Medical and social charactristics of disability in Ukraine to multiple sclerosis

Abstract

Objective: to study the indicators of primary and secondary disability due to multiple sclerosis (MS) among people of working age in Ukraine. Material and methods. According to the materials of medical and social expert commissions of 20 regions of Ukraine, information was received for 18157 people of working age recognized as disabled due to MS in 2009-2013. Primary disability was established in 3103, repeated — in 15054 people. The general contingent of invalids is calculated taking into account their age, sex, severity of disability, territorial affiliation. Results. The total number of newly recognized disabled due to MS in 2013 increased by 21.9% to 689 people compared with 565 in 2009. High levels of primary disability were registered in Ivano-Frankivsk (0.48), Vinnytsia (0.47) oblasts; low — in the Kherson (0.20) and Zacarpathian (0.21). In the structure of primary disability overweight women accounted for 65.6%. Young people made up a significant part of the disabled (77.4%). In the age categories of 24-34 years and 35-44 years, their share was the largest. The severity of primary disability due to MS was not pronounced. Disabled were III (67.8%) and II groups. The proportion of disabled people in group I was 5.2%. With increasing age, the proportion of people with severe disabilities increases. In the structure of primary disability, women predominate, while the severity of their disability was somewhat greater than in men. The total number of re-recognized as disabled due to MS in 2013 was 3063 people and compared to 2009 increased by 12.3%. The intensive indicator increased from 1.51 to 1.7 per 10000 population. The highest levels of re-disability from 2009 to 2012 were registered in Ternopil (3,67, 2,97, 3,0, respectively), in 2013 in the Ivano-Frankivsk region (2,97), the lowest in Kiev (0,35). In the structure of repeated disability due to MS, as in the case of primary disability, the greatest proportion was made up of people with disabilities of group III (51.5%). From 2009 to 2012 the proportion of people with severe (group I) disability increased from 18.2 to 21.4%, and in 2013 decreased to 16.3%. The proportion of disabled people in group II has changed insignificantly — from 35.8 to 32.2%.In all groups of disability women predominate, while their share decreases with increasing its severity. Among men, there is a reverse trend. Conclusions. The total number of newly recognized disabled due to MS in Ukraine in 2009-2013 increased by 24.1%. The level of primary disability rose from 0.29 to 0.36 per 10000 population. The severity of primary disability was moderate, the invalids of group III (67.8%) and group II (27.0%) prevailed. The proportion of people with severe disability was (I group) 5.2%. The number of persons re-recognized as disabled due to MS increased by 20.5%. The rate of repeated disability increased from 1.51 to 1.70 per 10,000 population. In the structure of both primary (65.6%) and repeated (63.8%) disability prevailed, women, with the severity of disability they were less pronounced than among men. With increasing age, the proportion of people with severe disabilities increases.