Features of the military population health in the arctic zone

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Abstract

Тhe study aimed to assess the population health of military personnel serving under contract in the Arctic region and to identify its features. On the basis of statistical reports on form 3/med., relative indicators characterizing the health status of military personnel are calculated. Polynomial trends of the second degree and absolute increase/decrease values were calculated for dynamic analysis. The determination factor was used to estimate the significance of the changes. Quantitative data are presented as arithmetic mean with 95% confidence interval. For comparison, Student’s t-test and the Man — Whitney test were used. Indicators of the health status of the military personnel in the Arctic region have specific features. The primary incidence rate among all categories of military personnel was 452.28‰, and the total incidence was 993.28‰. The hospitalization rate coefficient was equal to 154.16‰, the incidence with temporary disability coefficient was 3912.29‰, the dismissal rate was 10.61 ‰, and the mortality rate was 118.4 per 100 thousand people. The health coefficient of the sample population was 43.67 units, with a significant downward trend. Respiratory (50%), musculoskeletal (13%), skin and subcutaneous (7%), digestive (6%), and circulatory (6%) diseases account for the highest rates of primary morbidity, whereas the rates of skin diseases decreased and the proportion of musculoskeletal diseases increased. An assessment of the primary morbidity dynamics revealed a significant increase among respiratory, digestive, musculoskeletal, and connective diseases and a significant trend toward a decrease in the rate of primary morbidity of mental and behavioral disorders and a decrease in the number of injuries, poisoning, and some other consequences of external causes. The health of the military population in the Arctic region has specific features. Climatogeographic and heliophysical factors of the Far North significantly influence the health of military personnel under contract in this region. Thus, targeted preventive measures, including improving the health-promoting behaviors of military personnel under adverse environmental conditions, are necessary.

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About the authors

Alexey S. Dybin

North State Medical University

Author for correspondence.
Email: asdmma@yandex.ru
ORCID iD: 0000-0003-1907-9276
SPIN-code: 4135-1717
Scopus Author ID: 57219311820
ResearcherId: AAD-2144-2020

postgraduate student

Russian Federation, Arkhangelsk

Alexander E. Poteryaev

Medical Service of the White Sea Naval Base

Email: belomorhealth@yandex.ru
ORCID iD: 0000-0002-9210-2666
SPIN-code: 6668-8144

head of medical services

Russian Federation, Severodvinsk

Sergey A. Kuznetsov

Medical Service of Joint Strategic Command “Northern Fleet”

Email: seralkuz@yandex.ru
ORCID iD: 0000-0001-6100-2972

head of medical services

Russian Federation, Severomorsk

Eduard A. Luchnikov

Military medical academy of S.M. Kirov

Email: luchnikov.08@mail.ru
ORCID iD: 0000-0003-4653-9784
SPIN-code: 5181-5910

candidate of medical sciences

Russian Federation, Saint Petersburg

Eduard M. Mavrenkov

Military medical academy of S.M. Kirov

Email: Ehd-Mavrenkov@ya.ru
ORCID iD: 0000-0001-8040-3720
SPIN-code: 8574-8891

doctor of medicine science

Russian Federation, Saint Petersburg

Larisa I. Menshikova

Federal State Budgetary Institution “Central Research Institute of Organization and Informatization of Health Care”

Email: menshikova1807@gmail.com
ORCID iD: 0000-0002-3034-9014
SPIN-code: 9700-6736

doctor of medical sciences, professor

Russian Federation, Moscow

References

  1. Mosiagin IG. The strategy of the development of marine medicine according to the principal arctic regional direction of the national naval policy of Russia. Marine Medicine. 2017;3(3):7–22. (In Russ.). doi: 10.22328/2413-5747-2017-3-3-7-22
  2. Myznikov IL, Miloshevsky AV, Askerko NV, et al. Health, morbidity and injury rate among the north fleet seafaring personnel. Aerospace and Environmental Medicine. 2013;47(2):13–20. (In Russ.).
  3. Evdokimov VI, Mosyagin IG, Sivashchenko PP. Pokazateli zabolevaemosti voennosluzhashchikh po kontraktu Voenno-morskogo flota Rossiiskoi Federatsii (2003–2018 gg.). Saint Petersburg: Politekhnika-print; 2019. 90 p. (In Russ.).
  4. Evdokimov VI, Sivashchenko PP. Pokazateli zabolevaemosti voennosluzhashchikh-zhenshchin Voenno-morskogo flota Rossiiskoi Federatsii (2003–2016 gg.). Saint Petersburg: Politekhnika-print; 2018. 78 p. (In Russ.).
  5. Evdokimov VI, Mosyagin IG, Sivashchenko PP. Pokazateli zabolevaemosti ofitserov Voenno-morskogo flota Rossiiskoi Federatsii (2003–2018 gg.). Saint Petersburg: Politekhnika-print; 2019. 90 p. (In Russ.).
  6. Bochkarev MV, Korostovtseva LS, Kolomeychuk SN, et al. The role of sleep and sleep-wake rhythm changes in the Arctic adaptation. Journal of Ural Medical Academic Science. 2019;16(2):86–95. (In Russ.). doi: 10.22138/2500-0918-2019-16-2-86-95
  7. Kuznetsov OL, Bolshakov BE, Shamaeva EF. Cosmic role of the arctic and design of the future in the conditions of the special period. Sustainable innovative development: design and management. 2017;13(1):16–37. (In Russ.).
  8. Gudkov АB, Popova ОN, Lukmanova NB. Ecological-physiological characteristic of northern climatic factors literature review. Human Ecology. 2012;19(1):12–17. (In Russ.). doi: 10.33396/1728-0869-2012-1-12-17
  9. Kharlamova YuA. Bor’ba za Arktiku v sovremennykh geostrategicheskikh usloviyakh. Arktika-2035: aktual’nye voprosy, problemy, resheniya. 2020;(3):16–27. (In Russ.).
  10. Chashchin VP, Gudkov AB, Popova ON, et al. Description of main health deterioration risk factors for population living on territories of active natural management in the Arctic. Human Ecology. 2014;21(1):3–12. (In Russ.). doi: 10.33396/1728-0869-2014-1-3-12
  11. Solonin YuG, Bojko ER. Medical and physiological problems of the Arctic. Proceedings of the Komi science centre of the Ural division of the Russian Academy of Sciences. 2017;(4):33–40. (In Russ.).
  12. Semenov VYu. The morbidity of population of the russian federation: geographic characteristics. Problems of Social Hygiene, Public Health and History of Medicine, Russian Journal. 2015;23(6): 6–9. (In Russ.).
  13. Evdokimov VI, Mosyagin IG, Sivashchenko PP, Mukhina NA. Analysis of medical and statistical measures of morbidity in officers of the Navy and Ground Forces of the Russian Federation in 2003–2018. Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations. 2019;(2):63–98. (In Russ.). doi: 10.25016/2541-7487-2019-0-2-62-98
  14. Myznikov IL. "Koehffitsient zdorov’ya" kak instrument sravnitel’noi otsenki kachestva zdorov’ya v voinskikh kollektivakh. Health. Medical ecology. Science. 2012;(1–2):202. (In Russ.).
  15. World Health Organization. International Statistical Classification of Diseases and Related Health Problems. Tenth Revision. Vol. 3: Alfavitnyi ukazatel’. Moscow: Meditsina; 2003. 926 p. (In Russ.).
  16. Karpenko NV. Ehkonometrika. Analiz i prognozirovanie vremennogo ryada: uchebnoe posobie. Moscow: Rossiiskii universitet transporta (MIIT); 2018. 132 p. (In Russ.).
  17. Khar’kova OA, Solov’ev AG. Statisticheskie metody i matematicheskoe modelirovanie: uchebnoe posobie. Arkhangelsk: Severnyi gosudarstvennyi meditsinskii universitet; 2017. 177 p. (In Russ.).
  18. Grzhibovskii AM, Unguryanu TN. Analiz biomeditsinskikh dannykh s ispol’zovaniem paketa statisticheskikh programm SPSS: uchebnoe posobie. Arkhangelsk: Severnyi gosudarstvennyi meditsinskii universitet; 2017. 293 p. (In Russ.).
  19. Solonin YuG, Boyko ER, Velichkovskiy BT. Physiological Stress Standards at Manual Labour in High Latitudes. Journal of Medical and Biological Research. 2017;5(1):25–36. (In Russ.). doi: 10.17238/issn2542-1298.2017.5.1.25
  20. Maltsev SV. Modern data on vitamin d - metabolism, role in the organism, and features of application in a doctor’s practice. Practical Medicine. 2020;18(4):8–22. (In Russ.). doi: 10.32000/2072-1757-2020-4-8-22
  21. Tsvetkova ES, Romantsova TI, Poluektov MG, et al. The importance of melatonin in the regulation of metabolism, eating behavior, sleep, and the prospects for the use of melatonin drugs for obesity treatment. Obesity and Metabolism. 2021;18(2):112–124. (In Russ.). doi: 10.14341/omet12279

Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Dynamics of the primary and general morbidities and hospitalization level of all contract servicemen of the Northern Fleet for 2010–2019

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3. Fig. 2. Nosological structure of the primary morbidities among Northern Fleet servicemen on average for 2010–2019

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4. Fig. 3. Dynamics of the primary morbidity among military personnel on the Northern Fleet for 2010–2019

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Copyright (c) 2022 Dybin A.S., Poteryaev A.E., Kuznetsov S.A., Luchnikov E.A., Mavrenkov E.M., Menshikova L.I.

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