title: REGIONAL TRENDS IN THE WORKING-AGE POPULATION MORTALITY RATE IN THE REPUBLIC OF SAKHA (YAKUTIA) IN 1990-2012.
abstract: Regions of the Russian Federation differ in climatic-geographic, medical-demographic and social-economic situations. One of the regions with distinct peculiarities is the Republic of Sakha (Yakutia). Ranking first by the territory (3,103.2 thousand sq x km), Yakutia is on the 81th place by the population density among regions of the Russian Federation (0.3 people per 1 km2).Yakutia is one of the most isolated and inaccessible regions of the world: 90% of the territory lacks all-the-year-round transportation. Regions of the republic, as well, differ significantly in the climatic conditions and the levels of social-economic development, which influences the population health indicators, including mortality. This survey aimed to study the trends of mortality in the working-age population in different groups of regions. To do this, basing on the statistical data, we compared the levels, trends and structure of mortality in 1990-2012. It was established that the different groups of regions show a significant variation in the working-age population mortality, depending on the social-economic conditions. Since 2000, the Arctic group of regions has demonstrated higher mortality in working-age men and women, especially of cardiovascular and digestive system diseases, and external causes. Lying beyond the Arctic Circle, these regions have severe conditions and a relatively low level of social-economic development. As for the rural regions, despite the relatively favourabe situation, they also show a high level of mortality of external causes. The industrial regions are characterized by higher social-economic development, better transport infrastructure, a satisfactory material base of medical institutions. They also have sufficient resources of health institutions, including the staff and modern equipment for treatment and diagnostics, as well as, which is critical, the full range of medical specialists. Thus, these regions demonstrate lower population mortality; however, there is still mortality of infectious diseases, neoplasms, and respiratory diseases.
authors.forename: A A
authors.initials: AA
authors.lastname: Ivanova
authors.forename: E P
authors.initials: EP
authors.lastname: Kakorina
authors.forename: L F
authors.initials: LF
authors.lastname: Timofeev
authors.forename: A F
authors.initials: AF
authors.lastname: Potapov
authors.forename: L A
authors.initials: LA
authors.lastname: Aprosimov
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D001110:Arctic Regions / Q000453:epidemiology / Q000208:ethnology; D002423:Cause of Death / Q000639:trends*; D005260:Female; D005544:Forecasting; D006801:Humans; D008297:Male; D008875:Middle Aged; D009026:Mortality / Q000208:ethnology* / Q000639:trends*; D044382:Population Groups / Q000706:statistics & numerical data*; D012424:Rural Population / Q000706:statistics & numerical data*; D012426:Russia / Q000453:epidemiology / Q000208:ethnology; D012737:Sex Factors; D012959:Socioeconomic Factors