РЕМЕДИУМРЕМЕДИУМ1561-59362658-3534Joint-Stock Company Chicot176910.32687/1561-5936-2024-28-3-241-246Original ArticleОсобенности репродуктивного поведения с позиций рисков для популяционного здоровьяМингазоваЭльмира Нурисламовнаelmira_mingazova@mail.ruГуреевСергей Александровичgur.serg1987@gmail.comЖелезоваПолина Викторовнаjelezovapv@gmail.comНепомнящаяГелена Геннадиевнаngelena@mail.ruМингазовРустем Наилевичmrn85@mail.ruНациональный научно-исследовательский институт общественного здоровья имени Н. А. Семашко, г. Москва, Российская ФедерацияМедико-биологический университет инноваций и непрерывного образования Государственного научного центра Российской Федерации — Федерального медицинского биофизического центра имени А. И. Бурназяна, Москва, РоссияКазанский государственный медицинский университет, Казань, РоссияНаучно-исследовательский институт организации здравоохранения и медицинского менеджмента, Москва, Россия15122024324124616102025Copyright © 2024, АО "Шико"2024В настоящее время особую актуальность представляют исследования по изучению здоровья молодёжи как популяционной группы населения важнейшей для репродуктивно-демографического потенциала страны и уязвимой в плане рисков нарушения здоровья, в том числе репродуктивного, во многом определяемого поведением. Целью исследования явилось описание тенденций и особенностей репродуктивного поведения молодёжи и других уязвимых групп населения с позиций рисков для популяционного здоровья. В работе применялись библиографический и аналитический методы исследования. В формировании репродуктивного поведения различных уязвимых социальных групп важную роль играют такие факторы, как информированность о рисках для здоровья, необходимости соблюдения правил здорового образа жизни и медицинской активности. Повышение знаний среди уязвимых групп населения (молодёжь, лица с низким уровнем образования и благосостояния, мигранты и др.) в этих вопросах может оказать воздействие на социально-экономические, культурно-этнические, аксиологические и другие детерминанты репродуктивного поведения и популяционного здоровья.reproductive behaviorreproductive healthrisk factorsadolescentsyouthvulnerable groups of the populationрепродуктивное поведениерепродуктивное здоровьефакторы рискамолодёжь, уязвимые группы населения[Kolobkova A. A. Formation of reproductive behavior of student youth in the process of studying humanitarian disciplines. Pedagogical Journal. 2019;9(5A):806–814. DOI: 10.34670/AR.2020.45.5.199][Liang M., Simelane S., Fortuny Fillo G. et al. The state of adolescent sexual and reproductive health. J. Adolesc Health. 2019;65(6S):S3–S15. DOI: 10.1016/j.jadohealth.2019.09.015][Roos E. J., Simms-Cendan J., Cheung C. et al. Pediatric and adolescent gynecology through a global lens. Int. J. Gynaecol. Obstet. 2022;156(2):189–196. DOI: 10.1002/ijgo.13723][Atambaeva R. M., Mingazova E. N. Current state of the reproductive and demographic process in the Kyrgyz Republic. Kazan Medical Journal. 2015;96(4):587–593.][Loveless M., Myint O. Vulvovaginitis- presentation of more common problems in pediatric and adolescent gynecology. Best Pract. Res. Clin. Obstet. Gynaecol. 2018;48:14–27. DOI: 10.1016/j.bpobgyn.2017.08.014][Xu L., Hu Z., Yu F., Tang Y. Analysis of characteristics of vulvo-vaginal infections in 14- to 18-year-old girls in late puberty. J. Int. Med. Res. 2020;48(8):300060520946506. DOI: 10.1177/0300060520946506][Zhelezova P. V., Nepomnyashchaya G. G., Mingazova E. N. Social-hygienic and clinical-microbiological features of the formation of reproductive health disorders in teenage girls. Health Care Manager. 2023;(1):80–85. DOI: 10.21045/1811-0185-2023-1-80-85][Hewitt G. Dysmenorrhea and endometriosis: diagnosis and management in adolescents. Clin. Obstet. Gynecol. 2020;63(3):536–543. DOI: 10.1097/GRF.0000000000000540][Sachedina A., Todd N. Dysmenorrhea, endometriosis and chronic pelvic pain in adolescents. J. Clin. Res. Pediatr. Endocrinol. 2020;12(1):7–17. DOI: 10.4274/jcrpe.galenos.2019.2019.S0217][Mingazova E. N., Zhelezova P. V. On the issue of medical and social prevention of inflammatory gynecological diseases among girls and adolescents (literature review). Bulletin of the N. A. Semashko National Research Institute of Public Health. 2020;2:42–47. DOI: 10.25742/NRIPH.2020.02.006][Tolentino L., Yigeremu M., Teklu S. et al. Three-dimensional camera anthropometry to assess risk of cephalopelvic disproportion-related obstructed labour in Ethiopia. Interface Focus. 2019;9(5): 20190036. DOI: 10.1098/rsfs.2019.0036][Mingazova E. N., Atambaeva R. M., Kochkorova F. A. On the question of the characteristics of nutrition and physical development of children and adolescents living in conditions of low material security. Questions of nutrition. 2018;87(S5):145. DOI: 10.24411/0042-8833-2018-10245][Mingazova E. N., Lebedeva U. M., Shigabutdinova T. N. et al. On the issue of the characteristics of height and weight anthropometric indicators of children and adolescents living in various regions of Russia. Problems of social hygiene, health care and history of medicine. 2021;29(3):481–485. DOI: http://dx.doi.org/10.32687/0869-866X-2021-29-3-481-485][Atambaeva R. M., Mingazova E. N. Main features of morbidity in children and adolescents of the Kyrgyz Republic. Modern problems of science and education. 2015;2-1:111.][Sanci L., Williams I., Russell M. et al. Towards a health promoting university: descriptive findings on health, wellbeing and academic performance amongst university students in Australia. BMC Public Health. 2022;22(1):2430. DOI: 10.1186/s12889-022-14690-9][Buunk A. P., Van Brummen-Girigori O. J., Leckie G. L. Ethnic culture as related to sexual and reproductive behavior in the Republic of Suriname: the pervasiveness of culture. Arch. Sex Behav. 2021;50(8):3695–3702. DOI: 10.1007/s10508-021-02013-9][Gureev S. A., Mingazov R. N., Mingazova E. N. Lifestyles of students, including with disturbances in physical development during the COVID-19 pandemic. Health Care Manager. 2023;(3):56–65.][Gureev S. A., Mingazov R. N., Mingazova E. N. Peculiarities of the quality of life of students, including with disturbances in physical development, under the conditions of the COVID-19 pandemic. Health Care Manager. 2022;(6):41–46.][Mingazov R. N., Gureev S. A., Zotov V. V. et al. Features of nutrition of adolescents in the twenties of the XXI century as a health risk factor. Problems of social hygiene, health care and history of medicine. 2022;30(S):1078–1082. DOI: 10.32687/0869-866X-2022-30-s1-1078-1082][Savelyeva G. M., Sukhikh G. T., Serov V. N., Radzinsky V. E. Obstetrics: national guidelines. Moscow; 2022. 1080 p. (In Russ.)][Damsted Rasmussen T., Villadsen S. F., Kragh Andersen P. et al. Social and ethnic disparities in stillbirth and infant death in Denmark, 2005–2016. Sci. Rep. 2021;11:8001. DOI: 10.1038/s41598-021-87084-3][Wilding S., Ziauddeen N., Roderick P. et al. Are socioeconomic inequalities in the incidence of small-for-gestational-age birth narrowing? Findings from a population-based cohort in the South of England. BMJ. 2019;9(7):e026998. DOI: 10.1136/bmjopen-2018-026998][Soeiro R. E., Rocha L., Surita F. G. et al. Period poverty: menstrual health hygiene issues among adolescent and young Venezuelan migrant women at the northwestern border of Brazil. Reprod Health. 2021;18(1):238. DOI: 10.1186/s12978-021-01285-7][Davis J., Macintyre A., Odagiri M. et al. Menstrual hygiene management and school absenteeism among adolescent students in Indonesia: evidence from a cross-sectional school-based survey. Trop. Med. Int. Health. 2018;23(12):1350–1363. DOI: 10.1111/tmi.13159][Dune T., Ayika D., Thepsourinthone J. et al. The role of culture and religion on sexual and reproductive health indicators and help-seeking attitudes amongst 1.5 generation migrants in Australia: a quantitative pilot study. Int. J. Environ. Res. Public Health. 2021;18(3):1341. DOI: 10.3390/ijerph18031341][Tirado V., Ekström A. M., Orsini N. et al. Knowledge of the abortion law and key legal issues of sexual and reproductive health and rights among recently arrived migrants in Sweden: a cross-sectional survey. BMC Public Health. 2023;23(1):551. DOI: 10.1186/s12889-023-15399-z][Seidu A. A., Ameyaw E. K., Ahinkorah B. O. et al. Sexual and reproductive health education and its association with ever use of contraception: a cross-sectional study among women in urban slums, Accra. Reprod Health. 2022;19(1):7. DOI: 10.1186/s12978-021-01322-5][Schaaf M., Arnott G., Chilufya K. M. et al. Social accountability as a strategy to promote sexual and reproductive health entitlements for stigmatized issues and populations. Int J Equity Health. 2024;21(1):19. DOI: 10.1186/s12939-021-01597-x][Schaaf M., Boydell V., Sheff M. C. et al. Accountability strategies for sexual and reproductive health and reproductive rights in humanitarian settings: a scoping review. Confl. Health. 2020;14:18. DOI: 10.1186/s13031-020-00264-2][Du K. C., Mohosin A. B., Amin A., Hasan M. T. Influence of education on sexual and reproductive health service utilization for persons with disabilities in nationwide Bangladesh: an explanatory sequential mixed-methods study. Reprod. Health. 2022;19(1):46. DOI: 10.1186/s12978-022-01352-7][Mingazova E. N., Miftakhova F. A. Somatic and reproductive health of teenage girls. Bulletin of the Russian Academy of Medical Sciences. 1995;10:464. (In Russ.)][Roberts L. M., Kudesia R., Zhao H. et al. A cross-sectional survey of fertility knowledge in obstetrics and gynecology residents. Fertil. Res. Pract. 2020;6(1):22. DOI: 10.1186/s40738-020-00091-2][Kurniawati W., Afiyanti Y., Nasution L. A., Juliastuti D. Preconception care knowledge and information delivery modes among adolescent girls and women: a scoping review. Korean J. Women Health Nurs. 2023;29(1):12–19. DOI: 10.4069/kjwhn.2023.02.28][Nkrumah I., North M., Kothe E. et al. The relationship between pregnancy intentions and diet or physical activity behaviors in the preconception and antenatal periods: a systematic review and meta-analysis. J. Midwifery Women’s Health. 2020;65(5):660–680. DOI: 10.1111/jmwh.13112][Atambaeva R. M., Mingazova E. N., Isakova Zh.K. Medical and social aspects of the formation and protection of reproductive health of teenage girls in the Kyrgyz Republic. Bishkek; 2017. 208 p. (In Russ.)][Lee H. K., Yang Y. S., Kim S. K. et al. Early adolescents’ sexual and reproductive health literacy in Lao PDR. European Journal of Public Health. 2022;32(3):iii327–iii328. DOI: 10.1093/eurpub/ck-ac130.039]