MYOCARDIAL INFARCTION INCIDENCE IN DIFFERENT FEDERAL DISTRICTS OF THE RUSSIAN FEDERATION DIVERSE IN POPULATION DENSITY AND NUMBER OF CARDIOLOGISTS
Authors:   Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation, Moscow, Russia, Ivanova Maisa , Enina Ekaterina ,   Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation, Moscow, Russia, Vankov Dmitrii ,   Vologda Regional Clinical Hospital of the Vologda Region Healthcare Department, Vologda, Russia
Published: August 2024

Significance. Myocardial infarction is one of the important socially significant public health problems due to high morbidity. The purpose of the study was to analyze the incidence of myocardial infarction in adult population of the Russian Federation, with due regard to the number of cardiologists and population density. Material and methods. The study material was the 2022Rosstat data and statistical compilations of the Ministry of Health of the Russian Federation on myocardial infarction prevalence in adults and resource support in 2016 - 2022. The study used statistical and analytical methods, descriptive statistics method and “MSOffice Excel 2010” spreadsheets and Statistica10 program for data processing. Results. Prevalence of myocardial infarction in adults in Russia decreased by 2.1% from 2016 to 2022, including in the Central Federal District (by 1.4%), the Volga Federal District (by 5.6%), and the Southern Federal District (by 16.6%). Spatial heterogeneity of population density is registered both at the level of federal districts and constituent entities of the country: with equal numbers of cardiologists in the Volga Federal District, the Siberian Federal District and the Far Eastern Federal District, the Volga Federal District ranks 1st in terms of myocardial infarction incidence, 1.2 times exceeding the average Russian level, and 3.2 times in terms of population density. A different ratio of myocardial infarction incidence rates is also observed in the constituent entities of the Russian Federation. There is a direct strong correlation between population density and the number of cardiologists (r = 0.71) and an inverse strong correlation between the number of cardiologists and incidence of myocardial infarction (r = -0.79). Conclusion. For the period from 2016 to 2022, the prevalence of myocardial infarction among adults in Russia decreased by 2.1%, including in the Central Federal District (by 1.4%), the Volga Federal District (by 5.6%), the Southern Federal District (by 16.6%) and spatial heterogeneity of population density, the number of cardiologists per adult population and incidence of myocardial infarction both at the level of federal districts and constituent entities of the Russian Federation were established. A direct strong correlation between population density and the number of cardiologists (r = 0.71) and an inverse strong correlation between the number of cardiologists and incidence of myocardial infarction (r = -0.79) have been identified. Scope of application. The study results can be used to develop preventive programs and staffing of medical organizations.