Risk assessment in terms of the basic criterion of evidence-based medicine

Document Type : Research Paper

Authors

1 Kazan Federal University, 420008, Kazan, Kremlevskaya St., 18, Russia

2 Federal State Budgetary Institution of Science Research Institute of Public Health named after Semashko, Moscow, Vorontsovo pole St., 12, Russia

3 Kazan State Medical University, 420012, Kazan, Butlerova st., 49, Russia

4 City Clinical Hospital Amed After V.V Vinogradov, 117292, Moscow, Vavilova St., 61, Russia

5 Republican Medical Prevention Centre, 420021, Kazan, Sary Sadykovoy St., 16, Russia

6 Federal State Budgetary Institution of Higher Education Chuvash State University named after I. N. Ulyanov, 428034, Cheboksary, Moskovsky prospect, 45, Russia

Abstract

A critical state task and an urgent topic for scientific research is the study of issues of women's health in reproductive age. The main indicators of medical and demographic processes in society are mortality rates. The mortality rate depends on the socio-economic development of the country, the well-being of the population, the development of the health care system, and the availability of medical care. The mortality rate of women of fertile age is one of the key factors affecting the indicators of population reproduction. The age-specific mortality rates for women of childbearing age in 2017 did not change significantly compared to 1991. The maximum number of deaths on average per 1000 people of the resident population of the corresponding sex and age group for the urban and rural population fell on the age groups aged 45-49 years, followed by the age groups 40-44 years old and 35-39 years old. The age-specific mortality rate for women of fertile age in urban areas increased from 8.3 per 1000 of the resident population of women in 1991 to 9.3 in 2017, and from 14.1 to 14.5 in rural areas. It should be noted that in rural areas the age-specific mortality rate of women aged 20-24 decreased from 1.4 to 0.4, while a significant increase in the age-specific mortality rate of women aged 35-39 was recorded, which increased from 1.8 to 2.5. The dynamics for the rest of the age groups for both urban and rural populations remained within the margin of error.

Keywords


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