The impact of internal labor migration on morbidity rates with temporary disability in the Russian Federation

Introduction. One of the most important indicators of the health of the working population is the incidence of temporary disability. The statistical data do not take into account the temporary labor migration of the population, which distorts the idea of the morbidity of the permanent population at the level of the subjects of the Russian Federation and municipalities. The study aims to carry out a comparative assessment of the temporary disability (ТD) level and rating places of the subjects of the Russian Federation on the basis of statistical indicators "Number of cases of TD" and "Number of days of TD" per 100 employees and calculated indicators per 100 employed in the economy. Materials and methods. The article tells about the use of federal statistical observation data. Specialists have made their own calculations of indicators of the level of temporary disability by the number of cases and days per 100 employed in the economy. A direct ranking was carried out in descending order of all the studied indicators. The authors also conducted a direct ranking in descending order of all the studied indicators and performed a comparative analysis of the rating places of the subjects of the Russian Federation according to the level of temporary disability, according to official statistical data per 100 employees and calculated data per 100 employed. Results. In almost 30% of the subjects of the Russian Federation, significant changes were detected in 20 or more rating places, both with the shift of regions into groups with higher levels and with lower levels of morbidity. Limitations. The materials used in this study did not take into account the gender and age characteristics of morbidity. Conclusion. At the present stage, it is necessary to develop new methodological approaches for the analysis of the temporary disability at the regional and municipal levels, their introduction into the system of social and hygienic monitoring and the system of risk management for public health. The use of the indicator "number of people employed in the economy" to analyze temporary disability at the territorial (regional, municipal) level more accurately reflects the level of morbidity of the permanent population living in the study area. Ethics. The conclusion of the local Ethics Committee is not required for conducting the study.