Email this article 
THE MEDICAL SOCIAL DETERMINANTS OF HEALTHY LONGEVITY: COMPREHENSIVE ANALYSIS OF CHALLENGES AND STRATEGIES OF PREVENTION
- Authors: Amonova D.S.1, Osmonova N.I.2, Sodikova S.M.3, Ananchenkova P.I.4
- Affiliations:
- The Russian-Tajik Slavic University, 734025, Dushanbe, Republic of Tajikistan
- The Kyrgyz-Russian Slavic University named after the First President of the Russian Federation B. N. Yeltsin, 720000, Bishkek, Kyrgyz Republic
- The International Islamic Academy of Uzbekistan, 100011, Tashkent, Republic of Uzbekistan
- N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russia
- Issue: Vol 34, No 3 (2026)
- Pages: 644-651
- Section: Articles
- URL: https://journal-nriph.ru/journal/article/view/2697
- DOI: https://doi.org/10.32687/0869-866X-2026-34-3-644-651
- Cite item
Abstract
The article considers key determinants of life expectancy of elderly population in conditions of global challenges and opportunities. The study is based on quantitative data from the WHO, the World Bank, the All-Russian Center for the Study of Public Opinion, the National Agency for Financial Research and qualitative materials obtained by expert interviews. The purpose of the study is to substantiate comprehensive interdisciplinary approach to prevention of preventable mortality and to prolonging healthy life of the elderly based on analysis of medical social, economic and infrastructural determinants of longevity. The key determinants of healthy longevity were substantiated and interpreted: level of education, possibility of annual dispensarization, access to infrastructure of locality and region, social services. The conclusion is made about suitability of currently implementing transition of Russian medicine from biomedical strategies to comprehensive preventive ones based on application of medical and educational technologies.
About the authors
D. S. Amonova
The Russian-Tajik Slavic University, 734025, Dushanbe, Republic of Tajikistan
N. I. Osmonova
The Kyrgyz-Russian Slavic University named after the First President of the Russian Federation B. N. Yeltsin, 720000, Bishkek, Kyrgyz Republic
Sh. M. Sodikova
The International Islamic Academy of Uzbekistan, 100011, Tashkent, Republic of Uzbekistan
P. I. Ananchenkova
N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russia
References
- Рябова Е. Л., Чапкин Н. С. Роль некоммерческих организаций в укреплении здравоохранения и обеспечении доступности медицинской помощи. Культура Мира. 2024;12(37(2)):14—23.
- Matse J. Social patterns in normal aging: by Erdman Palmore. Duke University Press, Durham, 1981. 135 pp. Soc. Sci. Med. 1982;16:1998—9.
- Lalonde M. A New Perspective on the Health of Canadians: a working document. Ottawa: Government of Canada; 1974.
- Engel G. L. The need for a new medical model: A challenge for biomedicine. Science. 1977;196(4286):129—36.
- Национальный исследовательский центр «Здоровое питание». The Lancet: образование влияет на продолжительность жизни. Режим доступа: https://niczp.ru/news/issledovanie/the-lancet-obrazovanie-vliyaet-na-prodolzhitelnost-zhizni/ (дата обращения 12.09.2025).
- Аксенова Е. И., Ананченкова П. И., Бонкало Т. И. Организационная культура медицинских организаций как фактор карьерных ориентаций медицинских работников. Проблемы социальной гигиены, здравоохранения и истории медицины. 2021;29(6):1525—30.
- Всемирная организация здравоохранения. Ожирение и избыточная масса тела. ВОЗ, 2025. Режим доступа: https://www.who.int/ru/news-room/fact-sheets/detail/obesity-and-overweight (дата обращения 12.09.2025).
- Livingston G., Huntley J., Sommerlad A., et al. Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. Lancet. 2022;396(10248):413—46.
- Здоровье. 2025. Аналитический отчет по исследованию. М.: Национальное агентство финансовых исследований (НАФИ); 2025.
- Ерахтина А. Д. Инвестиции в здравоохранение, продолжительность жизни и экономический рост. ЭКО. 2019;6(540):8—25.
- Jack M., Currid-Halkett E., Tysinger B. The urban–rural gap in older Americans’ healthy life expectancy. J. Rural Health. 2025;41(1):e12875.
- Всероссийский центр изучения общественного мнения. Социальные эффекты «Московского долголетия», 2025. Режим доступа: https://wciom.ru/analytical-reviews/analiticheskii-obzor/socialnye-ehffekty-moskovskogo-dolgoletija-kak-odin-proekt-menjaet-celyi-gorod-v-otnoshenii-starshikh (дата обращения 20.08.2025).
