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REGIONAL ASPECTS OF POPULATION HEALTH IN RUSSIA

Pavel Smelov

Abstract

A territorial variety (natural, economic, ethnic, ecological, medical and sanitary, etc.) of the Russian Federation is so great that almost any actions directed on strengthening of population health, can lead to good results in one region and to negative consequences in other. For regional classification of the Russian Federation depending on a population state of health, we made the decision to use integrated indicators of health. Integrated indicators of health are widely applied to obtain the complex characteristic of health for a comparative assessment, tipologization and zonation on level of population health and development of recreational and preventive programs, and also forecasting of changes in the state of health and modeling of demographic processes. Using the integrated coefficient of an overall estimate of health is offered. The coefficient of an overall estimate of population health includes five indicators: average life expectancy of men; average life expectancy of women; infant mortality rate; the standardized mortality rate for men; the standardized mortality rate for women. In this article results of calculation of this indicator for all regions of Russia for 1990 and 2012 are presented. On the basis of calculations the grouping of subjects on health categories of the population is carried out. Qualitative changes in the structure of regional groups are analysed. The carried-out analysis allowed to consider a state of public health in regions of Russia, to group them on the basis of level of population health, to allocate the most problem zones and to define the main tendencies of development.

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