Политика здорового образа жизни: от теории к практике
In this research, some practices associated with a healthy lifestyle (e.g., playing sports, eating nutrition foods regularly, avoiding smoking, and not abusing alcohol) are investigated. On the basis of the RLMS-HSE data, we analyze how the percentage of Russians using these practices changed from 2000 to 2014, and how the adherence to the healthy lifestyle depends on the different socio-economic factors. Cluster analysis did not refute the hypothesis that many lifestyles exist between the most and the least healthy choices depending on which factor influences health. Thus, it was possible to find eight health-related lifestyles: healthy, unhealthy, and others in between them (“preventive”, “passive”, “neutral”, “moderate risk”, “negative effect of harmful work”, and “smoking”), which are distinguished by the level of their risk index and by the main negative effect on health. Regression analysis has shown that, all other things being equal, social class significantly influences the choice of health-related lifestyle (“neutral” being a base category) for all styles except “moderate risk.” A model using dummies of social classes as determinants is better construed than another one using the separate parameters of social status (e.g., education level, income, and professional status). Therefore, the “healthy” and “preventive” lifestyles are the most typical for “higher” and “higher-middle” classes. “Middle-middle” classes suffer from the negative effect of harmful work. Both “lower” and “lower-lower” classes are disposed to “passive” and “smoking” lifestyles. The “lower-lower” class also chooses the most “unhealthy” lifestyle, which is characterized by alcohol abuse.
One of the declared national goals of Russia's development is to increase life expectancy at birth to 80 years by 2030. To achieve this, it is important to understand life expectancy determinants that the government can influence. This paper aims to identify main determinants of life expectancy in groups of countries that differ in the level of life expectancy and show the place of Russia in this range. We use data on 82 countries and conduct descriptive, cluster, and correlation analysis. Our analysis shows that life expectancy in Russia is much lower than in countries with a comparable level of economic development and health care expenditures. Various factors affect public health in different ways depending on the countries' belonging to different clusters on life expectancy. These factors are development of the economy, including health care, urbanization, ecology, nutrition, and unhealthy lifestyles. In conclusion, we provide recommendations for the public policy.
Public health is mainly dependent on the lifestyle and habits adopted by the population. However, Russians traditionally don’t pay enough attention to the healthy lifestyle, as compared with other nations. Last two decades in Russia were marked by an increasing number of young smokers, alcohol abusers as well as the obese. This paper examines the youth’s attitudes towards smoking, alcohol abuse, nutrition and physical activity as the main elements of an individual lifestyle. We show how different factors impact young people’s choice of a lifestyle. The policy measures to stimulate a responsible behavior among young Russians are discussed.