

Determinants of Mortality of the Russian Population from Respiratory Diseases: Statistical Analysis
https://doi.org/10.34023/2313-6383-2024-31-4-21-33
Abstract
The article analyzes the individual determinants of mortality of the Russian population from respiratory diseases – one of the most common types of disease in the country. Mortality from this class of causes has traditionally occupied the fifth place in the structure of mortality in the Russian Federation. However, since 2020, due to the pandemic of the new coronavirus infection (COVID-19), this cause of death has moved to fourth place, surpassing mortality from diseases of the digestive system. Moreover, this indicator remains at an increased level compared to the pre-pandemic period, which requires increased attention to this problem.
The study aimed to assess the contribution of certain characteristics of regional economic development and the healthcare system, environmental and behavioral factors to the formation of mortality rates from respiratory diseases. The information base consisted of data from the Federal State Statistics Service (Rosstat) from 2005 to 2022 on 77 regions of the Russian Federation, as well as the information on budget expenditures of territorial compulsory health insurance funds. The author conducted an econometric analysis of panel data with fixed effects to assess the relationship between the morbidity of both urban and rural population from diseases of the respiratory system and mortality from them with the analyzed determinants.
The findings allow for determining the most significant socio-economic, environmental and demographic determinants of the mortality from respiratory diseases among the Russian population. The study's conclusions emphasize the importance of such public policies aimed at reducing mortality from respiratory diseases as tobacco control and environmental initiatives, particularly the implementation of the «Clean Air» federal project.
About the Author
T. V. KossovaRussian Federation
Tatiana V. Kossova – Cand. Sci. (Econ.), Associate Professor, Applied Economics Department, Faculty of Economic Sciences,
11, Pokrovsky Blvd., Moscow, 109028.
References
1. Baptista E.A., Dey S., Pal S. Chronic Respiratory Disease Mortality and Its Associated Factors in Selected Asian Countries: Evidence from Panel Error Correction Model. BMC Public Health. 2021;21(53):Article number 53. Available from: https://doi.org/10.1186/s12889-020-10042-7.
2. Dong S. et al. Projecting Impacts of Temperature and Population Changes on Respiratory Disease Mortality in Yancheng. Physics and Chemistry of the Earth. 2020;117:Article number 102867. Available from: https://doi.org/10.1016/j.pce.2020.102867.
3. Li X. et al. Trends and Risk Factors of Mortality and Disability Adjusted Life Years for Chronic Respiratory Di- seases from 1990 to 2017: Systematic Analysis for the Global Burden of Disease Study 2017. BMJ. 2020;368. Available from: https://doi.org/10.1136/bmj.m234.
4. Khasanova R.R. Dynamics of Mortality from Respiratory Diseases and Flu in Modern Russia. Issues of Risk Analysis. 2017;14(5):72–81. (In Russ.) Available from: https://doi.org/10.32686/1812-5220-2017-14-5-72-81.
5. Fairbairn A.S., Reid D.D. Air Pollution and Other Local Factors in Respiratory Disease. Journal of Epide- miology and Community Health. 1958;12(3):94–103. Available from: https://doi.org/10.1136/jech.12.2.94.
6. Zhang Y. et al. Respiratory Mortality Associated with Ozone in China: A Systematic Review and Meta-Analysis. Environmental Pollution. 2021;280:Article number 116957. Available from: https://doi.org/10.1016/j.envpol.2021.116957.
7. Rasoulinezhad E., Taghizadeh-Hesary F., Taghizadeh-Hesary F. How Is Mortality Affected by Fossil Fuel Consumption, CO2 Emissions and Economic Factors in CIS Region? Energies. 2020;13(9):Article number 2255. Available from: https://doi.org/10.3390/en13092255.
8. Wong T.W. et al. Associations Between Daily Mortalities from Respiratory and Cardiovascular Diseases and Air Pollution in Hong Kong, China. Occupational and Environmental Medicine. 2002;59(1):30–35. Available from: https://doi.org/10.1136/oem.59.1.30.
9. Shao M. et al. Short-Term Effects of Ambient Temperature and Pollutants on the Mortality of Respiratory Diseases: A Time-Series Analysis in Hefei, China. Ecotoxicology and Environmental Safety. 2021;215:Article number 112160. Available from: https://doi.org/10.1016/j.ecoenv.2021.112160.
10. Spiteri J., von Brockdorff P. Transboundary Air Pollution and Respiratory Disease Mortality: Evidence from European Countries. Journal of Economic Studies. 2021;48(7):1371–1387. Available from: https://doi.org/10.1108/JES-05-2020-0210.
11. Williams F.L.R., Lloyd O.Ll., William G.B. Mortality from Nonmalignant Respiratory Diseases in Scotland Between 1959 and 1983. Ambio. 1987;16(4):206–210. Available from: http://www.jstor.org/stable/4313356.
12. Wong C.M. et al. Cigarette Smoking as a Risk Factor for Influenza Associated Mortality: Evidence from an Elderly Cohort. Influenza and Other Respiratory Viruses. 2013;7(4):531–539. Available from: https://doi.org/10.1111/j.1750-2659.2012.00411.x.
13. Jafar T.H. et al. Non-Communicable Diseases and Injuries in Pakistan: Strategic Priorities. Lancet. 2013;381(9885):2281–2290. Available from: http://dx.doi.org/10.1016/S0140-6736(13)60646-7.
14. Polak A. et al. Area-Based Socio-Economic Inequa- lities in Mortality from Lung Cancer and Respiratory Diseases. International Journal of Environmental Research and Public Health. 2019;16(10):Article number 1791. Available from: https://doi.org/10.3390/ijerph16101791.
15. Koskela R-S. et al. Respiratory Disease and Cardiovascular Morbidity. Occupational and Environmental Medicine. 2005;62(9):650–655. Available from: https://doi.org/10.1136/oem.2004.017111.
16. Aida J. et al. Oral Health and Cancer, Cardiovascular, and Respiratory, Mortality of Japanese. Journal of Dental Research. 2011;90(9):1129–1135. Available from: https:// doi.org/10.1177/0022034511414423.
17. Kontsevaya A.V. et al. Economic Burden of Respiratory Diseases and Chronic Obstructive Pulmonary Disease in Russian Federation, 2016. Pulmonologiya. 2019;29(2):159–166. (In Russ.) Available from: https://doi.org/10.18093/0869-0189-2019-29-2-159-166.
18. Antonov N.S. et al. Dynamics of The Incidence of Respiratory Diseases Among the Population of The Russian Federation in 2010–2022. Medicine. 2023;11(3):1–17. (In Russ.) Available from: https://doi.org/10.29234/23089113-2023-11-3-1-17.
19. Bilichenko T.N. et al. Mortality of Respiratory Disease in 2014–2015 and Ways of Its Improvement. Pulmonologiya. 2016;26(4):389–397. (In Russ.) Available from: https://doi.org/10.18093/0869-0189-2016-26-4-389-397.
20. Kossova T., Kossova E., Sheluntsova M. Estimating Effect of Healthcare Expenditures and Alcohol Overconsumption on the Health of the Russian Population. Journal of the New Economic Association. 2023;3(60):66–78. (In Russ.) Available from: https://doi.org/10.31737/22212264_2023_3_66-78
Review
For citations:
Kossova T.V. Determinants of Mortality of the Russian Population from Respiratory Diseases: Statistical Analysis. Voprosy statistiki. 2024;31(4):21-33. (In Russ.) https://doi.org/10.34023/2313-6383-2024-31-4-21-33