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Main arrow Archive of previous Issues arrow ╣4 2013 (32) arrow Age aspects of adult morbidity based on health encounters at outpatient health care facilities
Age aspects of adult morbidity based on health encounters at outpatient health care facilities Print
Wednesday, 28 August 2013

M.N. Bantyeva1 N.S. Prilipko2
1 Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow
2 Russian Scientific Medical Rehabilitation and Balneology Center of Ministry of Health of the Russia Federation, Moscow

Summary. Due to dramatic deterioration of the demographic situation and sharp decrease in birth rate along with increased share of older ages in the population structure and increased morbidity and share of chronic conditions over the last decades in Russia intensification of effective resource utilization in healthcare comes into even greater importance.

Objective of the study was to identify age-specific trends in adult morbidity based on health encounters at outpatient health care facilities.

Methods included statistical, socio-hygienic, epidemiological, analytical and computation methods and comparative analysis.

Results. The authors have conducted a detailed analysis of adult morbidity based on health encounters at outpatient health care facilities with a breakdown on six age groups and by all disease classes and some individual diseases. Trends in adult morbidity based on health encounters as well as its structure that reflect significant age-specific differences have been identified. While respiratory diseases and diseases of the urogenital system dominate within the first three age groups (18-29, 30-39 and 40-49 years of age) diseases of the blood circulatory system lead within the next three age groups (50-59, 60-69 and 70 years of age and over).

The number of health encounters for diseases of the musculoskeletal system and connective tissue increases starting from 50 years and over while diseases of the eye and adnexa account for the predominate share of the disease structure at the age of 60 years and over. Diseases of the digestive system remain relevant for all age groups ranking fourth or fifth. The number of health encounters for neoplasm is rising steadily starting from the age of 40 years and over; and malignant neoplasm starting from the age of 50 and over. At this age the share of endocrine, nutritional and metabolic diseases considerably increases.

Conclusions. A relationship between age and encounter reason has been identified. In view of different age structure of the Russian regions information about major age-specific morbidity helps to deploy network of health care facilities with due regard to specific needs of a certain region. Furthermore, this study is an early stage of work aimed at determining the need for medical rehabilitation in Russia.

Keywords. Age-specific morbidity; morbidity in different age groups; morbidity based on health encounters by adult population.



  1. Alyab'eva VA. Age features in formation of chronic associated pathology. Byulleten' nauchno-issledovatel'skogo instituta sotsial'noy gieny, ekonomiki i upravleniya zdravookhraneniem imeni N.A. Semashko 1995;(1):65-68 (in Russian).
  2. Annadurdyev OA, Sakhatova IN. Specific features of prevalence, clinical course, and outcomes of the main forms of nonspecific lung diseases in conditions of arid climate of Turkmenistan: age aspects of pathology. In: Geriatric aspects of clinic pulmonology. Leningrad: Lenuprizdat; 1990. P. 24-30 (in Russian).
  3. Bant'eva MN, Sukhanova LP. The problems of optimization of outpatient obstetric and gynecological care. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2011 [cited 2012 Oct 30]; 19(3). Available from: http://vestnik.mednet.ru/content/view/309/30/ (in Russian).
  4. Vovk EI. Benign prostatic hyperplasia as an age problem. Arkhiv patologii 2008;70(2): 26-29 (in Russian).
  5. Volkov VG, Malykh NE. Age features of endometrial pathology. Vestnik novykh meditsinskikh tekhnologiy 2000;7(3-4):109-110 (in Russian).
  6. Volkova EG. Arterial hypertension: an analytical model and prognosis for prevalence in various age groups. Cand.Med.Sci [thesis]. Saratov; 2008. 24 p. (in Russian).
  7. Dedov II, Balabolkin MI. New possibilities for compensation of type 1 diabetes mellitus and prevention of its vascular complications. Moscow: IMA-Press; 2003. 167 p. (in Russian).
  8. Ishcheykina YuA. General patterns in formation of blood circulation diseases in population of Ukraine. Universitetskaya klinika (Donetsk) 2009;5(1-2): 113-117 (in Russian).
  9. Karpin AD, Gafanov RA, Milenin KN. Pyelonephritis: clinics, diagnosis, and treatment. Lechashchiy vrach 2002;(11):16-19 (in Russian).
  10. Komarov YuM. Desired and the realty in contemporary demography. Zdravookhranenie 2008;(7):151-158 (in Russian).
  11. Korkushko OV, Ivanov LA. On interrelations between age changes in respiratory system and lung pathology in the elderly and old patients. In: Ignat'ev AN, editor. Geriatric aspects of clinical pulmonology. Leningrad; 1990. P. 7-13 (in Russian).
  12. Leonov SA, Matveev EN. Problems of regulatory frameworks of the ôProgram of state guaranteesö at the present stage of healthcare development. Zdravookhranenie Rossiyskoy Federatsii 2009;(3):14-18 (in Russian).
  13. Mikhaylova YuV, Son IM, Leonov SA. Reforms of healthcare system. Backgrounds and basic principles. Sotsial'nye aspekty zdorov'ya naseleniya [serial online]. 2008 [cited 2012 Nov 01]; 7(3). Available from: http://vestnik.mednet.ru/content/view/75/30/ (in Russian).
  14. Okonenko TI. Regional and age features of bronchial asthma and associated diseases in conditions of aero pollutants (clinical and practical study). Dr.Med.Sci [dissertation]. Velikiy Novgorod; 2009. 406 p. (in Russian).
  15. Starinskiy VV, Kovalev BN, Kharchenko NV. Malignant tumors in patients under the age of 39 in the RSFSR (1983-1987). In: Malignant tumors in the young population. Moscow: 1991. P. 5-9 (in Russian).
  16. Starodubov VI, Mikhaylova YuV, Ivanova AE. Russian population health in the social context of the 90th: problems and prospects. Moscow: Meditsina; 2003. 288 p. (in Russian).
  17. Starodubov VI., Flek VO. Problems and prospects for financing of Russian healthcare. Ekonomika zdravookhraneniya 2007;(1):5-17 (in Russian).
  18. Sukhanova LP. Reproductive process in demographic development of Russia. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2009 [cited 2012 Nov 04]; 12(4). Available from: http://vestnik.mednet.ru/content/view/159/27/ (in Russian).
  19. Tebloev KI, Arabidze GG, Afanas'eva MI, Ipatov AI, Shapchenko AV, Polyakova OV. Relation of apoliprotein B100 and lipoprotein (a) with ischemic heart disease in 40-89 age groups. Klinicheskaya farmakologiya i terapiya 2005;(4):82-83 (in Russian)..
  20. Feygina DB. Assessment of relations between morbidity and mortality caused by malignant tumors and age-gender structure of the population of Uzbek Republic -1990. In: Actual problems of oncology. Tashkent; 1990. P. 8-11 (in Russian).
  21. Khasanov RSh. Analysis of malignant tumors morbidity in an age aspect as a possibility to improve the efficiency of preventive medical examinations -1996. In: "Actual problems of oncology". Proceedings of Scientific and Practical Conference devote to 50th anniversary of the oncology service in Altai territory. Barnaul: Altayblankizdat; 1996. P. 117-119 (in Russian).
  22. Shabashova NYa. Malignant tumors morbidity and mortality in the older population of St.Petersburg. Klinicheskaya gerontologiya 2001;7(7): 45-51 (in Russian).
  23. Shchepin VO, Ovcharov VK. Russian healthcare: a strategic analysis and future development. Problemy sotsial'noy gigieny, zdravookhraneniya i istorii meditsiny 2005;(2):3-7 (in Russian).
  24. Shchepin ╬P. The contemporary state and tendencies of population morbidity in the Russian Federation. Zdravookhranenie Rossiyskoy Federatsii 2006;(1): 3-8 (in Russian).
  25. Shchepin OP, Plyasunova EYa, Tregubov YuG, et al. The actual problems of organization of health care to population. Problemy sotsial'noy gigieny i istorii meditsiny 2008;(2):31-35 (in Russian).

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