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The journal "Ateroskleroz"

2020 year, number 1

ASSESSMENT OF THE RISK OF CIRCULATORY SYSTEM DISEASE DEVELOPMENT AT THE POPULATION OF THE ARAL SEA REGION

M.B. Otarbaeva, Sh.B. Battakova, A.U. Amanbekova, O.V. Grebeneva, Sh.M. Gazalieva
Karaganda Medical University of the Ministry of Health of the Republic of Kazakhstan, 1000017, Karaganda, Mustafina str., 15
Keywords: Приаралье, относительный риск, атеросклероз, заболевания системы кровообращения, взрослое население, The Aral Sea region, the relative risk, atherosclerosis, circulatory system disease, adult population

Abstract

The Aral Sea region is considered one of the crisis regions of Kazakhstan. Taking into account the severity of the current unfavorable situation, the impact of desertification and environmental pollution on human health, the territory in the Aral Sea region is divided into zones: disaster; crisis; pre-crisis state. The aim of the study was to obtain data on the actual level of relative risk to the health of the adult population depending on the actual living conditions in the disadvantaged region of the Aral Sea. As part of the implementation of the Programme «Integrated approaches in managing the health of the population of the Aral Sea region», clinical and functional studies of the adult population of the territory of the Aral Sea region were conducted in the settlements of three zones: disaster (Aralsk, Aiteke-bi, Shalkar), crisis (Zhalagash, Zhosaly, Shieli), pre-crisis condition (Irgiz, Ulytau, Arys). Atasu village of Karaganda region was chosen for control. A comparative analysis of the prevalence of diseases in the studied regions with the control region was carried out by the magnitude of relative risks. The data on the actual level of relative risk to the health of the adult population depending on the actual living conditions in the disadvantaged region of the Aral Sea region are presented. It was noted that the relative risk of diseases of the circulatory system with a statistically significant difference in magnitude χ2 varied to 3.8 in the disaster zone, to 2.6 in the crisis zone and to 1.7 in the pre-crisis zone. Determining the relative risk of this pathology in the population of the disaster zone are coronary heart disease associated with atherosclerosis, arterial hypertension associated with atherosclerosis of vessels., which indicates a high risk of coronary heart disease with vascular atherosclerosis and vascular atherosclerosis among diseases of the circulatory system.