The share of influence of factors determining the state of public health in the context of the COVID-19 pandemic
- Authors: Fomin V.V.1, Korshever N.G.2, Sidelnikov S.A.2, Royuk V.V.1, Reshetnikov V.A.1
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Affiliations:
- First Moscow State Medical University named after I.M. Sechenov
- Saratov State Medical University named after V.I. Razumovsky
- Issue: Vol 104, No 1 (2023)
- Pages: 120-128
- Section: Social hygiene and healthcare management
- URL: https://kazanmedjournal.ru/kazanmedj/article/view/111907
- DOI: https://doi.org/10.17816/KMJ111907
- ID: 111907
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Abstract
Background. The relevance of the study is explained by insufficient knowledge of the determinants of health in the context of the COVID-19 pandemic.
Aim. To study the share of influence of factors that determine the state of public health in the context of a pandemic of a new coronavirus infection (COVID-19).
Material and methods. A sociological research method was used — in 2021, an anonymous survey of 42 expert healthcare managers, who were asked to determine the share of influence of determinants on the state of public health in the context of the COVID-19 pandemic, was conducted. After the completion of the survey, its results were compared with those obtained without a pandemic in 2017. Since the data distribution corresponded to the Gauss–Newton binomial curve, the significance of differences was assessed using the parametric Student's t-test.
Results. It has been established that the structure of the influence of health determinants in the context of the COVID-19 pandemic differs significantly from that without it. During a pandemic, the share of factors in the “Lifestyle” group decreases by 1.75 times, and it is no longer a priority, but occupies the third ranking place. Out-of-group determinants, which were in second position, take the first place. The second ranking place with a growth of 1.60 times is occupied by the “Conditions of life and work” group. The share of influence of each of the considered 37 determinants of health was assessed — multidirectional changes, for example, an increase in the responsibility of the authorities for actions and equity in relation to the health of the population from the “General Factors” group and a decrease in six of the seven determinants of the “Lifestyle” group, were identified. Continuation of the study is possible with regard to the formation of a separate block in the design of the appropriate optimization technology.
Conclusion. A significant change in the structure of the influence of the public health determinants during the COVID-19 pandemic in comparison with the data obtained before the onset of this pandemic, has been established.
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About the authors
Viktor V. Fomin
First Moscow State Medical University named after I.M. Sechenov
Email: fomin_v_v_1@staff.sechenov.ru
ORCID iD: 0000-0002-2682-4417
M.D., D. Sci. (Med.), Prof., Head of Depart., Depart. of Faculty Therapy No. 1
Russian Federation, Moscow, RussiaNatan G. Korshever
Saratov State Medical University named after V.I. Razumovsky
Author for correspondence.
Email: korshever@bk.ru
ORCID iD: 0000-0002-5545-6844
SPIN-code: 3665-2116
Scopus Author ID: 6602502012
ResearcherId: L-8099-2018
M.D., D. Sci. (Med.), Prof., Depart. of Public Health and Public Health with courses in Law and History of Medicine
Russian Federation, Saratov, RussiaSergey A. Sidelnikov
Saratov State Medical University named after V.I. Razumovsky
Email: ssidelnikov@mail.ru
ORCID iD: 0000-0002-9913-5364
SPIN-code: 8838-9282
Scopus Author ID: 57190869078
ResearcherId: L-7925-2018
M.D., D. Sci. (Med.), Assoc. Prof., Head of Depart., Depart. of Mobilization Training of Healthcare and Disaster Medicine
Russian Federation, Saratov, RussiaValery V. Royuk
First Moscow State Medical University named after I.M. Sechenov
Email: Vvroyuk@mail.ru
ORCID iD: 0000-0002-4966-3767
M.D., Cand. Sci. (Med.), Assoc. Prof., Depart. of Public Health and Healthcare named after N.A. Semashko, Institute of Public Health named after F.F. Erisman
Russian Federation, Moscow, RussiaVladimir A. Reshetnikov
First Moscow State Medical University named after I.M. Sechenov
Email: resh1960@mail.ru
ORCID iD: 0000-0002-7853-7356
SPIN-code: 4016-2059
M.D., D. Sci. (Med.), Prof., Head of Depart., Depart. of Public Health and Healthcare named after N.A. Semashko, Institute of Public Health named after F.F. Erisman
Russian Federation, Moscow, RussiaReferences
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