scholarly journals RETROSPECTIVE ANALYSIS OF PRIMARY DISABILITY FOR PERSONS OF A WORKING AGE DUE TO THE NERVOUS SYSTEM DISEASES DURING THE 2014–2018 PERIOD IN MOSCOW

Author(s):  
A.G. Samusenko ◽  
N.S. Zapariy

We found a decrease in the number of first-recognized persons with disabilities due to the nervous system diseases among people of working age in both Moscow and the Central Federal District in the Russian Federation in the study of primary disability due to the nervous system diseases among people of working age in Moscow during the 2012–2018 period. Young people with disabilities prevailed in Moscow, middle-aged people with disabilities dominated in the Russian Federation in the first-recognized persons with disabilities structure due to the nervous system diseases among people of working age. The proportion of young people with disabilities in the first-recognized persons with disabilities structure in Moscow is higher than in the Central Federal district and the Russian Federation, and the proportion of the average age ones is lower. The level of primary disability among young people in Moscow is lower than in the Central Federal district and the Russian Federation. There is a predominance of disabled persons of group III among young people and groups I and II among middle-aged people in the first-recognized persons with disabilities structure. The level of primary disability of groups I, II and III due to the nervous system diseases is higher among middle-aged people.

Author(s):  
A.G. Samusenko ◽  
N.S. Zapariy

The article presents an analysis of the formation of general disability among persons older than working age due to diseases of the nervous system in Moscow. Introduction. Disability among the population – one of the most important medical and social problems – is an integral indicator. The purpose of the study is to study the patterns of the formation of general disability. Materials and methods. The study is solid for 2012–2018, using statistical forms of observation: form 7-sobes, statistical collections of THE Federal Security Service of the Russian Ministry of Labour. Research methods – excavation of information, descriptive statistics (absolute, extensive, intense indicators, series of dynamics, reliability assessment (average error). The results of the study. There has been an increase in the overall number of disabled people with a more pronounced growth rate in Moscow compared to the Central Federal District and the Russian Federation. The structure of general disability due to diseases of the nervous system was dominated by re-recognized persons with disabilities, but their share is lower than in the Central Federal District and the Russian Federation. The structure was dominated by disabled people in the third group with a tendency to increase their specific weight and disability, and there was a decrease in the proportion of disabled people in the I–II group and their levels. Conclusions. The total number of disabled persons among persons of older working age due to diseases of the nervous system in the dynamics of 2012–2018 has steadily increased, the growth rate was 18.6%, which is significantly higher than in the Central Federal District (4.1%) and the Russian Federation (8.2%). The structure was dominated by persons re-recognized as disabled, their share in the dynamics tended to increase, but the figure was lower than in the Central Federal District and the Russian Federation. The general population of persons with disabilities remained at 6,5 ± 0.11 cases per 10,000 of population of the appropriate age. The structure of general disability in severity was dominated by group III persons with disabilities, with a tendency to increase their specific weight and disability level. The proportion of persons with group I–II disabilities and their level tended to decrease


Author(s):  
A.G. Samusenko ◽  
N.S. Zapariy

Analysis of re-disability among working age persons due to the nervous system diseases showed that proportion of working age disabled persons in the structure of re-recognized as disabled persons (RRDP) was 73.1 % of which 43.2 % were young people with disabilities, 25.9 % were middle-aged with ones for 2014–2018 in Moscow. The prevalence of young people with disabilities, their share at the level of the indicator in the Russian Federation, but lower than in the Central Federal District is noted in the structure of RRDP. The proportion and the re-disability level of middle-aged persons with disabilities in Moscow are lower than in the Central Federal District and the Russian Federation. There is a decrease in the number of RRDP both in Moscow and in the Central Federal District and the Russian Federation in the dynamics. There is the prevalence of persons with disabilities with third-degree of disability in the RRDP structure both among young people (62.6 %) and middle-aged persons (59.1 %) with a tendency to decrease their share among middle-aged persons and reduce the re-disability level. We noted a decrease in the proportion and re-disability level of disabled persons with the second-degree of disability in dynamics, but the re-disability level among middle-aged persons is in 2 times higher than among young people. There was an increase in the proportion of the first-degree of disability among young people.


2019 ◽  
Vol 22 (1) ◽  
pp. 4-8
Author(s):  
Ganna M. Calacheva ◽  
Sergey P. Zapariy ◽  
Sergey N. Puzin

The analysis of repeated disability of the adult population as a result of diseases of the genitourinary system in Moscow in comparison with the indicators of the Central Federal District and the Russian Federation for the period 2015-2019 revealed that extensive and intensive indicators of repeated disability in Moscow are lower than in the Central Federal District and the Russian Federation. In the age structure of repeated disability among young people as a result of diseases of the genitourinary system, the predominance in the Russian Federation was revealed, significant differences in values and dynamics among young people in Moscow and the Central Federal district were not revealed. The lowest proportion of middle-aged people was recorded in Moscow, which is lower than in the Central Federal district and the Russian Federation. There was a significant predominance of people of retirement age with a tendency to increase their level and share. The severity of disability was dominated by I group of disabled people with a tendency of increasing their specific weight and a relatively stable level. The second place was taken by disabled people of II group with a tendency of increasing their share.


2019 ◽  
Vol 22 (1) ◽  
pp. 19-24
Author(s):  
A. Y. Paikov ◽  
Natalya S. Zapariy ◽  
Marina A. Urusova ◽  
Natalya A. Andreeva ◽  
Vadim N. Dmitriev ◽  
...  

The analysis presented in the article of the primary disability of the adult population due to diseases of digestive organs in the Rostov region for 20122018 was characterized by an increase in the number of persons recognized as disabled for the first time as in the Southern Federal District and the Russian Federation. In the structure of the first recognized disabled persons, their share was higher than in the Southern Federal District, but lower than in the Russian Federation. The level of primary disability for 20122018 was lower than in the Southern Federal District and the Russian Federation. The age structure was dominated by persons with disabilities of working age (women aged 4554; men 4559 years old) as well as in the Southern Federal and Russian Federation. The severity of disability was dominated by group II persons with disabilities, with a tendency to increase their specific weight, as in the Southern Federal District and the Russian Federation; Group III persons with disabilities ranked second, with a tendency to reduce their share and level. There has been an increase in the proportion of group I disabled persons.


Author(s):  
AS Shastin ◽  
VG Gazimova ◽  
OL Malykh ◽  
TS Ustyugova ◽  
TM Tsepilova

Introduction: In the context of a decreasing size of the working-age population, monitoring of the health status and disease incidence in this cohort shall be one of the most important tasks of public and occupational health professionals. Health risk management for the working population in the Russian Federation requires complete and reliable data on its morbidity, especially in view of the fact that its average age demonstrates a stable growth. It is, therefore, crucial to have precise and consistent information about the morbidity of the working-age population. Objective: The study aimed to assess incidence rates of diseases with temporary incapacity for work in the constituent entities of the Ural Federal District of the Russian Federation. Materials and methods: We reviewed data on disease incidence rates published by the Federal State Statistics Service in the Common Interdepartmental System of Statistical Information, Section 15.12, Causes of Temporary Disability, and Section 2.9.I.4, Federal Project for Public Health Promotion. The constituent entities under study were ranked according to the number of cases and days of temporary incapacity per 100 workers and E.L. Notkin scale was used to determine grade the incidence. The statistical analysis was performed using STATISTICA 10 software. Long-term average values of certain indicators, median values, standard deviation (σ) and coefficients of variation were estimated. The difference in the indices was assessed using the Mann-Whitney test. Results: Compared to 2010, incidence rates of diseases with temporary incapacity for work in the constituent entities of the Ural Federal District in 2019 demonstrated a significant decline. The sharp drop was observed in 2015. We also established that the Common Interdepartmental System of Statistical Information contains contradictory information on disease incidence. Conclusion: It is expedient to consider the issue of revising guidelines for organization of federal statistical monitoring of morbidity with temporary incapacity for work and to include this indicator in the system of public health monitoring.


2020 ◽  
Vol 4 (1) ◽  
pp. 1-19
Author(s):  
Marina A. Kartseva

The article presents a comparative analysis of the level and structure of poverty of the Russian population using two different concepts of poverty definition — the absolute income criterion currently used by Rosstat, and the AROPE indicator of poverty and social exclusion. The paper also attempts to assess how the change of the methodology for determining poverty can affect the existence of the poverty status of individuals. The study is carried out both at a national level and at a federal district level. The empirical basis of the paper is selective observation of income of the population and participation in social programmes, conducted by Rosstat in 2017. The results show that in transition from the absolute income criterion to the multi-criteria AROPE index, the poverty level of the population of the Russian Federation significantly increases. The highest growth of poverty is among people over working age. The age structure of poverty also changes significantly. With AROPE, the proportion of older persons among the poor increases and the proportion of children decreases. It is also shown in the article that the transition from the current official methodology of poverty definition to the definition in accordance with AROPE’s methodology can lead to loss of the poverty status by part of the population, which, in case of the official transition to using AROPE index as a criterion for receiving social support, can have a negative impact on their socio-economic situation. The obtained results vary significantly by federal districts of the Russian Federation.


2014 ◽  
Vol 95 (6) ◽  
pp. 892-896
Author(s):  
L N Chikinova ◽  
Zh V Boltenko

Aim. To distinguish the regularities for primary disability occurrence due to musculoskeletal and connective tissue diseases in Russian Federation and Volga Federal District in 2011-2013. Methods. Data copying, comparative analysis of indicators of primary disability due to musculoskeletal and connective tissue diseases in Russian Federation, and federal districts ranking by level of disability due to musculoskeletal and connective tissue diseases in 2011-2013 were performed. Results. Central Federal District of Russian Federation had a high level of primary disability due musculoskeletal and connective tissue diseases registered in 2011-2013. Southern, North-Caucasian and Volga Federal Districts had low levels of disability due to the same diseases. Among the subjects of the Russian Federation included in the Volga Federal District, high levels of primary disability due to musculoskeletal and connective tissue diseases in 2011-2013 were registered in the Kirov region (17.1-15.3-11.1 per 10 000 of the adult population), low levels of primary disability - in the Saratov region (4.1-3.4-3.5 per 10 000 of the adult population). Conclusion. The trend for reducing the primary disability in the Volga Federal District in 2011-2013 (6.6-6.3-5.9 per 10 000 of the adult population) indicates the success of regional rehabilitation programs for persons with disabilities.


2021 ◽  
Vol 22 (3) ◽  
pp. 82-89
Author(s):  
T. V. Razumova ◽  
◽  
T. V. Zuyevskaya ◽  
P. I. Pavlov ◽  
E. V. Sadrieva ◽  
...  

Purpose of the study: assessment of the level and structure of the incidence of the population to determine the main categories of diseases most common in the Khanty-Mansi Autonomous Okrug-Yugra, as well as making a territorial comparison of the incidence of the population. Materials and research methods: statistical materials from the annual collection “Health of the population of the Khanty-Mansi Autonomous Okrug-Yugra and the activities of medical organizations” and data of statistical reporting on the incidence of the population from the Medstat program were used, in particular, the primary morbidity of the population of the Khanty-Mansi Autonomous Okrug-Yugra in different age groups, the general incidence the population of different age groups of the Khanty-Mansi Autonomous Okrug-Yugra. The analysis used indicators such as primary morbidity, general morbidity, one-year mortality (died within the first year from the date of diagnosis) in malignant neoplasms. Results. The primary morbidity of the population in the Khanty-Mansi Autonomous Okrug-Yugra tends to grow in all age groups. The indicators of primary morbidity of the population of the Khanty-Mansi Autonomous Okrug-Yugra in 2018 are 17.1% higher than in the Russian Federation and 12.2% higher than in the Ural Federal District. In the structure of primary morbidity, the first place is taken by diseases of the respiratory system, the second place in the structure of the primary morbidity of people over working age is taken by diseases of the circulatory system, and the third place is by diseases of the genitourinary system. The overall incidence rate of the entire population is 1896 per 1000 population. In 2018, 41.2 cases of tuberculosis per 100 thousand of the population were detected for the first time in the Khanty-Mansi Autonomous Okrug-Yugra (in the Ural Federal District – 61.6, in the Russian Federation – 44.4 per 100 thousand of the population). This pathology tends to decrease and compared with 2017 decreased by 10.2% (the Russian Federation decreased by 8.1%, the Ural Federal District – 2.1%). The number of patients with newly diagnosed HIV infection in 2018 decreased by 1.5% compared to 2017 and amounted to 82.3 per 100 thousand population, which is higher than in the Russian Federation (58.5), but lower. than in the Ural Federal District (108.2) per 100 thousand population. Since 2012, there has been a tendency towards an increase in the incidence of malignant neoplasms, but the detection rate of malignant neoplasms at stages III-IV has not changed since 2015 and is 39.5%, which is higher than in the Russian Federation (38.5%). Conclusion: the primary morbidity in the Khanty-Mansi Autonomous Okrug-Yugra in 2018 is 17.1% higher than in the Russian Federation. In the first place are diseases of the respiratory system (48.4%, of which in children – 66.4, and in persons of older working age – 22.2%). In second place in children is infectious pathology, and in people of working age – diseases of the genitourinary system. The second place in morbidity in older people of working age is diseases of the circulatory system. The district has a high level of infectious and parasitic diseases. The number of patients with newly diagnosed tuberculosis is lower than in the Ural Federal District and the Russian Federation. The number of patients with HIV infection is higher than in the Russian Federation, but lower than in the Ural Federal District. There is a tendency towards an increase in the number of malignant neoplasms. The number of neoplasms is lower than in the Ural Federal District and the Russian Federation. In the Khanty-Mansi Autonomous Okrug-Yugra, there is a positive trend in the reduction of socially significant diseases, such as tuberculosis, HIV infection, STIs, alcoholism, drug addiction, injuries and an increase in overall morbidity, including malignant neoplasms, which indicates the availability of medical care, health literacy of the population and carrying out appropriate preventive work.


2019 ◽  
Vol 22 (1) ◽  
pp. 9-14
Author(s):  
Ganna M. Calacheva ◽  
Sergey P. Zapariy ◽  
Sergey N. Puzin

The analysis of primary disability as a result of diseases of the urinary system with the outcome of chronic kidney disease among the adult population of Moscow, the Central Federal District and the Russian Federation for the period 2015-2019 has revealed that the extensive indicators for the number of certified as disabled for the first time in Moscow is comparable in terms of primary disability in the Central Federal District and are lower than in the Russian Federation. Intensive indicators in Moscow are lower than in the Central Federal District and the Russian Federation. Extensive and intensive indicators of primary disability in Moscow, the Central Federal District, and the Russian Federation tended to increase. The age structure of the certified as disabled for the first time contingent as a result of diseases of the urinary system in Moscow, the Central Federal District and the Russian Federation do not differ significantly in values and dynamics among young and middle-aged population. The predominance of persons of retirement age was revealed with a tendency to increase their level. The severity of disability was dominated by I group of disabled people with a tendency to increase their specific weight. The second place was taken by disabled people of III group with a tendency to increase their share and a stable level of disability.


Author(s):  
AY Paikov ◽  
NS Zapariy ◽  
AV Abol

Introduction: Disability resulting from diseases of the respiratory system is a complex problem for the health care and social security systems. The prevalence of chronic lung diseases keeps growing. Our objective was to analyze the rates of initial and recurrent respiratory disability in the adult population of the Rostov Region in 2014–2018 and to compare them with those registered in the Southern Federal District and the Russian Federation. Material and methods: We used information about initial and recurrent respiratory disability in adults from the electronic database of the unified information and analytical system of medical and social expertise of the Rostov Region and digests of the Federal Bureau of Medical and Social Expert Examination of the Ministry of Labor and Social Protection of the Russian Federation for 2014–2018. We applied methods of data copying, descriptive statistics (estimation of extensive and intensive indicators, significance tests (p)), analytical and comparative analysis. Results: The analysis of adult respiratory disability in the Rostov Region in 2014–2018 showed a decrease in the number of adults with initial and recurrent disability. The proportion of initial cases tended to decrease and was similar to the Russian average rate but exceeded that in the Southern Federal District while the proportion of recurrent disability cases increased. The rates of initial respiratory disability in the adult population of the Rostov Region and the Russian Federation were comparable. The regional proportion of young people with respiratory disability was 42.2 % in contrast to the Southern Federal District and the Russian Federation where elderly cases prevailed (42.0 % and 48.7 %, respectively). In terms of severity of disability, grade II disability cases prevailed (50.4 %) in the Rostov Region as opposed to the Southern Federal District and the Russian Federation with higher proportions of persons with disability grade III (62.3 % and 72.0 %, respectively). The recurrent disability rate showed a rising trend and was higher than the intensive indicator in the Southern Federal District but lower than that in the Russian Federation. The majority of regional cases with recurrent respiratory disability were young and middle-aged (40.5 % and 40.2 %, respectively); the proportion of young cases tended to increase while that of the middle-aged showed a downward trend. In the Southern Federal District and the Russian Federation, most recurrent cases were middle-aged or elderly (37.8 % and 35.3 %) and elderly or middle-aged (39.0 % and 35.1 %), respectively. The rate of recurrent respiratory disability among young people in the Rostov Region was twice as high as in the Southern Federal District and the Russian Federation. In terms of severity of recurrent respiratory disability, grade III disability was most prevalent in all territories but in the Rostov Region its proportion was lower than in the areas of comparison. The proportion of people with grade II disability tended to decrease but was still higher than in the Southern Federal District and the Russian Federation. Conclusions: Our findings will allow a more accurate assessment of severity of impairments and vital activity limitations in adults with respiratory disability and help plan appropriate age and sex-specific rehabilitation measures contributing to effective rehabilitation and habilitation actions and successful social integration of a disabled person.


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