A.M. Vyazmin, A.G. Soloviev, E.A. Mordovsky
Northern State Medical University, Arkhangelsk

Abstract.

Background. Social and demographic characteristics of the deceased persons may vary depending on the place of death since the latter is determined by cultural traditions and relations between the public and healthcare system, as well as willingness to seek medical care in case of emergency.

The purpose of the study was to conduct a comprehensive analysis of the social and demographic characteristics of the prematurely deceased (aged 18-59 years) in Arkhangelsk (North-West of Russia), depending on the place of death with adjustment for factor of addictive alcoholic history.

Methods. Multinomial logistic regression analysis was used to analyze data from all Medical death certificates, issued in Arkhangelsk from 01.07.2011 to 30.06.2012.

Results. A large proportion of the prematurely deceased men and women died "on the street" predominantly due to external causes. Social characteristics of the deceased persons vary considerably depending on the place of death, except for the factor of addictive alcoholic history (in vivo clinically confirmed diagnosis related to the group of "Mental and behavioral disorders due to use of alcohol» (F10)).

Multinomial logistic regression analysis demonstrated that in the group of the prematurely deceased persons in Arkhangelsk the probability of “dying on the street” at working age is not associated with negative characteristics of the social status. However, more negative characteristics of the social status are associated with higher odds ratio of dying "at home" than at a medical facility with adjustment for the factor of death causes structure.

Conclusions. Burdened alcohol history was not associated with the place of death of the deceased in Arkhangelsk. Characteristics of the social group constituting a potential reserve for reducing mortality in Arkhangelsk were identified: single unmarried people with low level of education.

Scope of application. Characteristics of the social group constituting a potential reserve for reducing mortality in Arkhangelsk were identified.

Keywords: premature mortality, social and demographic status, place of death.

References

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