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Тұжырым
Мақалада Арал қаласының респонденттерінің тамақтану ерекшелігіне тал-дау жүргізілді. Экологиялық құлдырау аймағындағы өмір сүріп жатқан халықтың тамақтану сипаты есепке алынды. Экологиялық қолайсыздықтың интегралдық көрсеткіштерінің бірі кез келген түрдегі тамақтану ережесінің бұзылуы болып та-былады.
Түйінді сөздер: анкеталық сауалнама, респондент, экологиялық құлдырау, тамақтану
Summary
The article analyzes the eating habits of respondents Aralsk. Represented by the nature of power of the population living in the zone of ecological disaster. One ofthe integral indicators of ecological trouble is an eating disorder in any form.
Key words: questionnaire, the respondent, ecological disaster, food
UDC 616-092.11(574.54)
HEALTH STATUS POPULATION ARAL REGION (for example, с. Zhosaly Kyzylorda)
K.Z. Sakiev, A.U. Amanbekova, L.K. Ibrayeva, J.M. Mutayhan, L.S. Batyrbekova
National Centre for Occupational Health and Occupational Diseases of the Ministry of
Health and Social Development of the Republic of Kazakhstan, Karaganda Karaganda State Medical University, Karaganda
The article presents the data of population health claim. Zhosaly Kyzylorda region, assessed the state of the disease therapeutic profile for the system among the surveyed population. It was revealed that 94.6% of the patients, the results of medical and biological populations have been attributed to the group of patients.
Key words: health, population, ecology, morbidity
Urgency. Human health is determined by the basic triad consisting of hereditary factors, factors of quality of life and environmental factors [1].
Regardless of the changes taking place in society, the main indicator of wellbeing of any country is the health of its inhabitants. It is known that in the past years there has been deterioration in health and demographic indicators and the growth of population morbidity. One reason for this trend - ecological tension in some regions. Suffice it to say that the health of the population by 20-40% depending on the environmental conditions. [2] More than 630 thousand square meters. Square meters of the
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Republic of Kazakhstan is environmentally unsafe. Typically, zones of ecological trouble are in the developed parts of the country to live [3]. The Aral Sea continues to be the epicenter of the environmental disaster with devastating environmental and socio-economic consequences. Problems of water supply and water quality are of particular concern in the Aral Sea basin and identified as a priority in national and regional action plan for environmental protection to achieve sustainable development in the region [4,5]. The environmental situation in the area of the Aral Sea region, Kyzyl orda region, remains extremely worrying and is accompanied by a deterioration of the main indicators of the health of the population, increased mortality and decreased life expectancy, so the integrated approach in the management of the health of the Aral region population are highly relevant.
Objective. To assess the health status с. Zhosaly Kyzylorda region on the results of medical and biological monitoring.
Materials and methods. A single survey of adults с. Zhosaly. Just a medical examination 538 people took part. Criteria for inclusion in the survey were the duration of residence in the zone of ecological disaster for at least 5 years, the lack of contact in the workplace occupational factors above Class 2 hazard and danger. Set in a group of adults was carried out on the basis of stratification (on the floor), and a quota equal to the sample of men and women in the following age groups 18-29 years, 30-39 years, 40-49 years, 50-59 years and 60-69 years each locality.
Medical examination included a consultation spetsialitov: therapist, additional functional studies: electrocardiography (ECG), respiratory function and ultrasound (USS) hepatoduodenal area and kidneys.
Quantitative variables were tested for normal distribution using descriptive statistics Kolmogorov-Smirnov test.
For quantitative variables with normal distribution were calculated average index, dispersion error and 95% confidence interval. For quantitative data, not obeying the normal distribution - the median, 25% and 75% quartiles. Randomization of the submissions received was not carried out.
The volume of medico-biological studies is given in Table 1.
Table 1 - The amount of clinical and functional studies of the c.Zhosaly
Type of study Total Men Women
Visit therapist 538 253 285
ECG 535 250 285
External respiratory function 536 251 285
USS hepatoduodenal area 538 253 285
USS renal 538 253 285
All surveyed 538 253 285
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Results and discussion. A total of 538 people surveyed therapist who lives in c.Zhosaly. 5.4% of them were healthy (31% of men and 69% of female), in 94.6% of the persons identified certain disease (48.1% men and 51.8% women) (Table 2) .
Table 2 - Distribution of the surveyed residents claim. c.Zhosaly for health
Group Total Men Women
аЪ8. % аbs. % аbs. %
Total 536 100 253 47,2±1,65 (42,9:51,5) 283 52,8±1,65 (48,5:57,1)
Healthy 29 5,4±0,98 (5,3:5,5) 9 31±1,17 (3,4:3,7) 20 69±1,53 (6,9:7,2)
1ll 507 94,6±0,98 (94,5:94,7) 244 48,1±1,17 (96,3:96,6) 263 51,8±1,53 (92,8:93,1)
Note - in parentheses are given 95% confidence intervals
According to Table 3, the distribution of classes of nosology in adults с. Zhosaly of rank place as follows: 1st place diseases of the digestive system (71%), 2 nd place -diseases of the genitourinary system (70.8%), 3 rd place - diseases of the circulatory system (24 4%), 4th place - diseases of the blood and blood-forming organs (22.4%), 5th place - respiratory diseases and diseases of the musculoskeletal system (1.6%) (Table 3).
Table 3 - Incidence of diseases by therapeutic profile systems among the surveyed population с. Zhosaly
Class disease Total Men Women
аbs. % аbs. % аbs. %
1 2 3 4 5 6 7
Diseases of the blood and blood-forming system 113 22,4±144 (22,2:22,6) 62 25,4±2,79 (19,83:30,97) 51 19,4±2,44 (19,1:19,7)
Diseases of the circulatory system 123 24,4±1,48 (24,2:24,6) 50 20,5±2,58 (20,2:20,8) 73 27,8±2,76 (22,3:33,3)
Respiratory diseases 8 1,6±0,43 (1,55:1,65) 3 1,2±0,7 (1,11:1,29) 5 1,9±0,84 (1,8:2,01)
Diseases of the digestive system 358 71±1,58 (70,8:71,2) 160 65,6±3,04 (59,5:71,2) 198 75,3±2,66 (75:75,6)
Diseases of the musculoskeletal system 8 1,6±0,43 (1,55:1,65) 1 0,4±0,4 (0,35:0,45) 7 2,7±1 (2,58:2,82)
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Continuation of Table 3
1 2 3 4 5 6 7
Diseases of the genitourinary system 357 70,8±1,65 (70,6:70,1) 143 58,6±3,15 (52,3:64,9) 214 81,4±2,4 (81,1:81,7)
Note - in parentheses are given 95% confidence intervals
The results of medical and biological studies of the village. Zhosaly showed that women were more frequent hypertension (61.6%), chronic cholecystitis (44.9%), arthritis (57.1%), and uric acid diathesis (50.5%) . And men с. Zhosaly - hypertension (44.0%) and CHD with hypertension (24.0%), chronic cholecystitis (46.9%), uric acid diathesis (48.96%).
Conclusions:
1. According to the results of medical and biological studies of the village. Zhosaly 94.6% of the patients assigned to the group of patients, while among women patients was 51,8%, among men - 48.1%.
2. On the occurrence of classes of nosology: 1 place - diseases of the digestive system (71%), the 2nd place - diseases of the genitourinary system (70.8%) and 3rd place - diseases of the circulatory system (24.4%).
3. Comparative analysis of morbidity from the floor for the first two ranking places (diseases of the digestive system and diseases of the genitourinary system, 71% and 70.8%, respectively), the differences are not found on the 3rd place - diseases of the blood and blood-forming system in men (25, 4%) and cardiovascular diseases in women (27.8%).
References
1. Dautov F.F., Galimzyanova R.F. Hygienic assessment of working conditions in the oil and gas industries // Eleventh Scientific Conference of the Volga region “Environment and health population”: Abstracts. - Kazan, 2003.
2. Biktemirova R.G., Dautov F.F., Epiphany V.F., Galeev K.A. Ecology and renal pathology. - Kazan: Matbugat Yorty, 2000. - 151 p.
3. Rahmanin Y. A. Mainstreaming of human ecology and environmental health and their solutions // Hygiene and sanitation. - 2012. - №5. - P.4-8.
4. Ecology / Edited by Neva G.F. Textbook // Publishing house of the Moscow State Open University, 2009. - P. 5-37.
5. Ibrayeva L.K., Amanbekova A.U., Azhimetova G.N., Sultanbekov Z.K. et al. The risk of environmental related diseases therapeutic profile of the population in regions wit developed ferrous metallurgy: Guidelines. - Karaganda, 2012. - 33 p.
6. Sakiev K.Z., Zhumabekova G.S., Batyrbekova L.S., Ibrayeva A.D., Khayda-rov K.K. Modern health problems of the Aral region // International scientific - practical conference “Actual problems of studying the socio - hygienic and health problems of
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public health at the present stage”: Bulletin KazNMU scientific - practical journal. -Almaty, 2014. - №3(3). - P. 220-222.
7. Ibrayeva L.K. Influence of environmental factors on the development of environmental diseases in the population (literature review) // Occupational medicine and industrial ecology. - 2014. - №8. - P. 38-43.
8. Amanbekova A.U., Ibrayeva L.K., Azhimetova G.N., Battakova S.B., Namaz-baeva Z.I. Methodological approaches to the clinical - functional studies in the diagnosis of environmentally-related diseases // Occupational medicine and industrial ecology. - 2014. - №8. - P. 52-79.
Тұжырым
Мақалада Қызылорда облысы Жосалы кенті тұрғындарының денсаулық жағдайының мәліметтері келтірілді. Тексерілген тұрғындар арасында терапевтік аурулар жағдайы бағаланды. Тұрғындарды медициналық-биологиялық зерттеудің қорытындысы бойынша зерттелушілердің 94,6% аурушаң екендігі анықталып, науқастар тобына жатқызылды.
Түйінді сөздер: денсаулық, тұрғындар, экология, аурушаңдық
Резюме
В статье приведены данные состояния здоровья населения п. Жосалы Кызылординской области, дана оценка состояния заболеваемости терапевтического профиля по системам среди обследованного населения. Выявлено, что 94,6% обследованных, по результатам медико-биологического исследования населения, отнесены к группе больных.
Ключевые слова: здоровье, население, экология, заболеваемость
ӘОЖ 616.8:613.1(574.54)
ӘЙТЕКЕ БИ КЕНТІ ТҰРҒЫНДАРЫНЫҢ ЖҮЙКЕ ЖҮЙЕСІ АУРУЛАРЫ
Р.А. Серикова
ҚР ДС және ӘДМ «Еңбек гигиенасы және кәсіби аурулар ұлттық орталығы»
РМҚК, Қарағанды қ.
Мақалада Әйтеке би кентін мысалға ала отырып, ластанған Арал аумағын-дағы тұрғындардың жүйке жүйесінің жағдайына қоршаған ортаның зиянды фак-торлары әсерінің нәтижесі баяндалған.
Түйінді сөздер: ми қан тамырларының сырқаты, омыртқа сырқаты, бас миы жара-қатының сырқаты, қоршаған орта факторлары, аурушаңдық
ISSN 1727-9712 Гигиена труда и медицинская экология. №2 (47), 2015
