Abstract
The geopolitical importance of the Black Sea region substantiates higher requirements for maintaining health of the military personnel under the contract. The purpose of the study: to assess health indicators of all categories of military personnel serving under the contract in the Black Sea Fleet for the period from 2013 to 2020. Material and methods: the authors have analyzed reports on military medical unit performance in the form 3-med for the period from 2013 to 2020. Based on the information received, the authors have calculated rates of incidence, prevalence, incidence with hospitalization, incidence with temporary disability, retirement, mortality and health index. Dynamics in health indicators have been assessed using the dynamic series method. Average values of the absolute increase and rate of growth/decrease of indicators for the period 2013-2020 have been calculated as well. Mean difference and 95% confidence intervals have been used for presenting quantitative data. Microsoft Excel 2016 and IBM SPSS ver.25 application package have been used for data processing. Results: average incidence rate adds up to 195.91 ‰ (CI 95%: 108.86-282.96), average prevalence rate equals to 1002.00 ‰ (CI 95%: 543.34-1460.67), incidence rate with hospitalization - 224.67 ‰ (CI 95%: 156.98 - 292.37), and incidence rate with temporary disability - 4335.50 ‰ (CI 95%: 2957.71 - 5707.29), retirement rate - 7.45 ‰ (CI 95%: 4.75 - 10.15), mortality rate - 92.36 (CI 95%: 47.00 - 137.72), health index - 47.39 (95% CI: 40.53 - 54.24). The main contribution to the incidence structure of the studied military contingent is made by diseases of the X, XIII and XII classes. Statistically significant trends towards decreasing incidence of infectious diseases and disorders of eye and adnexa and increasing mortality has been identified. Conclusions: Participation of the Black Sea Fleet units in local military operations can be accompanied by a significant increase in disease incidence and incidence with disability. The obtained data can be used to plan medical support for the Black Sea Fleet operation, as well as for the ongoing and future planning of the medical and preventive activities of the Fleet medical service in the field of military health protection.
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