Assessment of correlation between heterogeneous risk factors and morbidity among working population in Russian regions with different background of health formation

View or download the full article: 

N.A. Lebedeva-Nesevrya1, A.O. Barg1, M.Yu. Tsinker2, V.G. Kostarev3


1Perm State University, 15 Bukireva Str., Perm, 614990, Russian Federation
2Federal Scientific Center for Medical and Preventive Health Risk Management Technologies, 82 Monastyrskaya Str., Perm, 614045, Russian Federation
3Federal Service for Surveillance over Consumer Rights protection and Human Well-being, Perm regional office, 50 Kuibyisheva Str., Perm, 614016, Russian Federation


The research focuses on classifying Russian regions as per their sanitary-hygienic and social-economic welfare, as well as on assessing (for certain nosologies) correlations between heterogeneous risk factors and morbidity with temporary disability among working population. The RF regions were classified (with k-average cluster analysis) as per their sanitary-hygienic and social-economic welfare in order to spot out territories with similar "background" for formation of working population health.We used data provided by the Federal Statistic Service (as per the RF regions) collected in 2016 as our empiric base. As per cluster analysis results, we assigned the RF regions into four specific categories, namely "ill-being", "moderately ill-being", "moderately well-being", and "well-being" (the obtained data are visualized on the map of the country).The performed correlation-regression analysis allowed us to obtain more than twenty authentic models that described correlations between various factors and morbidity with temporary disability among working population.We calculated determination coefficient R2 for each model that characterized a share of explained variation in a health parameter caused by a factor that was considered in a model.We paid special attention to the 1st cluster that had the least favorable background for health formation (here we detected most apparent influence exerted by social and economic factors on analyzed health parameters of working population). The 2nd clyster was also examined thoroughly as it was characterized with the highest morbidity among working population (we revealed that social-hygienic welfare on territories belonging to this cluster had greater influence on health parameters than social and economic one).Our data can be appliedto create federal and regional programs aimed at preserving and improving working population health.

working population, morbidity with temporary mortality, heterogeneous health risk factors
Lebedeva-Nesevrya N.A., Barg A.O., Tsinker M.Yu., Kostarev V.G. Assessment of correlation between heterogeneous risk factors and morbidity among working population in russian regions with different background of health formation. Health Risk Analysis, 2019, no. 2, pp. 91–100. DOI: 10.21668/health.risk/2019.2.10.eng
  1. Bang K.M., Attfield M.D., Wood J.M., Syamlal G. National trends in silicosis mortality in the United States, 1981–2004. American Journal of Industrial Medicine, 2008, vol. 51, no. 9, pp. 633–639.
  2. Burgard S.A., Lin K.Y. Bad jobs, bad health? How work and working conditions contribute to health disparities. American Behavioral Scientist, 2013, vol. 57, no. 8, pp. 1105–1127.
  3. Dong X.S., Wang X., Largay J.A. Occupational and non-occupational factors associated with work-related injuries among construction workers in the USA. International Journal of Occupational and Environmental Health, 2015, vol. 21, no. 2, pp. 142–150. DOI: 10.1179/2049396714Y.0000000107
  4. Jones M.K., Latreille P.L., Sloane P.J., Staneva A.V. Work-related health risks in Europe: Are older workers more vulnerable? Social science & Medicine, 2013, no. 88, pp. 18–29.
  5. Oortwijn W., Nelissen E., Adamini S., Van Den Heuvel S., Geuskens G., Burdof L. Health of people of working age. Full Report. Luxembourg, European Commission Directorate General for Health and Consumers Publ., 2011. DOI: 10.2772/62393
  6. Campos-Serna J., Ronda-Pérez E., Artazcoz L., Moen B.E., Benavides F.G. Gender inequalities in occupational health related to the unequal distribution of working and employment conditions: a systematic review. International Journal for Equity in Health, 2013, no. 12, pp. 61–80. DOI: 10.1186/1475-9276-12-57
  7. Bukhtiyarov I.V., Izmerov N.F., Tikhonova G.I., Churanova A.N., Gorchakova T.Yu., Bryleva M.S. [et al.]. Work conditions as a risk factor mortality increase in able-bodied population. Meditsina truda i promyshlennaya ekologiya, 2017, no. 8, pp. 43–49 (in Russian).
  8. Izmerov N.F., Tikhonova G.I., Gorchakova T.Yu. Working conditions and mortality of men of working age in Russia (for example of the Murmansk region). Vestnik Rossiiskoi akademii meditsinskikh nauk, 2013, no. 9, pp. 32–36 (in Russian).
  9. Zaitseva N.V., May I.V., Kostarev V.G., Bashketova N.S. On risk-oriented model of sanitary epidemiologic surveillance in occupational hygiene. Meditsina truda i promyshlennaya ekologiya, 2015, no. 8, pp. 1–6 (in Russian).
  10. Tomakova I.A., Tomakov V.I. The state of working conditions, occupational diseases, industrial injuries at enterprises of the Russian Federation and the tasks that must be solved. Proceedings of South-West State University. Series Technics and Technologies, 2016, vol. 19, no. 2, pp. 95–107.
  11. Piktushanskaya T.E., Bykovskaya T.Yu. Influence of work conditions on health of working population in Rostov region. Meditsina truda i promyshlennaya ekologiya, 2011, no. 3, pp. 23–27.
  12. Dukhin O.Ya., Penzina N.N., Zheleznaya T.Yu. Health and working conditions of the working population of the Vologda region. Vestnik Sankt-Peterburgskoi gosudarstvennoi meditsinskoi akademii im. I.I. Mechnikova, 2009, no. 2, pp. 22–25.
  13. Topalov K.P., Schegolskaya O.V. Problems of the health of the working population in the Khabarovsk region: state and trends. Zdravookhranenie Dal’nego Vostoka, 2016, vol. 70, no. 4, pp. 5–15.
  14. Maliutina N.N., Eremeyev R.B., Taranenko L.A., Tolkatch A.S., Kostarev V.G. Some health parameters of working population in Perm area, and objectives to health improvement for recent years. Meditsina truda i promyshlennaya ekologiya, 2012, no. 12, pp. 4–8.
  15. Zhernakova G.N., Gudinova Z.V., Gegechkori I.V., Blinova E.G., Tolkova E.I. Methodological approaches to occu-pational morbidity estimation in the Omsk region during the interregional comparisons. Fundamental'nye issledovania, 2011, vol. 9, no. 2, pp. 245–248.
  16. Gudinova Zh.V., Zhernakova G.N. Occupational morbidity in Russia: regional variability and formation factors. Sot-sial’nye aspekty zdorov’ya naseleniya, 2011, vol. 17, no. 1, pp. 9.
  17. Mikhailuts A.P., Pershin A.N., Vostrikova E.A. Occupational hygiene and health condition of workers of chemical enterprises in the climate of western Siberia. Acta Biomedica Scientifica, 2005, vol. 40, no. 2, pp. 45–50.
  18. Chashchin V.P., Gudkov A.B., Popova O.N., Odland J.O., Kovshov A.A. Description of main heath deterioration risk factors for population living on territories of active natural management in the Arctic. Ecologiya cheloveka, 2014, no. 1, pp. 3–12.
  19. Oleshenko A.M., Zakharenkov V.V., Sourzhikou D.V., Panaiotti E.A., Tsai L.V. Evaluating risk of morbidity among workers of coal open-cast mines in Kuzbass. Meditsina truda i promyshlennaya ekologiya, 2006, no. 6, pp. 13–16.
  20. Shatz N.N., Shatz M.M. Regional characteristics of health of North population. Yakutskii meditsinskii zhurnal, 2011, vol. 35, no. 3, pp. 65–67.
  21. Solodukhina D.P., Zavialova N.A. Working citizens behavior in situation of health disorder. Sotsiologicheskie issledovaniya, 2011, vol. 327, no. 7, no. 122–125.
  22. Bulanov V. Improtance of healthy lifestyle for the production industry employees in the modern context. Sotsial’nye aspekty zdorov’ya naseleniya, 2015, vol. 41, no. 1, pp. 1–9.
  23. Malutina N.N., Lebedeva T.M., Lepikhina T.L., Karpovich Y.V., Taranenko L.A., Tolkach A.S., Naumkin A.V. Necessity of the health-saving behavior formation at industrial enterprises in perm region. Zdorovie sem'i – 21 vek, 2013, vol. 3, no. 3, pp. 102–103.
  24. Pastukhova E.Ya. The relationship of public health and socio-economic factors: Evidence from the Siberian regions of Russia. Regional'naya ekonomika: teoriya i praktika, 2016, vol. 433, no. 10, pp. 180–189.
  25. Derstuganova T.M., Velichkovskii B.T., Gurvich V.B., Varaksin A.N., Malykh O.L., Kochneva N.I., Yarushin S.V. The impact of socio-economic factors on mortality rates among the working age population (the experience of the Sverdlovsk region). Zdorov’e naselenia i sreda obintania, 2013, vol. 246, no. 9, pp. 12–14.
  26. Fang P., Dong S., Xiao J., Liu C., Feng X., Wang Y. Regional inequality in health and its determinants: evidence from China. Health Policy, 2010, vol. 94, no. 1, pp. 14–25.
  27. Van Hemelrijck W.M.J., Willaert D., Gadeyne S. The geographic pattern of Belgian mortality: can socio-economic characteristics explain area differences? Archives of Public Health, 2016, no. 74, pp. 1–10. DOI: 10.1186/s13690-016-0135-y
  28. Maguire E.R., Monsivais P. Socio-economic dietary inequalities in UK adults: an updated picture of key food groups and nutrients from national surveillance data. The British Journal of Nutrition, 2015, vol. 113, no. 1, pp. 181–189. DOI: 10.1017/S0007114514002621
  29. Wang Q., Shen J.J., Cochran C. Unemployment Rate, Smoking in China: Are They Related? International Journal of Environmental Research and Public Health, 2016, vol. 13, no. 1, pp. 113. DOI: 10.3390/ijerph13010113
  30. Rezayatmand R., Pavlova M., Groot W. Socio-economic Aspects of Health-Related Behaviors and Their Dynamics: A Case Study for the Netherlands. International Journal of Health Policy and Management, 2016, vol. 5, no. 4, pp. 237–251. DOI: 10.15171/ijhpm.2015.212
  31. Velichkovskii B.T. Human health and social stress. Russian Journal of Rehabilitation Medicine, 2016, no. 1, pp. 3–18.

You are here