ymjЯкутский медицинский журналYakut Medical Journal1813-19052312-1017ЯНЦ КМП10.25789/YMJ.2023.81.27ymj-239Research ArticleТОЧКА ЗРЕНИЯPOINT OF VIEWРоль социальных факторов в формировании врожденных пороков сердца у детей в Республике Саха (Якутия)The role of social factors in the formation of congenital heart disease in the Republic of Sakha (Yakutia)СаввинаМ. С.SavvinaM. S.

Саввина Майя Семеновна – к.м.н., с.н.с.

г. Якутск

Savvina Maya Semyonovna – PhD, senior researcher of the laboratory Monitoring of the state of children's health

maya_savvina@mail.ruНелуноваТ. И.NelunovaT. I.

Нелунова Туяра Ивановна – врач-кардиолог; аспирант

Nelunova Tuyara Ivanovna – cardiologist of the Perinatal Center; PhD student

БурцеваТ. Е.BurtsevaT. E.

Бурцева Татьяна Егоровна – д.м.н., проф.; зав. лаб.

Burtseva Tatiana Egorovna – MD, Professor, Department of Pediatrics and Pediatric Surgery; Head of the Child Health Monitoring Laboratory

bourtsevat@yandex.ruКлимоваТ. М.KlimovaT. M.

Климова Татьяна Михайловна – к.м.н., доцент; с.н.с.

Klimova Tatiana Mikhailovna – PhD in Medical Sciences, Associate Professor, Department of Pharmacology and Pharmacy; Associate Professor, Senior Research Specialist

biomedykt@mail.ruЕгороваВ. Б.EgorovaV. B.

Егорова Вера Борисовна – к.м.н., доцент

Egorova Vera Borisovna – PhD in Medical Sciences, Associate Professor, Department of Pediatrics and Pediatric Surgery

ЧасныкВ. Г.ChasnykV. G.

Часнык Вячеслав Григорьевич – д.м.н., проф., зав. кафедрой

Chasnyk Vyacheslav Grigorievich – MD, Professor, head of the Department of Hospital Pediatrics

ФГБНУ ЯНЦ КМПРоссияYakut Scientific Center of Complex Medical ProblemsRussian FederationПеринатальный центр Якутской республиканской клинической Больницы; СПбГПМУРоссияYakutsk Republican Clinical Hospital; St. Petersburg State Pediatric Medical UniversityRussian FederationМИ СВФУ им. М.К. Аммосова; ЯНЦ КМПРоссияMedical Institute, M.K. Ammosov North-Eastern Federal University; Yakut Scientific Center of Complex Medical ProblemsRussian FederationМИ СВФУ; ЯНЦ КМПРоссияMedical Institute, M.K. Ammosov North-Eastern Federal University; Yakut Scientific Center of Complex Medical ProblemsRussian FederationМИ СВФУ им. М.К. АммосоваРоссияMedical Institute, M.K. Ammosov North-Eastern Federal UniversityRussian FederationСПбГПМУРоссияFSBEI HE St. Petersburg State Pediatric Medical UniversityRussian Federation20230602202501112116Copyright © Саввина М.С., Нелунова Т.И., Бурцева Т.Е., Климова Т.М., Егорова В.Б., Часнык В.Г., 20252025Саввина М.С., Нелунова Т.И., Бурцева Т.Е., Климова Т.М., Егорова В.Б., Часнык В.Г.Savvina M.S., Nelunova T.I., Burtseva T.E., Klimova T.M., Egorova V.B., Chasnyk V.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://ymj.elpub.ru/jour/article/view/239

Представлены результаты исследования связи некоторых социально-демографических факторов с риском развития врожденных пороков сердца (ВПС) у детей в Республике Саха (Якутия). В исследование включены все случаи ВПС среди новорожденных, родившихся живыми за два временных периода – в 2001-2003 гг. и 2011-2013 гг.

По результатам исследования, социальными факторами, оказывающими влияние на риск рождения детей с врожденными пороками сердца, явились: неполная семья без признака брачности (зарегистрированный и незарегистрированный брак), уровень образования матери в случае простых пороков сердца, при сложных пороках – количество родов и социальный статус матери.

The article presents the results of the study of the association of some socio-demographic factors with risk of congenital heart disease in children in the Republic of Sakha (Yakutia). The analysis was carried out on the basis of the Perinatal Center of the Republican Hospital No.1-NCM). The study includes all cases of congenital defects among newborns born alive in two time periods – from 2001-2003 and 2011-2013. In the first period, 697 cases were registered, in the second period there were 1127 cases of congenital heart disease.

The first group included newborns with persistent fetal communications without signs of heart failure, without expansion of the heart cavities and without hemodynamic disorders. The second group was represented by newborns with congenital heart disease with signs of heart failure and functional class of various degrees. This group was divided by severity of heart failure and functional class stages into two subgroups which were 2A and 2B respectively.

The factors such as the education of parents, the number of births in the history, the presence of a full and incomplete family, were analyzed.

The compared groups were not statistically significantly different by age of the parents. The median values of the mothers’ age at the time of birth of a child with congenital heart disease were 27 years in the first group, 26 years in the 2A group, and 28 years in the 2B group. The median age of the father in all groups was 29 years.

The structure of categories of social status is represented mainly by employees, non-workers, workers and students. An analysis of the parents of the education factor as a possible predictor of the birth of a child with congenital heart disease was also conducted.

According to the results of the study, social factors affecting the risk of birth of children with congenital heart defects were an incomplete family without a sign of marriage (registered and unregistered marriage), the level of education of the mother in the case of simple heart defects, the number of births and the social status of the mother in complex diseases.

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The authors declare that there are no conflicts of interest present.