Selected issues of morbidity in the working population in the Central Federal District in 2005–2020

DOI: https://doi.org/10.29296/25877305-2022-01-02
Issue: 
1
Year: 
2022

A. Shastin(1), Candidate of Medical Sciences; O. Malykh(2), Candidate of Medical Sciences; V.
Gazimova(1), Candidate of Medical Sciences; T. Tsepilova(1); A. Zhdanov(3); P. Shulev(4), Candidate of
Medical Sciences (1)Yekaterinburg Medical Research Center for Prevention and Health Protection in Workers of
Industrial Enterprises, Russian Federal Service for Supervision of Consumer Rights Protection and Human
Well-Being (2)Federal Service for Supervision of Consumer Rights Protection and Human Well-Being,
Yekaterinburg (3)LLC Research and Production Enterprise «Izhinformproekt», Izhevsk (4)Ural State Medical
University, Ministry of Health of Russia, Yekaterinburg

Studies of morbidity with temporary disability (MTD) at the regional and interregional levels, along with the investigations of other morbidity types in the population, are an important element in the sociohygienic monitoring system. Objective. To investigate the regional features of MTD in the subjects of the Central Federal District (CFD) over the period of 2005–2020. Material and methods. A descriptive epidemiological study was conducted on the basis of the MTD rates available in the Unified Interdepartmental Statistical Information System in 2005–2020. The mean (M) annual values of indicators, standard deviation (σ), and coefficient of variation (CV) were calculated. The Shapiro-Wilk W test was used to check the normalcy of distribution. The Mann-Whitney U test was applied to assess differences between the indicators. Results. In all CFD subjects, the MTD rates decreased in 2005 and 2019 and increased in 2020. A statistically significant difference was established between the analyzed rates in 2005-2014 and 2015-2019. Conclusion. The CFD subjects show considerable differences in relative MTD rates with formally insignificant deviations from the mean value for a whole district. The decrease in MTD rates in 2015–2019 is associated with the entry into force of Russian Federal State Statistics Service (Rosstat) Order dated December 25, 2014 under No. 723 «On the Approval of Statistical Tools for the Ministry of Health of the Russian Federation to Organize a Federal Statistical Observation in the Health Sector.» Under the current procedure for the federal statistical observation, the intensive indicators at the municipal and regional levels do not reflect the real morbidity in the working population by the subjects of the Russian Federation, inter alia due to internal labor migration. Amendments to Rosstat Order No. 723 are required to increase the completeness and reliability of the data on MTD.
Keywords: 
Central Federal District
morbidity with temporary disability
sociohygienic monitoring

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