Malignant neoplasms in the urban and rural population of the tomsk region

Abstract

Progress In the prevention and treatment of infectious diseases, aging of the population, environmental, economic and other factors cause changes in the structure of morbidity and mortality. Malignant neoplasms (ZNO), serving as one of the main causes of disability and occupying one of the leading places in the structure of mortality of the population, are one of the main problems of health care in Russia. The growth of cities radically changes the environment and human lifestyle, has an impact on the level and structure of morbidity of the population. A person in an urban environment is exposed to a complex of social and environmental factors. According to statistics, the incidence of ZNO urban population in Russia, higher than rural [1-5]. However, as the adverse effects of urbanization penetrate into the countryside, the introduction of the rural population to the urban way of life and the aging of the rural population, it is possible to predict an increase in morbidity among them. For the development of anti-cancer programs and adoption of reasoned management decisions, information on the spread of ZNO among the population of various administrative-territorial entities is needed, especially for areas with low population density, where, as a rule, the rural population lives. At the present stage, the study of epidemiological features of the prevalence of cancer in the Tomsk region is the most urgent organizational issue in connection with the need to plan anti cancer measures in the framework of the regional program Fight against cancer (hereinafter-the Program). Given that the financing of the Program is provided from 2019 to 2024, it seems appropriate to determine the structure of morbidity in the context of municipalities for adequate planning and ensuring the availability of specialized medical care. The aim of the study was to study the incidence of malignant neoplasms of urban and rural population of Tomsk region. The study used data from the population cancer register of the regional Oncology dispensary of the Tomsk region for the period from 2007 to 2017. and the Federal state statistics service of the Russian Federation on the population living in the region. The analysis of the epidemiological situation was carried out by extensive, intensive, standardized (direct method) indicators. Statistical processing of the material was carried out using the program ONCOSTAT.