scholarly journals Determination of priority unfavorable environmental factors

2019 ◽  
Vol 95 (12) ◽  
pp. 1205-1209 ◽  
Author(s):  
Zoya A. Zaikova ◽  
A. V. Burdukovskaya ◽  
A. I. Belykh

In the Irkutsk region there are recorded high indices of rates of morbidity, disability, mortality rate of the working-age population and low levels of life expectancy of the population, that is confirmed by ranking position levels among the all subjects of the Russian Federation. According to all mentioned indices of health the region is inside the top ten unfavorable regions of Russia. In relation to the problem in the state of health of the adult population the estimation of the causal relationships between environmental factors and certain health indices is actual. The list of studiedfactors included health indices that characterize the harmful working conditions of the working population and basic socioeconomic indices in the region. Estimation of causal-relationship relationships was performed with the use of methods of multivariate analysis - correlation and multiple linear regression. In the selection offactors for the construction of mathematical models of multiple regression there were used methods of the analysis of variables variability, pair correlation coefficients matrix and sequential switching covariates to eliminate the problems of multicollinearity, pre-standardization of indices for the elevation of the numerical stability of regression analysis algorithm. As a result of the execution of the analysis there were constructed statistical models for the dependence in the system variables “environment - public health”, which allowed to identify the most informative regression models for the adult population health according to indices of primary disability of the population, the mortality rate and life expectancy of the working age population. According to results of the analysis there were identified priority factors affecting on the health of the adult population of the Irkutsk region. To these factors there are referred the proportion of workplaces failing to meet sanitary standards for vibration and 8 socio-economic indices of living standards of the population.

2019 ◽  
Vol 98 (10) ◽  
pp. 1141-1147
Author(s):  
Yaroslav A. Leshchenko ◽  
A. A. Lisovtsov

Introduction. The policy in the field of public health care should take into account the peculiarities of regional development, due to the influence of socio-environmental factors and processes. Mortality indices are the most important medico-demographic index of the state of the regional socio-ecological system. The aim of the study is to characterize the mortality trends of various age groups of the population of the Irkutsk region in the context of social and environmental transformations of the post-Soviet period. Material and methods. A retrospective longitudinal study of the mortality characteristics of the population of the Irkutsk region, the Siberian Federal District (SFD) and the Russian Federation (RF) in the dynamics from the late 1980s to 2017 was carried out. Statistical materials were obtained from the databases of the Federal State Statistics Service, the Center for Demographic Studies of the New Economic School and Demographic Yearbooks of Russia. The analysis of trends in mortality rates and their socio-ecological interpretation is carried out. Results. Dynamics of the total mortality rate in the period 1989-2017 consisted of two stages (1991-1998 and 1999-2017). Each of these stages was characterized by a marked increase in the mortality rate and its subsequent decrease. The values of this index in the Irkutsk region during the entire observation period were higher than the values of the same indicator for the SFD by 6.5-10.0% and higher than the figure for the Russian Federation by 12.9-21.5%. The dynamic changes in the mortality rates of the working-age population are similar to the corresponding characteristics of total mortality. The trends in child and infant mortality rates were characterized by a consistent decrease. The dynamics of the mortality rate of the adolescent-youth contingent (15-19 years) was similar to the dynamics of the total mortality rate. Conclusion. The phenomena of a systemic transformational crisis led to the adverse dynamics of mortality characteristics from 1992 to 2006. A major positive shift in improving mortality rates occurred in 2007-2017. It was due to positive changes in the socio-economic sphere. Only the mortality levels of the working-age population did the lag behind the figures for 1989-1990 continue. The Irkutsk region should be characterized as a region of relative socio-ecological disadvantage in the mortality rates of all age groups of the population.


2021 ◽  
Vol 31 (5) ◽  
pp. 551-561
Author(s):  
Elena V. Bystritskaya ◽  
Tatiana N. Bilichenko

Respiratory diseases (RD) represent one of the most urgent issues in Russian health care and have high socio-economic significance.The aim. To study the dynamics of total morbidity and mortality in the Russian Federation, as well as the mortality associated with RD in the working-age population in 2015 – 2019.Methods. The official statistical data of the Ministry of Health of the Russian Federation and the Federal State Statistics Service were analyzed.Results. In 2019, the total RD-associated morbidity increased by 5.4%, and the prevalence of pneumonia increased by 29.0% compared to 2015. In 5 federal districts (FD), the morbidity exceeded the average Russian morbidity in 2019 (40,694.7). The maximum level was observed in the North-Western FD (50,224.1). The prevalence of pneumonia (Russia – 524.4) in 4 FDs exceeded the average Russian prevalence. The maximum level was reported in the Far Eastern FD (749.2 cases per 100 thousand of the total population). The RD-associated mortality rate in Russia was 51.8 cases per 100 thousand in 2015 and 41.6 cases per 100 thousand in 2018 (–19.7%). In 2018, the highest RD-associated mortality was observed in the Siberian FD (68.0) and Far Eastern FD (57.8 per 100 thousand people). From January to December 2019, the highest mortality associated with pneumonia in the working-age population was observed in the Far Eastern FD (28.2 per 100 thousand people). The RD-associated mortality rate in the male population was 4.2 times higher than in the female population (26.7 and 6.3, respectively, per 100 thousand persons of matching age).Conclusion. The highest morbidity was found in 2018 and 2019 in the Northwestern FD and Far Eastern FD. The RD-associated mortality in the Siberian FD and Far Eastern FD exceeded the average Russian values. This last observation requires additional research to improve the quality of medical care.


2020 ◽  
Vol 222 ◽  
pp. 05008
Author(s):  
Galina Ulivanova ◽  
Olga Fedosova ◽  
Galina Glotova ◽  
Olga Antoshina ◽  
Alexandra Fetisova

The paper presents the results of the analysis of demographic and medico-social data characterizing the dynamics of morbidity and mortality from environmental diseases, in particular, diseases of the cardiovascular system. The trend of negative natural population growth was revealed, amounting to -6.9 per 1,000 persons by 2019. The number of patients with cardiovascular diseases was 13 817,4 persons, with the overwhelming majority of the working-age population (9020,2 persons). Ischemic heart disease had the largest share in the structure of the studied diseases (62,25 %). There was also a decrease in life expectancy over the past 30 years and an increase in mortality of young and middle-aged people.


2021 ◽  
Vol 100 (12) ◽  
pp. 1487-1494
Author(s):  
Aleksandr S. Shastin ◽  
Olga L. Malykh ◽  
Venera G. Gazimova ◽  
Tatyana M. Tsepilova ◽  
Tatyana S. Ustyugova

Introduction. The quality of labour potential is one of the most important factors of economic growth, which largely depends on the health status of the working-age population. Today, incidence and prevalence rates in the Russian working-age population are not monitored at the national level. Materials and methods. We conducted a descriptive epidemiological study based on retrospective data on disease incidence in the adult population of the Russian Federation. We also assessed disease incidence and prevalence in the Russian working-age population (men aged 18-59 and women aged 18-54) in 2015-2019 using the method of continuous observation. We estimated and ranked incidence and prevalence rates per 100,000 working-age population of some constituent entities and federal districts of the Russian Federation to establish the territories with the highest and lowest rates. Results. We applied and tested methodological approaches to assessing the morbidity of the working-age population living in different regions of the Russian Federation. Our findings demonstrate a high degree of variability in both incidence and prevalence rates in the working-age population in general and by ICD-10 disease categories. Conclusion. Results of our assessments and ranking of the constituent entities of the Russian Federation by disease-specific incidence and prevalence rates in the working-age population provide an opportunity to areas at risk with specific health status enabling the most efficient management of risks of labour and economic losses. The proven method approaches may be used to address the challenges of public health monitoring.


Author(s):  
В. Н. Дмитриев ◽  
М. А. Урусова ◽  
Н. А. Андреева ◽  
Т. В. Дмитриева

Проведен сравнительный анализ показателей первичной инвалидности вследствие болезней органов пищеварения у населения старше трудоспособного и трудоспособного возраста в Белгородской обл. в сравнительном аспекте с общероссийскими показателями за 8 лет. Определены ранговые места болезней органов пищеварения в структуре первичной инвалидности. Выявленные основные особенности и тенденции инвалидности представлены применительно к дальнейшей оптимизации оказания медико-социальной помощи и поддержки данного контингента инвалидов. The analysis of indicators of primary disability due to diseases of digestive organs among pension age and working-age population of the Belgorod region is carried out in comparative aspect with the national indicators during 8 years. Rank places of diseases of digestive organs in structure of primary disability were defined. The revealed main features and trends of disability, were investigated to further optimization of medico-social service and improved support to this contingent of disabled people.


2021 ◽  
Vol 100 (2) ◽  
pp. 166-171
Author(s):  
Bator S. Budaev ◽  
Larisa P. Banzarova ◽  
Olga G. Bogdanova ◽  
Inna Yu. Tarmaeva

The aim of our study was to investigate the regional characteristics of the external-cause mortality of the working-age population of the Republic of Buryatia during 2003-2017. Material and methods. The sources of information were the data of the Territorial Body of the Federal Service of State Statistics in the Republic of Buryatia (hereinafter - Buryatstat), medical certificates of death (f. No. 106/u-02), reports of forensic medical examinations for the specified period. The study was conducted using statistical, analytical, mathematical and comparative methods. The impact of human losses from accidents in working age on the demographic situation in the Republic was studied. The share of external-cause deaths of working-age people accounted for 38.1% of all deaths. In the structure of external causes of death, the predominant share of intentional self-injuries, including suicides (31.5%), murders (14.5%), was noted, with the contribution of all traffic accidents being 11.5%, accidental alcohol poisoning - 13.1%. According to 2016, the suicide mortality rate (66.8 per 100,000 population) was 3.3 times higher than the Russian average (20.4) and 1.9 times higher than the Siberian Federal District (SFD) (34.6). It should be noted that the suicide rate in Buryatia was almost 3.3 times higher than the critical parameters determined by World Health Organization experts (20 suicides per 100,000 population). The death rate from homicide in the Republic of Buryatia (30.0 per 100,000 people) was 3 times higher than the average in Russia (9.9) and 1.7 times higher than in the SFD (17.4). Conclusion. The high external-cause mortality rate related to the working-age population’s health is an objective reflection of the social and hygienic disadvantage of the Republic of Buryatia.


2016 ◽  
Vol 7 (2) ◽  
pp. 103-107
Author(s):  
Steven J Marks ◽  
Benjamin P Hale

Diabetic retinopathy is a frequent manifestation of long standing diabetes mellitus. According to the World Health Organization diabetes affects nine percent of the adult population worldwide (Diabetes Fact Sheet, 2015). Of all of the common diseases of the eye, diabetic retinopathy has a great impact on the working age population and therefore presents a huge socioeconomic burden in all areas of the world. 


Author(s):  
Anastasia N. Churanova ◽  
Tatyana Yu. Gorchakova

Introduction. The health of the working population is one of the most important conditions for the sustainable economic development of any country. In the industrial regions of Russia, the production activity of enterprises in the extractive and manufacturing industries leads to an increase in mortality rates of the working-age population, an increase in general and occupational morbidity. The aim of study was to study the mortality rate of the working-age population in large industrial regions - Kemerovo and Irkutsk regions with unfavorable environmental conditions and a high proportion of workers employed in harmful and hazardous working conditions. Materials and methods. On the basis of data from Rosstat and the Ministry of Natural Resources of the Russian Federation, socio-economic characteristics, environmental conditions, working conditions were analyzed in the regions, and age-standardized mortality rates of the working-age population were calculated. Results. The performed research showed that in the Kemerovo and Irkutsk regions. compared with Russia, the mortality rates of the working-age population from diseases of the respiratory system, cardiovascular system, and malignant neoplasms were increased, i.e. from those causes of death that may be etiologically related to the production activities of industrial enterprises. Conclusions. In industrial regions with a high share of the mining and manufacturing industries, workers are exposed to the negative impact of environmental and industrial factors, which is reflected in the causes and mortality rates of this category of the population.


2020 ◽  
Vol 93 (4) ◽  
pp. 48-59
Author(s):  
M. A. Gritsko ◽  
◽  
O.G. Polivaeva ◽  

For almost three decades, the problem of the annual decline in the demographic potential of the Russian Far East has not lost its relevance. Joining the list of Russia's national priorities in the 21st century and the active state policy pursued in this regard for the accelerated development of the largest macro-region in the country did not lead to positive changes in the demographic trend. Despite different kinds of preferences for the potential Far-Easterners, their number does not cover the number of people leaving the Far East. The article analyzes the indicators characterizing the change in the demographic potential of the Far-Eastern federal district in the context of the constituent entities of the Russian Federation for a five-year period of an active policy of socio-economic development of the macro-region. The main components of natural movement of the population are considered. It is shown that the Russian Far East is characterized by the all-Russian tendency of a decline in the birth rate, caused by the deformation of the age composition of the population, primarily women of fertile age, changes in the intensity of fertility and its age profile. While comparable to the all-Russian general coefficient, the Far East is characterized by an increased mortality rate among the population of working age. Moreover, during the analyzed period, the gap between the average Russian and Far-Eastern mortality rate of the working-age population is growing for most causes of mortality. The high mortality rate of the working-age population is the main factor in the low life expectancy of the Far East. Comparison of real and predicted estimates of demographic potential established in the Concept of demographic policy of the Far East and the Decrees of the President of the Russian Federation is carried out. As a result, it was found that expectations of the future demographic potential of the Far East laid down in the documents significantly exceed the real demographic capabilities of macro-region and will most likely remain unrealizable.


2016 ◽  
Vol 97 (5) ◽  
pp. 764-770 ◽  
Author(s):  
E A Kitaeva ◽  
M R Kitaev ◽  
L Ya Salyakhova ◽  
A Yu Vafin

Aim. Improvement of activities aimed at reduction of morbidity of stroke and recurrent stroke, mortality and disability rates for stroke of the population of the Republic of Tatarstan, by means of implementation of primary and secondary prevention program.Methods. Activities that would reduce mortality rate and improve the quality of life of the population of Rybnaya Sloboda region for 2013-2015 were developed. Differentiated approach to stroke prevention for different groups of patients based on individual assessment of stroke risk was suggested. At Rybnaya Sloboda Central District Hospital the project of Stroke education Center was developed and implemented. It provides an opportunity for personified prevention of first-ever and recurrent stroke, massive preventive measures for the whole population aimed at maintaining awareness of present risk factors and methods of their reduction. Statistic analysis of mortality and morbidity rates for acute disorders of cerebral circulation for the population for the Republic of Tatarstan, Chistopolskiy, Tetushi and Rybnaya Sloboda districts for the period from 2013 to 2015 was performed.Results. In the Republic of Tatarstan, mortality rate in 2015 decreased by 1.6%, compared to the level of 2014, and the mortality rate of working age population reduced by 3.1%. During the last 10 years mortality rate of the population of the Republic of Tatarstan decreased by 13%. In Rybnaya Sloboda district, it was possible to reduce total mortality by 11% in 2015. In the last three years in the Republic of Tatarstan mortality from circulatory system diseases is decreasing, including mortality from stroke which reduced by 1.25 times (or by 25%). In Rybnaya Sloboda district mortality from circulatory system diseases decreased by 2.48 times, from myocardial infarction by 1.83 times, from stroke by 2.29 times. Mortality of working-age population from stroke was not registered in 2015.Conclusion. The implemented program has demonstrated its efficacy: due to undertaken activities in 2015 it was possible to reduce total mortality in Rybnaya Sloboda district, mortality of working-age population including that from stroke.


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