Rural-urban Health Disparities for Cardiovascular Disease in the Republic of Kazakhstan

Mukasheva, Gulbarshyn; Bulegenov, Tolkyn; KOLYADO, V.B.; Kazyeva, Altynai

doi:10.3889/oamjms.2021.7598

Cited by 2 publications

(1 citation statement)

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“…In many countries, there is a health disparity between rural and urban areas, and cardiovascular disease is no exception. Although numerous international studies report worse outcomes for the rural population, this is not the case in Kazakhstan, where the rural population tends to have lower rates of morbidity and mortality [ 19 ]. Perhaps this is due to the low availability of medical facilities, which is typical for the rural areas of our country, and the lack of timely access to medical care, and diagnostics, which can interfere with the successful treatment process.…”

Section: Discussionmentioning

confidence: 99%

Cardiovascular Diseases Increased among the Rural and Urban Population of the Northern Regions of the Republic of Kazakhstan during COVID-19: A Descriptive Study with Forecasting

Shynar,

Laura,

Gulshara

et al. 2024

Rev. Cardiovasc. Med.

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Background: The biggest health problem in most developed countries of the world, including Kazakhstan, is high morbidity and death rates due to cardiovascular diseases (CVD), both in urban and rural areas. As is known during the outbreak of COVID-19, the inaccessibility of many medical services played a big role in the incidence of CVD, in particular in the northern regions of the Republic of Kazakhstan (KZ). The objective of our research was to analyze the prevalence of CVD in city and village regions of the northern regions of the Republic of Kazakhstan, considering the outbreak period with forecasting. Methods: A descriptive study with forecasting was conducted based on the “Health of the population of the Republic of Kazakhstan and the activities of healthcare organizations”, secondary statistical reporting data (collected volume) of the KZ. Information from this database was collected for five districts, two cities and one city of regional significance in the northern region of the KZ. Results: According to our descriptive study, the incidence of CVD indicates a comparatively large prevalence of CVD among the municipal population of the northern regions of the KZ. The prevalence of CVD in urban areas of the North Kazakhstan region (NKR) was 1682.02 (2015) and 4784.08 (2020) per 100,000 population. Among rural NKR residents, it was (per 100,000 population) 170.84 (2015) and 341.98 (2020). According to the forecast, by 2025, the incidence of CVD will grow, both in urban (7382.91/100,000) and in rural areas (417.29/100,000). Conclusions: Given the situation during the pandemic, the incidence of CVD has had a sharp increase, both in the rural and in urban areas of the northern regions of the KZ. This may be due to the poor availability of medical facilities, and medical services, which may have prevented timely diagnosis, as well as the psychology of the situation and the load on cardiac activity in relation to the pandemic.

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Section: Discussionmentioning

confidence: 99%