Mortality analysis of the working-age population of Yakutia

Abstract

The article analyzes the government statistics data on mortality of able-bodied population in the Republic of Sakha (Yakutia) in the period from 1995 to 2020, together with the structure of the main causes of death in this category. The dynamics of changes in the mortality structure of urban and rural residents with gender division is studied, the impact of the new coronavirus infection on the work of the health care system in Yakutia is shown. Mortality rate of the population of the Republic of Sakha (Yakutia) of working age decreased significantly during the study period, but the proportion of deaths in this group to the total number of deaths is still higher than the all-Russian figures. It is also shown that the mortality rate of men is 3.6 times higher than that of women. Since 2011, the mortality rate in rural areas has become significantly higher than that in urban areas, especially among the female population, which is largely determined by the reduction of bed capacity. The trend towards reducing the number of inpatient beds is certainly typical not only for Russia, but also for most European countries, but the negative consequences of this are largely offset by the opening of prevention and rehabilitation centers locally, where progressive treatment technologies are used. But this approach does not take into account the main regional peculiarities of Yakutia - its extensive territory and low population density. The problem is also exacerbated by environmental conditions, the negligent attitude of many citizens to their health and unfavorable socio-economic factors, especially pronounced in rural areas. But it must be recognized that in recent years the republic has carried out significant work to improve its healthcare system, including through the construction of new medical facilities, large-scale preventive work and the introduction of "Zemskiy Doctor" and "Zemskiy Feldsher" programs, thanks to which qualified personnel are sent to the remote corners of the republic to work. However, receiving quality and prompt medical care is still difficult for remote rural settlements.