Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot55810.32687/0869-866X-2021-29-3-446-450Научная статьяThe medical demographic and social characteristics of women that discontinued observation and infertility treatmentOsmanovE. M.osmanov@bk.ruProkopovA. Yu.-ManyakovR. R.-GaraevaA. S.-The Federal State Autonomous Educational Institution of Higher Education “The I. M. Sechenov First Moscow State Medical University” of Minzdrav of Russia (Sechenov University)The State Budget Institution of Health Care “The Tambov Oblast Children Clinical Hospital”The Federal State Official Health Care Institution “The Medical Sanitary Unit of the Ministry of Inner Affairs on the Tambov Oblast”1512202129344645014072021Copyright © 2021,2021The recovering of reproductive health of women is one of prospective means to stabilize fertility. The purpose of the study is to investigate medical, demographic and social risk factors of discontinuing screening and treatment of infertility in women of the Tambov Oblast. The materials and methods. The comparative data analysis of women who discontinued infertility screening and treatment prior to referral to auxiliary reproductive technologies (n = 239) and women who were factually referred to these technologies (n = 206). The results of the study. The risk factors for women of discontinuing screening and treatment of infertility included age (OR = 1.070; 95% CI 1,035-1,105; p <0.001), residence in rural areas (OR = 2.059; 95% CI 1.592-2.663; p < 0.001), secondary education (OR = 2.593; 95% CI 1.767-3.805; p < 0.01), low level of financial security (OR = 2.524; 95% CI 1,720-3,703; p <0.01), secondary nature of infertility (OR = 1.587; 95% CI 1.065-2.364; p =0.023), occurrence of sexually transmitted diseases in anamnesis (OR = 2.736; 95% CI 1,722-4,346; p<0.01). Discussion. The study results demonstrate that the most effective measures improving compliance of women to screening and treatment of infertility are the reorientation of medical care to the second-level regional centers from the regional center that will bring medical care, including active detection of infertility at younger age, more comprehensive regular preventive examinations and health education to preserve reproductive health, closer to remote areas. The conclusions. The medical, demographic and social risk factors of discontinuing testing and treatment of infertility in women are established to be applied in improving the organization of medical care for this category of patients.infertilityreproductive healthregional centersrisk factorscomplianceбесплодиерепродуктивное здоровьерегиональные центрыфакторы рискакомплаентность1.Смиренникова Е. В., Уханова А. В., Воронина Л. В. Обзор современных методических подходов к оценке демографического потенциала. Фундаментальные исследования. 2018;11(2):307-13.2.Архангельский В. Н., Потанина Ю. А., Хасанова Р. Р. Региональные различия естественного движения населения в России. Народонаселение. 2015;4(70):68-78.3.Лейхнер Е. К., Маркина О. В., Суздалева С. Л., Узлова Т. В. Возможные причины репродуктивных неудач. Известия высших учебных заведений. Уральский регион. 2012;(1):147-54.4.Мельникова Е. А. Статистический анализ естественного движения населения Брянской области. В кн.: 5-я Международная научно-практическая конференция «Статистический анализ социально-экономического развития субъектов Российской Федерации». Брянск; 2018. С. 219-22.5.Национальные проекты: Целевые показатели и основные результаты. М.; 2019. 110 с. Режим доступа: http://static.government.ru/media/files/p7nn2CS0pVhvQ98OOwAt2dzCIAietQih.pdf (дата обращения 15.12.2019).