The mortality rate of the working age population in the industrial regions of Siberia

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.

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 71 (3) ◽  
pp. 325-335
Author(s):  
Beata Ciabiada-Bryła ◽  
Małgorzata Pikala ◽  
Monika Burzyńska ◽  
Wojciech Drygas ◽  
Irena Maniecka-Bryla

Author(s):  
S. S. Aleksanin ◽  
E. V. Bobrinev ◽  
V. I. Evdokimov ◽  
A. A. Kondashov ◽  
N. A. Mukhina ◽  
...  

Relevance. Russia has high mortality rates in general and among the working-age population, with dominating effects of external causes.Intention– To study rates and structures of the medical-statistical indicators of mortality due to diseases and the effects of external causes in the employees of the State Fire Service of the EMERCOM of Russia over 20 years from 1996 to 2015.Methods.Annual population under study averaged (108.8 ± 6.2) thousand people, or about 80% of all the employees of the State Fire Service of Russia who had special military ranks. Operating staff comprised 53.4%, other employees – 46.6%. Mortality rates were calculated per 100 thousand employees of the State Fire Service of Russia. Data on the mortality of working-age men in Russia was obtained on the website of the Federal Statistics Service of Russia (Rosstat) [http://www.gks.ru/]. The unification of accounting and analysis of indicators was achieved using the International Statistical Classification of Diseases and Related Health Problems, the 10th revision (ICD-10). Results and Discussion. Mortality rate among employees of the State Fire Service of the EMERCOM of Russia in 1996–2015 was (116.9 ± 5.7) deaths per 100 thousand employees per year vs 11 times higher mortality rate among the working-age male population of Russia: (1063.9 ± 33.7) deaths per 100 thousand men (p < 0.001). The mean age of the deceased employees of the State Fire Service of Russia was (44.5 ± 0.3) years, with overall mean age (36.9 ± 1.6) years (p < 0.001). The leading causes of death among employees of the State Fire Service of Russia (from more to less significant) were injuries and other effects of external causes (ICD-10 chapter XIX), diseases of the circulatory system (chapter IX) and neoplasms (II), diseases of the digestive system (XI) and diseases of the respiratory system (X). Mortality rates from these causes per 100 thousand employees per year amounted to (63.3 ± 33.7), (32.6 ± 2.7), (7.1 ± 0.6), (5.3 ± 1.0) and (5.0 ± 0.9) deaths; in cause-of-death structure – 54.2, 27.9, 6.0, 4.5 and 4.3%, respectively. The mortality rate from suicide among working-age Russian men was 6.4 times higher than that of firefighters – (66.0 ± 4.1) and (10.3 ± 1.1) deaths per 100 thousand men, respectively. However, in the overall cause-of-death structure, this cause accounted for a larger share in employ ees of the Russian State Fire Service (6.2 vs 8.8%). Statistically significant difference (p < 0.05) was found when comparing occupational fatalities among the operating personnel of the State Fire Service of Russia and working population in Russia: (14.9 ±1.4) deaths per 100 thousand employees per year vs (11.6 ± 0.7) deaths per 100 thousand workers per year. Mortality rates of firefighters were calculated in the Federal districts and regions of Russia. For a number of causes of death in firefighters, there is a significant contribution of occupational factors, which require further research.Conclusion.There is a low alertness for identifying neoplasms and crisis conditions in firefighters. Focusing on the leading diseases, behavioral disorders, prevention of injuries, poisoning and other effects of external causes will improve health and reduce mortality of employees of the State Fire Service of Russia.Authors declare the absence of existing and potential conflicts of interest concerning the article publication. 


2021 ◽  
pp. 67-77
Author(s):  
G.I. Tikhonova ◽  
◽  
M.S. Bryleva ◽  

The paper dwells on examining mortality among men due to malignant neoplasms (MNs) in Russia and in Norilsk and Monchegorsk, two monotowns located in the Arctic zone with the only industry there being nickel production. Nickel is a well-known carcinogen. Given rather small population numbers in these two towns, the authors calculated mortality due to MNs that was aver- aged over 8 years (2010–2017) for 5-year age groups and standardized mortality ratios (SMR) for employable and post- employable ages as per this nosology in general and specific MNs localizations as well. Mortality was comparatively analyzed in two male populations in the following pairs: Monchegorsk and Russia, Norilsk and Russia; the analysis was based on data on climatic peculiarities in the towns, working conditions at industrial enterprises, ecological situation, and socioeconomic features including an existing situation in public healthcare. Socioeconomic welfare and public healthcare quality were close to average Russian ones in Monchegorsk, but SMR for employable population was higher than on average in the country: due to MNs in general, by 34.7 %; nickel-specific MNs such as MNs of the lip, mouth, and throat, by 2.2 times; MNs in the stomach, by 1.5 times. In Norilsk working conditions were similar to those in Monchegorsk but the environmental conditions were worse; still, mortality among employable population was lower: due to MNs in general, by 15.4 %; MNs of the lip, mouth, and throat, by 14.0 %; due to MNs in the stomach, by 39.3 %. In comparison with Russia as a whole, mortality due to MNs was also lower at employable age but higher by 21.6 % at post-employable one. A decrease in MNs-related mortality and carcinogenic effects becoming apparent at older ages were achieved due to organizing up-to-date oncologic aid in Norilsk including high-tech diagnostic, treatment, and rehabilitation procedures as well as due to higher living standards in the town.


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.


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

Introduction. Issues of preserving the health and saving of the Russian population are important in the development of state programs. One of the main sources of population growth, as well as the preservation of the labor potential of our country, is the reduction of the death rate of the working - age population. The aim of the study was to analyze the mortality of the population in the age groups 15-59 years and 15-64 years for men and 15-54 years and 15-59 years for women in Russia in comparison with the countries of the European Union (EU-28). Materials and methods. Mortality was studied based on data from Rosstat and the WHO Mortality Database and the Human Mortality Database. Age-standardized mortality rates were calculated for Russia in 2018 and the EU-28 countries in 2017 (European standard, revised 2013). Results. Comparative analysis of the standardized mortality rates of the population 15 to 59 years and 15-64 years for men and 15-54 years of age and 15-59 years of age showed a significant gap between Russia and the EU-28. Differences in mortality among men in comparison with the EU-28 in the age group of 15-59 years was 3.1 times, and in the age group 15-64 years - by 2.8 times. In women aged 15-54 years, the excess was 2.5 times, and in those aged 15-59 years - 2.2 times. Conclusions. Thus, the analysis of modern data on the mortality of the male (aged 15-59 and 15-64 years) and female (aged 15-54 and 15-59 years) populations indicated that negative trends persist in Russia's lagging behind the European Union countries.


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.


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.


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