Abstract
The article estimates the impact of subjective perception of labour, medical and psychological factors on self-assessment of health by the population of Russian regions. The topicality of the subject is stipulated by rather low figures of expected healthy life span by regions plotted on the share of the population that assess their health as poor and very poor. Possibility to improve this indicator is being worked at within the frames of national projects. However, factors of high enough differentiation of values of health self-assessment by people of different regions have not been studied yet. With the help of multi-factor linear regression two stages of research were completed: for all regions and separately for groups of RF entities with dependent variables higher and lower than medial values. As a result it was found out that factors of subjective estimation of working conditions were the most significant for health assessment ‘very good'. Psychological well-being of women correlates with all assessments, while that of men is not statistically valuable. For groups of assessment ‘good' of lower than medial value and ‘satisfactory' of higher than medial value the factor impact was not identified. Regions of lower than medial value by the assessment ‘satisfactory' are subject to subjective assessment of the medical service quality, availability of chronic illnesses and working conditions. For RF entities with higher than medial value assessments ‘poor' and ‘very poor' only psychological well-being of women was statistically valuable. A detailed analysis by fixed norms was done for the city of Sevastopol. Results of modeling can act as auxiliary sources for developing the most effective for the given region strategy aimed at improving health of people and its self-assessment.
Highlights
The article estimates the impact of subjective perception of labour, medical and psychological factors on selfassessment of health by the population of Russian regions
The topicality of the subject is stipulated by rather low figures of expected healthy life span by regions plotted on the share of the population that assess their health as poor and very poor
Psychological well-being of women correlates with all assessments, while that of men is not statistically valuable
Summary
Статья посвящена оценке влияния субъективного восприятия трудовых, медицинских и психологических факторов на самооценку здоровья населением регионов России. Путем применения многофакторной линейной регрессии выполнено два этапа исследования: для всех регионов и отдельно для групп субъектов России выше и ниже медианного значения зависимых переменных. В результате выявлено, что факторы субъективной оценки условий труда наиболее значимы для оценки здоровья «очень хорошо». Психологическое благополучие женщин коррелирует со всеми оценками, а мужчин – не является статистически значимым. Для групп оценки «хорошо» ниже медианного значения и «удовлетворительно» выше медианного значения факторного влияния не установлено. Регионы ниже медианного значения по оценке «удовлетворительно» подвержены влиянию субъективной оценки качества медицинских услуг, наличия хронических заболеваний, а также условий труда. Для субъектов России выше медианного значения по оценкам «плохо» и «очень плохо» статистически значимым оказалось только психологическое благополучие женщин. Ключевые слова: здоровье, самооценка, труд, психологическое благополучие, регион, Севастополь
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