cardiovascularКардиоваскулярная терапия и профилактикаCardiovascular Therapy and Prevention1728-88002619-0125«SILICEA-POLIGRAF» LLC10.15829/1728-8800-2024-3903EWEKFJcardiovascular-3903Research ArticleОБЩЕСТВЕННОЕ ЗДОРОВЬЕ, ОРГАНИЗАЦИЯ И СОЦИОЛОГИЯ ЗДРАВООХРАНЕНИЯ, МЕДИКО-СОЦИАЛЬНАЯ ЭКСПЕРТИЗАPUBLIC HEALTH, ORGANIZATION AND SOCIOLOGY OF HEALTHCARE, MEDICAL AND SOCIAL EXPERTISEАссоциация между смертностью от болезней системы кровообращения и депривацией у взрослого населения РоссииAssociation between cardiovascular mortality and deprivation in the adult population of Russiahttps://orcid.org/0000-0003-4720-6674ЗеленинаА. А.ZeleninaA. A.

М.н.с. лаборатории геопространственных и средовых факторов здоровья отдела эпидемиологии хронических неинфекционных заболеваний.

Москва

Moscow

nasty-zelenin@yandex.ruhttps://orcid.org/0000-0003-2087-6483ШальноваС. А.ShalnovaS. A.

Д.м.н., профессор, руководитель отдела эпидемиологии хронических неинфекционных заболеваний.

Москва

Moscow

sshalnova@gnicpm.ruhttps://orcid.org/0000-0002-0240-3941МуромцеваГ. А.MuromtsevaG. A.

К.б.н., в.н.с. отдела эпидемиологии хронических неинфекционных заболеваний.

Москва

Moscow

gmuromtseva@gnicpm.ruhttps://orcid.org/0000-0002-9624-9374КапустинаА. В.KapustinaA. V.

С.н.с. отдела эпидемиологии хронических неинфекционных заболеваний.

Москва

Moscow

akapustina@gnicpm.ruhttps://orcid.org/0000-0001-8011-2798БалановаЮ. А.BalanovaYu. A.

Д.м.н., в.н.с. отдела эпидемиологии хронических неинфекционных заболеваний.

Москва

Moscow

jbalanova@gnicpm.ruhttps://orcid.org/0000-0002-7486-4667ЕвстифееваС. Е.EvstifeevaS. E.

К.м.н., с.н.с. отдела эпидемиологии хронических неинфекционных заболеваний.

Москва

Moscow

sevstifeeva@gnicpm.ruhttps://orcid.org/0000-0002-9332-0622ИмаеваА. Э.ImaevaA. E.

Д.м.н., с.н.с. отдела эпидемиологии хронических неинфекционных заболеваний.

Москва

Moscow

aimaeva@gnicpm.ruhttps://orcid.org/0000-0002-8604-712XКарамноваН. С.KaramnovaN. S.

Д.м.н., руководитель лаборатории эпидемиологии питания.

Москва

Moscow

nkaramnova@gnicpm.ruhttps://orcid.org/0000-0001-9786-4144ШвабскаяО. Б.ShvabskayaO. B.

н.с. лаборатории эпидемиологии питания

Moscow

oshvabskaya@gnicpm.ruhttps://orcid.org/0000-0003-0545-2586МаксимовС. А.MaksimovS. A.

д.м.н., руководитель лаборатории геопространственных и средовых факторов здоровья отдела эпидемиологии хронических неинфекционных заболеваний

Moscow

smaksimov@gnicpm.ruФГБУ "Национальный медицинский исследовательский центр терапии и профилактической медицины" Минздрава РоссииNational Medical Research Center for Therapy and Preventive MedicineФГБУ «Национальный медицинский исследовательский центр терапии и профилактической медицины» Минздрава России. Москва, РоссияNational Medical Research Center for Therapy and Preventive Medicine20241304202423339033903Copyright © Зеленина А.А., Шальнова С.А., Муромцева Г.А., Капустина А.В., Баланова Ю.А., Евстифеева С.Е., Имаева А.Э., Карамнова Н.С., Швабская О.Б., Максимов С.А., 20242024Зеленина А.А., Шальнова С.А., Муромцева Г.А., Капустина А.В., Баланова Ю.А., Евстифеева С.Е., Имаева А.Э., Карамнова Н.С., Швабская О.Б., Максимов С.А.Zelenina A.A., Shalnova S.A., Muromtseva G.A., Kapustina A.V., Balanova Y.A., Evstifeeva S.E., Imaeva A.E., Karamnova N.S., Shvabskaya O.B., Maksimov S.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://cardiovascular.elpub.ru/jour/article/view/3903

По данным Федеральной государственной службы статистики России с 1970 по 2019гг сердечно-сосудистые заболевания остаются одной из основных причин смерти в России. На сегодняшний день связь между смертностью от сердечно-сосудистых заболеваний и показателями депривации в России остается недостаточно изученной.

Цель

Цель. Выявить связи между региональной депривацией и смертностью от болезней системы кровообращения среди взрослого населения России.

Материал и методы

Материал и методы. Российский индекс депривации использовался для измерения уровня депривации. Показатели индекса были получены из официальных статистических данных Росстата и Всероссийской переписи населения за 2010г. Смертность от болезней системы кровообращения по возрасту (пятилетние группы) и полу в субъектах России с 2006 по 2012гг получена из российской базы данных по рождаемости и смертности Центра демографических исследований Российской экономической школы.

Результаты

Результаты. Полностью скорректированная модель показала, снижение смертности (MRR — Mortality Rate Ratios (соотношение уровней смертности) 0,93; 95% доверительный интервал: 0,91-0,94) в регионах с наибольшей общей депривацией по сравнению с наименее депривированными регионами. Наблюдается снижении смертности в наиболее социально-депривированных регионах по сравнению с наименее депривированными. Полностью скорректированная модель продемонстрировала тенденцию к увеличению смертности в зависимости от уровня экономической депривации (от менее депривированных (Q2) до более депривированных (Q3 и Q4) по сравнению с наименее депривированными регионами (Q1)). Наше исследование показало рост смертности в наиболее экологически-депривированных регионах — МRR 1,02; 95% доверительный интервал: 1,00-1,04.

Заключение

Заключение. В исследовании установлена связь между общей, социальной, экономической и экологической депривацией и смертностью от болезней системы кровообращения.

According to the Federal State Statistics Service of Russia, from 1970 to 2019, cardiovascular diseases remain one of the main causes of death in Russia. To date, the relationship between cardiovascular mortality and deprivation in Russia remains insufficiently studied.

Aim

Aim. To identify the relationship between regional deprivation and cardiovascular mortality among the adult population of Russia.

Material and methods

Material and methods. The Russian deprivation index was used to measure the deprivation level. The index indicators were obtained from official Rosstat statistics and the All-Russian Population Census for 2010. Cardiovascular mortality by age (five-year groups) and sex in the constituent entities of Russia from 2006 to 2012 was obtained from the Russian database on fertility and mortality of the Center for Demographic Research of the Russian Economic School.

Results

Results. The fully adjusted model showed a reduction in mortality (Mortality Rate Ratio (MRR), 0,93; 95% confidence interval: 0,91-0,94) in regions with the greatest overall deprivation compared to the least deprived regions. There is a decrease in mortality in the most socially deprived regions compared to the least deprived ones. The fully adjusted model showed a trend toward increased mortality across levels of economic deprivation (from less deprived (Q2) to more deprived (Q3 and Q4) compared to least deprived regions (Q1)). Our study showed an increase in mortality in the most environmentally deprived regions — MRR, 1,02; 95% confidence interval: 1,00-1,04.

Conclusion

Conclusion. The study established a link between general, social, economic and environmental deprivation and cardiovascular mortality.

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The authors declare that there are no conflicts of interest present.