Regional Aspects of Mortality in the Republic of Sakha (Yakutia)
Bibliographic Data
| ID | 5968538 |
|---|---|
| Authors | Tatiana M Klimova (0000-0003-2746-0608, North-Eastern Federal University), Ariana A Kuzmina (0000-0001-5220-0766, North-Eastern Federal University), I Sh Malogulova (0000-0003-0687-7949, North-Eastern Federal University) |
| Year | 2019 |
| Volume | 26 |
| Issue | 4 |
| Pages | 31-38 |
| Publication date | 2019-04-15 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Ekologiya Cheloveka (Human Ecology (JOURNAL) |
| Journal identifiers | ISSN: 1728-0869 • E-ISSN: 2949-1444 |
| Publisher | ECO-Vector LLC (PUBLISHER • RU) |
| DOI | 10.33396/1728-0869-2019-4-31-38 |
| OpenAlex | W2934779285 |
| Language | EN |
| References cited | 15 |
The purpose of the study was to analyze geographic variations in mortality in the Republic of Sakha (Yakutia) and factors associated with mortality. Methods. Mortality data were obtained from the republican statistical service. Secular trends were studied by the least squares method. Direct standardization was applied to eliminate heterogeneity in the age structure of the population of the municipalities of the republic. The division of territories into cluster with different levels of total mortality was performed using hierarchical clusteranalysis. Results. Significant geographic variations in mortality levels were observed both before and after standardization. The cluster with high mortality rate differed from the others in mortality from neoplasms, cardiovascular diseases and causes of death caused by alcohol. At the same time, there were no significant differences between cluster by gender, ecologic and socio-economic indicator. Sufficient capacity of outpatient and polyclinic organizations, provision of personnel and beds in the republic was observed. Negative collation between the number of persons with a high educational level and total mortality (г = -0.544, P. = 0.001), mortality from cardiovascular diseases (г = -0.755, P. < 0.001), external causes (г = -0.465, P. = 0.045), traffic injuries (г = -0.480, P. = 0.038), from causes by alcohol (г = -0.518, P. = 0.023) were found. In the least favorable cluster the number of people with high education was significantly lower than in the other two. Conclusions. We found significant variations in mortality across the 35 settings in the republic. Activities directed at health promotion and health protection corresponding to realities of contemporary society should be developed with the further going aim to reduce mortality in the Sakha (Yakutia) Republic
Collation · Environmental health · Geography · Mortality rate · Polyclinic · Population · Demography · Health disparities and outcomes · Healthcare Systems and Public Health · Human Health and Disease · Medicine
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| Citation velocity | historical |
|---|---|
| Highly cited | No |