Bulletin of Semashko National Research Institute of Public HealthBulletin of Semashko National Research Institute of Public Health2415-84102415-8429FSSBI «N.A. Semashko National Research Institute of Public Health»271710.25742/NRIPH.2024.01.003Научная статьяThe effectiveness of preventive interventions in remote and hard-to-reach settlementsNaydenovaNadezhda E.nadiet@mail.ruhttps://orcid.org/0000-0002-4085-388XEvdakovValeryan A.evdakov41@mail.ruhttps://orcid.org/0000-0002-5836-4427FomichevaMarina L.MFomicheva@mznso.ruhttps://orcid.org/0000-0003-2833-534XTomsk regional clinical hospitalSiberian State Medical UniversityFederal Research Institute «Health Organization and Informatics» of Ministry of Health of the Russian FederationResearch Institute of Therapy and Preventive Medicine, branch of the Federal State Budgetary Scientific Institution «Federal Research Center Institute of Cytology and Genetics of the Siberian Branch of the Russian Academy of Sciences» (NIITPM — branch of ICIG SB RAS)16032024281172225042025Copyright © 2025,2025<p>This article presents the results of an analysis of the frequency, values and dynamics of biological risk factors for the development of cardiovascular diseases identified in the adult population during a comprehensive survey in remote and hard-to-reach rural areas of the Tomsk region in 2017 (n=848) and in 2019 (n= 750).<br />The study was carried out as part of the implementation of the regional project Route of Health, in which employees of the mobile medical team of the health center of the Tomsk Regional Clinical Hospital took part.</p> <p>A comparative analysis of the results of the re-examination in 2019 was carried out according to the same program with a unified methodology for identifying risk factors in the same territories of the Tomsk region as in 2017. A significant frequency of biological risk factors for CVD was found in the study group of patients. in 2017 and 2019 Elevated blood pressure and hypercholesterolemia were more common among risk factors for CVD.<br />In a comparative analysis from 2017 to 2019, there was a trend towards a decrease in the frequency of biological risk factors for CVD (elevated blood pressure and hypercholesterolemia) and a trend towards a decrease in the values of risk factors for CVD (average levels of SBP and cholesterol) in residents examined in remote and hard-to-reach rural settlements of the Tomsk region.<br />Positive trends in reducing the frequency and values of CVD risk factors can be considered as a basis for evaluating the effectiveness of a comprehensive preventive intervention carried out within the framework of a regional project.</p>health centerspreventive interventionsrisk factorscardiovascular diseaseperformance evaluationцентры здоровьяпрофилактические вмешательствафакторы рискасердечно-сосудистые заболеванияоценка результативностиShlyakhto E.V, Zvartau N.E, Villevalde S.V., et al. 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