The article briefly presents a modern view on the concept of epidemiologic transition, reflects features of its course in Russia: a lag of the main stages compared to the developed countries of the world and Europe, implementation of accelerated transition, layering of unresolved problems of previous phases. The author considers half-century dynamics of mortality of the Russian population in comparison with the world average and indicators of some developed countries, demonstrating its backlog, despite the overall positive trend. The work confirms persistence of high mortality of the Russian working-age population; presents calculations of demographic, socio-economic losses from premature deaths of citizens of this cohort. It states that external causes of death bring the largest demographic and socio-economic damage in the country and in the region: in Russia they account for 35% of all losses in PYLL and 2.45% of the total volume of GRP and 27 in the Vologda Oblast – 27% of all losses in PYLL and 2.7% of the total GRP. The highest population losses from external causes of death are observed in the youngest groups of the working-age population – more than 70% of the total losses in PYLL in Russia and 35–40% in the Vologda Oblast. In addition, the authors reveal significant gender differences in the size of losses in PYLL and GRP (on the example of the Vologda Oblast): the losses from all causes of death among men by 3 times higher than among women, from external causes of death – by 4 times. The study indicates significant regional differences in various indicators of mortality in the country. It makes a number of proposals to reduce mortality, particularly from external causes among the working-age population
Keywords
mortality, vologda oblast, regions of russia, epidemiologic transition, mortality rates of the population, dynamics of mortality
in the world, russia and other countries, losses from premature deaths