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February 12, 2026Russian Journal of Preventive Medicine0 citations

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

ASA.S. ShastinPAPopov AaОХО.М. Хромцова

Key Result

The 2020-2023 period was associated with a significant increase in the overall incidence of diseases of the circulatory system in most regions of the Ural Federal District compared to 2012-2019.

Key Points

  • To assess regional incidence patterns of circulatory diseases in the working-age population of the Ural Federal District from 2012 to 2023.
  • Calculated overall incidence indicators for circulatory diseases in working-age population.
  • Evaluated data from 2012 to 2019 and growth rates from 2020 to 2023.
  • Performed pairwise comparisons of constituent entities between 2012 and 2019.
  • Applied bootstrap analysis to assess statistical significance of differences in incidence levels.
  • Significant differences in overall incidence of circulatory diseases were found across regions from 2012 to 2019.
  • Marked increase in overall incidence and diseases characterized by elevated blood pressure was observed in 2020—2023.
  • Opposing trends of incidence decrease and increase were noted among regions during 2020—2023.

Study Design

Type

Observational

Multicenter

Yes

Structured PICO

P
Population
Adult working-age population in the constituent entities of the Ural Federal District
O
Outcome
Overall incidence of diseases of the circulatory system

There has been a significant increase in the overall incidence of circulatory diseases among the working-age population in the Ural Federal District during 2020-2023, highlighting the need for targeted public health programs.

Abstract

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.

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Cite This Study

Shastin et al. (2026) conducted an observational in Diseases of the circulatory system. Time period 2020-2023 vs. Time period 2012-2019 was evaluated on Overall incidence of diseases of the circulatory system. The 2020-2023 period was associated with a significant increase in the overall incidence of diseases of the circulatory system in most regions of the Ural Federal District compared to 2012-2019.

synapsesocial.com/papers/698d6e3c5be6419ac0d53bb4https://doi.org/10.17116/profmed20262901114
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