DOI: 10.21045/2071-5021-2017-54-2-8

Tulenkov A.M.
Research Institute of the Federal Penitentiary Service, Moscow.

Contacts: Aleksey M. Tulenkov, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about authors:
Tulenkov A.M. http://orcid.org/0000-0001-8194-5468
Acknowledgments.The study had no sponsorship.
Conflct of interests. The authors declare no conflict of interest.

Abstract. Assessment of prisoners’ health status is of great social significance. True assessment of this or that pathology importance among convicts is a key element, defining volume of intervention needed, aimed at health improvement and health promotion among prisoners.

Purpose. Analysis of the disability adjusted life years (DALY) for 2006-2016 considered as integral indicator characterizing health status of prisoners of the Volga Federal District.

Material and methods. Prisoner’s health status was assessed on the basis of departmental reporting forms, using method recommended by the World Health Organization's for determining disability adjusted life years (DALY).

Results. DALY of prisoners in the Volga Federal District increased from 348.0‰ (men – 347.7‰, women – 373.5‰) in 2016 to 414.5‰ (men – 406.1‰, women – 481.3‰) in 2016. Prisoners’ DALY value was 26.8% higher than the general population index (332.1‰). Over the reporting period the share of years of life lost due to premature mortality in the DALY structure among all prisoners increased from 28.3% in 2006 (men – 29.7%, women – 13.2%) to 35.1% in 2016 (men – 36.6%, women – 21.7%), which is more than three times higher the general population index (12.0%).

The study identified the DALY gender and age structure with the predominant role of certain infectious and parasitic diseases (39.0%), followed by diseases of the respiratory system (19.6%). Diseases of the circulatory system come third (12.6%) followed by mental disorders and behavioral disorders (12.3%). Diseases of the digestive system round out the top five (6.4%).

Conclusions. The obtained data indicate a tendency towards deterioration of prisoners’ health status in the Volga Federal District in 2006-2016. The leading causes of DALY include tuberculosis, HIV infection, acute respiratory infections and successful suicides.

Keywords: years of potential life lost; DALY; prisoners; health assessment.

References

1. Boytsov S. A., Samorodskaya I.V. Polovozrastnye pokazateli smertnosti naseleniya i gody zhizni, poteryannye v rezul'tate prezhdevremennoy smertnosti v Rossiyskoy Federatsii v 2012 g [Gender and age indicators of population mortality and years of life lost resulted from premature mortality in the Russian Federation in 2012]. Problemy sotsial'noy gigieny, zdravookhraneniya i istorii meditsiny 2014; 2: 20-25. (In Russian).
2. Zukov R.A., Dykhno Yu.A., Shul'min A.V., Kozlov V.V. Otsenka mediko-demograficheskikh poter' naseleniya Krasnoyarskogo kraya ot smertnosti, obuslovlennoy rakom pochki [Assessment of health and demographic losses in the population of Krasnoyarsk region from the mortality caused by kidney cancer]. Sibirskiy onkologicheskiy zhurnal 2013; 6 (60): 20-25. (In Russian).
3. Global'noe bremya bolezney: porozhdenie dokazatel'stv napravlenie politiki. Regional'noe izdanie dlya Evropy i Tsentral'noy Azii. [The Global Burden of Disease: Generating Evidence, Guiding Policy. Regional edition for Europe and Central Asia]. Seattle, WA: IHME; 2013. 70 ð.(In Russian).
4. Kobyakova O.S., Deev I.A., Boykov V.A., Mil'kevich M.N., Kulikov E.S., Naumov A.O., et al. Vozmozhnosti primeneniya indeksa DALY dlya otsenki sostoyaniya zdorov'ya naseleniya Rossiyskoy Federatsii [Possible application of DALY to assess the population health status in the Russian Federation]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2015 [cited 2017 Apr 03];42;(2). Available from: http://vestnik.mednet.ru/content/view/660/30/lang,ru/. (In Russian).
5. Rostovtsev V.N., Lomat' L.N., Ryabkova O.I., Marchenkova I.B., Kuz'menko V.E. Metodika kompleksnoy otsenki poter' zdorov'ya v rezul'tate zabolevaemosti i smertnosti: instruktsiya po primeneniyu [Methods for complex assessing health losses caused by population morbidity and mortality. Guidelines]. Minsk: Belorusskiy tsentr meditsinskikh tekhnologiy, informatiki, upravleniya i ekonomiki zdravookhraneniya; 2008. 28 p. (In Russian).
6. Tabakaev M.V., Shapovalova E.B., Maksimov S.A., Artamonova G.V. Poterya zdorov'ya naseleniya goroda Kemerova ot infarkta miokarda za 2006–2012 gg. po indeksu DALY [Population health losses from myocardial infarction in Kemerovo during 2006-2012 estimated with DALY index]. Kompleksnye problemy serdechno-sosudistykh zabolevaniy 2014; 1: 21-25. (In Russian).
7. Tulenkov A.M., Dyuzheva E.V., Romanov K.A. Mediko-demograficheskaya situatsiya v penitentsiarnykh uchrezhdeniyakh Privolzhskogo federal'nogo okruga v period reformirovaniya ugolovno-ispolnitel'noy sistemy [Health and demographic situation in prisons of the Privolzhsky (Volga) Federal District during the period of the penal system reforming]. Kazanskiy meditsinskiy zhurnal 2016: 97(1); 124-130. DOI: 10.17750/KMJ2016-124. (In Russian).
8. Tulenkov A.M. Sostoyanie zdorov'ya lits, soderzhashchikhsya v mestakh lisheniya svobody Privolzhskogo federal'nogo okruga, v usloviyakh reformirovaniya ugolovno-ispolnitel'noy sistemy [Health status of prisoners in the Privolzhsky (Volga) Federal District in conditions of federal penitentiary service reformation]. Izvestiya vysshikh uchebnykh zavedeniy. Povolzhskiy region 2014; 2(30): 135-143. (In Russian).
9. Global Burden of Disease Study 2013. Global Burden of Disease Study 2013 (GBD 2013) Disability-Adjusted Life Years 1990-2013. Seattle, United States: Institute for Health Metrics and Evaluation (IHME) [Online] 2015. [cited 2017 Feb 10]. Available from: http://ghdx.healthdata.org/record/global-burden-disease-study-2013-gbd-2013-disability-adjusted-life-years-1990-2013.
10. Homedes N. The disability-adjusted life year (DALY) definition, measurement and potential use. Human capital development and operations policy working papers; no. HCD 68. Washington, DC: World Bank; [Online]1996. 26 ð. [cited 2017 Mar 10].Available from:http://documents.worldbank.org/curated/en/482351468764408897/The-disability-adjusted-life-year-DALY-definition-measurement-and-potential-use
11. Murray CJL, Barber R.M., Foreman K.J. et al. Global, regional, and national disability-adjusted life years (DALYs) for 306 diseases and injuries and healthy life expectancy (HALE) for 188 countries, 1990-2013: quantifying the epidemiological transition. The Lancet. 2015; (386): 2145-2191. DOI: http://dx.doi.org/10.1016/S0140-6736(15)61340-X
12. Rao P.S., Darlong F., Timothy M., Kumar S., Abraham S., Kurian R. Disability adjusted working life years (DAWLYs) of leprosy affected persons in India. Indian. J. Med. Res. 2013; 137;(5): 907-910.
13. The Global Burden of Disease: Generating Evidence, Guiding Policy. Seattle, WA: Institute for Health Metrics and Evaluation, 2013.
14. Yang G., Wang Y., Zeng Y., Gao G.F., Liang X. Rapid health transition in China, 1990–2010: findings from the Global Burden of Disease Study 2010. The Lancet. 2013; (381):1987–2015.
15. WHO. Health statistics and information systems. [Online] 2017 [cited 2017 Apr 3]. Available from: http://www.who.int/healthinfo/global_burden_ disease/metrics_daly/en/.

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