Problems of Radiation Medicine and Radiobiology

Yu. G. Antypkin¹, N. Ye. Gorban¹, O. Yu. Borysiuk¹, O. V. Lynchak²

¹State Institution «Institute of Pediatrics, Obstetrics and Gynecology named after Academician O. M. Lukyanova NAMS of Ukraine», 8 P. Maiborody St., Kyiv, 04050, Ukraine
²State Institution «O. M. Marzeyev Institute for Public Health of the National Academy of Medical Sciences of Ukraine», 50 Popudrenka St., Kyiv, 02094, Ukraine

THE REPRODUCTIVE HEALTH OF THE FEMALE RESIDENTS IN THE AREAS OF UKRAINE AFFECTED BY THE RADIOACTIVE CONTAMINATION (2007–2017)

Objective. analysis of some reproductive health disorders of female residents of radioactively contaminated (contaminated) 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 different 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 difference 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.
Key words: Reproductive health, radioactive contamination, uterine cancer, menstrual disorders, endometrial hyperplasia, uterine polyps.

Problems of Radiation Medicine and Radiobiology.
2019;24:284-295. doi: 10.33145/2304-8336-2019-24-284-295

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