Geographical differences of morbidity and prevalence of the circulatory system diseases among the population of the Sumy region


  • O. H. Kornus
  • A. O. Kornus
  • V. D. Shyshchuk
Keywords: primary morbidity, prevalence of diseases, diseases of the circulatory system, the morbidity rate, Sumy region

Abstract

Analyzed the level of primary incidence of population and the prevalence of circulatory system diseases among the residents of the Sumy region. It is established that nosologies of this class are leading in the overall structure of disease's prevalence among the inhabitants of the Sumy region, significantly outstripping a respiratory diseases, diseases of digestive system and eating disorders and diseases of other nosological classes. The dynamics of incidence and prevalence of diseases was separately examined during 20052016. Moreover, it was revealed that the situation with the morbidity by nosologies of this group during 2005–2016 has been deteriorating. For example, the primary incidence of population of the Sumy region by diseases of circulatory system increased by 24.9 %, and the prevalence of cardiovascular pathology among inhabitants of the Sumy region for the above indicated period increased by 19.4 %. It is established that in the structure of prevalence of the circulatory system diseases on the first place are hypertensive diseases, which have the highest levels of primary incidence's growth during 2005–2016, which in some regions exceed 100 %. The incidence of population by the ischemic diseases in the Sumy region for the same period increased by 31.5 %, and their prevalence by 18.7 %, the same figures for the cerebrovascular diseases are 25.7 % and 12.0 % respectively. Consequently, the growth of the primary incidence of population by cardiovascular diseases and the increase of prevalence of these nosologies led to an increase of their percentage in the structure of the mortality causes in the region, which exceeds 64 %. In the Sumy region, the mortality rate due to the diseases of the circulatory system in 2016 was 1,060.3 deaths per 100,000 inhabitants (whereas in 2010 this percentage was 1,046.6 cases per 100,000 inhabitants), including among the working-age population – 126.8 deaths per 100,000 inhabitants (only during 2014–2016 the mortality rate of working age population due to cardiovascular pathologies increased by 2.3 %). The benefit of this study is analyses of the geographical patterns of incidence of the population as well as prevalence of the cardiovascular diseases among the inhabitants of the region. With help the cluster analysis, groups of districts that combined administrative units with similar rates of incidence of population, same prevalence of the circulatory system diseases and similar level of provision of the population by medical institutions and specialists of the appropriate profile were identified. The geographical discrepancies between the level of the incidence of population and the level of specialized medical-cardiological care are revealed. It has been established that in many administrative districts of the region there are no cardiologists at all among the specialists providing medical assistance, and cardiac beds (or both) are absent in medical and preventive institutions. Consequently the population is not provided with the proper level of cardiac care. Considering the above, it should be said that in some districts the temporal principle known as the "golden hour", when the patient needs to be delivered to a cardiologist, will not be kept. 

Author Biographies

O. H. Kornus
Sumy State Pedagogical University named after A. S. Makarenko
A. O. Kornus
Sumy State Pedagogical University named after A. S. Makarenko
V. D. Shyshchuk
Sumy State University

References

1. Bachynska, I. V., 2013. Ishemichna khvoroba sertsia – aktualnist, poshyrenist, vplyv na invalidyzatsiiu ta smertnist. Hostryi koronarnyi syndrom – dominantna problema suchasnosti: statystychni fakty [Coronary heart disease – topicality, prevalence, the impact on incapacitation and mortality. Acute coronary syndrome as a dominant problem of the modern times: statistical facts]. Buk. Med. Herald. Vol. 17, № 4 (68), 174–178 (in Ukrainian).
2. Dorohoi, A. P., 2017. Dynamika serednoho viku smerti naselennia Ukrainy pry tserebrovaskuliarnykh khvorobakh [The dynamics of the middle age of population death of the Ukraine in cerebrovascular diseases]. Eurolab medical portal. Retrieved from URL: http://www.eurolab.ua/encyclopedia/565/44034/ (in Ukrainian).
3. Dovidnyk pokaznykiv diialnosti ustanov okhorony zdorovia Sumskoi oblasti za 2016 rik, 2017. [Directory of indicators of the health care institutions activities of the Sumy region 2016]. Regional Information and Analytical Center for Medical Statistics. Sumy (in Ukrainian).
4. Global Health Observatory Data Repository, 2017. World Health Organisation. Retrieved from URL: http://apps.who.int/gho/data/node.home
5. Kornatskyi, V. M. & Silantieva O. V., 2013. Sertsevosudynni zakhvoryuvannya i shkidlyvi ekolohichni chynnyky [Cardiovascular diseases and harmful ecological factors]. Ukrain. Cardiol. Journ. №3. 2013, 109–116 (in Ukrainian).
6. Kornatskyi, V. M., 2009. Khvoroby systemy krovoobihu i psykhichne zdorovia [Diseases of the circulatory system and mental health]. Zdorovia. Кyiv (in Ukrainian).
7. Kornus, A. O. at al., 2015. Influence of Environmental Factors on the Population Health: Regional Approach for the Medical-Ecological Analysis (for Example, the Sumy Region of Ukraine). Europ. Journ. of Medicine. Vol. 8, Issue 2, 94–105. DOI: 10.13187/ejm.2015.8.94
8. Kornus, O. H., Kornus, A. O., Shyshchuk, V. D., 2015. Terytorialno-nozolohichna struktura zakhvoriuvanosti naselennia Sumskoi oblasti [Territorial-nosological structure of population morbidity of the Sumy region]. Sumy State Pedagogical University named after A. S. Makarenko. Sumy. 2015 (in Ukrainian).
9. Kulchytska, T. K. at al., 2001. Osoblyvosti zakhvoriuvanosti dorosloho naselennia Ukrainy na khvoroby systemy krovoobihu [The features of morbidity of the adult population of Ukraine by diseases of the circulatory system]. Herald Soc. Hygiene & Health Care of Ukraine. № 2, 34–38 (in Ukrainian).
10. Merezha likuvalno-profilaktychnykh zakladiv okhorony zdorovia ta zakhvoriuvanosti naselennia Sumskoi oblasti za 2005–2011 roky, 2012. [The network of medical and preventive health care institutions and the population morbidity of Sumy region for 2005–2011]. Regional Information and Analytical Center for Medical Statistics. Sumy (in Ukrainian).
11. Rosul, M. M. at al., 2015. Profilaktyka sertsevosudynnykh zakhvoriuvan: rol’ simeinoho likaria [Prevention of cardiovascular diseases: the role of family doctor]. Ukraine. Health of Nation. 1(33), 178–180 (in Ukrainian).
12. Sertsevo-sudynni zakhvoriuvannia v Ukraini, 2012. [Cardiovascular diseases in Ukraine]. The platform of social partnership Hearts.in.ua. Retrieved from URL: http://hearts.in.ua/articles/heart_statistics/656.php (in Ukrainian).
13. Sertsevo-sudynni zakhvoriuvannia v Ukraini: prohnozy – nevtishni, 2015. [Cardiovascular diseases in Ukraine: the forecasts – disappointing]. Vashe zdorovia. Retrieved from URL: http://www.vz.kiev.ua/sercevo-sudinnizaxvoryuvannya-v-ukrayini-prognozi-nevtishni/ (in Ukrainian).
14. Shafranskyi, V.V. ed. by, 2016. Annual report about the public health state, sanitary-epidemiological situation and the activity results of the health care system of Ukraine. 2015 [Shchorichna dopovid pro stan zdorovia naselennia, sanitarno-epidemichnu sytuatsiiu ta rezultaty diialnosti systemy okhorony zdorovia Ukrainy. 2015 rik]. Ministry of health care of Ukraine, Ukrainian institute for strategic studies of the Ministry of health care of Ukraine. Кyiv (in Ukrainian).
15. The top 10 causes of death worldwide, 2017. WHO Media centre. Retrieved from URL: http://www.who.int/mediacentre/factsheets/fs310/en/
16. Tsiborovsky, О. М., 2015. Zdorovia naselennia i faktory ryzyku, shcho vplyvaiut na yoho stan, yak obiekt upravlinnia (ohliad literatury) [Health of the population and risk factors affecting its condition as an object of management (literature review)]. Ukraine. Health of Nation. 2(34), 13–19 (in Ukrainian).
17. Ukrainska nevrolohiia sohodni, 2015. [Ukrainian neurology today]. Medical portal "Health of Ukraine". Retrieved from URL: http://healthua.com/articles/1208 (in Ukrainian).
18. Vilenskij, B. S., 2007. Pjatnadcataja Evropejskaja konferencija po problemam insul'ta (Brjussel', 16–19 maja) [Fifteen European Conference on stroke issues (Brussels, May 16–19)] // The Neurol. Journ. № 2. С. 51–57 (in Russian).
19. Yuzych, I.A., 2016. Kliniko-funktsionalna diahnostyka i patofiziolohichni mekhanizmy vynyknennia vtorynnykh dylatatsiinykh kardiomiopatii [Clinical and functional diagnosis and pathophysiological mechanisms of secondary dilatation cardiomyopathies]. Dissertation on competition of the Candidate of Medical Sciences degree in specialty 14.01.11 – cardiology. – Danylo Halytsky Lviv National Medical University Ministry of Health of Ukraine, Lviv (in Ukrainian).
Published
2018-03-30
How to Cite
Kornus, O., Kornus, A., & Shyshchuk, V. (2018). Geographical differences of morbidity and prevalence of the circulatory system diseases among the population of the Sumy region. Journal of Geology, Geography and Geoecology, 26(1), 100-112. https://doi.org/https://doi.org/10.15421/111811