Comprehensive analysis of the trend in main indicators of the health of the adult population suffered from chronic non-communicable diseases with the preventive activity of medical institutions

Abstract

Purpose. The relevance of the study is determined by the high incidence of chronic non-communicable diseases (CNCD) and the mortality of the working population. Materials and methods. As part of an observational study, morbidity and mortality due to CNCDs in the adult population of the Saratov region, the trend in the medical examination index and medical prevention activity over 2011-2020 were analyzed. Results. Analysis of trends in morbidity and mortality due to chronic NCDs for 2011-2020 showed the gain. Respiratory diseases are leading in their structure (chronic bronchitis, emphysema - an increase by 200 cases (+200%), obstructive pulmonary disease - 200 (+50%), asthma - 0 (0%)), obesity - 100 (+62,5%), diseases of the circulatory system (DCS) - 1330 (+35,5%), diseases characterized by high blood pressure - 460 (+39,3%), coronary heart disease - 750 (+98,7%) cerebrovascular diseases - 190 (+19,6%); type II diabetes - 50 (+17,8%), malignant neoplasms - 50 (+12,2%). In the structure of total mortality the share of CNSD in 2011 was 51%, neoplasms - 12,6%, and in 2020, CNSD of tumor formations amounted to 49,4% and 12,6%, respectively. Increase in deaths due to neoplasms (15,8%), CNSD (12,2%) in 2020 compared to 2011, and compared to 2019 due to diabetes mellitus (+90.8%), diseases of the respiratory system (+44,4%), CSD (+17,2%), in particular, coronary heart disease (+27,7%), cerebrovascular diseases (+2,7%), malignant neoplasms (-1,6%). Limitations. The study has regional (Saratov region) limitations. Conclusion. Primary morbidity and mortality rates reflect an unfavourable prognosis for CNCDs in the adult population of the Saratov region. This justifies the analysis of health care and the development of highly effective methods of prevention and treatment and rehabilitation measures aimed at maintaining health and extending the working longevity of the population.