Methodological approaches to the analysis of citizens' commitment to a healthy lifestyle

Within the Federal Project «Health for Everyone», the indicator «Proportion of citizens leading a healthy lifestyle» functions as a key metric and is calculated using sectoral statistical reporting forms in accordance with the methodology approved by the Ministry of Health of Russia. Additionally, the Rosstat methodology offers an alternative calculation for this indicator. Consequently, citizens’ commitment to a healthy lifestyle can be assessed using two distinct approaches. Comparing these methodologies and their results is relevant. Objective. To compare the Ministry of Health of Russia and Rosstat methodologies for assessing citizens’ commitment to a healthy lifestyle, and to compare the indicators derived from these approaches across the constituent entities of the Russian Federation. Materials and methods. The study used open data from the Unified Interdepartmental Information and Statistical System and sectoral statistical reporting forms for 2021—2024 on the constituent entities of the Russian Federation. Statistical methods, including quartile analysis, as well as analytical and comparative approaches, were applied. Results. The comparison of methods for calculating the indicator «Proportion of citizens leading a healthy lifestyle» identified the primary distinction as the data collection approach. The semantic criteria are largely consistent with behavioral risk factors. Comparative analysis of the results derived from both methodologies revealed both differences and overlaps among the constituent entities of the Russian Federation. Conclusions. Comparative analysis of methods for assessing citizens’ commitment to a healthy lifestyle revealed differences, particularly in the use of objective versus subjective data, while also showing substantial conceptual alignment. These findings support the complementary use of both methodologies for a more comprehensive assessment of health sector domains and specific activities.