Some Issues of Morbidity with Temporary Incapacity for Work in the Ural Federal District

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.

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

Background: Achievement of the national goals to increase life expectancy and ensure sustained population growth in the Russian Federation largely depends on the health status and mortality rates in the working-age population. Health risk management for this cohort is impossible without effective disease incidence data, the lack of which impedes the development and implementation of optimal solutions in health maintenance. Objective: To assess rates and features of disease incidence in the working-age population of the Ural Federal District. Materials and methods: We acquired data on disease incidence in the Russian Federation from statistical yearbooks published on the website of the Federal Research Institute for Health Organization and Informatics of the Russian Ministry of Health and on the size of the working-age population from the Federal State Statistics Service. We estimated age-specific incidence rates (per 100,000) in the working-age population of the Russian Federation, the Ural Federal District and its administrative territories for 2015–2019 using MS Excel. The statistical data analysis was performed using the Statistica 10 software. The incidence structure by ICD-10 disease categories was determined. Results: We were first to establish absolute and relative incidence rates, incidence structure by ICD-10 disease categories, and regional features of disease incidence in the working-age population residing in the Ural Federal District. We found significant differences between district and federal average incidence rates. Conclusions: The incidence in the Ural Federal District was significantly higher than the national average. Incidence rates differed significantly between certain territories of the district. Incidence rates in the working-age population shall be included in the system of public health monitoring and taken into account when developing local programs of governmental guarantees of free medical services to citizens.


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):  
T. A. Savitskaya ◽  
V. A. Trifonov ◽  
G. Sh. Isaeva ◽  
I. D. Reshetnikova ◽  
N. D. Pakskina ◽  
...  

The paper presents analysis of epidemiological situation on hemorrhagic fever with renal syndrome around the world and in the Russian Federation over the period of 2009–2018. 5855 cases of hemorrhagic fever with renal syndrome were registered in Russia in 2018 (3.99 per one hundred thousand of the population). Downward trend is observed as compared to 2017 (by 29.6 %). Cases of cluster infection were not reported. It is established that the highest level of morbidity, exceeding the average level across Russia 3.9 times, was noted in the Volga Federal District, where 77.5% of the total cases occurred. The territory of the Russian Federation was differentiated by the HFRS incidence rates. The areas with high levels of morbidity included the entities of the Russian Federation with intensive index range between 9.08 and 41.39 per one hundred thousand of the population, among them Republics of Bashkortostan, Mari El, Tatarstan, and Mordovia, Udmurt and Chuvashi Republics, Kirov, Nizhny Novgorod, Penza, Samara, Ulyanovsk, Kostroma, Yaroslavl, and Jewish Autonomous Regions. The forecast for preservation of tense epidemiological situation on HFRS incidence in the territory of the Volga Federal District was substantiated.


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.


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.


2021 ◽  
Author(s):  
Ekaterina Dmitrievna Myagotina ◽  
Ilona Vladimirovna Tregub

Nowadays analysis of various econometric models is used to study a significant amount of updated statistical information and find out relationships between statistical economic indicators, that were not investigated earlier. Main idea of investigation in this research work — to find out whether factors influence on the GRP, Consumption, Profit of the organizations and Investments or the model is outdated and non-applicable nowadays. The results obtained in the framework of this research will give us understanding changing which factors (exogeneous variables) — for example, increasing or decreasing credit and deposit rates, tax rates will rise national income, consumer expenditure, investment and operating surplus and, as a result, will accelerate economic development of the Russian Federation. The purpose is to evaluate whether the Menges model which includes all the indicators mentioned as dependent variables is applicable in the modern conditions of the Central Federal District in Russia or not and to find out whether there are other factors which also have an impact on endogenous variables. The object — a set of the panel data of economic statistical information of the Central Federal District in Russia (2008–2013). The subject — the reduced form of Menges model including GRP, Consumption, Profit of the organizations and Net Investments. According to our research, it is reasonable enough to increase the volume of industrial production in order to increase GRP both economically and with the help of the Menges econometric model. Besides that, it is also reasonable to increase the volume of industrial production in order to get a higher cost of investment.


2021 ◽  
Vol 65 (4) ◽  
pp. 318-324
Author(s):  
Olga M. Mikailova

Introduction. One of the mechanisms for implementing the state policy targets in achieving wellbeing, improving the quality and duration of active life, reducing mortality, including at working age, is to reduce risks and eliminate factors that contribute to the development of obesity. The aim of the study is a hygienic assessment of the indicator of the primary morbidity of obesity in the population of the Moscow Region, the Central Federal District (CFD), the Russian Federation (RF). Materials and methods. The research materials were the databases of the regional information fund for social and hygienic monitoring of the Moscow Region for 2011-2019 (2020). The study was performed by a retrospective comparative analysis of intensive indicators of the primary morbidity of obesity in three age groups, calculated for 100 thousand cases of the corresponding age. Results. Obesity of the population of the Moscow Region occupies a significant share in the structure of diseases of the endocrine system, eating disorders and metabolic disorders. Among children, the incidence is 34.1% of all diseases of this class, among adolescents - 44.2%, adults-21.4%. The incidence of obesity among all age categories of the population of the Moscow Region is significantly lower than the level of the same indicator for the Central Federal District and for the Russian Federation, excluding the period 2011-2014, when the incidence of adolescents in the Moscow Region was higher or at the level of the indicator values for Russia. In 2019. among the 18 subjects of the Central Federal District, the Moscow Region occupies the 16th rank position in descending order of the value of the indicator of obesity among adolescents and adults for the first time. The lowest indicator for the Central Federal District is established among children. Conclusion. The implementation of the measures of the federal project “Strengthening Public Health” aimed at providing the population with a full, balanced, rational diet will reduce the risk of alimentary diseases, including obesity.


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.


Author(s):  
Yu.L. Tikhonova ◽  
O.Yu. Milushkina ◽  
M.V. Kalinovskaya ◽  
L.M. Simkalova

Introduction. Maintaining health of the younger generation is one of the priority activities of Rospotrebnadzor bodies and governmental policy. Environmental factors, including chemical contamination of food, play an important role in health preservation. A constant intake of contaminants, even in small concentrations, causes malfunctioning of body organs and systems. Our objective was a comparative analysis of relationship between baby food contamination and disease incidence in children. Materials and methods. We analyzed data of the Federal information Fund of Social and Hygienic Monitoring of the Russian Federation. Results. The analysis of chemical contamination of baby food established that the main food toxicants included lead, cadmium, arsenic, and mercury. The contamination data in the areas were compared with disease incidence rates in the child population. We did a comparative analysis of contamination of food products intended for children aged 0 to 14 and changes in disease incidence rates in children of the same age in the Russian Federation in 2012–2017. The highest concentrations of heavy metals were measured in fruit and vegetable products used as first baby food by most mothers. We found a relationship between toxic elements in baby food and cancer incidence rates in children aged 0 to 14 (r = 0.27; p ≤ 0.05). Conclusion. Measures taken to reduce baby food contamination with chemicals will contribute to prevention and a decrease in disease incidence rates in children.


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