Preventable mortality in the Republic of Tuva and the impact of the COVID-19 pandemic on it

Authors

DOI:

https://doi.org/10.25178/nit.2023.2.4

Keywords:

public health; preventable mortality; COVID-19; health center; body mass index; Republic of Tuva

Abstract

The article evaluates the trends and factors of preventable mortality in the Republic of Tuva. We formulate proposals to reduce mortality and increase life expectancy. The authors used the Federal State Statistics Service data on mortality in the Republic of Tuva and in the Russian Federation during the COVID-19 pandemic and before its onset, as well as bioimpedance monitoring data from the Health Center of the Republic of Tuva.

We used a list of preventable causes of death that were grouped by levels of preventive measures. This allows identifying the most relevant focus areas: problems related to the conditions and ways of people’s lives, issues of early detection and timely treatment of oncological diseases, problems of the quality of medical care in the treatment of socially significant diseases. The prevalence of nutritional risk factors for the development of chronic diseases in the examined sample of persons aged 18 years and older (over 5,000 people) was estimated according to their physical development data.

Young people are recognized as a risk group in the Republic of Tuva. If primary prevention is the most relevant method of reducing mortality among young men, then for young women it is early detection of malignant diseases and the quality of medical care.

The results of the study have shown that COVID-19 caused relatively less demographic damage to the republic than to many other territories of Russia.

References

Budaev, B. S., Kitsul, I. S., Tarmaeva, I. Yu. and Bogdanova, O. G. (2020) Regional'nye osobennosti predotvratimoi smertnosti naseleniia [The regional characteristics of preventable mortality of population]. Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny, vol. 28, no. 6, pp. 1362–1366. (In Russ.). DOI: https://doi.org/10.32687/0869-866X-2020-28-6-1362-1366

Golubeva, A. A. and Shibalkov, I. P. (2017) Analiz struktury smertnosti i sotsial'no-ekonomicheskikh faktorov smertnosti v nekotorykh regionakh Sibirskogo federal'nogo okruga [The analysis of the structure of mortality and its social and economic factors in several regions of the Siberian Federal District]. Obshchestvo: politika, ekonomika, pravo, no. 8, pp. 42–46. (In Russ.). DOI: https://doi.org/10.24158/pep.2017.8.9

Gunaev, E. A., Badmaeva, N. V. and Kovanova, E. S. (2019) Indikatory sotsial'nogo neblagopoluchiia naseleniia: etnoregional'naia spetsifika Kalmykii, Buriatii i Tuvy [Social insecurity indicators: Ethnoregional specifics in Kalmykia, Buryatia and Tuva]. New Research of Tuva, no. 1, pp. 190–201. (In Russ.). DOI: https://doi.org/10.25178/nit.2019.1.14

Gusakov, T. Yu. (2019) Mnogoukladnost' sovremennogo etnicheskogo regiona Rossii: arkhaizatsiia, agrarizatsiia i migratsii (na primere Respubliki Tyva) [The multistructure of the contemporary ethnic region in Russia: Archaization, agrarianization and migration (on the example of Republic of Tyva)]. Russian Peasant Studies, vol. 4, no. 4, pp. 76–95. (In Russ.). DOI: https://doi.org/10.22394/2500-1809-2019-4-4-76-95

Ivanova, A. E., Semenova, V. G. and Sabgaida, T. P. (2021) Rezervy snizheniia smertnosti v Rossii, obuslovlennye effektivnost'iu zdravookhraneniia [Reserves for reducing mortality in Russia due to the effectiveness of healthcare]. Vestnik Rossiiskoi akademii nauk, vol. 91, no. 9, pp. 865–878. (In Russ.). DOI: https://doi.org/10.31857/S086958732109005X

Korolenko, A. V. (2020) Smertnost' naseleniia regionov Rossii v tekushchem desiatiletii: tendentsii, struktura i differentsiatsiia pokazatelei [Mortality in Russian regions in the current decade: Trends, structure, and differentiation of indicators]. Social area, vol. 6, no. 3, pp. 1–16. (In Russ.). DOI: https://doi.org/10.15838/sa.2020.3.25.7

Natsak, O. D. (2021) Gendernye i demograficheskie osobennosti rynka truda Respubliki Tyva: tendentsii i perspektivy [Gender and demographic features of the labor market of the Republic of Tuva: Trends and prospects]. Population, vol. 24, no. 2, pp. 120–130. (In Russ.). DOI: https://doi.org/10.19181/population.2021.24.2.11

Noskova, A. V. (2016) Gendernye uiazvimosti: gumanisticheskii povorot v issledovaniiakh narodonaseleniia [Gender vulnerabilities: A humanistic turn in population studies]. In: Upravlenie sotsial'nymi izmeneniiami v nestabil'nykh usloviiakh [Management of social changes in unstable conditions] : All-Russian scientific conference; May 24, 2016, Moscow, Lomonosov Moscow State University, Faculty of Sociology : Proceedings / ed. by. V. P. Vasilieva. Moscow, MAKS Press. 768 p. Pp. 661–665. (In Russ.).

Rudnev, S. G., Soboleva, N. P., Sterlikov, S. A., Nikolaev, D. V., Starunova, O. A., Chernykh, S. P., Eriukova, T. A., Kolesnikov, V. A., Mel'nichenko, O. A. and Ponomareva, E. G. (2014) Bioimpedansnoe issledovanie naseleniia Rossii v tsentrakh zdorov'ia [Bioimpedance study of the Russian population in health centers]. Moscow, Editorial and Publishing Unit at Russian Research Institute of Health. 493 p. (In Russ.).

Sabgayda, T. P. (2017) Predotvratimye prichiny smerti v Rossii i stranakh Evrosoiuza [The preventable causes of death in Russia and in the EU countries]. Health care of the Russian Federation, vol. 61, no. 3, pp. 116–122. (In Russ.). DOI: https://doi.org/10.18821/0044-197X-2017-61-3-116-122

Sabgayda, T. P., Aksyonova, E. I. and Evdokuschkina, G. N. (2019) Predotvratimaia smertnost' naseleniia trudosposobnogo vozrasta [Avoidable mortality of the working age population]. In: Natsional'nye demograficheskie prioritety: podkhody i mery realizatsii [National demographic priorities: Approaches and measures of realization] / ed. by S. V. Ryazantsev and T. K. Rostovskaya. Moscow, Ekon-Inform. 558 p. Pp. 127–131. (In Russ.).

Starodubov, V. I., Rudnev, S. G., Nikolaev, D. V. and Korostylev, K. A. (2015) Federal'nyi informatsionnyi resurs tsentrov zdorov'ia: sovremennoe sostoianie i perspektivy razvitiia [Federal information resource of health centres: Current state and developmental prospects]. Sotsial'nye aspekty zdorov'ia naseleniia, no. 5 (45), pp. 1–16. (In Russ.).

Chupikova, S. A., Kuular, L. Y. and Arakchaa, K.-K. D. (2015) Issledovaniia prostranstvennogo raspredeleniia smertnosti v respublike Tyva sredstvami geoinformatsionnykh sistem [Investigation of spatial distribution of mortality in the Republic of Tyva by means of GIS]. Vestnik Tuvinskogo gosudarstvennogo universiteta. Estestvennye i sel'skokhoziaistvennye nauki, no. 2 (25), pp. 62–66. (In Russ.).

Aburto, J. M., Riffe, T. and Canudas-Romo, V. (2018) Trends in avoidable mortality over the life course in Mexico, 1990–2015: A cross-sectional demographic analysis. BMJ open, vol. 8, issue 7, p. e022350. DOI: https://doi.org/10.1136/bmjopen-2018-022350

Böhm, A. and Heitmann, B. L. (2013) The use of bioelectrical impedance analysis for body composition in epidemiological studies. European Journal of Clinical Nutrition, vol. 67 (Suppl. 1), pp. S79–S85. DOI: https://doi.org/10.1038/ejcn.2012.168

Calle, E. E., Thun, M. J., Petrelli, J. M., Rodriguez, C. and Heath, C. W. (1999) Body-mass index and mortality in a prospective cohort of U.S. adults. The New England Journal of Medicine, vol. 341, no. 15, pp. 1097–1105. DOI: https://doi.org/10.1056/NEJM199910073411501

Cohen, M. (1994) Impact of poverty on women’s health. Canadian Family Physician, vol. 40, pp. 949–958.

Costa, C., Freitas, A., Almendra, R. and Santana, P. (2020) The association between material deprivation and avoidable mortality in Lisbon, Portugal. International Journal of Environmental Research and Public Health, vol. 17, issue 22, pp. 8517. DOI: https://doi.org/10.3390/ijerph17228517

Herrero-Huertas, L., Andérica, E., Belza, M. J., Ronda, E., Barrio, G. and Regidor, E. (2022) Avoidable mortality for causes amenable to medical care and suicide in physicians in Spain. International Archives of Occupational and Environmental Health, vol. 95, issue 5, pp. 1147–1155. DOI: https://doi.org/10.1007/s00420-021-01813-9

Holland W. (Ed.) (1988) European community atlas of ‘avoidable death’. Oxford ; New York ; Tokyo : Oxford University Press. xxiii, 356 p. (Commission of the European Communities Health Services Research Series, no. 3).

Farrow, S. C. (1990) European community atlas of avoidable death. Postgraduate Medical Journal, vol. 66, issue 775) pp. 413–414. DOI: https://doi.org/10.1136/pgmj.66.775.413-a

Kiadaliri, A. (2021) Avoidable deaths in Sweden, 1997–2018: Temporal trend and the contribution to the gender gap in life expectancy. BMC Public Health, vol. 21, no. 1, article number: 519. DOI: https://doi.org/10.1186/s12889-021-10567-5

Mühlichen, M. (2019) Avoidable mortality in the German Baltic Sea region since reunification: convergence or persistent disparities? European Journal Population, vol. 35, issue 3, pp. 609–637. DOI: https://doi.org/10.1007/s10680-018-9496-y

Mustard, C. A., Bielecky, A., Etches, J., Wilkins, R., Tjepkema, M., Amick, B. C., Smith, P. M. and Aronson, K. J. (2013) Mortality following unemployment in Canada, 1991–2001. BMC Public Health, vol. 13, article number: 441. DOI: https://doi.org/10.1186/1471-2458-13-441

Nolte, E. and McKee, M. (2003) Measuring the health of nations: Analysis of mortality amenable to health care. BMJ, vol. 327, no. 7424, article number: 1129. DOI: https://doi.org/10.1136/bmj.327.7424.1129

Rutstein, D. D., Berenberger, W., Chalmers, T. C., Child, G. C., Fischmen, A. P. and Perrin, E. B. (1976) Measuring the quality of medical care — a clinical method. The New England Journal of Medicine, vol. 294, no. 11, pp. 582–588. DOI: https://doi.org/10.1056/NEJM197603112941104

Simonato, L., Ballard, T., Bellini, P. and Winkelmann, R. (1998) Avoidable mortality in Europe 1955–1994: A plea for prevention. Journal of Epidemiology and Community Health, vol. 52, no. 10, pp. 624–630. DOI: https://doi.org/10.1136/jech.52.10.624

Souza, L. G. and Siviero, P. C. L. (2020) Sex differentials in avoidable mortality and potential life expectancy gains in São Paulo, SP, Brazil: A cross-sectional study of the period 2014–2016. Epidemiologia e Serviços de Saúde, vol. 29, no. 3, article number: e2018451. DOI: https://doi.org/10.5123/S1679-49742020000300004

Ștîrba, V. and Pahomii, I. (2019) The contribution of avoidable mortality to the life expectancy change in the Republic of Moldova. Demography and Social Economy, no. 4 (38), pp. 58–70. DOI: https://doi.org/10.15407/dse2019.04.058

Subedi, R., Greenberg, T. L. and Roshanafshar, S. (2019) Does geography matter in mortality? An analysis of potentially avoidable mortality by remoteness index in Canada. Health Reports, vol. 30, no. 5, pp. 3–15. DOI: https://doi.org/10.25318/82-003-x201900500001-eng

Walsh, M. and Grey, C. (2019) The contribution of avoidable mortality to the life expectancy gap in Māori and Pacific populations in New Zealand — a decomposition analysis. New Zealand Medical Journal, vol. 132, no. 1492, pp. 46–60.

Westerling, R., Gullberg, A. and Rosen, M. (1996) Socioeconomic differences in ‘avoidable’ mortality in Sweden 1986–1990. International Journal of Epidemiology, vol. 25, issue 3, pp. 560–567. DOI: https://doi.org/10.1093/ije/25.3.560

Westerling, R. (2001) Commentary: Evaluating avoidable mortality in developing countries — an important issue for public health. International Journal of Epidemiology, vol. 30, issue 5, pp. 973–975. DOI: https://doi.org/10.1093/ije/30.5.973

Westerling, R. (2003) Decreasing gender differences in “avoidable” mortality in Sweden. Scandinavian Journal of Public Health, vol. 31, issue 5, pp. 342–349. DOI: https://doi.org/10.1177/14034948030310050201

Zhu, S., Wang, Z., Shen, W., Heymsfield, S. B. and Heshka, S. (2003) Percentage body fat ranges associated with metabolic syndrome risk: Results based on the third National Health and Nutrition Examination Survey (1988–1994). The American Journal of Clinical Nutrition, vol. 78, issue 2, pp. 228–235. DOI: https://doi.org/10.1093/ajcn/78.2.228

Published

12.06.2023

How to Cite

Сабгайда Т. П., Руднев С. Г., Зубко А. В., Евдокушина Г. Н. Предотвратимая смертность в Республике Тува и влияние на неё пандемии COVID-19 // Новые исследования Тувы. 2023, № 2. С. 50-69. DOI: https://doi.org/10.25178/nit.2023.2.4

For citation:
Sabgaida T. P., Rudnev S. G., Zubko A. V. ans Evdokushkina G. N. Predotvratimaia smertnost’ v Respublike Tuva i vliianie na nee pandemii COVID-19 [Preventable mortality in the Republic of Tuva and the impact of the COVID-19 pandemic on it]. New Research of Tuva, 2023, no. 2, pp. 50-69. (In Russ.). DOI: https://doi.org/10.25178/nit.2023.2.4

Issue

Section

Ethnicity and society

Author Biographies

Tamara P. Sabgaida, Institute for Demographic Research of the Federal Center of Theoretical and Applied Sociology of the RAS; Russian Research Institute of Health of the Ministry of Health of the RF

Doctor of Medicine, Professor, Chief Researcher, Department of Health and Self-Preservation Behavior, Institute for Demographic Research, Federal Center of Theoretical and Applied Sociology of the Russian Academy of Sciences;

Chief Researcher, Department of Public Health and Demography, Russian Research Institute of Health of the Ministry of Health of the Russian Federation.

Postal addresses: Bldg. 1, 6, Fotieva St., 119333 Moscow, Russian Federation; 11, Dobrolyubova St., 127254 Moscow, Russian Federation.

E-mail: tsabgaida@mail.ru

Sergey G. Rudnev, Marchuk Institute of Numerical Mathematics of the RAS

Candidate of Physics and Mathematics, Senior Researcher, G. I. Marchuk Institute of Numerical Mathematics of the Russian Academy of Sciences.

Postal address: 8, Gubkina St., 119333 Moscow, Russian Federation.

E-mail: rdnv2019@yandex.ru

Aleksandr V. Zubko, Institute for Demographic Research of the Federal Center of Theoretical and Applied Sociology of the RAS; Russian Research Institute of Health of the Ministry of Health of the RF

Candidate of Medicine, Leading Researcher, Department of Health and Self-Preservation Behavior, Institute for Demographic Research, Federal Center of Theoretical and Applied Sociology of the Russian Academy of Sciences;

Leading Researcher, Department of Public Health and Demography, Russian Research Institute of Health of the Ministry of Health of the Russian Federation.

Postal addresses: Bldg. 1, 6, Fotieva St., 119333 Moscow, Russian Federation; 11, Dobrolyubova St., 127254 Moscow, Russian Federation.

E-mail: zalexandrae@gmail.com

Galina N. Evdokushkina, Institute for Demographic Research of the Federal Center of Theoretical and Applied Sociology of the RAS

Senior Researcher, Department of Health and Self-Preservation Behavior, Institute for Demographic Research, Federal Center of Theoretical and Applied Sociology of the Russian Academy of Sciences.

Postal address: Bldg. 1, 6, Fotieva St., 119333 Moscow, Russian Federation.

E-mail: evdok@mednet.ru

Most read articles by the same author(s)