Prevalence of acute disorders of cerebral circulation in the Smolensk region in terms of the role of socio-economic factors and the state of the health care system

Introduction. The stroke was the leading reason for disability and mortality of the Russian population. In recent years, the influence of socio-economic factors on the health of the population has been actively studied. In this regard, it is important to study the relationship of these indicators in the subsidized region, which includes the Smolensk region, where the incidence of stroke is higher than in the whole country.

The purpose of the investigation is to assess the relationship between the incidence of stroke in the Smolensk region and socio-economic factors and indicators of the health system in the region.

Materials and methods. Using the methods of nonparametric statistics, the official statistical information was analyzed as trend for 10 years. A survey of stroke patients was conducted to determine their material wealth.

Results. There is an annual gain in the incidence of brain infarctions and intracerebral hemorrhages, a decline in the incidence of undifferentiated strokes, a decrease in the availability of doctors of all specialties, as well as neurologists, internists and emergency physicians, and an increase in the availability of general practitioners. The relationship between the incidence of the stroke and the actual final consumption of households, the ratio of the average monthly nominal accrued wages of employees of institutions to the subsistence minimum of the working-age population, the deficit of monetary income from the total monetary income of the population, the consumer price index for goods and services, the Gini index, the average amount of accrued pensions, the average per capita monetary income of the population, the integral indicator of the quality of life, the availability of general practitioners, therapists, emergency physicians.

Limitations. The study was carried out on the basis of generalized aggregated information without any primary data, the results reveal statistical rather than causal relationships, and are valid only for the territory of the Central Federal District and are comparable with the results of similar work.

Conclusions: the greatest impact on the level of stroke incidence in the Smolensk region is caused by the deficit and inequality in the distribution of monetary income, the low level of quality of life of people, the personnel shortage and the insufficient volume of preventive work of outpatient clinics.

Compliance with ethical standards. The protocol of the study was approved by the Independent Ethics Committee of the Smolensk State Medical University of the Ministry of Health of the Russian Federation (Protocol No. 7 of 04.12.2020). Each participant of the study gave informed voluntary written consent to participate in the study and publish personal medical information in an impersonal form in the journal "Health Care of the Russian Federation".

Contribution of the authors:
Miloserdov M.A. — concept and design of study, collection and processing of the material, writing a text.
Maslov N.E. — collection and processing of the material, writing a text.
Erochina A.S. — concept and design of study, writing a text.
Khamtsova E.I. — concept and design of study, compiling a list of references, statistical data processing, editing.
All co-authors — approval of the final version of the article, responsibility for the integrity of all parts of the article.

Acknowledgment. The study had no sponsorship.

Conflict of interest. The authors declare no conflict of interest. 

Received: April 04, 2021
Accepted: July 15, 2021
Published: August 30, 2022