AIM: Evaluation of the impact of climatic factors on the formation of mortality due to circulatory diseases and a group of diseases related to alcohol consumption identified as alcohol-dependent. METHODS: The study subject was the adult population residing in different climatic zones of Russia: in the second, third and fourth zones, with different conditions: average annual temperature (5.2°C; 1-2°C; -2.0°C), snow cover duration (≤ 150 days, ≤ 180 days, ≈ 220 days) sunshine duration and the presence of polar night and polar day in the territory of the fourth climatic zone. The assessment “impact-case of death” was carried out by calculating the standardized incidence ratio (SIR) with 95% confidence intervals (CI) for circulatory system diseases (CSD) and alcohol-dependent diseases (ADD) in accordance with the international classification of diseases (ICD-X). RESULTS: The SIR of death from alcohol-dependent diseases for the female population in the 4th climatic zone (Murmansk Region) was the highest: the SIR of death from ADD 1.87; 95% CI (1.5-2.7), the SIR of death from CSD 1.3; 95% CI (1.2-2.3). For the female population in the 3rd climatic zone (Novosibirsk Region), the SIR of death has amounted to: SIRADD 1.52; 95% CI (1.2-1.87), SIRCSD 1.14; 95 CI (1.01-1.3). Living in the 3rd climatic zone was not so important for the health of the male population: the SIR of death from CSD 1.1; 95% CI (1.05-1.13); the SIR of death from ADD 0.8; 95% CI (0.65-0.98). However, living in the 4th climatic zone (Murmansk Region) poses a higher risk of death for the male population: SIRCSD 1.22 (22.0%); 95% CI (1.02-3.95); SIRADD 1.45 (45.0%); 95% CI (0.98-2.1). CONCLUSION: Living in high northern latitudes contributes to higher levels of mortality, both female and male, from circulatory and alcohol-dependent diseases.

The article presents a comparative analysis of health indices of the population living in different (second and third) climatic zones of Russia. The selection of the climatic belts is based on the climate of each zone: average January temperature, average July temperature, especially the winter period, which affects the heat transfer processes in a person and the subjective, the perception of comfort climate. In identifying the role of climatic factors in shaping the health of the population, a comparative analysis of areas with different climatic parameters at similar levels of socio-economic indices: per capita income, unemployment rate, number of physicians, persons with higher and incomplete higher education, ethnic composition. Under similar socio-economic conditions in the regions, the role of climate is obviously shown to be in shaping the health of the population. The health of the population was assessed in terms of the morbidity and mortality rate in selected population groups. The morbidity rate was analyzed in age groups, not characteristic for migration (children aged 15-17 years and older). Children not exposed to occupational factors as adult population residing permanently in the region. The incidence of an older population living in the third climatic zone (Novosibirsk region), as in all diseases, and for individual disease groups exceeded the performance of the corresponding age groups of the second climatic zone (Penza region). Higher levels of the mortality rate of the population of the Novosibirsk region, compared to the same figures for the population of the Penza region, are formed at the age of 50 years and older in the following causes of death: cerebrovascular diseases, endocrine diseases, alcoholism, trauma, poisoning, and other external influence.

No abstract

No abstract