Sanitary-epidemiologic determinants and potential for growth in life expectancy of the population in the Russian Federation taking into account regional differentiation
A.Yu. Popova1,2, N.V. Zaitseva3,4, G.G. Onishchenko4,5, S.V. Kleyn3,6, M.V. Glukhikh3, M.R. Kamaltdinov3
1Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing, Bld. 5 and 7, 18 Vadkovskiy lane, Moscow, 127994, Russian Federation
2Russian Medical Academy for Postgraduate Studies, 2/1 Barrikadnaya Str., Moscow, 123995, Russian Federation
3Federal Scientific Center for Medical and Preventive Health Risk Management Technologies, 82 Monastyrskaya Str., Perm, 614045, Russian Federation
4Russian Academy of Science, 32 Leninskii Ave., Moscow, 119334, Russian Federation
5I.M. Sechenov First Moscow State Medical University, Bld. 2, 2 Bol'shaya Pirogovskaya Str., Moscow, 119435, Russian Federation
6Perm State University, 15 Bukireva Str., Perm, 614990, Russian Federation
The current work supplements the results obtained in previous research on a relation between leading parameters of living conditions and life expectancy of the RF population; it dwells on the results obtained via analyzing a role played by sanitary and epidemiologic determinants. A sanitary-epidemiologic situation in certain RF regions is unfavorable and it makes our research truly vital; it is also necessary to work out and implement activities aimed at eliminating or minimizing adverse environmental factors that can produce negative effects on demographic situation in the country. Our primary goal was to study impacts exerted by sanitary-epidemiologic parameters on life expectancy in the RF and to obtain predicted values for its growth taking into account regional and sex differentiation.
We examined domestic and foreign experience in researching relations between sanitary-epidemiologic welfare and life expectancy. All the RF regions were distributed into three clusters as per their sanitary-epidemiologic welfare. The third cluster that includes 11 regions is in much greater need for implementing activities aimed at reducing environmental contamination. Results obtained via regression and factor analysis revealed that should there be a scenario with an improvement in sanitary-epidemiologic parameters (by 10.0 %), the overall life expectancy for the RF population would increase by 140.39 days. An improvement in sanitary-epidemiologic situation taken as per sex differentiation indicated that a greater impact was expected on life expectancy growth among male population, as it would increase by 146.9 days (by 117.6 days for female population). We established that several parameters made the greatest contribution into life expectancy growth; they were “A share of population provided with high quality drinking water” (61.65 days); “Physical factors existing at workplaces” (35.83 days), “Sanitary-hygienic characteristics of objects under surveillance” (15.16 days), and “Sanitary-epidemiologic parameters of ambient air” (14.26 days).
The current work does not cover extreme sanitary-epidemiologic situations related to pandemic spread of new infectious agents causing highly contagious diseases (Coronavirus infection).
- Morozov E.N., Litvinov S.K., Zhirenkina E.N. About the concept for eradication of diseases. Epidemiologiya i infektsionnye bolezni, 2016, vol. 21, no. 2, pp. 68–73 (in Russian). DOI: 10.18821/1560-9529-2016-21-2-68-73
- Nakatani H. Global Strategies for the Prevention and Control of Infectious Diseases and Non-Communicable Diseases. Journal of Epidemiology, 2016, vol. 26, no. 4, pp. 171–178. DOI: 10.2188/jea.JE20160010
- Modig K., Andersson T., Vaupel J., Rau R., Ahlbom A. How long do centenarians survive? Life expectancy and maximum lifespan. Journal of Internal Medicine, 2017, vol. 282, no. 2, pp. 156–163. DOI: 10.1111/joim.12627
- Medford A., Vaupel J.W. Human lifespan records are not remarkable but their durations are. PLoS One, 2019, vol. 14, no. 14 (3), pp. e0212345. DOI: 10.1371/journal.pone.0212345
- Vishnevskii A.G. Snizhenie smertnosti narushaet traditsiyu, ne vstrechaya osobogo soprotivleniya [A decrease in mortality breaks the tradition without meeting any specific resistance]. Demoskop Weekly, 2011, no. 473, pp. 1–26 (in Russian).
- Bennett J.E., Stevens G.A., Mathers C.D., Bonita R., Rehm J., Kruk M.E., Riley L.M., Dain K. [et al.]. NCD Count-down 2030: worldwide trends in non-communicable disease mortality and progress towards Sustainable Development Goal target 3.4. The Lancet, 2018, vol. 22, no. 392, pp. 1072–1088. DOI: 10.1016/S0140-6736(18)31992-5
- Wang R., Zheng X., Wang H., Shan Y. Emission drivers of cities at different industrialization phases in China. Journal of Environmental Management, 2019, vol. 250, pp. 109494. DOI: 10.1016/j.jenvman.2019.109494
- Wang Q., Su M., Li R. Toward to economic growth without emission growth: The role of urbanization and industriali-zation in China and India. Journal of Cleaner Production, 2018, vol. 205, pp. 499–511. DOI: 10.1016/j.jclepro.2018.09.034
- Danish, Zhang B., Wang B., Wang Z. Role of renewable energy and non-renewable energy consumption on EKC: Evidence from Pakistan. Journal of Cleaner Production, 2017, vol. 156, pp. 855–864. DOI: 10.1016/j.jclepro.2017.03.203
- Xu B., Lin B. How industrialization and urbanization process impacts on CO2 emissions in China: Evidence from nonparametric additive regression models. Energy Economics, 2015, vol. 48, pp. 188–202. DOI: 10.1016/j.eneco.2015.01.005
- Malov A.M., Lukovnikova L.V., Alikbaeva L.A., Yakubova I.Sh., Shchegolikhin D.K. The results of the monitoring of the mercury contamination within a megapolis. Gigiena i sanitariya, 2018, vol. 97, no. 12, pp. 1189–1194 (in Russian). DOI: 10.18821/0016-9900-2018-97-12-1189-1194
- Rakhmanin Yu.A., Levanchuk A.V., Kopytenkova O.I., Frolova N.M., Sazonova A.M. Determination of additional health risk due to pollutants in ambient air during operation of road-vehicles complex. Gigiena i sanitariya, 2018, vol. 97, no. 12, pp. 1171–1178 (in Russian). DOI: 10.18821/0016-9900-2018-97-12-1171-1178
- Yaschenko S.G., Rybalko S.Yu., Shibanov S.E., Grigoriev O.A. Monitoring of electromagnetic situation of radio fre-quency range of the mobile communication and prevalence indices of diseases of the circulatory system in the adult population. Gigiena i sanitariya, 2018, vol. 97, no. 12, pp. 1184–1188 (in Russian). DOI: 10.18821/0016-9900-2018-97-12-1184-1188
- Zaitseva N.V., Onishchenko G.G., Popova A.Yu., Kleyn S.V., Kiryanov D.A., Glukhikh M.V. Social and economic determinants and potential for growth in life expectancy of the population in the Russian Federation taking into account regional differentiation. Health Risk Analysis, 2019, vol. 4, pp. 14–29 (in Russian). DOI: 10.21668/health.risk/2019.4.02.eng.
- Wilkinson R., Marmot M. Social determinants of health: the solid facts 2nd edition. WHO Library Cataloguing in Publication Data, 2004, 33 p.
- Stringhini S., Carmeli C., Jokela M., Avendaño M., Muennig P., Guida F., Ricceri F., d'Errico A. [et al.]. Socioeconomic status and the 25*25 risk factors as determinants of premature mortality: a multicohort study and meta-analysis of 1,7 million men and women. Lancet, 2017, vol. 25, no. 389, pp. 1229–1237. DOI: 10.1016/S0140-6736 (16) 32380-7
- Macken-bach J.P., Valverde J.R., Bopp M., Brønnum-Hansen H., Deboosere P., Kalediene R., Kovács K., Leinsalu M. [et al.]. Determinants of inequalities in life expectancy: an international comparative study of eight risk factors. Lancet Public Health, 2019, vol. 4, no. 10, pp. 529–537. DOI: 10.1016/S2468-2667(19)30147-1
- Gang L., Zhang Y., Knibbe W.J., Liu W., Medema G., Van Der Meer W. Potential impacts of changing supply-water quality on drinking water distribution: A review. Water Research, 2017, vol. 1, no. 116, pp. 135–148. DOI: 10.1016/j.watres.2017.03.031
- Schriks M., Heringa M.B., Kooi M.M.E., van der Kooi M.M., de Voogt P., van Wezel A.P. Toxicological relevance of emerging contaminants for drinking water quality. Water Research, 2010, vol. 44, no. 2, pp. 461–476. DOI: 10.1016/j.watres.2009.08.023
- Wasana H.M., Perera G.D., Gunawardena P.S., Fernando P.S., Bandara J. WHO water quality standards Vs Synergic effect(s) of fluoride, heavy metals and hardness in drinking water on kidney tissues. Scientific Reports, 2017, vol. 14, no. 7, pp. 42516. DOI: 10.1038/srep42516
- Schullehner J., Hansen B., Thygesen M., Pedersen C.B., Sigsgaard T. Nitrate in drinking water and colorectal cancer risk: A nationwide population-based cohort study. International journal of cancer, 2018, vol. 1, no. 143, pp. 73–79. DOI: 10.1002/ijc.31306
- Rubino F., Corona Y., Perez J.G.J., Smith C. Bacterial contamination of drinking water in Guadalajara, Mexico. Interna-tional journal of environmental research and public health, 2018, vol. 27, no. 16 (1), pp. E67. DOI: 10.3390/ijerph16010067
- Ambient air pollution. Global health Observatory (GHO) data. WHO. Available at: https://www.who.int/gho/phe/out-door_air_pollution/en/ (20.01.2020).
- Lelieveld J., Haines A., Pozzer A. Age-dependent health risk from ambient air pollution: a modeling and data analysis of childhood mortality in middle-income and low-income countries. The Lancet Planetary Health, 2018, vol. 2, no. 7, pp. e292–e300. DOI: 10.1016/S2542-5196(18)30147-5
- Ambient air pollution: a global assessment of exposure and burden of diseases. WHO. Available at: https://www.who.int/phe/publications/air-pollution-global-assessment/en/ (20.01.2020).
- Landrigan P.J., Fuller R., Acost N.J.R., Adeyi O., Arnold R., Basu N.N., Baldé A.B., Bertollini R. [et al.]. The Lancet Commission on pollution and health. The Lancet Commissions, 2018, vol. 3, № 391 (10119), pp. 462–512. DOI: 10.1016/S0140-6736(17)32345-0
- Sarkodie S.A., Strezov V., Jiang Y., Evans T. Proximate determinants of particulate matter (PM 2.5) emission, mortality and life expectancy in Europe, Central Asia, Australia, Canada and the US. Science of the Total Environment, 2019, vol. 15, no. 683, pp. 489–497. DOI: 10.1016/j.scitotenv.2019.05.278
- Grossman G., Krueger A. Economic growth and the environment. The Quarterly Journal of Economics, 1995, vol. 110, no. 2, pp. 353–377. DOI: 10.2307/2118443
- Hill T.D., Jorgenson A.K., Ore P., Clark B., Balistreri K.S. Air quality and life expectancy in the United States: An analysis of the moderating effect of income inequality. SSM – Population Health, 2019, vol. 7, no. 100346, pp. 1–7. DOI: 10.1016/j.ssmph.2018.100346
- Brønnum-Hansen H., Bender A.M., Andersen Z.J., Sørensen J., Bønløkke J.H., Boshuizen H., Becker T., Diderichsen F., Loft S. Assessment of impact of traffic-related air pollution on morbidity and mortality in Copenhagen Municipality and the health gain of reduced exposure. Environment International, 2018, vol. 121, no. 1, pp. 973–980 (in Russian). DOI: 10.1016/j.envint.2018.09.050
- Tel'nov V.I., Tret'yakov F.D., Okatenko P.V. The shorten life expectancy in workers in relation to different histological types of lung cancer and absorbed dose to lungs from plutonium-239. Gigiena i sanitariya, 2018, vol. 97, no. 2, pp. 174–178 (in Russian). DOI: 10.18821/0016-9900-2018-97-2-174-178
- Shirlina N.G., Stasenko V.L., Kolchin A.S., Antonov O.V., Obukhova T.M. Labor conditions as a factor of the risk of the occurrence of colorectal cancer. Gigiena i sanitariya, 2018, vol. 97, no. 2, pp. 156–160 (in Russian). DOI: 10.18821/0016-9900-2018-97-2-156-160
- Meshchakova N.M., Dyakovich M.P., Shayakhmetov S.F., Lisetskaya L.G. Formation of risks for a health disaster in workers, exposed to mercury. Gigiena i sanitariya, 2018, vol. 97, no. 10, pp. 945–950. DOI: 10.18821/0016-9900-2018-97-10-945-950 (in Russian)
- Kopytenkova O.I., Tursunov Z.Sh., Levanchuk A.V., Mironenko O.V., Frolova N.M., Sazonova A.M. The hygienic assessment of the working environment in individual occupations in building organizations. Gigiena i sanitariya, 2018, vol. 97, no. 12, pp. 1203–1209 (in Russian). DOI: 10.18821/0016-9900-2018-97-12-1203-1209
- Kurchevenko S.I., Boklazhenko E.V., Bodienkova G.M. Comparative analysis of the immune response of workers exposed to various production factors. Gigiena i sanitariya, 2018, vol. 97, no. 10, pp. 905–909 (in Russian). DOI: 10.18821/0016-9900-2018-97-10-905-909
- Kuleshova M.V., Pankov V.A., Dyakovich M.P., Rukavishnikov V.S., Slivnitsyna N.V., Kazakova P.V., Bochkin G.V. The vibration disease in workers of the aircraft enterprise: factors of the formation, clinical manifestations, social-psychological features (dynamic following-up). Gigiena i sanitariya, 2018, vol. 97, no. 10, pp. 915–920 (in Russian). DOI: 10.18821/0016-9900-2018-97-10-915-920
- Natsional'nye proekty: klyuchevye tseli i ozhidaemye rezul'taty. Pravitel'stvo Rossii [National projects: key targets and expected results. The RF Government]. Available at: http://government.ru/projects/selection/741/35675/ (22.01.2020) (in Russian).
- Dzhambov A.M., Dimitrova D.D. Heart Disease Attributed to Occupational Noise, Vibration and Other Co-Exposure: Self-reported Population-Based Survey among Bulgarian Workers. Medycyna pracy, 2016, vol. 67, no. 4, pp. 435–445. DOI: 10.13075/mp.5893.00437
- Héritier H., Vienneau D., Foraster M., Eze I.C., Schaffner E., Thiesse L., Ruzdik F., Habermacher M. [et. al.]. Diurnal variability of transportation noise exposure and cardiovascular mortality: A nationwide cohort study from Switzerland. International Journal of Hygiene and Environmental Health, 2018, vol. 221, no. 3, pp. 556–563. DOI: 10.1016/j.ijheh.2018.02.005
- Rybkin V.S., Bogdanov N.A., Chuikov Yu.S., Teplaya G.A. Heavy metals as a factor of possible environmentally caused illnesses in the Astrakhan region. Gigiena i sanitariya, 2014, vol. 93, no. 2, pp. 27–31 (in Russian).
- Onishchenko G.G., Zaitseva N.V., May I.V., Shur P.Z., Popova A.Yu., Alekseev V.B., Dolgikh O.V., Zemlyanova M.A. [et al.]. Health risk analysis in the strategy of state social and economic development. Russian Academy of Sciences The Federal Service for Supervision in the Sphere of Consumer Rights and Individual Welfare Protection Federal Budget Science Institution Federal Research Center of Medical-Preventive Technologies of Public Health Risk Management Publ., Moscow, Perm, 2014, pp. 686 (in Russian).