MORTALITY FROM CEREBROVASCULAR DISEASES: REAL AND PREDICTED CHANGES
DOI:
https://doi.org/10.11603/1681-2786.2021.4.12847Keywords:
mortality, cerebrovascular diseases, COVID-19Abstract
Purpose: to carry out a comparative analysis of the mortality rates due to cerebrovascular diseases (CVDs) in Ukraine and European countries, to study the changes that occurred in 2020 compared to 2019, to assess their probable determinism by the COVID-19 pandemic in the future.
Materials and Methods. The information base of the study was the following materials European Health Information Gateway, Eurostat concerning standardized mortality rates, official data from the State Statistics Service of Ukraine.
Results. Prior to the development of the COVID-19 pandemic, the CIS countries, Ukraine, Georgia and the “newˮ EU members were characterized by higher CVD mortality rates and greater gender disparity compared to the “oldˮ EU member states. We can expect these differences to deepen due to the negative impact of the COVID-19 pandemic. In the comparison of 2020 with the “pre-COVIDˮ 2019 in Ukraine, the death rate due to CVDs increased (the rough indicator increased from179.5 to 187.1; standardized – from 120.5 to 124.7 per 100 thousand people). Analysis of changes by gender showed a lower response from women – the death rate from CVDs increased by only 2.1 % (among men by 6.7 %). However, changes in the mortality rate of women aged 55-59 years were the largest (an increase of more than 10 %). As in European countries, Ukraine experienced a significant regional differentiation of mortality from CVDs. The gap between standardized indicators in the Chernivtsi region and Sumy region exceeded six and a half times in 2020. The increase in mortality during the pandemic was facilitated by deterioration of access to medical care, weakening of prevention measures; violation of the usual long-term treatment of arterial hypertension; as well as the stay of the entire population in a state of long-term chronic stress.
Conclusions.The complication of the epidemiological situation for CVDs in the country due to the negative impact of the COVID-19 pandemic, ignoring existing challenges may increase the likelihood of an increase in both morbidity and mortality due to CVDs in the coming years, which will become an obstacle to achieving the relevant task of the Sustainable Development Goals.
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