The regional nosogeographical analysis and factors affecting population respiratory morbidity (on example of the Sumy region, Ukraine)
Keywords:
respiratory diseases, primary morbidity, diseases prevalence, nosology, morbidity factors, nosogeographic assessment, medical and environmental research, Sumy region
Abstract
The article is devoted to consideration of the spatial-temporal structure of the primary morbidity and prevalence of the respiratory organs diseases among the population of the Sumy region. The article based on the data of annual statistical reports of medical institutions of Sumy region, which are subordinate to the Ministry of Public Health of Ukraine. The article used the methods of factor and correlation analysis, as well as methods of mathematical-statistical analysis, and ranking. The authors analyzed the spatial-temporal structure of respiratory organs pathology among the population and revealed the territorial differences and the dynamics of respiratory morbidity of the population. Nosogeographic assessment of territory of the Sumy region, which was carried out according to the integral respiratory diseases morbidity index (IMI), shows that today the highest values of IMI are obtained by analyzing the incidence rate in Putyvl’ (1.01), Krasnopillia (1.02), Konotop (1.11), Buryn’ (1.32) districts and in the city of Sumy (1.15). These are the districts where the incidence rate of respiratory diseases among the population has increased most of all during the study period. Low values of IMI are noted in Lypova Dolyna (0.63), Seredyna Buda (0.71), Velyka Pysarivka (0.72) and Nedryhailiv (0.79) districts. The higher is the IMI value, the worse the health level of the population. The average index storage respiratory diseases (ISD) in the Sumy region in 2017 was 1.27, with polarization ISD value in some areas from 1.19 in Shostka, 1.22 in Konotop, 1.23 in Yampil’ and Trostianets regions to 1.39 in Lebedyn, 1.42 in Romny and 1.61 in the Seredyna Buda districts. This indicates the predomination of chronic forms of diseases over acute ones and can be explained by the influence of environmental and socio-economic factors. It also points to the need to increase of attention of both the regional and state components of the health care system. Besides that, the issues of providing financial and human resources for the health care system in districts with high incidence rates of respiratory pathology require attention. The study of the primary morbidity and the prevalence of respiratory diseases trends is a prerequisite for the development of preventive measures in the Sumy region. They are also needed to assess the quality of medical care for residents who have the pulmonary diseases. The factor analysis results are confirmed the importance of environmental and technogenic factors in formation of the indicators of primary morbidity and prevalence of respiratory diseases among the residents of the Sumy region.References
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2. Chronic obstructive pulmonary disease, 2019. Retrieved from URL: https://www.who.int/respiratory/ copd/en/
3. Demianchuk, I. P., 2017. Konstruktyvno-heohrafichni za- sady medyko-heohrafichnykh doslidzhen Terno- pilskoi oblasti [Structurally geographical bases medical geography research of Ternopil region]. The dissertation for a Candidate’s degree of geographical sciences in specialty 11.00.11. Kyiv, 253 (in Ukrainian).
4. Dovidnyk pokaznykiv diialnosti ustanov okhorony zdoro- via Sumskoi oblasti za 2005 rik, 2006. [Directory of indicators of the health care institutions activi- ties of the Sumy region 2005]. Sumy, Regional Information and Analytical Center for Medical Statistics, 248 (in Ukrainian).
5. Dovidnyk pokaznykiv diialnosti ustanov okhorony zdoro- via Sumskoi oblasti za 2013 rik, 2014. [Directory of indicators of the health care institutions activi- ties of the Sumy region 2013]. Sumy, Regional Information and Analytical Center for Medical Statistics, 285 (in Ukrainian).
6. Dovidnyk pokaznykiv diialnosti ustanov okhorony zdoro- via Sumskoi oblasti za 2016 rik, 2017. [Directory of indicators of the health care institutions activi- ties of the Sumy region 2016]. Sumy, Regional Information and Analytical Center for Medical Statistics, 260 (in Ukrainian).
7. Dudina, O., Haborets, Yu., Voloshyna, U., 2015. Do stanu zdorovia dytiachoho naselennia [To the health of the child population]. Ukraine. The health of the nation. 3(5), 10−11 (in Ukrainian).
8. Hutsuliak, V. M. & Nakonechnyi, K. P., 2010. Medyko- ekolohichna otsinka landshaftiv Chernivetskoi oblasti: monohrafiia [Medical-ecological assessment of landscapes of Chernivtsi region: monograph]. Chernivtsi, 200 (in Ukrainian).
9. Kornus, A. O. & Kornus, O. H., 2017. Promyslovist Sums- koi oblasti (ekonomiko-heohrafichne doslidzhen- nia): Monohrafiia. [Industry of the Sumy region (economic-geographical research): Monograph]. Sumy, Sumy State A. S. Makarenko Pedagogical University, 136 (in Ukrainian).
10. Kornus, A. O., Kornus, O. H., Shyschuk, V. D., 2015. Influence of Environmental Factors on the Population Health: Regional Approach for the Medical-Ecological Analysis (for Example, the Sumy Region of Ukraine). The European journal of medicine, 8(2), 94−105. doi: 10.13187/ejm.2015.8.94
11. Kornus, O., & Kornus, A., 2007. Otsinka rivnia sotsialno- ekonomichnoho rozvytku Sumskoi oblasti metodom Pattern [Assessment of the level of socio- economic development of the Sumy region by the Pattern method]. Human geography journal, 3(2), 121−125 (in Ukrainian).
12. 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. Ukraine. Dnipropetrovsk Univ. Bulletin. Geology, Geography, 26(1), 100−112. doi: 10.15421/111811
13. Kornus, О. H. at al., 2015. Terytorialʹno-nozolohična struktura zaxvorjuvanosti naselennja Sumsʹkoji oblasti [Territorial-nosological structure of population morbidity of the Sumy region] : mohograph. Sumy, 172 (in Ukrainian).
14. Krasnova, O., 2014. Indykatory efektyvnosti v sferi okhorony zdorovia [Indicators of efficiency in the field of health]. Collection of scientific works of the Faculty of Physics and Mathematics. Poltava, ASMI LLC, 291−292 (in Ukrainian).
15. Martusenko, І. V., 2005. Terytorialʹna orhanizacija medyčnoho kompleksu Vinnycʹkoji oblasti [Ter- ritorial organization of the medical complex of the Vinnytsia region]. The author’s abstract for a Candidate’s degree of geographical sciences in specialty 11.00.11. Kyiv, 24 (in Ukrainian).
16. Masheiko, A. M., 2017. Analiz zakhvoriuvanosti na hostryi farynhit i tonzylit ta yikh poststreptokokovykh uskladnen u ditei v Ukraini [Analysis of the incidence of acute pharyngitis and tonsillitis and their post-streptococcal complications in children in Ukraine]. Social Pharmacy in Public Health. 3(1), 14−22 (in Ukrainian).
17. Mayer, J., 2010. A companion to health and medical geography / Ed. by T. Brown, S. McLafferty, G. Moon. Blackwell Publishing Ltd., 637.
18. Mezentseva, I. V., 2008. Ekoloho-heohrafičnyj analiz zaxvorjuvanosti naselennja Volynsʹkoji oblasti [Ecological-geographical analysis of the morbidity of the population of the Volyn region]. The author’s abstract for a Candidate’s degree of geographical sciences in specialty 11.00.11. Lviv, 20 (in Ukrainian)
19. Molikevych, R. S., 2016. Stan zdorovia naselennia Khersonskoi oblasti (medyko-heohrafichne doslidzhennia) [Health condition of the population of the Kherson region (medical-geographical research)]. The author’s abstract for a Candidate’s degree of geographical sciences in specialty 11.00.11. Kyiv, 20 (in Ukrainian).
20. Novikov, P. V. et al., 2007. Rukovodstvo po pediatrii. Vrozhdennye i nasledstvennye zabolevanija [Guide to Pediatrics. Congenital and hereditary diseases]. Moscow, Dinastia, 544(in Russian).
21. Podvirna, Kh. Ye., 2010. Heoprostorova orhanizacija sfery oxorony zdorovja (na materialax Lʹvivsʹkoji oblasti) [Geospatial organization of health care (on materials of Lviv region)]. The author’s abstract for a Candidate’s degree of geographical sciences in specialty 11.00.02. Lviv, 20 (in Ukrainian).
22. Shevchenko, V. О., 1997. Teoretyko-metodyčni osnovy medyko-heohrafičnoho analizu terytoriji Ukrajiny [Theoretical and methodological foundations of medical-geographical analysis of the territory of Ukraine]. The author’s abstract for a Doctor’s degree of geographical sciences in specialty 11.00.02. Kyiv, 32 (in Ukrainian).
23. Shhorichna dopovid’ pro stan zdorov’ja naselennja, sanitarno-epidemichnu situaciju ta rezul’taty dijal’nosti systemy okhorony zdorov’ja Ukrainy 2015, 2016. [Annual report on the health status of the population, the sanitary-epidemic situation and the results of the health care system of Ukraine 2015]. Kyiv, Ministry of Health of Ukraine, Government Agency «Ukrainian Institute for Strategic Studies», 452 (in Ukrainian).
24. Shovkun, Т. М., 2012. Medyko-heohrafičnyj analiz zaxvorjuvanosti naselennja (na prykladi Černihivsʹkoji oblasti) [Medical-geographical analysis of the morbidity of the population (on the example of the Chernihiv region)]. The author’s abstract for a Candidate’s degree of geographical sciences in specialty 11.00.11. Kyiv, 20 (in Ukrainian).
25. Yakovenko, O. K., Yakovenko, T. L., 2017. Pohliad na suchasnu pulmonolohiiu ochyma praktykuiuchoho likaria [A look at modern pulmonology through the eyes of a medical practitioner]. Clinical Immunology. Allergology. Infectology. Special edi- tion, 1, 5−11. (in Ukrainian)
26. Zaklady ohorony zdorov’ja ta zahvorjuvanist’ naselennja Ukrainy u 2017 roci, 2018. [Institutions of health and morbidity of the population of Ukraine in 2017]. Statistical bulletin. Кyiv, State Statistic Service of Ukraine, 109 (in Ukrainian).
27. Zdorovіe lehkykh v Evrope - fakty i tsyfry, 2014. [Lung health in Europe – facts and figures]. Retrieved from URL: https://www.ers-education.org/lrme- dia/2014/pdf/239347.pdf (in Russian).
Published
2020-04-09
How to Cite
Kornus, A., Kornus, O., Shyshchuk, V., & Potseluev, V. (2020). The regional nosogeographical analysis and factors affecting population respiratory morbidity (on example of the Sumy region, Ukraine). Journal of Geology, Geography and Geoecology, 29(1), 82-93. https://doi.org/https://doi.org/10.15421/112008
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Статьи
