International Journal of Medical Sciences And Clinical Research
6
https://theusajournals.com/index.php/ijmscr
VOLUME
Vol.05 Issue02 2025
PAGE NO.
6-12
10.37547/ijmscr/Volume05Issue02-02
The study of factors influencing the effectiveness of
medical examination of military personnel. The level of
preventive activity of military personnel. The role of
information in increasing the coverage of medical
examinations
Mirrakhimova S.Sh.
Doctor of medical sciences, associate professor, Research Institute of the Military Medical Academy of the Armed Forces of the Republic
of Uzbekistan
M.G. Mukhammedova
Doctor of medical sciences, associate professor, Deputy Head of the Academy for Innovation and Scientific Work Military Medical
Academy the Armed Forces of the Republic of Uzbekistan
Ganiev B.S.
PhD., The Main Medical Department under the Administration of the President of the Republic of Uzbekistan
Received:
04 December 2024;
Accepted:
06 January 2025;
Published:
08 February 2025
Abstract:
To assess the level of preventive activity of military personnel, we will consider the factors determining
this activity. According to the report on the study of the state of medical provision of the Armed Forces of the
Republic of Uzbekistan, conducted jointly by specialists from the Central Military Clinical Hospital of the Ministry
of Defense of the Republic of Uzbekistan and the Scientific Research Institute of Military Medicine (based on the
Military Medical Academy of the Armed Forces of the Republic of Uzbekistan).
Keywords:
Medical Examination, Military Personnel, Military Clinical Hospital.
Introduction:
To assess the level of preventive activity
of military personnel, we will consider the factors
determining this activity. According to the report on
the study of the state of medical provision of the Armed
Forces of the Republic of Uzbekistan, conducted jointly
by specialists from the Central Military Clinical Hospital
of the Ministry of Defense of the Republic of Uzbekistan
and the Scientific Research Institute of Military
Medicine (based on the Military Medical Academy of
the Armed Forces of the Republic of Uzbekistan), such
factors are:
1) Health level;
2) The level of availability of preventive care;
3) The level of medical awareness of military personnel;
4) The level of trust in prevention;
5) The level of personal attitude to health;
6) Vaccination rate;
7) Coverage of medical examinations (occupational
examinations) in % of the regulated amount;
8) Medical examination coverage (stage 1) in % of the
regulations;
9) Medical examination coverage (stage 2) in % of the
regulations.
Designation of factors in statistical calculations:
International Journal of Medical Sciences And Clinical Research
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International Journal of Medical Sciences And Clinical Research (ISSN: 2771-2265)
- ZD, DPU, INF, DOV, LOZ, VC, OMO, OD1, OD2,
respectively.
The data presented in the report are the processed
results of a survey of military personnel and their
medical indicators. The study was based on 684 military
personnel, including 296 conscripts and 388
commissioned officers and military personnel (privates,
sergeants).
Next, we will conduct a factor analysis to determine the
impact of each of the above nine factors on the level of
preventive activity of military personnel.
When making calculations within the framework of
factor analysis, the adequacy of its aPDlication was
assessed first. The calculated measure of the adequacy
of the Kaiser-Mayer-Olkin (KMO) sample was 0.891,
which is a very good result, which indicates a high
degree of aPDlicability of factor analysis. The Bartlett
sphericity criterion, the significance of which is <0.05,
indicates the same thing.
Let us construct a correlation matrix to determine the
degree of mutual influence of
Table 1 – Correlation matrix
ZD
DPU
INF
DOV
LOZ
VC
OMO
OD1
OD2
ZD
0,255
0,248
0,192
0,225
0,117
0,087
0,197
0,278
DPU
0,255
0,582
0,458
0,409
0,425
0,03
0,395
0,68
INF
0,248
0,582
0,481
0,487
0,457
0,031
0,475
0,741
DOV
0,192
0,458
0,481
0,401
0,43
-0,045
0,409
0,622
LOZ
0,225
0,409
0,487
0,401
0,382
0,013
0,364
0,565
VC
0,117
0,425
0,457
0,43
0,382
0,052
0,416
0,58
OMO
0,087
0,03
0,031
-0,045
0,013
0,052
-0,003
0,034
OD1
0,197
0,395
0,475
0,409
0,364
0,416
-0,003
0,62
OD2
0,278
0,68
0,741
0,622
0,565
0,58
0,034
0,62
The relationship of factors with a correlation above 0.5
is highlighted in color.
Further, the explained cumulative variance is
calculated in table 2.
Table 2 – Explained cumulative variance
The table shows that 8 factors explain 98% of the
variance.
Component
Initial eigenvalues
Rotation of the sum of the
squares of the loads
Total
% of
Variance
Totals %
Total
% of
Variance
Totals %
1
4,116
45,735
45,735
1,118
12,42
12,42
2
1,051
11,681
57,416
1,113
12,37
24,791
3
0,886
9,847
67,263
1,091
12,117
36,908
4
0,641
7,123
74,386
1,085
12,057
48,965
5
0,607
6,747
81,133
1,08
12,001
60,966
6
0,576
6,397
87,53
1,078
11,982
72,948
7
0,543
6,035
93,565
1,027
11,413
84,361
8
0,399
4,431
97,996
1,002
11,128
95,489
9
0,18
2,004
100
0,406
4,511
100
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International Journal of Medical Sciences And Clinical Research (ISSN: 2771-2265)
Figure 1 – Eigenvalues of the components
In order to understand which of the initial factors
corresponds to a particular component, we calculate
the inverted component matrix.
Table 3 – Inverted matrix of components
1
2
3
4
5
6
7
8
9
ZD
0,983
DPU
0,147
0,904
0,181
0,232
0,166
0,155
0,112
0,103
INF
0,199
0,255
0,189
0,872
0,182
0,207
0,104
0,115
DOV
0,161
0,175
0,919
0,17
0,173
0,156
LOZ
0,135
0,147
0,151
0,178
0,145
0,932
VC
0,169
0,158
0,169
0,16
0,928
0,147
OMO
0,998
OD1
0,932
0,138
0,154
0,171
0,166
0,134
OD2
0,334
0,356
0,311
0,388
0,279
0,269
0,122
0,591
It can be seen from the table. That the most significant
component 1 corresponds to the factor of Medical
check-up coverage (stage 1);
Next, in descending order of importance, the factors
are:
The level of availability of preventive care;
The level of trust in prevention;
International Journal of Medical Sciences And Clinical Research
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International Journal of Medical Sciences And Clinical Research (ISSN: 2771-2265)
The level of medical awareness of military personnel;
Vaccination rate;
The level of personal attitude to health;
Health level;
Medical check-up coverage
The factor of medical check
–
up coverage (stage 2) can
be neglected due to its insignificant impact.
Informing military personnel about the importance of
medical examinations is a key aspect in the system of
ensuring the health of personnel, since it not only helps
to raise awareness of preventive measures, but also
forms a stable motivation for regular medical
examinations. In a modern society characterized by
high dynamics of changes in the field of medicine and
healthcare, as well as increasing complexity of socio-
economic factors affecting health, it is important to
provide military personnel with up-to-date information
about the benefits of medical examinations, which, in
turn, can significantly increase the coverage of this
important preventive measure.
Medical examination is a complex of measures aimed
at early detection of diseases and their prevention,
which is of particular importance in the context of
military personnel, whose physical and psychological
readiness directly affects the combat capability of the
armed forces. For the successful implementation of the
medical examination program, it is necessary not only
to realize its importance, but also the active
participation of the military personnel themselves in
the process. This participation is impossible without a
proper level of awareness, which includes an
understanding of both the goals and objectives of
medical examination, as well as personal responsibility
for one's own health and the health of colleagues.
Lack of awareness of this responsibility can lead to
ignoring regular medical examinations, which in turn
negatively affects the health of military personnel.
Ignoring medical examinations can lead to the fact that
diseases will be detected at later stages, when their
treatment becomes more complex and costly, as well
as less effective. As a result, not only the individual
state of health of the serviceman deteriorates, but also
the general readiness of the unit to perform combat
missions, which can have serious consequences in
modern conflicts.
Thus, informing military personnel about the
importance of medical examinations becomes an
integral element of the strategy to increase the
coverage of this preventive measure. An effective
information policy creates the prerequisites for the
formation of an active position among military
personnel regarding their own health and the health of
others. This requires the development and
implementation of a variety of communication formats
and channels that will be adapted to the specifics of
military service and different levels of education and
information perception among military personnel.
A key aspect of this process is to create an environment
conducive to open health dialogues, where military
personnel can ask questions, express their concerns,
and receive qualified answers from medical
professionals. This creates not only trust in medical
institutions, but also contributes to a more active
involvement of military personnel in the medical
examination process.
It should also be taken into account that the
information should be continuous and systematic. It is
important that military personnel not only receive
information about medical examinations at the time of
its implementation, but also be involved in educational
programs that will help them understand the
importance of preventive measures and their impact
on health in the long term. In this context, we can talk
about the need to integrate health issues into the
general educational process, which will allow military
personnel to develop a stable motivation for regular
medical examinations.
An important aspect in the context of the medical
examination of military personnel is the use of various
formats and communication channels that make it
possible to effectively convey information to the target
audience. In modern conditions, when information is
becoming a key resource, it is necessary to aPDly both
traditional methods and modern aPDroaches to ensure
maximum coverage and involvement of military
personnel in the process of taking care of their health.
Traditional methods such as lectures and seminars
remain relevant and useful. They create an oPDortunity
for direct interaction between medical specialists and
military personnel, which contributes to a deeper
understanding of the topic of medical examinations
and the importance of regular medical examinations.
Lectures can be organized as part of training sessions,
which allows you to integrate health information into
the overall educational process. Seminars, in turn, can
include interactive elements such as discussions and
practical exercises, which makes the learning process
more exciting and memorable.
The distribution of information materials such as
brochures, booklets and posters also plays an
important role in informing military personnel. These
materials may contain key information about the
importance of medical examinations, procedures to be
followed, and recommendations for maintaining
health. It is important that such materials are
International Journal of Medical Sciences And Clinical Research
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International Journal of Medical Sciences And Clinical Research (ISSN: 2771-2265)
developed taking into account the specifics of military
service and the perception of information by military
personnel, so that they are understandable and
accessible.
On the other hand, modern aPDroaches, such as the
use of digital technologies, open up new horizons for
information. Mobile aPDlications can provide military
personnel with access to medical check-up information
anytime, anywhere. These may include reminders for
upcoming medical checkups, as well as educational
resources to help military personnel better understand
the importance of preventive measures. Social media,
in turn, can serve as a platform for the exchange of
experience
and
knowledge
between
military
personnel, as well as for the dissemination of health
information in a more informal setting.
However, the effectiveness of such measures largely
depends on their adaptation to the specifics of the
military environment. It is necessary to take into
account the peculiarities of the psychology of military
personnel, their daily life and professional activities.
Military personnel often face high levels of stress,
physical and psychological stress, which can affect their
perception of health information. Therefore, it is
important that communication strategies be developed
considering these factors, creating an environment in
which military personnel will feel comfortable and are
ready to openly discuss issues related to their health.
In addition, it should be borne in mind that military
personnel may be limited in time due to their official
duties, so information should be presented briefly and
to the point. Using visual elements such as info graphics
and videos can significantly increase the receptivity of
information and make it more accessible. It is also
important to create oPDortunities for feedback so that
military personnel can ask questions and receive
answers, which helps build trust in medical services and
increases their involvement in the medical examination
process.
In the context of medical examinations of military
personnel, special attention should be paid to the fact
that the information process should not be considered
as a unilateral act in which information is transmitted
from medical specialists to military personnel without
the possibility of feedback. An important aspect of
effective communication is the creation of a system in
which military personnel can not only receive
information about medical examinations, but also
actively participate in discussions, ask questions,
express their concerns and suggestions. This aPDroach
contributes to the formation of an atmosphere of trust
and engagement, which, in turn, significantly increases
the level of participation of military personnel in
processes related to their health.
Research in psychology and medicine shows that when
people have the oPDortunity to interact with a source
of information, they become more interested and
motivated to participate in proposed activities. In the
case of military personnel who are often exposed to
stressful situations and have specific needs, having a
feedback channel can play a crucial role in their
perception of medical services. The oPDortunity to
express their concerns or ask questions allows military
personnel to feel heard and meaningful, which
contributes to a higher level of satisfaction with the
information and medical services they receive.
In addition, the active involvement of military
personnel in the process of informing and receiving
medical services is directly related to their willingness
to undergo medical examinations. When military
personnel realize that their opinions matter and that
they can influence the process, it creates a sense of
control over their situation. This perception, in turn,
can lead to a decrease in anxiety levels and an
increased willingness to undergo necessary medical
procedures.
Creating an effective communication strategy that
includes feedback elements is becoming a critical step
to increase the level of military personnel's
participation in medical examinations. This may include
not only traditional methods such as meetings and
seminars, but also modern technologies that allow
anonymous surveys, online forums, and other forms of
interaction. Thus, military personnel will be able to
share their experiences, ask questions and discuss
important topics for them, which will not only raise
awareness, but also strengthen trust in medical
services.
In the process of developing and implementing
programs to inform military personnel about medical
examinations, it is extremely important to take into
account that the level of education and awareness
among this group can vary significantly. This diversity
requires a differentiated aPDroach that takes into
account the specific needs, preferences, and habits of
different audience segments. In particular, the younger
generation, who grew up in the era of information
technology, shows a greater tendency to use
interactive platforms and visual materials, due to their
habit of receiving information in a dynamic and
accessible form. They are more likely to interact with
content through digital devices such as smartphones
and tablets, which makes it necessary to use modern
technologies, including mobile aPDlications, online
courses and multimedia presentations. These tools can
not only provide access to information anytime,
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International Journal of Medical Sciences And Clinical Research (ISSN: 2771-2265)
anywhere, but also create a more engaging and
engaging experience that will facilitate better learning.
On the other hand, older military personnel, who may
be less familiar with modern technologies or prefer
traditional communication methods, may have
difficulty accepting information presented in high-tech
formats. It is important for this group to use more
familiar forms of communication, such as printed
materials, lectures, seminars, and face-to-face
meetings with medical professionals. These methods
allow for more personal contact, which can be
especially important for military personnel who value
traditional aPDroaches to training and interaction.
Thus, competent segmentation of the audience and the
adaptation of the content of information materials to
specific groups of military personnel become crucial
factors for improving the effectiveness of information.
The creation of various versions of information
materials that take into account the level of education,
age, professional experience and personal preferences
of military personnel will allow for a deeper
understanding of the importance of medical
examinations and involvement in the process of taking
care of their own health.
In addition, such differentiation helps to reduce
barriers to the perception of information, which is
especially important in the context of medical
examinations, where understanding and accepting the
recommendations of medical specialists play a key role.
It is also important to take into account that the level
of trust in medical services may vary depending on the
previous experience of military personnel, which also
highlights the need for an individualized aPDroach. As
a result, the creation of adapted information materials
and the use of suitable communication channels for
different groups of military personnel will not only
increase awareness, but also contribute to the
formation of an active position regarding their health,
which will ultimately have a positive impact on the
overall health and combat capability of the armed
forces.
In general, it can be argued that the role of information
in increasing the coverage of medical examinations for
military personnel is multifaceted and comprehensive,
covering both aspects of psychological training and
organizational aspects related to the implementation
of preventive measures. An effective information policy
aimed at raising awareness of the importance of
medical examinations is a prerequisite for the
formation of a health culture in the army, which, in
turn, will contribute not only to improving the health of
military personnel, but also to increasing the overall
combat capability of the armed forces, which is of
critical importance in modern conditions.
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