Geographical peculiarities of the mortality risk of the population of Sumy region from cardiovascular diseases


Keywords: cardiovascular diseases, mortality, primary morbidity, prevalence of diseases, morbidity factors, Sumy region

Abstract

Cardiovascular diseases (CVDs) are the main group of diseases from which the population of Sumy region suffers. They have not only high rates of primary morbidity and prevalence, but also play the leading role among the causes of mortality in the region. The aim of the article is clarification of the geographical features of mortality of the population of Sumy region from diseases of the circulatory system. In 2018 compared to 2012 the mortality of the general population in Sumy region from this class of nosology decreased by 1.17%, although among the able-bodied population it grew by 1.94%. The geographicaldifferences of mortality (including separately the group of able-bodied population) from various CVDs: coronary heart disease, acute myocardial infarction, cerebrovascular disease, cerebral strokes and strokes with hypertension, were established. For determining the regional features of mortality of the population from cardiovascular diseases we used the integrated indicator «disease mortality risk assessment». This indicator takes into account the relationship between the primary morbidity, prevalence of diseases and the causes of mortality and makes it possible to assess the state of health of the population in terms of CVDs. It was found that the inhabitants of Sumy, Romny, Nedryhailiv, Putyvl’ and Lypova Dolyna districts, where the highest integrated indicator value was observed , have a high risk of dying from diseases of the cardiovascular system,. At the same time for the city of Sumy, Bilopillia and Krasnopillia districts, a low level of the mortality risk from CVDs is characteristic. Among the able-bodied population of Sumy region, the inhabitants of Seredyna-Buda and Yampil’ districts are at the highest risk of mortality from CVDs. A forecast of the mortality of the population of Sumy region before 2023 was made. The baseline scenario showed a decrease of mortality from CVDs by 2.1 %. From the optimistic forecast (lower 95% confidence bound) the mortality rate from CVDs for 2023 will fall by 19.4%, while the pessimistic forecast (upper 95% confidence bound) shows an increase in the mortality rate by 13.3 %. As a result of ranking the values of the integrated indicator of mortality from cardiovascular diseases, it was found that in the first place is the risk of dying from a stroke, in the second place – from cerebrovascular diseases, and in third place – from strokes with hypertension. Next are the risks of dying from coronary heart disease and myocardial infarction. The results of the study can be used by local authorities to prevent the growth of morbidity and mortality from diseases of this nosological class, as well as for development of preventive measures and stabilization of the health status of the population of Sumy region.

Author Biographies

Olesia H. Kornus
Sumy State Pedagogical University named after A. S. Makarenko, Sumy
Anatolii O. Kornus
Sumy State Pedagogical University named after A. S. Makarenko, Sumy
Volodymyr D. Shyshchuk
Sumy State University, Sumy
Olena M. Korol
Sumy State Pedagogical University named after A. S. Makarenko, Sumy

References

1. Almendra R. & Santana P., 2020. Mortality from cardiovascular diseases in the municipalities of mainland Portugal: spatiotemporal evolution between 1991 and 2017. Geography, environment, sustainability. 13, 1. 128-133. doi: 10.24057/2071-9388-2020-06
2. Cardiovascular diseases (CVDs), 2017. Retrieved from. URL: https://www.who.int/ru/news-room/factsheets/detail/cardiovascular-diseases-(cvds)
3. Demianchuk, I.P., 2014. Heoprostorova kharakterystyka zakhvoriuvanosti ta smertnosti naselennia Ternopilskoi oblasti [Description of geospatial morbidity and mortality of Ternopil region] Scientific notes TNPU them. V. Gnatyuk. Series: geography. 1. 113-123 (in Ukrainian).
4. Dovidnyk pokaznykiv diialnosti ustanov okhorony zdorovia Sumskoi oblasti za 2012 rik, 2013. [Directory of indicators of the health care institutions activities of the Sumy region 2012]. Regional Information and Analytical Center for Medical Statistics. Sumy. 252 (in Ukrainian).
5. Dovidnyk pokaznykiv diialnosti ustanov okhorony zdorovia Sumskoi oblasti za 2018 rik, 2019 . [Directory of indicators of the health care institutions activities of the Sumy region 2018]. Regional Information and Analytical Center for Medical Statistics. Sumy. 260 (in Ukrainian).
6. Fedchyshyn, N.Ye., 2013. Khvoroby systemy krovoobihu: dynamika poshyrenosti v Ukraini ta Ternopilskii oblasti [Cardiovascular diseases: dynamics of prevalence in Ukraine and Ternopil region] Bulletin of Social Hygiene and Public Health. 1 (55). 53-55. (in Ukrainian).
7. Global Health Observatory Data Repository, 2017. World Health Organisation. Retrieved from URL: http://apps.who.int/gho/data/node.home.
8. Handziuk, V.A., Diachuk D.D., Kondratiuk N.Yu. Dynamika zakhvoriuvanosti ta smertnosti vnaslidok khvorob systemy krovoobihu v Ukraini (rehionalnyi aspekt) [Dynamics of morbidity and mortality due to blood circulatory diseases in Ukraine (regional aspect)]. Social Medicine and Health Organization. Retrieved from URL: https://cyberleninka.ru/article/v/dinamika-zahvoryuvanosti-ta-smertnosti-vnaslidok-hvorob-sistemi-krovoobigu-vukrayini-regionalniy-aspekt (in Ukrainian).
9. Horbas, I.M., 2010. Epidemiolohichna sytuatsiia shchodo sertsevo-sudynnykh zakhvoriuvan v Ukraini: 30-richne monitoruvannia [Epidemiological situation of cardiovascular diseases in Ukraine: 30-year monitoring]. Practical Angiology. 9-10 (38-39). Retrieved from URL: https://angiology.com.ua/ua-issue-article-357 (in Ukrainian).
10. Hovorko, O.V., 2015. Stan okhorony zdorovia Vinnytskoho rehionu: ekonomichni ryzyky ta yikh vyznachennia [Vinnytsia region health care state: economic risks and their definitions] Bulletin of Kherson State University. Series of Economics. 12. Part 1. 149-151 Retrieved from URL: http://www.ej.kherson.ua/journal/economic_12/38.pdf
(in Ukrainian).
11. Insult – problema suchasnosti, 2019 [Stroke is a problem of our time]. Pharmacist Practitioner. 10, 32. Retrieved from URL: https://fp.com.ua/news/insultproblema-suchasnosti (in Ukrainian).
12. Khvoroby systemy krovoobihu yak medyko-sotsialna i suspilno-politychna problema : (analit.-stat. posib.), 2014 [Diseases of the circulatory system as a medical-social and socio-political problem: (analyt.-stat. Benefit.) [Ed. Kovalenko V.N., Kornatsky V.M.]; National Academy of Medical Sciences of Ukraine, State Institution National Science Center «Institute of Cardiology named after M. D. Strazhesko of NAMS of Ukraine». Кyiv. 279 (in Ukrainian).
13. 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 (in Ukrainian).
14. Kornus, O.H. at al., 2017. Rehionalnyi profil zdorovia naselennia Sumskoi oblasti [Sumy Region Regional Health Profile] Region − 2017: Optimal Development Strategy: Mater. International. Research Practice Conf. (Kharkiv, September 19-20. KhNU named after V.N. Karazin. 93-96 (in Ukrainian).
15. Kornus, O.H. at al., 2020. Pervynna zakhvoriuvanist i poshyrenist khvorob systemy krovoobihu ta yikh rol yak prychyn smertnosti naselennia Sumskoi oblasti [Primary Morbidity and Prevalence of Circulatory System Diseases and their Role as the Causes of Mortality of the Population of Sumy Region] Scientific Notes of Sumy State Pedagogical University. Geographical Sciences. 2020. 2(1). 97-111. doi: 10.5281/zenodo.3661431 (in Ukrainian).
16. Kornus, О.H. at al., 2015. Terytorialno-nozolohichna struktura zakhvoriuvanosti naselennia Sumskoi oblasti [Territorial-nosological structure of population morbidity of Sumy region] : monograph. Sumy, 172 (in Ukrainian).
17. Kotvitska, A.A., Lobova, I.O., 2012. Doslidzhennia sotsialno-epidemiolohichnykh pokaznykiv naselennia Ukrainy vnaslidok khvorob systemy krovoobihu na derzhavnomu ta rehionalnomu rivniakh [The study of socio-epidemiological indicators of the population of Ukraine with regard to diseases of the circulatory system at the state and regional levels]. Pharmacy Bulletin. 4 (72). 62-65 (in Ukrainian).
18. Kovalenko, V.M. at al., 2013. Khvoroby systemy krovoobihu u strukturi smertnosti naselennia Ukrainy: mify i realnist [Circulatory system diseases in the mortality structure of Ukraine: myths and reality] Proceedings of the XIV National Congress of Cardiologists of Ukraine. 22-29 (in Ukrainian).
19. Kovalenko, V.M., Kornatskyi, V.M., 2013. Rehionalni medyko-sotsialni problemy khvorob systemy krovoobihu. Dynamika ta analiz: analitychnostatystychnyi posibnyk [Regional medical and social problems of circulatory system diseases. Dynamics and analysis: analytical and statistical manual]. Кyiv. 239 (in Ukrainian).
20. Kulchytska, T.K. at al., 2001. Osoblyvosti zakhvoriuvanosti dorosloho naselennia Ukrainy na khvoroby systemy krovoobihu [Features of the incidence of the adult population of Ukraine on diseases of the circulatory system]. Bulletin of social hygiene and public health organizations of Ukraine. 2. 34-38 (in Ukrainian).
21. Pluzhnikova, T.V., 2015. Analiz pokaznykiv poshyrenosti khvorob systemy krovoobighu u naselennja Poltavsjkoji oblasti za ostanni 7 rokiv [Analysis of the prevalence of diseases of the circulatory system in the population of Poltava region over the past 7 years]. Medical Forum. 4 (04). PART II. 32-36. Retrieved from URL: http://elib.umsa.edu.ua/jspui/bitstream/umsa/3914/1/app.pdf (in Ukrainian).
22. Rogozinskaya, N.S., Kozak L.M., 2013. Kompleksnyie indikatoryi dlya analiza prichin smertnosti naseleniya [The integrated indicators for analysis of cause-specific mortality]. Clinical Informatics and Telemedicine, 9(10). 108-116. Retrieved from URL: http://kit-journal.com.ua/doc/2013_10/108116_Kozak_Rogozynska_10_color_sc_P.pdf (in Russian).
23. Rosul, M.M., 2015. Profilaktyka sertsevo-sudynnykh zakhvoriuvan: rol simeinoho likaria [Prevention of cardiovascular diseases: the role of the family doctor]. Ukraine. Health of the Nation. 1 (33). 178-180 (in Ukrainian).
24. Sertsevo-sudynni zakhvoriuvannia v Ukraini, 2018 [Cardiovascular diseases in Ukraine] Retrieved from URL: http://hearts.in.ua/articles/heart_statistics/656.php (in Ukrainian).
25. Shchorichna dopovid pro stan zdorovia naselennia, sanitarno-epidemichnu sytuatsiiu ta rezultaty diialnosti systemy okhorony zdorovia Ukrainy. 2017 rik, 2018 [Annual report on the health status of the population, the sanitary-epidemic situation and the results of the health care system of Ukraine 2017]. Kyiv, Ministry of Health of Ukraine, Government Agency «Ukrainian Institute for Strategic Studies», 458 (in Ukrainian).
26. Shyian, D.V., 2012. Terytorialni osoblyvosti zakhvoriuvanosti naselennia m. Kryvyi Rih yak tsentru staropromyslovoho raionu [ Territorial features of incidence of disease of the population of Krivoy Rog as a center of an old industrial region]. The author’s abstract for a PhD degree of geographical sciences in specialty 11.00.02. Kharkiv, 22 (in
Ukrainian).
27. Slyvka, Ya.I., Virah M.V., 2011. Riven sertsevo-sudynnykh zakhvoriuvan na Zakarpatti: analiz poshyrenosti zakhvoriuvanosti ta smertnosti uprodovzh 2008-2010 rokiv [Current level of cardiovascular diseases in Transcarpathia: analysis of prevalence, morbidity and mortality as for 2008-2010 years.]. Scientific Bulletin of Uzhhorod University, series «Medicine». Issue 3 (42). 193-196 (in Ukrainian).
28. Smertnist naselennia Ukrainy u trudoaktyvnomu vitsi (monohrafiia), 2017 [Mortality of the Ukrainian population at working age (monograph)] Ed. E.M. Libanova. K.: Institute of Demography and Social Research, National Academy of Sciences of Ukraine. 211 (in Ukrainian).
29. Smertnist vid sertsevo-sudynnykh zakhvoriuvan yak derzhavna problema, 2016 [Cardiovascular mortality as a government problem]. Retrieved from URL:
https://www.ifnmu.edu.ua/images/biblioteka/nashi_resursi/bibliografichni_pokagchiki/smertnist_vid_sercevosudinnih.pdf (in Ukrainian).
30. Tablytsi narodzhuvanosti, smertnosti ta serednoi ochikuvanoi tryvalosti zhyttia za 2018 rik: statystychnyi zbirnyk. 2019 [Tables of nationality, mortality, and mid-year, three months before 2018: statistical statistical report.]. K.: State Statistics Service of Ukraine. Retrieved from URL: http://ukrstat.gov.ua/druk/publicat/kat_u/2019/zb/08/zb_tabl_nar_2018.pdf (in Ukrainian).
Published
2020-12-26
How to Cite
Kornus, O., Kornus, A., Shyshchuk, V., & Korol, O. (2020). Geographical peculiarities of the mortality risk of the population of Sumy region from cardiovascular diseases. Journal of Geology, Geography and Geoecology, 29(4), 710-721. https://doi.org/https://doi.org/10.15421/112064

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