SUBSTANTIATION OF NCD MORBIDITY’ INDICATORS FOR DETECTION OF THE INFLUENCE ON HEALTH DETERMINANTS IN EPIDEMIOLOGICAL SURVEILLANCE SYSTEM

Abstract

Objective. The objective was to study the formation of a list of NSD morbidity’ indicators informative for detection of the influence on health determinants. Materials and methods. The study was performed in several stages which were different in scale, objectives of study, methods of information processing. The first stage involved the analysis of information at the large area units’ level (in particular, regions). The second stage involved detailed resulting features, in particular, the definition of the informative indicators of the detection of influence on morbidity’ indicators. At the third stage materials we studied the materials on district’ level. The fourth stage was devoted to detail assessment of the impact of social and biomedical factors. The unit of observation was a children contingent. Results. The results have been performed on the first stage of work showed a significant impact of natural, social and anthropenic factors on the prevalence of NCD in population. On the second stage cardiovascular diseases were selected for more in-depth consideration. It was determined that socially controlled factors have the most influence on prevalence of cardiovascular diseases. Regarding the children population it was shown the greatest influence feature “air pollution” on the prevalence of overall morbidity’ indicators. Also it was determined the greatest influence of social factors on prevalence of considered classes and groups of diseases (in particular, unfavorable living conditions, early entry preschool age e.c.). Naturally it is very great influence of medical-biological factors for prevalence of the diseases in children population, first of all for diseases of digestive system, allergic diseases and diseases of genitourinary system. It means that these classes of diseases can be indicative, however for our opinion for performing preventive and health promotion measures among children population it is necessary to pay attention on factors that can be controlled by specialists and authorities. Conclusions. According to the first operational function of public health “Assess and monitor population health status, factors that influence health, and community needs and assets” the public health assessment, including NCD’ morbidity can’t be completed without considering health determinants. Our results allow us to emphasize the implementation of the first operative public health function should be carried out in several ways: 1) based on official statistical reports; based on social and hygienic monitoring data; based on the analysis of sample in-depth data. In all cases both the of health indicators list (particularly, NCD’ indicators) and list of influence factors will be different.