The development of prevention of alcoholic addiction on the basis of analysis of medical social risk factors and prognostic modeling
2016
: The alcohol addiction is one of most actual medical social problems of modern society. The medical biological and social hygienic risk factors play significant role in its development. As a result of that, actual priority is attached to development of methodology and implementation of screening program with the purpose of analyzing medical social characteristics of examined contingent, forming of risk groups and administrating of adequate preventive curative preventive measures. The developed program included 74 questions to patient and 6 items of decision of physician. The mentioned program was applied as a basis of medical social survey comprising samples of 418 patients with alcoholism (main group) and 402 patients without this pathology (control group). The digital data base was organized. To support possibility of joint statistical processing of values of analyzed medical social characteristics all qualitative indices based on expertise evaluations were represented in digital expression. The methods of mathematical statistics were applied to explore significance of leading medical social risk factors. These factors were used as a foundation of developing mathematical models permitting to forecast individual level of possibility of development of alcohol addiction and health of patients. The established risk factors and results of prognostic modeling were proposed to be implemented in process of preventive examinations with the purpose of identification of persons with high risk of development of alcohol addiction and administer curative preventive measures. The results of approbation organized in two industrial enterprises of the Voronezhskaia oblast and screening of patients without narcological or psychiatric diagnosis visited Voronezhskii clinical narcological dispensary with purpose of obtaining resolution about absence of narcological diseases, confirm effectiveness of proposed approach.
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