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Maksimov S.A.

National Medical Research Center for Therapy and Preventive Medicine

Goncharov M.V.

National Medical Research Center for Therapy and Preventive Medicine

Shalnova S.A.

National Medical Research Center for Therapy and Preventive Medicine

Berns S.A.

National Medical Research Center for Therapy and Preventive Medicine

Balanova Yu.A.

National Medical Research Center for Therapy and Preventive Medicine

Imaeva A.E.

National Medical Research Center for Therapy and Preventive Medicine

Kutsenko V.A.

National Medical Research Center for Therapy and Preventive Medicine

Kotova M.B.

National Medical Research Center for Therapy and Preventive Medicine

Evstifeeva S.E.

National Medical Research Center for Therapy and Preventive Medicine

Kapustina A.V.

National Medical Research Center for Therapy and Preventive Medicine

Muromtseva G.A.

National Medical Research Center for Therapy and Preventive Medicine

Karamnova N.S.

National Medical Research Center for Therapy and Preventive Medicine

Shvabskaya O.B.

National Medical Research Center for Therapy and Preventive Medicine

Repkina T.V.

Regional Center for Public Health and Medical Prevention

Gonoshilova T.O.

Regional Center for Public Health and Medical Prevention

Kudryavtsev A.V.

Northern State Medical University;
UiT The Arctic University of Norway

Belova N.I.

Northern State Medical University

Shagrov L.L.

Northern State Medical University

Samotrueva M.A.

Astrakhan State Medical University

Yasenyavskaya A.L.

Astrakhan State Medical University

Bashkina O.A.

Astrakhan State Medical University

Glukhovskaya S.V.

Sverdlovsk Regional Medical College

Levina I.A.

Sverdlovsk Regional Medical College

Shirshova E.A.

Sverdlovsk Regional Medical College

Dorzhieva E.B.

Center of Public Health and Medical Prevention named after V.R. Boyanova of the Republic of Buryatia

Urbanova E.Z.

Center of Public Health and Medical Prevention named after V.R. Boyanova of the Republic of Buryatia

Borovkova N.Yu.

Privolzhsky Research Medical University

Kurashin V.K.

Privolzhsky Research Medical University

Tokareva A.S.

Privolzhsky Research Medical University

Ragino Yu.I.

Research Institute of Internal and Preventive Medicine — Branch of the Institute of Cytology and Genetics Siberian Branch of Russian Academy of Sciences

Simonova G.I.

Research Institute of Internal and Preventive Medicine — Branch of Federal Research Center Institute of Cytology and Genetics Siberian Division of the Russian Academy of Sciences

Khudiakova A.D.

Research Institute of Internal and Preventive Medicine — Branch of the Institute of Cytology and Genetics Siberian Branch of Russian Academy of Sciences

Nikulin V.N.

Orenburg Regional Center for Public Health and Medical Prevention

Aslyamov O.R.

Orenburg Regional Center for Public Health and Medical Prevention

Khokhlova G.V.

Orenburg Regional Center for Public Health and Medical Prevention

Solovyova A.V.

Tver State Medical University

Rodionov A.A.

Tver State Medical University

Kryachkova O.V.

Tver State Medical University

Shamurova Yu.Yu.

South Ural State Medical University

Mikhailov E.V.

South Ural State Medical University

Tarabrina Yu.O.

South Ural State Medical University

Ataev M.G.

Abusuev Research Institute of Environmental Medicine — Dagestan State Medical University

Radzhabov M.O.

Dagestan Federal Research Centre of the Russian Academy of Sciences

Gasanova Z.M.

Abusuev Research Institute of Environmental Medicine — Dagestan State Medical University

Umetov M.A.

Kabardino-Balkarian State University named after H.M. Berbekov

Hakuasheva I.A.

Kabardino-Balkarian State University named after H.M. Berbekov

Elgarova L.V.

Kabardino-Balkarian State University named after H.M. Berbekov

Yamashkina E.I.

Ogarev National Research Mordovia State University

Balykova L.A.

Ogarev National Research Mordovia State University

Usanova A.A.

Ogarev National Research Mordovia State University

Nikitina A.M.

Republican Center for Public Health and Medical Prevention

Savvina N.V.

M.K. Ammosov North-Eastern Federal University

Spiridonova Yu.E.

North-Eastern Federal University

Naumova E.A.

Republican Center for Public Health and Medical Prevention, Exercise therapy and Sports Medicine

Kashtanova D.A.

Centre for Strategic Planning and Management of Biomedical Health Risks of the Federal Medical Biological Agency

Yudin V.S.

Centre for Strategic Planning and Management of Medical-Biological Health Risks Federal Medical-Biological Agency

Keskinov A.A.

Centre for Strategic Planning and Management of Medical-Biological Health Risks Federal Medical-Biological Agency

Yudin S.M.

Center for Strategic Planning and Management of Biomedical Health Risks

Kontsevaya A.V.

National Medical Research Center for Therapy and Preventive Medicine

Drapkina O.M.

National Medical Research Center for Therapy and Preventive Medicine;
A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Regional living conditions as risk factors for comorbid conditions development in the Russian Federation regions’ elderly populations

Authors:

Maksimov S.A., Goncharov M.V., Shalnova S.A., Berns S.A., Balanova Yu.A., Imaeva A.E., Kutsenko V.A., Kotova M.B., Evstifeeva S.E., Kapustina A.V., Muromtseva G.A., Karamnova N.S., Shvabskaya O.B., Repkina T.V., Gonoshilova T.O., Kudryavtsev A.V., Belova N.I., Shagrov L.L., Samotrueva M.A., Yasenyavskaya A.L., Bashkina O.A., Glukhovskaya S.V., Levina I.A., Shirshova E.A., Dorzhieva E.B., Urbanova E.Z., Borovkova N.Yu., Kurashin V.K., Tokareva A.S., Ragino Yu.I., Simonova G.I., Khudiakova A.D., Nikulin V.N., Aslyamov O.R., Khokhlova G.V., Solovyova A.V., Rodionov A.A., Kryachkova O.V., Shamurova Yu.Yu., Mikhailov E.V., Tarabrina Yu.O., Ataev M.G., Radzhabov M.O., Gasanova Z.M., Umetov M.A., Hakuasheva I.A., Elgarova L.V., Yamashkina E.I., Balykova L.A., Usanova A.A., Nikitina A.M., Savvina N.V., Spiridonova Yu.E., Naumova E.A., Kashtanova D.A., Yudin V.S., Keskinov A.A., Yudin S.M., Kontsevaya A.V., Drapkina O.M.

More about the authors

Journal: Russian Journal of Preventive Medicine. 2025;28(11): 23‑35

DOI: 10.17116/profmed20252811123

Read: 534 times

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Table of contents

REGIONAL LIVING CONDITIONS AS RISK FACTORS FOR COMORBID CONDITIONS DEVELOPMENT IN THE RUSSIAN FEDERATION REGIONS’ ELDERLY POPULATIONS
REGIONAL LIVING CONDITIONS AS RISK FACTORS FOR COMORBID CONDITIONS DEVELOPMENT IN THE RUSSIAN FEDERATION REGIONS’ ELDERLY POPULATIONS

To cite this article:

Maksimov SA, Goncharov MV, Shalnova SA, et al. Regional living conditions as risk factors for comorbid conditions development in the Russian Federation regions’ elderly populations. Russian Journal of Preventive Medicine. 2025;28(11):23‑35. (In Russ.)
https://doi.org/10.17116/profmed20252811123

Подписка 2026 Профилактическая медицина (Russian Journal of Preventive Medicine)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

RATIONALE

The aim of the study is to analyze the associations of regional characteristics with the individual risk of comorbidity in the elderly population in the subjects of the Russian Federation.

MATERIALS AND METHODS

The material of the cross-sectional study «Epidemiology of cardiovascular diseases in the regions of the Russian Federation» (ESSE-RF-3), conducted in 2020—2022, was used as individual data. The analysis included 10535 men and women aged 60—74 years. The presence of comorbid conditions was assessed using 4 methodological approaches: 1 — according to the Order of the Ministry of Health of the Russian Federation dated 07/01/2021 No. 698n.; 2 — according to the Eurasian guidelines; 3 — according to the Charlson index; 4 — in accordance with the recommendations on the organization of prioritization of patients in the framework of follow-up. To describe the regional living conditions, an integral index assessment was used, which was previously performed using the principal component method. The association of comorbidity with regional indices was assessed using logistic regression analysis, with the calculation of odds ratios (OR) and a 95% confidence interval.

RESULTS

The deterioration of economic living conditions and the shift in the age structure of the region’s population towards older age is associated with comorbidity, regardless of the method of its assessment. An increase in the industrial development of the region is associated with a decrease in the probability of comorbidity, calculated according to the «Charlson index» OR=0.93 (0.90—0.97) and according to the «Methodological Recommendations» OR=0.94 (0.90—0.97).

CONCLUSION

The conducted study demonstrated the influence of economic, industrial and demographic regional living conditions on the individual probability of comorbidity.

Keywords:

comorbidity
regions of Russia
living conditions
chronic non-communicable diseases
ESSAY-RF

Authors:

Maksimov S.A.

National Medical Research Center for Therapy and Preventive Medicine

Goncharov M.V.

National Medical Research Center for Therapy and Preventive Medicine

Shalnova S.A.

National Medical Research Center for Therapy and Preventive Medicine

Berns S.A.

National Medical Research Center for Therapy and Preventive Medicine

Balanova Yu.A.

National Medical Research Center for Therapy and Preventive Medicine

Imaeva A.E.

National Medical Research Center for Therapy and Preventive Medicine

Kutsenko V.A.

National Medical Research Center for Therapy and Preventive Medicine

Kotova M.B.

National Medical Research Center for Therapy and Preventive Medicine

Evstifeeva S.E.

National Medical Research Center for Therapy and Preventive Medicine

Kapustina A.V.

National Medical Research Center for Therapy and Preventive Medicine

Muromtseva G.A.

National Medical Research Center for Therapy and Preventive Medicine

Karamnova N.S.

National Medical Research Center for Therapy and Preventive Medicine

Shvabskaya O.B.

National Medical Research Center for Therapy and Preventive Medicine

Repkina T.V.

Regional Center for Public Health and Medical Prevention

Gonoshilova T.O.

Regional Center for Public Health and Medical Prevention

Kudryavtsev A.V.

Northern State Medical University;
UiT The Arctic University of Norway

Belova N.I.

Northern State Medical University

Shagrov L.L.

Northern State Medical University

Samotrueva M.A.

Astrakhan State Medical University

Yasenyavskaya A.L.

Astrakhan State Medical University

Bashkina O.A.

Astrakhan State Medical University

Glukhovskaya S.V.

Sverdlovsk Regional Medical College

Levina I.A.

Sverdlovsk Regional Medical College

Shirshova E.A.

Sverdlovsk Regional Medical College

Dorzhieva E.B.

Center of Public Health and Medical Prevention named after V.R. Boyanova of the Republic of Buryatia

Urbanova E.Z.

Center of Public Health and Medical Prevention named after V.R. Boyanova of the Republic of Buryatia

Borovkova N.Yu.

Privolzhsky Research Medical University

Kurashin V.K.

Privolzhsky Research Medical University

Tokareva A.S.

Privolzhsky Research Medical University

Ragino Yu.I.

Research Institute of Internal and Preventive Medicine — Branch of the Institute of Cytology and Genetics Siberian Branch of Russian Academy of Sciences

Simonova G.I.

Research Institute of Internal and Preventive Medicine — Branch of Federal Research Center Institute of Cytology and Genetics Siberian Division of the Russian Academy of Sciences

Khudiakova A.D.

Research Institute of Internal and Preventive Medicine — Branch of the Institute of Cytology and Genetics Siberian Branch of Russian Academy of Sciences

Nikulin V.N.

Orenburg Regional Center for Public Health and Medical Prevention

Aslyamov O.R.

Orenburg Regional Center for Public Health and Medical Prevention

Khokhlova G.V.

Orenburg Regional Center for Public Health and Medical Prevention

Solovyova A.V.

Tver State Medical University

Rodionov A.A.

Tver State Medical University

Kryachkova O.V.

Tver State Medical University

Shamurova Yu.Yu.

South Ural State Medical University

Mikhailov E.V.

South Ural State Medical University

Tarabrina Yu.O.

South Ural State Medical University

Ataev M.G.

Abusuev Research Institute of Environmental Medicine — Dagestan State Medical University

Radzhabov M.O.

Dagestan Federal Research Centre of the Russian Academy of Sciences

Gasanova Z.M.

Abusuev Research Institute of Environmental Medicine — Dagestan State Medical University

Umetov M.A.

Kabardino-Balkarian State University named after H.M. Berbekov

Hakuasheva I.A.

Kabardino-Balkarian State University named after H.M. Berbekov

Elgarova L.V.

Kabardino-Balkarian State University named after H.M. Berbekov

Yamashkina E.I.

Ogarev National Research Mordovia State University

Balykova L.A.

Ogarev National Research Mordovia State University

Usanova A.A.

Ogarev National Research Mordovia State University

Nikitina A.M.

Republican Center for Public Health and Medical Prevention

Savvina N.V.

M.K. Ammosov North-Eastern Federal University

Spiridonova Yu.E.

North-Eastern Federal University

Naumova E.A.

Republican Center for Public Health and Medical Prevention, Exercise therapy and Sports Medicine

Kashtanova D.A.

Centre for Strategic Planning and Management of Biomedical Health Risks of the Federal Medical Biological Agency

Yudin V.S.

Centre for Strategic Planning and Management of Medical-Biological Health Risks Federal Medical-Biological Agency

Keskinov A.A.

Centre for Strategic Planning and Management of Medical-Biological Health Risks Federal Medical-Biological Agency

Yudin S.M.

Center for Strategic Planning and Management of Biomedical Health Risks

Kontsevaya A.V.

National Medical Research Center for Therapy and Preventive Medicine

Drapkina O.M.

National Medical Research Center for Therapy and Preventive Medicine;
A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Received:

01.07.2025

Accepted:

23.07.2025

Close metadata

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