ABSTRACT
Chronic obstructive pulmonary disease (COPD) is characterized by a high level of morbidity and mortality and is associated with significant social and economic losses for the health care system and society. Aim. To predict the socio-economic burden of COPD in the Russian Federation in 2022, including the cost of drug treatment. Methods. The socio-economic burden of COPD in the Russian Federation in 2022 was predicted with and without taking into account the impact of COVID-19. The analysis of the cost of illness included the calculation of direct and indirect costs due to COPD. Data of Federal State Statistics Service, the State Guarantee Program of Free Medical Care for Citizens of Russian Federation, and data from the regional register of drug treatment of patients with COPD were used. Costs of medical care (ambulatory, hospital, and emergency care) were calculated based on compulsory health insurance tariffs. The disability benefits payments were calculated based on number of disabled persons and the amount of the disability benefit in each group. Indirect costs (or economic losses) included losses from products which were not produced due to disability and premature mortality of working-aged adults. Results. The predicted total economic losses due to COPD in 2022 will be 428.5 billion rubles when taking into account the impact of COVID-19, and 378.9 billion rubles when not accounting for COVID-19. Losses in the economy due to decreased labor productivity because of premature deaths (86%) are major part of the main burden. The cost of drug therapy for patients with COPD in outpatient settings will amount to over 17 billion rubles. Conclusion. Potential economic burden of COPD in 2022 depends on the incidence of COVID-19 and could be 0.34% of the GDP. Priority should be given to measures aimed at preventing the occurrence of COPD by correcting risk factors in the population, early diagnosis, slowing the progression of the disease and preventing exacerbations. Prevention of respiratory infections including COVID-19 in patients with COPD plays a special role.
ABSTRACT
The most important measure to reduce the negative impact of the COVID-19 pandemic is the implementation of recommendations aimed at reducing the transmission of the virus, such as adherence to the self-isolation regime for certain groups of the population, social distance, the use of protective face masks, gloves, reducing the number of visits to public places, public transport, etc. Purpose of the study. Evaluate adherence to compliance with recommendations to limit the spread of new coronavirus infection in Russia and certain regions in the autumn-winter period of 2020—2021 based on an online survey. Material and methods. National Medical Research Center for Therapy and Preventive Medicine of the Ministry of Health of Russia from November 2020 to February 2021 conducted an all-Russian online survey «Study of the impact of restrictions due to COVID-19 on the lifestyle of the population». Participants are adult Russians aged 18 and over. Results. The survey involved 5537 people from 62 regions of Russia. The largest number of respondents was from Moscow (n=1157), Ulyanovsk Oblast (n=735), Irkutsk Oblast (n=595), Omsk Oblast (n=452) and the Komi Republic (n=408). The average age of the respondents was 40.7±12.2 years. As measures to limit the spread of the new coronavirus infection, 97.3% of respondents used masks, 87.3% — often washed their hands, 71.1% — observed social distance, the least common measure (42.9%) was the use of gloves. Respondents with higher or incomplete higher education were more likely to follow the recommended COVID-19 prevention measures, with the exception of the use of gloves (n=11 257, 38.9%). Certain regional differences in adherence to the recommended measures were identified, which could be due to the peculiarities of the epidemiological situation and the imposed restrictions. Conclusion. In the whole country and in a number of regions in the autumn-winter period 2020—2021 there is a high commitment to adherence to preventive measures aimed at limiting the spread of COVID-19, but regional differences exist. © 2022, Media Sphera Publishing Group. All rights reserved.
ABSTRACT
Introduction: Good sleep is an important determinant of health. Poor sleep quality is associated with poor health outcomes. Restrictive measures introduced due to the COVID-19 pandemic in the spring 2020 have led to unprecedented changes in human lives worldwide warranting research on different aspects of the influence of restrictive measures on human health and behavior. Aim: To study associations between the restrictive measures during COVID-19 pandemic and sleep characteristics in Russia. Moreover, we studied factors associated with changes in sleep patterns.
ABSTRACT
Введение: Сон - важный компонент образа жизни, низкое качеÑ