Spatial patterns of mortality among the able-bodied population in the Republic of Bashkortostan

Abstract

BACKGROUND: Regional differentiation complicates the solution of the problem of high mortality of the population of working age. The revealed regional features of mortality by causes, as a rule, are not local in nature, but spatially determined.
 AIM: Determination of temporal tendencies of spatial regularities of the working-age population mortality from the main causes (on the example of the Republic of Bashkortostan) and identification of territorial factors that determine it.
 METHODS: This study used data on the mortality in municipalities (54 municipal districts, 20 urban districts and urban settlements) aggregated by 6 main causes of death in the dynamics of 20022020. The analysis included estimation of the Moran's index and the spatialpanel data modeling.
 RESULTS: Spatial dependencies are most noticeable for diseases of the circulatory system, some infectious and parasitic diseases, as well as for external causes. The level of crimes in a given region (male: p0.046; female: p0.019) has a negative impact on mortality from diseases of the circulatory system in the working-age population among men and women; for men, the volume of gross municipal product (GMP) has an additional effect (p 0.046). Factors that reduce mortality from external causes among able-bodied men and women are the growth of the GMP (male: p0.0098; female: p0.003 - for women), the increase in the number of doctors per 10,000 people of the population (male: p0.001; female: p0.037) and availability of nursing staff (male: p0.026; female: p0.005). For men, a significant impact on mortality from external causes was additionally exerted by crime (p0.028), and for women, by the availability of hospital beds (p0.030). Spatial effects in all models were significant at p0.003.
 CONCLUSION: The conducted study confirms the presence of spatial autocorrelation in the context of causes of death, as well as common and differ factors of male and female mortality, which can be the basis for further analysis of spatially determined factors of mortality.