T.V. Rylskaya1, L.S. Shalygina1,2, I.Y. Bedoreva1,2, O.I. Ivaninskiy1, I.V. Sharapov1, E.A. Finchenko1,2
1Novosibirsk State Medical University, Ministry of Health of the Russian Federation.
2Novosibirsk Research Institute of Traumatology and
Orthopedics named after Ya.L. Tsivyan, Ministry of Health of the Russian
Federation.
Abstract. The aim of this work was to determine
characteristics of morbidity and mortality in urban and rural population
of the Novosibirsk region from diseases of the circulatory system on
the basis of main indicators of morbidity based on data on the number of
patients who appealed for care at health care facilities of the region
and mortality from the circulatory diseases in 2002 - 2011.
Incidence of diseases associated with high blood pressure in rural
population (except for cerebrovascular disease) is significantly higher
compared to one in the urban population. Both incidence and prevalence
growth rates in rural population related to diseases of the circulatory
system are significantly higher than those in urban population. There is
a significant increase in incidence and prevalence of cerebrovascular
diseases in rural areas against the background of a considerable
reduction in prevalence with no evident changes in incidence in cities.
Analysis of mortality revealed that the average annual mortality from
diseases of the circulatory system as a whole, as well as all forms of
ischemic heart disease combined, was significantly higher in rural
population than the corresponding rates in urban population. Dynamics of
mortality from diseases of the circulatory system in rural population
is extremely unfavorable and characterized by the following features.
There is a high rate of mortality from diseases of the circulatory
system in rural population, while the rate of mortality in urban
population has a reliable tendency towards decreasing. The mortality
rate from all forms of ischemic heart disease has significantly
increased in rural areas, while in cities the index remains at a lower
level.
Keywords: rural population; disease prevalence; disease incidence; mortality; diseases of the circulatory system.
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