COMPLEX ASSESSMENT OF THE LOSS OF HEALTH OF CHILDREN’S AND ADOLESCENT POPULATIONS OF THE IRKUTSK REGION

Abstract

Introduction. Aim: Comprehensive assessment of the health losses of children and adolescents of the Irkutsk region. Material and methods. A retrospective analysis of primary morbidity and disability in the territories of the Irkutsk region was carried out according to official statistical reports for 5 years. To identify similar indices of primary morbidity and disability by disease classes in the context of the territories of the Irkutsk region, cluster analysis methods (hierarchical, k-means) were used. Results. Prosperous territories were established to include clusters formed by rural settlements. The cluster with a high level of primary morbidity and primary disability of children and adolescents was revealed to be formed by industrial centers. The structure of classes of diseases is dominated by diseases of the respiratory system, injuries, eyes, and its appendage apparatus. In the structure of primary disability, the leading places are occupied by classes of mental disorders, congenital developmental malformations, diseases of the nervous, endocrine system. Changes in the prevalence of primary morbidity and disability in children and adolescents are assessed as moderate in the territories: Usolye-Sibirskoye, Svirsk Tulun and 6 rural areas (Nizhneudinsky, Shelekhovsky, Kazachinsko-Lensky, Bayandaevsky, Mamsky-Chuysky). Conclusions. Using the methods of multivariate cluster analysis revealed the territory of the Irkutsk region, unfavorable in terms of indices and trends of primary morbidity and primary disability. The conducted studies have identified priority areas for treatment and prevention activities aimed at reducing the comprehensive loss of health of children and adolescents.