Population mortality in the Kyrgyz Republic: Structure, trends and preventability determinants

UDC: 
614.2:614.1
Authors: 

A.B. Dzhanaliev, N.K. Kasiev, O.A. Bolbachan, D.D. Ibraimova, M.A. Mambetov

Organization: 

Kyrgyz-Russian Slavic University named after B.N. Yeltsin, 44 Kievskaya Str., Bishkek, 720000, Kyrgyz Republic

Abstract: 

The article presents a comprehensive analysis of trends and dynamics in the structure of mortality in the Kyrgyz Republic from 2018 to 2023, considering the impact of the COVID-19 pandemic and socio-demographic factors. The aim of the study was to identify patterns in changes in mortality indicators by major classes of diseases and to determine medical and social determinants influencing the level of preventable mortality. The study results may provide a basis for further risks of medical and demographic losses in the country.

Official data from the Center for Electronic Health of the Ministry of Health of the Kyrgyz Republic were used as the primary source. The analysis was carried out per main classes of diseases according to ICD-10, with the calculation of time-series indicators and comparative assessment of data by regions, including the Chuy Region.

The study results showed that the COVID-19 pandemic caused a sharp increase in mortality in 2020, followed by a gradual decline and stabilization of mortality rates. The main contribution to the overall mortality structure was made by diseases of the circulatory system, respiratory diseases, neoplasms, and endocrine disorders. In 2020–2021, there was a significant increase in mortality from cardiovascular and respiratory diseases, which was consistent with global trends in excess mortality during the pandemic. At the same time, pronounced regional disparities were identified, along with a persistently high level of preventable mortality among the rural population largely due to limited access to healthcare and low awareness of risk factors.

The analysis confirms that mortality dynamics is determined not only by medical but also by socioeconomic and environmental factors. The findings highlight the need to improve the system for monitoring causes of death, enhance the quality of preventive and diagnostic measures, and strengthen primary healthcare. The presented data are of practical importance for specialists in public health, demography, and social policy since they help to develop effective measures for managing demographic processes.

A comprehensive approach to managing medical and demographic indicators should form the basis for developing national strategies aimed at reducing preventable mortality and increasing life expectancy in the Kyrgyz Republic.

Keywords: 
mortality, diseases of the circulatory system, respiratory diseases, neoplasms, injuries and poisonings, healthcare system, demography, diseases, preventable mortality, COVID-19
Dzhanaliev A.B., Kasiev N.K., Bolbachan O.A., Ibraimova D.D., Mambetov M.A. Population mortality in the Kyrgyz Republic: structure, trends and preventability determinants. Health Risk Analysis, 2026, no. 1, pp. 157–166. DOI: 10.21668/health.risk/2026.1.15.eng
References: 
  1. Kuchmaeva O.V., Kalmykova N.M., Kolotusha A.V. Mortality Rate Differentiation in Russia in 2019–2020: COVID-19 Pandemic and Other Factors. Nauchnye issledovaniya ekonomicheskogo fakul'teta. Elektronnyi zhurnal, 2021, vol. 13, no. 4, pp. 34–64. DOI: 10.38050/2078-3809-2021-13-4-34-64 (in Russian).
  2. Druzhinin P.V., Molchanova E.V. Mortality Rates in Russian Regions in the Context of the COVID-19 Pandemic. Regionologiya, 2021, vol. 29, no. 3, pp. 666–685. DOI: 10.15507/2413-1407.116.029.202103.666-685 (in Russian).
  3. Bylina S.G. Mortality of urban and rural population of the Russian Federation by causes of death: comparative analysis. Mezhdunarodnyi nauchno-issledovatel'skii zhurnal, 2020, no. 10 (100), pt 2, pp. 95–103. DOI: 10.23670/IRJ.2020.100.10.054 (in Russian).
  4. Korzhavaya A.N., Merzlikina A.S. Statisticheskii analiz smertnosti naseleniya v Rossiiskoi Federatsii [Statistical analysis of mortality in the Russian Federation]. Molodoi uchenyi, 2024, no. 18 (517), pp. 476–478 (in Russian).
  5. Liu Q., Deng J., Yan W., Qin C., Du M., Wang Y., Zhang S., Liu M., Liu J. Burden and trends of infectious disease mortality attributed to air pollution, unsafe water, sanitation, and hygiene, and non-optimal temperature globally and in different socio-demographic index regions. Glob. Health Res. Policy, 2024, vol. 9, no. 1, pp. 23. DOI: 10.1186/s41256-024-00366-x
  6. Kalininskaya A.A., Bayanova N.A., Muftahova A.V., Sulkina F.A., Rassoha D.V. The medical demographic problems of rural population. Problemy sotsial'noi gigieny, zdravookhraneniya i istorii meditsiny, 2020, vol. 28, no. 6, pp. 1247–1251. DOI: 10.32687/0869-866X-2020-28-6-1247-1251 (in Russian).
  7. Li T., Zhang S., Li H. Research on social and economic factors influencing regional mortality patterns in China. Sci. Rep., 2024, vol. 14, no. 1, pp. 10614. DOI: 10.1038/s41598-024-61262-5
  8. Aassve A., Cavalli N., Mencarini L., Plach S., Bacci M.L. The COVID-19 pandemic and human fertility. Science, 2020, vol. 369, no. 6502, pp. 370–371. DOI: 10.1126/science.abc9520
  9. Kanatbekova G.K., Bekeshova E.N. Dynamics of demographic processes in the Kyrgyz Republic. Nauchnoe obozrenie. Meditsinskie nauki, 2023, no. 3, pp. 17–23. DOI: 10.17513/srms.1336 (in Russian).
  10. Kobyakova O.S., Shibalkov I.P., Solomatnikov I.A., Timonin S.A., Shchur A.E., Lagutin M.D., Tyufilin D.S., Deev I.A., Nikitina S.Yu. The medical and demographic situation in Russia: long-term trends, prospects and improvement potential. Health Risk Analysis, 2024, no. 2, pp. 4–17. DOI: 10.21668/health.risk/2024.2.01.eng
  11. Nicola M., Alsafi Z., Sohrabi C., Kerwan A., Al-Jabir A., Iosifidis C., Agha M., Agha R. The socio-economic implica-tions of the coronavirus pandemic (COVID-19): a review. Int. J. Surg., 2020, vol. 78, pp. 185–193. DOI: 10.1016/j.ijsu.2020.04.018
  12. Banerjee A., Chen S., Pasea L., Lai A.G., Katsoulis M., Denaxas S., Lai A.G., Katsoulis M., Denaxas S., Nafilyan V., Williams B. [et al.]. Excess deaths in people with cardiovascular diseases during the COVID-19 pandemic. Eur. J. Prev. Cardiol., 2021, vol. 28, no. 14, pp. 1599–1609. DOI: 10.1093/eurjpc/zwaa155
  13. Figueroa J.D., Brennan P.M., Theodoratou E., Poon M.T.C., Purshouse K., Din F.V.N., Jin K., Mesa-Eguiagaray I. [et al.]. Distinguishing between direct and indirect consequences of Covid-19. BMJ, 2020, vol. 369, pp. m2377. DOI: 10.1136/bmj.m2377
  14. Kalininskaya A.A., Bakirova E.A., Kizeev M.V., Lazarev A.V., Shlyafer S.I., Balzamova L.A. Scientific substantiation of proposals for improving medical care for villagers. Menedzher zdravookhraneniya, 2023, no. 3, pp. 13–24. DOI: 10.21045/1811-0185-2023-3-13-24 (in Russian).
  15. Woolf S.H., Chapman D.A., Sabo R.T., Weinberger D.M., Hill L. Excess deaths from COVID-19 and other causes. JAMA, 2020, vol. 324, no. 5, pp. 510–513. DOI: 10.1001/jama.2020.11787
  16. Weinberger D.M., Chen J., Cohen T., Crawford F.W., Mostashari F., Olson D., Pitzer V.E., Reich N.G.
    [et al.]. Estimation of excess deaths associated with the COVID-19 pandemic in the United States. JAMA Intern. Med., 2020, vol. 180, no. 10, pp. 1336–1344. DOI: 10.1001/jamainternmed.2020.3391
  17. Yang B.Y., Barnard L.M., Emert J.M., Drucker C., Schwarcz L., Counts C.R., Murphy D.L., Guan S. [et al.]. Clinical characteristics of patients with coronavirus disease 2019 (COVID-19) receiving emergency medical services in King County, Washington. JAMA Netw. Open, 2020, vol. 3, no. 7, pp. e2014549. DOI: 10.1001/jamanetworkopen.2020.14549
  18. Global excess deaths associated with COVID-19, January 2020 – December 2021. WHO, 2022. Available at: https://www.who.int/data/stories/global-excess-deaths-associated-with-co... (November 12, 2025).
  19. Bayanova T.A., Zaikova Z.A., Kravchenko N.A. Impact of the COVID-19 Pandemic on Mortality Rates and Patterns. ZNISO, 2022, vol. 30, no. 12, pp. 17–23. DOI: 10.35627/2219-5238/2022-30-12-17-23 (in Russian).
  20. Ibraimova D. Role of demographic factors in morbidity and mortality in malignancies in the Kyrgyz Republic. Nauka, novye tekhnologii i innovatsii Kyrgyzstana, 2023, no. 8, pp. 82–86. DOI: 10.26104/NNTIK.2023.78.74.015 (in Russian).
  21. Blinova T.V. Demographic threats and limitations of the development of rural territories in Russia. Vestnik Sara-tovskogo gosudarstvennogo sotsial'no-ekonomicheskogo universiteta, 2018, no. 2 (71), pp. 14–18 (in Russian).
  22. Kobyakova O.S., Deev I.A., Shibalkov I.P., Starodubov V.I., Marychev G.A., Lognenko M.M. Avoidable mortality: approaches to estimation. Health Risk Analysis, 2025, no. 3, pp. 158–168. DOI: 10.21668/health.risk/2025.3.16.eng
  23. Mitrofanov N.M., Mitrofanova T.Yu. Economic and geographical situation in Northern Kyrgyzstan: modernity and prospects. Aktual'nye voprosy sovremennoi ekonomiki, 2024, no. 7, pp. 311–324 (in Russian).
  24. Kossova T.V. Economic determinants of mortality from cardiovascular diseases in Russian regions. Voprosy statistiki, 2023, vol. 30, no. 1, pp. 42–51. DOI: 10.34023/2313-6383-2023-30-1-42-51 (in Russian).
  25. Hone T., Mirelman A.J., Rasella D., Paes-Sousa R., Barreto M.L., Rocha R., Millett C. Effect of Economic Recession and Impact of Health and Social Protection Expenditures on Adult Mortality: А Longitudinal Analysis of 5565 Brazilian Munic-ipalities. Lancet Glob. Health, 2019, vol. 7, no. 11, pp. e1575–e1583. DOI: 10.1016/S2214-109X(19)30409-7
  26. Cherepanova M.I., Maximova S.G., Sirotina T.V. Social well-being as an integral characteristic of the secure func-tioning and sustainable development in regions. In book: Advances in Natural, Human-Made, and Coupled Human-Natural Systems Research, Lecture Notes in Networks and Systems; S.G. Maximova, R.I. Raikin, A.A. Chibilev, M.M. Silantyeva eds. Cham, Springer Publ., 2023, vol. 234, pp. 417–424. DOI: 10.1007/978-3-030-75483-9_39
Received: 
18.11.2025
Approved: 
12.03.2026
Accepted for publication: 
26.03.2026

You are here