DOI: 10.21045/2071-5021-2017-53-1-7

Contacts: Viktoria Semenova, e-mail:  This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about authors:
Semenova V.G., http://orcid.org/0000-0002-2794-1009
Sabgaida T.P., http://orcid.org/0000-0002-5670-6315
Nikitina S.Yu., . http://orcid.org/0000-0003-0749-0965
Gavrilova N.S., http://orcid.org/0000-0003-3572-0879
Acknowledgments.The study had no sponsorship.
Conflct of interests. The authors declare no conflict of interest.

Abstract. Currently, analysis of multiple death causes during mortality registration is being widespread in the post-industrial countries. However, in Russia it is hardly available.One of the reasons is lack of evidence on possibility to conduct such analysis based on the Russia’s data particularly in case of traumas and poisonings when presence of multiple causes is logically inevitable especially in suicides, accidental falls, alcohol, narcotic or drug poisonings.

The study purpose is to detect possibilities for conducting tabulation of multiple death causes in case of traumas and poisonings based on the Russia’s data.

Methods. Cumulative data on the total number of suicides (54862), accidental falls (17531), accidental alcohol (29701), narcotic (7132) and drug (728) poisonings in the Russian population in 2013-2014 containing in the depersonified death register of the Federal State Statistics Service.

Results. Information necessary to conduct analysis of deaths due to suicides, accidental falls, accidental alcohol, narcotic and drug poisonings within the context of multiple causes was available in 0.3%, 2%, 1.5%, 1.4% and 0.8% cases respectively.

The authors has developed the following list of associated causes: suicides – exposure to alcohol and cancers; accidental falls – alcohol abuse, pulmonary engorgement, cardiovascular diseases; alcohol poisonings – diseases of the digestive system (presumably alcoholic cirrhosis); narcotic poisoning – alcohol abuse.

The authors didn’t identify the following expected associations: not a single case of osteoporosis associated with accidental falls; only one case of HIV associated with narcotic poisonings; drug poisonings – only two cases of drug intake associated with the lethal disease.

Conclusions. Analysis of mortality within the context of multiple death causes may become an effective instrument for detecting risk factors of mortality from external causes. This requires improved completion of death certificates on the one hand, and development of the death register on the basis of medical certificates of death using the aggregate information from those certificates.

Keywords: multiple death causes; associated death causes; accidental falls; accidental alcohol poisonings; accidental narcotic poisonings; accidental drug poisonings; associated conditions.

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