Semyonova V.G., Evdokushkina G.N.
Federal Public Health Institute, Moscow

The goal of the work is to assess changes in mortality caused by cardiological diseases in the pilot regions in 2009, that is the first year of realization of the Federal program on reduction of mortality caused by cardiovascular diseases. The situation in 2009 was compared to previous changes in 2005-2008 that would make it possible to reveal the changes caused by measures undertaken.

The research was based on the Rosstat data on the mortality rate caused by blood circulation diseases, as a whole, cerebrovascular diseases, ischemic heart diseases, myocardial infarction, and the block of the mortality reasons which are registered as « other heart diseases » according to the brief nomenclature of mortality reasons, which is used now in Russia. The analysis of indicators has been carried in view of person’s age and gender : men and women of employable ages (20-59 years) and the elderly (60 years and more).

It is shown that in 2009 a notable rise in positive tendencies of 2005-2008 was registered in all leading pathologies in employable ages, and, first of all, in cerebrovascular diseases in the elderly.

Changes in cardiological mortality in 2009 can be considered as positive for the overwhelming majority of the Russian territories by the following reasons: a tendency of parameter’s growth changed to its decrease in no less than 2/3 of all regions; acceleration of the positive tendencies marked in the last year was registered; in very little number of territories a reduction in parameters’ growth was registered that may be considered as a positive fact.

The situation in the pilot territories corresponds to all-Russian tendencies, but its development proceeds under the optimum script. In 2009, changes of negative tendencies to positive were observed in the pilot regions both in cardiological mortality as a whole, and the mortality caused by the basic pathologies.

The possible causes of underassessment of cardiological mortality rate in the elderly population were revealed (symptoms, indicators and indeterminate diagnosis ) that brings into a question the achievements of regions, in which the death rate caused by indeterminate diagnosis in the elderly population is higher than the death rate averaged by the country.

Offers for improving the monitoring of the Program of reduction cardiovascular mortality are formulated. First, not only dynamics of mortality rate caused by blood circulation diseases as a whole should be taken into consideration while monitoring, but also mortalitycaused by the basic cardiological pathologies together with mortality caused by «Symptoms, indicators and indeterminate diagnosis». Second, monitoring should be carried out for the basic gender/age groups (employable and elderly men and women), that is determined by different measures undertaken to reduce losses in these groups of the population.

Key words: the program on reduction of cardiovascular mortality death rate, mortality caused by blood circulation diseases, cerebrovascular diseases, ischemic heart diseases, other heart diseases, alcoholic cardiomyopathy, undetermined cardiomyopathy, myocardial infarct, distribution of the Russian regions by rates of changes in cardiovascular mortality rate, symptoms, indicators and indeterminate diagnosis.

References

1. Ivanova AE. Vliyanie mer demograficheskoy politiki na prodolzhitelnost zhizni. Napravleniya demograficheskoy politiki v oblasti smertnosti [Influence of demographic policies on life span of population. Main streams of demographic policies as concerns population mortality]. V kn.: Demograficheskoe razvitie Rossii v pervoy chetverti XXI veka: usloviya sokhraneniya ustoychivoy dinamiki. [In: Osipov VG, Rybakovskiy LL, editors. Demographic developments in Russia in the first quarter of 21st century: conditions for ensuring persistency in its dynamic contents]. Moscow: Ekon-Inform; 2009. p. 14-18, 27-31.
2. Ivanova AE. Vliyanie novykh mer demograficheskoy politiki na smertnost naseleniya [The influence of new measures of demographic policies on the mortality of population]. Sotsialnye aspekty zdorovya naseleniya [Online scientific jornal] 2009 [cited 2010 Dec 14]; 12 (4). Available from: http://vestnik.mednet.ru/content/category/5/43/30.
3. Ivanova AE. Tendentsii i prichiny smerti naseleniya Rossii [Trends and causes of mortality in population of Russia]. V kn.: Demograficheskoe razvitie Rossii v 20 veke [In: Osipov VG, Rybakovskiy LL, editors. Demographic developments in Russia in 21st century]. Moscow; 2009. p. 110-131.
4. Ivanova AE. Tendentsii smertnosti v Rossii i rezervy ee snizheniya ot predotvratimykh prichin [Trends of mortality in Russia and some resources for reducing mortality from avoidable causes.]. Materialy nauchno-prakticheskoy konferentsii "Demograficheskie perspektivy Rossii i zadachi demograficheskoy politiki" [Proceedings of the Conferens on demographic prospects of Russia and certain tasks of its demographic policies]. Moscow; 2010. p. 27-37.
5. Ivanova AE, Semyonova VG. Prioritetnye problemy sokrashcheniya smertnosti [Problems of priority for reducing mortality]. V kn.: Demograficheskie perspektivy Rossii [In: Osipov VG, Ryazantsev SV, editors.: Demographic prospects of Russia]. Moscow; 2008. p. 359-372.
6. Ivanova AE, Semyonova VG. Tendentsii i territorialnye razlichiya smertnosti [Trends and local differences in mortality]. V kn.: Demograficheskie kontury regionov Rossii [In: Rybakovskiy LL, editor. Demographic profile of the Regions of Russia]. Moscow: Ekon-Inform; 2009. 176 p.
7. Kontseptsiya demograficheskoy politiki Rossiyskoy Federatsii na period do 2025 goda [The concept of demographic policies of Russian Federation for this period and till 2025] [Internet] [cited 2010 Dec 12]. Available from: http://www.demographia.ru
8. Sabgayda TP, Antonyuk VV, Evdokushkina GN, Kondrakova EV. Predotvratimaya smertnost naseleniya [Avoidable population mortality]. V kn.: Demograficheskie perspektivy Rossii [In: Osipov VG, Ryazantsev SV, editors. Demographic prospects of Russia]. Moscow; 2008. p. 373-395.
9. Semyonova VG. Nozologicheskie osobennosti regionalnoy differentsiatsii prodolzhitelnosti zhizni [Nosology variability factor in regionally differing life span]. V kn.: Demograficheskoe razvitie Rossii v 20 veke [In: Osipov VG, Rybakovskiy LL, editors. Demographic developments in Russia in 21st century]. Moscow; 2009. p. 170-202.

Write Comment

Please keep the topic of messages relevant to the subject of the article. Personal verbal attacks will be deleted. Please don't use comments to plug your web site. Such material will be removed. Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button. Keep in mind that the above process only applies if you simply entered the wrong security code.
Name:
E-mail
Comment:
Code:*