Mortality trends in the population of the Irkutsk region in the process of social and environmental transformations (1989-2017)
- Authors: Leshchenko Y.A.1, Lisovtsov A.A.1
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Affiliations:
- East-Siberian Institute of Medical and Ecological Research
- Issue: Vol 98, No 10 (2019)
- Pages: 1141-1147
- Section: POPULATION HEALTH
- Published: 15.10.2019
- URL: https://rjpbr.com/0016-9900/article/view/639764
- DOI: https://doi.org/10.47470/0016-9900-2019-98-10-1141-1147
- ID: 639764
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Full Text
Abstract
Introduction. The policy in the field of public health care should take into account the peculiarities of regional development, due to the influence of socio-environmental factors and processes. Mortality indices are the most important medico-demographic index of the state of the regional socio-ecological system.
The aim of the study is to characterize the mortality trends of various age groups of the population of the Irkutsk region in the context of social and environmental transformations of the post-Soviet period.
Material and methods. A retrospective longitudinal study of the mortality characteristics of the population of the Irkutsk region, the Siberian Federal District (SFD) and the Russian Federation (RF) in the dynamics from the late 1980s to 2017 was carried out. Statistical materials were obtained from the databases of the Federal State Statistics Service, the Center for Demographic Studies of the New Economic School and Demographic Yearbooks of Russia. The analysis of trends in mortality rates and their socio-ecological interpretation is carried out.
Results. Dynamics of the total mortality rate in the period 1989-2017 consisted of two stages (1991–1998 and 1999–2017). Each of these stages was characterized by a marked increase in the mortality rate and its subsequent decrease. The values of this index in the Irkutsk region during the entire observation period were higher than the values of the same indicator for the SFD by 6.5-10.0% and higher than the figure for the Russian Federation by 12.9-21.5%. The dynamic changes in the mortality rates of the working-age population are similar to the corresponding characteristics of total mortality. The trends in child and infant mortality rates were characterized by a consistent decrease. The dynamics of the mortality rate of the adolescent-youth contingent (15-19 years) was similar to the dynamics of the total mortality rate.
Conclusion. The phenomena of a systemic transformational crisis led to the adverse dynamics of mortality characteristics from 1992 to 2006. A major positive shift in improving mortality rates occurred in 2007–2017. It was due to positive changes in the socio-economic sphere. Only the mortality levels of the working-age population did the lag behind the figures for 1989-1990 continue. The Irkutsk region should be characterized as a region of relative socio-ecological disadvantage in the mortality rates of all age groups of the population.
About the authors
Yaroslav A. Leshchenko
East-Siberian Institute of Medical and Ecological Research
Author for correspondence.
Email: yaleshenko@gmail.com
MD, Ph.D., DSci., Professor, Leading Researcher, Laboratory of Ecological and Hygienic Studies, East-Siberian Institute of Medical and Ecological Research, Angarsk, 665827, Russian Federation.
e-mail: yaleshenko@gmail.com
Russian FederationA. A. Lisovtsov
East-Siberian Institute of Medical and Ecological Research
Email: noemail@neicon.ru
Russian Federation
References
- Zakharova O.D., Ivanova A.E., Sigareva I.P. Edit. by prof. Rybakovskiy L.L., prof. Khasaev G.R. Demographic development of the Samara region [Demograficheskoye razvitiye Samarskoy oblasti]. Moscow: Globus; 2003. 208 p. (in Russian)
- Arkhangel’skiy V.N., Elizarov V.V., Zvereva N.V. et al. Edit. by prof. V.A. Iontsev. The demographic factor in the socio-economic development of the region (on the example of the Perm region) [Demograficheskiy faktor v sotsial’no-ekonomicheskom razvitii regiona (na primere Permskoy oblasti)]. Moscow: TEIS; 2004. 256 p. (in Russian)
- Kuz’min A.I., Shelomentsev A.G., Nifantova R.V., Polkova T.V., Shaymardanov N.Z., Sedunov V.S. et al. Socio-demographic policy of the northern regions of Russia: methodology and practice (on the example of the Khanty-Mansiysk district of the Khanty-Mansi Autonomous Okrug) [Sotsial’no-demograficheskaya politika severnykh regionov Rossii: metodologiya i praktika (na primere Khanty-Mansiyskogo rayona KHMAO)]. Ekaterinburg: Institut ekonomiki UrO RAN; 2012. 210 p. (in Russian)
- Simagin Yu.A. Territorial distribution of strong depopulation in Russia at the municipal level. Narodonaselenie. 2018; 21 (1): 60–9. (in Russian)
- Rybakovskiy L.L., Kozhevnikova N.I., Savinkov V.I. Life expectancy of the population of Siberia and the Far East in the all-Russian coordinates (1959–2015). Narodonaselenie. 2018; 21 (3): 4–20. (in Russian)
- The subject of study of social ecology. URL: https://studwood.ru/1332534/ekologiya/predmet_izucheniya_sotsialnoy_ekologii (date of access 11.05.2018). (in Russian)
- Gundarov A.I. Demographic catastrophe in Russia: causes and ways of overcoming. Why are Russians dying out [Demograficheskaya katastrofa v Rossii: prichiny i puti preodoleniya. Pochemu vymirayut russkiye]. Moscow: EKSMO; 2004: 109–212. (in Russian)
- Shchepin O.P., Belov V.B., Rogovina A.G. The current medical and demographic situation in Russia. Problemy sotsial’noy gigieny, zdravookhraneniya i istorii meditsiny. 2009; 6: 3–8. (in Russian)
- Stuckler D., King L., McKee M. Mass privatisation and the post-communist mortality crisis: a cross-national analysis. Lancet. 2009; 373 (9661): 399–407.
- Cherkashin A.K., Leshchenko Ya.A. Mathematical modeling and quantitative analysis of the demographic and ecological aspects of Russian supermortality. Math Model Nat Phenom. 2010; 5 (6): 243–58. https://doi.org/10.1051/mmnp/20105611
- Grigor’ev Yu.A., Soboleva S.V. Exogenous and endogenous determination of mortality in the Siberian Federal District. Region: ekonomika i sotsiologiya. 2012; 2 (74): 86–103. (in Russian)
- Soboleva S.V. The demographic situation in Siberia against the background of all-Russian trends. Region: ekonomika i sotsiologiya. 2014; 2 (82): 97–115. (in Russian)
- Velichkovskiy B.T. Viability of the nation. The relationship of social and biological mechanisms in the development of the demographic crisis and changes in the health of the population of Russia. 2nd edit. [Zhiznesposobnost’ natsii. Vzaimosvyaz’ sotsial’nykh i biologicheskikh mekhanizmov v razvitii demograficheskogo krizisa i izmenenii zdorov’ya naseleniya Rossii. 2 izd.]. Moscow: RAMN; 2012. 256 p. (in Russian)
- Leshchenko Ya.A., Batura O.G., Lebedeva L.N. Mortality and loss of life potential of the working age population in the Irkutsk region. Problemy sotsial’noy gigieny, zdravookhraneniya i istorii meditsiny. 2008; 3: 21–5. (in Russian)
- Baranov A.A., Al’bitskiy V.Yu. Mortality of the Russian child population. 2nd edit. [Smertnost’ detskogo naseleniya Rossii. 2-e izd.]. Moscow: Litterra; 2007. 328 p. (in Russian)
- Leshchenko Ya.A., Lisovtsov A.A. Mortality, living conditions of adolescents and young people of Siberia in the 1990–2000s. Byulleten’ Vostochno-Sibirskogo nauchnogo tsentra SO RAMN. 2013; 1: 91–6. (in Russian)
- Leshchenko Ya.A. The health of modern adolescents and the factors that determine it. Uchenye zapiski Zabaykal’skogo gosudarstvennogo gumanitarno-pedagogicheskogo universiteta. 2012; 5: 72–6. (in Russian)
- Markova N.E., Rimashevskaya N.M., Smakotina N.L. Typology of modifications of deviant behavior in youth subcultures. Narodonaselenie. 2010; 1: 85–97. (in Russian)
- Ovsyannikov A.A. Consumer society: systemic and total crisis. Narodonaselenie. 2011; 11: 12–31. (in Russian)
- Rimashevskaya N.M. Socio-economic and demographic problems of modern Russia. Vestnik Rossiyskoy akademii nauk. 2004; 74 (3): 209–18. (in Russian)
- Rudenkin V.N. The demographic crisis in Russia: cause and effect. Vestnik Ural’skogo otdeleniya RAN. 2007; 1: 103–18. (in Russian)
- Shevyakov A.Yu. Inequality, economic growth and demography [Neravenstvo, ekonomicheskiy rost i demografiya]. Moscow: RIG ISEPN RAN; 2008. 44 p. (in Russian)
- Gili M., Roca M., Basu S. et al. The mental health risks of economic crisis in Spain: evidence from primary care centres, 2006 and 2010. Eur J Public Health. 2013; 23 (1): 103–8. URL: http://www.ncbi.nlm.nih.gov /pubmed/23132877 (date of access: 08.08.2012).
- Izergina E.V., Lozovskaya S.A., Kosolapov A.B. Premature mortality from external causes of men of working age in the Far Eastern Federal District. Fundamental’nye issledovaniya. 2012; 3: 339–45. (in Russian)
- Motrich E.L. Demographic situation in the Russian Far East: main trends and challenges. Narodonaselenie. 2016; 1–1: 25–33. (in Russian)
- Khasanova R.R. Features of mortality in the Far Eastern Federal District. Uroven’ zhizni naseleniya regionov Rossii. 2017; 2 (176): 58–64. (in Russian)
- Rusanova N.E. Public health: from individual value to the basic factor of social development. Narodonaselenie. 2018; V. 21, 1: 109–21. https://doi.org/10.26653/1561-7785-2018-21-1-09 (in Russian)
- Rybakovskiy L.L., Kozhevnikova N.I., Savinkov V.I. Life expectancy of the population of Siberia and the Far East in the all-Russian coordinates (1959–2015). Narodonaselenie. 2018; V. 21, 3: 4–20. https://doi.org/10.26653/1561-7785-2018-21-3-01 (in Russian)
- Vandenheede H., Vikhireva O., Pikhart H., Kubinova R., Malyutina S., Pajak A. et al. Socioeconomic inequalities in all-cause mortality in the Czech Republic, Russia, Poland and Lithuania in the 2000s: findings from the HAPIEE Study. J Epidemiol Community Health. 2014; 68 (4): 297–303. https://doi.org/10.1136/jech-2013-203057
- Azarova A., Irdam D., Gugushvili A., Fazekas M., Scheiring G., Horvat P. et al. The effect of rapid privatisation on mortality in mono-industrial towns in post-Soviet Russia: a retrospective cohort study. Lancet Public Health. 2017; 2 (5): e231–e288. https://doi.org/10.1016/S2468-2667(17)30072-5
- Shkolnikov V.M., Andreev E.M., Mckee M., Leon D.A. Components and possible determinants of the decrease in Russian mortality in 2004-2010. Demographic Res. 2013; 28: 917–50. https://doi.org/10.4054/DemRes.2013.28.32
- Minagawa Y.S. Changing Life Expectancy and Health Expectancy Among Russian Adults: Results from the Past 20 Years. Popul Res Policy Rev. 2018; 37 (1): 1–19. https://doi.org/10.1007/s11113-018-9478-0
- Aganbegyan A. Krizis. Trouble and a chance for Russia [Krizis. Beda i shans dlya Rossii]. Moscow: AST: Astrel’; 2009. 285 p. (in Russian)
- Aganbegyan A.G. Demographic drama on the road to prospective development of Russia. Narodonaselenie. 2017; 3: 4–23. https://doi.org/10.26653/1561-7785-2017-3-1 (in Russian)
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