Savina A A, Leonov S A, Son I M, Mihailova Iu V, Feiginova S I, Kudrina V G
The Federal State Budget Institution "The Central Research Institute for Health Organization and Informatics" of Minzdrav of Russia, 127254, Moscow, Russia,
The Federal State Budget Institution "The Central Research Institute for Health Organization and Informatics" of Minzdrav of Russia, 127254, Moscow, Russia.
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2019 Mar;27(2):118-122. doi: 10.32687/0869-866X-2019-27-2-118-122.
The analysis of primary morbidity is the most important indicator of detection of population health in every single subject of the Russian Federation in whole Russia. This approach also permits to monitor impact of economic and social processes on the national level. The article presents analysis of primary morbidity in the subjects of the Russian Federation in 2008-2017. The trends are established, the rates of increase and decrease of primary morbidity in every particular subject of the Russian Federation are calculated. The subjects with significant increase of particular classes of diseases according ICD-10 were identified. During last decade, the indices of primary morbidity increased on the whole up to 0.9%. The decrease was registered only in the Central and Privolzhskiy Federal Okrugs (4.3% and -1.6% correspondingly. In the rest of Federal Okrugs increase was registered. The highest level of primary morbidity was registered in the Nenets Autonomous Okrug and the lowest level in the Kabarda-Balkar Republic. Ib 2017, the Altai Kray became a leader in registration of primary morbidity of neoplasms and diseases of endocrine system and the Pensa oblast took the lead in registration of primary morbidity of diseases of cardiovascular system. In 2017, the highest level of morbidity of diseases of respiratory system was registered in the Chukchi Autonomous Okrug and of diseases of ear and mastoid bone in the Republic of North Ossetia - Alania. The increase of morbidity in the mentioned classes of diseases in the particular subjects of the Russian Federation requires consideration of leading specialists and corresponding development of measures concerning morbidity stabilizing.
原发性发病率分析是全俄罗斯联邦每个主体中人口健康检测的最重要指标。这种方法还允许监测国家层面经济和社会进程的影响。本文呈现了2008 - 2017年俄罗斯联邦各主体的原发性发病率分析。确定了趋势，计算了俄罗斯联邦每个特定主体中原发性发病率的增减率。确定了根据国际疾病分类第十版（ICD - 10）特定疾病类别显著增加的主体。在过去十年中，原发性发病率总体上升了0.9%。仅在中央联邦区和伏尔加联邦区出现了下降（分别为4.3%和 - 1.6%）。在其他联邦区则出现了上升。原发性发病率最高的是涅涅茨自治区，最低的是卡巴尔达 - 巴尔卡尔共和国。2017年，阿尔泰边疆区在肿瘤和内分泌系统疾病的原发性发病率登记方面成为领先地区，而奔萨州在心血管系统疾病的原发性发病率登记方面领先。2017年，楚科奇自治区呼吸系统疾病的发病率最高，北奥塞梯 - 阿兰共和国耳和乳突疾病的发病率最高。俄罗斯联邦特定主体中上述疾病类别的发病率上升需要主要专家进行审议并相应制定稳定发病率的措施。
