 2021
  • Bulletin Physiology and Pathology of Respiration
  • V P Kolosov + 3 more

Introduction. New viral respiratory infections in humans make it possible to speak of corona viruses as extremely dangerous human pathogens. They are characterized by a high mortality rate and pose a significant medical and social threat to society due to life-threatening complications of the disease. In this regard, it seems necessary to answer the questions about the dynamics of mortality of the population of the region for different classes of ICD-10 in the prepandemic and pandemic period, including various nosological forms of respiratory diseases. Aim. To assess the degree of influence of the pandemic of the new respiratory coronavirus infection COVID-19 on the mortality rate of the population for various classes of ICD-10, including the class “Diseases of the respiratory system” in the Far Eastern Federal District.Materials and methods. To implement the tasks of the study, a complex of analytical, epidemiological and statistical studies was carried out. Methods used: descriptive statistics, epidemiological analysis and monitoring; mathematical; structural and comparative analysis, methods of time series analysis and content analysis of publications on the problem. Epidemiological and statistical assessment of mortality was carried out on the basis of ICD-10 using the database of the Federal State Statistics Service for 1999-2020 in the territory of the Far Eastern Federal District. For the analysis and processing of statistical information, modern information systems and computer programs (MS Excel-2016) were used. Results. The pandemic of COVID-19 has had a significant impact on the level and structure of mortality across the entire spectrum of the main causes of death, and its magnitude (98.8 per 100,000, 2020), as a new cause of death, exceeds the whole the class of causes of death ICD-10 (J00-J99) by 33.3%, changing the pace and direction of demographic processes in Russia. At the same time, the dynamics of mortality due to respiratory diseases is unprecedented, the level of which in the Russian Federation in the first year of the COVID-19 pandemic increased by 38.8%, and in the Far Eastern Federal District – by 27.7% against the background of the previous long-term stable a downward trend in mortality rates. Especially high growth rates of mortality rates are observed in pneumonia, the level of which has increased by 3.5 times over the last decade, and among city residents – by 4.2 times (Amur Region). Features of the socio-economic and natural-climatic living conditions of the population of the region determine a significant differentiation of regions in terms of mortality rates, including due to respiratory diseases, the gradients of which among the subjects of the Far Eastern Federal District in the first year of the pandemic period (2020) amounted to 2.5 times with a minimum the level in the Republic of Sakha (Yakutia) (40.9 per 100,000 population) and the maximum – in the Jewish Autonomous Region (101.7 per 100,000 population), which indicates the ambiguous degree of influence of the new viral infection on the dynamics of mortality. At the same time, the variability in mortality rates due to respiratory diseases in the previous period (1999-2019) was even more pronounced, and among the subjects of the Far Eastern Federal District, during this period, higher mortality rates were also demonstrated, which are not even comparable to the current level of the pandemic period. These circumstances require a detailed study and a substantive analysis of the degree of influence of a COVID-19 on the mortality rate of the population using mechanisms and methods for its detection, record and registration. Conclusion. The pandemic of COVID19 had a significant impact on the level and structure of mortality across the entire spectrum of major causes of death, especially in the ICD-10 class “Respiratory diseases”, changing the pace and direction of demographic processes.

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Behavioral Factors of Reproductive Health in Russians
  • Nov 1, 2024
  • ЗДОРОВЬЕ НАСЕЛЕНИЯ И СРЕДА ОБИТАНИЯ - ЗНиСО / PUBLIC HEALTH AND LIFE ENVIRONMENT
  • Sofya Yu Sharypova

Introduction: Today, demographic issues are in the focus of attention in a whole number of countries. Birth rate is one of the most important indicators largely dependent on the level of reproductive health of the population. Patterns of health and sexual behavior, including the use of contraception, are among the significant direct factors of reproductive health. Objective: To analyze health and sexual (contraceptive) behavior as determinants of reproductive health in Russians. Materials and methods: This is the secondary analysis of responses of the formalized surveys conducted by the Analytical Center “National Agency for Financial Research” in 2024 involving 3,000 respondents, by the All-Russian Public Opinion Research Center in 2023 involving 1,845 respondents, and by the “Mikhailov and Partners. Analytics” Agency in 2021 covering 2,005 people, all devoted to issues of reproductive and sexual health and behavior. SPSS Statistics and Microsoft Excel were used for data analysis. Results: The Russians consider sexually transmitted diseases to be the main risk factor for reproductive health, so they pay more attention to practicing safe sex than to being able to conceive and bear a child (8.64 versus 6.43 out of 10). Barrier (condoms) and calendar methods of birth control are popular with 65 % and 26 % of the respondents, respectively, while 21 % of the respondents do not use contraceptives. Less than 35 % examine their reproductive health annually. Only 38 % of the respondents are ready to use assisted reproductive technologies to overcome infertility. Conclusions: Reproductive health of Russian people is at risk because of low efficiency of contraceptive behavior noted for predominance of the rhythm method of birth control and refusal of contraceptives due to misinformation about their side effects and low health activity in the field of reproduction and sex, including a lack of interest in assisted reproductive technologies.

  • Research Article
  • 10.17150/2411-6262.2024.15(2).605-614
Trends in the Development of Labor Resources in the Agricultural Sector of the Regions of the Baikal Natural Territory
  • Jun 30, 2024
  • Baikal Research Journal
  • Erzhena Naydanova + 2 more

Human resources are an important and integral part of the successful functioning of any space. Every branch of the national economy needs qualified and competent employees. Modern conditions caused by economic instability and risks, both in the internal and external political field, form a certain personnel deficit. Today, one of the priority courses of the national economy is the agricultural sector, which is designed to ensure the country's food security. In this context, it is relevant to study the main parameters of the development of human resources in the field of agricultural production at the regional level. The purpose of the study is to analyze the labor resources in the regions that belong to the Baikal natural territory, which allows us to determine their impact on the basic indicators of the development of the agricultural sector in these regions. The research methodology is based on a retrospective analysis using comparison and comparison methods. The information and empirical basis for the analysis was provided by data from regional statistical reporting, as well as data from industry institutions. The object of the study is three regions belonging to the Baikal macroregion, located since 2018 on the territory of two federal districts — Siberian and Far Eastern. The scientific novelty lies in the formation of a general trend in the development of regions and the identification of some changes related to the fact that the Republic of Buryatia and the Trans-Baikal Territory became part of the Far Eastern Federal District in 2018. The conducted research showed the level of differentiation in the socio-economic development of the three regions, which largely determines migration processes and further influences the formation of key agri-food indicators.

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