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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">sibmed</journal-id><journal-title-group><journal-title xml:lang="ru">Сибирский научный медицинский журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Сибирский научный медицинский журнал</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2410-2512</issn><issn pub-type="epub">2410-2520</issn><publisher><publisher-name>ИЦиГ СО РАН</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.18699/SSMJ20250221</article-id><article-id custom-type="elpub" pub-id-type="custom">sibmed-2092</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ПРОФИЛАКТИЧЕСКАЯ МЕДИЦИНА (закрыт с 20.03.26)</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>PREVENTIVE MEDICINE</subject></subj-group></article-categories><title-group><article-title>Семейный статус мужчин, работающих в режиме экспедиционной вахты в условиях Арктики, ассоциации с самооценкой здоровья</article-title><trans-title-group xml:lang="en"><trans-title>Marital status of men working in expeditionary shift mode in Arctic conditions, associations with health self-assessment</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5326-119X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Каюмова</surname><given-names>М. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Kayumova</surname><given-names>M. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p> Каюмова Марина Михайловна, к.м.н.</p><p> 625026, г. Тюмень, ул. Мельникайте, 111 </p></bio><bio xml:lang="en"><p> Marina M. Kayumova, candidate of medical sciences </p><p> 625026, Tyumen, Melnikayte st., 111 </p></bio><email xlink:type="simple">kayumova@infarkta.net</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5701-7856</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гафаров</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Gafarov</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гафаров Валерий Васильевич, д.м.н., проф.</p><p>630089, г. Новосибирск, ул. Бориса Богаткова, 175/1 </p></bio><bio xml:lang="en"><p> Valery V. Gafarov, doctor of medical sciences, professor </p><p>630089, Novosibirsk, Borisa Bogatkova st., 175/1</p></bio><email xlink:type="simple">valery.gafarov@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2686-3715</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бессонова</surname><given-names>М. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Bessonova</surname><given-names>M. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бессонова Марина Игоревна, к.м.н.</p><p> 625026, г. Тюмень, ул. Мельникайте, 111 </p></bio><bio xml:lang="en"><p> Marina I. Bessonova, candidate of medical sciences </p><p> 625026, Tyumen, Melnikayte st., 111 </p></bio><email xlink:type="simple">bessonova@infarkta.net</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5152-8460</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Акимов</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Akimov</surname><given-names>A. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Акимов Александр Михайлович, к.cоц.н.</p><p>625026, г. Тюмень, ул. Мельникайте, 111 </p></bio><bio xml:lang="en"><p> Alexandr M. Akimov, candidate of sociological sciences </p><p> 625026, Tyumen, Melnikayte st., 111 </p></bio><email xlink:type="simple">akimovam@infarkta.net</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6222-0445</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лебедев</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Lebedev</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лебедев Егор Викторович</p><p>625026, г. Тюмень, ул. Мельникайте, 111 </p></bio><bio xml:lang="en"><p> Egor V. Lebedev </p><p> 625026, Tyumen, Melnikayte st., 111 </p></bio><email xlink:type="simple">lebedev@infarkta.net</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4101-6079</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Новосёлов</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Novoselov</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Новосёлов Антон Владиславович</p><p>625026, г. Тюмень, ул. Мельникайте, 111</p></bio><bio xml:lang="en"><p> Anton V. Novoselov </p><p> 625026, Tyumen, Melnikayte st., 111 </p></bio><email xlink:type="simple">novoselov@infarkta.net</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0225-697X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гакова</surname><given-names>Е. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Gakova</surname><given-names>E. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гакова Екатерина Ивановна, к.м.н.</p><p>625026, г. Тюмень, ул. Мельникайте, 111 </p></bio><bio xml:lang="en"><p> Ekaterina I. Gakova, candidate of medical sciences </p><p> 625026, Tyumen, Melnikayte st., 111 </p></bio><email xlink:type="simple">gakova@infarkta.net</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9961-5616</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Акимова</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Akimova</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Акимова Екатерина Викторовна, д.м.н.</p><p>625026, г. Тюмень, ул. Мельникайте, 111 </p></bio><bio xml:lang="en"><p> Ekaterina V. Akimova, doctor of medical sciences </p><p> 625026, Tyumen, Melnikayte st., 111 </p></bio><email xlink:type="simple">akimovaev@infarkta.net</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Тюменский кардиологический научный центр – филиал Томского национального исследовательского медицинского центра РАН</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Tyumen Cardiology Research Center of Tomsk National Research Medical Center of Russian Academy of Science</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>НИИ терапии и профилактической медицины –&#13;
филиал ФИЦ Институт цитологии и генетики СО РАН</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research Institute of Internal and Preventive Medicine – Branch of the Federal Research Center Institute of Cytology and Genetics SB RAS</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>06</day><month>05</month><year>2025</year></pub-date><volume>45</volume><issue>2</issue><fpage>184</fpage><lpage>191</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Каюмова М.М., Гафаров В.В., Бессонова М.И., Акимов А.М., Лебедев Е.В., Новосёлов А.В., Гакова Е.И., Акимова Е.В., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Каюмова М.М., Гафаров В.В., Бессонова М.И., Акимов А.М., Лебедев Е.В., Новосёлов А.В., Гакова Е.И., Акимова Е.В.</copyright-holder><copyright-holder xml:lang="en">Kayumova M.M., Gafarov V.V., Bessonova M.I., Akimov A.M., Lebedev E.V., Novoselov A.V., Gakova E.I., Akimova E.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://sibmed.elpub.ru/jour/article/view/2092">https://sibmed.elpub.ru/jour/article/view/2092</self-uri><abstract><p>Добывающая промышленность постоянно осваивает все более отдаленные районы Арктики, Субарктики и Сибири, и ввиду географических, геологических, демографических и инфраструктурных особенностей данных регионов сохраняется большая потребность в специалистах с высоким потенциалом мобильности, преимущественно мужчин экономически активного возраста. Связанное с семейным статусом отношение к здоровью и, в частности, его самооценка у «вахтовиков» с увеличением стажа работы экспедиционно-вахтовым методом представляются надежными индикаторами для формирования комплексной программы профилактики сердечно-сосудистых заболеваний. Цель исследования – определение семейного статуса мужчин, занятых экспедиционно-вахтовой формой труда, его ассоциаций с самооценкой здоровья в условиях работы на нефтегазодобывающем комплексе в Арктике. Материал и методы. Объектом исследования явились две «случайные» репрезентативные выборки, сформированные из мужчин 25‒54 лет, занятых экспедиционно-вахтовой формой в арктических широтах Тюменского региона. Стаж работы экспедиционно-вахтовым методом в условиях Арктики оценивали по трем градациям: 3 года и менее, 4–9 лет, 10 лет и более. Самооценку здоровья определяли посредством анализа стандартной анкеты WHO MONICA-MOPSY. Результаты. Определены негативные тренды изменения семейного статуса среди мужчин, занятых экспедиционно-вахтовой формой труда в условиях Арктики, как в целом в организованной популяции лиц в возрасте 25–54 лет, так и в каждом из трех десятилетий жизни (25–34, 35–44, 45–54 лет), независимо от стажа работы в режиме вахты. Наиболее низкая самооценка здоровья установлена при отсутствии спутницы жизни, а также при стаже работы более трех лет у одиноких мужчин. Заключение. Результаты исследования свидетельствуют о необходимости интенсификации превентивных и социальных программ, направленных на стимулирование и укрепление роли семьи среди мужчин экономически активного возраста, преимущественно после трех лет работы экспедиционно-вахтовым методом в Арктической зоне России.</p></abstract><trans-abstract xml:lang="en"><p>The mining industry is constantly developing increasingly remote areas of the Arctic, Subarctic and Siberia, and due to the geographical, geological, demographic and infrastructural features of these regions, there remains a great need for specialists with high mobility potential, primarily men of economically active age. Attitudes to health related to family status, and in particular, its self-assessment among “shift workers” with increasing length of service in expeditionary-shift work seem to be a reliable indicator for the formation of a comprehensive program for the prevention of cardiovascular diseases. Aim of the study was to determine the family status of men engaged in expeditionary rotational work, its associations with self-assessment of health in working conditions at the oil and gas production complex in the Arctic.Material and methods. The object of the study was two “random” representative samples formed from male workers aged 25‒54 years engaged in expeditionary-shift work in the Arctic latitudes of the Tyumen region. The work experience on an expeditionary rotational basis in the Arctic was assessed according to three gradations: 3 years or less, 4–9 years, 10 years or more. Self-assessment of health was determined by analyzing the standard WHO MONICA-MOPSY questionnaire. Results. Negative trends in the change in marital status among men engaged in expeditionary rotational work in the Arctic have been identified, both in the general organized population of persons aged 25–54, and in each of the three decades of life (25–34, 35–44, 45–54 years), regardless of length of service in expeditionary watch mode. The lowest self-assessment of health was found in the absence of a life partner, as well as in single men with more than three years of work experience. Conclusions. The results of the study indicate the need to intensify preventive and social programs aimed at stimulating and strengthening the role of the family among men of economically active age, mainly after three years of work on expeditionary rotations in the Arctic zone of Russia.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>эпидемиологическое исследование</kwd><kwd>организованная популяция</kwd><kwd>семейный статус</kwd><kwd>самооценка здоровья</kwd><kwd>мужчины</kwd><kwd>Арктика</kwd><kwd>экспедиционная вахта</kwd></kwd-group><kwd-group xml:lang="en"><kwd>epidemiological study</kwd><kwd>organized population</kwd><kwd>family status</kwd><kwd>self-assessment of health</kwd><kwd>men</kwd><kwd>Arctic</kwd><kwd>expeditionary shift</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование проведено в рамках бюджетной темы № 122020300112-4.</funding-statement><funding-statement xml:lang="en">The study was carried out within the framework of budget theme No. 122020300112-4.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Силин А.Н., Юдашкин В.А. 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