Citation

Askarov RA, Franz MV, Lakman IA, Askarova ZF, Bakirov BA, Egorova YV. Profilakticheskaya Meditsina 2020; 23(6): 36-44.

Copyright

(Copyright © 2020)

DOI

10.17116/profmed20202306236

PMID

unavailable

Abstract

PURPOSE of the study. Analysis of population mortality in Republic of Bashkortostan (RB) from external causes using panel modeling tools. Material and methods. The study was carried out by the method of regression analysis on panel data. The research used the official statistical materials of the Territorial Body of the Federal State Statistics Service for the Republic of Bashkortostan: on the distribution of deaths by sex, age groups and causes of death (table C 51); collections "Demographic processes in the Republic of Bash-kortostan", "Socio-economic situation of municipal districts and urban districts of the Republic of Bashkortostan". We considered data consisting of observations in rural municipalities of 54 municipal districts and 20 cities (urban districts and urban settlements) of the Republic of Bashkortostan, tracked in dynamics for 16 years (2002-2017).

RESULTS. During the analyzed period, the mortality rate of the population of the Republic of Bashkortostan from external causes decreased, the proportion of suicides as a whole was 30.2%. The territorial heterogeneity of mortality rates from external causes was revealed. Panel regression modeling has identified statistically significant risk factors for mortality from external causes: an increase in the unemployment rate, an increase in the number of divorces. The factors contributing to the decrease in mortality from external causes are the growth in the number of enterprises, the real size of pensions, and population density. It has been established that there is a connection between an increase in mortality from suicide and a restriction in the availability of medical care, a decrease in investment per capita, a decrease in the number of enterprises operating in the municipality, and a decrease in population density. The influence of these factors is different for men and women. A high mortality rate from external causes, including from suicides, is characteristic of socio-economic disadvantaged municipalities, which is consistent with literature data.

CONCLUSION. The results obtained and their comparison with the literature data allows us to determine the priorities of socio-economic policy at the regional level. The data presented indicate that the problem of reducing mortality from external causes, including from suicide, can be solved by minimizing the above risk factors. © 2020, Media Sphera Publishing Group. All rights reserved.

Language: ru

Keywords

human; suicide; unemployment; urban area; controlled study; socioeconomics; priority journal; multivariate analysis; medical care; External causes of death; population density; Article; mortality rate; Socio-economic indicators; Bashkortostan; Municipalities; Regression analysis based on panel data; regression model