Environmental, climatic and medical-social factors as predictors of life quality and reproductive health in the Middle Amur region of the Russian far east

The problem of population settlement and preservation is one of the most important for the Eastern regions of Russia, characterized by a huge variety of natural, climatic, economic and social aspects of human environment. Due to the regions’ specifics accompanied by a low population, they differ significantly in the possibilities of providing favorable living conditions. The paper presents an algorithm for determining the impact of environmental, climatic, medical and social factors on the quality of life and reproductive health of the population in the South of the Far East, with Middle Amur Region as a case study. The first step of the method proposed includes exploratory research in Khabarovsky Krai and the Jewish Autonomous Region as a whole, with emphasis on the Nanai and Smidovichy Districts. Typical climatic and biogeochemical features, ecological status of the settlements are shown; medical and demographic situation is described. The study area is characterized by sub-comfortable climatic conditions, sparse setting, low health status and reproduction potential of the population, weak social infrastructure. It is emphasized that regional analysis of the quality of life environment requires the identification of priority groups of risk factors to improve the effectiveness of medical and environmental control and mitigation of their impact.