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Title: THE REPRODUCTIVE HEALTH OF THE FEMALE RESIDENTS IN THE AREAS OF UKRAINE AFFECTED BY THE RADIOACTIVE CONTAMINATION (2007-2017).
Author: Antypkin YG, Gorban NY, Borysiuk OY, Lynchak OV.
Journal: Probl Radiac Med Radiobiol; 2019 Dec; 24():284-295. PubMed ID: 31841474.
Abstract:
OBJECTIVE: analysis of some reproductive health disorders of female residents of radioactively contaminated (con- taminated) and clean territories of Ukraine. MATERIALS AND METHODS: Data on disorders of the menstrual cycle (DMC), cancer of the body of the uterus (BU), inflammatory diseases of the uterus cervix (IDUC), which are taken from the statistical reports of the Ministry of Healthcare of Ukraine, from the State Statistics Service of Ukraine and the Kiev Regional Center for Maternal and Child Health Depending on Residence for the period 2007-2017, depending on the residence in the radioactively contaminated or clean settlement. RESULTS: The prevalence and incidence of DMС increased from 2007 to 2017 from 17.79 ‰ and 10.66 ‰ to 18.50 ‰ and 11.66 ‰, the prevalence and incidence rates of IDUC (from 10.05 ‰ and 7.11 ‰ to 12.50 ‰ and 8.60 ‰), there was a negative tendency of incidence of malignant neoplasms of BU (an increase of 32.2 %) and UC (an increase of 5.1%). The incidence of BU cancer in 2014-2017 compared to Ukraine as a whole (0.14 ‰) in Kyiv region and Zhytomyr region increased (0.17 ‰, p <0.01 and 0.17 ‰, p < 0.01), and in Rivne region it was no diffe- rent from the national one (0.12 ‰). The lowest prevalence and incidence of DMC were found in Rivne region (10.41 ‰ and 6.85 ‰), which is almost twice lower than in Zhytomyr region (24.78 ‰ and 11.16 ‰). In Kyiv region, these figures are also significantly lower than in Ukraine (14.48 ‰ and 10.10 ‰). In the Kyiv region, there was no difference in the frequency of DMC (389.57 ‰, versus 405.99 ‰, p = 0.72), hyperplasia (67.48 ‰ vs. 59.95 ‰, p = 0.80), and BU polyps (46.01 ‰ against (57.22 ‰, p = 0.62) in contaminated and clean territory, with no such difference found for women from 1970-1987. CONCLUSIONS: Against the background of an increased incidence of BU cancer in the contaminated territories of the Zhytomyr region and Kyiv region, the prevalence and incidence of DMC was higher than the national level only in Zhytomyr region, whereas in Kyiv region and Rivne region, on the contrary, the indicators were lower. There is no dif- ference in the frequency of DMC, endometrial hyperplasia, BU polyps, both individually and in combination, among women who lived in the contaminated and clean territory of the Kyiv region. Meta: analiz deiakykh porushen' reproduktyvnogo zdorov’ia zhinok-meshkanok radioaktyvno zabrudnenykh ta chystykh terytoriy̆ Ukraïny.Materialy ta metody. Provedeno analiz danykh shchodo porushen' menstrual'nogo tsyklu (PMTs), raku tila matky (TM), zapal'nykh zakhvoriuvan' shyy̆ky matky (ZZShM), iaki vziato zi statystychnoï zvitnosti MOZ Ukraïny, danykh Der- zhavnoï sluzhby statystyky Ukraïny ta Kyïvs'kogo oblasnogo tsentru okhorony zdorov’ia materi ta dytyny za period 2007–2017 rr., zalezhno vid prozhyvannia v radioaktyvno zabrudnenomu abo chystomu naselenomu punkti. Rezul'taty. Poshyrenist' i zakhvoriuvanist' na PMTs zrosly z 2007 po 2017 r. z 17,79 ‰ ta 10,66 ‰ do 18,50 ‰ ta 11,66 ‰, pokaznyky poshyrenosti ta zakhvoriuvanosti na ZZShM – z 10,05 ‰ ta 7,11 ‰ do 12,50 ‰ i 8,60 ‰. Sposterigalasia negatyvna tendentsiia zakhvoriuvanosti na zloiakisni novoutvorennia TM (pryrist na 32,2 %) ta ShM (pryrist na 5,1 %). Chastota raku TM za 2014–2017 rr. porivniano z Ukraïnoiu v tsilomu (0,14 ‰) u Kyïvs'kiy̆ ta Zhytomyrs'kiy̆ oblastiakh pidvyshchylas' (0,17 ‰, r < 0,01 ta 0,17 ‰, r < 0,01), a u Rivnens'kiy̆ ne vidriznialas' vid zagal'noukraïns'koï (0,12 ‰). Nay̆nyzhchi poshyrenist' i zakhvoriuvanist' na PMTs vyiavleni u Rivnens'kiy̆ oblasti (10,41 ‰ ta 6,85 ‰), shcho may̆zhe vdvichi nyzhche za analogichni pokaznyky v Zhytomyrs'kiy̆ oblasti (24,78 ‰ ta 11,16 ‰). U Kyïvs'kiy̆ oblasti tsi pokaznyky tezh dostovirno menshi porivniano iz zagal'noukraïns'kymy (14,48 ‰ ta 10,10 ‰). U Kyïvs'kiy̆ oblasti ne vidmicheno riznytsi u chastoti PMTs (389,57 ‰, proty 405,99 ‰, r = 0,72), giperplaziï (67,48 ‰ proty 59,95 ‰, r = 0,80) ta polipiv TM (46,01 ‰ proty (57,22 ‰, r = 0,62) na zabrudneniy̆ ta chystiy̆ terytoriiakh. Ne vyiavleno takoï riznytsi i dlia zhinok 1970–1987 rr. narodzhennia.Vysnovky. Na foni pidvyshchenoï chastoty raku TM na zabrudnenykh terytoriiakh Zhytomyrs'koï ta Kyïvs'koï oblas- tey̆, poshyrenist' ta zakhvoriuvanist' na PMTs bula bil'sha za zagal'noukraïns'ku lyshe v Zhytomyrs'kiy̆ oblasti, todi iak u Kyïvs'kiy̆ i Rivnens'kiy̆, navpaky, pokaznyky buly nyzhchymy. Vidsutnia riznytsia u chastoti PMTs, giperplaziï endometriia, polipiv TM iak okremo, tak i u ïkh poiednanni, sered zhinok, iaki prozhyvaly na zabrudneniy̆ ta chystiy̆ te- rytoriiakh Kyïvs'koï oblasti.

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