N.K. Guseva, S.V. German
Nizhny Novgorod State Medical Academy, Nizhny Novgorod 

Summary. There is a cause-effect relationship between disease and disability; deterioration of health characterized by a consistent dysfunction due to diseases, consequences of trauma or defects is one of the conditions determining disability development.

The aim of the study was to evaluate effects of morbidity on the process of disability development based on the analysis of dynamics of the main health indicators of adult population of the Nizhni Novgorod region for 20 years (1993-2012).

Methods and data. For the first time ever indicators of disease incidence and prevalence, morbidity with temporal disability, primary disability and mortality of the adult population of the Nizhni Novgorod region for 1993-2012 were analyzed. The authors also attempted to quantify effects of morbidity on rates on primary disability in adult population, working population and retired population as well. Data processing was conducted using Microsoft office 2007 and STATISTICA 6.1.

Results. The analysis identified a statistically-valid direct effect of morbidity on rates of primary disability in the adult population of the Nizhni Novgorod region due to malignant neoplasms and tuberculosis. Regarding other disease classes, no statistically-valid effect of morbidity on rates of primary disability was confirmed.

Conclusions. Degree evaluation of morbidity effects on primary disability rates doesn’t allow to regard this factor as the dominant one in the process of disability development in the adult population of the Nizhni Novgorod region. Information on regularities of disability development can help to design measures aimed at improving organization of expert and rehabilitation processes for people with disability both at the regional and federal levels.

Keywords: morbidity; disability; disability rate; correlation analysis.

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