RISK FACTORS OF YOUTH MORTALITY GROWTH AND PECULIARITIES OF THEIR ACCOUNTING IN MOSCOW

Introduction. Over the past quarter of a century, life expectancy in Moscow has increased by 17.3 years for men and 10.1 years for women, significantly outpacing the pace of positive trends in Russia, where rates have increased by 10.2 and 6.7 years, respectively. But since 2010, Moscow, despite its obvious socio-economic advantages, significantly loses to Russia in terms of growth in life expectancy (1.9 and 0.9 against 2.5 and 1.3 years, respectively, and in 2016-2018 in the capital there was a stagnation of indicators. In this regard, the aim of the work is to find out what specific reasons and age groups are responsible for the emerging negative changes in the capital. Material and methods. The data of Rosstat on mortality of the population of Russia calculated in the FAISS-Potential environment, data of the RFU-EMIAS of Moscow (data analysis period July-December 2018 - January-June 2019) were used. Standardized mortality rates for causes of death in selected age groups were calculated. The direct method of standardization, the European standard of age structure, is used. The deceased persons of unknown age are previously distributed in proportion to the number of deaths by age groups over the age of 1 year. Results. A multiple decrease in the mortality of the working-age population of Moscow in 2014-2017 from symptoms, signs and inaccurately marked conditions occurred against the background of an increase in losses from accidental poisoning by alcohol and drugs, injuries with uncertain intentions and unspecified cardiomyopathy. At the present time in Moscow the maximum observed rate of death from cardiomyopathy among young people. Discussion. It is hypothesized that, with a high degree of probability, the abnormal increase in cardiac mortality is a statistical artifact - a consequence of the transfer of deaths of narcotic genesis in the latent form. Conclusion. Judging by the stagnation of life expectancy observed in Moscow in 2017-2018, and especially by the increase in youth mortality during this period, the capital has exhausted the reserves of extensive growth in life expectancy due to its socio-economic resources, and the resumption of positive trends is possible only with the implementation of specific targeted measures developed taking into account the specifics of the capital, which, in turn, implies a full and detailed account of its losses.

mortality, inaccurately marked conditions, drug and alcohol poisoning, cardiomyopathy of narcotic Genesis, quality of data on mortality