Key result
Cardiovascular mortality claims ~32,000 potential life-years annually in Zabaykalsky Krai, varying by municipality.
Why the study?
The study was motivated by the need to quantify years of potential life lost due to cardiovascular disease in the Zabaykalsky Krai to inform managerial and preventive health measures.
Observational
This epidemiological analysis highlights a significant and slightly increasing burden of premature cardiovascular mortality in the Zabaykalsky Krai, particularly among working-age men, identifying specific municipal clusters that require targeted preventive interventions.
Aim. To study the years of potential life lost (YPLL) of the population of the Zabaykalsky Krai due to cardiovascular disease (CVD) in the context of municipal structures for the development and justification of managerial measures. Material and methods. To calculate the standardized YPLL from CVD for the region as a whole and for municipalities separately, we used depersonalized data from form № S-51 "Information on the deceased by sex, age and cause of death", information on the average annual sex and age composition of the population from form 4RN of the Zabaykalsky Krai Statistics Service for the period of 2018-2022. Relatively homogeneous groups of municipalities by the level of standardized YPLL were identified using k-means cluster analysis. To test the significance of differences between clusters, variance analysis was performed. Results. When analyzing the YPLL, in the period of 2018-2022, the region's population annually lost from 30300 to 33989 person-years due to cardiovascular mortality. The total YPLL due to CVD increased by 0,2% over time. Throughout the analyzed period, the YPLL among men remained higher than among women, indicating excess mortality of the male working-age population. Cluster analysis based on YPLL coefficients standardized by age divided all region districts into 3 following clusters: with high, medium and low values . According to variance analysis, a significant difference was obtained between the studied clusters (p<0,05). Conclusion. The conducted study allowed us to identify the YPLL due to premature cardiovascular death in the Zabaykalsky Krai. Population cohorts and districts with high and increasing YPLL values were identified. The data obtained require management decisions in medical organizations aimed at improving preventive measures to promote a healthy lifestyle among the population.
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Evstaf'eva et al. (2025) conducted an observational in Cardiovascular diseases. Cardiovascular mortality vs. Different municipalities and genders was evaluated on Years of potential life lost (YPLL) due to cardiovascular diseases (p=<0.05). Between 2018 and 2022, the Zabaykalsky Krai population annually lost 30,300 to 33,989 person-years due to cardiovascular mortality, with significant differences among municipality clusters (p<0.05).
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