scholarly journals COMPARATIVE ANALYSIS OF THE MAIN SOCIAL HEALTH DETERMINANTS OF LIFE EXPECTANCY AND INFANT MORTALITY IN UKRAINE AND POLAND

2021 ◽  
Vol 74 (3) ◽  
pp. 750-755
Author(s):  
Taras G. Gutor ◽  
Natalia I. Zaremba ◽  
Oksana R. Kovalska ◽  
Dzvenyslava Je. Moskviak-Lesniak ◽  
Iryna M. Gerasymovych ◽  
...  

The aim: To analyze the data of social health determinants – life expectancy of population and infant mortality in neighboring countries: Ukraine and Poland in cut-away of territory habitation. Materials and methods: The statistical materials of the Ukrainian and Polish information sources were used in this work: SI “The center of medical statistics of the Ministry of Health of Ukraine”, The state statistics service of Ukraine, The central statistical management of Poland (Główny Urząd Statystyczny). Methods of system approach, bibliosemantic, statistical, analytical were used for analysis. Results: In both countries, Poland and Ukraine, the general dynamics as to the growth of an average life expectancy (ALE) among men and women was observed during 28 years of surveillance, and in both countries it was revealed that the ALE indices in women were much higher than in men. Within the last five years, there is a considerable tendency of decrease in the infant death rate in Ukraine, while in Poland this index is particularly invariable. This may be due to the fact that the level of infant mortality in Poland is half the level in Ukraine; moreover, this correlation is approximate within the last five years of observation. A significant place in the structure of all the causes of infant mortality in 2019 is occupied by the ХVІ chapter in accordance with ICD-10 “Certain conditions originating in the perinatal period” – 54.39 % in Ukraine and 53.05 % in Poland, the last – “Diseases of the Urogenital system” (chapter ХІV) – 0 % and 0.7 %, correspondingly. Conclusions: With a view of an incessant improvement of a high-quality information which is registered when the statistical data are formed, it is necessary to promote a broad intersector cooperation inside the countries and international collaboration between the countries.

2021 ◽  
Vol 162 (21) ◽  
pp. 830-838
Author(s):  
Andrea Valek ◽  
József Vitrai ◽  
Lilla Erdei ◽  
Gabriella Branyiczkiné Géczy ◽  
Bea Pászthy ◽  
...  

Összefoglaló. Bevezetés: Magyarországon a csecsemőhalandóság 2014 óta folyamatosan javult, azonban 2019-ben az előző évi adathoz képest 11%-kal magasabb érték mutatkozott. Célkitűzés: A vizsgálat célja a 2019. évi kedvezőtlenebb csecsemőhalálozási mutató lehetséges összetevőinek feltárása. Módszer: A 2018. és 2019. évi csecsemőhalálozási adatokat hasonlítottuk össze a csecsemő kora, a halál oka és a gyógyintézeti, illetve nem gyógyintézeti elhalálozás szerint. A vizsgálathoz a Központi Statisztikai Hivatal adatait használtuk. A trendvizsgálatnál 2010-től elemeztük az adatokat. A nem gyógyintézeti haláleseteket 10 évre összevonva járásonként térképesen ábrázoltuk. Eredmények: 2018-ban 304, 2019-ben 335 csecsemő halt meg Magyarországon, a csecsemőhalálozási arányszám 3,4 ezrelékről 3,8 ezrelékre emelkedett. A 2019. évi érték az előző évtizedek trendjére illesztett görbe alapján megfelelt a várható értéknek. 2019-ben a 0–27 napos csecsemőhalálozás alig változott a 2018. évihez képest, a 28–364 napos korban bekövetkezett halálesetek száma viszont növekedett. A vizsgált évben 59%-kal emelkedett a nem gyógyintézeti csecsemőhalálozás. A 2019. évi csecsemőhalálozás növekedéséért 74%-ban a nem gyógyintézeti esetek voltak felelősek. A nem gyógyintézeti halálozás döntő többsége késői csecsemőkorban következett be. A járásonkénti, 10 évre összevont, nem intézményben elhunyt csecsemők számában és 1000 élve születésre vonatkozó arányában ötszörös területi különbségek mutatkoztak. A halálokok közül a perinatalis szakban keletkező bizonyos állapotok miatt meghalt csecsemők száma emelkedett a leginkább, a nem gyógyintézeti halálozás esetében pedig a hirtelen csecsemőhalál szindrómában meghaltaké. Következtetés: 2019-ben kiugróan magas volt a nem gyógyintézeti, késői csecsemőhalálozás száma és részaránya, ezen esetek feltűnő regionális halmozódást mutattak. A csecsemőhalandóság csökkentésének hatásos eszköze lehetne a jövőben minden egyes csecsemőhalál részletes szakmai értékelése. Orv Hetil. 2021; 162(1): 830–838. Summary. Introduction: In Hungary, infant mortality has been steadily declining since 2014, but in 2019 it increased by 11% compared to 2018.Objective: The aim of our study is to explore the possible components of the above increase. Method: Ten-year trends of infant mortality were analized and compared by age, cause, place of deaths (hospital or non-hospital environment) and location, using Central Statistical Office data. Results: There were 304 infant deaths in Hungary in 2018 and 335 in 2019. Infant mortality rate rose from 3.4‰ to 3.8‰, however, it was in line with the expected value based on the curve fitted to the trend of previous decades. In 2019, 0–27-day infant mortality basically did not change compared to 2018, while the number of deaths at 28–364 days of age increased. Non-hospital infant mortality increased by 59% in 2019 and these cases accounted for 74% of the total increase in infant mortality; the vast majority of these deaths occurred in late infancy. There were fivefold regional differences in the number of non-hospital infant deaths. Among the causes of death, the conditions related to the perinatal period and sudden infant death syndrome increased the most. Conclusion: In Hungary, the number and proportion of non-hospital infant mortality was remarkably high in 2019 compared to previous years. These cases showed a striking regional accumulation. An effective tool for reducing infant mortality could be an appropriate professional assessment of each infant death in the future. Orv Hetil. 2021; 162(21): 830–838.


Author(s):  
Светлана Борисовна Боруцкая ◽  
Васильев Сергей Владимирович

В статье приводится комплексный палеоантропологический анализ населения, оставившего некрополь Биели (г. Керчь, Республика Крым). Большой интерес эта серия представляет в связи с изучением этногенеза крымских татар. В работе дается краниологическая характеристика позднесредневековых крымских татар. Приводятся реконструкции лица по черепу по методу М.М. Герасимова. Особое внимание уделено реконструированию физического облика данного населения. Выявлены высокая детская смертность и низкий показатель средней продолжительности жизни населения, что говорит о невысоком благополучии в изучаемой группе. The article provides a comprehensive paleoanthropological analysis of the population from the Bieli necropolis (Kerch, Republic of Crimea). This sample is of great interest in connection with the study of the Crimean Tatars ethnogenesis. The work features a craniological characteristic of the late medieval Crimean Tatars and reconstructions of the face based on the skull by the method of M.M. Gerasimov. Particular attention is paid to the reconstruction of the physical appearance of a given population. High infant mortality and a low indicator of the average life expectancy of the population were revealed, which reflects general low well-being in the studied group.


2017 ◽  
Vol 8 (2) ◽  
pp. 17
Author(s):  
Robert E. Parker ◽  
Vianett G. Achaval

This paper concerns official “average life expectancy” data, and their use by demographers in a way that appears common-sensical and valid, but are neither. The notion that Americans have, and continue to experience ever-increasing life expectancy is a widely held myth in U.S. society. The Census Bureau states Americans’ life expectancy advanced 30 years between 1900 and 2013. Accompanying this myth is the idea that Americans are generally working longer while experiencing an extended lifespan. But these commonly shared assumptions about American life are dubious. The increase in average life expectancy among Americans has been achieved by reducing the infant mortality rate, not by increasing additional years at the end of the life cycle. An examination of age-specific death rates combined with an understanding of the importance of the infant mortality rate makes the “life expectancy myth” transparent. Upon considering these aspects of official life expectancy, the implications of this misunderstanding, specifically as it pertains to Social Security, will be examined.


2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Małgorzata Lesińska-Sawicka

Abstract Introduction Cervical cancer and its etiopathogenesis, the age of women in whom it is diagnosed, average life expectancy, and prognosis are information widely covered in scientific reports. However, there is no coherent information regarding which regions—urban or rural—it may occur more often. This is important because the literature on the subject reports that people living in rural areas have a worse prognosis when it comes to detection, treatment, and life expectancy than city dwellers. Material and methods The subjects of the study were women and their knowledge about cervical cancer. The research was carried out using a survey directly distributed among respondents and via the Internet, portals, and discussion groups for women from Poland. Three hundred twenty-nine women took part in the study, including 164 from rural and 165 from urban areas. The collected data enabled the following: (1) an analysis of the studied groups, (2) assessment of the respondents’ knowledge about cervical cancer, and (3) comparison of women’s knowledge depending on where they live. Results The average assessment of all respondents’ knowledge was 3.59, with women living in rural areas scoring 3.18 and respondents from the city—4.01. Statistical significance (p < 0.001) between the level of knowledge and place of residence was determined. The results indicate that an increase in the level of education in the subjects significantly increases the chance of getting the correct answer. In the case of age analysis, the coefficients indicate a decrease in the chance of obtaining the correct answer in older subjects despite the fact that a statistically significant level was reached in individual questions. Conclusions Women living in rural areas have less knowledge of cervical cancer than female respondents from the city. There is a need for more awareness campaigns to provide comprehensive information about cervical cancer to women in rural areas. A holistic approach to the presented issue can solve existing difficulties and barriers to maintaining health regardless of the place of life and residence. Implication for cancer survivors They need intensive care for women’s groups most burdened with risk factors.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
N Nante ◽  
L Kundisova ◽  
F Gori ◽  
A Martini ◽  
F Battisti ◽  
...  

Abstract Introduction Changing of life expectancy at birth (LE) over time reflects variations of mortality rates of a certain population. Italy is amongst the countries with the highest LE, Tuscany ranks fifth at the national level. The aim of the present work was to evaluate the impact of various causes of death in different age groups on the change in LE in the Tuscany region (Italy) during period 1987-2015. Material and methods Mortality data relative to residents that died during the period between 1987/1989 and 2013/2015 were provided by the Tuscan Regional Mortality Registry. The causes of death taken into consideration were cardiovascular (CVS), respiratory (RESP) and infective (INF) diseases and cancer (TUM). The decomposition of LE gain was realized with software Epidat, using the Pollard’s method. Results The overall LE gain during the period between two three-years periods was 6.7 years for males, with a major gain between 65-89, and 4.5 years for females, mainly improved between 75-89, &lt;1 year for both sexes. The major gain (2.6 years) was attributable to the reduction of mortality for CVS, followed by TUM (1.76 in males and 0.83 in females) and RESP (0.4 in males; 0.1 in females). The major loss of years of LE was attributable to INF (-0.15 in females; -0.07 in males) and lung cancer in females (-0.13), for which the opposite result was observed for males (gain of 0.62 years of LE). Conclusions During the study period (1987-2015) the gain in LE was major for males. To the reduction of mortality for CVS have contributed to the tempestuous treatment of acute CVS events and secondary CVS prevention. For TUM the result is attributable to the adherence of population to oncologic screening programmes. The excess of mortality for INF that lead to the loss of LE can be attributed to the passage from ICD-9 to ICD-10 in 2003 (higher sensibility of ICD-10) and to the diffusion of multi-drug resistant bacteria, which lead to elevated mortality in these years. Key messages The gain in LE during the period the 1987-2015 was higher in males. The major contribution to gain in LE was due to a reduction of mortality for CVS diseases.


1982 ◽  
Vol 12 (3) ◽  
pp. 481-496 ◽  
Author(s):  
Albert Szymanski

During the 1970s the Soviet Union experienced rising infant mortality rates and a corresponding levelling off of earlier increases in life expectancy. Several Western critics have misrepresented or exaggerated these statistics, suggesting that these trends indicate a general breakdown in the Soviet health care system as well as the failure of the Soviet form of socialism. This paper examines life expectancy and infant mortality data by Soviet republic, showing that rates are not uniform throughout the U.S.S.R. and in many cases compare favorably with those in Western European countries and the United States. It is suggested that the infant mortality problem in the U.S.S.R. is a temporary negative consequence of rapid progress in the areas of industrialization, employment of women, and socialization of child care. It is concluded that improvements in public health education, the quality of child care facilities, and the manufacture and distribution of infant formula will contribute to the rapid resolution of this problem.


Author(s):  
KHROMUSHIN V.A. ◽  
◽  
VOLKOV A.V. ◽  
KHADARTSEV A.A. ◽  
◽  
...  

The article presents the relevance of the problem, defines the research purpose: to compare the average life expectancy of the population in the areas of the Tula region with different contents of heavy metals in the class of causes of death “Respiratory diseases ”. The authors used the data of the regional mortality register, the results of analyzes of the content of heavy metals (copper, lead, zinc, nickel) in the soil by atomic absorption spectroscopy, and the calculation of the average life expectancy by the algebraic model of constructive logic. The results indicate a decrease in average life expectancy due to the presence of heavy metals in the soil, but the average life expectancy in both contaminated and non-contaminated areas is gradually increasing.


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