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Main arrow Archive of previous Issues arrow ¹2 2014 (36) arrow Children health in urban and rural settlements in the Russian Federation
Children health in urban and rural settlements in the Russian Federation Print
Tuesday, 27 May 2014

I.S. Tsybulskaya, V.B. Tsybulskiy, Leonov S.A., Nizamova E.R.
Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow 

Abstract. The article is devoted to one of the most urgent problems in Russia nowadays – life and health of rural population and quality of rural medical care.

The aim of the study was to determine peculiarities of morbidity, disability and mortality among urban and rural children through statistical analysis and sociological survey; to identify bottlenecks and to define ways to improve life support for the rural dwellers as well as rural health care delivery.

The study revealed higher morbidity among urban children and higher disability and mortality from suisides among rural children.

Most severe, systemic, degenerate and hereditary diseases prevail among rural children. During social crisis health disorders are more pronounced among rural children compared to urban children showing higher sensitivity and lower ontogenetic adaptation among rural children.

The situation is further complicated by high alcohol consumption among the rural population of active reproductive age (including women) and low quality of pediatric health care that is manifested in late diagnostics of disabling diseases.

The recent years have witnessed a relative improvement in health indicators among urban children and a certain decline in health indicators among rural children. The situation can be accounted for by insufficient measures aimed at improving living conditions of the rural population, inadequate financing of the rural healthcare and, to some extent, by certain measures implemented within the rural healthcare system due to economic interests.

Conclusions. The study results show that measures aimed at improving living conditions of the rural population are insufficient and call for the government, society and citizens to take efforts to reverse the situation.

Keywords: children population; morbidity among urban and rural children; disability among urban and rural children; suiside mortality in children; ontogenetic adaptation; age-specific and gender alcohol consumption; quality of diagnostics.

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