[Demographic and social predictors of place of death in the group of elderly].

Analysis of data from the 2814 Medical certificates of death was performed to reveal socio-demographic characteristics of citizens who died at elderly age, depending on the place of death and alcohol anamnesis. Divorced or single elderly people with lower educational status had greater odds ratio to die «on the street¼ or «at home¼ rather than in a «medical organization¼ (respectively to characteristics of demographic status and the structure of causes of death). Clinically verified diagnosis of «Mental and behavioral disorders due to alcohol¼ (F10) in anamnesis was not associated with the «choice¼ of place of death among elderly people. Obtained results can be used to develop the regional programs in the field of public health.

[The structure of mortality of patients under dispensary supervision diagnosed with alcohol-related mental and behavioral disorders].

AIM: To identify the characteristics of mortality in patients under dispensary supervision with mental and behavioral disorders caused by alcohol (F10) in Arkhangelsk city. MATERIAL AND METHODS: Information obtained from certificates of death made out for people died in 2011-2012 who were registered in a regional psychoneurological dispensary was used. RESULTS: Mental and behavioral disorders caused by alcohol were diagnosed in 6,5% of patients, mean life longevity was 51,6 years while in others it was 67,8 years. Percentage of patients died from diseases of blood circulation system (40,6%) and tumors (13,8%) was relatively low while percentage of patients died from injuries, poisoning and other environmental factors was higher (28,6%). CONCLUSION: Alcohol abuse is a significant risk factor for population health of Arkhangelsk city. The structure of mortality of patients under dispensary supervision is characterized by the considerable prevalence of conditions that are potentially avertible. Differences in the approaches of forensic medicine experts and autopsists to the assessment of causes of death in these cases can lead to misrepresentation of statistical data on mortality structure.

Fatal occupational injuries in the Arkhangelsk region, Northwest Russia.

BACKGROUND: Occupational deaths are used as indicators of occupational safety worldwide. The Arkhangelsk region is among the areas with the highest burden of fatal occupational injuries (FOI) in Russia. AIMS: To describe the occurrence of FOI in the Arkhangelsk region in 1996-2007. METHODS: Data on all FOI reported in the Arkhangelsk region in 1996-2007 were obtained from the State Labour Inspection. Data on the number of employees were collected at the Regional Federal State Statistics Service. The incidence of FOI was calculated by gender, age and economic activity per 100,000 employees. Blood alcohol concentration for all victims was available from the autopsy records. RESULTS: Altogether, there were 734 occupational fatalities during the study period, 94% of them were among men. The incidence of FOI decreased from 18.6 (95% CI 14.6-23.6) in 1996 to 11.7 (95% CI 8.5-16.0) in 2007 among men and from 1.3 (95% CI 0.5-3.2) in 1996 to 0.3 (95% CI 0.1-1.7) in 2006 among women. The agriculture, hunting and forestry sector had the highest incidence of FOI, but they also showed a decrease in FOI from 43.9 (95% CI 32.3-65.3) in 1996 to 20.8 (95% CI 12.0-36.1) in 2007. The highest proportion of FOI occurred on Tuesdays (17%) and Wednesdays (18%). Thirty two of the victims had blood alcohol concentration >0.5 per thousand. CONCLUSIONS: The incidence of FOI in the Arkhangelsk region decreased from 1996 to 2007, but remains high and varies by gender, age and economic activity over time.