ANALYSIS OF TERRITORIAL FEATURES OF MORTALITY RATES FROM CARDIOVASCULAR DISEASES WITHIN THE SUBJECT OF THE RUSSIAN FEDERATION IN 2015-2023 (USING THE EXAMPLE OF THE KEMEROVO REGION-KUZBASS)

Highlights

The presented work expands knowledge regarding the features of mortality from cardiovascular diseases in municipalities of a large industrial region of Siberia in the period from 2015 to 2023, based on the adopted agglomeration approach to regional development.

Abstract

Mortality due to cardiovascular diseases (CVD) is a multifactorial problem reflecting the health of the population and the level of socio-economic development of the country and regions, and therefore requires special attention from health authorities.

Aim. To conduct a comparative analysis of the mortality rate of the population from CVD in the municipalities of Kuzbass for the period from 2015 to 2023.

Methods. Kuzbass Regional Medical Information and Analytical Center provided federal statistical monitoring forms that included data on mortality rate of the adult population from CVD in the municipalities of Kuzbass. The study period was from 2015 to 2023.

Results. In the North Kuzbass and South Kuzbass agglomerations there are territories that are the least populated but have the highest mortality rate from CVD: in the North Kuzbass - Chebulinsky, Izhmorsky, and Tisulsky municipal areas (0.52%, 0.39% and 0.71% of the population, respectively, and 1^st, 2^nd and 3^rd place in the ranking by the mortality rate from CVD); in the South Kuzbass - Kaltansky, Kiselevsky, Osinnikovsky urban districts (1.14%, 3.36% and 1.71% of the population, respectively, and 9^th, 7^th and 6^th place in the ranking by the mortality rate from CVD). There was a stable system for providing medical care to patients with CVD in 12 municipalities of Kuzbass (5 of which belonged to the South Kuzbass agglomeration), thus the mortality rate there was below the regional one. There were 12 municipalities with a mortality rate from CVD 15% lower compared with regional mortality rate, out of which 3 belonged to the South Kuzbass agglomeration. There were 9 municipalities with a mortality rate higher than the regional one by more than 15%, out of which 2 territories were included in the South Kuzbass agglomeration.

Conclusion. The study analyzed the differences in mortality rates from CVD among the population of municipalities within a constituent entity of the Russian Federation – a large industrial region of Siberia, based on the agglomeration principle of management. The results revealed municipalities with high and low levels of mortality from CVD in 2015-2023, and the authors provided a rating of these territories.

1. Bastos LAVM, Bichara JLP, Nascimento GS, Villela PB, de Oliveira GMM. Mortality from diseases of the circulatory system in Brazil and its relationship with social determinants focusing on vulnerability: an ecological study. BMC Public Health. 2022;22(1):1947. https://doi.org/10.1186/s12889-022-14294-3

2. Chernykh E. A. Dynamics of mortality from diseases of the circulatory system in the Voronezh region. Science of the Young (Eruditio Juvenium). 2021;9(4):533-542. (In Russ.) https://doi.org/10.23888/HMJ202194533-542.

3. Shabardin A.M., Popov A.V., Vankov D.V., Bashenina E.L. Morbidity and mortality from diseases of the circulatory system of the adult population in urban and rural areas. Health, demography, ecology of the Finno-Ugric peoples. 2024;1:41-48. (In Russ.)

4. Ermolaev D.O., Ermolaeva Yu.N. Regional features of deaths from cardiovascular diseases in the context of regional program to reduce cardiovascular mortality. Medical & pharmaceutical journal "Pulse". 2021;23(8):21-27. http://doi.org/10.26787/nydha-2686-6838-2021-23-8-21-27. (In Russ.)

5. Karpova O. B., Zagoruychenko A.A. Problems of morbidity and mortality from diseases of the circulatory system of the adult population in the Siberian Federal District. Bulletin of Semashko National Research Institute of Public Health. 2023;(2):89–94. (In Russ.). https://doi.org/10.25742/NRIPH.2023.02.013

6. Shabashev V.A., Barylnikov V.V., Medvedev B.N., Salikhov V.A. Issledovanie osobennostej Severo-Kuzbasskoj i Juzhno-Kuzbasskoj aglomeracij dlja obosnovanija uslovij perspektivnogo razvitija regiona [Investigation of the North and South Kuzbass agglomerations features to justify conditions for region long-term development]. Vestnik Tomskogo gosudarstvennogo universiteta. Ekonomika – Tomsk State University Journal of Economics, 2017, no 38, pp. 73–81. https://doi.org/10.17223/19988648/38/7 (In Russ.)

7. Seredyuk IV, Korchagina IV. Agglomeration as a Strategic Track for the Regional Development: Prospects and Limitations. Strategizing: Theory and Practice. 2023;3(4):379–392. (In Russ.) https://doi.org/10.21603/2782-2435-2023-3-4-379-392

8. Sedykh DYu, Barbarash OL, Indukaeva EV, Artamonova GV. Selected public health indicators in the Siberian Federal District, the impact of COVID-19. Social'nye aspekty zdorov'a naselenia [serial online] 2023; 69(5):3. Available from: http://vestnik.mednet.ru/content/view/1522/30/lang,ru/. DOI: 10.21045/2071-5021-2023-69-5-3 (In Russ.)

9. Budaev B. S., Kitsul I. S., Tarmaeva I. Yu., Bogdanova O. G. The analysis of morbidity and mortality of population because of diseases of blood circulation system. Problemi socialnoi gigieni, zdravookhranenia i istorii meditsini. 2021;29(4):865—870 (In Russ.). DOI: http://dx.doi.org/10.32687/0869-866X-2021-29-4-865-870

10. Duisembaeva A.N., Borshchuk E.L. Features of morbidity from diseases of the circulatory system and mortality from them among the population of the Orenburg region Orenburg Medical Bulletin. 2021. Vol. 9. No. 4 (36). P. 50-52. (In Russ.).

11. Osmanov E.M., Reshetnikov A.V., Guseinova Z.G., Akaev T.M., Omarov M.A., Manyakov R.R. Analysis of morbidity and mortality from cardiovascular diseases in the Tambov region in 2012-2021. Social'nye aspekty zdorov'a naselenia [serial online] 2023; 69(6):8. Available from: http://vestnik.mednet.ru/content/view/1549/27/lang,ru/. DOI: 10.21045/2071-5021-2023-69-6-8 (In Rus)

12. Levashov S.Yu., Volkova E.G. Regional aspects of 20-year monitoring of mortality rates from circulatory diseases in the population aged 65 years and older. Cardiological Bulletin. 2022. Vol. 17. No. 2-2. P. 130 (In Russ.) https://doi.org/10.17116/Cardiobulletin2021160225

13. Yashchenko S.G., Kozulya S.V., Rybalko S.Yu., Butyrskaya I.B. Diseases of the circulatory system in the Republic of Crimea: morbidity, mortality, economic losses. Tavricheskiy Medico-Biological Bulletin. 2019. Vol. 22. No. 3. P. 78-85. (In Russ.)

14. Vazhenin A.V., Domozhirova A.S., Shepelev V.A., Moskvicheva M.G., Doksov D.V., Shevchenko V.N. Ways of effective management of the oncological situation (on the model of the Chelyabinsk region). Medical Science and Education of the Urals. 2008;9(2):28-30.

15. Tsygankova D.P., Agienko A.S., Sedykh D.Yu., Makarov S.A., Artamonova G.V. Analysis of the mortality rate dynamics due to circulatory system diseases in the Kemerovo region for the period 2017-2021. Complex Issues of Cardiovascular Diseases. 2023;12(3):57-65. (In Russ.) https://doi.org/10.17802/2306-1278-2023-12-3-57-65

16. Makarov S.A., Maksimov S.A., Shapovalova E.B., Stryapchev D.S., Artamonova G.V. Mortality From Circulatory System Diseases In The Kemerovo Region And The Russian Federation In 2000–2016. Complex Issues of Cardiovascular Diseases. 2019;8(2):6-11. (In Russ.) https://doi.org/10.17802/2306-1278-2019-8-2-6-11

17. Ostrovsky A.M., Kolyada I.N. Analysis of mortality of the population of the Gomel region due to diseases of the circulatory system in 2009-2019. Cardiology in Belarus. 2022;14(6):792-802. https://doi.org/10.34883/PI.2022.14.6.008.

18.