Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot142710.32687/0869-866X-2024-32-1-16-21НеопределенThe social hygienic aspects of reproductive behavior of women aged 40–45 yearsAtaevOvezmyrat Gurbanmyradovichatayev.o.g@gmail.comStupakValery Semenovichstupak@mednet.ruStarodubovVladimir Ivanovichstarodubov@mednet.ruIvanovаMaisa Afanasyevnamaisa@mednet.ruPakhomovSergey Petrovichpachomw@yandex.ruThe Federal State Budget Institution The Central Research Institute for Health Organization and Informatics of Minzdrav of Russia, 127254, Moscow, RussiaThe Federal State Budget Educational Institution of Higher Education “The Kursk State Medical University”, 130504, Kursk, Russia110220243211904202519042025Copyright © 2025,2025<p>In the context of forecasted decreasing of natality, actuality of studying its causes for organizational decision-making increases. The purpose of the study was to determine factors affecting reproductive behavior of women aged 4045 years residing in areas with different natality levels in 20202021. The cohort, analytical, sociological methods were applied. The results of study demonstrated that in areas with high natality level most of urban women with higher education and high income resides in conditions of dormitory or mortgage flat and working in profile of their specialty. They are characterized by belated marriage that results in postponed child-bearing. The areas with low natality are characterized by dwelling of rural women with secondary or secondary specialized education. They reside in their own homes and work in other occupations than their specialty. The analysis of social status of women of different age groups will permit more selective approach in developing measures of increasing natality in modern conditions.</p>womenreproductive behaviorsocial statusnatalityareas of residenceженщинырепродуктивное поведениесоциальный статусрождаемостьрайоны проживания1.Galieva E. R. Reproductive behavior: theoretical approaches and modern scenarios. Kazanskij social'no-gumanitarnyj vestnik. 2022;53(2):23–8 (in Russian).2.Petrov Yu. A., Chebotareva Yu. Yu. Problems of reproductive health and behavior of female students at Rostov State Medical University, taking into account the theory of generational phenotypes. Reproduktivnoe zdorov'e detej i podrostkov. 2022;18(1):5–15 (in Russian).3.Global Accelerated Action for the Health of Adolescents (AA-HA!): guidance to support country implementation. Summary. Geneva: World Health Organization; 2017 (WHO/FWC/MCA/17.05). Licence: CC BY-NC-SA 3.0 IGO. Available at: https://www.who.int/ teams/maternal-newborn-child-adolescent/4.Stupak V. S., Sokolovskaya T. A., Postoev V. A. Morbidity of labor and delivery women in federal districts and subjects of the Russian Federation. Profilakticheskaja medicina. 2021;24(9):17–23 (in Russian).5.Uvarova E. V., Kolomeytsev M. G., Radchenko M. V. Legal aspects of protecting the reproductive health of minors in the field of obstetrics and gynecology in the Russian Federation. Reproduktivnoe zdorov'e detej i podrostkov. 2022;18(1):16–33 (in Russian).6.Rudneva O. S., Sokolov A. A. Prerequisites for the evolution of fertility and reproductive behavior: World and Russian experience. Narodonaselenie. 2020;(4):140–52 (in Russian).7.Gudkova T. B. Conceptualizing the second demographic transition: heuristic potential and limitations of the theory. Vestnik Tomskogo gosudarstvennogo universiteta. Filosofija. Sociologija. Politologija. 2018;43:125–36 (in Russian).8.Sivoplyasova S. Yu. Reproductive attitudes of modern youth towards having many children: patterns and contradictions. Jekonomicheskie i social'nye peremeny: fakty, tendencii, prognoz. 2022;15(1):223–42 (in Russian).9.Kurmacheva N. A., Basova T. A. Chernenkov Yu. V., Andreeva A. N., Terentyeva A. V., Urazova P. A., et al. The state of reproductive health and reproductive attitudes of modern teenage girls (using the example of the Saratov region). Reproduktivnoe zdorov'e devochek-podrostkov. 2023;19(1):5–13 (in Russian).10.Filkina O. M., Vorobyova E. A., Malyshkina A. I. Awareness of adolescents about reproductive health. Reproduktivnoe zdorov'e detej i podrostkov. 2019;15(3):5–10 (in Russian).11.Kopan S. V., Andreeva M. V., Tikhaeva K. Yu., Shevtsova E. P. Student's view on the modern problem of contraception. Reproduktivnoe zdorov'e detej i podrostkov. 2021;17(1):33–9 (in Russian).12.Zakharova A. A., Astashkeviich E. V., Popov M. V., Skoblina E. V. Awareness of female students on reproductive health issues. Rossijskiy vestnik gigieny. 2022;(1):24–7 (in Russian).13.Kirillov A. V. Awareness of medical college students about the formation of reproductive health. Rossijskij vestnik gigieny.2022;(4):26–9 (in Russian).14.Kutyrina I. M., Filkina O. M., Kocherova O. Yu., Rudenko T. E., Malyshkina A. L., Savelyeva S. A. Awareness and attitude of adolescents towards a healthy lifestyle. Problemy social'noj gigieny, zdravoohranenija i istorii mediciny. 2022;30(1):33–8 (in Russian).15.Krupa T. A. Family and marriage in the value system of youth in Primorsky Kray. Russian Ekonomic Bulletin. 2020;3(4):232–7 (in Russian).16.Lysenko I. M., Lysenko O. V., Rozhdestvenskaya T. A., Lysenko A. S., Zhuravleva E. V. Infertile marriage and the health of children born as a result of assisted reproductive technologies. Vestnik Smolenskoj gosudarstvennoj medicinskoj akademii. 2019;6(3):211–6 (in Russian).17.Vankov D. V., Ivanova M. A., Sokolovskaya T. A. Main changes in demographic processes in the Vologda region. Problemy social'noj gigieny, zdravoohranenija i istorii mediciny. 2022;(6):1302–5 (in Russian).18.Ivanova M. A., Varavikova E. A. Incidence of sexually transmitted and their prevention in the Russian Federation and abroad. Sovremennye problemy zdravoohranenija i medicinskoj statistiki. 2022;(3):459–77 (in Russian).19.Eliseeva A. A. A Family and Family Vales: Approaches to Understanding in the Context of Modern Law. Aktual'nye problemy rossijskogo prava. 2022;17(3):67–74 (in Russian).