IHgIIOJOHIj - World Health Organization Regional Office for Europe

1992). TaKHM O6pa3OM, BbIACHHJIOCb, 'ITO CyLueCTByeT
npH6111431-1TenbH0 npAMOnHHeiiHâA B3aHMOCB513b Mexcziy KOJIH'IeCTBOM
nOTpe6neHH51 H BO3HHKHOBeHHeM KpOBOH3nHAHHA B M031", no KpaiiHeii
Mepe, B npeuenax OnpejjeneHHOrO CeKTOpa KpHBOÎi pucka; c Jzpyroii
CTOpOHbl CyIIÿeCTByIOT HeKOTOpble ,ZZOKa3aTenbCTBa J-O6pa3HOti
B3aHMOCB513H C HLIIeMHLIeCKHM HHCynbTOM, nOKa3bIBaK)LuHe, 'ITO
no-rpe6neHue B MânblX Jÿ03aX COKpaLuaeT pHCK, a B 60nbLnHX -
nosbiLLlaeT ero (Arria and Van Thiel 1992; Anderson et al 1993;
Beaglehole and Jackson 1992).
3.6.3 CeppevHble 3a6oneeaHNsi (KpoMe K5C)
3noynoTpe6neHlie anxoroneM CB513axO c nosblllleHIieM
BO3MO)KiIOCTH BO3HHKHOBeHI351 Cepjje'IHoti apHTMHH, KapgHOMHOnaTHH H
BHe3anHOrl KOpOHapHOri CMepTH, }COTA CpaKTOB Jÿ0 CHX nop He
JÿOCTaTOLIHO, 'iTO6bI OnpeJÿenHTb B3aHMOCB513b ",I[03a - OTBeTHaA
peaKLlnA" (Anderson et al 1993). OuexKH nponopuHH cnytiaeB
KapJÿHOMHOnaTHH, KOTOpble MO>iCHO COOTHeCTH C nOTpe6neHHeM
anKOrOnA, BapbHpyioTCA OT 21% go 32% B 3aBHCHMOCTH OT
XapaKTepa rpynnbl H3ytiaeMOrO HaceneHHA (Arria and Van Thiel
1992). Nccne>zosaHHe cnymaeB clH6pI-inAuHH npeAcepJÿHA y nioJÿert B
BO3paCTe AO 65 neT nOKa3an0, TITO noTpe6neHHe aJIKOronA 6bIJI0
npHLiHHOri, HnH O,ijHOii H3 npHLIHH B JÿByX T1JeTbHX BCeX cnytiaeB
(Arria and Van Thiel 1992).
3.6.4 1..(Nppo3 neyeHN
POnb nOTpe6neHHA aJIKOrOnA B BO3HHKHOBeHHH L(Hppo3a ne'IeHH
TOLIHO yCTaHOBneHa (Smart and Mann 1992). B HeTponHmecKHx
CTpaHaX CO 3Ha'IHTenbHbIM ypOBHeM n0Tpe6neHH5I aJIK0ro116,
BepoATHO, HeCeT OTBeTCTBeHHOCTb 3a 60nee 9eM 80% Bcex cny'iaes
CMepTH B pe3ynbTaTe uHppo3a (Schmidt 1977; Puffer and Griffith
1967). B3aHMOCB513b "jÿo3a - OTBeTHaA peaKL[HA" JÿJIA )ICeHLuHH, KaK
B6ISICHHJIOCb, ABJIAeTCA 60nee pe3KOIi, 'IeM JÿnA My)K'IHH (Anderson et
al 1993).
3.6.5 OCO6eHHOCTN (pOpMbI KpNBbIX pNCKa
Cne,i);yeT Bo3gepmaTbcA OT n106oro O6O6LuaioLuerO yTBeNiC,IleHHA
n0 KpHBbIM pHCKa TaKHX pa3HOO6pa3HbIX naTOJIOrHrI. AJIA uHppo3a
ne'-ieHH COOTHOLneHHe mower npH6nH]KaTbCA K 3KCn0HeHTe, B TO
78