Papers by Daria Khaltourina
Translating and adapting the Alcohol Use Disorders Identification Test (AUDIT) for use in the Russian Federation: A multicentre pilot study to inform validation procedures
Nordic Studies on Alcohol and Drugs
Aims: The Alcohol Use Disorders Identification Test (AUDIT) is one of the most widely used screen... more Aims: The Alcohol Use Disorders Identification Test (AUDIT) is one of the most widely used screening instruments worldwide. Although it was translated into many languages, not many country-specific adaptations exist, and a formal validation procedure of the Russian version has been carried out only recently. The present contribution documents the different steps taken to formally translate and adapt a Russian-specific version of the AUDIT (RUS-AUDIT). Methods: The AUDIT was translated into Russian following an established protocol, revised and adapted to the country context using an expert panel, and field-tested in an iterative approach, in line with WHO rules on instrument translation and adaptation A total of three pilot phases were carried out on 134 patients from primary healthcare (PHC) and 33 patients from specialised alcohol treatment facilities (narcology), guided by a specially established advisory board. Changes in each version were informed by the findings of the previou...
Èpidemiologiâ i vakcinoprofilaktika, Nov 19, 2022
железные дороги» 2 ФГБУ «Научноисследовательский институт медицины труда имени академика Н. Ф. Из... more железные дороги» 2 ФГБУ «Научноисследовательский институт медицины труда имени академика Н. Ф. Измерова» 3 ФГБУ «Центральный научноисследовательский институт организации и информатизации здравоохранения» Минздрава России 4 Московский областной научноисследовательский клинический институт им. М.Ф. Владимирского 5 Национальный исследовательский университет «Высшая школа экономики» 6 ФГБОУ ВО «Московский государственный медикостоматологический университет им. А.И. Евдокимова» Минздрава России 7 ГБУ «Научноисследовательский институт организации здравоохранения и медицинского менеджмента Департамента здравоохранения города Москвы»
This article presents some results of cross-cultural research on perception of the term "cul... more This article presents some results of cross-cultural research on perception of the term "culture" by university students in the United States and the Russian Federation. It includes the comparison of the summarized responses between the two national groups and the exploration of gender and age influence on the responses. The specific focus is made on differences between responses on different items within national groups. The field of research involves the study (with the technique of cross-national research) of cognitive processes, some aspects of cultural identity, cross-national differences, gender attitudes and semantic studies as proposed by early Cultural Studies researchers. On the basis of factor analysis of the data "Cognitive World Maps" of American and Russian students are constructed. American students of our sample tend to perceive themselves as living in a sort of a "cave" of unsafe low spirituality of their student community in a large &q...
Initially, we want to consider what effects could be produced by the long-term interaction of mil... more Initially, we want to consider what effects could be produced by the long-term interaction of millennial macrotrends of the World System development and shorter-term cyclical dynamics. Among other things this will make it possible for us to demonstrate how even rather simple mathematical models of preindustrial political-demographic cycles could help us to account for a paradox that has been encountered recently by political anthropologists. At least since 1798 when Thomas Malthus published his Essay on the Principle of Population (1798) it has been commonly assumed that in pre-industrial societies the growth of population density tends to lead to increase in warfare frequency. 2 For example, in Anthropology this assumption forms one of the foundations of the "warfare theory" of state formation. Indeed, according to this theory population growth leads to an increase in warfare which can lead, under certain circumstances, to political centralization (
Advanced pathological ageing should be represented in the ICD
The Lancet Healthy Longevity, 2022
In their Comment in The Lancet Healthy Longevity, Banerjee and colleagues proposed to exclude the... more In their Comment in The Lancet Healthy Longevity, Banerjee and colleagues proposed to exclude the code ‘Old age’ MG2A from the latest version of the International Classification of Diseases, ICD-11, claiming that equating old age to a disease could have the negative consequences of treating calendar age as a disease, raising concerns of ageism. Yet, in fact, the ‘Old age’ code is not a new ICD addition, or one that should raise special concerns of ageism. The synonymic designation of ‘Senility’ or ‘Old age’ was carried over from ICD-10 as it has been a rather technical designation that allowed to establish the cause of death, when it was difficult or impossible to establish other causes. In contrast to the earlier versions, the ICD-11 allows for diverse synonymic interpretations, including those that can be highly useful for a clinician treating older persons, such as ‘Ageing’, ‘Senescence’, ‘Senile state’, ‘Frailty’, and ‘Senile dysfunction’, which refer to a state of health but not the number in the passport. It is becoming increasingly clear that pathological processes of ageing are the major risk factors, and even major underlying causes of mortality and morbidity from non-communicable diseases, and, as we learn from the recent pandemics, also from infectious diseases. To address these ageing-related risk factors, there is a new wave of research and development that seeks to develop new therapies or repurpose older therapies, with the aim to slow and reverse the damage of ageing—ie, preventive, regenerative, and curative medicine. This research and development necessitates appropriate ICD coding. In fact, WHO addressed this issue by including a new extension code XT9T ‘Ageing-related’ in the section aetiology. This code describes ageing-related conditions and can be helpful for research and clinical development. However, there is still a need for coding both the pathological biological ageing process as a whole and its advanced stage as well. The new ICD-11 makes important steps toward that goal, as it provides a double focus for improving the health of older persons. First, by including the old age, senescence, and senile debility in the general symptoms category to target the state of ageing-related ill health, and second by including ‘Ageing-related’ code in the aetiology or causality category to target the pathogenic ageing processes. Thus, far from discriminating against the rights of older persons and fostering neglect for their curative or preventive health care, the ICD-11 codes for old age and ageing-related causality do exactly the opposite: they draw the public and professional attention to the specific health problems of older persons and call to action to improve the prevention and cures specifically for older persons. Thus, these designations are the very opposite of ageism. We advocate for a full therapeutic utilization of the new ICD-11 criteria for ageing-related ill health, by enhancing research and development of corresponding diagnostics and therapeutics to directly address the main risk factors for older persons—the degenerative ageing processes.
Social Aspects of Population Health, 2021
Significance. Over the last two decades, Russia has been regestering the increased prevalence of ... more Significance. Over the last two decades, Russia has been regestering the increased prevalence of high blood pressure among adults. The relationship between blood pressure and mortality from diseases of the circulatory system has been proved. Reducing morbidity and mortality from diseases of the circulatory system calles for improved efficiency of the state health system to detect and control blood pressure at the population level. Purpose. To improve organization of measures aimed at detecting high blood pressure and enhancing control of arterial hypertension in order to reduce adult mortality from diseases of the circulatory system in Russia. Material and methods. The authors have conducted a content analysis of regulatory and legal documents regulating activities of individual structures of the public health system on medical examination and follow-up of patients with chronic non-communicable diseases, registration and reporting forms of the federal statistical surveillance (FSN N...
COVID-19 full DB official Russian Data by Regions 2020
This DB based on all available reports by the Communicational center of Government of the Russian... more This DB based on all available reports by the Communicational center of Government of the Russian Federation. Official Russian COVID-19 data published daily by the Government of Russia (on the Russian language) in the form of raw data is a daily updated report in a pdf form. Each piece has daily updates. We are providing a working link on every cell of data in the dataset. This DB is an attempt to manually collect critical variables from the report into a machine-readable format. These datasets are ready to be used for analysis and modeling. Variables: location; date; new cases [diagnosed]; cases [cumulative]; recovered [new]; recovered [cumulative]; deaths [new]; deaths [cumulative]; tests [new tests administered]; tests [cumulative]; test_positive [cumulative]; hospitalization [cumulative]; icu [cumulative or population]; on_invasive_ventilators [cumulative or population]; test_negative [cumulative]; hospital beds; web links. All Data divided by date (time) and regions (Oblast) of the Russian Federation.
We consider what effects could be produced by the long-term interaction of millennial macrotrends... more We consider what effects could be produced by the long-term interaction of millennial macrotrends of the World System development and shorter-term cyclical dynamics. Among other things this will make it possible for us to demonstrate how even rather simple mathematical models of pre-industrial political-demographic cycles could help us to account for a paradox that has been encountered recently by political anthropologists. Our research confirms that, notwithstanding recent arguments to the contrary, population density was a major determinant of warfare frequency in pre-industrial societies. However, the relationship between the two variables is dynamic, and could only be adequately described by nonlinear dynamic mod-els. Hence, we confront a rather paradoxical situation. On the one hand, we observe a millennial trend leading to the growth of both population density and warfare frequency. As a result, from a long-term perspective, we observe a very strong positive correlation betwee...
March - May 2020 COVID-19 official Russian data by regions
Official Russian COVID-19 data published on a daily basis by the Government of Russia (on the Rus... more Official Russian COVID-19 data published on a daily basis by the Government of Russia (on the Russian language) in the form of raw data is a daily updated report in a pdf form. Each report has daily updates. We are providing a working link on every cell of data in the dataset. This is an attempt to manually collect key variables from the report into a machine-readable format. These datasets are ready to be used for the analyses and modeling. COVID-19 Datasets is Based on a report on the current situation against coronavirus by the Communicational center of Government of the Russian Federation. Accessed on May 14.2020 Variables: location; date; new cases [diagnosed]; cases [cumulative]; recovered [new]; recovered [cumulative]; deaths [new]; deaths [cumulative]; tests [new tests administered]; tests [cumulative]; test_positive [cumulative]; hospitalization [cumulative]; icu [cumulative or population]; on_invasive_ventilators [cumulative or population]; test_negative [cumulative]; hospital beds; web links. Dividing by date (time) and regions (Oblast) of the Russian Federation
International Journal of Environmental Research and Public Health, 2020
In the 2000s, Russia was globally one of the top 5 countries with the highest levels of alcohol p... more In the 2000s, Russia was globally one of the top 5 countries with the highest levels of alcohol per capita consumption and prevailing risky patterns of drinking, i.e., high intake per occasion, high proportion of people drinking to intoxication, and high frequency of situations where alcohol is consumed and tolerated. In 2009, in response to these challenges, the Russian government formed the Federal Service for Alcohol Market Regulation and published a national strategy concept to reduce alcohol abuse and alcohol-dependence at the population level for the period 2010–2020. The objectives of the present contribution are to analyze the evidence base of the core components of the concept and to provide a comprehensive evaluation framework of measures implemented (process evaluation) and the achievement of the formulated targets (effect evaluation). Most of the concept’s measures were found to be evidence-based and aligned with eight out of 10 areas of the World Health Organization (WH...
Alcohol and Alcoholism, 2020
Aims To adapt and validate the Alcohol Use Disorders Identification Test (AUDIT) for use in the R... more Aims To adapt and validate the Alcohol Use Disorders Identification Test (AUDIT) for use in the Russian Federation and countries with Russian-speaking populations by: Methods Systematic review of past use and validation of the Russian-language AUDIT. Interviews to be conducted with experts to identify problems encountered in the use of existing Russian-language AUDIT versions. A pilot study using a revised translation of the Russian-language AUDIT that incorporates country-specific drinking patterns in the Russian Federation. Results and Conclusions The systematic review identified over 60 different Russian-language AUDIT versions without systematic validation studies. The main difficulties encountered with the use of the AUDIT in the Russian Federation were related to the lack of: A revised version of the Russian-language AUDIT was created based on the pilot studies, and was validated in primary healthcare facilities in all regions in 2019/2020.
Alcohol and Alcoholism, 2020
Aims Non-beverage alcohol was a major cause of preventable mortality of working-age males in Izhe... more Aims Non-beverage alcohol was a major cause of preventable mortality of working-age males in Izhevsk (Russia) in 2003–2004. The Russian government has since taken measures to reduce availability of non-beverage alcohol. Yet, some types of non-beverage alcohol still remain available for consumers. The aim of this study was to assess the availability and sources of non-beverage alcohol in Udmurtia. Methods A survey of adults on the streets of Izhevsk and its environs was performed on workdays to assess non-beverage drinking patterns in 2018. The questionnaire included questions about socio-demographic status and alcohol use, including non-beverage alcohol consumption and drinking patterns. Results One hundred and sixty-eight people were questioned, of whom, 28% reported consuming non-beverage alcohol. Non-beverage alcohol consumers were more likely to be single, unemployed or retired, younger or older than 19–29 years, have lower educational status and income, have hangovers and drink...
Mechanisms of Ageing and Development, 2020
This is a PDF file of an article that has undergone enhancements after acceptance, such as the ad... more This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
Cliodynamics: The Journal of Quantitative History and Cultural Evolution, 2011
The escape from the "Malthusian trap" is shown to tend to generate in a rather systematic way qui... more The escape from the "Malthusian trap" is shown to tend to generate in a rather systematic way quite serious political upheavals. Some demographic structural mechanisms that generate such upheavals have been analyzed, which has made it possible to develop a mathematical model of the respective processes. The forecast of political instability in African and West Asian countries in 2012-2050 produced on the basis of this model is presented. eScholarship provides open access, scholarly publishing services to the University of California and delivers a dynamic research platform to scholars worldwide.
Alcohol and alcoholism (Oxford, Oxfordshire), Jan 3, 2018
To explain comprehensively variations in adult male mortality rate in Europe, and in particular, ... more To explain comprehensively variations in adult male mortality rate in Europe, and in particular, high mortality in some East European countries with particular focus on specific patterns of alcohol consumption. Per capita distilled spirits consumption is found to be the strongest determinant of the adult male mortality rate in Europe as soon as the unrecorded alcohol consumption is taken into account. It turns out to be much stronger than the other tested significant determinants such as per capita health expenditures, smoking prevalence, consumption of hard drugs and per capita consumption of vegetables and fruit. Ordinary least squares (OLS) multiple regression with adult male mortality rate as a dependent variable, and various indicators of alcohol and drug consumption as well as logarithm of gross domestic product (GDP) per capita, logarithm of total per capita health expenditures, latitude (climatic factors), per capita fruit and vegetable consumption, smoking prevalence as ind...
Cliodynamics: The Journal of Quantitative History and Cultural Evolution, 2017
We consider what effects could be produced by the long-term interaction of millennial macrotrends... more We consider what effects could be produced by the long-term interaction of millennial macrotrends of the World System development and shorter-term cyclical dynamics. Among other things this will make it possible for us to demonstrate how even rather simple mathematical models of preindustrial political-demographic cycles could help us to account for a paradox that has been encountered recently by political anthropologists. Our research confirms that, notwithstanding recent arguments to the contrary, population density was a major determinant of warfare frequency in pre-industrial societies. However, the relationship between the two variables is dynamic, and could only be adequately described by nonlinear dynamic models. Hence, we confront a rather paradoxical situation. On the one hand, we observe a millennial trend leading to the growth of both population density and warfare frequency. As a result, from a long-term perspective, we observe a very strong positive correlation between these two variables. But on the other hand, we also observe secular demographic-warfare cycles, which produce negative correlations both for individual cultures and for subsamples of cultures with similar levels of technological and/or political development. So finally, if we make a straightforward eScholarship provides open access, scholarly publishing services to the University of California and delivers a dynamic research platform to scholars worldwide. cross-cultural test of the linear relationship between the two variables using a worldwide sample including cultures with all levels of technological and political development, we do not find any significant correlation at all. However it appears that hiding behind this "non-correlation" is the presence of an extremely strong and significant dynamic non-linear relationship.
Translation of Chapter 3 of "Myths and Genes" (Moscow: URSS Publishers, 2011)
Ethnographic Atlas XXX: Peoples of Siberia (1)
Ethnology, 2004
Introduction to Social Macrodynamics (in Japanese)
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Papers by Daria Khaltourina