Mortality of the working-age population in the Republic of Bashkortostan: spatial and dynamic analysis

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OBJECTIVE

To analyze the trends in mortality of the working-age population by the main causes of death in the Republic of Bashkortostan, both in general and in structural, gender, and spatial terms.

MATERIAL AND METHODS

The study was based on the mortality data by the main causes of death (according to the ICD-10 nomenclature) over 2002—2020, collected according to Form C51. The working-age population includes women aged 16—54 and men aged 16—59. The structural analysis was carried out for the six main causes of death according to ICD-10; the spatial analysis was conducted in the context of the socio-economic subdistricts of the Republic of Bashkortostan, which are clusters of municipalities and urban districts. For statistical comparisons of long-term mean values, the Student and Kruskal-Wallis tests were used.

RESULTS

In the period under review, the mortality rate in the working-age population decreased by 10.7%. The main causes of death are cardiovascular diseases, external causes, and malignancies. However, the percentages of causes of death significantly changed: cardiovascular diseases increased from 25.0% to 31.7%, malignancies from 9.8% to 12.4%, and respiratory diseases from 4.1% to 8.9%. The spatial analysis showed significant disparities: high mortality rates of the working-age population in the northern and Ural subregions, differences in the mortality structure compared to overall rates in the Republic of Bashkortostan and the average rates in the Russian Federation.

CONCLUSION

Reducing mortality of the working-age population reflects the efficacy of republican health care. The increase in the contribution of chronic non-communicable diseases to the mortality rate indicates the need for the development of primary and secondary prevention of these diseases. Spatial disparities reveal a significant inequality in the accessibility and quality of health care for the population. The data obtained can serve as a basis for the development of Republican preventive programs to reduce the mortality of the working-age population.

Keywords:

main causes of death

mortality

structure

working-age population

Authors:

Askarov R.A.

Sergo Ordzhonikidze Russian State University for Geological Prospecting

ORCID: 0000-0001-7980-4113

Askarova Z.F.

Bashkir State Medical University

ORCID: 0000-0001-9772-1311

Lakman I.A.

Ufa University of Science and Technology

ORCID: 0000-0001-9876-9202

Frants M.V.

Ufa University of Science and Technology

ORCID: 0000-0002-5324-2463

Sharipova I.A.

Bashkir State Medical University

ORCID: 0000-0001-9075-9894

Received:

22.06.2023

Accepted:

28.07.2023

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