In Ukraine, as well as throughout the world, oral diseases remain an urgent medical and social problem. In the Ivano-Frankivsk region, the incidence of dental caries, periodontal disease, and oral cancer exceeds the same in the country, which made this study relevant. The purpose of the study was to identify risk factors for oral diseases in the population of Ivano-Frankivsk region and to supplement the information support of local authorities of territorial communities with the results of the study. Material and methods. We analyzed scientific sources (16 units), data from state, industry and regional statistics (13 units) in our study. The following methods were used: system approach and system analysis; generalizations; medical and statistical; graphics. Results and discussion. The obtained results showed that the living conditions of the population of the Ivano-Frankivsk region in 2018 were better than the average for Ukraine: household incomes for a month were by UAH 469.45 (4.96%) higher, non-monetary incomes in cash equivalent were by UAH 850.24 (98.2%) higher, which was favorable for maintaining oral health. However, in terms of education, the population of the region was generally inferior to the population of Ukraine (17.8% of people with higher education, 1.7% with basic higher education, 15.2% with incomplete higher education with corresponding indicators for the country 27%, 1.4% and 21%); the proportion of households that had access to Internet services at home was 53.0% in the region, 61.5% in Ukraine, which created risks to support the sanitary and hygienic literacy of the region's residents. The population of the region actively practiced behavioral risks in relation to oral diseases: the incidence rate of mental disorders and behavior due to alcohol consumption (83.87 per 100 thousand of population) exceeded the corresponding indicators in the industry (64.81 per 100 thousand of population), as well as the prevalence of these disorders (1574.88 and 1080.51 per 100 thousand of population, respectively); the intensity of smoking (51.9% of smokers smoked 11-20 cigarettes per day) exceeded the corresponding data for Ukraine (46%); household expenses for sweets were higher by 26.0% of similar expenses in Ukraine. Drinking water in the region has a fluoride deficiency (0-0.3 mg / l), which is one of the leading causes of tooth decay. In 17.9% of cases, household members of the region with dental care needs could not meet them due to the high cost of services. Conclusion. The risk factors for oral diseases of the population of the Ivano-Frankivsk region were identified: fluoride deficiency in drinking water, behavioral risks, and low level of affordability of dental care for the population. The obtained data can be taken into account when developing a regional program for the prevention of oral diseases and improving the organization of dental care for the population

Keywords: diseases of the oral cavity, risk factors, population, regional program, dental care

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1. Petersen PE. Global policy for improvement of oral health in the 21st century - implications to oral health research of World Health Assembly 2007, World Health Organization. Community Dent Oral Epidemiol. 2009; 37(1): 1-8. https://doi.org/10.1111/j.1600-0528.2008.00448.x PMid:19046331
2. Zdorove polosty rta [Oral health]. [Internet]. VOZ, 24 Sept 2018. [Russian]. Available from: https://www.who.int/ru/news-room/fact-sheets/detail/oral-health
3. Khomenko LO, Marushko YuV, Moskovenko OD, Duda OV. Vzayemozvyazok zapalnykh zakhvoryuvan tkanyn parodonta ta somatychnykh zakhvoryuvan u ditey. Ohlyad literatury [Relationship between inflammatory periodontal disease and somatic disease in children. Literature review]. Novyny stomatolohiyi. 2015; 2(83): 90-94. [Ukrainian]
4. Peshkova EK, Tsymbalystov AV. Vlyyanye parodontologycheskoy ynfektsyi na zdorove cheloveka (Obzor lyteratury) [Impact of periodontal infection on human health (Literature review)]. Nauchnye vedomosty. Seryya: Medytsyna. Farmatsyya. 2019; 42(4): 497-506. [Russian]
5. GBD 2016. Disease and Injury Incidence and Prevalence Collaborators/ Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017; 390: 1211-1259. https://doi.org/10.1016/S0140-6736(17)32154-2
6. Fisher J, Selikowitz H-S, Mathur M, Varenne B. Strengthening oral health for universal health coverage. Lancet. 2018 Sep 15; 392(10151): 899-901. https://doi.org/10.1016/S0140-6736(18)31707-0
7. Krut AG. Analiz stanu stomatologichnogo zdorovya naselennya Ukrayiny (Oglyad literatury) [Analysis of the state of dental health of the population of Ukraine (Literature review)]. Zb nauk prats spivrobit NMAPO imeni PL Shupyka. 2019; 33: 47-54. [Ukrainian]
8. Global health risks: mortality and burden of disease attributable to selected major risks. WHO; 2015. 70 p.
9. World Oral Health Report 2003. Continuous improvement of oral health in the 21st century - the approach of the WHO Global Oral Health Programme. World Health Organization; 2003. 45 p.
10. Guideline: sugars intake for adults and children. World Health Organization; 2015. 59 р.
11. Demografichna ta sotsialna statystyka / Dokhody ta umovy zhyttya [Demographic and social statistics / Incomes and living conditions]. Derzhavna sluzhba statystyky Ukrayiny. [Internet]. [Ukrainian]. Available from: http://www.ukrstat.gov.ua/operativ/menu/menu_u/virdg.htm
12. Rehiony Ukrainy. 2019. Statystychnyi zbirnyk. Chastyna 1. [Regions of Ukraine. 2019. Statistical collection. Part 1]. K: Derzhavna sluzhba statystyky Ukrainy; 2019. s. 112-145. [Ukrainian]
13. Vytraty i resursy domohospodarstv Ukrainy u IV kvartali 2018 roku (za danymy vybirkovoho obstezhennya umov zhyttya domohospodarstv Ukrainy). Statystychnyi byulleten [Expenditures and resources of households in Ukraine in the IV quarter of 2018 (according to a sample survey of living conditions of households in Ukraine). Statistical bulletin]. [Internet]. K: Derzhavna sluzhba statystyky Ukrainy; 2019. [Ukrainian]. Available from: http://www.ukrstat.gov.ua/
14. Pokaznyky zakhvoryuvanosti na narkolohichni rozlady i diyalnosti narkolohichnykh zakladiv 2018 roku. Dovidnyk [Incidence rates of narcological disorders and activities of narcological institutions in 2018. Directory]. [Internet]. [Ukrainian] K: DZ «Tsentr medychnoi statystyky MOZ Ukrainy»; 2019. Available from: http://medstat.gov.ua/ukr/MMXVII.html
15. Detsyk OZ, Karpinets IM. Porivnyalnyi analiz trendiv zakhvoryuvanosti i smertnosti naselennya v Ukraini ta IvanoFrankivskiy oblasti vid prychyn, povyazanykh iz vzhyvannyam alkoholyu [Comparative analysis of morbidity and mortality trends in Ukraine and Ivano-Frankivsk region from the causes related to alcohol consumption]. Halytskyi likarskyi visnyk. 2012; 19(4): 126-129. [Ukrainian]
16. Samootsinka naselennyam stanu zdorovya ta rivnya dostupnosti okremykh vydiv medychnoi dopomogy u 2018 rotsi. Statystychnyi zbirnyk [Self-assessment of the population's health status and the level of availability of certain types of medical care in 2018]. K: Derzhavna sluzhba statystyky Ukrainy; 2019. S. 129. [Ukrainian]
17. Samootsinka naselennyam Prykarpattya stanu zdorovya ta rivnya dostupnosti okremykh vydiv medychnoi dopomohy [Self-assessment of the population of Prykarpattia health status and the level of availability of certain types of medical care]. Statystychnyi zbirnyk. Ivano-Frankivsk: Derzhavna sluzhba statystyky Ukrainy. Holovne upravlinnya statystyky v Ivano-Frankivskiy oblasti; 2019. 10 s. [Ukrainian]
18. Zdorove polosti rta i potreblenie sakharov. Informatsionnyi byulleten [Oral health and sugar intake. News bulletin]. Kopenhahen, Daniya: Evropeyskoe rehionalnoe byuro VOZ; 2018. 4 s. [Russian]
19. Doslidzhennia sfery osvity v Ukraini. Do bilshoi rezultatyvnosti, spravedlyvosti ta efektyvnosti. Ohliad [Research in the field of education in Ukraine. To greater efficiency, fairness and efficiency. Review]. World bank group; 2019. 33 s. [Ukrainian]
20. Verner IYe, Red. Ukraina v tsyfrakh u 2017 rotsi. Statystychnyi zbirnyk [Ukraine in numbers in 2017. Statistical collection]. K: Derzhavna sluzhba statystyky Ukrainy; 2018. s. 50-56. [Ukrainian]
21. Blinnikova O, Red. Statystychnyi shchorichnyk Ivano-Frankivskoi oblasti. 2018 [Statistical Yearbook of Ivano-Frankivsk region. 2018]. Ivano-Frankivsk: Holovne upravlinnia statystyky v Ivano-Frankivskii oblasti; 2019. s. 120-131. [Ukrainian]
22. Osvitnii riven naselennia Ivano-Frankivskoi oblasti. Ofitsiinyi sait Burshtynskoi miskoi rady Ivano-Frankivskoi oblasti [Educational level of the population of Ivano-Frankivsk region. Official site of Burshtyn City Council of Ivano-Frankivsk region]. [Ukrainian]. Available from: http://burshtyn-rada.if.gov.ua/novyny/osvitnij-riven-naselennya-ivano-frankivskoyi-oblasti-2/.
23. Natsionalna dopovid pro yakist pytnoi vody ta stan pytnoho vodopostachannia v Ukraini u 2018 rotsi [National report on drinking water quality and drinking water supply in Ukraine in 2018]. K: Ministerstvo rehionalnoho rozvytku, budivnytstva ta zhytlovo-komunalnoho hospodarstva Ukrainy; 2019. s. 161-162. [Ukrainian]
24. Rehionalna dopovid pro stan navkolyshnoho pryrodnoho seredovyshcha v Ivano-Frankivskii oblasti v 2016 rotsi [Regional report on the state of the environment in Ivano-Frankivsk region in 2016]. Ivano-Frankivsk: Ivano-Frankivska oblasna derzhavna administratsiia. Upravlinnia ekolohii ta pryrodnykh resursiv. Ivano-Frankivsk; 2017. s. 48-55. [Ukrainian]
25. Zorina OV. Hihiienichna otsinka yakosti vod netsentralizovanoho pytnoho vodopostachannia ta udoskonalennia normatyvno-pravovoho rehuliuvannia u tsii sferi [Hygienic assessment of water quality of decentralized drinking water supply and improvement of legal regulation in this area]. Naukovi dopovidi NUBiP Ukrainy. 2018; 2(72). [Internet]. [Ukrainian] Available from: http://journals.nubip.edu.ua/index.php/Dopovidi/article/view/10631/9348
26. Stan pidzemnykh vod Ukrainy, shchorichnyk [State of groundwater in Ukraine, yearbook]. K: Derzhavna sluzhba heolohii ta nadr Ukrainy, Derzhavne naukovo-vyrobnyche pidpryiemstvo «Derzhavnyi informatsiinyi heolohichnyi fond Ukrainy»; 2018. 121 s. [Ukrainian]
27. O'Mullane DM, Baez RJ, Jones S, Lennon MA, Petersen PE, Rugg-Gunn AJ, et al. Fluoride and oral health. Community Dent Health. 2016, 33(2): 69-99.
28. Fluoridation Facts. American Dental Association; 2018. 113 р.
29. Lototska OV, Kondratiuk VA, Kucher SV. Yakist pytnoi vody yak odna z determinant hromadskoho zdorovia v Zakhidnomu rehioni Ukrainy [Drinking water quality as one of the determinants of public health in the Western region of Ukraine]. Visnyk sotsialnoi hihiieny ta orhanizatsii okhorony zdorovia Ukrainy. 2019; 1(79): 12-18. [Ukrainian]. https://doi.org/10.11603/1681-2786.2019.1.10278