D.N. Begun, E.L. Borshchuk
The Orenburg state medical academy, Orenburg

Summary. The purpose of work - to investigate prevalence of complaints of rheumatic character among adult population of the Orenburg area and to define their social determinants. Object of research - adult population of the Orenburg area. A method of reception of the information - questioning. 2960 questionnaires are included in development. The statistical analysis is lead by means of program Statistica 6.1. High prevalence of complaints is established. The general frequency has made 70,6±0,8 %; on presence of joint pains - 45,6±0,9 %; on presence of an edema of joints - 30,7±0,8 %; on presence be ill in a spine - 60,5±0,9 %. Differences in prevalence of complaints among city and agricultural population (prevalence at agricultural population), but with a smaller difference, than in results of similar researches are taped. Body height of frequency of complaints with augmentation of age is established, and even in age group till 20 years they met at third interrogated. Features of prevalence of complaints among socially-professional groups of the population are taped. So on the parameters standardized on age (pensioners and the students having maximal (93,1 %) are excluded from standardization and minimal (39,7 %) frequency of complaints) the greatest prevalence of complaints was determined at workers of an agriculture (79,8 %). Further there were employees, working, businessmen, military men, housewives, jobless (54,7 %). Authentic communication of all complaints with such production factors as long static loads, monotonous movements, physical efforts, rise of gravities, contact to chemical substances, influence of vibration, influence of electromagnetic radiation is received. Among social factors the augmentation of frequency of complaints was influenced with a hypodynamia, a bad conditions of life, intensity and the experience of smoking, imbalance of a delivery. Results of carried out research show extremely high prevalence of complaints of rheumatic character among adult population of the Orenburg area and deserve steadfast attention, first of all, organizers of public health services to the given problem. The established social factors bound to rheumatic complaints can help with formation of target groups of the population for revealing presence of rheumatic diseases or predisposition to them. Specification of prevalence of separate rheumatic diseases and carrying out of an estimation of adequacy of a medical care existing in the field of the organization is required to an existing problem.

Keywords. Health of adult population; prevalence; rheumatic diseases; complaints of rheumatic character; risk factors.

References

1. Bagirova GG, Begun DN, Salikhov MO. Epidemiological aspects of pain syndrome in the lower back. Moscow: Meditsina; 2005. 131 p. (in Russian)
2. Bagirova GG. The state of rheumatologic care to adolescents with locomotive pathology in Orenburg region. Nauchno-prakticheskaya revmatologiya 2011;(3):99-102 (in Russian).
3. Benevolenskaya LI, Brzhezovskiy MM. Epidemiology of rheumatic diseases. Moscow: Meditsina; 1988. 240 p. (in Russian).
4. Galushko EA. Health and social significance of rheumatic diseases. Dr.Sci.Med [thesis]. Моscow; 2011. 46 p. (in Russian).
5. Galushko EA, Erdes ShF, Amirdzhanova VN. Diagnostic features of rheumatoid arthritis in clinical practice. Nauchno-prakticheskaya revmatologiya 2011;(1):21-26 (in Russian).
6. Dubinina TV, Erdes ShF. The causes of late diagnosis of ankylosing spondylitis in general clinic practice. Nauchno-prakticheskaya revmatologiya 2010;(2):43-48 (in Russian).
7. Zhuravleva MO. Prevalence of locomotive diseases in adolescents. Proceedings of the conference “Young scientists to healthcare”. Orenburg; 1994. P. 33-34 (in Russian).
8. Kaysarov GA. Clinical and epidemiological features of osteoporosis and osteoarthrosis in metallurgical workers. Moscow: Meditsina; 2004. 156 p. (in Russian).
9. Korshunov NI, Rechkina EV, Yal'tseva NV. Assessment of outpatient facility activity by rheumatoid arthritis patients. Nauchno-prakticheskaya revmatologiya 2006;(4):53-57 (in Russian).
10. Kravtsova ON, Bagirova GG, Tkachenko IV. Prevalence and the structure of juvenile arthritis in the young patients. Ural'skiy meditsinskiy zhurnal 2010;(4):112-116 (in Russian).
11. Lisitsyn YuP. Population health and the contemporary theories of medicine. Moscow: Meditsina; 1982. 326 p. (in Russian).
12. Popova LV. Prevalence of osteoarthrosis in workers engaged at radioelectronic industry, ways for reducing economic losses caused by this diseases and rational methods of osteoarthrosis early diagnosis and treatment in outpatient facilities. Cand.Sci.Med [thesis]. Orenburg; 1996. 28 p. (in Russian).
13. “On approving the list of socially significant diseases and the list of diseases that pose a risk to others”, the Regulation of the RF Government of December 01, 2004, № 715 [Интернет] 2004. [cited 2012 Sep 10]. Available from: http://base.consultant.ru/cons/cgi/online.cgi?req=doc;base=LAW;n=132732 (in Russian).
14. Myasoedova SE, Kozhevnikova EA, Goryagina NV, Surikova EA, Myasoedova EE. Prevalence of complains to joint pains in the population of Ivanovo-city. Nauchno-prakticheskaya revmatologiya 2006;(2):18-21 (in Russian).
15. Shamsutdinova NG, Salikhov IG, Erdes ShF, Yakupova SP. Results of screening and diagnostic phases of epidemiological examination “Social and economic results of rheumatic diseases” in the Republic of Tatarstan. Nauchno-prakticheskaya revmatologiya 2009;(6):40-44 (in Russian).
16. Reshetnikov AV. Sociology of medicine (introduction to scientific discipline): Guidelines. Moscow: Meditsina; 2002. 976 p. (in Russian)
17. Sirotina GV, Bagirova GG. Prevalence of rheumatic complains and consequences of rheumatic fever in adolescent girls of Orenburg. Nauchno-prakticheskaya revmatologiya 2004;(2):8-13 (in Russian).
18. Nasonov EL, Baranov AA, Erdes ShF, Alekseeva EI, Il'in A.G, Folomeeva OM. The state of specialized rheumatologic care to adults and children in the Russian Federation. The draft of the Federal Target Program “Rheumatic diseases 2008-2012” Nauchno-prakticheskaya revmatologiya 2007;(2):4-7 (in Russian).
19. Galushko EA, Bol'shakova TYu, Vinogradova IB, Ivanova ON, Lesnyak OM, Men'shikova LV, et al. The structure of rheumatic diseases in adult population of Russia by the data of epidemiological study. Nauchno-prakticheskaya revmatologiya 2009;(1):11-17 (in Russian).
20. Folomeeva OM, Galushko EA, Erdes ShF. Prevalence of rheumatic diseases in adult population of Russia and the USA. Nauchno-prakticheskaya revmatologiya 2008;(4):4-13 (in Russian).
21. Lesnyak OM, Krokhina NN, Alferova OE, Solodovnikov AG, Zakroeva A.G, Ryabitseva OF, et al. Epidemiological study of joint complains and osteoarthrosis in urban and rural population of Ural. Nauchno-prakticheskaya revmatologiya 2008;(6):27-32 (in Russian).
22. Erdes ShF, Folomeeva OM. Social problems of rheumatology in 50-year research and practical activity of the Institute. Nauchno-prakticheskaya revmatologiya 2009;(2 Annex):55-58 (in Russian).

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