Socio-Economic Determinants and Mathematical Modeling in the Epidemiology of Tuberculosis

Parolina, L.; Докторова, Н. П.; Otpuschennikova, O. N.

doi:10.17513/spno.30333

Cited by 5 publications

(1 citation statement)

References 12 publications

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“…Известно, что туберкулез традиционно ас социируется с группами населения с низким социальным статусом, у которых имеются раз личные неблагоприятные факторы (неудовлет ворительные бытовые условия, недостаточное питание, ограниченный доступ к медицинским услугам, низкий уровень образования, отсут ствие работы и др.) [11]. Военная служба сама по себе не является фактором, повышающим риск развития туберкулеза, однако, у воен нослужащих, особенно в течение первого года службы, нередко развивается хроническое эколого профессиональное перенапряжение, последствиями которого могут стать повы шение уровня тревоги, снижение иммунитета и реактивности, которые обусловливают риски развития различных инфекций, в том числе, и туберкулеза [9].…”

Section: Introductionunclassified

Medical, social and demographic characteristics of tuberculosis patients among the female military and female family members of the military

Belova

Dancev

Кузин

et al. 2023

Med.-biol. soc.-psihol. probl. bezop. črezvyčajnyh situac.

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Relevance. Health preservation and promotion of among female population is fundamental for healthy demographics and national safety of the Russian Federation. Nowadays the female military make up approximately 8% of active military corps of the Russian Federation Armed Forces. At the same time, service in the army spans within active reproductive age. A woman’s health is largely determined by her social status, level of education, marital status, stress resistance and other factors.The objective is to assess medical, social and demographic characteristics of tuberculosis among social groups of the female military and female family members of the military.Methods. Individual and community medical records (medical histories, annual reports of healthcare services in military districts) were analyzed to identify medical, social and demographic characteristics of the female military, infected with tuberculosis (group 1, n = 62), and female family members of the military (group 2, n = 38), who had received treatment in the referral military medical institution from 2012 throughout 2021. Mathematical and statistic processing were carried out using Statistica10.0 software packages.Results and discussion. Nowadays, tuberculosis incidence in the female military of the Russian Armed Forces is within the limits of epidemic well-being. Unlike general Russian population, no case of HIV infection was detected among the female military infected with tuberculosis and having undergone medical examination from 2012 throughout 2021. A lot of healthcare professionals (17.7%) were registered among the tuberculosis-infected female family members of the military. Clinical forms of tuberculosis were dominated by infiltrative pulmonary tuberculosis (48.4%). Concomitant diseases in the studied cohort of tuberculosis-infected female patients were prevailed by gynecological (35.4%), endocrine (17.7%) and cardiovascular (12.9%) disorders.Conclusion. In the future the study of social, demographic and clinical characteristics of tuberculosis in the female military and female family members of the military allows to provide more targeted prevention, treatment and rehabilitation.

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Section: Introductionunclassified

Medical, social and demographic characteristics of tuberculosis patients among the female military and female family members of the military

Belova

Dancev

Кузин

et al. 2023

Med.-biol. soc.-psihol. probl. bezop. črezvyčajnyh situac.

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Structured tb risk factors in regions with low and high population density

Zagdyn,

Zudin,

Kobesov

et al. 2024

Russian Journal of Infection and Immunity

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In Russia, socio-demographic, health care management, climatic and environmental TB risk factors such as population density, intensity of social contacts, availability of medical care, seasonal climate changes, environmental issues affecting quality of public health have been holding the leading place while a life standard elevates, and epidemic situation becomes improved. However, the magnitude of specific population density-related TB risk factors in the Russian regions has not been examined yet. The study aim was to assess structured TB risk factors in the Russian regions with high and low population densities decreasing public health quality. Materials and methods. There was conducted a study using sociological, cluster-quota approaches, with respondent-based sample and a face-to-face distribution questionnaire provided by 2500 subjects, of which 1497 were from the North Ossetia-Alania Republic with a high population density, 1003 - from the Republic of Karelia with a low population density. A significance of differences was assessed by using exact criterion Fisher using a contingency table. Results. In the Republic of Karelia, compared with North Ossetia-Alania Republic, despite a higher gross regional product (527.8 thousand rubles vs. 293.4 thousand rubles, p0.000), social and behavioral TB risk factors were significantly elevated: fewer respondents with high education (18.4% vs. 33.6%, p0.000), higher divorced (18.7% vs. 26.9%, p0.022), higher number of those living in apartment buildings (65.0% vs. 39.5%, p0.000), more hired and seasonal workers, unemployed, pensioners due to age and disability (55.0% vs. 32.3%, p0.000), more alcohol abusers (67.4% vs. 34.3%, p0.000), “heavy” smokers (20.8% vs. 7.2%, p0.000), more subjects with chronic diseases (43.7% vs. 32.1%, p0.02); more issues related to accessibility to medical care: municipal policlinics are less available (42.7% vs. 85.6%, p0.000), the distant location of medical facilities (21.4% vs. 2.7%, p0.000) , lack of transport links (15.7% vs. 8.5%, p0.000), poor roads (5.9% vs. 16.9%, p0.000) and few medical specialists (60.9% vs. 16, 8%, p0.000) are more often noted. In the North Ossetia-Alania Republic vs. the Republic of Karelia, respondents had more frequent social contact with TB patients (66.9% vs. 34.8%, p0.000). Conclusion. The epidemiological TB factors in the Russian regions with high population density hold a lead place; in regions with low population density, social, behavioral and accessibility to medical care factors remain relevant, which should be taken into account while developing measures for efficient management of epidemic process.

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Psychological support in the formation of adherence to the treatment of patients with tuberculosis

Maier,

Isaeva,

Brazhenko

et al. 2023

The Scientific Notes of the Pavlov university

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The objective of the study was to review the current measures of psychological support in the formation of adherence to the treatment in patients with tuberculosis. When writing the article, a descriptive method was used. The relevance of the study was due to the increasing number of patients with multiple and broad drug resistance, as well as the low level of adherence to the treatment of a large number of patients.Methods and materials. The article discussed measures of psychological support and psychological follow-up for patients diagnosed with tuberculosis in the territory of the Russian Federation and in the CIS countries. The main attention was paid to the identification of common and specific elements in the structure of adherence to the treatment, such as the personal characteristics of the patient, features of the emotional-volitional sphere, and attentive-mnestic abilities. Examples of measures taken to increase the level of adherence to the treatment of in patients with tuberculosis were given. The possibility of using information about the internal picture of the patient’s illness to correct the level of adherence to the treatment was considered.Conclusions. To date, methods of psychological support in the formation and psychological correction of the level of adherence to the treatment are not given sufficient attention, and the psychological characteristics of a patient are not taken into account when determining the level of adherence to the treatment. The internal picture of the patient’s disease is not considered as a substrate of adherence to the treatment, information about the relationship between the internal picture of the disease and adherence to the treatment is not enough to form a unified, generalized approach to the realization of diagnostic and corrective measures aimed at increasing the level of adherence to the treatment.

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Socio-Economic Determinants and Mathematical Modeling in the Epidemiology of Tuberculosis

Cited by 5 publications

References 12 publications

Medical, social and demographic characteristics of tuberculosis patients among the female military and female family members of the military

Medical, social and demographic characteristics of tuberculosis patients among the female military and female family members of the military

Structured tb risk factors in regions with low and high population density

Psychological support in the formation of adherence to the treatment of patients with tuberculosis

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