The main factors of premature mortality of the working-age population

Abstract

The aim of our study was to investigate the regional characteristics of the external-cause mortality of the working-age population of the Republic of Buryatia during 2003-2017. Material and methods. The sources of information were the data of the Territorial Body of the Federal Service of State Statistics in the Republic of Buryatia (hereinafter - Buryatstat), medical certificates of death (f. No. 106/u-02), reports of forensic medical examinations for the specified period. The study was conducted using statistical, analytical, mathematical and comparative methods. The impact of human losses from accidents in working age on the demographic situation in the Republic was studied. The share of external-cause deaths of working-age people accounted for 38.1% of all deaths. In the structure of external causes of death, the predominant share of intentional self-injuries, including suicides (31.5%), murders (14.5%), was noted, with the contribution of all traffic accidents being 11.5%, accidental alcohol poisoning - 13.1%. According to 2016, the suicide mortality rate (66.8 per 100,000 population) was 3.3 times higher than the Russian average (20.4) and 1.9 times higher than the Siberian Federal District (SFD) (34.6). It should be noted that the suicide rate in Buryatia was almost 3.3 times higher than the critical parameters determined by World Health Organization experts (20 suicides per 100,000 population). The death rate from homicide in the Republic of Buryatia (30.0 per 100,000 people) was 3 times higher than the average in Russia (9.9) and 1.7 times higher than in the SFD (17.4). Conclusion. The high external-cause mortality rate related to the working-age population’s health is an objective reflection of the social and hygienic disadvantage of the Republic of Buryatia.