Socio-hygienic factors affecting the health of working-age population of Moscow region (on example of city of Domodedovo)

BACKGROUND: Human resources are the most important wealth of the country, which directly determines the welfare of the country, and the main production force is the working population. In addition, the working-age population mostly consists of men and women of fertile age, i.e. capable of reproduction of the population. Therefore, the study of the state of health and socio-hygienic factors that influence it in the working population is the most important task of the government. AIM: To identify and study social and hygienic factors that influence the health of the working-age urban population of the Moscow region at the beginning of XXI century. MATERIALS AND METHODS: We have developed a questionnaire containing more than 100 questions with multiple answers, covering social, hygienic and medical issues. A sociological study was conducted among men and women of the working age who turned to the city polyclinic of Domodedovo for medical care. The analysis of sociological data was carried out with the multivariate mathematical statistics methods used in the study of statistically related signs in order to identify a certain number of factors hidden from direct observation — factor analysis using Cattell test. RESULTS: Five socio-hygienic factors were identified (“social factor”, “health status factor”, “demographic factor”, “health care satisfaction factor”, “health care availability factor”), arranged by the load size and significance. They play a role in formation of health of the working-age urban population of the Moscow region and are closely related to each other. CONCLUSION: The obtained socio-hygienic factors have a considerable influence on health and permit to assess the risks affecting the health of the working-age urban population of the Moscow region and to precisely act on them by both municipal and regional administrative authorities, which in the future may also influence the demographic parameters. Social and hygienic factors are more correlated with the concept of “quality of life”, and this is actually a complex characteristic of the conditions of the life activity of the population, which is expressed in objective parameters and subjective assessments of the satisfaction of financial, social and cultural needs, taking into account the system of values and social standards.