出版社：Laboratory of Complex Mapping, Faculty of Geography, MSU
摘要：Health equality and public health promotion have been and remain relevant throughout the world. The social environment plays a leading role in addressing this issue, along with the geographical one. The complexity and multifactorial social environment lead to the use of integral assessment methods taking into account individual criteria. This article presents the results of an integral assessment of the social determinants of public health at the municipal level. As an individual evaluation criteria were used by 8 indicators that characterize the state of employment, conditions of development and education at an early age, the state of food security, living conditions, the state of crime and the availability of primary health care. ASPID method of randomized composite indicator was used to integrated assessment for social determinants of health. As an example, the article cites the results of two scenarios of calculation and evaluation, social determinants, determining the degree of social benefits in relation to the public health of the population of municipal urban districts Kaliningrad Region. Map models reflecting the spatial variability of integrated assessments are presented. Analysis of the results in the first scenario showed that when there is no preference for any of the indicators, social conditions regarding public health in most municipalities are characterized as “relatively favorable – favorable”. In the second scenario, where primary care accessibility rates are a priority, in most counties social conditions can be described as “favorable – most favorable”. The results of an integrated assessment of social determinants can be useful for decisionmakers on public health issues.
其他摘要：Во всём мире была и остаётся актуальной задача обеспечения равенства в области здравоохранения и повышения уровня общественного здоровья. Ведущую роль в решении этого вопроса наряду с географической играет социальная среда. Сложность и многофакторность со
关键词：social determinants of health;composite indicator;assessment;ASPID;GIS
