Diseases of the circulatory system are the main cause of mortality in the population of working age (WA). The morbidity indicators of this population are not covered by the federal plan of statistical efforts and are not accessible to specialists, that complicates the development of effective measures for improving public health.
OBJECTIVE
To study the regional features of diseases of the circulatory system primary morbidity of the WA population in the Ural Federal District (UFD) in 2012—2022.
MATERIALS AND METHODS
Calculation of diseases of the circulatory system (DCS) primary morbidity (PM) indicators was performed in general and by individual units of diagnoses, namely ischemic heart disease (IHD), cerebrovascular diseases (CVDs), diseases characterized by elevated blood pressure (DCEBP) in the Russian Federation as a whole and in the UFD constituent entities. Computation of 95% confidence interval for the median value for the period from 2012 to 2019 was done by the method of generation of replicated samples (bootstrap) to assess the statistical significance of differences in morbidity levels in 2020—2022 compared to 2012—2019.
RESULTS
A statistically significant decrease in the level of DCS PM during the period of the COVID-19 pandemic has been identified in general in the Russian Federation, and multidirectional tendencies have been observed in the UFD constituent entities. The decrease in PM caused by DCS, IHD and CVDs levels has been revealed in most of the UFD constituent entities. The increase PM caused by DCEBP has been identified in all UFD regions in 2020—2022.
CONCLUSION
The general tendency in the regions of the Ural Federal District is a decline in the diseases of the circulatory system primary morbidity level as a whole, as well as ischemic heart disease and cerebrovascular diseases PM levels against a significant increase in diseases characterized by elevated blood pressure morbidity in 2020—2022. The working-age population is the main resource base of the workforce, and the study of morbidity tendencies in this population group should be the focus of attention of occupational health and public health professionals.
