DOI: 10.21045/2071-5021-2017-56-4-2

Varakina Zh.L.
Northern State Medical University, Arkhangelsk

Contacts: Varakina Zhanna Leonidovna, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about author:
Varakina Z.L. http://orcid.org/0000-0002-8141-4269
Acknowledgments. The study had no sponsorship.
Conflict of interests. The authors declare no conflict of interest.

Abstract.

Significance. Considerable society losses from excess mortality of men, especially from external causes, are one of the basic problems of modern Russia. Expenses examination for health maintenance has great value for justification of investments volume on health promotion programs realisation. Distortion of mortality causes presented in the official statistics blanks the violent causes.

The purpose of the study: to assess the potential years of life lost of the Arkhangelsk region population and to calculate in the region the economic losses of premature mortality from external causes, to analyse the subregistration of mortality from external causes.

Methods.  Calculation and analysis of potential years of life lost and economic losses from external causes of mortality were conducted. Number of died due to external causes (by sex, causes, territory) were obtained from the vital record tables of the Federal State Statistics Service on Arkhangelsk region and the State Archives of Arkhangelsk region (1980–2012). Data on a population (by sex, territory) with recalculation on the basis of population censuses also have been given by Federal State Statistics Service. The gross regional (1994–2012) and overall social products per capita (1980–1993) were used for the economic analysis. The analysis of mortality causes distortion presented in official statistics was conducted.

Results. The proportion of potential years of life lost from mortality of external causes in structure of total mortality losses among Arkhangelsk region male population is 24,5%, among females - 6,8%. Level of losses from suicides, accidental alcohol poisoning and homicides is the highest. The Arkhangelsk region had the maximum economic losses from external mortality in 1980-1983, 1992-1998, 2000-2006. For the 33-year period the proportion of injuries with indeterminate intentions in the structure of external mortality is increased (among male population of a rural area from 1,9 to 8,0%, urban area - from 3,0 to 15,0%, among female population of a rural area - from 2,5 to 9,8%, urban area - from 1,9 to 13,8%). The proportion of unknown mortality causes was increased.

Conclusion. Results of the study estimate the contribution of external mortality in decrease in level of northern region public health, and also define appropriateness of coding optimisation of initial death cause.

Scope of application. Received results had been used by elaboration of the three-level program on monitoring optimisation and injury and external mortality decrease in the European North of Russia.

Keywords: potential years of life lost; external causes of mortality; distortion of mortality causes; economic losses.

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