SOCIAL AND ECONOMIC DETERMINANTS AND POTENTIAL FOR GROWTH IN LIFE EXPECTANCY OF THE POPULATION IN THE RUSSIAN FEDERATION TAKING INTO ACCOUNT REGIONAL DIFFERENTIATION

2019 
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) ДоÐ?олненN‹ N€ÐµÐ·NƒÐ»NŒN‚аN‚N‹ N€Ð°Ð½ÐµÐµ вN‹Ð?олненнN‹N… иNNÐ»ÐµÐ´Ð¾Ð²Ð°Ð½Ð¸Ð¹ NÐ²NÐ·Ð¸ междNƒ ведNƒN‰Ð¸Ð¼Ð¸ Ð?оÐoазаN‚елNÐ¼Ð¸ NƒNÐ»Ð¾Ð²Ð¸Ð¹ жизни и ожидаемой Ð?N€Ð¾Ð´Ð¾Ð»Ð¶Ð¸N‚елNŒÐ½Ð¾NN‚NŒNŽ жизни (ОПЖ) наNÐµÐ»ÐµÐ½Ð¸N РФ Ð?N€Ð¸ N€Ð¾Ð¶Ð´ÐµÐ½Ð¸Ð¸ и оN‚N€Ð°Ð¶ÐµÐ½N‹ N€ÐµÐ·NƒÐ»NŒN‚аN‚N‹ анализа N€Ð¾Ð»Ð¸ NÐ°Ð½Ð¸N‚аN€Ð½Ð¾-NÐ?идемиологиN‡ÐµNÐoиN… деN‚еN€Ð¼Ð¸Ð½Ð°Ð½N‚ АÐoN‚NƒÐ°Ð»NŒÐ½Ð¾NN‚NŒ иNNÐ»ÐµÐ´Ð¾Ð²Ð°Ð½Ð¸N Ð?N€Ð¾Ð´Ð¸ÐoN‚ована налиN‡Ð¸ÐµÐ¼ неблагоÐ?олNƒN‡Ð½Ð¾Ð¹ NÐ°Ð½Ð¸N‚аN€Ð½Ð¾-NÐ?идемиологиN‡ÐµNÐoой NÐ¸N‚NƒÐ°N†Ð¸Ð¸ на неÐoоN‚оN€N‹N… N‚еN€N€Ð¸N‚оN€Ð¸NN… РоNNÐ¸Ð¹NÐoой ФедеN€Ð°N†Ð¸Ð¸, а N‚аÐoже необN…одимоNN‚NŒNŽ N€Ð°Ð·N€Ð°Ð±Ð¾N‚Ðoи и N€ÐµÐ°Ð»Ð¸Ð·Ð°N†Ð¸Ð¸ меN€ Ð?о NƒNN‚N€Ð°Ð½ÐµÐ½Ð¸NŽ или минимизаN†Ð¸Ð¸ неблагоÐ?N€Ð¸NN‚нN‹N… N„аÐoN‚оN€Ð¾Ð² NN€ÐµÐ´N‹ обиN‚аниN, NÐ?оNÐ¾Ð±Ð½N‹N… оN‚N€Ð¸N†Ð°N‚елNŒÐ½Ð¾ Ð?овлиNN‚NŒ на демогN€Ð°N„иN‡ÐµNÐoNƒNŽ NÐ¸N‚NƒÐ°N†Ð¸NŽ в NN‚N€Ð°Ð½Ðµ Ð’ ÐoаN‡ÐµNN‚ве оNÐ½Ð¾Ð²Ð½Ð¾Ð¹ N†ÐµÐ»Ð¸ NN‚авилоNNŒ изNƒN‡ÐµÐ½Ð¸Ðµ влиNÐ½Ð¸N NÐ°Ð½Ð¸N‚аN€Ð½Ð¾-NÐ?идемиологиN‡ÐµNÐoиN… Ð?оÐoазаN‚елей на ОПЖ наNÐµÐ»ÐµÐ½Ð¸N РФ N Ð?олNƒN‡ÐµÐ½Ð¸ÐµÐ¼ Ð?N€Ð¾Ð³Ð½Ð¾Ð·Ð½N‹N… NƒN€Ð¾Ð²Ð½ÐµÐ¹ ее Ð?N€Ð¸N€Ð¾NN‚а N NƒN‡ÐµN‚ом N€ÐµÐ³Ð¸Ð¾Ð½Ð°Ð»NŒÐ½Ð¾Ð¹ и Ð?оловой диN„N„еN€ÐµÐ½N†Ð¸Ð°N†Ð¸Ð¸ ИзNƒN‡ÐµÐ½ оN‚еN‡ÐµNN‚веннN‹Ð¹ и заN€NƒÐ±ÐµÐ¶Ð½N‹Ð¹ оÐ?N‹N‚ иNNÐ»ÐµÐ´Ð¾Ð²Ð°Ð½Ð¸N NÐ²NÐ·ÐµÐ¹ междNƒ Ð?оÐoазаN‚елNÐ¼Ð¸ NÐ°Ð½Ð¸N‚аN€Ð½Ð¾-NÐ?идемиологиN‡ÐµNÐoого благоÐ?олNƒN‡Ð¸N и Ð?оÐoазаN‚елем ожидаемой Ð?N€Ð¾Ð´Ð¾Ð»Ð¶Ð¸N‚елNŒÐ½Ð¾NN‚NŒNŽ жизни По NƒN€Ð¾Ð² ½NŽ NÐ°Ð½Ð¸N‚аN€Ð½Ð¾-NÐ?идемиологиN‡ÐµNÐoого благоÐ?олNƒN‡Ð¸N NNƒÐ±NSеÐoN‚N‹ РФ Ð?оделенN‹ на N‚N€Ð¸ ÐoлаNN‚еN€Ð° ТN€ÐµN‚ий ÐoлаNN‚еN€, в ÐoоN‚оN€N‹Ð¹ воNˆÐ»Ð¾ 11 NNƒÐ±NSеÐoN‚ов РФ, в болNŒNˆÐµÐ¹ NN‚еÐ?ени нNƒÐ¶Ð´Ð°ÐµN‚NN в N€ÐµÐ°Ð»Ð¸Ð·Ð°N†Ð¸Ð¸ ÐoомÐ?леÐoNÐ° меN€ Ð?о NÐ½Ð¸Ð¶ÐµÐ½Ð¸NŽ NƒN€Ð¾Ð²Ð½N загN€NÐ·Ð½ÐµÐ½Ð¸N обNSеÐoN‚ов NN€ÐµÐ´N‹ обиN‚аниN РезNƒÐ»NŒN‚аN‚N‹ N€ÐµÐ³N€ÐµNNÐ¸Ð¾Ð½Ð½Ð¾Ð³Ð¾ и N„аÐoN‚оN€Ð½Ð¾Ð³Ð¾ анализа Ð?оÐoазали, N‡N‚о Ð?N€Ð¸ Ð?N€Ð¸Ð¼ÐµÐ½ÐµÐ½Ð¸Ð¸ NN†ÐµÐ½Ð°N€Ð½N‹N… NƒNÐ»Ð¾Ð²Ð¸Ð¹ NƒÐ»NƒN‡NˆÐµÐ½Ð¸N (на 10,0 %) NÐ°Ð½Ð¸N‚аN€Ð½Ð¾-NÐ?идемиологиN‡ÐµNÐoиN… Ð?оÐoазаN‚елей Ð?N€Ð¾Ð³Ð½Ð¾Ð·Ð¸N€NƒÐµN‚NN NƒÐ²ÐµÐ»Ð¸N‡ÐµÐ½Ð¸Ðµ ожидаемой Ð?N€Ð¾Ð´Ð¾Ð»Ð¶Ð¸N‚елNŒÐ½Ð¾NN‚и жизни вNÐµÐ³Ð¾ наNÐµÐ»ÐµÐ½Ð¸N РФ на 140,39 днN Ð’ N€Ð°Ð·N€ÐµÐ·Ðµ Ð?оловой диN„N„еN€ÐµÐ½N†Ð¸Ð°N†Ð¸Ð¸ NƒÐ»NƒN‡NˆÐµÐ½Ð¸Ðµ NÐ°Ð½Ð¸N‚аN€Ð½Ð¾-NÐ?идемиологиN‡ÐµNÐoой NÐ¸N‚NƒÐ°N†Ð¸Ð¸ NÐ?оNÐ¾Ð±Ð½Ð¾ оÐoазаN‚NŒ болNŒNˆÐµÐµ влиNÐ½Ð¸Ðµ на N€Ð¾NN‚ ОПЖ мNƒÐ¶NÐoого наNÐµÐ»ÐµÐ½Ð¸N - NƒÐ²ÐµÐ»Ð¸N‡ÐµÐ½Ð¸Ðµ на 146,9 днN (длN женNÐoого наNÐµÐ»ÐµÐ½Ð¸N - NƒÐ²ÐµÐ»Ð¸N‡ÐµÐ½Ð¸Ðµ на 117,6 днN) УNN‚ановлено, N‡N‚о наиболее NNƒN‰ÐµNN‚веннN‹Ð¹ вÐoлад в N€Ð¾NN‚ ОПЖ вNÐµÐ³Ð¾ наNÐµÐ»ÐµÐ½Ð¸N вноNNN‚ Ð?N€Ð¸ NN†ÐµÐ½Ð°N€Ð½N‹N… NƒNÐ»Ð¾Ð²Ð¸NN… NÐ»ÐµÐ´NƒNŽN‰Ð¸Ðµ Ð?оÐoазаN‚ели: «ДолN наNÐµÐ»ÐµÐ½Ð¸N, обеNÐ?еN‡ÐµÐ½Ð½Ð¾Ð³Ð¾ ÐoаN‡ÐµNN‚венной Ð?иN‚NŒÐµÐ²Ð¾Ð¹ водой» (61,65 днN), «ФизиN‡ÐµNÐoие N„аÐoN‚оN€N‹ на N€Ð°Ð±Ð¾N‡Ð¸N… меNN‚аN…» (35,83), «ÐiаниN‚аN€Ð½Ð¾-гигиениN‡ÐµNÐoаN N…аN€Ð°ÐoN‚еN€Ð¸NN‚иÐoа обNSеÐoN‚ов надзоN€Ð°Â» (15,16), «ПоÐoазаN‚ели NÐ°Ð½Ð¸N‚аN€Ð½Ð¾-NÐ?идемиологиN‡ÐµNÐoого NÐ¾NN‚оNÐ½Ð¸N аN‚моNN„еN€Ð½Ð¾Ð³Ð¾ воздNƒN…а» (14,26) НаNN‚оNN‰Ð°NNN‚аN‚NŒN не N€Ð°NNÐ¼Ð°N‚N€Ð¸Ð²Ð°ÐµN‚ NÐoNN‚N€ÐµÐ¼Ð°Ð»NŒÐ½N‹Ðµ NÐ°Ð½Ð¸N‚аN€Ð½Ð¾-NÐ?идемиологиN‡ÐµNÐoие NÐ¸N‚NƒÐ°N†Ð¸Ð¸, NÐ²NÐ·Ð°Ð½Ð½N‹Ðµ N Ð?андемиN‡ÐµNÐoим N€Ð°NÐ?N€Ð¾NN‚N€Ð°Ð½ÐµÐ½Ð¸ÐµÐ¼ возбNƒÐ´Ð¸N‚елей новN‹N… инN„еÐoN†Ð¸Ð¾Ð½Ð½N‹N… заболеваний вN‹NÐ¾Ðoого NƒN€Ð¾Ð²Ð½N ÐoонN‚агиозноNN‚и (ÐoоN€Ð¾Ð½Ð°Ð²Ð¸N€NƒNÐ½Ð°N инN„еÐoN†Ð¸N)
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