<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE root>
<article 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" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Problems of Social Hygiene, Public Health and History of Medicine</journal-id><journal-title-group><journal-title>Problems of Social Hygiene, Public Health and History of Medicine</journal-title></journal-title-group><issn publication-format="print">0869-866X</issn><issn publication-format="electronic">2412-2106</issn><publisher><publisher-name>Joint-Stock Company Chicot</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1161</article-id><article-id pub-id-type="doi">10.32687/0869-866X-2023-31-1-65-71</article-id><article-categories><subj-group subj-group-type="heading"><subject>Научная статья</subject></subj-group></article-categories><title-group><article-title>The psychological and environment risk factors of development of breast cancer in women residing in industrial megalopolis and rural locality</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Tsiring</surname><given-names>D. A.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Pakhomova</surname><given-names>Ya. N.</given-names></name><bio></bio><email>sizova159@yandex.ru</email><xref ref-type="aff" rid="aff-1"/><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Ponomareva</surname><given-names>I. V.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/><xref ref-type="aff" rid="aff-3"/><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Sergienko</surname><given-names>E. S.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Vazhenin</surname><given-names>A. V.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Mironchenko</surname><given-names>M. N.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/><xref ref-type="aff" rid="aff-5"/></contrib></contrib-group><aff id="aff-1">The Federal State Autonomous Educational Institution of Higher Education “The Tomsk National Research State University”</aff><aff id="aff-2">The Federal State Budget Educational Institution of Higher Education “The Ural Branch of the Financial University under the Government of the Russian Federation”</aff><aff id="aff-3">The Federal State Budget Educational Institution of Higher Education “The Chelyabinsk State University”</aff><aff id="aff-4">The Federal State Budget Institution of Science “The Institute of Psychology of the Russian Academy of Sciences”</aff><aff id="aff-5">The Federal State Budget Educational Institution of Higher Education “The Southern-Ural State Medical University”</aff><pub-date date-type="epub" iso-8601-date="2023-12-15" publication-format="electronic"><day>15</day><month>12</month><year>2023</year></pub-date><volume>31</volume><issue>1</issue><fpage>65</fpage><lpage>71</lpage><history><pub-date date-type="received" iso-8601-date="2023-02-19"><day>19</day><month>02</month><year>2023</year></pub-date></history><permissions><copyright-statement>Copyright © 2023,</copyright-statement><copyright-year>2023</copyright-year></permissions><abstract>The breast cancer hold leading position in the structure of oncological morbidity of women worldwide. The purpose of the study is to analyze contribution of psychological and environmental factors to risk of development of breast cancer in women residing in industrial metropolis and rural locality. The actuality of the study is conditioned by acquisition of new knowledge about risk factors of breast cancer. The study covered psychological factors (basic beliefs, life orientations, locus of control, coping behavior strategies, subjective assessment of quality of life, subjective age indicator, personal helplessness-independence, resilience) and environmental factor (place of urban of rural residence of women with breast cancer). The study established that in women residing in industrial metropolis the psychological risk factors are reduced indicators of basic beliefs, of quality of life and of resilience, rare application of coping strategy “Escape-Avoidance”, external locus of control. Alternatively, in women residing in rural areas, psychological risk factors for breast cancer are rare application of coping strategies, reduced quality of life indicators, increased vital activity, internal level of subjective control and personal helplessness. The study results can be included in development of personalized breast cancer screening protocols and as well as considered in assessing risk of development of disease when classifying women by breast cancer risk groups.</abstract><kwd-group xml:lang="en"><kwd>oncopsychology</kwd><kwd>breast cancer</kwd><kwd>psychological risk factor</kwd><kwd>industrial metropolis</kwd><kwd>rural area</kwd><kwd>basic beliefs</kwd><kwd>locus of control</kwd><kwd>coping behavior</kwd><kwd>quality of life</kwd><kwd>resilience</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>онкопсихология</kwd><kwd>рак молочной железы</kwd><kwd>психологические факторы риска</kwd><kwd>промышленный мегаполис</kwd><kwd>сельская местность</kwd><kwd>базисные убеждения</kwd><kwd>локус контроля</kwd><kwd>совладающее поведение</kwd><kwd>качество жизни</kwd><kwd>жизнестойкость</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Ferlay J., Ervik M., Lam F., Colombet M., Mery L., Piñeros M., Znaor A., Soerjomataram I., Bray F. Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer; 2020. Available at: https://gco.iarc.fr/today</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Бадоева З. А., Эштрекова А. М., Аликова З. Р., Козырева Ф. У. Особенности заболеваемости раком молочной железы в Кабардино-Балкарской Республике. Проблемы социальной гигиены, здравоохранения и истории медицины. 2020;28(1):39-43. doi: 10.32687/0869-866X-2020-28-1-39-43</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Аминодова И. П., Васильев М. Д., Перминова Е. В., Гараева А. С., Коновалов О. Е., Арсеенкова О. Ю. Комплексный подход к обследованию пациенток при диагностике доброкачественных заболеваний и рака молочной железы. Проблемы социальной гигиены, здравоохранения и истории медицины. 2020;28(6):1349-54. doi: 10.32687/0869-866X-2020-28-6-1349-54</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Bahrami M., Mohamadirizi S., Mohamadirizi S. Hardiness and Optimism in Women with Breast Cancer. Iranian J. Nurs. Midwifery. 2018;23(2):105-10. doi: 10.4103/ijnmr.IJNMR_200_16</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Bray F., Laversanne M., Weiderpass E., Soerjomataram I. The ever-increasing importance of cancer as a leading cause of premature death worldwide. Cancer. 2021;127(16):3029-30. doi: 10.1002/cncr.33587</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Carver C. S., Pozo-Kaderman C., Harris S. D., Noriega V., Scheier M. F., Robinson D. S., Ketcham A. S., Moffat F. L. Jr, Clark K. C. Optimism versus pessimism predicts the quality of women's adjustment to early stage breast cancer. Cancer. 1994;15(73-4):1213-20. doi: 10.1002/1097-0142(19940215)73:4&lt;1213::aid-cncr2820730415&gt;3.0.co;2-q</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Kiku P. F., Alekseeva G. N., Izmaylova O. A., Iudin S. V., Iudin S. S., Moreva V. G., Sukhova A. V. The model of organization of oncologic care of population of region. Health care of the Russian Federation. 2017;61(6):284-91. doi: 10.18821/0044-197Х-2017-61-6-284-291</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Радкевич Л. А., Николаева И. С., Радкевич Д. А. Онкологические заболевания и экологические факторы. Norwegian Journal of Development of the International Science. 2018;15(1):3-8.</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Revidi P. Psychopathologie des cancer. Sem. Hop. Paris. 1983;59(12):809-10.</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Тарабрина Н. В. Посттравматический стресс у больных угрожающими жизни (онкологическими) заболеваниями. Журнал консультативной психологии и психотерапии. 2014;(1):36-90.</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Tsiring D. A., Evstafeeva E. A., Ponomareva I. V., Sizova Y. N. Subject and personal particularities of women having various stages of breast cancer. Electron. J. General Med. 2019;16(6):150. doi: 10.29333/ejgm/112266</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Gibek K., Sacha T.Comparison of health locus of control in oncological and non-oncological patients. Contempor. Oncol. 2019;23(2):115-20. doi: 10.5114/wo.2019.856</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Zenger M., Glaesmer H., Höckel M., Hinz A. Pessimism Predicts Anxiety, Depression and Quality of Life in Female Cancer Patients. Japanese J. Clin. Oncol. 2011; 41(1):87-94. doi: 10.1093/jjco/hyq168</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Леонтьев Д. А., Рассказова Е. И. Тест жизнестойкости. М.: Смысл; 2006. 63 с.</mixed-citation></ref></ref-list></back></article>
