20-летняя динамика смертности от туберкулеза, ВИЧ-инфекции и их вклада в снижение ожидаемой продолжительности жизни населения Красноярского края

Abstract

Aim of the study. To study the dynamics of mortality from tuberculosis and HIV as well as their contribution to life expectancy reduction in Krasnoyarsk Krai population over a period of 20 years. Material and methods. We used primary databases of Krasnoyarsk Krai population mortality for the period from 1999 to 2018. The direct method of standardisation according to the European standard of population age structure was applied for calculation of the standardised population mortality ratio. In order to analyse mortality in the population of the WHO European region and the CIS, the data of the European health information gateway were used (https://gateway.euro.who.int). Results. It has been established that female mortality from certain infectious and parasitic diseases has increased signifi cantly (from 13.2 to 22.7 per 100,000 of female population) in the cause of death structure of Krasnoyarsk Krai within the 20-years period. Analysis of Krasnoyarsk Krai mortality from such specifi c conditions as tuberculosis and HIV has shown signifi cant decrease in tuberculosis mortality rate which complies with the global trend in the dynamics of mortality from this disease, while the rate of reduction for this index surpasses that of CIS countries. Th e analysis has established signifi cant growth of HIV mortality in Krasnoyarsk Krai population, especially female (up to 11.6 per 100,000 of female population). Conclusion. There has been a change of the leading mortality cause in the structure of population mortality from certain infectious and parasitic diseases over the period of 2016-2017. From that moment, the leading role in the cause of death structure of Krasnoyarsk Krai in this class of causes belongs to HIV