vspВопросы современной педиатрииCurrent Pediatrics1682-55271682-5535Издательство «ПедиатрЪ»10.15690/vsp.v13i3.1025vsp-189Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESДИНАМИКА ЧИСЛА ПОТЕРЯННЫХ ЛЕТ ЖИЗНИ (DALY) В РЕЗУЛЬТАТЕ ПРЕЖДЕВРЕМЕННОЙ СМЕРТНОСТИ ДЕТЕЙ В ВОЗРАСТЕ 0–17 ЛЕТ В ТОМСКОЙ ОБЛАСТИ В 2008–2012 гг.DYNAMICS OF DISABILITY ADJUSTED LIFE YEARS (DALY) AS A RESULT OF PREMATURE MORTALITY OF CHILDREN AT THE AGE OF 0–17 YEARS IN TOMSK REGION IN 2008–2012КобяковаО. С.KobyakovaО. S.boykov85@mail.ruДеевИ. А.DeevI. A.boykov85@mail.ruНесветайлоН. Я.NesvetailoN. Ya.boykov85@mail.ruБойковВ. А.BoykovV. А.

Boikov Vadim Andreevich, aspirant kafedry obshchei vrachebnoi praktiki i poliklinicheskoi terapii

boykov85@mail.ruШибалковИ. П.ShibalkovI. P.boykov85@mail.ruКуликовЕ. С.KulikovE. S.boykov85@mail.ruМилькевичМ. Н.MilkevitchM. N.boykov85@mail.ruСтаровойтоваЕ. А.StarovoitovaE. А.boykov85@mail.ruСибирский государственный медицинский университет, ТомскРоссияSiberian State Medical University, TomskRussian FederationБюро медицинской статистики, ТомскРоссияBureau of Medical Statistics, TomskRussian FederationНациональный исследовательский Томский политехнический университетРоссияNational Research Tomsk Polytechnic UniversityRussian Federation201419062014133Вопросы современной педиатрии3034Copyright © Кобякова О.С., Деев И.А., Несветайло Н.Я., Бойков В.А., Шибалков И.П., Куликов Е.С., Милькевич М.Н., Старовойтова Е.А., 20142014Кобякова О.С., Деев И.А., Несветайло Н.Я., Бойков В.А., Шибалков И.П., Куликов Е.С., Милькевич М.Н., Старовойтова Е.А.Kobyakova О.S., Deev I.A., Nesvetailo N.Y., Boykov V.А., Shibalkov I.P., Kulikov E.S., Milkevitch M.N., Starovoitova E.А.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vsp.spr-journal.ru/jour/article/view/189

Показатель DALY (Disability Adjusted Life Years — годы жизни, скорректированные по нетрудоспособности) широко используется для оценки вклада различных заболеваний в потери здоровья населения и анализа эффективности деятельности систем здравоохранения. Цель исследования: оценить динамику показателя DALY в результате преждевременной смертности детского населения Томской обл. за период 2008–2012 гг. Пациенты и методы: осуществлен расчет DALY в результате преждевременной смертности детского населения региона в период с 2008 по 2012 г. При расчетах использовали данные Территориального органа Федеральной службы государственной статистики по Томской обл. (Росстат), которые включали пол умершего, день, месяц и год смерти, место жительства, причину смерти, день, месяц и год рождения умершего. Также учитывали численность и половозрастную структуру населения Томской обл. согласно данным Росстата. Результаты: в Томской области в период с 2008 по 2012 г. наблюдается снижение DALY в популяции детей в возрасте 0–17 лет на 16,5%. По итогам 2012 г., DALY в исследуемой популяции составил 833,1 (82,3 ± 5,4) года на 10 тыс. соответствующего населения, что в 1,1 раза ниже, чем в целом по Российской Федерации, и в 3,4 раза ниже общемирового показателя в 2010 г. Выводы: полученный результат отражает деятельность системы здравоохранения региона, направленную на интеграцию синтеза теоретических и практических знаний. Снижению DALY среди детского населения на территории региона способствует ряд факторов: постоянное повышение качества оказываемой детям медицинской помощи, реализуемые на территории области целевые программы по охране здоровья материнства и детства, а также функционирование федеральных научных и образовательных учреждений, способствующих внедрению современных методик оказания медицинской помощи в практическое здравоохранение.

The DALY indicator (Disability Adjusted Life Years) is widely used for the assessment of a contribution of various diseases to losses of the population health and of the analysis of activity efficiency of health care systems. Background: Research objective was to evaluate dynamics of the DALY indicator as a result of premature mortality of the child population of Tomsk region during 2008-2012. Patients and methods: DALY calculation as a result of premature mortality of the child population of the region during the period from 2008 to 2012 is made. While calculating the data of Territorial body of Federal service of state statistics for the Tomsk Region (Rosstat) which included a sex of the dead, day, month and year of death, place of residence, cause of death, day, month and year of birth of the dead was used. The number and gender and age structure of the population of the Tomsk Region according to Rosstat data were also considered. Results: The DALY decrease by 16,5% in child population at the age of 0–17 years is observed in the Tomsk region during the period from 2008 to 2012. Following the results of 2012, DALY in studied population made 833.1 (82.3 ± 5.4) years for 10 thousand of corresponding population that is 1,1 times lower than totally in the Russian Federation, and 3.4 times lower than the universal indicator of 2010. Conclusion: The received result reflects the activity of health care system of the region, directed on integration of synthesis of theoretical and practical knowledge. Decrease in DALY among the child population in the territory of the region is promoted by a number of factors: continuous quality improvement of the medical care rendered to children, target programs on motherhood and childhood health protection realized in the territory of the region, and also functioning of the federal scientific and educational institutions promoting introduction of modern techniques of medical care delivery in practical health care.

Key words: demography, DALY, health assessment of the child population.

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The authors declare that there are no conflicts of interest present.