scholarly journals Morbidity of the working-age population of the Russian Federation for 2015–2019

2021 ◽  
Vol 100 (12) ◽  
pp. 1487-1494
Author(s):  
Aleksandr S. Shastin ◽  
Olga L. Malykh ◽  
Venera G. Gazimova ◽  
Tatyana M. Tsepilova ◽  
Tatyana S. Ustyugova
Keyword(s):  
Health Status ◽  
Russian Federation ◽  
Disease Incidence ◽  
Adult Population ◽  
National Level ◽  
Economic Losses ◽  
Prevalence Rates ◽  
Working Age ◽  
The Russian Federation ◽  
Working Age Population

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.

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

2021 ◽  
pp. 37-44
Author(s):  
AS Shastin ◽  
VG Gazimova ◽  
OL Malykh ◽  
TS Ustyugova ◽  
TM Tsepilova
Keyword(s):  
Public Health ◽  
Russian Federation ◽  
Disease Incidence ◽  
Federal District ◽  
Incidence Rates ◽  
Statistical Information ◽  
Working Age ◽  
The Russian Federation ◽  
The Common ◽  
Working Age Population

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.

scholarly journals THE BASICS OF CALCULATING THE ECONOMIC LOSSES DUE TO MORTALITY OF THE WORKING-AGE POPULATION

2019 ◽  
Vol 62 (6) ◽  
pp. 284-288
Author(s):  
V. O. Shchepin ◽  
Evgeny V. Shishkin
Keyword(s):  
Russian Federation ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Economic Losses ◽  
Economic Damage ◽  
Working Age ◽  
The Russian Federation ◽  
Working Age Population ◽  
Labor Resources ◽  
Health Organization

Introduction. Improving the public health of the population and, above all, reducing mortality is the main goal and the main criterion for evaluating the effectiveness of the reforms carried out in various fields. The mortality rate of the population appears not only in documents relating to the assessment of the performance of health facilities and the quality of medical services.The purpose of the study was to develop approaches to calculating the economic losses of the working population. The objectives of the study included the unification of the formula “Lost years of forthcoming life” for the able-bodied population and its approbation using the example of calculating economic losses due to mortality in road traffic accidents. Materials and methods. The study used data from the Chelyabinsk Regional Bureau of Forensic Medical Examination on the number of people killed in road accidents in the region. The study was based on guidelines for using the indicator “Lost Years of Potential Life”. Results. As shown by a study approved by Academician V.I. Starodubov formula for calculating the lost years of life ahead is best suited for calculating the economic damage from mortality of the working age population in the context of various causes. With the help of the proposed formula, it is possible to calculate not only economic damage, but also the economic efficiency of health programs and other organizational measures in the field of health organization. Discussion. An important aspect in the calculation of economic damage is the need to take into account the level of unemployment, the indicator of gross profit of the economy and gross mixed income and the balance of labor resources. The formula proposed in this article, taking into account the above additional indicators, can be used to calculate economic losses due to the mortality of the working-age population using the example of individual constituent entities of the Russian Federation or individual municipalities. Conclusion. These calculations must be taken into account in the formation of regional health systems, as well as the justification of the financial costs of activities in the field of health care and prevention, including in the context of individual municipalities of the Russian Federation.

Some Regional Aspects of Disease Incidence in the Working-Age Population of the Ural Federal District

2021 ◽  
pp. 7-15
Author(s):  
VG Gazimova ◽  
AS Shastin ◽  
OL Malykh ◽  
TM Tsepilova ◽  
TS Ustyugova
Keyword(s):  
Russian Federation ◽  
Disease Incidence ◽  
Incidence Structure ◽  
Federal District ◽  
Incidence Rates ◽  
Health Maintenance ◽  
Working Age ◽  
Icd 10 ◽  
The Russian Federation ◽  
Working Age Population

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.

scholarly journals Poverty in the Russian Federation: possibilities and specifics of the use of the AROPE multi-criteria index in the poverty monitoring system of the Russian Federation

2020 ◽  
Vol 4 (1) ◽  
pp. 1-19
Author(s):  
Marina A. Kartseva
Keyword(s):  
Russian Federation ◽  
Negative Impact ◽  
National Level ◽  
Federal District ◽  
Poverty Level ◽  
Absolute Income ◽  
Poverty Status ◽  
Working Age ◽  
The Russian Federation ◽  
The Absolute

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.

scholarly journals The morbidity, disability, and mortality associated with respiratory diseases in the Russian Federation (2015 – 2019)

2021 ◽  
Vol 31 (5) ◽  
pp. 551-561
Author(s):  
Elena V. Bystritskaya ◽  
Tatiana N. Bilichenko
Keyword(s):  
Mortality Rate ◽  
Russian Federation ◽  
Respiratory Diseases ◽  
Maximum Level ◽  
Federal State ◽  
Female Population ◽  
Working Age ◽  
The Russian Federation ◽  
Working Age Population ◽  
Far Eastern

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.

Strategic Conditions for Effective Management of Workers’ Competitiveness in the Agro-Food Sector of the Russian Federation

2019 ◽  
Vol 9 (6) ◽  
pp. 1335
Author(s):  
Vera Nikolayevna RUBTSOVA ◽  
Sergey Anatolevich ANDRYUSHCHENKО ◽  
Irina Viktorovna SHARIKOVA ◽  
Artem Viktorovich SHARIKOV ◽  
Tatyana Vladimirovna GOVORUNOVA
Keyword(s):  
Russian Federation ◽  
Management Policy ◽  
Federal State ◽  
Industrial Complex ◽  
Self Assessment ◽  
Industrial Complexes ◽  
Working Age ◽  
The Russian Federation ◽  
Working Age Population ◽  
State Programs

The article analyses the competitiveness rural working age population of Russia employed in the agro-industrial complex. The authors conclude that their competitiveness does not answer the challenges posed by current development of Russian agro-industrial complex. This situation is caused by the absence of an integrated strategic governmental approach to the creation of conditions for the rise of the competitiveness of rural population of working age employed in the agro-industrial complex of the Russian Federation, both in a whole and in regional agro-industrial complexes. Authors propose particular measures to increase the efficiency of governmental management of the competitiveness of rural working age population employed in Russian agro-industrial complex: to create conceptual, legal, organizational and strategic conditions that would ensure concentration and goal-directed disposal of resources in this area. Analysis of the results of the sociological survey conducted by the Federal State Statistics Service of the Russian Federation allowed to distinguish threshold indicators of significant social factors of competitiveness: health self-assessment and active lifestyle abilities of the rural working age population employed in Russian agro-industrial complex. Threshold indicators used in the current state programs will help clarify the goals and select priorities for a state competitiveness management policy for rural working age population employed in the agro-industrial complex of the Russian Federation.

Main Trends in Recurrent Disability Resulting from Musculoskeletal Injury Outcomes in Moscow in 2012–2017

2021 ◽  
pp. 28-33
Author(s):  
YA Kovrizhnykh ◽  
MV Kovrizhnykh ◽  
NS Zapariy
Keyword(s):  
Russian Federation ◽  
Social Protection ◽  
Adult Population ◽  
Federal District ◽  
Musculoskeletal Injury ◽  
Social Consequences ◽  
Central Federal District ◽  
Working Age ◽  
The Russian Federation ◽  
Injury Outcomes

Summary. Introduction: Pathology of the musculoskeletal system remains a complex medical and social problem due to a high prevalence of injuries and the severity of social consequences including incapacity for work and disability. Our purpose was to study the structure and dynamics of recurrent disability of the adult population in Moscow resulting from musculoskeletal injury outcomes in comparison with the indicators for the Central Federal District and the Russian Federation as a whole in 2012–2017, in order to develop appropriate measures for medical and social rehabilitation. Materials and methods: We studied cases of recurrent disability resulting from musculoskeletal injury outcomes in people aged 18 and older in Moscow (9,787), the Central Federal District (55,363) and the Russian Federation (246,376) using the electronic database of the unified information and analytical system of medical and social expertise, statistical observation forms No. 7, Social Security (“Sobes”), and digests of the Federal Bureau of Medical and Social Expert Examination of the Ministry of Labor and Social Protection of the Russian Federation. We applied methods of data copying, comparative analysis, and descriptive statistics (extensive and intensive indicators, significance tests (p)). Results: We established a decrease in the number of cases of recurrent disability both in Moscow and in the Central Federal District and the Russian Federation in 2012–2017. The proportion of such cases in Moscow was higher than in the Russian Federation, but lower than in the Central Federal District while the rate of recurrent disability of the adult population resulting from musculo skeletal injury outcomes in Moscow was lower than that in the district and the country as a whole. Most cases of recurrent disability were persons of working age (18–44 years of age): the extensive indicators were higher in Moscow while the intensive indicators in Moscow were lower than in the Central Federal District and the Russian Federation. As for the severity of disability, then persons with grade III disabilities predominated; their percentage was higher in Moscow but the disability rate there was still lower than in the Central Federal District and the Russian Federation. Conclusions: The study of recurrent disability resulting from musculoskeletal injury outcomes in Moscow in 2012–2017 revealed that novel approaches to carrying out expert rehabilitation diagnostics contribute to a more accurate assessment of severity of impairments and selection of appropriate age and sex-specific rehabilitation measures promoting effective rehabilitation and social integration of people with disabilities.

scholarly journals Research of the attractiveness of municipal districts and cities of the Republic of Bashkortostan using component and cluster analyzes

2020 ◽  
Vol 12 (5) ◽  
Author(s):  
Miliausha Akhmetzianova ◽  
Alsu Atnabaeva
Keyword(s):  
Cluster Analysis ◽  
Russian Federation ◽  
Legal Status ◽  
Population Decline ◽  
Component Analysis ◽  
Republic Of Bashkortostan ◽  
Working Age ◽  
The Russian Federation ◽  
Working Age Population ◽  
The Republic

According to Rosstat, today in 56 regions of the Russian Federation there is a negative population dynamics. For 52 regions, this decline is explained by natural population decline, of which 42 regions have a negative migration balance. The Republic of Bashkortostan is included in the group of regions with a high level of outflow of young working-age population. This trend has been observed for 14 years, which may indicate that the conditions provided by municipalities do not correspond to the desired standard of living of the population. In this case, two components of the problem under consideration can be distinguished: on the one hand, residents are moving to other constituent entities of the Russian Federation, and on the other, the population is centralized in large cities within the region. In this connection, this article is devoted to the disclosure of the specifics of migration through the analysis of the level of attractiveness of territories for the working-age population. The aim of the study is to assess the labor attractiveness of municipal districts and cities of the Republic of Bashkortostan. As part of the study, a component analysis of 62 municipalities was carried out (CATA) Mizhgirya was not included in the analysis due to the specifics of the legal status of this municipal formation) for 13 indicators characterizing the socio-economic situation of districts and cities that affect population migration. The results of the component analysis formed the basis for assessing the level of attractiveness by calculating the coefficient through a single integral indicator. The indicators of the first component were used to conduct cluster analysis, as a result of which 5 clusters of municipal districts and cities were formed, characterizing the level of attractiveness of the territory. Using the above methods, on the basis of a comprehensive multivariate assessment, the coefficients of attractiveness of territories and the intervals of their belonging to clusters were determined. The clusters of territories obtained in the course of the analysis and mathematical calculations of assessments of attractiveness formed the basis for constructing a cartographic scheme for the distribution of municipal districts and cities of the Republic of Bashkortostan. The scientific novelty of the study consists in combining the results of a comprehensive multifactorial assessment of the territory from the standpoint of determining the factors of attractiveness (component analysis) and methods of spatial grouping of territories (cluster analysis), which make it possible to determine the coefficients of attractiveness of municipalities and the intervals of their belonging to clusters. From a practical point of view, the results of the study formed the basis for constructing a cartographic scheme for the distribution of municipal districts and cities of the Republic of Bashkortostan, which makes it possible to increase the effectiveness of state policy measures in the field of regulating migration processes in the region by developing specific measures taking into account the peculiarities of the development of a particular group of territories.

scholarly journals The Results of the Medical Examination of The Population Older Than Working Age in the Russian Federation

Medicina ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 16-31
Author(s):  
S. I. Shlyafer ◽  
Keyword(s):  
Russian Federation ◽  
Circulatory System ◽  
Medical Examination ◽  
Place Of Residence ◽  
Medical Organization ◽  
Working Age ◽  
The Russian Federation ◽  
Working Age Population ◽  
Rural Dwellers ◽  
First Time

The aim. To analyze the morbidity data with a first-time diagnosis, to evaluate the results of medical examination of the older than working age population, depending on the place of residence in the Russian Federation for 2015-2019. Material and methods. To study morbidity with a first-time diagnosis, including those identified during medical examination, by classes of diseases in the population older than working age (women aged 55 and older, men – 60 years and older), depending on the place of residence, we analyzed data from Federal statistical observation forms №№ 12 and 1201 "Information on the number of diseases registered in patients residing in the service area of a medical organization" for 2015-2019. Evaluation of the results of the medical examination of urban and rural dwellers older than working age, was based on the information from the federal statistical observation forms №№ 30 and 30-village "Information about the medical organization" for the 5-year study period. The methods used: statistical, analytical. Results and discussion. The nationwide primary morbidity rate for the older than working age population, both for urban and rural dwellers for the period 2015-2019 practically did not change. The main causes for the primary morbidity of the population older than working age were respiratory diseases, trauma, poisoning and some other consequences of external causes, diseases of the circulatory system, genitourinary system, skin and subcutaneous tissue, musculoskeletal system and connective tissue, eyes and their accessory apparatus. When conducting a medical examination of the older than working age population, depending on their place of residence, first-time diagnosed were every fourth disease of the endocrine system, nutritional disorders and metabolic disorders (obesity, etc.), every sixth to seventh disease of the blood, hematopoietic organs and individual disorders involving the immune mechanism (anemia), every seventh (in the rural setting – the ninth) disease of the circulatory system (hypertensive heart disease, etc.). During the study period, with the split by health groups of the entire older than working age population who underwent medical examination, a decrease in the proportion of people who were assigned to groups I and II (by 2,8 and 5,7% respectively) was noted due to the increase in the proportion of people assigned to group III (by 10,3%), among urban dwellers – by 3,0, 6,1 and 10,7%, respectively, rural dwellers – by 2,2, 4,7 and 9,0% respectively. Conclusions. In the Russian Federation, for 5 years, there has been an increase in the proportion of older than working age people who have been assigned to health group III and need additional examination, require dispensary observation by a doctor-therapist and specialist doctors together with carrying out medical, preventive and rehabilitation measures.

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