THREATS OF LOSS OF LIFE AND LABOR RESOURCES OF SOCIETY DUE TO DISEASES OF THE CIRCULAR SYSTEM

Highlights

In the structure of threats of loss of labor resources due to loss of work functions, hypertension and ischemic heart disease were identified as the most significant in the class of circulatory system diseases.

Aim. To determine the significance of circulatory system diseases (CSD) in the structure of threats to the loss of vital and labor resources of society in the Russian Federation.

Methods. Statistical and analytical. The study utilized data from Rosstat, statistical materials from the Federal State Budgetary Institution “TsNIIOIZ” for 2019–2023, the Russian Ministry of Health, federal and industry statistical monitoring forms, and Order No. 585n of the Russian Ministry of Labor and Social Protection dated August 27, 2019, “On the classifications and criteria used in the implementation of medical and social examination of citizens by federal state institutions of medical and social examination”. A developed methodology for calculating the threat of labor force loss in the Russian Federation was used.

Results. Among those who died from coronary heart disease in the working age group, the largest share was made up of deaths due to ischemic heart disease – 43.2%, cerebrovascular diseases – 18.7%, including acute cerebrovascular accident – 15.0%. These diseases are the main ones in the structure of losses of vital resources of the population of the Russian Federation. The analysis of the overall incidence of coronary heart disease in the adult working-age population of the Russian Federation in dynamics (2019–2023) showed an increase in the indicator in 2023 by 4.1%. Of particular concern is the increase in hypertensive heart disease by 19.0% and acute myocardial infarction by 8.2%, which requires strengthening measures for prevention, medical examination and rehabilitation of the working-age population. In order to determine the significance of circulatory system diseases in the threat of labor resource losses, the study, using the developed methodology, calculated the morbidity rates (general) of the adult working-age population of the Russian Federation, determining the first group of disability and leading to complete loss of working capacity. It has been established that the top two diseases are hypertensive heart disease and ischemic heart disease. These conditions largely determine the risk of loss of society's workforce.

Conclusion. The study's results identified the need to monitor morbidity among the adult working-age population in the Russian Federation and develop management solutions aimed at reducing the loss of society's vital and labor resources.

1. Starodubov V.I., Rudnev S.G., Nikolaev D.V., Korostylev K.A. On the quality of preventive screening data in health centers and a way to improve the efficiency of budget expenditures. Analytical Bulletin of the Federation Council of the Federal Assembly of the Russian Federation. 2015;44.:43-49.

2. Shchepin V.O., Khabriev R.U. Mortality characteristics of the population of the Russian Federation, the Central Federal District and the city of Moscow in 2020. Problems of Social Hygiene, Healthcare and the History of Medicine. 2021;29(2):189-193. DOI 10.32687/0869-866X-2021-29-2-189-193

3. Khabriev R.U., Shchepin V.O., Mirgorodskaya O.V. Comprehensive assessment of target health indicators of the population of the Central Federal District of the Russian Federation. Problems of Social Hygiene, Healthcare and History of Medicine. – 2020; 28(3):349-354. DOI 10.32687/0869-866X-2020-28-3-349-354

4. Sabgaida TP, Evdokushkina GN, Ivanova AE. Mortality from circulatory system diseases as a reflection of demographic aging. Healthcare of the Russian Federation. 2023;67(5):436-443. DOI 10.47470/0044-197X-2023-67-5-436-443.

5. Ivanova AE, Sabgaida TP, Semenova VG. Reserves for mortality reduction in Russia in the context of its age and nosological features. DEMIS. Demographic studies. 2023;3(4): 92-125. DOI 10.19181/demis.2023.3.4.6.

6. Sabgaida TP, Zubko AV, Semenova VG. Effectiveness of the federal project "Combating Cardiovascular Diseases" in the Context of Preventable Causes in Urban and Rural Settlements of Russia. Management Issues. 2023;2(81):71-85. DOI 10.22394/2304-3369-2023-2-71-85

7. Mad'yanova VV, Kakorina EP, Klokova TA. Morbidity Patterns in Senior Working-Age Persons in the Russian Federation in 2012-2018. Problems of Social Hygiene, Healthcare and History of Medicine. 2020;28(2):207-215. DOI 10.32687/0869-866X-2020-28-2-207-215.

8. Vasiliev M.D., Lazarev A.V., Kalininskaya A.A., Kizeev M.V. Medical and demographic indicators of the population above working age. Complex issues of cardiovascular diseases. 2023;12(S4):131-140. DOI 10.17802/2306-1278-2023-12-4S-131-140

9. Mingazova E.N., Samoylova A.V., Zagoruychenko A.A., Shigabutdinova T.N., Zhelezova P.V. On the issue of legal support for the protection of reproductive health of adolescent girls. Healthcare manager. 2020;7:45-52. DOI 10.37690/1811-0185-2020-7-45-52.

10. Savina A.A., Feiginova S.I. Dynamics of the incidence of diseases of the circulatory system of the adult population of the Russian Federation in 2007-2019. Social Aspects of Population Health. 2021;67(2): DOI 10.21045/2071-5021-2021-67-2-1.

11. Khamitova R.Ya., Loskutov D.V., Akramova E.G. Comparative analysis of the relationships between cardiac morbidity in the adult population and socio-economic indicators in the regions of Russia. Social Aspects of Population Health. 2022;68(3):5. DOI 10.21045/2071-5021-2022-68-3-5.

12. Enina E.N., Vaysman D.Sh., Bogdanova T.G. Dynamics of morbidity from diseases of the circulatory system and coverage of dispensary observation of the adult population of the Russian Federation in 2019-2023. Social aspects of population health [online publication] 2024; 70(6):1. Access mode: http://vestnik.mednet.ru/content/view/1694/30/lang,ru/. DOI: 10.21045/2071-5021-2024-70-6-1

13. Suslin S.A., Kiryakova O.V., Izmalkov N.S. & Choloyan S.B. (2024). Dynamics of overall morbidity and mortality from diseases of the circulatory system in the adult population. Modern problems of health care and medical statistics, (5), 258-277. doi: 10.24412/2312-2935-2024-5-258-277

14. Pogorelov, A. R. Regional aspects of circulatory system disease incidence in the adult population of Kamchatka Krai in 2017-2021. Cardiological Bulletin. 2023;18(2-2):203-204.

15. Shastin, A.S., Gazimova, V.G., Tsepilova, T.M., Malykh, O.L., Panov, V.G. Incidence of circulatory system diseases in the working-age population in the Russian Federation in 2015-2019. Regional features. Preventive Medicine. 2022;25(11):28-35. DOI 10.17116/profmed20222511128.

16. Kuraeva V.M., Podchernina A.M. Morbidity patterns of the working-age population of Moscow by class of circulatory system diseases during the COVID-19 pandemic. Remedium. 2022;26(4):341-346. DOI 10.32687/1561-5936-2022-26-4-341-346.

17. Dymochka M.A., Andreeva O.S., Rychkova M.A., Tarasova L.A., Shakhsuvaryan S.B., Puzin M.N., Pogosyan G.E. Primary disability rates among the adult working-age population in the Russian Federation in 2014-2015. Bulletin of the All-Russian Society of Specialists in Medical and Social Expertise, Rehabilitation and Rehabilitation Industry. 2017;2:37-40.

18. Bukhtiyarov I.V., Tikhonova G.I., Betz K.V., Bryleva M.S., Gorchakova T.Yu., Churanova A.N. Morbidity, disability, and mortality of the working-age population in Russia. Occupational Medicine and Industrial Ecology. 2022;62(12):791–796. DOI 10.31089/1026-9428-2022-62-12-791–796.

19. Kalininskaya A.A., Kizeev M.V., Lazarev A.V., Balzamova L.A., Smirnov A.A. Population health risks associated with coronavirus infection in Moscow and the need for counteraction. Problems of Social Hygiene, Healthcare, and the History of Medicine. 2023;31(S2):1202–1206. DOI 10.32687/0869-866X-2023-31-s2-1202-1206

20. Kalininskaya A.A., Lazarev A.V., Shlyafer S.I., Balzamova L.A., Smirnov A.A. Strategic objectives of counteracting health risks to the rural population. Bulletin of the N.A. Semashko National Research Institute of Public Health. 2024;28(4):25-31. DOI 10.69541/NRIPH.2024.04.004

21. Alikova Z.R., Tsalikova A.A., Karsanova E.M., Vedmedenko F.V. Sociological assessment of the consequences of past coronavirus infection Covid-19 in patients with diabetes mellitus // Medical and Pharmaceutical Journal "Pulse". 2024;26(4):113-120. DOI 10.26787/nydha-2686-6838-2024-26-4-113-120

22. Shipova V. M., Kizeev M. V., Magomedova Z. A. Medical rehabilitation: planning, organization, labor standards. Bulletin of the N. A. Semashko National Research Institute of Public Health. 2023;2:103-109. DOI 10.25742/NRIPH.2023.02.015.

23. Bo. Li, Yang J., Zhao F., Zhi L., WANG X., Liu L., Bi ZH., Zhao YU. Prevalence and impact of cardiovascular and metabolic diseases on COVID-19 in China. Clinical Research in Cardiology. 2020;109(5):531-538. DOI 10.1007/s00392-020-01626-9.

24. Esipov A.V., Alekhnovich A.V., Abushinov V.V. COVID-19: First Experience in Providing Medical Care and Possible Solutions to Problematic Issues (review). Hospital Medicine: Science and Practice. 2020;1(1):5-8

25. Order of the Ministry of Labor and Social Protection of the Russian Federation of August 27, 2019 No. 585n "On Classifications and Criteria Used in the Implementation of Medical and Social Expertise of Citizens by Federal State Institutions of Medical and Social Expertise."

26. Order of the Ministry of Labor of Russia dated July 26, 2024 No. 374n “On approval of classifications and criteria used in the implementation of medical and social examination of citizens by federal institutions of medical and social examination” (registered with the Ministry of Justice of Russia on August 23, 2024 No. 79273).

27. Morbidity of the Total Population of Russia: Statistical Materials. Moscow: Federal State Budgetary Institution "TsNIIOIZ" of the Ministry of Health of the Russian Federation, 2019-2023.

28. Federal State Statistics Service URL: https://rosstat.gov.ru/compendium/document/13284

29. Overall Morbidity of the Adult Population of Russia: Statistical Materials. Moscow: Federal State Budgetary Institution "TsNIIOIZ" of the Ministry of Health of the Russian Federation, 2023.

30. Overall Morbidity of the Senior Working-Age Population of Russia: Statistical Materials. Moscow: Federal State Budgetary Institution "TsNIIOIZ" of the Ministry of Health of the Russian Federation, 2023.

31.