Population Health in the Russian Arctic: Problems, Challenges, Solutions

Автор: Provorova A.A., Smirennikova E.V., Ukhanova A.V.

Журнал: Arctic and North @arctic-and-north

Статья в выпуске: 55, 2024 года.

Бесплатный доступ

Significant lagging of the Arctic regions of Russia from the all-Russian values of life expectancy and mortality rates of people of working age is noted at the highest state level as one of the main threats to the socio-economic development of the Russian Arctic and ensuring its national security. This lag is largely due to the negative impact of extreme natural and climatic environmental conditions on the health of the population working and living in the Arctic. The presented article is aimed at systematizing the problems and challenges associated with the impact of the harsh natural and climatic conditions of the Arctic on the health of the population living there, as well as finding ways to adapt the public administration system to these challenges. Based on a critical analysis of scientific literature and official statistical information, the paper identifies the health features and the process of adaptation to the natural and climatic conditions of the Arctic for different groups of the Arctic population: indigenous, old-timers and newcomers. The authors have substantiated that the most vulnerable group of the population, whose health is most negatively affected by the extreme natural and climatic conditions of the Arctic, are migrants. On the basis of generalization of problems and peculiarities of public health of the Arctic population and systematization of the experience of previous scientific research, the directions of adaptation of the public administration system of the Arctic regions to the existing challenges have been developed. These directions are based on a differentiated approach to various groups of the Arctic population: indigenous, old-timers and newcomers. According to the authors, the implementation of the directions presented in the article, as well as the creation of the most favorable socio-economic living conditions, can compensate for physiological losses and improve the health indicators of Arctic residents.

Еще

Population health, Russian Arctic, natural and climatic conditions, public administration

Короткий адрес: https://sciup.org/148329529

IDR: 148329529 | DOI: 10.37482/issn2221-2698.2024.55.161

Список литературы Population Health in the Russian Arctic: Problems, Challenges, Solutions

Bogoyavlensky D., Siggner A. Arctic Demography. In: Arctic Human Development Report, 2004, Aсureyri, pр. 27–41.
Solonin Yu.G., Boyko E.R. Medical and Physiological Problems of the Arctic. Proc. of the Komi Sci-ence Centre, Ural Branch, Russian Academy of Sciences, 2017, no. 4 (32), pp. 33–40.
Deputat I.S., Deryabina I.N., Nekhoroshkova A.N., Gribanov A.V. Effect of Climatic and Ecological Conditions of the North on Ageing Processes. Journal of Medical and Biological Research, 2017, vol. 5, no. 3, pp. 5–17. DOI: https://doi.org/10.17238/issn2542-1298.2017.5.3.5
Shchegoleva O.E., Menshikova M.V., Aivazova M.S., Shashkova E.Yu., Mikhailova T.B. The Immunity Homeostasis at Young Men with Clinical Forms of Ecological Immunodeficiency in European North. Human Ecology, 2010, no. 5, pp. 35–41.
Potolitsyna N.N., Boyko E.R. Vitamin Status in Residents of the European North of Russia and Its Correlation with Geographical Latitude. Journal of Medical and Biological Research, 2018, vol. 6, no. 4, pp. 376–386. DOI: https://doi.org/10.17238/issn2542-1298.2018.6.4.376
Sereda T.V. Patogeneticheskie osobennosti arterial'noy gipertonii u nekorennogo i korennogo nase-leniya Tyumenskogo Severa: avtoref. dis. dok. med. nauk [Pathogenetic Features of Arterial Hyper-tension in Non-Indigenous and Indigenous Populations of the Tyumen North: Dr. Med. Sci. Abs.]. Ekaterinburg, 2017, 47 p. (In Russ.)
Zyryanova M.A., Popova L.A. Factor Analysis of Birth Rate Processes in Russian Northern Regions. The North and the Market: Forming the Economic Order, 2018, no. 3, pp. 111–121. DOI: https://doi.org/10.25702/KSC.2220-802X.3.2018.59.111-121
Uvarova T.E., Burtseva T.E., Neustroeva T.S., Savvina M.S. Morphological and Physiological Base for Living Activity of Indigenous Population of the Far North. Far East Medical Journal, 2009, no. 2, pp. 114–118.
Kaznacheev V.P. Sovremennye aspekty adaptatsii: monografiya [Contemporary Aspects of Adapta-tion]. Novosibirsk, Nauka Publ., 1980, 191 p.
Nikiforova V.A., Kudashkin V.A., Kiryutkin S.A. History of Studying the Problem of Adaptation of the Indigenous Small Peoples of the North to Natural Environmental Conditions. Issues of Social-Economic Development of Siberia, 2021, no. 1 (43), pp. 139–142. DOI: https://doi.org/10.18324/2224-1833-2021-1-139-142
Kershengoltz B.M., Chernobrovkina T.V., Kolosova O.N. Ethnogenetic Features of Alcohol Resistance in the People of the North. Vestnik of the M.K. Ammosov North-Eastern Federal University, 2012, vol. 9, no. 1, pp. 22–28.
Kozlov A.I., Kozlova M.A., Vershubskaya G.G., Shilov A.B. Zdorov'e korennogo naseleniya Severa RF: na grani vekov i kul'tur: monografiya [Health of the Indigenous Population of the North of the Rus-sian Federation: on the Edge of Ages and Cultures]. Perm, OT i DO Publ., 2013, 205 p. (In Russ.)
Smith H.S., Bjerregaard P., Hing Man Chan, Corriveau A. et al. Research with Arctic People: Unique Research Opportunities in Heart, Lung, Blood and Sleep Disorders. Working Group Summary and Recommendations. International Journal of Circumpolar Health, 2006, vol. 65 (1), pp. 79−90. DOI: https://doi.org/10.3402/ijch.v65i1.17889
Panin L.E. Gomeostaz i pitanie cheloveka v usloviyakh Sibiri i Severa [Homeostasis and Human Nutri-tion in Siberia and the North]. Human Ecology, 1995, no. 2, pp. 75–81.
Belova N.I., Lavrinov P.A., Vorobyeva N.A. New Risk Markers for Cardiovascular Pathology in the Nenets Population of the Nenets Autonomous Area. Journal of Medical and Biological Research, 2014, no. 2, pp. 12–20.
Zapesochnaya I.L., Avtandilov A.G. Problema adaptatsii serdechnososudistoy sistemy pri prozhivanii na Kraynem Severe [The Problem of Adaptation of the Cardiovascular System During Residence in the Far North]. Moscow, Russian Medical Academy of Continuing Professional Education Publ., 2015, 127 p. (In Russ.)
Bichkayeva F.A., Volkova N.I., Galstyan D.S., Bichkayev A.A., Lobanov A.A. Study of the Composition of Polyunsaturated Fatty Acids and Their Individual Ratios in Persons of Mature Ageo Different Re-gions of the North. Russian Journal of Physiology, 2020, vol. 106, no. 7, pp. 898–915. DOI: https://doi.org/10.31857/S0869813920050039
Poskotinova L.V., Demin D.B., Krivonogova E.V., Krivonogova O.V. Simpatikotoniya: risk dezadap-tatsii k srede obitaniya ili adaptivnye vozmozhnosti dlya cheloveka v Arktike? [Sympathicotonia: The Risk of Maladaptation to the Environment or Adaptive Opportunities for Humans in the Arctic?]. In: Meditsinskaya fizika, fiziologiya i smezhnye distsipliny v akademicheskoy i vuzovskoy nauke: materi-aly konferentsii s mezhdunarodnym uchastiem, posvyashchennoy 100-letiyu MGMSU im. A.I. Evdo-kimova [Medical Physics, Physiology and Related Disciplines in Academic and University Science: Proceedings of the Conference with International Participation, Dedicated to the 100th Anniversary of A.I. Evdokimov Moscow State Medical and Dental University]. Moscow, A.I. Yevdokimov Moscow State University of Medicine and Dentistry Publ., pp. 406–409. (In Russ.)
Tipisova E.V., Molodovskaya I.N., Alikina V.A., Elfimova A.E. Distinctive Features of the Hypothalam-ic-Pituitarygonadal Axis and the Level of Dopamine in Men of the European and Asian North. Rus-sian Clinical Laboratory Diagnostics, 2022, vol. 67, no. 5, pp. 261–266. DOI: https://doi.org/10.51620/0869-2084-2022-67-5-261-266
Zubatkina O.V., Dobrodeeva L.K., Samodova A.V., Kruglov S.D. Assessment of Metabolic Activity and Energy Supply of Peripheral Blood Lymphocytes. Human Ecology, 2022, no. 12, pp. 855–863. DOI: https://doi.org/10.17816/humeco109363
Bolotin E.I., Lubova V.A. New Approaches to Evaluation of Russian Far East Comfortability for Popu-lation’s Vital Activity. Human Ecology, 2014, no. 1, pp. 20–26.
Bagnetova E.A., Malyukova T.I., Bolotov S.V. Adapting the Human Body to Living Conditions in the Northern Region. Successes of Modern Natural Science, 2021, no. 4, pp. 111-116. DOI: https://doi.org/10.17513/use.37616
Maslov L.N., Vychuzhanova E.A., Gorbunov A.S., Tsibulnikov S.Yu. Role of Dyslipidemia in Pathogen-esis of Vascular Events among Arctic. Annals of the Russian Academy of Medical Sciences, 2014, vol. 69, no. 7/8. pp. 133–136. DOI: https://doi.org/10.15690/vramn.v69i7-8.1120
Pisareva L.F., Odintsova I.N., Ananina O.A., Malinovskaya E.A. The Morbidity of Mammary Gland Cancer in Indigenous and Outsider Population of Siberia and Far East. Health Care of the Russian Federation, 2012, no. 4, pp. 37–41.
Gyrkolkau L.A., Shcherbakova L.V., Ivanova M.V. Blood Lipid Levels and Frequency of Dyslipidemia at the Native People of Chukotka. Bulletin of the East Siberian Scientific Center, 2011, vol. 31, no. 5, pp. 79–83.
Kitaeva Yu.N., Tipisova E.V. Functional Activity of the Pancreatic Gland at Local and Native Wander-ing Population of the European North. Izvestia of Samara Scientific Center of the Russian Academy of Sciences, 2011, vol. 13, no. 1–7, pp. 1714–1716.
Hasnulin V.I., Artamonova M.V., Khasnulin P.V. The Real State of Health of Residents of High Lati-tudes in Adverse Climatic Conditions of the Arctic and Performance of Official Statistics Health. In-ternational Journal of Applied and Fundamental Research, 2015, no. 9 (part 1), pp. 68–73.
Burov I.V. Matritsy mezhattraktornykh rasstoyaniy v otsenke vliyaniya prirodno-klimaticheskikh faktorov sredy na sostoyanie psikhofiziologicheskikh funktsiy uchashchikhsya Yugry: dis. dok. biol. nauk [Matrices of Inter-Attractor Distances in Assessing the Influence of Natural and Climatic Envi-ronmental Factors on the State of Psychophysiological Functions of Ugra Students: Dr. Biol. Sci. Diss]. Surgut, 2013, 127 p. (In Russ.)
Solovyev V.S., Bakieva E.M., Trusevich N.V., Tsertsek T.N. An Integrated Study of Adaptive Features of Adult Women Residing in a Northern City. Bulletin of Nizhnevartovsk State University, 2016, no. 2, pp. 66–71.
Dorshakova N.V., Karapetyan T.A. Features of Northern Inhabitants Pathology. Human Ecology, 2004, no. 6, pp. 48–52.
Zubov L.A. Medical-Social Problems and Prospective Lines of Establishment of Medical Care for In-digenous Minorities in Northern Territories Difficult of Access. Human Ecology, 2010, no. 1, pp. 61–64.
Kozlov A.V. Gutman S.S., Rytova E.V., Zakharov A.N. The Choice of Cultivation Technology for Arctic Territories: Comparative Analisys of Russian and Norwegian Experience. MIR (Modernization. Inno-vation. Research), 2015, no. 4–1 (24), pp. 19–28.
Korneyeva Ya.A., Dubinina N.I., Simonova N.N., Degteva G.N., Fedotov D.M. Risks of Shift Workers in Professional Activity in Far North. Acta Biomedica Scientifica, 2013, no. 3–2 (91), pp. 83–88.
Anpilogova L.V. Sostoyanie korevogo postvaktsinal'nogo immuniteta u detey, prozhivayushchikh v usloviyakh Kraynego Severa: avtoreferat dis. dok. biol. nauk [State of Measles Postvaccinal Immuni-ty in Children Living in the Far North: Dr. Biol. Sci. Abs.]. Moscow, 1986, 20 p. (In Russ.)
Savin M.N., Ivanov B.A., Korchagin I.V., Okishev M.A. Acclimatization of Military Personnel in the Regions of the Far North and the Arctic by Means of Physical Training. Uchenye zapiski universiteta im. P. F. Lesgafta [Scientific Notes of P.F. Lesgaft University], 2018, no. 2 (156), pp. 207–212.
Gridin L.A., Shishov A.A., Dvornikov M.V. Features Adaptation Reactions of Human in Far North. Public Health and Life Environment, 2014, no. 4, pp. 4–6.
Tsaregorodtsev A.L. Efficiency of Telemedicine at the Northern Regions Russian Federation. The Journal of Telemedicine and E-Health, 2015, no. 1, pp. 18–22.
Baranov A.A., Vishneva E.A., Namazova-Baranova L.S. Telemedicine — Prospects and Difficulties Be-fore a New Development Stage. Pediatric Pharmacology, 2013, no. 10 (3), pp. 6–11.
Nikitin Yu.P., Khasnulin V.I., Gudkov A.B. Contemporary Problems of Northern Medicine and Re-searchers’ Efforts to Solve Them. Vestnik of Northern (Arctic) Federal University. Ser.: Medical and Biological Sciences, 2014, no. 3, pp. 63–72.
Timofeev D.S., Timofeeva A.N. K voprosu o severnoy meditsine [On the Subject of Northern Medi-cine]. International Journal of Applied and Fundamental Research, 2013, no. 11–2, pp. 71–72.

Еще

Статья научная