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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">pulmo</journal-id><journal-title-group><journal-title xml:lang="ru">Пульмонология</journal-title><trans-title-group xml:lang="en"><trans-title>PULMONOLOGIYA</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0869-0189</issn><issn pub-type="epub">2541-9617</issn><publisher><publisher-name>Scientific and Practical Journal “PULMONOLOGIYA” LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.18093/0869-0189-2022-32-2-181-188</article-id><article-id custom-type="elpub" pub-id-type="custom">pulmo-3849</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL STUDIES</subject></subj-group></article-categories><title-group><article-title>«Табачная эпидемия» на северо-востоке России</article-title><trans-title-group xml:lang="en"><trans-title>“Tobacco epidemic” in the North-East of Russia</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3429-7685</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Барбарук</surname><given-names>Ю. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Barbaruk</surname><given-names>Yu. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Барбарук Юрий Владимирович – кандидат философских наук, научный сотрудник лаборатории физиологии экстремальных состояний </p><p>685000, Россия, Магадан, просп. Карла Маркса, 24</p></bio><bio xml:lang="en"><p>Yuriy V. Barbaruk, Candidate of Philosophy, Researcher, Laboratory of Physiology of Extreme Conditions</p><p>prosp. Karla Marxa 24, Magadan, 685000, Russia</p></bio><email xlink:type="simple">barbaruk@inbox.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное учреждение науки Научно-исследовательский центр «Арктика» Дальневосточного отделения Российской академии наук</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Budgetary Institution of Science Research Center “Arktika”, Far Eastern Branch of the Russian Academy of Sciences</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>02</day><month>05</month><year>2022</year></pub-date><volume>32</volume><issue>2</issue><fpage>181</fpage><lpage>188</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Барбарук Ю.В., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Барбарук Ю.В.</copyright-holder><copyright-holder xml:lang="en">Barbaruk Y.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://journal.pulmonology.ru/pulm/article/view/3849">https://journal.pulmonology.ru/pulm/article/view/3849</self-uri><abstract><p>В Российской Федерации с 2004 г. предпринимаются все более активные шаги по уменьшению потребления табака, но при замерах эпидемиологической ситуации указывается на снижение эффективности антитабачных мер в ряде регионов страны. Магаданская область является одним из наиболее неблагополучных регионов России в отношении эпидемиологии табакокурения (ТК), на ее примере демонстрируются пробелы в государственной антитабачной политике.</p><p>Целью исследования явился анализ эпидемиологии ТК в Магаданской области.</p><sec><title>Материал и методы</title><p>Материал и методы. Проведен массовый опрос населения региона в возрасте от 15 лет (n = 341), направленный на получение общих сведений о респонденте, информации о потреблении табака, прекращении ТК, пассивном ТК, экономике, роли средств массовой информации, знаниях, отношении и восприятии аспектов, связанных с потреблением табака. Тип выборки – квотная по полу, возрасту и географическому распределению населения. </p></sec><sec><title>Результаты</title><p>Результаты. Показано, что 42 % населения региона старше 15 лет регулярно курят табачные изделия. Между 13 и 22 годами табачная зависимость формируется примерно у 90 % курильщиков. Модальные значения потребления – 10 или 20 сигарет в сутки. Средние траты на ТК составляют около 42 тыс. руб. в год на 1 курильщика.</p><p>До 1/3 курильщиков безуспешно пытались избавиться от зависимости в течение последнего года, около 80 % хотели бы сделать это в будущем. При этом отмечается низкий уровень осведомленности потребителей табака о способах лечения табачной зависимости. </p></sec><sec><title>Заключение</title><p>Заключение. Установлено, что при относительно низких издержках на потребление табака в регионах с высоким уровнем доходов населения купируется эффект от наиболее результативного метода борьбы с ТК – повышения акцизов на табачные изделия.</p></sec></abstract><trans-abstract xml:lang="en"><p>Since 2004, the Russian Federation has been taking more and more active steps to reduce tobacco consumption, but the epidemiological situation still indicates a low effectiveness of tobacco control measures in several regions of the country. Magadan Region is one of the worst in Russia on the epidemiology of tobacco; its example can show gaps in the state’s tobacco control policy and help work out measures to improve the situation.</p><sec><title>Aim</title><p>Aim. Analysis of the tobacco epidemiology in Magadan Region.</p></sec><sec><title>Methods</title><p>Methods. A wide survey of the population of the region aged over 15 was performed. A total of 341 people were involved in the survey. The collected data included general information about the respondent, information on tobacco use, tobacco cessation, secondhand smoke, the economy, the media, knowledge, attitudes and perceptions related to tobacco use. The type of the sample was quota based on gender, age and geographical distribution of the population.</p></sec><sec><title>Results</title><p>Results. The study showed that 42% of the population of the region over 15 years old used tobacco regularly. About 90% of the respondents became addicted between 13 and 22 years. The modal consumption values are 10 or 20 cigarettes per day. The average spending on tobacco is about 42 thousand Rubles per year per smoker. Up to a 1/3 of smokers have tried but failed to give up their addiction over the previous year. At the same time, an extremely poor knowledge of the methods of anti-smoking therapy was observed. About 80% of the tobacco users would like to quit smoking in the future.</p></sec><sec><title>Conclusion</title><p>Conclusion. The relatively small costs of tobacco expenses in regions with a high level of income hinder the most effective method of tobacco control – raising taxes on tobacco products.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>табачная эпидемия</kwd><kwd>зависимость</kwd><kwd>отказ от курения</kwd><kwd>население</kwd><kwd>общественное здоровье</kwd><kwd>потребление</kwd></kwd-group><kwd-group xml:lang="en"><kwd>tobacco epidemic</kwd><kwd>addiction</kwd><kwd>smoking cessation</kwd><kwd>population</kwd><kwd>public health</kwd><kwd>consumption</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Салагай О.О., Антонов Н.С., Сахарова Г.М. и др. Влияние государственной политики по борьбе против табака на заболеваемость хроническим бронхитом среди населения Российской Федерации. Пульмонология. 2019; 29 (5): 519–524. 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