Abstract
Aim. To compare trends from CVD and cancer mortality in the Russian Federation from 2000 to 2016. depending on age and gender.Material and methods. The official statistics on mortality of Federal state statistics Service and the data obtained in the Russian database of fertility and mortality of the Center for Demographic Studies of the Russian Economic School, Moscow (Russia) were used. Mortality from CVD, including coronary heart disease (CHD), cerebrovascular disease (CerVD), other CVD, and cancer, including prostate cancer in men and breast cancer in women, stomach cancer, trachea, bronchus and lung cancer were analyzed from 2000 to 2016.Results. From 2000 to 2016 CVD mortality leads in comparison with deaths from cancer both in absolute number of deaths and in standardized deaths rates (SDR). There was a decrease in SDR from CVD and cancer between 2003 and 2016, however, rate of decline in the mortality rate from cancer was much less pronounced compared to CVD. At the same time, there is a trend towards a convergence in mortality from both causes in all age groups, with the exception of 75 years and older. For women in the age group of 35–64 years in 2016, the SDR from CVD was slightly lower than from cancer. The decrease in mortality from CVD was accompanied by a decrease in mortality from CHD and the CerVD, the latter was more pronounced in women. The overall mortality rate from cancer was characterized by a decrease in gastric cancer in people of both sexes, trachea, bronchus and lung cancer in men and breast cancer in women and an increase in prostate cancer in men.Conclusion. The ratio of mortality of CVD to cancer and their age characteristics are important for health care. Keeping in mind a present high rate of CVD deaths and cancer deaths rate decline is still not enough, there are now already two big problems for the health care and prevention is a key, especially with common risk factors. These changing trends in mortality may support evidence for changes in the policy of resource allocation in the country.
Highlights
From 2000 to 2016 CVD mortality leads in comparison with deaths from cancer both in absolute number of deaths and in standardized deaths rates (SDR)
There was a decrease in SDR from CVD and cancer between 2003 and 2016, rate of decline in the mortality rate from cancer was much less pronounced compared to CVD
The decrease in mortality from CVD was accompanied by a decrease in mortality from coronary heart disease (CHD) and the cerebrovascular disease (CerVD), the latter was more pronounced in women
Summary
Тренды смертности от болезней системы кровообращения и злокачественных новообразований у российских мужчин и женщин в 2000-2016 гг. Анализировалась смертность от БСК, в том числе, от ишемической болезни сердца (ИБС), цереброваскулярных болезней (ЦВБ), других БСК, и от ЗНО, включая рак предстательной железы у мужчин и молочной железы у женщин, рак желудка, рак трахеи, бронхов и легкого у лиц обоего пола, с 2000 по 2016 гг. Смертность от БСК лидирует по сравнению с ЗНО у лиц обоего пола как по абсолютному числу умерших, так и по стандартизованному коэффициенту смертности (СКС). Общий показатель смертности от ЗНО характеризовался уменьшением смертности от рака желудка у лиц обоего пола, рака трахеи, бронхов и легкого у мужчин и рака молочной железы у женщин и ростом рака предстательной железы у мужчин. Тренды смертности от болезней системы кровообращения и злокачественных новообразований у российских мужчин и женщин 2000-2016 гг.
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