Dynamics of circulatory disease prevalence rates in the working-age population of the regions of the Ural Federal District in 2012—2023

The study of incidence patterns of adult working-age (WA) population for diseases of the circulatory system (DCS), including in extreme epidemiological conditions, is an urgent task for public health and cardiology specialists. Objective. To carry out an analysis of regional features of the overall incidence of diseases of the circulatory system in adult working-age population in the constituent entities of the Ural Federal District for the period from 2012 to 2023. Materials and methods. The authors calculated the indicators of overall incidence (OI) of DCS in WA population. Median values of the indicators and standard deviation for the 2012—2019 period as well as growth rate (%) of the levels of OI in 2020—2023 in relation to Me were calculated. Incidence levels were evaluated relative to the all-Russian indicators, a pairwise comparison was performed for all constituent entities for 2012—2019. Bootstrap analysis was applied in order to assess the statistical significance of differences in levels of incidence in 2020—2023 compared with the 2012—2019 period. Results. In 2012—2019, statistically significant differences in the level of OI of DCS in general, ischaemic heart diseases, diseases characterized by elevated blood pressure, cerebrovascular diseases have been identified between the constituent entities of the Ural Federal District. In 2020—2023, there has been a significant increase of OI of DCS and diseases characterized by elevated blood pressure in most constituent entities. Pronounced oppositely directed tendencies of decrease and increase of the level of OI of DCS have been noted in 2020—2023 in the regions of the district. Conclusion. The indicators of overall incidence of diseases of the circulatory system in the Ural Federal District have significant differences between the constituent entities. The overall incidence rate increase in 2020—2023 is the main identified tendency in most constituent entities of the district. Regional features of the incidence of diseases of the circulatory system should be considered in the formation and implementation of public health promotion programs and territorial programs of free medical care provision to the population.