Monthly all-cause and cardiovascular mortality as an indicator of the process of healthcare in rural settlements in various districts of Tatarstan Republic

Abstract

© 2018 Vserossiiskoe Obshchestvo Kardiologov. All rights reserved. Aim. To reveal the specifics of monthly dynamics of the all-cause and cardiovascular mortality, depending on gender and on the administrative district settlement (ADS). Material and methods. The lethal cases assessed, by the state registries, in three ADS, different by social and economical levels, abilities of medical institutions and life style of the rural inhabitants in the years 2000-2002 and 2009-2011. The methods that were applied: statistical, sociological, analytic, comparative. Results. Within a 10-year period, mean annual mortality from all causes in ADS1 decreased 21,0%, in ADS2 increased 0,2%, in ADS3 increased 5,4%. It is important to note the statistical significance (p<0,05) of the differences in mean annual mortality from all causes in men and women in ADS2 during the first, and in ADS3 during both periods of the study. With the similarity of monthly all-cause mortality in rural settlements, there is differentiation by sex and ADS. Excessive mortality increased the mortality to 4,0 promille. Economical disadvantage from premature mortality was minimal in ADS1 at the background of comparably maximal mean person gross territory product and most healthy rural inhabitants. Conclusion. Significant differences in mortality of rural inhabitants are proved by gender and administrative district type of settlements; economical disadvantages are associated with social and economic level of the territory development, life style of the rural inhabitants, and in dynamics there is similarity and difference in monthly parameters of rural inhabitants mortality makes it plausible to regard them as in indicator of the healthcare processes in rural settlements.