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According to the research results, health preserva- To sustain health in old age, many people are confition and maintenance in the context of active old age dent of sexual activity prolongation. It also can indicate is an individual initiative. The reasons of this thesis are psychological balance and social prosperity, as in some classified in the following order: modern public health cases sexuality can enrich life of old people and displayservice does not promote activity prolongation for aged ing the absence of crucial physical disturbances. Our repeople (52,2 %); partly promotes (37,0 %); generally pro- search discovered that most of cross-examined elderly motes (10,8 %). Negative evaluation of health care work persons are sure in advantages of sexual activity: 59,8 % could be explained in the terms of settled stereotypes of them are still sexually active (i.e. have monthly sexual of old age as a social ballast, braking the reforms; so- contact); 22,3 % have no such opportunity due to the abcial incompatibility of the terms «activity» and «old age»; sence of a partner; 14 % mark health problems as the obwork imbalance of health care and insufficient financing stacle; 3,9 % have no sexual interest. But we should deof all social and medical services that work with elderly fine gender misbalance in this question — most positive persons. viewpoints on sexual activity and health maintenance The next considerable practice of health mainte- belong to men (67 %). It is absolutely clear that in spite nance and promoting healthy lifestyle in the late period of health disturbances, the necessity of sexual activity is of life is rational nutrition — as physiologically valuable rather important.

nutrition, balanced with age and individual characteris- There is no doubt that sexual activity in every age tics. The adoption of low-fat and low-salt dietary patterns depends on personality. So, many elderly people stay is important for elderly people in the prevention of many active up to 80 years, successfully adopting physiologidiseases, including coronary heart disease and high cal changes. Some people try to sustain their sexual blood pressure, and certain cancers. Further, the adop- possibilities by means of physical exercises or medical tion of dietary and physical activity habits that will reduce aid. However, this sphere of human life seems to be sigthe onset of obesity will help reducing the likelihood of nificant for common state of health and self-esteem.

coronary heart disease, diabetes and high blood pres- Discussion. Some American researchers pay spesure. certain eating patterns — especially excessive con- cial attention to the mentioned alternative practice of sumption of fats — are linked to a higher risk of heart dis- health maintenance in old age. Thus, the problem of ease, breast and colon cancer, and gallbladder disease. rational nutrition and overweight is the subject of wide The majority of positive replies (77,4 %) shows the speculation. Statistic data reflect that about 27 % of confidence that food allowance of old and young people American women and 24 % of men are obese. This probdiffers sharply. The realization of rational nutrition for old lem is also associated with high blood pressure, elevated people runs against the set of problems: low nutrition lit- blood cholesterol, diabetes, heart disease, stroke, some eracy and financial opportunities of this social group. cancers, and gall bladder disease. It also may be a factor Саратовский научно-медицинский журнал. 2011. Т. 7, № 4.

SOCIOLOGY OF MeDICINe for osteoarthritis of the weight-bearing joints. Socioeco- Half of the people surveyed (both men and women) nomic status has been linked to overweight. One national reported at least one sexual problem that bothered them.

survey found that 37 % of women below the poverty level The problems reported, however, were different for men were overweight, compared with 25 % of those above the and women. Women reported the following problems:

poverty level. Overweight is especially prevalent among low sexual desire (43 %); vaginal lubrication difficulties (39 %); inability to climax (34 %). Men reported erectile members of some minority groups.

Obesity prevention includes combining regular physi- dysfunction as the most common problem, with 37 % reporting some level of difficulty achieving an erection. Of cal activity with dietary practices to lose weight. Fewer all the men in the study, 14 % were taking some form of than half of adult Americans exercise regularly (3 or more medication for sexual function.

days a week, sustained for at least 20 minutes each time For both men and women, people who rated their regardless of intensity), a matter of concern because a health as poor were less likely to be sexual active and sedentary lifestyle appears to be an independent risk facmore likely to report sexual problems. Overall, 38 % of tor for coronary heart disease. Older adults are less likely the men in the study and 22 % of the women reported to be physically active than younger adults. Research inever having discussed sex with their doctor after age creasingly suggests that even moderate physical activity 50 [3].

can decrease the risk of coronary heart disease, espeConclusion. Alternative practices of health maintecially among the sedentary [1].

nance for the elderly are the part of a necessary comRegular physical activity can also help to prevent and plex combining medical services and non-drug methods.

manage hypertension, diabetes, osteoporosis, and obeRegular light or moderate physical activity — walking, sity. Further, it may play a role in mental health, having a running, swimming, just as rational nutrition and sexual favorable effect on mood, depression, anxiety, and selfactivity, can strengthen human health to a great extent.


The research data demonstrate low confidence in health cigarette smoking is an important risk factor for heart authorities in the terms of putting all these methods into disease, stroke, and some forms of cancer. In 1965, 40 % practice. So, the vast majority of people surveyed conof all Americans smoked cigarettes. Today, that figure is sider health support to be the individual initiative.

below 30 %. Smoking is still responsible for one of every Training and popularization of active way of living can six deaths in the united States. Moreover, it is still placbe treated as the prospective measures to increase the ing certain groups at greater risk of disease than others, interest in active lifestyle among old people. It can help and it is still the single most important preventable cause forming the stable motivation to social activity and to reof death in American society. Behavioral changes have direct the vital values of the aged group for its best inclusaved many lives in the past two decades. For example, sion in contemporary social life along with the younger the declines, by more than 40 and 50 %, respectively, generation.

in coronary heart disease and stroke death rates since 1970, are associated with reduced rates of cigarette References smoking, lower mean blood cholesterol, and increased 1. Healthy People 2010 // National Health Promotion and control of high blood pressure. In the same period, deaths Disease Prevention Objectives. Summary Report. Boston, uSA, from motor vehicle crashes declined by almost 30 % [2].

2010. Vol. 1. P. 23–26.

2. Healthy People 2010 // National Health Promotion and Lower rates of alcohol use contributed to this reduction.

Disease Prevention Objectives. Summary Report. Boston, uSA, Accompanying these trends were reduced public accep2010. Vol. 2. P. 12–13.

tance of certain risks, such as smoking and drinking.

3. Sex and Older Americans: Statistics on Sex and the ElSexual activity as the alternative method of health derly. uRL: http://longevity.about.com / od / healthyagingandlonpreservation is not well studied. But some researchgevity / a / sex_elderly.htm ers give the following data on sexual activity varied by Translit age: 73 % of Americans aged 57 to 64 reported being sexual active; 53 % of those aged 65 to 74 reported be- 1. Healthy People 2010 // National Health Promotion and ing sexual active; 26 % of those aged 75 to 85 reported Disease Prevention Objectives. Summary Report. Boston, uSA, 2010. Vol. 1. P. 23–26.

being sexual active (a representative sample of 3,2. Healthy People 2010 // National Health Promotion and u. S. adults ages 57 to 85 (men and women) found that Disease Prevention Objectives. Summary Report. Boston, uSA, sexual activity varied by age). Women reported less sex2010. Vol. 2. P. 12–13.

ual activity than men, perhaps because of the shorter 3. Sex and Older Americans: Statistics on Sex and the Ellife expectancies of men (meaning there are less men to derly. uRL: http://longevity.about.com / od / healthyagingandlonhave sex with in the older age groups). gevity / a / sex_elderly.htm УДК 616–084:316.662:303.425.6] –057.87 (045) Авторское мнение о неоБХодимоСти диФФеренцированного ПодХода к органиЗации ПроФилактичеСкой раБоты Среди УчаЩейСЯ молодежи Г. Г. Орлова — ГБОУ ВПО Российский университет дружбы народов, профессор кафедры профилактической медицины, доктор медицинских наук; Г. Н. Шеметова — ГБОУ ВПО Саратовский ГМУ им. В. И. Разумовского Минздравсоцразвития России, заведующая кафедрой поликлинической терапии, профессор, доктор медицинских наук; А. А. Невзоров — ГБОУ ВПО Российский университет дружбы народов, соискатель кафедры профилактической медицины. Р. Н. Молодцов — ГБОУ ВПО Саратовский ГМУ им. В. И. Разумовского Минздравсоцразвития России, аспирант кафедры поликлинической терапии.

DIFFeReNtIAteD APPROACH tO PROPHYLAXIS AMONG StuDeNtS G. G. Orlova — Russian University of Friendship of Peoples, Department of Prophylactic Medicine, Professor, Doctor of Medical Science; G. N. Shemetova — Saratov State Medical University n.a. V. I. Razumovsky, Head of Department of Polyclinic Therapy, Professor, Doctor of Medical Science; A. A. Nevzorov — Russian University of Friendship of Peoples, Department of Pro Saratov Journal of Medical Scientific Research. 2011. Vol. 7, № 4.

926 СоциальнаЯ медицина phylactic Medicine; R. N. Molodtsov — Saratov State Medical University n.a. V. I. Razumovsky, Department of Polyclinic Therapy, Post-graduate.

Дата поступления — 30.03.2011 г. Дата принятия в печать — 08.12.2011 г.

Орлова Г. Г., Шеметова Г. Н., Невзоров А. А., Молодцов Р. Н. О необходимости дифференцированного подхода к организации профилактической работы среди учащейся молодежи // Саратовский научно-медицинский журнал.

2011. Т. 7, № 4. С. 925–929.

Цель работы: изучить медико-социальный статус учащейся молодежи разных типов учебных заведений и научно обосновать дифференцированный подход к организации профилактической помощи. Методы. Проведено социологическое исследование 1039 респондентов — студентов вузов, учащихся средних специальных учебных заведений (ССУЗ) и профессионально-технических училищ (ПТУ) по специально разработанной анкете. Результаты. Определены особенности социальной принадлежности, уровня жизни и благосостояния учащихся вузов, ССУЗ и ПТУ. Студенческая когорта вузов по многим характеристикам отнесена к категории благополучных людей из полных (70 %), интеллигентных (78 %), малодетных (100 %) семей со средним уровнем благосостояния (70 %). Учащиеся ПТУ — как правило, выходцы из неполных (57 %) и нередко многодетных (27 %) семей рабочих (37 %) и крестьян (39 %) — отличались наиболее неблагополучными характеристиками.

Учащиеся ССУЗ занимали промежуточное место по всем изученным параметрам. Заключение. Выявлены существенные различия социального статуса студентов и учащихся разных типов образовательных заведений, из которых наиболее неблагополучными оказались учащиеся ПТУ. Данные выводы служат аргументом для обоснования дифференцированного подхода при разработке программ оздоровления и профилактической помощи учащейся молодежи разных типов учебных заведений.

Ключевые слова: молодежь, студенты, заболеваемость, профилактическая помощь, укрепление здоровья.

Orlova G. G., Shemetova G. N., Nevzorov A. A., Molodtsov R. N. Differentiated approach to prophylaxis among students // Saratov Journal of Medical Scientific Research. 2011. Vol. 7, № 4. P. 925–929.

The purpose of work: to study the medical and social status of learning youth of different types of educational institutions and scientifically to prove the differentiated approach to the organization of the prophylactic aid. Methods.

Sociological research of 1039 respondents (students of universities) is lead; learning average special educational institutions and technical training colleges under specially developed questionnaire. Results. Features of a social accessory (belonging), a standard of living and well-being of learning universities, special educational institutions and technical training college are determined. The student’s cohort of universities under many characteristics was a cohort of safe people from full (70 %) intelligent (78 %), малодетных (100 %) families with an average level of well-being (70 %). Pupils of technical training college — are more often natives from incomplete (57 %) and quite often having many children (27 %) than families working (37 %) and peasants (39 %) — differed the most unsuccessful characteristics. Pupils special educational institutions took an intermediate place on all investigated parameters. The conclusion.

Essential distinctions of the social status of students and learning different types of educational institutions from which the most unsuccessful appeared pupils of technical training college are revealed. It serves as argument for a substantiation of the differentiated approach by development of programs of improvement and the preventive help of learning youth of different types of educational institutions.

Key words: youth, students, morbidity, prophylactic aid, health promotion.

Введение. Проблема сохранения и укрепления ки, табачные изделия; крайне низка эффективность здоровья молодежи имеет большое медико-соци- рекомендаций по формированию у молодых людей альное значение и обусловливается как сложившей- безопасного поведения и здорового образа жизни [9, 10]. В связи с этим очевидна необходимость проведеся неблагоприятной демографической ситуацией в ния профилактической работы по повышению уровня России при прогнозируемом продолжении старения здоровья и предупреждению заболеваемости молоденаселения, так и выраженными тенденциями к росту жи.

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