Preview

Сибирский научный медицинский журнал

Advanced search

Comparative analysis of medical and social characteristics of women with malignant and benign breast neoplasms: the impact of medical and social determinants of public health

https://doi.org/10.18699/SSMJ20250122

Abstract

   Medical and social determinants of public health influence the state of health, risk of occurrence and outcomes of breast neoplasms in women.

   The aim of the study is a comparative analysis of medical and social characteristics of women with malignant and benign breast neoplasms.

   Material and Methods. The data of a survey of 600 female patients were used. The main group (women with malignant breast neoplasms) and the control group (women with benign breast neoplasms) were compared, the data were obtained during the survey and by copying data from medical records. The medico-social attributes were combined into groups.

   Results and discussion. Despite the fact that the groups are similar in social status and lifestyle, data on the presence of evidentiary differences between them in the main groups of characteristics (four groups of characteristics were taken into account: “Obstetric history”; “Morbidity”; “Social status”; “Lifestyle”) were obtained.   

   Conclusions. The social trait “loneliness” through obstetric history is associated with the incidence of breast malignancy. Screening in groups of women with malignant and benign breast neoplasms should be conducted separately, taking into account the social determinant – the social and economic conditions in which they live and are treated, and also in the context of the medical determinant, which includes consideration of the level of professional competence of medical personnel who diagnose and treat these diseases.

About the Authors

A. A. Sukhov
Russian State Social University
Russian Federation

Aleksandr A. Sukhov

1292264; Vil’gel’ma Pika st., bld. 1; Moscow



S. N. Cherkasov
Russian State Social University; N.A. Semashko National Research Institute of Public Health; V.A. Trapeznikov Institute of Control Sciences of the RAS
Russian Federation

Sergey N. Cherkasov, doctor of medical sciences

1292264; Vil’gel’ma Pika st., bld. 1; 105064; Vorontsovo Pole st., 12, bld. 1; 117997; Profsoyuznaya st., 65; Moscow



S. V. Russkikh
N.A. Semashko National Research Institute of Public Health; HSE University; Research Institute of Health Care Organization and Medical Management of the Moscow City Health Department
Russian Federation

Sergey V. Russkikh, candidate of medical sciences

105064; Vorontsovo Pole st., 12, bld. 1; 101000; Myasnitskaya st., 20; 109117; Sharikopodshipnikovskaya st., 9; Moscow



A. V. Fedyaeva
V.A. Trapeznikov Institute of Control Sciences of the RAS
Russian Federation

Anna V. Fedyaeva, candidate of medical sciences

117997; Profsoyuznaya st., 65; Moscow



S. S. Saidov
Kaluga Regional Specialized Center for Infectious Diseases and AIDS
Russian Federation

Saidmurod S. Saidov, doctor of medical sciences, professor

248009; Grabtsevskoye hwy., 115; Kaluga



Е. А. Tarasenkо
N.A. Semashko National Research Institute of Public Health; HSE University
Russian Federation

Еlena А. Tarasenkо, сandidate of sociological sciences

105064; Vorontsovo Pole st., 12, bld. 1; 101000; Myasnitskaya st., 20; Moscow



References

1. Khabriev R.U., Lindenbraten A.L., Komarov Yu.M. The strategy of health care of population as a background of public social policy. Problemy sotsial’noy gigieny, zdravookhraneniya i istorii meditsiny = Problems of Social Hygiene, Public Health and History of Medicine. 2014;22(3):3–5. [In Russian].

2. Zhiguleva L.Yu., Cherkasov S.N., Fedyaeva A.V. The dynamics of morbidity and mortality of malignant neoplasms of blood system а population of St. Petersburg. Problemy sotsial’noy gigieny, zdravookhraneniya i istorii meditsiny = Problems of Social Hygiene, Public Health and History of Medicine. 2020;28(3):411–415. [In Russian]. doi: 10.32687/0869-866X-2020-28-3-411-415

3. Aminodova I.P., Vasilieva T.P., Russkikh S.V., Afanasyeva L.N., Vasiliev M.D. Prevalence of social risk factors and its trends in the population of women of reproductive age at the territorial level. Yakutskiy meditsinskiy zhurnal = Yakut Medical Journal. 2023;(4):94–100. [In Russian]. doi: 10.25789/YMJ.2023.84.23

4. Vasilieva T.P., Larionov A.V., Russkikh S.V., Zudin A.B., Vasyunina A.E., Vasiliev M.D. Methodological approaches to measuring public health as the socio-medical resource and potential of the society. Zdorov’ye naseleniya i sreda obitaniya = Public Health and Life Environment. 2022;30(11):7–15. [In Russian]. doi: 10.35627/2219-5238/2022-30-11-7-15

5. Vasilieva T.P., Larionov A.V., Russkikh S.V., Zudin A.B., Vasyunina A.E., Vasiliev M.D., Rotov V.M. Methodological approach to compiling a classifier of public health challenges. Zdorov’ye naseleniya i sreda obitaniya = Public Health and Life Environment. 2024;32(2):7–17. [In Russian]. doi: 10.35627/2219-5238/2024-32-2-7-17

6. Vasilieva T.P., Larionov A.V., Russkikh S.V., Zudin A.B., Gorenkov R.V., Vasiliev M.D., Kostrov A.A., Khapalov A.A. Methodological approach to organizing public health monitoring in the Russian Federation. Zdorov’ye naseleniya i sreda obitaniya = Public Health and Life Environment. 2022;30(7):7–17. [In Russian]. doi: 10.35627/2219-5238/2022-30-7-7-17

7. Vasilieva T.P., Larionov A.V., Russkikh S.V., Zudin A.B., Vasyunina A.E., Vasiliev M.D. Calculation of the public health index in the regions of the Russian Federation. Zdorov’ye naseleniya i sreda obitaniya = Public Health and Life Environment. 2022;30(12):7–16. [In Russian]. doi: 10.35627/2219-5238/2022-30-12-7-16

8. Shapovalova M.A. Medical and demographic criteria of social development. Byulleten’ Natsional’nogo nauchno-issledovatel’skogo instituta obshchestvennogo zdorov’ya imeni Nikolaya Aleksandrovicha Semashko = Bulletin of Semashko National Research Institute of Public Health. 2005;(3):144–146. [In Russian].

9. Barbarash O.L., Boitsov S.A., Weisman D.Sh., Galyavich A.S., Drapkina O.M., Zabozlaev F.G., Zayratyants O.V., Kakorina E.P., Kaktursky L.V., Klevno V.A., … Yakushin S.S. Position statement on challenges in assessing cause-specific mortality. Kompleksnye problemy serdechno-sosudistykh zabolevaniy = Complex Issues of Cardiovascular Diseases. 2018;7(2):6–9. [In Russian]. doi: 10.17802/2306-1278-2018-7-2-6-9

10. Timofeev L.F., Savvina N.V., Krivoshapkin V.G., Lutskan I.P., Timofeev A.L. Medical and demographic situation in the Republic Sakha (Yakutia) in the structure of the strategic tasks of the development of the Russian Federation till 2024. Yakutskiy meditsinskiy zhurnal = Yakut Medical Journal. 2020;(1):49–52. [In Russian]. doi: 10.25789/YMJ.2020.69.12

11. Cherkasov S., Shapovalova M., Boyko Y., Fedyaeva A., Meshkov D., Shirokiy A., Polozkov O., Orlov F. The influence of social determinants on the need for medical care in women. Archiv EuroMedica. 2021;11(4):31. doi: 10.35630/2199-885X/2021/11/4.7

12. Tarasenkо E.A., Russkikh S.V., Vasilieva T.P., Makarova E.V., Gorbacheva N.A., Rotov V.M. Social determinants of health as a methodological basis to develop strategies on public health improvement: foreign experience and lessons for Russia. Sotsial’nye aspekty zdorov’ya naseleniya = Social Aspects of Population Health. 2024;70(2):3. [In Russian] doi: 10.21045/2071-5021-2024-70-2-3

13. Cherkasov S.N., Sopova I.L., Fedyaeva A.V., Oleynikova V.S., Savvina N.V. Age-related features of the need for medical care in oncological diseases. Vestnik Severo-Vostochnogo federal’nogo universiteta imeni Maksima Kirovicha Ammosova. Seriya: Meditsinskiye nauki = Vestnik of North-Eastern Federal University. Series: Medical Sciences. 2020;(2):68–73. [In Russian]. doi: 10.25587/СВФУ.2020.19.2.007

14. Drapkina O.M., Samorodskaya I.V., Cherkasov S.N., Kakorina E.P., Zayratyants O.V. Coding for causes of death: the need to address issues (consensus statement). Profilakticheskaya meditsina = The Russian Journal of Preventive Medicine and Public Health. 2021;24(9):66–73. [In Russian]. doi: 10.17116/profmed20212409166

15. Samorodskaya I.V., Semenov V.E. Malignant neoplasms mortality rates in Moscow and Saint Petersburg in 2015 and 2018. Sovremennaya onkologiya = Journal of Modern Oncology. 2020;22(3):79–84. [In Russian]. doi: 10.26442/18151434.2020.3.200192

16. Shapovalova M.A., Boyko Yu.P., Yaroslavtsev A.S., Babeeva N.I., Perepechkin A.N., Zurnadjyants Yu.A., Orlov F.V., Ugurchieva Kh.Yu., Suslova T.A., Abramova D.A. Mortality of the population in the survival tables. Prikaspiyskiy vestnik meditsiny i farmatsii = Caspian Journal of Medicine and Pharmacy. 2022;3(1):53–58. [In Russian]. doi: 10.48612/agmu/2022.3.1.53.58

17. Bray F., Ferlay J., Soerjomataram I., Siegel R.L., Torre L.A., Jemal A. Global Cancer Statistics 2018: GLOBOCAN Estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J. Clin. 2018;68(6):394–424. doi: 10.3322/caac.21492

18. Coughlin S.S. Social determinants of breast cancer risk, stage, and survival. Breast Cancer Res. Treat. 2019;177(3):537–548. doi: 10.1007/s10549-019-05340-7

19. Brown C.R., Hambleton I.R., Hercules S.M., Alvarado M., Unwin N., Murphy M.M., Harris E.N., Wilks R., MacLeish M., Sullivan L., Sobers-Grannum N.; U.S. Caribbean Alliance for Health Disparities Research Group (USCAHDR). Social determinants of breast cancer in the Caribbean : a systematic review. Int. J. Equity Health. 2017;16(1):60. doi: 10.1186/s12939-017-0540-z

20. Russkikh S.V., Tarasenko E.A., Vasilieva T.P., Moskvicheva L.I., Gabunia N.Yu., Makarova E.V., Dvornikova T.A., Putilina E.A. Аttitude towards the risk-based approach implementation into the russian healthcare system among employees of medical organizations. Sibirskij nauchnyj medicinskij zhurnal = Siberian Scientific Medical Journal. 2024;44(1):211–229. [In Russian]. doi: 10.18699/SSMJ20240121

21. Russkikh S.V., Moskvicheva L.I., Tarasenko E.A., Makarova E.V., Vasiliev M.D., Arsenina Yu.V., Valova Yu.V., Doletskiy A.N. Measures to increase job satisfaction of oncologists at outpatient cancer centers. Zdorov’ye naseleniya i sreda obitaniya = Public Health and Life Environment. 2023;31(7):15–25. [In Russian] doi: 10.35627/2219-5238/2023-31-7-15-25

22. Russkikh S.V., Moskvicheva L.I., Tarasenko E.A., Timurzieva A.B., Makarova E.V., Tyranovets S.V., Vasiliev M.D. The relationship between emotional burnout and job satisfaction among oncologists of therapeutic and surgical profiles. Organizatsionnaya psikhologiya = Organizational Psychology. 2023;13(1):9–34. [In Russian]. doi: 10.17323/2312-5942-2023-13-1-9-34

23. Moskvicheva L.I., Russkikh S.V., Makarova E.V., Tarasenko E.A., Vasiliev M.D., Timurzieva A.B. Satisfaction of outpatient oncologists with their work. Eur. J. Transl. Myol. 2022;32(2):10637. doi: 10.4081/ejtm.2022.10637

24. Russkikh S.V., Larionov A.V., Vasiliev M.D. Methodical approach to the construction of the index of doctors’ confidence in their activity. Problemy sotsial’noy gigieny, zdravookhraneniya i istorii meditsiny = Problems of Social Hygiene, Public Health and History of Medicine. 2023;31(S2):1183–1188. [In Russian] doi: 10.32687/0869-866X-2023-31-s2-1183-1188

25. Russkikh S.V., Vasilieva T.P. Scheme «Methodology of calculation of the index of trust of medical workers (IDMR)». Patent for industrial design 140920 RF; published 06. 03. 2024. [In Russian].

26. Russkih S.V., Tarasenko E.A., Vasil’eva T.P., Utkin S.A., Putilina E.A., Vasil’ev M.D. Scheme: «Methodology for assessing motivation for work behavior «Index of work motivation, IWM %». Patent for industrial design 141508 RF; published 12. 04. 2024. [In Russian].

27. Russkikh S.V., Vasiliev M.D., Dvornikova T.A., Vasilieva T.P., Egorov V.I., Savlevich E.L. Kaunina D.V., Putilina E.A., Arsenina Yu.V., Valova Yu.V., Fatikhov I.R. Scheme «Algorithm for assessing the professional potential of medical personnel of doctors-otorhinolaryngologists, in the prevention of medical risks in the provision of medical care to patients with inflammatory diseases of the maxillary sinus on the basis of an integral assessment of quantitative and qualitative indicators of sociological research». Patent for industrial design 139327 RF; published 21. 11. 2023. [In Russian].

28. Sheiman I.M., Shishkin S.V., Kusakina V.O., Moiseeva V.O., Sazhina S.V., Tarasenko E.A., Chirikova A.E. Waiting times for medical care: foreign experience and Russian practice. XX Apr. International scientific conference on problems of development of economy and society, Moscow, 9–12 Apr. 2019. Moscow: Higher School of Economics, 2019. 87 p. [In Russian].

29. Korn A.R., Walsh-Bailey C., Correa-Mendez M., DelNero P., Pilar M., Sandler B., Brownson R.C., Emmons K.M., Oh A.Y. Social determinants of health and US cancer screening interventions : A systematic review. CA Cancer J. Clin. 2023;73(5):461–479. doi: 10.3322/caac.21801

30. Tarasenko E.A., Eigel M.Ya. Virtual medicine: main trends of augmented and virtual reality technologies usage in healthcare. Vrach i informatsionnye tekhnologii = Medical Doctor and Information Technologies. 2021;(2):46–59. [In Russian]. doi: 1025881/18110193_2021_2_46

31. Braaten T., Weiderpass E., Kumle M., Adami H.O., Lund E. Education and risk of breast cancer in the Norwegian-Swedish women’s lifestyle and health cohort study. Int. J. Cancer. 2004;110(4):579–583. doi: 10.1002/ijc.20141

32. Pedersen J.E., Hansen J. Employment and risk of female breast cancer in Denmark. Am. J. Ind. Med. 2022;65(5):343–356. doi: 10.1002/ajim.23342

33. Hinzey A., Gaudier-Diaz M.M., Lustberg M.B., DeVries A.C. Breast cancer and social environment: getting by with a little help from our friends. Breast Cancer Res. 2016;18(1):54. doi: 10.1186/s13058-016-0700-x

34. Khoreva O., Tarasenko E., Ivanova E. Worksite wellness programs as a part of corporate culture: a research on attitudes of employees in Russian companies. Organizatsionnaya psikhologiya = Organizational Psychology. 2021;11(2):76–97. [In Russian].


Review

For citations:


Sukhov A.A., Cherkasov S.N., Russkikh S.V., Fedyaeva A.V., Saidov S.S., Tarasenkо Е.А. Comparative analysis of medical and social characteristics of women with malignant and benign breast neoplasms: the impact of medical and social determinants of public health. Сибирский научный медицинский журнал. 2025;45(1):200-211. (In Russ.) https://doi.org/10.18699/SSMJ20250122

Views: 682


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2410-2512 (Print)
ISSN 2410-2520 (Online)