The mortality of population of adolescent age of the industrial city

Abstract

The paper presents the results of retrospective (21-year period) analysis of the mortality of the population of adolescent age (10-19 years) living in Angarsk. Using epidemiological methods the intensity, structure and dynamics of mortality have been estimated and compared with regional, national averages and European indices. As a result, it was found that the mortality rates of boys and young men are 4 times more than the ones of girls. In the dynamic changes in mortality of young men of 15-19 years two marked rises have been seen: in 1992-1997 and in 2000-2003, and its level was lower than the regional average, but higher than Russian mid-level. The difference between the values of the indicator in the Irkutsk region and Angarsk significantly reduced mortality in periods of growth, and the excess above the national averages values in these years has reached 55 %. Structural analysis of the averaged long-term data showed that in the structure of mortality in the city of Angarsk of 10-19 years, 51-74 % are external causes, and even 11-19 % are the symptoms not classified in other headings, which, according to some researchers, are hidden by external causes. The death rate of young men of 15-19 years of different pain-necks severity of the external causes of mortality in general than the one among girls. In the hierarchy of external causes of death the first place is occupied by accidents, excluding traffic accidents - 35 to 46 % of all external causes. Unacceptably large segment of the population mortality of adolescent age are responsible for violent causes and completed suicides. The share of the latter in the structure of the leading class of the external causes of mortality ranges from 18 to 30 % and from 18 to 20 % respectively. Levels of homicide and suicide in general in the Irkutsk region are ten times higher than the ones in wealthy European countries. Ratio of self-murders and killings reaches 1,1: 1,0 at the time, both in Western and Eastern Europe, mortality from violent causes is 5-10 times lower than the rate of suicide.