DOI: 10.21045/2071-5021-2017-55-3-1
Sabgaida T.P., Ivanova A.E., Zemlyanova E.V.
Federal Research Institute for Health Organization and Informatics of Ministry of Health of Russian Federation, Moscow
Contacts: Tamara Sabgaida, e-mail:
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Information about authors:
Sabgaida T.P., http://orcid.org/0000-0002-5670-6315
Ivanova A.E., http://orcid.org/0000-0002-0258-3479
Zemlyanova E.V., http://orcid.org/0000-0001-6231-1611
Acknowledgments. The study had no sponsorship.
Conflict of interests. The authors declare no conflict of interest.
Abstract. Prevention of non-communicable diseases and
decreased prevalence of the most significant risk factors are both among
targets of the state programs aimed at mortality reduction as well as
objectives of the WHO “Health 2020” policy.
The study purpose is to estimate progress in achieving
targets on reducing risk factors for chronic non-communicable diseases
and decreasing premature mortality in comparison with the European
countries.
Materials and methods. Comparison of indicators of premature
mortality and risk factors in Russia and the WHO European region was
based on data of the European detailed mortality database, European
“Health for all” databases, results of the Comprehensive observation of
the living conditions conducted by the Federal State Statistics Service
in 2011, 2014 and 2016, projections of the Global Health Observatory,
and data of the World Obesity Federation.
Standardized premature mortality was analyzed in population under 65 years.
Estimation of alcohol consumption is based on the registered volumes
of alcohol per capita consumption in population over 15 years in liters
of pure (100%) alcohol.
Conclusion. Over the past decade the gap in life
expectancy between Russia and the EU-15 and WHO European region has
reduced. The targeted values of the Health-2020 for reducing premature
mortality combined for the four groups of the major non-communicable
diseases exceeded the original target more than twice.
Rates of increase in life expectancy in 2010-2015 were lower compared
to the ones in 2006-2010. Success in reducing premature mortality from
chronic non-communicable diseases was due to circulatory diseases only.
The healthcare programs turned out to be major sources of positive
changes. Measures aimed at improving life style provided just a modest
affect on reducing alcohol consumption and tobacco use and, therefore,
failed to affect premature mortality dynamics.
To monitor efficiency of preventive programs Russia has to organize
collection of data on behavioral risk factors according to the WHO
standards because as of today there are no comparable data on prevalence
of tobacco use and alcohol consumption in Russia and the WHO European
region including EU-15.
Keywords: premature mortality; risk factors; targets; policy “Health-2020”; rates of mortality reduction.
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