Geographical differentiation of mortality in the Republic of Moldova
Journal Title: One Health & Risk Management - Year 2022, Vol 3, Issue 4
Abstract
Introduction. Life expectancy in Moldova after independence either fluctuated in the 1990s or stagnated in the early millennium, followed by moderate improvements since 2010. The objective of the study is to investigate the evolution of regional variations in life expectancy since independence in Moldova and to identify the main demographic compo-nents (causes of death and age groups) responsible for interregional mortality inequalities. Material and methods. Five-year average mortality rates by age and cause in the territo-rial profile were used between: 1991-1995, 2002-2006 and 2012-2016. Abridged life tables and confidence intervals were computed. According to Andreev's method, the difference in life expectancy between the two subpopulations was decomposed.Results. The gap in life expectancy between the best-performing and the worst-performing groups constitutes 6.0 years. Important progress has been made in the municipality of Chis-inau and the northern districts of Briceni and Edinet concerning cardiovascular mortality. In 11 districts located mainly in the center, the decline in infant mortality due to respirato-ry diseases was offset by the growth in adult mortality due to external causes and neo-plasms. Conclusions. Regional disparities can be reduced through preventive measures targeting the key risk factors for cardiovascular disease, liver cirrhosis and external causes of death within the backward geographical area.
Authors and Affiliations
Olga PENINA
Keywords
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- EP ID EP710283
- DOI 10.38045/ohrm.2022.2.01
- Views 50
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