Health status self-rating in the Russians: results of the 2019–2021 surveys

DOI: https://doi.org/10.29296/25877305-2022-11-01
Issue: 
11
Year: 
2022

Professor I. Samorodskaya, MD
National Medical Research Center for Therapy and Preventive Medicine, Ministry of Health of Russia, Moscow

The state of public health is determined by the health status of the totality of all members of society, whereas the self-rating of health is its indirect measure. Objective. To analyze the self-rated health status among the population of Russia in 2019–2021. Material and methods. The data from a Russian Federal State Statistics Service survey (coverage of 60,000 households) on the self-rated health status in the entire population over the age of 15 years in 2019–2021 and 2020–2021 were considered by 5-year age groups and Russia’s regions. The average regional estimates of health indicators (2020–2021) were determined. Com-parison was made using the nonparametric Wilcoxon test. Results. The majority (83%) of the population rated their health status as good and satis-factory. In the considered period (2019–2021), the proportion of respondents who rated their health status as very good (>9% in the entire sample; the maximum proportion [19%] was observed among those aged 15–19 years in 2021; the minimum proportion [0.2%] was among those over the age of 85 years), exceeded that of respondents who rated their health as very poor (0.7%; the max-imum proportion [8%] was among the respondents over the age of 85 years in 2020; the minimum proportion [0.1%] was in the age groups under the age of 40 years). A significant regional variabil-ity was found in health status self-ratings. The average regional proportion of those who rated their health as good and very good was 49.4% in 2020 and 49.3% in 2021 (p=0.9), moreover, >60% of these respondents were registered in 8 regions (Moscow, Saint Petersburg, the Astrakhan Region, the Chukotka Autonomous District, the Chechen Republic, the Republic of Tyva, Dagestan, and Ingushetia). The proportion of those who rated their health as poor and very poor exceeded 10% in 38 regions in 2020 and in 28 regions in 2021 (the average regional proportion was 9.4% and 8.6% in 2020 and 2021, respectively, (p=0.001). Conclusion. There were no substantial changes in the self-ratings of health status in Russia over a 3-year period (including those during the COVID-19 pandemic) (the differences were
Keywords: 
health
self-rating
public health

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