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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">sredob</journal-id><journal-title-group><journal-title xml:lang="ru">Здоровье населения и среда обитания – ЗНиСО</journal-title><trans-title-group xml:lang="en"><trans-title>Public Health and Life Environment – PH&amp;LE</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2219-5238</issn><issn pub-type="epub">2619-0788</issn><publisher><publisher-name>ФБУЗ ФЦГиЭ Роспотребнадзора</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.35627/2219-5238/2025-33-7-25-33</article-id><article-id custom-type="elpub" pub-id-type="custom">sredob-2695</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>СОЦИОЛОГИЯ МЕДИЦИНЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>MEDICAL SOCIOLOGY</subject></subj-group></article-categories><title-group><article-title>Отношение к здоровью жительниц городских и сельских территорий (на примере Нижегородской области)</article-title><trans-title-group xml:lang="en"><trans-title>Urban and Rural Women’ Health Attitudes: The Example of the Nizhny Novgorod Region</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3625-6804</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Судьин</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Sudjin</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Судьин Сергей Александрович – д.соц.н., профессор</p><p>ул. Букирева, д. 15, г. Пермь, Пермский край, 614990</p></bio><bio xml:lang="en"><p>Sergei A. Sudin, Dr. Sci. (Sociol.), Professor</p><p>15 Bukirev Street, Perm, 614990</p></bio><email xlink:type="simple">sudjin@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5309-8318</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гордеева</surname><given-names>С. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Gordeyeva</surname><given-names>S. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гордеева Светлана Сергеевна – к.соц.н., доцент, доцент кафедры социологии</p><p>ул. Букирева, д. 15, г. Пермь, Пермский край, 614990</p></bio><bio xml:lang="en"><p>Svetlana S. Gordeeva, Cand. Sci. (Sociol.), docent; Associate Professor,  Department of Sociology</p><p>15 Bukirev Street, Perm, 614990</p></bio><email xlink:type="simple">SSGordeyeva@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3519-8531</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шарыпова</surname><given-names>С. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Sharypova</surname><given-names>S. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шарыпова Софья Юрьевна – к.соц.н., доцент кафедры социологии</p><p>ул. Букирева, д. 15, г. Пермь, Пермский край, 614990</p></bio><bio xml:lang="en"><p>Sofia Yu. Sharypova, Cand. Sci. (Sociol.), Associate Professor, Department of Sociology</p><p>15 Bukirev Street, Perm, 614990</p></bio><email xlink:type="simple">sonia.eliseeva@bk.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГАОУ ВО «Пермский государственный национальный исследовательский университет»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Perm State National Research University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>08</day><month>08</month><year>2025</year></pub-date><volume>33</volume><issue>7</issue><fpage>25</fpage><lpage>33</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Судьин С.А., Гордеева С.С., Шарыпова С.Ю., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Судьин С.А., Гордеева С.С., Шарыпова С.Ю.</copyright-holder><copyright-holder xml:lang="en">Sudjin S.A., Gordeyeva S.S., Sharypova S.Y.</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://zniso.fcgie.ru/jour/article/view/2695">https://zniso.fcgie.ru/jour/article/view/2695</self-uri><abstract><sec><title>Введение</title><p>Введение. Ключевую роль в сохранении и укреплении здоровья женщин играет их отношение к здоровью, важнейшим элементом которого выступает ценностно-мотивационный компонент. Вместе с тем критически важным является понимание специфики формирования отношения к здоровью в городской и сельской среде.</p></sec><sec><title>Цель исследования</title><p>Цель исследования: выявить особенности ценностно-мотивационного компонента отношения к здоровью у женщин, проживающих на территориях с различным уровнем урбанизированности.</p></sec><sec><title>Материалы и методы</title><p>Материалы и методы. Эмпирическую базу исследования составили данные формализованного опроса жителей Нижегородской области старше 18 лет (n = 1637), проведенного весной 2025 г. Формирование выборочной совокупности осуществлялось методом ривер-сэмплинг, что позволило провести верификацию территориальной принадлежности респондентов. Данные обрабатывались с помощью статистического пакета SPSS Statistics.</p></sec><sec><title>Результаты</title><p>Результаты. Существуют различия в отношении к здоровью у женщин, проживающих в областном центре и сельской местности. Жительницы центра в большей степени воспринимают здоровье как инструментальную ценность, нежели женщины в селах (77 % против 69 %). Сравнение средних показывает, что сельчанки демонстрирую более высокую внутреннюю мотивацию на сохранение здоровья (хи-квадрат = 8,343 при p &lt; 0,05) наряду с меньшой уверенностью в собственной способности управлять им (Z = –2,485 при p &lt; 0,05). Влияние социально-демографических факторов, таких как занятость, уровень дохода и образования, на ценностно-мотивационное отношение женщин к здоровью имеет выраженную специфику в зависимости от территории проживания. В городской среде статус занятости повышает значимость здоровья как ресурса для трудоспособности (ρ = –0,118 при p &lt; 0,05), а в селах повышает мотивацию самостоятельно заботиться о нем (гамма = -0,333 при p &lt; 0,05).</p></sec><sec><title>Заключение</title><p>Заключение. Сельские женщины воспринимают здоровье как терминальную ценность и проявляют проактивное отношение. Городские жительницы видят в здоровье инструментальную ценность, поэтому проявляют реактивное отношение, что обусловлено экстернализацией ответственности и быстрым ритмом городской жизни.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Introduction</title><p>Introduction: Attitude towards health plays the key role in maintaining and strengthening women’s health, the most important element of which is the value-based motivational component. At the same time, it is critical to understand the specifics of forming health attitude in the urban and rural settings.</p></sec><sec><title>Objective</title><p>Objective: To identify features of the value-based component of health attitude in women living in areas with different levels of urbanization.</p></sec><sec><title>Materials and methods</title><p>Materials and methods: The empirical basis of the study conducted in spring 2025 was the data of a formalized survey of 1,637 residents of the Nizhny Novgorod Region aged 18 years and older. The sample was created by river sampling allowing verification of the territorial affiliation of the respondents. The data were analyzed using the IBM SPSS Statisticssoftware.</p></sec><sec><title>Results</title><p>Results: We established differences in health attitude between women living in the regional center and rural areas.</p><p>Urban residents perceived health as an instrumental value to a greater extent than women living in villages (77 % versus 69 %). Comparison of the means showed that rural women demonstrated higher internal motivation to maintain health (χ2 = 8.343 at p &lt; 0.05) along with lower confidence in their own ability to manage it (Z = –2.485 at p &lt; 0.05). The influence of socio-demographic factors, such as employment and the levels of income and education on the women’s value-based attitude towards health strongly depended on the place of residence. In the urban setting, employment status increased the importance of health as a resource for working capacity (ρ = –0.118 at p &lt; 0.05), while in the villages it increased the motivation to take care of it independently (γ = –0.333 at p &lt; 0.05).</p></sec><sec><title>Conclusions</title><p>Conclusions: Rural women perceive health as a terminal value and exhibit a proactive attitude towards it. Female city dwellers consider health to be an instrumental value, thus exhibiting a reactive attitude, which is related to externalization of responsibility and the fast pace of urban life.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>здоровье</kwd><kwd>отношение к здоровью</kwd><kwd>забота о здоровье</kwd><kwd>ценностно-мотивационное отношение</kwd><kwd>женщины</kwd><kwd>город</kwd><kwd>село</kwd></kwd-group><kwd-group xml:lang="en"><kwd>health</kwd><kwd>attitude towards health</kwd><kwd>health care</kwd><kwd>value-based attitude</kwd><kwd>wome</kwd><kwd>city</kwd><kwd>village</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование выполнено за счет гранта Российского научного фонда № 23-18-00480, https://rscf. ru/project/23-18-00480/.</funding-statement><funding-statement xml:lang="en">The study was supported by the Russian Science Foundation, grant No. 23-18-00480, https://rscf.ru/project/ 23-18-00480/.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Козловский В.В., Панкратова Л.С., Ткачук Д.В. 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