Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot179910.32687/0869-866X-2024-32-s2-1202-1208Научная статьяHEALTH AND SATISFACTION WITH THE HEALTH CARE SYSTEM AS FACTORS IN THE QUALITY OF LIFE OF THE OLDER GENERATION OF METROPOLITAN RESIDENTSBogdanI. V.AksenovaE. A.FilippovV. E.GornostalevM. D.MyakishevaM. B.ChistyakovaD. P.State Budget Institution of Moscow “Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department”, 115088, Moscow, Russian FederationDepartment of Labor and Social Protection of the Population of the city of Moscow, 107078, Moscow, Russian FederationAll-Russian Public-Government Enlightenment Organization «Russian «Znanie» Society», 109240, Moscow, Russian Federation08112024321202120802072025Copyright © 1970,1970In the context of an aging population in megacities, it is important to maintain the health and activity of older people, improving their quality of life. To do this, it is necessary to study the factors affecting longevity, including individual health characteristics and perception of the health system (accessibility, responsiveness, effectiveness, ageism). The purpose of the study: to identify an assessment of the quality of life of elderly Muscovites and the influence of factors related to health and the assessment of the health care system on it. Materials and methods: a sociological survey, descriptive statistics, correlation analysis, and a z-test were used to compare the proportions of variables. Results: an assessment of the quality of life and its components based on questionnaires showed that health is a key factor for the elderly, although its assessment was low. 47% of the elderly are committed to healthy lifestyle, of which 40% regularly exercise. 25% have bad habits, 26% are disabled, which reduces the quality of life. 18% seek medical help on a monthly basis. Those who go to doctors less often rate the quality of life higher (p m 0.001). Satisfaction with the last medical visit is higher than with the healthcare system as a whole. Conclusion: the study revealed a link between healthy lifestyle and the quality of life of the elderly. Regular physical activity improves quality of life by reducing hypochondria and potentially offloading the healthcare system. Satisfaction with the health care system also affects the quality of life and requires an increase in the availability of medical care.agingquality of lifehealthsatisfaction with medical carephysical activityhypochondria.старение населениякачество жизниздоровьеудовлетворенность медицинской помощьюфизическая активностьипохондрия.1.Воробьева О. Д., Топилин А. В., Ниорадзе Г. В., Хроленко Т. С. Демографическое старение население региональный российские тренды. Проблемы социальной гигиены, здравоохранения и истории медицины. 2022;30(6):1230-1235. DOI: 10.32687/0869-866X-2022-30-6-1230-1235.2.World Health Organization 2024 data.who.int, Life expectancy at birth (years). Available at: https://data.who.int/indicators/i/90E2E48 (accessed 20.06. 2024).3.Демографический ежегодник России. M.: Стат.сб./ Росстат; 2023.4.ЕМИСС. Государственная статистика. Ожидаемая продолжительность жизни при рождении. Режим доступа: https://www.fedstat.ru/indicator/31293 (дата обращения: 17.05.2024).5.ЕМИСС. Государственная статистика. Ожидаемая продолжительность здоровой жизни. Режим доступа: https://www.fedstat.ru/indicator/59233 (дата обращения: 17.05.2024).6.Buffel T., Phillipson C., Scharf T. Ageing in urban environments: Developing ‘age-friendly’ cities. Critical Social Policy. 2012;32(4):597-617. DOI: 10.1177/0261018311430457.7.McDonald R., Beatley T. Cities as Inhumane: The Urban Health Penalty. In: Biophilic Cities for an Urban Century. Switzerland: Palgrave Pivot; 2021. DOI: 10.1007/978-3-030-51665-9_3.8.Zhu D., Ye X., Li W., Ding R., He P. Urban health advantage or urban health penalty? Urban-rural disparities in age trajectories of physiological health among Chinese middle-aged and older women and men. Health Place. 2021;69:102559. DOI: 10.1016/j.healthplace.2021.102559.9.National Institute on Aging, USA. Global Aging. Available at: https://www.nia.nih.gov/research/dbsr/global-aging (accessed: 20.05. 2024).10.Varlamova M., Sinyavskaya O. Active Ageing Index in Russia — Identifying Determinants for Inequality. Population Ageing. 2021;14:69—90. DOI: 10.1007/s12062-020-09277-4.11.da Rocha N. S., Power M. J., Bushnell D. M., Fleck M. P. THE EUROHIS-QOL 8-item index: comparative psychometric properties to its parent WHOQOL-BREF. Value Health. 2012;15(3):449-457. DOI:10.1016/j.jval.2011.11.035.12.Березин Ф. Б., Мирошников М. П., Соколова Е. Д. Методика многостороннего исследования личности. Структура, основы интерпретации, некоторые области применения. М.: «Березин Феликс Борисович»; 2011.13.Stewart W. J., Myléus A., Chatterji S., Valentine N. Health systems responsiveness among older adults: Findings from the World Health Organization Study on global AGEing and adult health. Glob Public Health. 2020;15(7):999-1015. DOI:10.1080/17441692.2020.1742365.14.European Social Survey European Research Infrastructure (ESS ERIC) (2023) ESS round 7 — 2014. Immigration, Social inequalities in health. Sikt — Norwegian Agency for Shared Services in Education and Research. https://doi:10.21338/NSD-ESS7-2014. Available at: https://ess.sikt.no/en/study/ccd56840-e949-4320-945a-927c49e1dc4f/116 (accessed: 20.05. 2024).15.Salkovskis P. M., Rimes K. A., Warwick H. M., Clark D. M. The health anxiety inventory: Development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychol Med. 2002;32(5):843-853. DOI:10.1017/s0033291702005822.16.Social Diagnosis 2000-2013. Objective and Subjective Quality of Life in Poland. Available at: http://www.diagnoza.com/index-en.html (accessed: 17.05. 2024).17.Колпина Л. В., Городова Т. В. Геронтологический эйджизм: причины возникновения и проблемы преодоления. Фундаментальные исследования. 2015;17(2):3871-3874.18.Programme on mental health: WHOQOL user manual. Geneva; World Health Organization; 1998.