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  • Оптика медико-демографических процессов в контексте устойчивого развития Арктического макрорегиона (на примере Архангельской области)

Article

Оптика медико-демографических процессов в контексте устойчивого развития Арктического макрорегиона (на примере Архангельской области)

Демографическое обозрение. 2019. Т. 6. № 2. С. 165-196.

Preserving and strengthening the health of population is designated by the development priorities in the State program "Social and economic development of the Arctic zone of the Russian Federation for the period up to 2020". The article attempts to assess trends in life expectancy, mortality from the main causes of death and infant mortality in one of the largest regions of the Arctic zone of the Russian Federation - the Arkhangelsk region. It also presents the differentiation of mortality from the main groups of causes of death, including cardiovascular diseases (CVD), neoplasms, external causes, diseases of the respiratory and digestive systems, infectious diseases and some other causes in Arkhangelsk, Severodvinsk and other cities and rural areas. The analysis is based on the standardized death rate (SDR) by causes of death.

The mortality rate in the Arkhangelsk region is higher than the average Russian indicators, especially for men. The lowest mortality is observed in Arkhangelsk and Severodvinsk, slightly higher in medium and small cities and significantly higher in rural areas.

The structure of causes of death in all groups of settlements is more than 80% determined by CVD, neoplasms and external causes, but there is a small decrease in the proportion of CVD and external causes and a more significant increase in neoplasms. Arkhangelsk is characterized by a higher level of SDR from malignant tumors. Mortality from external causes is characterized by significant differentiation by groups of settlements. However, SDR from accidental alcohol poisoning in all groups is on the same level