2019 № 9 The dynamics of the components of the changes in the life expectancy of the population of the Krasnoyarsk territory
The aim of the study was a component analysis of mortality in the Krasnoyarsk region for the period from 1999 to 2017. To conduct a component analysis, we used depersonalized databases of all registered deaths in the Krasnoyarsk region from 1999 to 2017 and data on the average annual population for this period. E. M. Andreeva and E. E. Arriaga methods were used as a methodology of component analysis. The results of the component analysis allowed to establish a positive contribution of mortality changes in the dynamics of life expectancy of the population of the Krasnoyarsk territory in almost all age groups, with the exception of women in the age group 35–39, where there was a slight negative contri¬bution. For the period from 1999 to 2017 negative contribution to the dynamics of life expectancy has made changes in mortality from such causes as: diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism diseases of the nervous system and diseases of the digestive system, and diseases of the skin and subcuta¬neous tissue. At the same time, the greatest negative contribution among all categories of the population was made by the change in mortality from diseases of the nervous system. The results can be used in the formation of short-term health development programs to increase life expectancy.
2019 № 3 Prevalence of socio-biological risk factors in pregnant women of Krasnoyarsk region and their impact on adverse pregnancy outcomes
The aim of the study was to study the prevalence of socio-biological risk factors in pregnant women of the Krasnoyarsk territory and their impact on the risk of adverse pregnancy outcomes. The analysis includes data on 122 250 cases of pregnancy in the period from 2014 to 2017 in the Krasnoyarsk region. All analyzed cases of pregnancy were divided into 2 groups: group I – cases of pregnancy with unfavorable outcomes (8 290 cases), group II – cases of pregnancy with favorable outcomes (113 960 cases). The paper analyzes the following factors: mother’s age less than 18 years or 40 years or more, father’s age 40 years or more, the presence of the mother and father of occupational hazards, bad habits (smoking 1 pack of cigarettes a day, alcohol abuse), mother’s height 158 cm or less, as well as the mother’s body weight 25% higher than normal. To assess the impact of the studied factors on the risk of adverse pregnancy outcomes, the odds ratio was calculated. The results of the study indicate that the presence of occupational hazards in the mother and her age less than 18 years do not affect the risk of adverse pregnancy outcomes. To the greatest extent, this risk is influenced by the presence of bad habits in the mother (smoking and alcohol abuse) and the father (alcohol abuse), as well as the presence of occupational hazards in the father. The use of information on the impact of various factors on the risk of adverse pregnancy outcomes will allow the most effective routing of pregnant women by levels of care to reduce, ultimately, the number of these outcomes. The results show that the risk of adverse pregnancy outcomes is influenced by a fairly wide range of factors. In this case, each factor has a different degree of impact on the risk. Given these circumstances, it is necessary to further develop an integrated assessment of the risk of adverse pregnancy outcomes.