人口年龄性别结构是区域人口发病的因素之一

V. M. Shipova, E. Berseneva, T. Makarenko, B. Spasennikov
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摘要

按主要类别、群体和具体疾病划分的人口发病率取决于许多因素:人口的经济发展和生活条件、保健组织网络的发展以及基本和专业医疗服务的提供、医务人员的配备及其资格、居民对健康的态度和及时的预防措施,等等。本文提出了一种评估年龄-性别人口结构对保健能力影响的方法,描述了计算的各个阶段,并给出了具体的例子。该方法的特点是,当从密集指数改为单位系数时,考虑的是某一年龄-性别组别的数据。对于年龄-性别人口结构差异很大的两个地区,在所有其他因素相同的情况下,首次恶性肿瘤和活动性结核病病例数的计算结果显示,这些病例只可能由于年龄-性别人口结构的影响而发生。别尔哥罗德州和印古什共和国的总估计数字存在巨大差异,这表明在分析医疗组织的活动、保健规划能力和医务人员的可用性时应考虑到这一因素。
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Age-Sex Structure of Population as One of the Factors of Its Morbidity at the Regional Level
Morbidity in a population according to its main classes, groups and specific diseases depends on many factors: economic development and living conditions of the population, the development of a network of healthcare organizations and the availability of basic and specialized types of medical care, the availability of medical personnel and their qualifications, the attitude of residents to their health and timely preventive measures, etc. The article presents a method of assessing the influence of age-sex population structure on the capacity of health care, describes the stages of calculations and gives specific examples. The characteristic feature of the method is the fact that when changing from intensive indicators to coefficients per unit, data in a given age-sex group are considered. For the two territories, which have significant differences in the age-sex population structure, the results of calculations of the number of first-time malignancies and active tuberculosis cases, which can occur only due to the influence of the age-sex population structure, all other factors being equal, are shown. The significant difference in the total estimated figures for the Belgorod region and the Republic of Ingushetia indicates that this factor should be taken into account in the analysis of the activities of medical organizations, planning capacity of health care and availability of medical personnel.
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