ANALYSIS OF TERRITORIAL FEATURES OF MORTALITY RATES FROM CARDIOVASCULAR DISEASES WITHIN THE SUBJECT OF THE RUSSIAN FEDERATION IN 2015-2023 (USING THE EXAMPLE OF THE KEMEROVO REGION-KUZBASS)

Highlights The presented work expands knowledge regarding the features of mortality from cardiovascular diseases in municipalities of a large industrial region of Siberia in the period from 2015 to 2023, based on the adopted agglomeration approach to regional development. Abstract Mortality due to cardiovascular diseases (CVD) is a multifactorial problem reflecting the health of the population and the level of socio-economic development of the country and regions, and therefore requires special attention from health authorities. Aim . To conduct a comparative analysis of the mortality rate of the population from CVD in the municipalities of Kuzbass for the period from 2015 to 2023. Methods. Kuzbass Regional Medical Information and Analytical Center provided federal statistical monitoring forms that included data on mortality rate of the adult population from CVD in the municipalities of Kuzbass. The study period was from 2015 to 2023. Results. In the North Kuzbass and South Kuzbass agglomerations there are territories that are the least populated but have the highest mortality rate from CVD: in the North Kuzbass - Chebulinsky, Izhmorsky, and Tisulsky municipal areas (0.52%, 0.39% and 0.71% of the population, respectively, and 1 st , 2 nd and 3 rd place in the ranking by the mortality rate from CVD); in the South Kuzbass - Kaltansky, Kiselevsky, Osinnikovsky urban districts (1.14%, 3.36% and 1.71% of the population, respectively, and 9 th , 7 th and 6 th place in the ranking by the mortality rate from CVD). There was a stable system for providing medical care to patients with CVD in 12 municipalities of Kuzbass (5 of which belonged to the South Kuzbass agglomeration), thus the mortality rate there was below the regional one. There were 12 municipalities with a mortality rate from CVD 15% lower compared with regional mortality rate, out of which 3 belonged to the South Kuzbass agglomeration. There were 9 municipalities with a mortality rate higher than the regional one by more than 15%, out of which 2 territories were included in the South Kuzbass agglomeration. Conclusion. The study analyzed the differences in mortality rates from CVD among the population of municipalities within a constituent entity of the Russian Federation – a large industrial region of Siberia, based on the agglomeration principle of management. The results revealed municipalities with high and low levels of mortality from CVD in 2015-2023, and the authors provided a rating of these territories.