Morbidity of circulatory diseases among the working-age population in the Far Eastern federal district in 2012–2021

Abstract

Aim. To study the indicators and regional features of circulatory disease morbidity among the able-bodied population in the Far Eastern Federal District for the 2012–2021 period.Material and methods. A descriptive statistical study was conducted. The indicators of incidence and prevalence rates of circulatory system diseases, including ischemic heart diseases and cerebrovascular diseases, were calculated according to the data published by the Russian Research Institute of Health. To assess the statistical significance of differences in the incidence rate in 2020 and 2021 relative to the 2012–2019 period, a 95% CI for the average incidence rate in 2012–2019 was used by generating repeated samples. Differences in the incidence and prevalence rates in 2020 and 2021 above the upper or below the lower CI boundary for the average values in 2012–2019 were considered statistically significant.Results. An analysis of the incidence and prevalence rates of circulatory system diseases among the working-age population in the Far Eastern Federal District in 2012–2021 was carried out. The obtained data are characterized by a significant variability and heterogeneity of indicators, showing significant differences from the all-Russian data for the 2012–2019 period. Changes in the incidence and prevalence rates of circulatory system diseases in the Far Eastern Federal District during the spread of COVID-19 in 2020–2021 were found to be multidirectional. In general, the statistically significant increase in the incidence of coronary heart disease in the Far Eastern Federal District in 2020 and 2021 is largely associated with the growth of indicators in the Khabarovsk Krai.Conclusions. The obtained characteristics of the incidence and prevalence rates of circulatory system diseases, including ischemic heart diseases and cerebrovascular diseases, indicate the presence of pronounced regional characteristics. The revealed multiple differences in the morbidity rates in the subjects of the Far Eastern Federal District require further research to determine their priority and significance for monitoring the health of the population.