scholarly journals EVALUATION OF THE QUALITY OF LIFE IN THE POPULATION OF THE REGION BY THE MULTI-DIMENSIONAL ANALYSIS

2018 ◽  
Vol 97 (10) ◽  
pp. 979-984 ◽  
Author(s):  
Yaroslav A. Leshchenko ◽  
A. A. Lisovtsov

Introduction. The methodology of studying the quality of life is one of the intensively developed scientific directions. The aim of the work is to assess the quality of life in the population of the region on the basis of multidimensional mathematical analysis of a wide range of environmental factors and living conditions. Material and methods. The study was conducted on the example of the Irkutsk region. In order to establish the features of the formation of the quality of life under the influence of a wide range of environmental factors, methods of multivariate factor analysis have been used. At the first stage, the principal components analysis was applied. At the next stage, the analysis of the relationship between the eigenvalues of the main components and the index of the average life expectancy was carried out with the correlation-regression analysis. Results. The most significant indices were established to positively characterize the improvement of the quality of life in the population of the region as follows: housing security and accessibility of housing, income, marriage and fertility rates, the level of pensions, the health system’s supply of human resources. Indices mostly reflecting the negative impact of the habitat on the quality of life are: the prevalence of syphilis, alcoholism, tuberculosis; number of abortions; the score of the migration outflow of the population; levels of poverty and unemployment; the level of water pollution; the score of social environment criminality; provision of the population with a bed fund, etc. There was an increase in the quality of life in the population of the region, accompanied by an increase in the average life expectancy of men and women in 1999-2014. Discussion. The applied methodology is used in epidemiological and ecological studies by domestic and foreign authors. In studies with similar objects and subject of research, but using other methods of factor analysis, similar results were obtained. Conclusion. The main vector of changes in the quality of life in the population of the region was the strongest clear correlation with individual socio-economic and demographic indices; the strongest inverse correlation was noted with the incidence rates of socially conditioned diseases, criminality, poverty, health system resources, etc.

2016 ◽  
Vol 24 (1) ◽  
pp. 19-30
Author(s):  
Anna Nadolska ◽  
Piotr Bejster

Abstract Background: One of the consequences of improperly extending the process of socialization is incorrect health education and thus, different structure of the behaviors associated with taking care of their own health. More difficult socio-economic situation of families with children with intellectual disabilities may not adequately protect the needs of family members (especially children’s) associated with health. Up to 1/3 of the cases of people with intellectual disabilities of poorer health state can result from lower socio-economic position (Emerson and Hatton, 2007). Educational failure, typical for families of children and young people with intellectual disabilities (especially mild) can result in the children not acquiring appropriate behaviors, important for health. If these behaviors are missing, consequently, can be expected to accelerate the deterioration of health. The health status of people with intellectual disabilities is worse than the state of health in the general population (Allerton, Welch, Emerson, 2011; Tample et al., 2006). The most serious consequence of the poorer health of people with intellectual disabilities is a higher mortality rate (Krahn et al, 2006). The average life expectancy of people with intellectual disabilities is 66 (excluding people with Down syndrome whose life expectancy is even shorter), and so more than 10 years shorter than of people. In so-called intellectual norm! Bearing in mind that access to the highest standard of health care for all people with disabilities is a law that was adopted on 13 December 2006 under the UN Convention on the Rights of Persons with Disabilities, Special Olympics Poland have taken the initiative leading to beneficial changes in quality of life for the players and their families in the context of health and modeling appropriate health behavior through the implementation of the Health Programme, which includes the two related projects: Healthy Athletes and Healthy Special Olympics Community.


2020 ◽  
Vol 9 (3) ◽  
pp. 166-169
Author(s):  
Frans Salesman ◽  
Leonardus W.D. Setiawan ◽  
Rafael Paun

Background: Poverty is seen as an economic inability to meet the basic needs of food and non-food including the fulfillment healthy living and nutrition intake in the family. Methods: Analyzing the state of poverty and public health status in East Nusa Tenggara 2012-2016. Results: Poverty in East Nusa Tenggara 2012 by 20.40%, 2013 by 20.24%, 2014 by 22.61%, 2015 by 22.58%, 2016 by 22.01%, and 2017 by 21,85%,. The same period, the proportion of the poor to the population at the National level, in 2012 by 11.66%, 2013 by 11.47%, 2014 by 10.59%, 2015 by 11.13%, 2016 by 10.76%, and 2017 by 10.76%,. Poverty affects the low health status and nutrition status of the community, continuing to Life Expectancy Age and HDI. In 2017, the average Life Expectancy Age population of East Nusa Tenggara is 66.07 years old (compare national 71.06 years), and HDI of 63.73 (compare national 70.81) is ranked 32 out of 34 provinces in Indonesia. Conclusion: Poverty affects low ability to meet basic needs of life, health status, nutrition intake for infant and toddler growth in the future leads to low quality of life and competitiveness in the various opportunities available.


1998 ◽  
Vol 65 (2) ◽  
pp. 203-208
Author(s):  
D. Schiavone ◽  
A. D'Amico ◽  
V. Ficarra ◽  
S. Cicuto

An ageing population is mainly due to the reduction of births and the increase in life expectation. In Italy the percentage of people aged at least 65 years increased from 11.3% in 1971 to 15.3% in 1991. This increase mostly involved those aged 75 years and over. In the last four decades the average life span has extended by more than 11 years (from 65.5 to 76.9 years). The average life span in women is currently 80.2 years, almost 7 years longer than that of men. As age increases so does the incidence of various urological diseases requiring surgery, such as prostatic diseases (hyperplasia and carcinoma), urological tumours, urinary infections and incontinence. At the same time the probability of associated pathologies increases and consequently the risk of peri-operative complications, thus negatively influencing the prognosis. Surgery is only indicated in the elderly when it may increase life expectancy and/or improve the quality of life. A careful pre-operative evaluation of all the factors that may influence both life expectancy and quality of life is therefore indispensable, with particular reference to the actual disease and co-morbidity.


2019 ◽  
Vol 69 (12) ◽  
pp. 3698-3701
Author(s):  
Cristina Grosu ◽  
Alexandra Mastaleru ◽  
Otilia Nita ◽  
Roxana Gabriela Cobzaru ◽  
Carmen Valerica Rapa ◽  
...  

Recent studies have shown that as the average life expectancy increases, more people will suffer a stroke in their lives, diminishing their quality of life. Secondary stroke prevention involves reducing the cardiovascular risk factors and administering medication for preventive purposes, where statins play an important role. The purpose of this study is to highlight the correlations of statins dosage with cardiovascular risk factors (atheromatosis, uric acid value, obesity, etc), in stroke patients receiving hypolipidemic treatment with statins.


2013 ◽  
Vol 5 (9) ◽  
pp. 612-624
Author(s):  
Chux Gervase Iwu

This paper argues that the quality of life of citizens of a nation can also be amplified by the quality of life of health-related professionals who provide myriad necessary services across a wide range of care pathways and in various settings. The approach was both theoretical and empirical – review of literature and statistical analysis of the collated data. Thus, the study utilized factor analysis to determine the factors that bring about job satisfaction amongst health-related professionals. The findings point to a number of important job satisfaction as well as organizational climate dimensions, which combine to generate high levels of job satisfaction amongst health-related professionals. The paper concludes by serving some important directives for management of health establishments.


2018 ◽  
Vol 22 (4) ◽  
pp. 52-75
Author(s):  
А. N. Zubets ◽  
А. V. Novikov

The authors of the article present modern approaches to the assessment of the value of human life abroad and in contemporary Russia, which can be used to determine the fair amount of compensation payments to victims in emergency situations of various natures. To this end, a wide range of initial data was used: the results of Russian and international sociological surveys, statistics of Rosstat, the World Bank, and other international databases. The analysis of the legislation carried out by the authors showed that the value of human life in Russia fixed in the normative acts is from 0.5 to 9.2 million roubles. The authors obtained estimates of material losses for the national economy due to the premature death of the average person as a result of emergency situations and for the individual household — they amount to 31.7 and 7.9–10.5 million roubles respectively (in 2017 prices). The authors also provided estimates of the value of the life of the average person in Russia, obtained on the basis of sociological surveys conducted in 2017. The average value of human life in Russia, obtained by methods of sociology, is 5.2 million roubles; the median value is 1.4 million roubles. The article presents the author’s method of assessing the value of human life, taking into account the material and moral damage caused to the family of the deceased, built on the balance of average life expectancy, per capita final consumption, and satisfaction of the population of different countries with their lives. As an equivalent of people’s satisfaction with their lives, the authors also used data on the level of domestic violence in society and the balance of migration flows, both at the national and regional levels. Within the framework of this method, the value of the life of the average person is the average increase in the level of individual consumption, necessary to restore a normal level of satisfaction with their lives in conditions of increased mortality and reduction of the average life expectancy. The article presents also the author’s calculations performed by this method for different groups of countries. It is shown that the total value of human life in the world as a whole is 4.6–4.7 million uS dollars in 2011 prices. In the group of countries with per capita consumption of more than 10 thousand uS dollars the value of human life reaches 18.5 million dollars per year. In the group of countries with incomes below this mark, the value of human life reaches 0.5–1.9 million dollars. According to the authors, in Russia, the “value” of human life should be 51–61 million roubles in the prices of 2017 (about 1 million uS dollars depending on the official exchange rate). The results of the study of the quantitative assessment of the value of human life in Russia are correlated with the conclusions about the social need for just compensation of the damage suffered by the families of the victims of natural, man-made and other emergencies.


2020 ◽  
Vol 11 ◽  
Author(s):  
Maha AlAmmari ◽  
Khizra Sultana ◽  
Sattam Nawaf AlHarbi ◽  
Ashwag Saud Marenga ◽  
Abdulrahman AlTuraiki ◽  
...  

Background: To assess the health-related quality of life (HRQoL) of oral anticoagulant therapy users, different types of instruments are available, either general or specific tools like Duke Anticoagulation Satisfaction Scale (DASS). These tools allow the clinician to adjust the treatment regimen to focus on increasing anticoagulation adherence and reduce adverse clinical outcomes. This study aims to validate the translated Arabic version of DASS to assess the satisfaction level of patients using oral anticoagulants in the Arab population.Methods: The Duke Anticoagulation satisfaction scale (DASS) was translated into the Arabic language using MAPI group services. DASS was administered to 505 patients receiving anticoagulation with warfarin or apixaban. The generic scale measuring the quality of life EQ-5D-5L was also administered. Psychometric properties were assessed by Confirmatory Factor Analysis, internal consistency (Cronbach’s Alpha), exploratory factor analysis, convergent and divergent validity, and the correlation between the DASS and demographic variables, clinical characteristics, and the EQ-5D-5L instrument.Results: 439 subjects answered all the questions. From a total of 25 items, 22 grouped into three factors (limitations, positive impact, and negative impact). Each factor had good internal consistency (Cronbach Alpha 0.78–0.88). All the three factors correlated consistently with EQ-5D-5L measuring generic quality of life.Conclusion: The psychometric properties of the Arabic DASS version were comparable to the original English version. The Arabic version of the DASS showed very good reliability and validity. It can be used by health care professionals in other settings of anticoagulation clinics to assess patient’s satisfaction and limitations to anticoagulant treatment.


Author(s):  
O. Yermishev ◽  
◽  
O. Batsylyeva ◽  
I. Shumihai ◽  
T. Kuchenko ◽  
...  

Human capital is one of the components of national wealth, therefore, its development should be considered as a factor for strengthening the stability of the territory in the formation of regional policy. The authors' analysis shows that the trends in the development of the human capital lead to a decrease in the stability of the region indicated by the aging population, reduced quality of labour potential, the development of negative migration processes and especially its intellectual characteristics and health capital. As the world practice shows, ensuring sustainable development of a region and a country as a whole is not possible without increasing human capital and its potential. Its importance in the modernization of all aspects of public life is growing steadily. According to the World Bank, in developed countries 64% of the structure of national wealth belongs to human capital, 16% to physical one and only 20% to raw materials. In this regard, the human capital and its potential are among the key factors in the transition to an innovative type of development of a region and a country as a whole. Purpose – to identify patterns of changes and trends in demographic processes and socially determined morbidity of the population of the industrial region of Ukraine, their main causes and opportunities to improve the situation Materials and methods. The materials of the study were domestic and world scientific sources, annual collections of statistical data of the Dnipropetrovsk region and Ukraine as a whole from the demographic development and morbidity of the population; annual reports of the country’s leadership and the Ministry of Health on these issues, information from the WHO Regional Office; legislative documents. Methods were used: bibliosemantic, system analysis, retrospective analysis of public health over demographic indicators (fertility, mortality, natural increase, average life expectancy, child mortality) morbidity for individual classes of diseases leading to the largest share of deaths; medical statistics: relative values, time series, assessment of trends in demographic indicators, morbidity, graphic representation of statistical data, computer technologies Results. The development of the human capital of the population, the quantitative and qualitative potential of its reproduction is a condition, a basis and a goal of sustainable development of society and the state. State policy in the field of public life should be focused primarily on solving the most pressing, priority tasks. In recent years, Ukraine has had a problem of depopulation - a steady decline in population. Public health is the main factor in the formation of demographic processes. Moreover, its level largely affects the development of such processes as mortality and fertility as well as future life expectancy. Thus, the health of the nation determines the number and quality of human resources not only today but also in the future. The population, having a certain life and work potential, loses it at every stage of the development of generations due to injuries, diseases, abortion, stillbirth, premature mortality and so on. The article highlights the main problems of the formation of the population of the Dnipropetrovsk region of Ukraine: the intensification of mortality, male mortality, negative natural growth, a decrease in the total fertility rate, high levels of demographic aging. The population of the Vinnytsia region has decreased over the years of independence by 16.9% (Ukraine – by 18.1%). The overall fertility rate decreased by 30.9%, the overall mortality rate increased by 33.0%, which resulted in negative natural growth and depopulation. The main causes of death in 2019 were diseases of the circulatory system – 67.8%; neoplasms – 14.6%; injuries, poisoning and other consequences of external factors – 5.7%. Despite the decrease in the death rate of children under 1 year by 2 times, the number of children in the region has decreased by more than 100 thousand. people. The elderly population increased to 300 ppm, which led to a regressive type of age structure. Average life expectancy lags far behind (by 10 or more years) from the countries of Western Europe. Proposals are presented on how to improve the demographic situation and prevent diseases leading to the greatest number of deaths. Conclusions. While assessing the real opportunities for human development in the future taking Vinnytsia region as an example, we can see that the significant deterioration of all major medical and demographic indicators that has occurred in recent years puts significant limitations on human resources for further sustainable development of the region and Ukraine. Demographic indicators of the population of Ukraine indicate a deep demographic crisis, as a result of which the population has decreased by 9,7mln. people over the years of independence, in the Vinnytsia region – by 667 thousand. There are a number of objective prerequisites for further depopulation, rejuvenation of death rates from most diseases, high levels demographic old age etc. It is necessary to develop a new long-term targeted comprehensive intersectoral program "Health of the Nation", the main section of which should be measures to overcome the demographic crisis, which would cover not only the issues of simple reproduction of the population, but also its development in a broad social context. The target program should include the UN Sustainable Development Goals (SDGs) and monitor their implementation at the highest level.


2016 ◽  
pp. 93-95
Author(s):  
I. M. Maloletnikova ◽  
A. I. Zaryankina ◽  
Yu. Yu. Abdullina

Cystic fibrosis (CF) is not only medical but also a social problem as it considerably worsens the quality of life and requires immense expenses on medical aid, care, and rehabilitation of children and adults. The early manifestation of CF takes more severe course in children who have had meconium ileus. There are the following types of cystic fibrosis: mixed (pulmonary and intestinal); preferentially pulmonary; preferentially intestinal; liver cirrhosis, portal hypertension and ascites; electrolyte depletion; meconium ileus; neonatal high concentration of IRT (Immunoreactive trypsinogen); atypical, and suppressed. During the 1950s about 80 % of patients died before the age of 10, however, at the present time, the average life expectancy of CF patients is 29 years and more.


2020 ◽  
Author(s):  
Kednapa Thavorn ◽  
Sasha van Katwyk ◽  
Sajit Augustine ◽  
Bernard Thébaud

Abstract Objectives Bronchopulmonary dysplasia (BPD) is among the most severe chronic lung diseases and predominantly affects premature infants. There is a general understanding of BPD’s significant impact on the short-term outcomes however there is little evidence on long-term outcomes. Our study estimates the lifetime clinical outcomes, quality of life, and healthcare costs of BPD and associated complications. Methods We developed a microsimulation model to estimate lifetime clinical and economic burden of BPD among extreme preterm infants (≤28 weeks gestational age at birth) and validated it against the best available Canadian data. We further estimate the cumulative incidence of major complications associated with BPD, differentiated by BPD severity and gestational age category. Results We find, on average, patients with BPD and resulting complications will incur over CAD$700,000 in lifetime health systems costs. We also find the average life expectancy of BPD patients to be moderately less than that of the general population and significant reductions in quality-adjusted life year due to major complications. Healthcare utilization and quality of life measures vary dramatically according to BPD severity, suggesting significant therapeutic headroom for interventions that can prevent or mitigate the effects of BPD for patients. Conclusions Our study adds a significant expansion of existing evidence by presenting the lifetime burden of BPD based on key patient characteristics. Given the extreme cost burden at the earliest stage of life and lifetime negative impact on quality of life, there is larger headroom for investment in prevention and mitigation of severe BPD than is currently available.


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