Childhood disability due to mental disorders in the Arkhangelsk region: structural and dynamic trends

Abstract

To examine the structural-dynamic trends in disability in children aged 0-14 and 15-17 in the Arkhangelsk region (AO) over the period 2010-2020. The age-standardized rates of primary and total disability calculated on the basis of the official statistical data presented in the form No.19 «Statistics on Disabled Children» for 2010-2020 in AO excluding Nenets autonomous district. In the Arkhangelsk Oblast, as well as in the whole country, there has been a growth in disability rates over the last decade. The level of the general children's disability in AO was lower than in the RF on the average by 25.7 (±3.45)%. The age groups 5-9 (6.03%) and 15-17 (3.70%) years contribute mostly to the ten-year trend in the overall rate of mental disabilities. The increase in childhood disability due to mental disorders was 13.96% over 2010-2019, with this increase being due to so-called 'other mental disorders' (all mental disorders other than mental retardation) by 27.29%, while the dynamic contribution of disability due to mental retardation (F70-F79) was negative (-13.32%). The dynamics of total disability in children due to mental disorders in the AO has a common with the Russian average upward trend at a lower level. The age groups 5-9 and 15-17 years old have the greatest significance for the dynamic changes in the general disability of children due to mental disorders. The leading nosological group responsible for the ten-year increase in disability due to mental disorders is «other mental disorders».