DEVELOPMENT OF AN INTEGRATED ASSESSMENT FRAMEWORK FOR ASSESSING REGIONAL QUALITY OF LIFE FOR MONITORING THE HEALTH STATUS OF THE POPULATION OF THE SUBJECTS OF THE RUSSIAN FEDERATION

Abstract

HighlightsWe have developed an integrated assessment framework for assessing regional quality of life of the population residing in the subjects of the Russian Federation in 2017-2021 that includes four indices: Social-geographical, Demographic, Economic and Industrial-environmental. The study results have confirmed the importance of the influence of regional quality of life on the health of the Russian population residing in the regions. Further assessment of the validity of the indices is needed to analyze the impact on individual health indicators and to study subjects in more depth, including within the framework of a specific nosology or nosology groups. AbstractAim. To develop an integrated assessment framework for assessing regional quality of life of the population residing in the regions of Russia, followed by an analysis of its association with mortality rates in 2017–2021.Methods. The publication “Regions of Russia. Socio-economic indicators” published by the Federal State Statistics Service for 85 subjects for the period from 2017 to 2021 was used as the source data material. Factor analysis, the principal component method, was used to identify hidden variables or factors, reduce the number of variables based on classification and determine the structure of relationships. To assess the validity of the developed indices, an analysis of their associations with mortality rates for 2017–2021 was carried out. A linear regression analysis of the effect of indices on mortality rates was carried out.Results. The analysis revealed 4 distinct indices, which included 25 indicators. With an increase in the Social-geographical Index, there is an increase in total mortality by 3.8%, mortality from infectious and parasitic diseases by 36%, neoplasms by 8.8%, diseases of the circulatory system by 5%, respiratory organs by 10.6%, digestive organs by 12.3%, external causes by 23.3%. With an increase in the Demographic Index, there is a decrease in mortality from infectious and parasitic diseases by 12.9%, an increase in total mortality by 19%, mortality from neoplasms by 16.3%, diseases of the circulatory system by 21.4%, respiratory organs by 13%, digestive organs by 19.2%. With an increase in the Economic Index, total mortality decreases by 7.8%, mortality from neoplasms by 5.6%, diseases of the circulatory system by 10%, respiratory organs by 7.8%. With an increase in the Industrial-environmental Index, there is an increase in total mortality by 3.1%, mortality from infectious and parasitic diseases by 27.2%, and neoplasms by 3.3%.Conclusion. We have identified the regional indices reflecting the current quality of life of the Russian population, the validity of which is confirmed by significant association with mortality in the regions. Further use of indices is possible for a detailed assessment of individual subjects, focusing on a specific index showing the most significant relationship with the health of the population.