Characteristics of primary disability and the need for vocational rehabilitation and habilitation due to cardiovascular diseases among the working-age population of the Arkhangelsk Region

Aim . To analyze primary disability due to cardiovascular diseases (CVD) and the need for vocational rehabilitation and habilitation among working-age individuals who were granted disability status in the Arkhangelsk Region between 2019 and 2023. Material and methods . The study was based on individual rehabilitation programs for working-age people recognized as disabled for the first time due to CVD (n=1982). Cases where CVD were the primary cause of disability were included. Data was extracted from the database of the Federal State Information System "Unified Automated Vertically Integrated Information and Analytical System for Medical and Social Expertise" in the Arkhangelsk Region for 2019-2023. Confidentiality of personal information was ensured by complete anonymization of the provided data prior to analysis. Statistical processing included the calculation of absolute and intensive indicators using standard statistical methods. Results. The trend analysis showed that the incidence of primary disability due to СМВ decreased by an average of 0,3 cases per 10,000 population annually. An assessment of the disease structure revealed that cerebrovascular diseases are the leading cause of disability (51,9%), followed by coronary artery disease (14,3%) and myocardial infarction (14,1%). In absolute terms, disability due to CVD is 1,43 times more common among urban residents in the region than among rural ones. However, in terms of intensive indicators, the disability rate among the rural population is nearly 1,5 times higher. Primary disability due to CSD is 54,2% more frequent among men. The highest demand for vocational rehabilitation and habilitation was observed among patients with disability group III. Young individuals and men were more likely to require vocational rehabilitation and habilitation than other age groups and women, respectively. Conclusion . To further reduce disability, early detection and treatment programs for CVD should be strengthened, as well as the healthcare accessibility should be improved.