Summary. The aim of the study is to determine peculiarities of health changes in population during the period of transition from socio-economic crisis to the stage of economic recovery and growth. The study is based on branch and state statistics about morbidity, disability incidence and mortality of population in Russia and its regions during 2000-2009.

The study showed that reduction of health losses became a stable trend in the middle of current decade on the base of previous stabilization of disability incidence and mortality. This evidences about fundamental and not opportunistic trend formed by the influence of the whole complex of medical, social and economic factors.

North-West and Central European regions of Russia remain unfavourable on account of disability and mortality. High levels of health losses in all age groups there are worsened by demographically old age structure of population. On the other hand, favourable region brings together regions with low health losses and/or young age structure of population (capital cities and Far East territories). Regional distribution of morbidity has its own specifics because structure of main causes of morbidity essentially differs from the one for disability and mortality.

Cause structure of morbidity, disability and mortality is characterized by substantial regional peculiarities. Maximum variance is characteristic to socially determined causes whose rating could vary from 1^st to 6^th place among 6 main causes correspondingly. This reflects essential variety of population pathology and conditions of its formation in different regions of Russia.

Rates of changes in morbidity, disability and mortality during years 2000-2009 are virtually not connected with their initial levels. Thus we can’t expect any anticipating improvement of situation in unfavourable territories and reduction of regional variance of health losses in Russia.

Key words. Population health. Morbidity. Disability incidence. Regional peculiarities. Territorial typology. 

References

1. Berkheeva Z.M., Nugaybekova G.A. Rasprostranennost i sotsialno-ekonomicheskaya znachimost professionalnykh zabolevaniy v Rossii [Propagation and socioeconomic significance of occupational diseases in Russia]. Obshchestvennoye zdorovye i zdravookhraneniye 2010;(3):7-11.
2. Budayev S.D. Problemy sokhraneniya i ukrepleniya zdorovya naseleniya na regionalnom urovne [Problems of population health promotion at a regional level]. Byulleten Vostochno-Sibirskogo nauchnogo tsentra SO RAMN 2009;2(2):225-226.
3. Bykovskaya T.Yu., Piktushanskaya T.E. Regionalnyye osobennosti smertnosti muzhchin trudosposobnogo vozrasta v sovremennykh usloviyakh [Regional features of mortality in men of working ages in present conditions]. Meditsina truda i promyshlennaya ekologiya 2011;(2):28-33.
4. Grishina L.P., Lavrova D.I. Invalidnost kak mnogofaktornaya problema [Disability as a multi-factor problem]. Mediko-sotsialnaya ekspertiza i reabilitatsiya 2006;(2):27-30.
5. Kazantseva L.K., Tagayeva T.O. Faktory, vliyayushchiye na obshchestvennoye zdorovye naseleniya rossiyskikh regionov [Factors that have an effect on population health in Russian regions]. Region: Ekonomika i Sotsiologiya 2008;(4):102-118.
6. Kamruzzaman S., Plutnitskiy A.N., Avakyan A.A., Voloshina L.V., Golovina S.M. Krizis pokazateley zdorovya i smertnosti v Rossii, i vozmozhnyye puti ego preodoleniya (obzor literatury) [Crisis in health and mortality indicators in Russia and possible ways of its overcoming (literature review)]. Vestnik Volgogradskogo gosudarstvennogo meditsinskogo universiteta 2009;(2):14-19.
7. Kipriyanova N.S. Sotsialno-ekonomicheskiye aspekty zabolevayemosti i smertnosti ot zlokachestvennykh novoobrazovaniy sredi naseleniya respubliki Sakha (Yakutiya) [Sotsialno-ekonomicheskiye aspekty zabolevayemosti i smertnosti ot zlokachestvennykh novoobrazovaniy sredi naseleniya respubliki Sakha (Yakutiya)]. Rossiyskiy meditsinskiy zhurnal 2007;(2):7-9.
8. Kirichenko Yu.N. Prichinno-sledstvennaya svyaz otnosheniy «zabolevayemost-invalidnost» sredi naseleniya Kurskoy oblasti [Morbidity-disability cause-effect relations in population of Kursk region]. Zdorovye naseleniya i sreda obitaniya 2009;(6):45-48.
9. Kolosov V.P., Lutsenko M.T., Manakov L.G., Voronchuk O.V., Mkhoyan A.S., Serova A.A., Gordeychuk I.N. Epidemiologicheskiye osobennosti i dinamika pokazateley respiratornogo zdorovya naseleniya na territorii dalnevostochnogo regiona Rossii [Epidemiological characteristics and dynamics of respiratory health indicators in population of the Far East region of Russia]. Dalnevostochnyy meditsinskiy zhurnal 2009;(1):101-103.
10. Leshchenko Ya.A. Problemy obshchestvennogo zdorovya v gorodakh i regionakh Sibiri [Public health problems in cities and regions of Siberia]. Meditsina truda i promyshlennaya ekologiya 2010;(10):17-22.
11. Lopakov K.V. Otsenka dostovernosti kodirovaniya prichin smerti (po materialam pilotnogo issledovaniya) [Assessment of reliability of mortality cause coding (by data of the pilot research)]. Sotsialnyye aspekty zdorovya naseleniya [Online Scientific Journal]. 2011 [cited 2011 Jun 10]; 18(2). Available from: http://vestnik.mednet.ru/content/view/292/30/lang,ru/
12. Mikhaylova Yu.V., Shestakov M.G., Soboleva Yu.V., Sabgayda T.P., Nazarov V.I. Predotvratimyye poteri zdorovya naseleniya kak obyekt analiza [Preventable population health losses as an object for the analysis]. Ekonomika zdravookhraneniya 2008;(2):37-42.
13. Nonukova I.V., Chernyshev V.M. Osobennosti sostoyaniya zdorovya i organizatsii meditsinskoy pomoshchi v usloviyakh nizkoy plotnosti naseleniya (na primere respubliki Altay) [Characteristics of population health and health care organization in conditions of low population density (by an example of Republic of Altai)]. Byulleten SO RAMN 2008;(3):33-37.
14. Oganov R.G., Pogosova G.V., Koltunov I.E., Belova Yu.S., Vygolin V.A., Sokolova Ya.V. RELIF - Regulyarnoye lecheniye i profilaktika - klyuch k uluchsheniyu situatsii s serdechno-sosudistymi zabolevaniyami v Rossii: rezultaty rossiyskogo mnogotsentrovogo issledovaniya. Chast I. [RELIF – Regular treatment and prophylactics as a factor for improving the situation with cardiovascular diseases in Russia: the results of the Russian multi-center research. Part 1]. Kardiologiya 2007;47(5):58-66.
15. Onishchenko G.G. Nekotoryye itogi profilaktiki infektsionnykh zabolevaniy i osnovnyye napravleniya organizatsionnykh, profilakticheskikh i protivoepidemicheskikh meropriyatiy v nachale tretyego tysyacheletiya [Some results of communicable diseases prevention and basic directions of organizational, preventive, and epidemic control measures at the beginning of the third Millennium]. Immunologiya 2008;29(2):97-105.
16. Prokhorov B.B. Sotsialnaya stratifikatsiya obshchestva i zdorovye naseleniya [Social stratification of the community and population health]. Problemy prognozirovaniya 2009;(3):112-133.
17. Prokhorov B.B. Sotsialno-ekonomicheskiye osobennosti federalnykh okrugov Rossii i zdorovye naseleniya [Socioeconomic characteristics of the federal districts of Russia and population health]. Collection of Scientific Papers: Institut narodnokhozyaystvennogo prognozirovaniya RAN 2008;6:680-703.
18. Revich B.A. K otsenke faktorov riska smertnosti naseleniya Rossii i realnosti ikh snizheniya: kommentarii k dokladu Vsemirnogo Banka «Rano umirat» [On assessment of mortality risk factors in population of Russia and feasibility of their lowering: comments to «It’s early to die » report of the World Bank]. Problemy prognozirovaniya 2006;(6):114-132.
19. Reshetnikov A.V. Sovremennye sotsialnye izmeneniya v obshchestvennom zdorove i modelyakh meditsiny [Current social changes in population health and health care models]. Sotsiologiya meditsiny 2006;(1):3-9.
20. Semenova V.G., Gavrilova N.S., Evdokushkina G.N., Gavrilov L.A. Kachestvo mediko-statisticheskikh dannykh kak problema sovremennogo rossiyskogo zdravookhraneniya [Quality of medical and statistical data as a problem of present-day Russian health care]. Obshchestvennoe zdorove i profilaktika zabolevaniy 2004;(2):11-19.
21. Strategiya profilaktiki i kontrolya neinfektsionnykh zabolevaniy i travmatizma v Rossiyskoy Federatsii (Proekt). Moskva, 2008 g. [Strategy for prevention and control of noncommunicable diseases and traumatism in the Russian Federation (Project), Moscow, 2008 г. Profilaktika zabolevaniy i ukreplenie zdorovya 2008;11(4):9-19.
22. Tikhonova G.I., Gorchakova T.Yu., Kasyanchik E.A. Mediko-demograficheskaya kharakteristika naseleniya trudosposobnogo vozrasta v Rossii [Medical and demographic characteristics of working-age population in Russia]. Problemy prognozirovaniya 2009;(4):114-126.
23. Tovkach M.N. Zabolevaemost naseleniya i usloviya ee snizheniya: regionalnyy aspekt (na primere Karelii) [Population’s morbidity and provisions for its reduction: regional aspect (by an example of Karelia)]. Vestnik Rossiyskogo gosudarstvennogo gumanitarnogo universiteta 2008;(2):264-274.

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:*