The trend in the mortality rate and life expectancy of the employable age population in Kuzbass (2011–2018)

The mortality rate and life expectancy are the most important characteristics of public health, depending on the country’s socio-economic development, living conditions, and the quality of the living environment. At the state level, excess mortality at the working-age is recognized as an important reason for the low life expectancy of Russians. The objective of the study is to analyze the trend in the mortality rate and life expectancy of the employable age population of the Kemerovo region during 2011-2018. Material and methods. To estimate the mortality rate, the general and age-specific mortality rates, mortality rates by significant classes and individual causes of death were used. The life expectancy of the employable age population was calculated using temporary mortality tables based on age-specific mortality rates. A graphic analysis of the dynamics of age-specific mortality rates and the life expectancy in men and women of employable age in urban settlements, rural areas and the entire population of the Kemerovo region was carried out over five-year age intervals for 2011-2018. Statistical data obtained on the website of Rosstat. Results. In 2018, in the Kemerovo region, the mortality rate of 40-44 year men in urban settlements, 35-44 years old in rural areas, and women 35-44 years old in urban settlements and rural areas exceeded the level of 2011, which negatively affected the dynamics of life expectancy. In rural areas, due to these age groups, the life expectancy in men decreased by 0.57, women - by 0.41 years. Losses in urban settlements were minor. Conclusion. When developing regional socio-demographic programs, it is necessary to consider the identified features of mortality of the employable age population. An increase in life expectancy is impossible without overcoming the socio-economic crisis, improving health care financing, and increasing the availability and quality of medical care. A person should be interested in improving his health, saving his life. It is necessary to raise the level of culture, education, change the mentality.