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Vol 2, No 4 (2022)
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PUBLIC HEALTH THEORY

4-14 488
Abstract

Purpose. To assess the commitment to a healthy lifestyle of persons involved in the formation of health conservation (doctors, teachers). Materials and m e t h o d s . A cross-sectional study was conducted, which included 176 people (75 doctors, 101 teachers of higher medical educational institutions), employees of state budgetary institutions in Moscow. At the age of 45,48±15,33 years (from 23 to 78 years), among them 91 women, 85 men. Results. A quarter of the respondents from the group led an insufficiently healthy lifestyle (25,34%); 4% of doctors and 0,9 teachers observed “poorly” the principles of a healthy lifestyle; The main problem was low physical activity, identified in 79,3% of the respondents (95,6% of doctors, 67,56% of teachers), low responsibility for health (9,9%) and poor nutrition among teachers (3,9%), low stress management skills among doctors (5,3%). Conclusions. There is a lack of adherence to the principles of a healthy lifestyle among participants in health preservation. Insufficient commitment of doctors and teachers to adherence to the principles of a healthy lifestyle plays a negative role in the formation of health-saving behavior among the population of the Russian Federation.

MEDICAL PREVENTION

15-23 285
Abstract

The evidence of HPV vaccination effectiveness is overwhelming. The randomized clinical trials showed that all three vaccines currently in use, bivalent (CERVARIX), quadrivalent (GARDASIL) and nanvalent (GARDASIL9) effectively prevent HPV infection, cervical intraepithelial neoplasia (CIN) 1–3 and invasive cervical cancer. The results of clinical trials have been confirmed by real life evidence – population data from countries were vaccination of 12–13 girls started in 2006–08. HPV vaccination is safe. This is proven by long term follow up of the cohorts of vaccinated women. In 2020 the WHO Director-General has issued a call for action to eliminate cervical cancer as a public health problem. The document includes the interim targets for 2030: vaccination of 90% of girls by 15 years; HPV testing based screening at age 35 and 45 of 70% of women; treatment of 90% of women with screening detected cervical pathology; treatment of 90% of women with precancerous lesions and cancer of the cervix. Under elimination of cervical cancer WHO means the decrease in its incidence down to 4 cases per 100 000 population. This goal will be achieved by 2030 in countries that started HPV vaccination 15 years ago in 2006–2007.
In Russia incidence of cervical cancer is on increase since 1993 from 10, 2 to 16, 1 in 2018. It is predicted that the increase will continue and in 2030 the age standardized incidence rate will reach 20 per 100 000 women. HPV vaccination and HPV test based screening will change the direction of the trend from increase to decrease and save several hundreds of lives

REGIONAL ASPECTS

24-32 468
Abstract

Introduction. The article presents the result of a regional sociological study aimed at studying public health. The object of the study was the social attitudes of citizens in relation to clinical examination, as well as their attitude to health saving. As a result of the author’s research and interpretation of the data obtained, a sociological analysis of the degree of awareness and readiness of the population for self-preserving behavior was carried out using the example of undergoing clinical examination. This made it possible to propose a number of mechanisms to improve the effectiveness of public health promotion strategies.
Target: based on scientific and practical experience, to identify mechanisms for increasing the social responsibility of the individual for the preservation and maintenance of his health.
Methods: theoretical generalization, content analysis, secondary analysis of empirical data, qualitative and quantitative methods of sociological research.
Results. Mechanisms for increasing the effectiveness of clinical examination and the conscious readiness of the socially active population to preserve and maintain health have been identified.
Conclusion. An effective resource in maintaining and preserving the social potential of health today can be public health centers that implement corporate programs and the employer.

MENTAL HEALTH

33-44 401
Abstract

The paper considers the problem of mental health of young people, which is of great importance in the development and formation of personality. The theoretical analysis of the problem of mental, mental and psychological health research is carried out. The article presents the results of a study of the mental health of students of an inclusive university. The necessity of applying psychological assistance to students, activating the unfolding of internal potential and its realization in their chosen professional activity and comprehension of the meaning of life, is substantiated.

45-57 555
Abstract

Sexual abuse against children causes a real public response that supports active discussions on the problem of sexual actions against minors both in the legislation, where new legal norms are proposed to regulate and prevent such offensive behavior, and in the medical community, since in some cases the mechanisms of such offenses are associated with specific forms of mental pathology. The aim of this article was the evaluation of the medical, legal and social aspects associated with pedophilia and its role in criminal sexual behavior. Materials and methods. This review included the most influential works in the field of sexology and sexual pathology, official materials of the World Health Organization and the American Psychiatric Association, legal and medical statistical reports. In the result this review reveals the place of pedophilia in mental disorders, the necessity of taking into account current data on the prevalence of abnormal sexual interests in population for work with it, as well as the importance of considering sexual crimes against minors in a broader context, the need to develop psychotherapeutic and preventive approaches.

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ISSN 2782-1676 (Print)
ISSN 2949-1274 (Online)