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IHgIIOJOHIj - World Health Organization Regional Office for Europe

IHgIIOJOHIj - World Health Organization Regional Office for Europe

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CBA3aHHbIX C anKOFOneM AOpO)xHbIX aBapHg cpeAH Tog rpynnbi<br />

HaceneHHA, KOTOpaA nonaAaeT non H3MeHeHHe; B TO spew, Kai(<br />

nOBbIHIeHHe Bo3paCTHOro npenena coxpaluaeT nOAo6Hble asapHH.<br />

l'1HTepeCHO, 7-ITO B HeCKOnbKHX HCCneAOBaHHAX 6bIJI0 06Hapy)KeHO,<br />

TiTO nOBbInIeHHe BO3paCTHOro npeAena BCerAa npHBOjjHT K<br />

HeMeAneHHOMy COKpanjeHHK) 06LL[er0 noTpe6neHHA anKOFOnA cpenH<br />

BO3paCTHOg rpynnbl, nona,galolueg non Z[egcTBHe 3aKOHa. TeM He<br />

McHee, HenaBHHe HCCneAOsaHHA cpeAH MOJIOAbIX nioneg Cesepnog<br />

AMepHKH 06Hapy)KHnH AJIHTenbHbIg 34)(lleKT CHH)KeHHA nOTpe6neHHA<br />

anKOFOnA y nBaAtjaTHneTHHX TaM, rne neranbHblli BO3paCTHOg npeAen<br />

6bin nOBbILIIeH Ha OnHH ron (O'Malley and Wagenaar, 1991).<br />

Biopo o6LLteg CTaTHCTHKH CHIA (GAO, 1987) 413y4I4JIO 32<br />

COOTBeTCTBÿIOLLZHX HCCneAOBaHHA, HO MHOrHe H3 HHX 6buIH OLZeHeHbl,<br />

KaK HarIHO He nOCTaTO9HO COCTOATenbHble, 4TO6bI BnHATb Ha<br />

nOJIHTHLIeCKHe peineHHA. 1/I3 14 HCcnenOBaHHg, KOTOpble<br />

ynOBneTBOpAJIH GAO n0 MeTOAOJIOFHi-IeCKHM KpHTepHAM, B 4-x<br />

paCCMaTpHBanHCb aBapHH CO CMepTenbHblM HCXOAOM B HeCKOnbKHX<br />

IIITaTaX, a B nATH - nOA06Hble aBapHH B OTAenbHbIX ulTaTaX (Arnold,<br />

1985; DuMouchel, et al., 1985; Emery, 1983; Florida Department of<br />

Community Affairs, 1983; Hingson, et al., 1983; Hoskin, et al., 1986;<br />

Klein, 1981; Lillis, et al., 1984; Maxwell, 1981; Schroeder and<br />

Meyer, 1983; Wagenaar, et al., 1981; Wagenaar, 1987; Williams, et<br />

al., 1983). l'IccnenoBaHHA, rAe HCn011b30BanHCb Aaxxble H no<br />

OTAenbHblM LIITTM H no HeCKOnbKHM II1TTM Cpa3y 06Hapy)KHnH<br />

COKpaiIjeHHe KOJIHileCTBa CBA3aHHbIX C anKOroneM asapHg,<br />

COBepLnëHHbIX MOJIOAbIMH BOAHTenAMH Ha 5% - 28%. GAO npHLnno K<br />

3aKnioLieHHIO, LITO Cy1i[eCTByIOT HaAe)KHble HayLIHble AOKa3aTenbCTBa<br />

Toro, LITO nOBb1HIeHHe npenena MHHHManbHOro B03paCTa nOKynKH<br />

anKorOJIA COKpalIjaeT KOJIHLIeCTBO CBA3aHHbIX C anKOroneM AOpo)KI-ibIX<br />

aBapHg, COBepIIIëHHbIX MOJIOAbIMH n10AbMH MOJIO)Ke 21 rOAa.<br />

l'1CCneAOBaHHA no 3TOMy Bonpocy npOBOAHnHCb TaiOKe B KaHane,<br />

CBA3aHHble c anxoroneM asapHH, cosepiuennbie 16-20-neTHHMH<br />

BOAHTenAMH CaCKaTLIeBaHa 6bInH npoaHanH3HpoBaHbl Shattuck H<br />

Whitehead (1976). IIocne CHH)KeHHA MHHHManbHOFO BO3paCTHOFo<br />

npenena B 1972 r, Ha6nloAanocb nosbliIIeni3e KOnHLieCTBa CBA3axxbIX<br />

C anKOroneM asapHg cpeAH 3TOg Bo3pacTHOg rpynnbl. Bako,<br />

MacKenzie H Smith (1976) o6HapyxcHnH 6onee, tIeM 100%<br />

nOBbILIIeHHe KOnHTIeCTBa aBTOKaTaCTpO(tl C (PaTâJIbHbIM HCXOAOM B<br />

Anb6epTe CpeAH MOJIOAbIX BOAHTeneg, HMeBLHHX ypOBeHb anKOFOnA B<br />

194

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