D.N. Begun
Orenburg State Medical Academy, Orenburg
Abstract. The work is substantiated by the fact that rheumatic
diseases are a recognized medical and social problem due to their high
prevalence, chronic nature, reduced quality of life, disability, and
heavy financial burden.
The aim of the study was to develop a multi-dimensional model of
risk factors of rheumatic diseases based on their detection rates and
quantitative assessment.
The study subject was adult population of the Orenburg region.
Methods and data– sociological survey, sample size - 2960
respondents. To evaluate statistical significance of relationship
between risk factors and arthral syndrome Pearson's X2 (for
qualitative factors) and criterion Mann's – Whitney (for quantitative
factors) were used. Contribution of each statistically significant
factor to the development of rheumatic diseases was estimated through
calculating relative risk, additive risk, additive population risk, and
additive share of population risk. Three models of arthral syndrome
development were built up using the classification trees method:
including all risk factors, including only social factors and including
only professional risk factors. Analysis of all established risk factors
identified the following leading factors: work experience over 20
years, genetic predisposition, affiliation to the social group
"employees", occupation is associated with frequent weight lifting.
The model including only social factors showed a special contribution of
the age group over 40 years, affiliation to the group "employees", poor
living conditions, and unbalanced diet. The model including only
professional factors identified the following leading factors: work
experience over 20 years, occupation is associated with frequent static
loads, monotonous movements, and weight lifting. Results of the study
can serve as algorithms for selecting population while planning
preventive activities.
Keywords: rheumatic diseases, prevalence, risk factors, modeling.
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