Abstract
Relevance. Professional health of the servicemen of the Armed Forces of the Russian Federation (Russia AF) is very important for optimizing their functional state for combat readiness and professional longevity. Intention. To study generalized incidence rates by disease classes in the Russia AF personnel by categories: officers, contract servicemen (soldiers and sailors, sergeants and foremen), women servicemen and military conscripts. Methods. 60 % of medical reports on the health of personnel and the medical service of military units (Form 3/MED) for the period from 2003 to 2016 were analyzed. The standard indicators were calculated for the classes of diseases by International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10). Results and Discussion. In the personnel of Russia AF, the following health indicators were reported: overall incidence rate (1460.9 ± 49.0) ‰, primary incidence rate (728.6 ± 43.3) ‰, the need for follow-up (119.7 ± 5.7) ‰, hospitalization (537.0 ± 36.9) ‰, absenteeism (7037 286) ‰, dismissal for health reasons (12.32 ± 0.87) ‰. The death rate per 100,000 military personnel per year was (82.4 ± 6.0), which is 8 times less than that of the working-age population of Russia. Polynomial trends in overall and primary incidence rates, hospitalization and absenteeism, with different rates of determination, showed increasing trends. Meanwhile, the need for medical follow-up, dismissal for health reasons and mortality declined. The structure of generalized assessment of health abnormalities included 83.8 % of 7 disease classes (V, IX, X, XI, XII, XIII and XIX), 22.7 % of respiratory diseases (class X), 22.3 % – trauma and other external causes (class XIX), and 8 % of mental / behavioral disorders (class V) and nutrition diseases (class XI) each. In the overall incidence structure, data of servicemen accounted for 60 %, officers, 20–25 %, contract servicemen, 11–13 %, and female servicemen, 5–6 %; the latter to a greater extent was determined by their number in the Russia AF. In the structure of mortality, the officers’ indices were 47 %, military men under the contract and draft – 24 % each, and female servicemen – 4 %. Conclusion. Emphasis on the prevention of diseases of the leading classes by ICD-10 can significantly reduce incidence rates in personnel of Russia AF.
Highlights
The standard indicators were calculated for the classes of diseases by International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10)
In the overall incidence structure, data of servicemen accounted for 60 %, of ficers, 20–25 %, contract servicemen, 11–13 %, and female servicemen, 5–6 %; the latter to a greater extent was determined by their number in the Russia AF
ConclusionEmphasis on the prevention of diseases of the leading classes by ICD-10 can significantly reduce incidence rates in personnel of Russia AF
Summary
Наименование класса Некоторые инфекционные и паразитарные болезни Новообразования Болезни крови, кроветворных органов и отдельные нарушения, вовлекающие иммунный механизм Болезни эндокринной системы, расстройства питания и нарушения обмена веществ Психические расстройства и расстройства поведения Болезни нервной системы Болезни глаз и его придаточного аппарата Болезни уха и сосцевидного отростка Болезни системы кровообращения Болезни органов дыхания Болезни органов пищеварения Болезни кожи и подкожной клетчатки Болезни костно-мышечной системы и соединительной ткани Болезни мочеполовой системы Травмы, отравления и некоторые другие последствия воздействия внешних причин Внешние причины смерти. 2. Оказалось, что сумма показателей 5 классов болезней (IX, X, XI, XII и XIII) составила 79,7 % от структуры общей заболеваемости личного состава ВС России. В динамике структуры по классам случаев у военнослужащих-женщин был по значимо госпитализации определяется увеличение сти вторым и статистически достоверно отли доли личного состава ВС России с X классом чался от сведений офицеров и военнослужа болезней, уменьшение – с I, XI, и XII классами щих по контракту Уровень смертности военно ного состава ВС России определяли 7 клас служащих по призыву был достоверно самым сов болезней (V, IX, X, XI, XII, XIII и XIX) Полиномиальные тренды при разных по значимости коэффициентах детерминации показывали тенденцию увеличения общей и первичной заболеваемости, госпитализа ции и дней трудопотерь и снижения показа телей нуждаемости в диспансерном дина мическом наблюдении, увольняемости по состоянию здоровья и смертности.
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