LOSS OF LABOR POTENTIAL CAUSED BY TUBERCULOSIS IN PENITENTIARY INSTITUTIONS OF THE RUSSIAN FEDERATION
Authors:   Research Institute of the Federal Penitentiary Service, Moscow, Russia, Vostroknutov Mikhail , Mikhaylova Yuliya ,   Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation, Moscow, Russia, Sterlikov Sergey ,   Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation, Moscow, Russia, Mikhaylov Aleksandr ,   Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation, Moscow, Russia
Published: August 2024

Significance. Organizing labor of convicts prevents recurrent offenses and fills in the vacuum of social relations. Tuberculosis restricts labor potential, the extent of which requires assessment. The purpose of the study was to determine the structure and dynamics in the loss of labor potential caused by tuberculosis in the Russian penitentiary institutions and impact of major factors that aggravate the patient’s treatment and increase its length: multiple drug resistance of Mycobacterium tuberculosis and tuberculosis associated with the virus human immunodeficiency (HIV infection). Material and methods. To analyze the loss of labor potential, information from official penitentiary statistics for 2013–2023 was studied. The following three components of the loss of labor potential were analyzed: morbidity with temporary disability, mortality and disability. In addition to the loss of labor potential, indicators of disability, average case length, and mortality were also calculated. Results. The greatest contribution to the loss of labor potential caused by tuberculosis in the Russian penitentiary institutions is made by disability, the share of which in the structure of labor potential loss varies from 85.1% to 89.2%. The contribution of temporary disability to the structure of labor potential loss varies from 9.7% to 14.4%. The contribution of mortality from tuberculosis is insignificant (less than 1% in the last 6 years). There was a decrease in the share of mortality from tuberculosis from 3.4 in 2013 to 0.3% in 2023 in the structure of labor potential loss during the period under study. A strong linear relationship has been identified between the number of days of temporary disability, as well as days of labor potential lost due to disability, and the number of tuberculosis patients under medical follow-up (R2>0.85). At the same time, adding the number of patients with multiple drug resistant tuberculosis and TB-HIV co-infection to the regression model worsened characteristics of the regression models of the dependence of labor potential loss on the number of patients with tuberculosis. Conclusion and scope of application. The results obtained made it possible to determine the prime focus of efforts to prevent loss of labor potential among convicts – to reduce disability of patients with tuberculosis. This determined a further promising direction of scientific research – to identify factors affecting disability of tuberculosis patients and find ways to influence them.