The effect of urbanization on the structure of comorbid pathology in patients with community-acquired pneumonia

Abstract

Urbanization is one of the leading global trends that has a significant impact on the health of the population. The rapidly growing process of urbanization, on the one hand, is able to create new opportunities for cities, and on the other hand has a negative impact on the health and well -being of urban citizens, and undoubtedly the poor urban population is most vulnerable in obtaining proper medical services. The uneven distribution of assets - human, financial and environmental - can be so significant that it leads to significant differences in the health of the inhabitants, depending on income, gender, place of residence, cultural and ethnic origin. The purpose of this study was to analyze the prevalence of comorbid pathology in patients with community-acquired pneumonia and to establish the risk of concomitant diseases depending on the place of residence. A retrospective study was conducted by analyzing the medical records of 213 patients, of whom 134 live in the city, 97 in the village. The analysis of the structure of comorbidity and the calculation of the relative risk of comorbidity in patients with community-acquired pneumonia showed a probable probability of its combination with arterial hypertension and coronary heart disease in patients living in the city, with an increase in the relative risk of their comorbidity, respectively, by 7.2 times and 6.0 times. Similar statistically significant associations were established between community-acquired pneumonia and arterial hypertension and coronary heart disease with an increase in the relative risk of their comorbidity by 11.3 and 6.3 times, respectively, among villagers with community-acquired pneumonia. It is also worth noting that the prevalence of arterial hypertension is probably higher in rural residents with community-acquired pneumonia compared to urban residents. At the same time, the incidence of type 2 diabetes was likely higher in patients with community-acquired pneumonia living in the city compared to rural residents with community-acquired pneumonia. Keywords: arterial hypertension, coronary heart disease, diabetes mellitus, comorbidity.