About this Journal Publication ethics Editorial Board Editorial Council Editorial Office For the Authors Contacts

News feeds

Journal in Databases

eLIBRARY.RU - ═└ËÎ═└▀ Ţ╦┼╩Ďđ╬══└▀ ┴╚┴╦╚╬Ď┼╩└

Google Scholar

Google Scholar

For authors' attention

Publication is free of charge

In aims to provide interconnection of publications in international scientific journals using Digital Object Identification - DOI, our editorial office incorporated the journal "Social aspects of population health" into international reference system CrossRef.

Since 2016 DOI will be assigned to all scientific articles published in our journal free of charge.

Also DOI will be assigned to all articles published in 2014 and 2015 free of charge as well
Tuesday, 26 December 2017

DOI: 10.21045/2071-5021-2017-58-6-8

Ilchenko I.N., Boyarskaya T.V., Ignatieva M.V.
I.M. Sechenov First Moscow State Medical University (Sechenovsky University), Ministry of Health of the Russian Federation Moscow

Contacts: Irina Ilchenko, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about authors:
Ilchenko I.N., http://orcid.org/0000-0002-5966-7307
Boyarskaya T.V., http://orcid.org/0000-0003-0199-058X
Ignatieva M.V., http://orcid.org/0000-0002-4886-1008
Acknowledgments. The survey in the Moscow region was funded by the Russian Academy of Sciences within the framework of the ôFundamental sciences ľ to medicineö program in 2013. The survey in the Republic of Karelia was funded by the United Nations Environment Program; World Health Organization, WHO Regional Office for Europe, ôDevelopment of a Plan for Global Monitoring of Human Exposure to and Environmental Concentrations of Mercuryö Project, Component 3 in 2016 (reference number EUPCR1612113).
Conflict of interests. The authors declare no conflict of interest.


Impact of environmental and behavioral risks is one of the causes of poor health. Depending on socio-economic and territorial determinants, impact of environmental and behavioral risk factors varies across different population groups. The purpose of the study was to analyze the degree of environmental exposure and behavioral risks during pregnancy among female residents of the Moscow Region and Republic of Karelia. In two epidemiological studies carried out according to the WHO standard methodology, within the framework of projects on harmonizing approaches to monitoring mercury content in the human body and assessing prenatal exposure in the early stages of life, 120 parturient women were examined in the Moscow Region and 240 women - in the Republic of Karelia. Industrial factors, environmental conditions at the place of residence and individual exposure to mercury were considered as indicators of environmental exposure. Smoking and drinking during pregnancy were analyzed as a behavioral risk.

Rosstat data were used for a comparative analysis of regional indicators. The survey results indicate significant inequalities in the degree of exposure of women to environmental and behavioral risks. The most serious inequalities were associated with socio-economic determinants, especially with low education of women living in rural areas in the Republic of Karelia.

Comparative analysis of medico-demographic, socio-economic and natural-geographic indicators at the regional level revealed a significantly higher burden of socio-economic disadvantages in the Republic of Karelia in comparison with the Moscow region. The results illustrate the scale and distribution of inequalities among parturient women in two regions of Russia and help identify potential target groups and priority areas for inter-sectoral actions.

Keywords. Environmental risk, pregnancy and prenatal exposure, behavioral risk factors, health equity, socio-economic determinants, equity-sensitive surveillance systems.


  1. Egorov A.I., Il'chenko I.N., Lyapunov S.M., Marochkina E.B., Okina O.I., Ermolaev B.V.,et al. Primenenie standartizovannoy metodologii biomonitoringa cheloveka dlya otsenki prenatal'noy ekspozitsii k rtuti. [Application of a standardized human biomonitoring methodology to assess prenatal exposure to mercury]. Gigiena i sanitariya 2014; (5): 10-18. (In Russian).
  2. Zubarevich N.V., Gorina E.A. Sotsial'nye raskhody v Rossii: federal'nyy i regional'nyy byudzhety [Social expenditures in Russia: federal and regional budgets]. Moscow: NIU VShE; 2015. 63p. (In Russian).
  3. Komov V.T., Lazareva V.I. Prichiny i posledstviya antropogennogo zakisleniya poverkhnostnykh vod severnogo regiona na primere sravnitel'no-limnologicheskogo issledovaniya ekosistem ozer Darvinskogo zapovednika [Causes and consequences of anthropogenic acidification of surface waters in the northern region by the example of a comparative limnological study of the ecosystems of the Darwin Reserve]. In: Struktura i funktsionirovanie ekosistem atsidnykh ozer [Structure and functioning of ecosystems of acid lakes]. St. Petersburg: Nauka; 1994, p.3-30. (In Russian).
  4. Nemova N.N., Vysotskaya R.U. Biokhimicheskaya indikatsiya sostoyaniya ryb [Biochemical indication of fish status]. Moscow: Nauka; 2004. 214p. (In Russian).
  5. O natsional'noy strategii deystviy v interesakh detey na 2012 ľ 2017 gody [On the National strategy for action for children during the period of 2012-2017]. Ukaz Prezidenta Rossiyskoy Federatsii ot 01.06.2012 ╣761. [Online]. 2012 [cited 2017 Jun 24]. Available from: http://kremlin.ru/acts/bank/35418 (In Russian).
  6. Ob osnovakh okhrany zdorov'ya grazhdan v Rossiyskoy Federatsii [On the bases of population health protection in the Russian Federation]. Federal'nyy zakon ot 21.11.2011, ╣ 323-FZ. [Online]. 2011 [cited 2017 Jun 24]. Available from: https://www.rosminzdrav.ru/documents/7025-federalnyy-zakon-323-fz-ot-21-noyabrya-2011-g] (In Russian).
  7. Ob utverzhdenii gosudarstvennoy programmy Rossiyskoy Federatsii "Razvitie zdravookhraneniya" [On approving the state program of the Russian Federation ôDevelopment of health careö]. Postanovlenie Pravitel'stva RF ot 15.04.2014 ╣294]. [Online]. 2014 [cited 2014 Apr 26]. Available from: http://www.rg.ru/2014/04/24/zdravooxr-site-dok.html (In Russian).
  8. Ob utverzhdenii Kontseptsii demograficheskoy politiki Rossiyskoy Federatsii na period do 2025 goda [On approving the Concept of the demographic policy of the Russian Federation for the period up to 2025]. Ukaz Prezidenta Rossiyskoy Federatsii ot 09.10.2007 g. ╣1351 (v redaktsii Ukaza Prezidenta Rossiyskoy Federatsii ot 01.07.2014 g. ╣483) [Online]. 2007 [cited 2017 Jun 24]. Available from: http://kremlin.ru/acts/bank/26299 (In Russian).
  9. Obzor sotsial'nykh determinant i razryva po pokazatelyam zdorov'ya v Evropeyskom regione VOZ: zaklyuchitel'nyy doklad [Review of social determinants and the health divide in the WHO European Region. Final Report]. [Transl. from Eng.]. WHO; 2014. 224p. [Online]. 2014 [cited 2017 Jun 24]. Available from: http://www.euro.who.int/__data/assets/pdf_file/0004/251959/Review-of-social-determinants-and-the-health-divide-in-the-WHO-European-Region-FINAL-REPORT-Rus.pdf (In Russian).
  10. Okhrana okruzhayushchey sredy v Rossii. 2016. [Environmental protection in Russia]. 2016. Statisticheskiy sbornik. Moscow: Rosstat. [Online]. 2016 [cited 2017 Jun 24]. Available from: http://www.gks.ru/free_doc/doc_2016/ohrana_2016.pdf (In Russian).
  11. Prilozhenie k sborniku (informatsiya po sub"ektam Rossiyskoy Federatsii), 2015 g. [Annex to the collection (information on subjects of the Russian Federation)]. 2015. In: Sotsial'noe polozhenie i uroven' zhizni naseleniya Rossii [The social status and living standards of the population of Russia]. Moscow: Rosstat. [Online]. 2015 [cited 2017 Jun 24]. Available from: http://www.gks.ru/free_doc/doc_2015/pril_soc-pol2015.rar (In Russian).
  12. Puti dostizheniya vseob"emlyushchego ekonomicheskogo rosta. Rossiyskaya Federatsiya: kompleksnoe diagnosticheskoe issledovanie ekonomiki. [Systematic Country Diagnostic for the Russian Federation: Pathways to Inclusive Growth]. [Trans. from Eng.]. World Bank Group; 2016 [Online] 2016 [cited 2017 Jun 24]. Available from: http://pubdocs.worldbank.org/en/235471484167009780/Dec27-SCD-paper-rus.pdf (In Russian).
  13. Bellanger M., Pichery C., Aerts D., et al. Economic benefits of methylmercury exposure control in Europe: Monetary value of neurotoxicity prevention. Environment Health. 2013; (12): 3-10.
  14. Closing the gap in a generation: health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health. Geneva: World Health Organization. [Online]. 2008 [cited 2017 Jun 15]. Available from: http://apps.who.int/iris/bitstream/10665/43943/1/9789241563703_eng.pdf
  15. Environmental health inequalities in Europe. Assessment report. WHO. Regional Office for Europe. [Online]. 2012 [cited 2017 Jun 24]. Available from: http://www.euro.who.int/__data/assets/pdf_file/0010/157969/e96194.pdf?ua=1).
  16. Graham H. Tackling inequalities in health in England remedying health disadvantages, narrowing health gaps or reducing health gradients? J of Social Policy. 2004; 33 (1): 115-131.
  17. Schulz C., Wilhelm M., Heudorf U., Kolossa-Gehring M. Reprint of "Update of the reference and HBM values derived by the German Human Biomonitoring Commission". Int. J. Hygiene Env. Health. 2012; (215):150- 158.

Views: 4323

Be first to comment this article

Write Comment
  • Please keep the topic of messages relevant to the subject of the article.
  • Personal verbal attacks will be deleted.
  • Please don't use comments to plug your web site. Such material will be removed.
  • Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button.
  • Keep in mind that the above process only applies if you simply entered the wrong security code.

Code:* Code

Last Updated ( Monday, 15 January 2018 )
< Prev   Next >
home contact search contact search