Aim:The purpose of the study was to carry out comparative analysis of the status and trends in mortality of male and female population of working age (15-59 (54)
years) in Russia and the EU-27. Materials and methods: Based on official Russian (Rosstat) data, on the global database of the World Health Organization's cause of death (The WHO Mortality Database, WHOMD) and databases The Human MortalityDatabase (HMD) of the sex-age composition of the population and the number of deaths from certain causes of death by age and sex standardized (direct method) mortality rates of working age population from selected causes of death for 1990 and 2011 in Russia and the average for the EU-27 were calculated. Results: Analysis of trends in mortality of male and female population of working age in Russia over the past two decades shows that, despite the positive changes in during last six years, in 2011, age-standardized mortality rates remained above the 1990 level for most causes of death. During the same period in the EU-27 mortality in men (15-59 years) and women (15-54 years) increased from almost all causes of death, which led to an even greater gap between Russia and developed countries on this indicator: standardized mortality rate of the male population of Russia in 1990 was higher than in the EU-27 by 2.1 times, and by 2011 the gap had increased to 3.5 times. The women in the 1990 had 1.5 times higher standardized mortality rates, and by 2011 the gap had increased to 2.7 times. Conclusion: Despite a steady decline in the mortality rates of working age population after 2005, its level in 2012 was still higher than the one of 1990 for both men and women, which led to a further increase in the gap between the age-standardized coefficients of mortality rate of working age population in Russia and the countries of European ). Faster reduction of mortality rate in the working age population will preserve Russian population and its labor potential. Key words: mortality of working age population, trends, structure of causes of death, standardized mortality rates.
The authors specified a method of comparative evaluation of life span for individuals with occupational diseases and general population of corresponding age and sex. The method was tested on materials of database from Rostov regionalOccupational Pathology center. Comparative analysis covered age and death causes in 8082 coal miners with confirmed occupational disease, who died during subsequent 26 years (01/01/1990–31/12/2015), and data on male population mortality in Rostov region over the same period. The method specified helped to define that life span in the miners with occupational disease is shorter by 2.9 years vs. that in general male population of the same age.Total share of death with diseases considered occupational or occupationally conditioned in miners equaled 93.3% in the main group, and the share of other causes is less than 7% vs. 33.4% in the general male population of Rostov region.Testing of the suggested methodic approach proves that it can be applied for comparative evaluation of life span and structure of mortality causes in individuals with occupational diseases in various regions of the country, for various occupational groups or certain entities (nosology types) in occupational pathology.
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