俄罗斯北极地区的人口健康:问题、挑战和解决方案

A. Provorova, E. Smirennikova, A. Ukhanova
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引用次数: 0

摘要

俄罗斯北极地区在预期寿命和劳动适龄人口死亡率方面明显落后于全俄数值,国家最高层指出,这是俄罗斯北极地区社会经济发展和确保国家安全的主要威胁之一。这种滞后在很大程度上是由于极端的自然和气候环境条件对在北极工作和生活的人们的健康产生了负面影响。本文旨在系统阐述与北极恶劣的自然和气候条件对生活在那里的人们的健康的影响有关的问题和挑战,以及找到使公共行政系统适应这些挑战的方法。在对科学文献和官方统计信息进行批判性分析的基础上,本文确定了不同北极人口群体(土著、老北极人和新北极人)的健康特征和适应北极自然和气候条件的过程。作者证实,人口中最脆弱的群体是移民,他们的健康受到北极极端自然和气候条件的负面影响最大。在对北极地区人口公共卫生问题和特点进行归纳总结,并将以往科学研究经验系统化的基础上,制定了北极地区公共管理系统适应现有挑战的方向。这些方向的基础是对北极人口的不同群体采取不同的方法:土著居民、老居民和新居民。作者认为,实施文章中提出的方向,以及创造最有利的社会经济生活条件,可以弥补生理损失,改善北极居民的健康指标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Population Health in the Russian Arctic: Problems, Challenges, Solutions
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.
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