Analysis of the medical-demographic situation and improvement of preventive work with working age population in the Russian Federation

UDC: 
614.2
Authors: 

R.U. Khabriev, A.A. Kalininskaya

Organization: 

National Research Institute of Public Health named after N.A. Semashko, Bldg 1, 12 Vorontsovo Pole Str., Moscow, 105064, Russian Federation

Abstract: 

The research object of the study is represented by the adult working age population of the Russian Federation.

The aim of the study is to develop proposals for improving preventive work with the population based on investigating medical and demographic indicators and analysis of morbidity among the adult working age population of the Russian Federation.

The study relied on using analytical methods, statistical methods, and direct observation. We used data provided by Rosstat and the Russian research Institute of Health, the RF Ministry of Health, over the period 2014–2023 and data taken from federal and branch statistical reports.

Over five years (2019–2023), the working-age population increased from 82 to 85 million. The mortality rate of the population of the Russian Federation decreased after a sharp rise in the year of COVID-19 (2019) and in 2023 the indicator became lower than in 2019, amounting to 1206.2 ‰00. At the same time, the mortality rate of the working-age population decreased after a sharp increase in 2020, but in 2023 it remained slightly higher than in the pre-COVID period, which determines the importance of preserving the health of the country's human resources. In the structure of newly identified morbidity of the adult working-age population of the Russian Federation (in 2023), the class of respiratory diseases is in the first place (more than 40 %), followed by injuries, poisoning and some other consequences of exposure to external causes, diseases of the genitourinary system, diseases of the skin and subcutaneous tissue, etc. Analysis of the primary and general morbidity of the adult working-age population in the Russian Federation in dynamics in the pre-COVID year (2019) and the years of the pandemic (2020-2023) revealed an increase in certain diseases caused or complicated by COVID-19, which require rehabilitation, more intensive preventive work and mass health examinations with wider coverage.

In conclusion, we propose some organization forms of preventive work with the population, including working age population.

Keywords: 
adult working-age population, mortality, morbidity (general and newly diagnosed), disease classes, ranking of the Russian region, doctors, day hospitals, schools for patients
Khabriev R.U., Kalininskaya A.A. Analysis of the medical-demographic situation and improvement of preventive work with working age population in the Russian Federation. Health Risk Analysis, 2026, no. 1, pp. 147–156. DOI: 10.21668/health.risk/2026.1.14.eng
References: 
  1. Khabriev R.U., Schepin V.O., Mirgorodskaya O.V. The complex evaluation of target indices population health in the Central Federal Okrug of the Russian Federation. Problemy sotsialnoi gigieny, zdravookhraneniya i istorii meditsini, 2020, vol. 28, no. 3, pp. 349–354. DOI: 10.32687/0869-866X-2020-28-3-349-354 (in Russian).
  2. Reshetnikov V.A., Korshever N.G., Royuk V.V., Sidelnikov S.A. Sectors involved in public health in the Russian Federation during COVID-19 pandemic. Problemy sotsial'noi gigieny, zdravookhraneniya i istorii meditsiny, 2022, vol. 30, no. 5, pp. 713–718. DOI: 10.32687/0869-866X-2022-30-5-713-718 (in Russian).
  3. Kirshchina I.A., Shestakova T.V., Soloninina A.V., Krasheninnikov A.E., Habriev R.U. Normative and legal aspects of the formation of the basic prerequisites of public health (publications review). Problemy sotsial'noi gigieny, zdravookhraneniya i istorii meditsiny, 2022, vol. 30, no. 5, pp. 746–752. DOI: 10.32687/0869-866X-2022-30-5-746-752 (in Russian).
  4. Madyanova V.V., Kakorina E.P., Klokova T.A. The characteristics of morbidity of population older than able-bodied age in the Russian Federation in 2012–2018. Problemy sotsial'noi gigieny, zdravookhraneniya i istorii meditsiny, 2020, vol. 28, no. 2, pp. 207–215. DOI: 10.32687/0869-866X-2020-28-2-207-215 (in Russian).
  5. Mingazova E.N., Samojlova A.V., Zagorujchenko A.A., Shigabutdinova T.N., Zhelezova P.V. On the issue of legal protection of adolescent girls’ reproductive health. Menedzher zdravookhraneniya, 2020, no. 7, pp. 45–52. DOI: 10.37690/1811-0185-2020-7-45-52 (in Russian).
  6. Bukhtiyarov I.V., Tikhonova G.I., Betts K.V., Bryleva M.S., Gorchakova T.Yu., Churanova A.N. Morbidity, disability and mortality of the working-age population in Russia. Meditsina truda i promyshlennaya ekologiya, 2022, vol. 62, no. 12, pp. 791–796. DOI: 10.31089/1026-9428-2022-62-12-791-796 (in Russian).
  7. Ryazantsev S.V., Nioradze G.V. The Labour Potential of Older Generation: Interregional Analysis. Uroven' zhizni na-seleniya regionov Rossii, 2022, vol. 18, no. 1, pp. 107–119. DOI: 10.19181/lsprr.2022.18.1.9 (in Russian).
  8. Lapko I.V., Zheglova A.V., Bogatyreva I.A., Klimkina K.V. Health-saving measures in preventing diseases associated with working conditions. Zdravookhranenie Rossiiskoi Federatsii, 2021, vol. 65, no. 4, pp. 372–378. DOI: 10.47470/0044-197X-2021-65-4-372-378 (in Russian).
  9. Saginova S., Stukach V., Sultanova G. Econometric analysis of the development of labor potential of agro-industrial complex of Kazakhstan. Problems of AgriMarket, 2024, no. 1, pp. 207–218. DOI: 10.46666/2024-1.2708-9991.18
  10. Onishchenko G.G., Zaitseva N.V., Popova A.Yu. [et al.]. Analiz riska zdorov'yu v strategii gosudarstvennogo sotsi-al'no-ekonomicheskogo razvitiya [Health risk analysis in the strategy of state socio-economic development]: monograph: in 2 volumes, 2nd ed., rev. and suppl. Moscow, Perm, Federal Scientific Center for Medical and Preventive Health Risk Management Technologies Publ., 2024, 580 p. (in Russian).
  11. Onishchenko G.G., Zaitseva N.V., Kleyn S.V., Glukhikh M.V. Methods for complex population health evaluation in relation to environmental factors based on use of integral indices. Descriptive review (Report 1). Zdravookhranenie Rossiiskoi Federatsii, 2024, vol. 68, no. 6, pp. 449–458. DOI: 10.47470/0044-197X-2024-68-6-449-458 (in Russian).
  12. Onishchenko G.G., Zhukova Т.V., Gorbacheva N.А., Latyshevskaya N.I., Vasilieva Т.P., Belik S.N., Shatov А.Yu. Lifestyle factors in risks of chronic non-communicable diseases in young people (literature meta-analysis). Health Risk Analysis, 2024, no. 4, pp. 187–202. DOI: 10.21668/health.risk/2024.4.16.eng
  13. Gruzdeva O.A. Ob osobennostyakh demograficheskoi politiki v Rossii v usloviyakh pandemii [Peculiarities of De-mographic Policy in Russia during the Pandemic]. Aktual'nye problemy i perspektivy razvitiya ekonomiki: rossiiskii i zarubezhnyi opyt, 2021, no. 1 (33), pp. 12–16 (in Russian).
  14. Esipov A.V., Alekhnovich A.V., Abushinov V.V. First experience in providing medical care and possible solutions to problems (review). Gospital'naya meditsina: nauka i praktika, 2020, no. 1, pp. 5–8 (in Russian).
  15. To K.K.-W., Sridhar S., Chiu K.H.-Y., Hung D.L.-L., Li X., Hung I.F.-N., Tam A.R., Chung T.W.-H. [et al.]. Lessons learned 1 year after SARS-CoV-2 emergence leading to COVID-19 pandemic. Emerg. Microbes Infect., 2021, vol. 10, no. 1, pp. 507–535. DOI: 10.1080/22221751.2021.1898291
  16. Singhal T. A Review of Coronavirus Disease-2019 (COVID-19). Indian J. Pediatr., 2020, vol. 87, no. 4, pp. 281–286. DOI: 10.1007/s12098-020-03263-6
  17. Li B., Yang J., Zhao F., Zhi L., Wang X., Liu L., Bi Z., Zhao Y. Prevalence and impact of cardiovascular metabolic diseases on COVID-19 in China. Clin. Res. Cardiol., 2020, vol. 109, no. 5, pp. 531–538. DOI: 10.1007/s00392-020-01626-9
  18. Shipova V.M., Magomedova Z.A., Kizeev M.V. Medical rehabilitation: planning, organization, labor standards. Byulleten' Natsional'nogo nauchno-issledovatel'skogo instituta obshchestvennogo zdorov'ya imeni N.A. Semashko, 2023, no. 2, pp. 103–109. DOI: 10.25742/NRIPH.2023.02.015 (in Russian).
  19. Drapkina O.M., Kontsevaya A.V., Kalinina A.M., Avdeev S.M., Agaltsov M.V., Alexandrova L.M., Antsiferova A.A., Aronov D.M. [et al.]. 2022 Prevention of chronic non-communicable diseases in the Russian Federation. National guidelines. Kardiovaskulyarnaya terapiya i profilaktika, 2022, vol. 21, no. 4, pp. 5–232. DOI: 10.15829/1728-8800-2022-3235 (in Russian).
  20. Alikova Z.R., Anaeva L.A., Remizov O.V. Results of preventive medical examinations as an indicator of the effec-tiveness of regional policy in the field children's health. Byulleten' Natsional'nogo nauchno-issledovatel'skogo instituta ob-shchestvennogo zdorov'ya imeni N.A. Semashko, 2022, no. 4, pp. 148–152. DOI: 10.25742/NRIPH.2022.04.028 (in Russian).
  21. Kalininskaya A.A., Bakirova E.A., Lazarev A.V., Shlyafer S.I., Kizeev M.V. Analysis of morbidity and staffing of the population of rural areas in the Russian Federation. Menedzher zdravookhraneniya, 2022, no. 7, pp. 42–51. DOI: 10.21045/1811-0185-2022-7-42-51 (in Russian).
  22. Banteva M.N., Manoshkina E.M. General practitioner: performance indicators in the Russian Federation and Federal districts in 2010–2019. Sotsial'nye aspekty zdorov'ya naseleniya, 2022, vol. 68, no. 3, pp. 4. DOI: 10.21045/2071-5021-2022-68-3-4 (in Russian).
  23. Astanina S.Yu., Shepel R.N., Kuznetsova O.Yu., Samoilov T.V., Dokshukina F.V., Drapkina O.M. Determination of the priority competencies of general practitioners (family doctors) in the Russian Federation: rationale and research protocol. Kardiovaskulyarnaya terapiya i profilaktika, 2023, vol. 22, no. 3S, pp. 43–50. DOI: 10.15829/1728-8800-2023-3859 (in Rus-sian).
  24. Astanina S.Yu., Shepel R.N., Drapkina O.M. Theoretical and methodological foundations for the training of physicians, internists, general practitioners (family doctors). Kardiovaskulyarnaya terapiya i profilaktika, 2025, vol. 24, no. 1S, pp. 6–17. DOI: 10.15829/1728-8800-2024-4392 (in Russian).
  25. Fomin V. Vo vsekh voprosakh, kasayushchikhsya zdorov'ya, vrach obshchei praktiki dolzhen byt' pervym, k komu idet patsient [In all matters concerning health, the general practitioner should be the first person the patient goes to]. Moskovskaya meditsina, 2020, no. 1 (35), pp. 6–11 (in Russian).
  26. Kenespaev M.K., Tursynbet T.E. Problems of the effectiveness of the work of general practitioners. Journal of Health Development, 2022, vol. 2, no. 46, pp. 49–59. DOI: 10.32921/2225-9929-2022-2-46-49-59
  27. Drapkina O.M., Maslennikova G.Ya., Shepel R.N. Strategies for diseases prevention: the role of the general practitioner and primary health care. Profilakticheskaya meditsina, 2021, vol. 24, no. 8, pp. 7–14. DOI: 10.17116/profmed2021240817
  28. Valls Martínez M.D.C., Ramírez-Orellana A., Grasso M.S. Health Investment Management and Healthcare Quality in the Public System: A Gender Perspective. Int. J. Environ. Res. Public Health, 2021, vol. 18, no. 5, pp. 2304. DOI: 10.3390/ijerph18052304
  29. Salas M. Day Hospital as an Alternative to Traditional Inpatient Care: A Systematic Review. Health Services Research, 2020, vol. 55, no. 1, pp. 45–60.
  30. Pérez R. Evaluating the Impact of Day Hospitals on Patient Outcomes and Health Systems. Health Policy and Planning, 2020, vol. 35, no. 4, pp. 465–472.
  31. Moldaliyev I.S., Eleuov B., Aliev Ye., Alieva Z. Efficiency of use of stationary mixing technologies in the conditions of the university clinic. Theoretical & Applied Science, 2020, no. 5 (85), pp. 540–543.
  32. Morgan T.A., Dalrymple K., D'Avanzato C., Zimage S., Balling C., Ward M., Zimmerman M. Conducting Research Outcomes in a Clinical Practice Setting: The Effectiveness and Acceptability of Acceptance and Commitment Therapy (ACT) in a Partial Hospital Program. Behav. Ther., 2021, vol. 52, no. 2, pp. 272–285. DOI: 10.1016/j.beth.2020.08.004
  33. Shlyafer S.I. Comparative analysis of the composition of patients in day hospitals and in in-home health care. Meditsina, 2020, vol. 8, no. 4 (32), pp. 1–12. DOI: 10.29234/2308-9113-2020-8-4-1-12 (in Russian).
  34. Alikova Z.R., Serdyuk N.V., Rodionova V.E. Mediko-sotsial'nye aspekty effektivnosti lecheniya lits pozhilogo voz-rasta s gipertonicheskoi bolezn'yu v dnevnykh statsionarakh [Medical and social aspects of the effectiveness of treatment of elderly people with hypertension in day hospitals]. Kompleksnye problemy serdechno-sosudistykh zabolevanii, 2021, vol. 10, no. S2, pp. 111 (in Russian).
  35. Shikina I.B., Shlyfer S.I., Soprun L.A., Gavrilova N.Yu., Akulin I.M. Organizational model of medical care for postcovid syndrome. Sovremennye problemy zdravookhraneniya i meditsinskoi statistiki, 2022, no. 4, pp. 787–803. DOI: 10.24412/2312-2935-2022-4-787-803 (in Russian).
  36. Kalininskaya A.A., Konovalov O.E., Merekina M.D., Balsamova L.A., Chizhikova T.V. The day hospitals as preven-tive hospitalization of patients of able-bodied age. Problemy sotsial'noi gigieny, zdravookhraneniya i istorii meditsiny, 2021, vol. 29, no. 4, pp. 957–962. DOI: 10.32687/0869-866X-2021-29-4-957-962 (in Russian).
Received: 
30.08.2025
Approved: 
10.02.2026
Accepted for publication: 
26.03.2026

You are here