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IHgIIOJOHIj - World Health Organization Regional Office for Europe

IHgIIOJOHIj - World Health Organization Regional Office for Europe

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06pa30BaHIieM )Ken4HOr0 KaMHA nOKa3aJIO, 4TO Kâ)KyIljliiiCA<br />

3aliji3THbI4i 3C1)CkeKT MO)KHO OTHeCTH Ha C4eT IIpeABapHTenbHOrO<br />

COKpaIl[eHiiA nOTpe6neHHA aJIKOrOnA B CneACTBHH )Ken4eKaMeHHOIi<br />

AHcnencHH. (Thijs et al. 1991).<br />

3.3.3 TpyAHOCTN, BHOC41MbI@ K)/p@HN@M, AN@TOH, O6pa3OM<br />

)K13H11 N ApyrNM CpaKTOpaMIA<br />

B 60nb1iIHHCTBe COBpeMeHHbIX HCCne,IjOBaHHii BnHAHHA<br />

nOTpe6neHHA aJIKOrOnA Ha (1)H3ii4eCKOe 3AOpOBbe AenaeTCA IIOIIbITKa<br />

y4iiTblBaTb H 43aKTOp KypeHHA, HO CI-InbHaA B3aHMOCBA3b Me)K,gy<br />

ynOTpe6neHHeM aJiKOCOJIA H KypeHlieM 3aTpyAHAeT 3TO. AJIKOrOni3KIi,<br />

KOTOpble HNKOrAa He KypFInH, BCTpe4aIOTCA pe,IjKO, TaK )Ke KaK H<br />

CiinbHO KypALLliie Tpe3BeHHHKH.<br />

gHeTa ABJIAeTCA Ba)KHbIM CkaKTOpOM p,.flA MHOrHX 3a60neBaHHii.<br />

OHa MO)KeT 6bITb CBA3aHa C OAHON TpeTbiO BceX cny4aeB KOpOHapHOIi<br />

60ne3HH CepAL[a H paKa B CTpaHaX 3anaAa (ÜSDHHS 1988) H 6bITb<br />

np114aCTHOii K BO3HiiKHOBeHHIO rNnepTOHHH, HHCynbTa, .I.ZHa6era H<br />

O)KNpeHHA. B 601IbnIHHCTBe itccneAOBaHHIi ,IiHeTa He KOHTpOJIHpyeTCA,<br />

XOTA AaHHble CO6}ipaiOTCA 4acTo, 6o1iee TOFO, He3Ha4HTenbHble<br />

KOne6aHliA npliBbl4eK B nHTaHHti y 60nbIIiFiHCTBa Ii3y4aeMOrO<br />

HaceneHHA MO)KeT CAenaTb TâKOIi KOHTpOnb He344eKTI-iBHbIM.<br />

O6o61uaA, MO)KHO CKa3aTb, 4TO pa3nH4Hb1e THnbI noTpe6neHHA<br />

MOryT 6bITb CBA3aHbI C pa3H006pa3HbIMH CflaKTOpaMH o6pa3a )KH3HH H<br />

BHAaMH nOBeAeHHA, KOTOpb1e MOryT BnFiATb Ha B3aHMOCBA3b Me)KAy<br />

IIOTpe6neHi3eM aJIKOCOnA H BO3MO)KHbIMLi nOCneACTBHAMH.<br />

HanpHMep, 6bIJI0 BbIABneHO, 4TO Tpe3BOCTb B Te4eHi3e BCeü )KH3HH B<br />

CeBepxoii AMepHKe HMeeT MHO)KecTBO corlyTCTBytoLuHX noKa3aTeneli.<br />

OTMe4eH0, 4TO Tpe3BCHHHKIi B Te4eHHe Bceli )KiHHH - cTapwe, HIiNCe<br />

n0 COL[HO3KOHOMH4eCKOMy cTaTyCy, )KHByT B npOMbllnneHHbIX 30HaX,<br />

penHrH03HbI, HMetOT pOACTBeHHHKOB C npo6neMaMH, CBA3aHHbIMH C<br />

anxoroneM (Hughes et al 1985; Wannamethee and Shaper 1988),<br />

HMetOT nOBbILneHHbIIi ypOBeHb AenpeccHN H HCnbITbIBaIOT 60nb111e<br />

AenpeCCHBHbIX CHMnTOMOB nocne OnpeAeneHHbiX CO6bITHii B )KH3HI4,<br />

4eM HeMHOro H yMepeHHO nbtonlHe (Bell et al 1977; Neff and Husaini<br />

1982). Y4eT pa3H006pa3HbIX BapxauHli Tpe3BOCTH He 06313aTenbH0<br />

BnHAeT Ha p1iCK CMepTHOCTH (Camacho et al 1987).<br />

TeM He McHee, He06X0AHM0 paCCMOTpeTb BO3M0)KHOCTb TOro,<br />

4TO TaKOe Bâ)KHOe cKOnneHHe pa3nH4HN MO)KeT He nOJIHOCTbiO<br />

nOAAaBaTbCA CTaTHCTH4eCKOMy y4eTy (Kozlowski and Ferrence<br />

66

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