Ekologiya Cheloveka (Human Ecology)最新文献

{"title":"DENTAL HEALTH IN THE ADULT POPULATION OF ARKHANGELSK: А STUDY PROTOCOL","authors":"Anastasia V. Podrezova, A. A. Simakova, A. V. Kudryavtsev, Mariya A. Gorbatova, S. N. Drachev, T. N. Yushmanova, Andrej M. Grjibovski, L. N. Gorbatova","doi":"10.17816/humeco624200","DOIUrl":"https://doi.org/10.17816/humeco624200","url":null,"abstract":"The Arkhangelsk region is characterized by a high prevalence and intensity of dental diseases, but most of the studies were either hospital-based or used small samples with questionable representativeness.Aims: This article is a protocol of an original, the purpose of which is to assess the dental status of the adult population of Arkhangelsk using a representative sample. Methods: In 2022, a cross-sectional study “Prevalence of dental pathology among the population of the Arctic zone of the Russian Federation (using the example of Arkhangelsk) and associated characteristics of the microbiome of the intestine and the respiratory tract” (hereinafter referred to as the dental study) was conducted in Arkhangelsk. The dental study was a part of the study “Molecular and genetic markers of the response to coronavirus infection and changes in the human microbiota and metabolome during the COVID-19 pandemic” (hereinafter referred to as the study on the effects of COVID-19). Data collection for the study was carried out from October 3 to November 10, 2022 at the Northern State Medical University. The study involved 463 adults aged 42-76 years living in the city of Arkhangelsk, representing a random sample of the adult population who had previously taken part in the “Know Your Heart” project in 2015-2017. All participants were asked to undergo an additional dental examination. The response rate was 91.6%. The dental examination included a questionnaire, assessment of dental status as recommended by the World Health Organization (2013), assessment of oral hygiene and gum inflammation, collection of gingival fluid, autofluorescence stomatoscopy (AFS), dental aesthetic index (DAI), examination by an orthodontist with periotestometry, performing a photo protocol, conducting biometrics of plaster models. Also, if indicated, participants were asked to undergo in-depth diagnostics to identify orthodontic pathology, namely, teleradiography and a cone-beam computed tomography.","PeriodicalId":38121,"journal":{"name":"Ekologiya Cheloveka (Human Ecology)","volume":"28 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138948240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Targeted approach to assessing the impact of living conditions and social factors of the habitat on the medico-demographic status of rural territories in the Arctic zone of the Russian Federation","authors":"Alexey A. Dudarev, Alexey V. Dozhdikov","doi":"10.17816/humeco596456","DOIUrl":"https://doi.org/10.17816/humeco596456","url":null,"abstract":"Relevance: according to Federal Law On sanitary-epidemiological well-being of population the environmental factors that have or may have an impact on humans and on health of future generations along with chemical, physical and biological factors, also include social factors\". \u0000Within framework of section State of public health in connection with the state of natural environment and living conditions of the system of state sanitary and epidemiological regulation, a significant number of normative and methodological documents have been approved aimed at assessing the impact of chemical, physical and biological environmental factors on population health, while not a single document has been developed concerning social factors of habitat or living conditions. \u0000In the Strategy for the development of the Arctic zone of the Russian Federation (AZRF) until 2035, the main dangers, challenges and threats that form risks for development of AZRF include clear signs of deterioration in medico-demographic situation, where, along with migration outflow, reduction of population number, high mortality rate, lag behind all-Russian values of indicators characterizing quality of life, poor state of social, housing, communal, transport infrastructure were noted. \u0000Goals and objectives: development of the concept of living conditions as a set of social factors of habitat formed by social infrastructure of a settlement; development of conceptual model of determinants of human health, indicating place of living conditions (social infrastructure) in the frame of habitat; scientific substantiation of concept of harmful effects of social factors of habitat; development of targeted approach to assessing the impact of living conditions on medico-demographic status of rural areas of AZRF using scoring system for assessing living conditions, which makes it possible to rank individual villages according to the value of infrastructure indices and the integral index of living conditions (IILC). \u0000Practical significance: implementation in practice of the proposed targeted methodological approach will make it possible to scientifically substantiate the need to take differentiated measures (managerial decisions) in relation to the identified risk territories, risk groups and risk pathologies, aimed at improving living conditions, preserving public health, ensuring sanitary-epidemiological well-being, reducing the intensity of negative trends in demographic processes in the regions of AZRF.","PeriodicalId":38121,"journal":{"name":"Ekologiya Cheloveka (Human Ecology)","volume":"185 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138995045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The use of psychoactive substances in combat conditions by the armies of foreign countries","authors":"Igor Borisovich Ushakov, V. Shamrey, Vadim Alexandrovich Basharin, Alexander Ivanovich Kolchev, Leonid Semenovich Shpilenya, Alexei Andreevich Khovpachev","doi":"10.17816/humeco601826","DOIUrl":"https://doi.org/10.17816/humeco601826","url":null,"abstract":"The paper summarizes the experience of the use of psychoactive compounds by the armies of foreign countries. The analyzed sources indicate the widespread use of psychostimulants, toxic substances and narcotic drugs. The latter often contributed to outbreaks of drug addiction among troops and civilians.","PeriodicalId":38121,"journal":{"name":"Ekologiya Cheloveka (Human Ecology)","volume":"58 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138976466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"RATIO OF IMMUNOCOMPETENT CELLS, IMMUNOGLOBULINS AND CYTOKINES IN PEOPLE WITH COMORBID BACKGROUND AFTER COVID-19 IN THE ARCTIC REGION","authors":"Elizaveta Yuryevna Shashkova, E. Popovskaya, O. Filippova, L. Shchegoleva","doi":"10.17816/humeco624170","DOIUrl":"https://doi.org/10.17816/humeco624170","url":null,"abstract":"Resume. The level of resistance of the human body living in the North to the effects of various damaging factors is significantly lower due to the slowdown in the maturation of immunity in children and a decrease in the reserve capabilities of immune reactions in adults, which is especially important in the context of a new coronavirus infection. In the North, \"marginal pathology\" is widespread - diseases of the bronchopulmonary system. Currently, there is no information about the state of immune homeostasis after COVID-19 in residents of the Arctic region with a history of comorbid background. Aim. To identify the ratio of immunocompetent cells, immunoglobulins and cytokines after COVID-19 in individuals with a comorbid background. Materials and methods. 45 people, aged 18-40, were examined, including 25 women and 20 men, residents of Arkhangelsk, who suffered from COVID-19 of mild and/or moderate severity, confirmed by laboratory (U 07.1). All the examined Northerners had a history of concomitant chronic disease of marginal pathology (chronic bronchitis). Results. The frequency of occurrence of elevated values of cellular immunological parameters CD8+ and CD95+, as well as immunoglobulins IgM, IgG, IgE in young women after COVID-19 with a history of chronic bronchitis is associated with elevated values of cytokine IL-1β in 17-45% of cases, depending on the indicator (p0.01) and only in 10% of cases It is interrelated with an increased content of IL-10 and TNF-α. Conclusions. In young men after COVID-19 with a history of chronic bronchitis, high concentrations of CD8+ and CD95+ cells are associated with increased levels of IdA (5%), IgM, IgG, IgE (13-25%) and are associated in 17% of cases with high levels of IL-10 and TNF-α (15%). Young Northerners with a history of chronic bronchitis after Covid-19 of mild and/or moderate severity have a high concentration of CD8+ and CD95+ cells, IgM, IgG, IgE, IL-10 and TNF-α against a background of low concentrations of CD10+ and IL-4 cells, regardless of gender.","PeriodicalId":38121,"journal":{"name":"Ekologiya Cheloveka (Human Ecology)","volume":"30 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138980054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"IMMUNOLOGICAL AND GENETIC PROFILE OF THE CHILD POPULATION OF THE NITRATE GEOCHEMICAL PROVINCE","authors":"O. Dolgikh, O. A. Kazakova, D.G. Dianova","doi":"10.17816/humeco139655","DOIUrl":"https://doi.org/10.17816/humeco139655","url":null,"abstract":"BACKGROUND: Significant pollution of groundwater with nitrates, causing a negative impact on the health of different groups of the population. \u0000The AIM of the study is to study the features of the immune status and genetic profile of the child population of the nitrate geochemical province (on the example of the Perm Region). \u0000MATERIALS AND METHODS: 78 preschool children living in territories with different nitrate content in drinking water from underground drinking water sources were examined. The comparison group consisted of 43 children consuming drinking water of satisfactory quality in terms of nitrate content; the observation group consisted of 35 children consuming drinking water with an increased nitrate content. The assessment of the level of nitrates in household drinking water, identification of the concentration of N-nitrosamines and nitrate ions in the biological media (blood, urine) of children was carried out. The technology of flow cytometry and enzyme immunoassay was used to evaluate the immunoregulation parameters by PCR polymorphism of genes. \u0000RESULTS: It was found that the nitrate content in drinking water in the observation area is statistically significant (p0.001) 2.8 times higher than the values detected in the comparison area. It was found that in the children of the observation group, the content of N-nitrosodiethylamine in the blood was statistically significantly increased (p=0.044-0.049) by 2.3 times, and the nitrate ion in the urine by 1.6 times relative to the values detected in the children of the comparison group. In the children of the observation group, a statistically significant (p=0.001-0.039) decrease in the number of NKT, an increase in the level of CD3+CD25+-, CD3+CD95+-cells, bax, IL17, Annexin V-FITC+PI-- and Annexin V-FITC+PI+-lymphocytes was revealed compared with the results recorded in children of the comparison group. Polymorphism of candidate genes controlling tumor formation (CYP1A1rs1048943, MMP9rs17576, PPARDrs2016520) was revealed. \u0000CONCLUSION: It was found that in children with chronic low-level nitrate exposure (at the level of 1.2 MPC) with drinking water from underground sources, there is an excess content of N-nitrosodiethylamine and nitrate ion in the urine in the blood, which determines the features of the immune response and genetic profile.","PeriodicalId":38121,"journal":{"name":"Ekologiya Cheloveka (Human Ecology)","volume":"80 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139012139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Features of bioelectric brain activity of young people with internet addiction","authors":"Sergey Tolstoguzov, Tatiana Aleksandrovna Fisher","doi":"10.17816/humeco568123","DOIUrl":"https://doi.org/10.17816/humeco568123","url":null,"abstract":"BACKGROUND: Excessive use of the Internet for the purpose of entertainment or aimless pastime often leads to Internet addiction.AIM: Study of the features of the formation of bioelectrical activity of the brain in young people with Internet addiction using data from EEG spectral analysis in terms of full spectrum power and rhythm indices.METHODS: The study involved 61 volunteers - students of 1-2 courses of full-time education (young men, age 19.63 1.27 years) of the University of Tyumen (UTMN), residents of Tyumen and the Tyumen region. According to the Chen method (CIAS), the sample was divided into Internet addicts and a control group. Background EEG was recorded in 16 standard leads. A spectral analysis of the EEG was carried out in terms of the total power of the spectrum, the power of the spectrum in the alpha range (V2), and the rhythm index.RESULTS: In addicts, EEG type I prevailed (86% of cases) with an alpha rhythm structure organized in time and space, modulated into pronounced spindles, and also (14% of cases) type II encephalogram was presented, characterized by hypersynchronous alpha activity , weakly modulated or not at all modulated into spindles with high Rhythm Index values. In the control group of young people, there were three types of normal EEG organization. Organized type I was 69%, hypersynchronous type II - 8%, while desynchronous type III with a low representation of the -component and its replacement by and 1 rhythms was noted in 23% of the subjects of the control group.CONCLUSION: The patterns of bioelectrical activity of the brain of Internet addicted young people, obtained in our study, probably reflect a certain (developed) stage of the addictive process, in which there are no pronounced negative EEG manifestations of Internet addiction against the background of adaptive mechanisms formed in addicts to such a way of life.","PeriodicalId":38121,"journal":{"name":"Ekologiya Cheloveka (Human Ecology)","volume":"55 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139258539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Geohelminth eggs’ contamination of soils of major social objects in Vladivostok","authors":"Tatyana Tabakaeva, Shchelkanov Michael, Irina Galkina","doi":"10.17816/humeco562740","DOIUrl":"https://doi.org/10.17816/humeco562740","url":null,"abstract":"BACKGROUND: Geohellminthiasis accounts for about 90% of all parasitic diseases of the population. In this regard, WHO recommends regular parasitological monitoring of the soil, for the subsequent assessment of its parasitic contamination and the development of appropriate measures for the prevention and prevention of parasitosis among the population.
 AIM: The purpose is to conduct research on parasitic soil contamination of socially important objects in the territory of the city of Vladivostok
 METHODS: Soil samples were collected from socially significant objects of the city of Vladivostok the territories of communal households, parks and preschool institutions (DDU). A total of 671 soil samples were collected, the collection was carried out according to MUC 4.2.796-99, soil samples were examined using the Romanenko method. Next, the indicators of the intensity of seeding (EO, %) and the intensity of seeding (IO, ex./kg) were calculated.
 RESULTS: In total, 7 morphological forms of geohelminth eggs were found: Toxocara spp., Toxascaris leonina, Uncinaria stenocephala, Ascaris spp., Ancylostoma spp., Dypilidium caninum and Taenia spp. Propagative stages of helminths were found in 401 samples out of 671 studied, the prevalence of seeding (EO) was 59.8%. The greatest extent of seeding (EO) was noted for toxocara, eggs of Toxocara spp. were detected in 300 samples and the EO was 44.7%. Geogelint eggs were found in soil samples at all the studied sites, the territories of parks and communal households were the most seeded and rich in parasitic composition.
 CONCLUSION: Geohelmin eggs were found by us in all territories of socially significant objects, which allows","PeriodicalId":38121,"journal":{"name":"Ekologiya Cheloveka (Human Ecology)","volume":"110 19","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135137367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of solar activity and geographic latitude on genetic homeostasis of human somatic cells.","authors":"Vladislav N Kalaev, Vladislav P Zuevsky, Marina S Nechaeva, Nikolay N Ilyinskikh, Ekaterina N Ilyinskikh, Anastasiya O Lantushenko, Olga S Korneeva, Tatiana V Zuevskaya, Anna V Larina, Evgeniya N Shipilova, Valentina A Gavrilova, Denis Yu Baranov, Irina V Degtyar (Skuratovskaya)","doi":"10.17816/humeco456469","DOIUrl":"https://doi.org/10.17816/humeco456469","url":null,"abstract":"AIM: is to determine the effect of solar activity on the genetic stability of human somatic cells as assessed by the micronucleus test in buccal epithelium, depending on the geographical location of the subjects.
 METHODS: The subjects were men aged 18 to 21 years, without bad habits, who have not taken any medication recently. Studies were conducted simultaneously in four cities of the Russian Federation (Voronezh, Sevastopol, Tomsk, Khanty-Mansiysk). The effect of three types of solar flares, whose classification is based on changes in the amplitude of the thermal X-ray burst, was studied. Material for cytogenetic study was collected on days 3, 7, and 10 after the solar flare. The human buccal epithelium micronucleus test was chosen as a method to evaluate genetic homeostasis. 495 thousand buccal epithelial cells were analyzed. Statistical processing of the study results was performed using \"Stadia\" and \"Statistica\" software packages. Identification of the influence of factors was performed using multivariate analysis of variance and two-factor analysis of variance with fixed effects.
 RESULTS: It was revealed that solar activity affects the stability of the human genetic apparatus by increasing the influence of the city pollution and its geographical location on the number of cells with nucleus abnormalities. The combined effect of solar flare and season of its occurrence on the number of cells with nucleus aberrations (the highest number of nuclear anomalies was registered in winter) was shown. No independent influence of solar activity on the number of cells with nuclear abnormalities was revealed. Thus, 3, 7, 10, and 17 days after the flare, no increase in the number of cells with nucleus anomalies was registered.
 CONCLUSION: The highest number of cells with nucleus abnormalities is observed in Sevastopol, which is associated with the highest anthropogenic pollution of this city compared to the other cities. Solar activity increases the influence of the city pollution and its geographical location on the number of cells with nucleus abnormalities. The results obtained can be used in conducting a micronucleus test of human buccal epithelium and in planning measures to assess the genotoxicity of the environment.","PeriodicalId":38121,"journal":{"name":"Ekologiya Cheloveka (Human Ecology)","volume":"109 16","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135138271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"STATISTICAL APPROACHES FOR ASSESSING EXCESS MORTALITY DURING THE COVID-19 PANDEMIC: A SCOPING REVIEW","authors":"Ekaterina A Krieger, Vitaly A. Postoev, Andrej М Grjibovski","doi":"10.17816/humeco595937","DOIUrl":"https://doi.org/10.17816/humeco595937","url":null,"abstract":"Excess mortality is a measure of the increase in the number of deaths in a population during a certain time period compared to the expected values. This phenomenon can be triggered by a variety of natural or man-made disasters. Throughout the global COVID-19 pandemic, all countries experienced a rise in mortality rates, although not all deaths were directly caused by the coronavirus infection. Estimation of excess mortality during a pandemic, particularly stratified by the leading causes of death, is an important public health issue. The outcomes of these calculations, however, can vary significantly depending on the methodological approaches employed to estimate excess mortality. The aim of this study was to provide a systematic review of the analytical methods used by the international research community to quantify excess mortality during the COVID-19 pandemic. Full-text publications in both Russian and English, published between 2020 and 2022, that focused on assessing excess mortality during the COVID-19 were reviewed. The search for English-language publications was conducted in the MEDLINE database (www.pubmed.gov), while Russian-language publications were sourced from the Scientific Electronic Library database (www.elibrary.ru). Out of the 725 publications initially identified, we included 73 original studies in this review. Among the various statistical methods employed to estimate excess mortality, the most commonly utilized approaches were Poisson regression with correction for overdispersion and a range of adaptive models based on autoregression and integrated moving average. The selection of a specific model depended on factors such as the duration of the existing time series, its characteristics, and the forecasting interval. This review may serve as a resource for Russian-speaking researchers and analysts seeking guidance on selecting an appropriate analytical approach when examining excess deaths during the COVID-19 pandemic in Russia.","PeriodicalId":38121,"journal":{"name":"Ekologiya Cheloveka (Human Ecology)","volume":" 31","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135341370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"WHO HEALTHY AGING DECADE 2020-2030: 
 POLICY CONCEPTION REVIEW IN GERONTOLOGY CONTEXT","authors":"Andrey G. Soloviev, Elena Yurievna Golubeva","doi":"10.17816/humeco568625","DOIUrl":"https://doi.org/10.17816/humeco568625","url":null,"abstract":"The aim is methodological substantiation and systematization of conceptual international and federal documents the main provisions on the direction \"Healthy Aging\" for 2020-2030 implementation in the context of gerontology scientific areas development.
 Methods. The methodological basis was a comprehensive analysis of WHO strategic directions for the Decade of Healthy Aging 2020-2030, WHO and UN global documents and federal sources on population aging policy adopted over the past five years. We used 16 texts with the term \"Healthy Aging (Longevity)\" in the title/full text and 2 \"Healthy Aging (Longevity) policy\" posted in the electronic scientific database \"eLibrary.ru\".
 Results and discussion. The world communitys conceptual approaches evolution to the population aging policy in the context of the WHO and the UN global documents is presented: changing attitudes, opinions and behavior regarding age and aging; providing conditions in local communities that promote the older people empowerment; providing personalized comprehensive and primary health care taking into account the older people needs; providing elderly people access to long-term care. The contact and synergy points in the scientific activity directions on the Decade of Aging, the UN goals, and other documents on gerontological policy are identified. The conceptual and practical approaches features to the Healthy Aging policy in the Russian and foreign scientific communities are systematized.
 Conclusion. The Healthy Aging WHO concept has focused attention on the need for a paradigm shift global discussion, the medical and social services reorientation to personalized coordinated care for the elderly models, and an increased focus on the long-term care development. It is shown that the integration of medical, psychological, social, environmental, economic and other services is crucial in providing a basis for a comprehensive information exchange and the services provision to support the elderly in the Healthy Aging process.","PeriodicalId":38121,"journal":{"name":"Ekologiya Cheloveka (Human Ecology)","volume":" 30","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135341371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}