Chizhikova T.V.
Federal Public Health Institute, Moscow

The goal of the work is a study of healthcare and demographic situation in rural population of Penza region in dynamics for 5 years,

analysis of the level, structure and features of morbidity in rural population of Penza region, and the pilot rural municipal territory (МT) of the region compared to the Russian Federation.

As an information base of the research, the data of the statistical reporting of Penza region, health care facilities of rural municipal territories and Ministry of Health of the Russian Federation were used.

The analysis has shown that in Penza region the birth rate has increased from 8.6 up to 10.2 %, in rural МTs the birth rate has increased in 1.2 times and has made 10.4 % for the last 5 years (2004-2008). Stabilization in the mortality rate is registered, it has made 16.3 %; in rural МTs this indicator remains rather stable and has made 20.5 % that is considerable related to rural population ageing. The negative natural increase in the population in the region as a whole

( - 6.1 %) is registered. The main reasons of rural population mortality are: blood circulation diseases, accidents, traumas, poisonings, and oncological diseases. Alcoholic poisonings takes the significant place in the structure of mortality caused by accidents, poisonings and traumas.

The morbidity registered by population reference to doctor in Penza region has made 1601.4 per 1000 population (in the Russian Federation – 1661.0), in rural МTs – 1544.7 per 1000 population. For the first time, the morbidity revealed in Penza region has made 792.2 ‰ (in the Russian Federation – 771.7). In rural МTs, the first revealed morbidity has increased in 1.1 times and has made 817.4 % for 5 years, that is largely related to improvement in accessibility of medical care in rural territories and activity of preventive measures.

The morbidity registered by population reference to doctor in the pilot rural МT has made 1676.1 per 1000 population. The highest morbidity rate fall on respiratory diseases – 395.2 per 1000 population, blood circulation diseases – 257.5 %; osteo-muscular and connective tissue diseases – 160.0 %; eye and eye apparatus diseases – 122.9 %, etc. Morbidity rate registered by reference to doctor of adult population in the pilot rural МT has made 1566.2 per 1000 population, children's population – 2177.6 %. It is important to note that the structures of morbidity registered by patient’s reference to doctor and the first revealed morbidity in the pilot МT are only slightly different from those in rural МРs as a whole.

Key words: demography, morbidity, rural area, municipal territory.

References

1. Gekht IA. Meditsinskie i sotsialnye aspekty zhizni odinokikh pozhilykh lyudey v selskoy mestnosti [Medical and social aspects of life of elderly people in rural locations].Problemy sotsialnoy gigieny, zdravookhraneniya i istorii meditsiny 2002;(3):29-33.
2. Gizatullin IF. Zabolevaemost naseleniya v gornorudnom rayone i organizatsiya meditsinskoy pomoshchi naseleniyu selskikh munitsipalnykh obrazovaniy [Population morbidity in ore-mining region and providing medical services to the municipally administered rural population] [PhD. Thesis]. Moscow; 2006. 24 p.
3. Evsyukov AA, Sharafutdinova NKh, Kalininskaya AA. Mediko-demograficheskie pokazateli zdorovya selskogo naseleniya v Respublike Bashkortostan [Medical and demographic measures of the state of health of rural population in the Republic of Bashkortostan]. Ufa: Zdravookhranenie Bashkortostana; 2010. 250 p.
4. Evsyukov AA. Sotsialno-gigienicheskie i mediko-organizatsionnye aspekty smertnosti selskogo naseleniya v Respublike Bashkortostan [Social hygienic and medical organizational aspects of mortality of rural population in the Republic of Bashkortostan]. Profilakticheskaya meditsina 2010;(1):3-6.
5. Izmerov NF, Tikhonova GI, Yakovleva TP. Sovremennaya mediko-demograficheskaya situatsiya v Rossii [Current medical demographic situation in Russia]. Meditsina truda i promyshlennaya ekologiya 2005;(5):1-8.
6. Kalininskaya AA, Stryuchkov VV, Evsyukov AA, Kudryavtsev AA. Mediko-demograficheskie osobennosti selskogo naseleniya [Medical demographic peculiarities of rural population]. Vestnik Vserossiyskogo obshchestva spetsialistov po mediko-sotsialnoy ekspertize, reabilitatsii i reabilitatsionnoy industrii 2010;(2):97-101.
7. Kapitonov VF. Zabolevaemost na territorii selskogo vrachebnogo uchastka [Morbidity in the registry of rural medical services local unit]. Zdravookhranenie Rossiyskoy Federatsii 2004;(2): 31-34.
8. Rogozhnikov VA, Starodubov VI, Orlova GG. Problemy okhrany zdorovya naseleniya selskikh munitsipalnykh obrazovaniy. Pod red Starodubova VI. [Starodubov VI, editor. Problems of population health protection in municipally administered rural localities] Moscow; 2004. 448 p.
9. Skulakov DA. Sovremennye tendentsii zdorovya naseleniya selskikh munitsipalnykh obrazovaniy i puti sovershenstvovaniya organizatsii meditsinskogo obsluzhivaniya [Present trends in the state of health of population of municipally-administered rural locations and the ways of improvements for providing medical services] [PhD. Thesis]. St. Petersburg; 2004. 24 p.
10. Stryuchkov VV. Nauchnoe obosnovanie funktsionalnoy organizatsionnoy struktury selskogo zdravookhraneniya (na primere Penzenskoy oblasti) [Scientific foundations of organizational structure of rural public health as it is in Penza Region] [PhD. Thesis]. Moscow; 2008. 30 p.
11. Suslin SA. Organizatsiya i razvitie meditsinskoy pomoshchi naseleniyu selskikh rayonov s tsentrami v krupnykh gorodakh [Providing and developing medical care to the rural Regions population which sticks to a large city as a center] [PhD. Thesis]. Moscow; 2006. 48 p.
12. Sacker A, Clarke P, Wiggins RD. Social dynamics of health inequalities: a growth household panel survey 1991-2001. J Epidemiol Community Health 2005;59(6):495-501.

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