DYNAMICS OF A PRIMARY DISABILITY AS ONE OF THE PRINCIPAL INDICATORS OF THE POPULATION HEALTH IN THE IRKUTSK AREA
The article is dedicated to the identification of regional features of formation of the population primary disability at the age of 18 years and older in the Irkutsk region in dynamics for 2000 - 2014 years; there has been carried out evaluation of its indicators as the indicators of the population health. The level of primary disability of the adult population in the Irkutsk region has decreased by 23.1 % (from 107.8 in 2000 to 82.9 on 10 thousand adult people in 2014), meanwhile on an average it was by 12.1 % higher than a total Russian indicator for the observation period. The rate of the index decrease in the area is lower than in the RF- 1.9 and 3.2 %, respectively. At present the nosologic structure of primary disability in adults in the area has changed (the growth of a share of malignant tumors and diseases of a musculoskeletal system and connective tissue), and coincides with the RF data only by 5 main classes of diseases. The specific weight and ranking places of ear diseases and mastoid process have increased up to the 6th; and HIV-induced diseases - up tothe 8th place. Among unfavourable administrative units the Irkutsk area in 2013 has taken the first ranking places by the level of primary disability of the adult population in consequence of the following classes of diseases: the 1st place - HIV -induced diseases; the 5th place - psychical disorders and disorders of behavior; ear diseases and diseases of mastoid process, the sequels of traumas, poisonings and other influences of external causes; the 7th place - diseases of a skeletal-muscular system and connective tissue and the 9th place- professional diseases. In the structure of a contingent of the persons recognized as the disabled for the first time from 2006 there predominate the disabled of a group III. All above-mentioned peculiarities are associated with the influence of regional factors and require appropriate prophylactic measures.