Boyarkina, S. I. (2019). Determinants of socially important diseases in European countries and Russia . Vestnik of Saint Petersburg University. Sociology, 12(4), 350–367. https: ...

Текст статьи на сайте журнала URL: https://sociologyjournal.spbu.ru/article/view/6263/4939 (дата обращения 16.12.2019)

Abstract

The article presents an overview of the conceptual and categorical apparatus, modern methodology and practical directions of research of determinants of health and socially significant diseases on the example of cardiovascular diseases and tuberculosis. The analysis of the literature devoted to research of problems of morbidity and mortality in the countries of Europe and in Russia allows to designate groups of the determinants causing development of socially significant diseases both noninfectious, and infectious etiology. It is known that the most significant impact on the health of the population have socio-structural and contextual determinants (economic, educational and socio-psychological). These determinants are common for both a number of socially significant diseases, including tuberculosis and cardiovascular diseases, and health in General. Recent European studies have discussed their relationship with global social processes that lead to the transformation of the social structure of societies and determine the degree of influence on health of socio-structural and contextual determinants within countries. The rapid change in the social structure of European societies was caused by the migration crisis that began in 2015. Mass migration to Western Europe from low-income countries of North Africa, the Middle East and South Asia, and to Russia from the CIS countries and Ukraine has led to an increase in the incidence of socially significant diseases, problems in the functioning of the health system of recipient countries and access to medical care for the indigenous population. The relevance of these problems to public health leads to the emergence of new areas of research in which migration is included in the analysis of determinants of health and disease, along with social characteristics such as the economic well-being of the country, income inequality, the size of funding for the health system, access to medical care, literacy and socio-psychological well-being of society.