Simultaneity of health risk factors among Brazilian workers.

To identify risk behaviour patterns for chronic non-communicable diseases (NCD) in the Brazilian population and to investigate associated socio-economic and demographic factors. Factor analysis was used to identify patterns considering the following risk behaviours: consumption of soft drinks/artificial juice, sweet foods, red meat with apparent fat, chicken skin; inadequate consumption of fruits and vegetables; alcohol abuse; smoking; absence of physical activity during leisure time; and time spent watching television. The χ 2 test was used to compare ratios. All analyses accounted for weighting factors and the study's complex sampling design effect. The socio-economic and demographic variables evaluated were gender, age, schooling level and macro region of residence. National Health Survey, a household survey with national representation, conducted in 2013 in Brazil.ParticipantsIndividuals (n 60202) aged 18 years or over. Four risk behaviour patterns were identified: 'Physical inactivity in leisure time and Inadequate consumption of fruits and vegetables', 'Saturated fat', 'Alcohol and Smoking' and 'Sedentary behaviour and Sugar', explaining 52·01 % of the total variance. Overall, greater adherence to 'Saturated fat' and 'Alcohol and Smoking' patterns was observed among men and those with lower education level. The 'Sedentary behaviour and Sugar' and 'Physical inactivity in leisure time and Inadequate consumption of fruits and vegetables' patterns had greater adherence among younger individuals, and the first was associated with higher education whereas the second with less education among individuals residing in the North and Northeast regions. Risk behaviour patterns for NCD were heterogeneous, reflecting the socio-economic and demographic differences in Brazil.

The objective of this research was to analyze the contributions of physical activities to the prevention of chronic non-communicable diseases. The study adopted an integrative review approach, using Google Scholar and Scielo databases with specific search criteria. Brazilian scientific articles published between 2022 and 2023 were selected and submitted to an analysis of titles and abstracts followed by a thorough reading to identify and synthesize the relevant results. As a result, the relevance of regular physical activity in the prevention and control of chronic non-communicable diseases (NCDs) was verified. Both aerobic and anaerobic activities are highlighted as key in reducing the risk factors associated with these conditions. The benefits of physical activity include improvements in cardiovascular and respiratory capacity, as well as reduced risk of various chronic conditions such as obesity, type 2 diabetes, cardiovascular disease, and cancer, contributing to improved quality of life and mental well-being. A significant finding is the observation that risk factors tend to increase when physical activity is stopped, emphasizing the need for consistency in these healthy habits. The importance of health awareness and education is also highlighted, especially among men, to overcome barriers to the adoption of healthy habits. Ultimately, the studies reinforce the importance of physical activity as a crucial tool in health promotion and prevention of NCDs, underlining the need for health policies and programs that encourage and facilitate its practice for a healthier and more resilient population in the long term.

Objective: The purpose of this research is to assess regulatory, organizational and methodological documents, as well as Russian and international recommendations, to use infromation from them to identify and systematize problems in prevention of chronic non-communicable diseases, and tooffer solutions.
 Materials and Methods: Analysis encompasees the key Federal Laws of the Russian Federation; orders, records, and reports provided by various ministries and departments of the Russian Federation,as well as by the leading research institutes; guides, manuals, and federal recommendations; the latest Russian and foreign guidelines and recommendations on prevention of chronic non-communicable diseases.
 Results and Discussion: Analysis was faced with a number of problems:poor correlation between changes in regulatory documents governing the prevention of chronic non-communicable diseases; incomplete allowance for international experience and guidelines on prevention of chronic non-communicable diseases, incomplete epidemiological data; poor coordination and uneven assignment of responsibilities in structures involved in prevention; shift in emphasis from population-oriented prevention and high-risk groups towards secondary prevention; below-satisfactory efficiency of tuberculosis screening in clinical examination.
 Conclusions: Their resolutionmay significantly increase the effectiveness of measures intendedfor prevention of chronic non-communicable diseases and their risk factors from occurence in Russia.
 Bangladesh Journal of Medical Science Vol.18(2) 2019 p.353-367

INTRODUCTION: Public health helps protect populations from chronic non-communicable diseases by controlling the causes and early detection and treatment of diseases. AIM: To explore ways to protect public health through a telemedicine-based health strategy of protection against chronic non-communicable diseases, on an example of Jordan. MATERIALS AND METHODS: A stratified simple random sample was formed from three public hospitals in the province of Amman in Jordan. The questionnaire was used as a data collection tool. SPSS version 27 and AMOS version 24 were used for data analysis. RESULTS: According to the medical staff, awareness of chronic non-communicable diseases was of secondary importance, while awareness of causes related to external factors, such as environmental pollution or workplaces was of primary importance. CONCLUSION: Disease prevention based on public health strategies should involve all health authorities for the prevention and detection of chronic non-communicable diseases and early treatment. Telemedicine supports public health strategies for the prevention of chronic non-communicable diseases in modern settings around the world.

Objective. To determine the possibilities and limitations of secondary prevention of chronic non-communicable diseases in a hospital setting by conducting a sociomedical survey of doctors. Materials and methods. A cross-sectional study involved hospital doctors (151 specialists of therapeutic profile) from 13 cities of the Russian Federation. The survey was carried out on a previously prepared in «NMRC for Therapy and Preventive Medicine» questionnaire, which consisted of 9 blocks of questions including gender-age features, frequency of various nosological entities, adherence to therapy, preferential provision of medicines, interaction with out-patient doctors and staff coverage by doctors and nurses. Answers in several gradations were proposed to each question. The cities are divided into 4 subgroups depending on the population size: population over 2 million people (Moscow and Saint-Petersburg), 1—2 million people population (Rostov-on-Don, Krasnodar, Krasnoyarsk, Omsk), 400 thous.—1 million people population (Ulyanovsk, Penza, Kursk, Kirov, Tomsk) and population less than 400 thous. people (Nalchik, Ivanovo). Results. The analysis of the questionnaire survey results allowed us to highlight the most important stages in the organization of secondary prevention in hospital setting, namely age and nature of patients’ diseases, level of material and technical support of medical organization, including medicinal, staff coverage by doctors and nurses. One in two men admitted to the hospital was aged 65 years or older, about 30% of hospitalized men were in the 60—65 years age range, men in three age ranges (30—39, 40—49, 50—59 years) amounted to less than 20%. The largest proportion of hospitalized patients were women in the 60—64 and >65 years age ranges. On average, one in three patients is hospitalized for chronic forms of ischemic heart disease, chronic heart failure has a comparable frequency. The third place is occupied by type 2 diabetes mellitus, that means one in five patients enters a hospital with various complications of diabetes. The incidence of chronic obstructive pulmonary disease and cancer is comparable and does not exceed 10%. In every second case, doctors claim that a medicine provision during inpatient treatment is 50—75%, 100% of medicine provision is implemented only in 12% of cases. Insufficient provision of medicine is observed in about 40% of cases in doctors’ opinion. In 65% of cases doctors report that 75% of the target levels of major risk factors can be reached, while 12% of doctors report achieving the highest level. In every fifth case, a 50% of target level of the major risk factors is achieved and a 25% level is identified in less than 5% of cases. In every second case, 100% staff coverage with doctors is noted; 75% staff coverage is revealed in 26.5% of cases, 50% staff coverage — in 23%. The situation is similar in terms of the staff coverage with nurses. Conclusion. The effectiveness of secondary prevention of chronic non-communicable diseases in primary health care facilities depends on many indicators. The quality of secondary prevention is influenced by the level of material and technical support of medical facilities, including medicine provision. Education on improvement of patients’ adherence to pharmacological correction and achievement of target levels of major risk factors are priority directions for secondary prevention of chronic non-communicable diseases. The provision of medical and nursing staff is also an important issue in the organization of secondary prevention in a hospital setting.

Objective. To analyze the possibilities and limitations of implementation of secondary prevention of chronic non-communicable diseases (CNCDs) in primary care in cities in the Russian Federation and 4 CIS countries based on a survey of doctors. Material and methods. The study involved doctors of outpatient-polyclinic facilities from 16 cities in the Russian Federation and 6 major cities in 4 CIS countries (Kyrgyz Republic, Republic of Belarus, Republic of Kazakhstan, Republic of Azerbaijan). The survey was organized on a questionnaire prepared by «National Medical Research Center for Therapy and Preventive Medicine», which included 11 blocks of questions. Multiple choice for each question is provided. Results. Men aged 50—59 years prevailed among patients, who were observed in outpatient clinics of five countries. Men aged over 65 years made up 30 and 40% respectively in the samples from the Russian Federation and the Republic of Azerbaijan, and only one fifth — in the samples from the other three countries. Men aged 40—50 years were ranked second for frequency of uptake in the samples from Republic of Kazakhstan and Republic of Belarus. The frequency of uptake among women was comparable in the age ranges of 50—59 years, as well as 60—65 years and older in samples from the Russian Federation, Republic of Belarus and Republic of Azerbaijan. Chronic forms of ischemic heart disease ranked first among CNCDs in terms of uptake (56% on average), the second place is occupied by the type 2 diabetes mellitus (27% on average). At least partial coverage by preferential drugs was provided according to the doctors in most of the considered samples from CIS countries; 100% coverage supplied the needs up to 40% in three CIS countries, this indicator was 2 times less in other countries. In the Kyrgyz Republic and Republic of Azerbaijan, 50% of the target level was reached. The situation was slightly better in the other three countries, with doctors reporting 75% of the target level reaching for the main risk factors. In all countries, about 30% of the cases were without problems with hospitalization, partial difficulties prevailed in the rest of the cases. An incomplete coverage by doctors in the staffing list in the analyzed countries has been noted, and there has been a significant shortage of doctors in the Russian Federation and Republic of Kazakhstan. The similar picture has been observed regarding the nursing staff. Conclusion. Systematic screening and regular medical check-up of adults are necessary, especially in the age group of 40—49 years for men and 50—59 years for women with regard to the significant role of chronic non-communicable diseases in the development of complications and mortality in CIS countries. Measures to increase adherence to the treatment, that affects the achievement of target levels of major risk factors, should be taken. The increase of preferential provision of pharmaceutical products and the organization of health-promoting schools for patients with chronic non-communicable diseases are important measures. In most CIS countries, the increase of the staffing list coverage by doctors and nursing staff can improve the implementation of secondary prevention of chronic non-communicable diseases.

Non-communicable diseases (NCDs) remain the biggest contributor to global mortality. An important way to control NCDs is to focus on reducing the prevalence of the common NCD risk factors for better NCD prevention planning. Uganda conducted its first nationally representative NCD risk factor survey in 2014, and a second in 2023. We analyzed the prevalence of the common NCD risk factors to assess changes in these between 2014 and 2023. Both surveys drew countrywide samples, and the World Health Organization's STEPS tool was used to collect the data. We calculated weighted prevalence of the following NCD risk factors: high blood pressure, high blood glucose, overweight and obesity, current alcohol consumption, current tobacco use, inadequate consumption of fruits and vegetables, inadequate physical activity, and sedentariness. The 2014 survey enrolled 3987 participants, whereas the 2023 survey enrolled 3694. The risk factor prevalences that increased significantly were: high blood glucose from 1.5% in 2014 to 3.3% in 2023 (p< 0.001); overweight and obesity from 19.3% in 2014 to 24.1% in 2023 (p< 0.001); current alcohol consumption from 28.5% in 2014 to 31.1% in 2023 (p=0.013); and sedentariness from 26.6% in 2014 to 31.9% in 2023 (p< 0.001). The risk factor prevalences that decreased significantly were: inadequate physical activity from 5.0% in 2014 to 3.6% in 2023 (p=0.003), and current smoke tobacco use from 9.6% in 2014, to 8.3% in 2023 (p= 0.046). No significant changes were observed in the prevalence of high blood pressure from 24.6% in 2014 to 25.4% in 2023 (p= 0.418), and inadequate consumption of fruits and vegetables from 87.8% in 2014 to 86.4% in 2023 (p=0.067). There is an urgent need for various stakeholders in Uganda to implement interventions targeting reduction in the prevalence of NCD risk factors to prevent the increasing burden of NCDs and associated mortality.

Introduction. The global practice of assessing risk factors and preventive measures for chronic noncommunicable diseases (NCDs) includes a variety of approaches aimed at reducing their prevalence and mortality. Successful examples from different countries show that an integrated approach and the involvement of all sectors of society can lead to significant improvements in the prevention of NCDs, and the World Health Organization (WHO) identifies several key measures for the prevention of NCDs.The purpose of the study. To identify the most significant global trends in the assessment of risk factors (data collection, epidemiological analysis, and monitoring) and the implemented measures for the prevention of chronic NCDsA review and analysis of foreign and domestic scientific literature on trends in the assessment of risk factors and implemented measures for the prevention of chronic noncommunicable diseases was conducted using PubMed, Web of Science, Springer Nature Link databases, BMJ Publishing Group Limited and RSCI resources for 2020–2025.Key global practices in the study of risk factors cover the assessment and monitoring of risk factors. Data collection and epidemiological analysis are used to assess risk factors, and national surveys and registers exist in many countries. The role of psychosocial risk factors in the development of non-communicable diseases is being studied. Measures for the prevention of NCDs are being implemented, such as educational programs, policy changes and legislative initiatives, the creation of an infrastructure for an active lifestyle, and the use of innovations in the collection, systematization, management, and administration of patient data, which makes it possible to identify risk groups and conduct proactive intervention programs for them.Contribution of the authors: Timoshevskii A.A. — concept and design of research, collection and processing of material, writing of text, compilation of a list of references; Glukhova Ju.O. — collection and processing of the material. All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.Funding. This article was prepared by the author’s team within the framework of the research «Innovative approaches in the development of the public health system of the city of Moscow» (no. according to EGISU: No. 123032100060-2).Conflict of interest. The authors declare no conflict of interest.Received: April 2, 2025 / Accepted: October 8, 2025 / Published: December 17, 2025

Significance. To date, there is a high prevalence of risk factors and insufficient awareness of their presence among the population. Identification of persons at risk and preventive counseling are the most important goals of public health. Knowledge of the regional profile of risk factors will provide for a targeted development of preventive programs with due regard to the identified features. The purpose of the study was to determine the current state of knowledge about risk factors of chronic non-communicable diseases in the pilot regions of the Russian Federation. Material and methods. A sociological survey was conducted in three pilot regions of the Russian Federation – the Tula Region, the Stavropol Territory and the Republic of Crimea, using a questionnaire. The questionnaire consisted of 33 questions concerning prevention of chronic non-communicable diseases. The sample size equaled to 1,718 respondents. The results were processed in the statistical package SPSS 22.0. Results. Tobacco use, alcohol consumption, high blood sugar (glucose) and high blood pressure had the highest values in the assessment of risk factors. The lowest value was registered for low iodine levels in salt. The results show that the assessment of the impact of a risk factor on own health is significantly lower than abstract knowledge about harmful effects of this risk factor on health. The respondents considered low iodine levels in salt, alcohol consumption, excessive salt intake and smoking to be the least secure risk factors. The study confirms that alcohol consumption is generally considered by the population to be a less significant risk factor than smoking. It is important that only a little more than 20% of the population monitor their blood pressure on a regular basis. Knowledge of the blood glucose (sugar) level is mainly characteristic of women and people over 60 years. Women and people aged 40-59 regularly monitor their sugar intake. Control over this parameter is lower in older people. In relation to the norms of consumption of vegetables and fruit, the female population adheres to a higher level than men, but in general about 60% of the population correctly understand the need to consume an adequate amount of vegetables and fruit. Almost half of the population consider it a necessary norm to walk for at least 1 hour a day. In general, more than 60% of the population believe that they are not well-informed about risk factors. Conclusion. Knowledge about harmful effects of a risk factor does not necessarily result in application of this knowledge in relation to one's own health and behaviour changes. Knowledge about harmful effects of tobacco and alcohol use does not prevent the abuse. The motivation to smoke tobacco cannot be changed only by public awareness campaigns about harmful effects of this risk factor to health. Building awareness should be primarily focused on males. Planning public awareness campaigns, one should pay more attention to rural population. The promotion of iodized salt consumption among all population groups should be strengthened. Scope of application. Developing approaches to raising public awareness regarding prevention of chronic non-communicable diseases at the regional level.

The aim of this study was to determine the prevalence of cardiovascular risk factors in adolescents and to verify its association with age and gender. 644 high school students from public schools in the city of Londrina, Paraná State, Brazil, participated in the study. A two-step sampling process was used. Behavioral risk factors (physical inactivity, inadequate consumption of fruits and vegetables, and smoking) and biological risk factors (overweight and high blood pressure) were investigated. Nearly 90% of adolescents showed at least one risk factor. Inadequate consumption of fruits (56.7%) and vegetables (43.9%) and physical inactivity (39.2%) were the most prevalent risk factors. Prevalence rates for high blood pressure and overweight were 18.6 and 12.7%, respectively. Cardiovascular risk factors were more frequent among boys (PR = 1.20; 95%CI = 1.01-1.42). In conclusion, cardiovascular risk factors are a prevalent health issue among students in the city of Londrina.

Chronic non-communicable diseases (CNCDs) account for 74% of all causes of death worldwide. The development of artificial intelligence (AI) and machine learning technologies (ML/DL) opens up opportunities for a shift from the reactive model of healthcare to proactive and personalized medicine. Objective. To analyze application of artificial intelligence in diagnosis, risk assessment and personalization of prevention of major chronic non-communicable diseases (diabetes mellitus, cardiovascular diseases, chronic respiratory pathology, obesity and metabolic syndrome) according to the literature (2022—2025). Materials and methods. The search was done in PubMed, Scopus and Web of Science. The final analysis includes 102 publications that meet the PRISMA quality criteria out of 3442 articles. Results. High efficiency of AI technologies in risk stratification has been proven. The ML/DL models exceed traditional scales in predicting diabetes mellitus (accuracy &gt;91%, AUC 0.93 for gestational diabetes), cardiovascular events (C-statistic 0.773 compared to 0.759, p&lt;0.0001), chronic obstructive pulmonary disease (accuracy &gt;80%) and metabolic syndrome (AUC 0.85—0.95). Digital twins and analysis of wearable devices allow to personalize the interventions on lifestyle modification. Conclusion. Artificial intelligence has a great potential to transform preventive medicine. However, widespread implementation is limited by problems of model validation, algorithmic bias and the need for data protection. The application of reporting standards (TRIPOD-AI) and interdisciplinary cooperation are needed.

To monitor, assess, analyze and register the prevalence of behavioral and biological risk factors, the form of industry statistical reporting No. 131/o “Information on preventive medical examination and medical examination of certain groups of the adult population” is used. The quality and reliability of the primary statistical data presented in Form No. 131/o determines the further planning and implementation of preventive measures within the framework of interdepartmental interaction and cooperation with broad segments of the population. The reliability and quality of statistical materials collected during the medical examination of certain groups of the adult population should guarantee the adoption of adequate management decisions on the development of preventive medicine and the basis for improving the effectiveness of the public health system. Purpose: to conduct a retrospective analysis of the orders of the Ministry of Health of the Russian Federation regulating the procedure for filling out and submitting the form of industry statistical reporting № 131/o “Information on preventive medical examination and medical examination of certain groups of the adult population” for the period from 2013 to 2021, in terms of providing primary data on the registered risk factors. Material and methods. Content analysis of orders of the Ministry of Health of the Russian Federation regulating the procedure for filling out and submitting the form of industry statistical reporting № 131/o for 2013, 2015, 2020; reporting forms № 131/o; orders regulating the procedure for preventive medical examination and medical examination of certain groups of the adult population for the period from 2012 to 2021. Results. A retrospective analysis of the orders of the Ministry of Health of the Russian Federation regulating the procedure for filling out and submitting the form of industry statistical reporting № 131/o for the period from 2013 to 2021, in terms of providing primary data on the registration of risk factors, showed that, despite the shortcomings, only this form allows you to study and analyze information on the prevalence of risk factors and on this basis to identify priority areas for the prevention of chronic non-communicable diseases. That is, the analysis of form № 131/o allowed us to conclude that it is necessary not only to reconsider approaches to the organization of medical examinations and the collection of primary data, but also to modernize the concept of the largest preventive measure carried out within the framework of the state health system. Conclusions. A retrospective analysis of the orders of the Ministry of Health of the Russian Federation regulating the procedure for filling out and submitting the form of industry statistical reporting No.131/o for the period from 2013 to 2021, in terms of providing primary data on the registration of risk factors, showed that, despite the shortcomings, only this form allows you to study and analyze information on the prevalence of risk factors and on this basis identify priority areas for the prevention of chronic non-communicable diseases. The analysis of form No. 131/o allowed us to conclude that it is necessary not only to reconsider approaches to the organization of medical examinations and the collection of primary data, but also to modernize the concept of the largest preventive measure carried out within the framework of the state health system.

Background: Cardiovascular (CV) risk factors tend to aggregate in geriatric population with variable distribution. These risk factors may act as alert signals for proactive geriatric CV health programs. This study was aimed at determining the frequencies of CV risk factors among geriatric Nigerians in a primary care clinic of a tertiary hospital in Southeastern Nigeria. Patients and Methods: This was a cross-sectional study carried out on 280 geriatric Nigerians at the primary care clinic of Federal Medical Centre, Umuahia, Nigeria. Geriatric Nigerians aged 60 years and above were screened for risk factors of CV disease. The data collected included sociodemographic variables and metabolic, dietary, and behavioral risk factors using a structured, pretested, and researcher-administered questionnaire. Results: The top five most common CV risk factors were physical inactivity (67.1%), inadequate fruit consumption (65.7%), hypertension (48.2%), abdominal obesity (47.9%), and dyslipidemia (36.8%). Others were general obesity (31.1%), inadequate vegetable consumption (22.5%), diabetes mellitus (15.7%), habitual use of alcoholic beverages (9.0%), habitual use of snuff (3.9%), and nonhabitual smoking of cigarettes (2.8%). Conclusion: This study has demonstrated that the risk factors of CV disease exist among geriatric Nigerians in primary care, with five most frequent being physical inactivity, inadequate fruit consumption, hypertension, abdominal obesity, and dyslipidemia. Screening geriatric Nigerians for modifiable CV risk factors should be integrated into geriatric primary care in the study area.

Introduction. The development of digitalization in healthcare based on digital information technologies has ensured the growth of patient-oriented systems for the prevention of chronic non-communicable diseases. In this aspect, patient-oriented systems act as a means of managing the health in each person and an innovative tool for digital disease prevention. With digital prevention of the disease we understand the field of digital health, focused on the use of information and communication technologies, namely digital devices and applications, to solve problems of preventive care for the population. The purpose of the article is to systematize publications devoted to patient-oriented systems for the prevention of chronic non-communicable diseases and to present their multidimensional classification. The selection of publications was carried out using search engines and information resources elibrary.ru, ScienceDirect, BMJ, MEDLINE/PubMed, Elsevier, Springer, MDPI, Sage Journals, JMIR for the period from 2013 to 2023. As a result of expert analysis, fifty four publications were included in the review. Definitions of the concepts “Digital Prevention”, “Patient-oriented Systems” are given, a multidimensional classification of reports in the field of patient-oriented systems is given: by main purpose (28%), by content (13%), by digital technologies used (39%), by type of tasks being solved in the field of disease prevention (41%). We also analyzed reports that used artificial intelligence technologies within patient-oriented systems (13%) and ready-to-use digital solutions (20%). Conclusion. The results will contribute to further research, optimal implementation and effective use of digital technologies in the form of patient-oriented systems to improve the results of preventive measures for patients with chronic non-communicable diseases and the development of digital disease prevention.

Standard indicators currently used to evaluate efficiency of various prevention measures do not determine the impact of these measures on public health indicators and achievement of target results. P u r p o s e of this study is to develop approaches of integral assessment efficiency evaluation of public health system primary prevention measures. M a t e r i a l s a n d m e t h o d s . The analysis was conducted in Omsk region municipal districts during the period from 2018 to 2022. The materials for this research were data from reporting forms of federal sectoral monitoring, morbidity of the population data, information about prevention measures volume and quality. The method of integral efficiency assessment was used. This method is based on arithmetic mean of the selected general indices of measures that include individual indices of public health measures efficiency. Efficiency assessment of measures aimed at population alcohol consumption reduction is used as an example. R e s u l t s . Individual indices that evaluate retail alcohol sales rate, the proportion of persons with risk factors, their involvement in dispensary supervision, involvement of the population in preventive measures, were created to assess the overall index of measures aimed at alcohol consumption reduction. Individual indices are presented with baseline and target values. The analysis of the dynamics of actual indicators of the volume of alcohol consumption reduction measures is given. Integral index of prevention measures efficiency is the arithmetic mean of the general indices, including six components of primary prevention of chronic non-communicable diseases that have a significant impact on public health indicators, including: tobacco consumption reduction, obesity prevalence, proportion of the population with physical activity increase, rational nutrition, healthy lifestyle. The closer the integral index is to the value of 1, the more effective preventive measures are. The integral index of primary prevention measures efficiency in Omsk in 2022 is at 0,46 points. C o n c l u s i o n . Implementing the integral efficiency assessment method allowed to use unified approach in evaluation of the current primary prevention of chronic non-communicable diseases measures model, to conduct a comparative evaluation of measures aimed at strengthening public health in Omsk region municipal districts, showed the direction of additional measures to improve the efficiency of the process as a whole.