Социально-экономические факторы смертности от инфекционных заболеваний в российских регионах

Электронный научный журнал "Социальные аспекты здоровья населения". 2021. Т. 67. № 5. Статья 2.

Kolosnitsyna M., Чубаров М. Ю.

Background.  Infectious diseases and mortality are correlated with numerous factors. These factors may be interrelated and act simultaneously, which makes it difficult to assess their impact.

Aim: Based on regression analysis, to identify socio-economic factors of infectious mortality in Russian regions.

Materials and Methods.  We used the data from the Federal State Statistics Service on economic, demographic, ecological, and socio-cultural characteristics of 82 Russian regions (years 2014-2018). We have estimated the regression model of infectious mortality.

Results. Infectious mortality, all other things being equal, is higher in the regions: with a high level of emissions; with a significant external migration; with a larger share of the population living in big cities. Infectious mortality is lower in the regions with a high average per capita income of the population, better housing conditions, a high level of fruit consumption, and a large proportion of university students.

Conclusions. High incomes, good housing conditions, and nutrition, as well as a high level of education of the population of the region, turned out to be significant predictors of low infectious mortality, while the indicators of the health care system of the region are not related to the indicators of mortality. The reduction of infectious mortality will be facilitated by both general economic measures aimed at increasing the income and education of the population and targeted environmental policy measures and control of migration. Special attention should be paid to the infectious situation in poor regions, regions with a high level of urbanization, and a significant share of external migrants in the population.

Keywords: внешняя миграция, доходы населения, урбанизация, urbanization, численность студентов, регионы России, number of students, регрессионная модель, external migration, выбросы загрязняющих веществ, pollution, Russian regions, incomes of population, regression model, infectious mortality, fruit consumption, housing security, инфекционная смертность, потребление фруктов, обеспеченность жильём