Comprehensive assessment of medical and social determinants of healthy lifestyle among servicemen of the Naval Forces of the Armed Forces of Ukraine

Keywords: servicemen of the Naval Forces of the Armed Forces of Ukraine, healthy lifestyle, risk factors

Abstract

The purpose is to comprehensively assess the medical and social determinants of a healthy lifestyle in the servicemen of the Navy of the Armed Forces of Ukraine to identify the most important risks and develop on this basis focused measures to reduce them.

Materials and methods. Medical and social aspects of fulfilling the requirements of a healthy lifestyle in servicemen of the Navy of the Armed Forces of Ukraine based on the results of a sociological survey using a specially designed questionnaire have been analyzed. The questionnaire included 43 requests, which were summarized in some information blocks. A questionnaire was used to conduct a questionnaire survey of 128 servicemen of the Navy servicemen who underwent an in-depth medical examination in 2019. The study group included males, average age - 38.5 ± 0.44, with 19.68 ± 0.43 years of service in the Armed Forces of Ukraine. Methods - bibliographic, medical and sociological, medical-statistical, system analysis.

Results. The article considers the medical and social aspects of meeting the requirements of a healthy lifestyle among servicemen of the Navy of the Armed Forces of Ukraine based on the results of a poll using a specially designed questionnaire. The questionnaire included information blocks: general information, awareness of a healthy lifestyle, prevalence and causes of bad habits, analysis of lifestyle (diet, physical activity, work and rest), self-assessment of health and a table for determining satisfaction with different aspects of life by the following criteria: working conditions and career prospects, housing and living conditions, family and material well-being, leisure and medical care, social and legal protection, etc.

Conclusions. It was established that typical factors that reduce the level of a healthy lifestyle among Navy servicemen of the Armed Forces of Ukraine are violations of diet, work and rest, high levels of bad habits and insufficient level of physical activity. Despite the relatively high awareness of  Navy servicemen of the Armed Forces of Ukraine on the requirements of a healthy lifestyle, the implementation of these recommendations remains low, which raises the issue of forming a healthy lifestyle in the Armed Forces of Ukraine to the most relevant. There is a discrepancy between the high level of awareness of servicemen of the Navy of the Armed Forces of Ukraine about a healthy lifestyle and the practical implementation of these measures (98.1 ± 1.1% of respondents believe that they have enough knowledge about a healthy lifestyle, but most (56.0 ± 4.3%) these measures are performed incompletely due to the presence of bad habits (46.7 ± 4.3%) and financial difficulties (29.8 ± 4.0%). It is established that in order to improve the maintenance of a healthy lifestyle, according to a sociological survey, the introduction of material incentives for servicemen prevails over the use of administrative measures (77.0 ± 3.8% and 50.1 ± 4.4%, respectively). The most important problems concerning the living conditions of Navy servicemen of the Armed Forces of Ukraine have been identified, namely: lack of housing, low level of material well-being and insufficient level of social and legal protection.

Author Biographies

I. K. Sereda, Ukrainian Military Medical Academy

LtC MS, PhD, Associate Professor, associate professor of the Department of Armed Forces Medical Support

Zh. M. Oleshchenko, Marine Command of the Naval Forces of the Armed Forces of Ukraine

LtC MS, Chief of the Medical Service of Marine Command of the Naval Forces of the Armed Forces of Ukraine

References

On approval of the Concept of the National Program “Health 2020: Ukrainian Dimension” (2011). Order of the Cabinet of Ministers of Ukraine dated 31.10.2011 №1164-r. https://zakon.rada.gov.ua-/laws/show/1164-2011-р#Text

General Theory of Health and Healthcare: a collective monograph. (2017). According to the general editing by prof. Boychuk, Yu. D. Kharkiv: Rozhko SG, 488. http://hnpu.edu.ua/sites/default¬/files/files/

Kaf_zdor_ta_korr_os/Zagalna_teorija_zdorovia_i_zdorviazberegennja.pdf

On approval of the Military Medical Doctrine of Ukraine (2018). Resolution of the Cabinet of Ministers of Ukraine dated 31.10.2018 № 910. https://zakon.rada.gov.ua/laws/show/910-2018-p#Text

Boyko, O.V., Litvinenko, E.S., Strashko, S.V. (2009). Development of motivation for a healthy lifestyle: Information and methodical manual for officers and sergeants. Kyiv: UN Development Program, 166. http://enpuir.npu.edu.ua/bitstream/123456789/16846/1/Мотив_ЗСЖ_2009%20%281%29.pdf

Social medicine and health care organization (2010). Ed. by prof. Moskalenko V.F. Kyiv: Book-PLUS, 328.

Moroz, G.Z., Bibik, T.A., Tkachuk, I.M. (2009). Evaluation of medical and social aspects of compliance with the requirements of a healthy lifestyle by servicemen of the Kiev garrison. Problems of military health care: Collection of scientific works of the Ukrainian military medical academy, (25), 90–98.

Grossmeier J. (2018). The Art of Health Promotion: linking research to practice. American journal of health promotion : AJHP, 32(8), 1814. https://doi.org/10.1177/0890117118804149

Tkachuk, I.M., Partasyuk, N. Yu. (2010). Medical and social aspects of meeting the requirements of a healthy lifestyle and the frequency of anxiety and depressive disorders in servicemen with hypertension. Problems of military health care: Collection of scientific works of the Ukrainian military medical academy, (27), 160–169. http://nbuv.gov.ua/UJRN/prvozd_2010_27_20

Ehteshami-Afshar, S., Momenan, A., Hajshekholeslami, F., Azizi, F., & Hadaegh, F. (2014). The impact of smoking status on 9.3 years incidence of cardiovascular and all-cause mortality among Iranian men. Annals of human biology, 41 (3), 249–254. https://doi.org/10.3109/03014460.2013.853834

Amiri, P., Mohammadzadeh-Naziri, K., Abbasi, B., Cheraghi, L., Jalali-Farahani, S., Momenan, AA, Amouzegar, A., Hadaegh, F., & Azizi, F. (2019). Smoking habits and incidence of cardiovascular diseases in men and women: findings of a 12 year follow up among an urban Eastern-Mediterranean population. BMC public health, 19 (1), 1042. https://doi.org/10.1186/s12889-019-7390-0

Centers for Disease Control and Prevention (US), National Center for Chronic Disease Prevention and Health Promotion (US), & Office on Smoking and Health (US). (2010). How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease: A Report of the Surgeon General. Centers for Disease Control and Prevention (US). https://www.ncbi.nlm.nih.gov/books/NBK53012/

Zubchenko, S.O. (2011). Smoking: the impact on youth health. Acta Medica Leopoliensia, XV (1), 112–120.

National Center for Chronic Disease Prevention and Health Promotion (US) Office on Smoking and Health. (2014). The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. Centers for Disease Control and Prevention (US). https://www.ncbi.nlm.nih.gov/books/NBK179276/pdf/Bookshelf_NBK179276.pdf

Moroz, G.Z., Tkachuk, I.M., Epishev, Y.P., Mikhrina, M.I., Kravets, A.V., Zakharchuk, L.M. (2018). Smoking of servicemen: the current state of the problem and readiness for changes in unhealthy behavior. Military medicine of Ukraine, 18 (1), 71–76. http://nbuv.gov.ua/UJRN/vmuk_2018_18_1_13

Gulich, M.P. (2011). Rational nutrition and a healthy lifestyle are the main factors in maintaining the health of the population. Aging and longevity problems. 20 (2). C. 128-132. http://geront.kiev.ua/library/psid/2011-2.pdf#page=20

Moskalenko, V.F., Gruzeva, T.S., Galienko, L.I. (2009). Features of nutrition of the population of Ukraine and their impact on health. Scientific bulletin of O Bohomolets National Medical University. 3, 64–73.

Kundiev, Y.I., Chernyuk, V.I., Shevtsova, V.M. (2005). Labor intensity as a factor of occupational stress and health risk. Ukrainian Journal of occupational health, 3–4, 90–98. http://oplib.org.ua/2720/1/05-3_15--.pdf

Published
2021-04-19
How to Cite
Sereda, I. K., & Oleshchenko, Z. M. (2021). Comprehensive assessment of medical and social determinants of healthy lifestyle among servicemen of the Naval Forces of the Armed Forces of Ukraine. Ukrainian Journal of Military Medicine, 2(1), 52-60. https://doi.org/10.46847/ujmm.2021.1(2)-052
Section
Military preventive medicine