Social and epidemiological characteristics of alcohol use disorders in the Kostroma region

Abstract

Aim. Prediction of primary, general morbidity and mortality of persons with alcohol use disorders, registered at a dispensary in the Kostroma region of Russian Federation. Methods. Statistical data for 24 districts of the Kostroma region, 1999-2012 was analyzed. In addition to graphical method and mapping the least-squares method, ranking, estimation of absolute increase/decrease and the average annual growth/loss rate were used. Information was obtained from the statistical reports of regional addictions dispensary (statistical form number 37), Statistical yearbook of National Research Center of Addictions, Ministry of Health of Russian Federation. Results. Structure of patients treated for alcohol disorders in the Kostroma region almost virtually unchanged over the past 10 years, the proportion of persons with chronic alcoholism was 46.5%, drinkers with harmful consequences - 32.4%, alcoholic psychosis - 21.1%. In 2012 the number of primary identified alcohol consumers with harmful impact on the health was 72.8% less compared to the average index for Russian Federation and 27.5% compared to Central Federal District. We have revealed mild, prone to stabilization trend of increase in the incidence of chronic alcoholism and psychosis for 14 years studied, average annual growth rate was 0.64%. Based on the primary incidence of alcoholism and psychosis the top three districts were: Sudislavsky, Susaninsky and Mezhevskoy, indicators in these areas were almost 2-3 times higher than the average regional index. In 2012 in 12 districts of Kostroma region no cases of alcoholic psychosis were registered. The latter fact is in doubt, as in 7 of 12 districts the positions of addiction psychiatrists were vacant. Over the past 3 years only 38% of patients who required to be treated for alcoholism were admitted for hospital care and 16.7% - for ambulatory care. Conclusion. Analysis of epidemiological data on alcohol situation in the Kostroma region testifies to its stabilization with the trend to improve; established territorial features show the necessity of purposeful planning of preventive measures.

Keywords

alcohol use disorders / chronic alcoholism / alcoholic psychosis / Kostroma region / socio-economic factors / incidence / prevalence / mortality

References

[1] Андреев Е.М. Злоупотребление алкоголем и преждевременная смерть в России на примере Ижевска // Наркология. - 2008. - №7. - С. 38-52.

[2] Дорофеева Р.Д., Долгова В.И., Юлдашева В.Л. и др. Факторы риска формирования аддиктивного поведения у учащейся молодежи по данным анонимного анкетирования // Вопр. наркол. - 2007. - №1. - С. 26-31.

[3] Кошкина Е.А., Павловская Н.И. Анализ алкогольной политики в странах партнёрства «Северное сияние» и рекомендации по повышению её эффективности // Вопр. наркол. - 2012. - №5. - С. 62-77.

[4] Немцов А.В. Качество статистических показателей смертности при отравлении алкоголем в России // Обществ. здоровье и профил. забол. - 2004. - №2. - С. 27-32.

[5] Немцов А.В. Количественные диагностические тендерные и географические характеристики связанной с алкоголем смертности в России // Обществ. здоровье и профил. забол. - 2006. - №6. - С. 22-30.

[6] Немцов А.В. Самоотчёт населения России о потреблении алкоголя // Наркология. - 2007. - №5. - С. 58-61.

[7] Разводовский Ю.Е. Алкоголь и смертность от гипертонической болезни // Здравоохр. РФ. - 2004. - №4. - С. 33-35.

RIGHTS & PERMISSIONS

Pochitaeva I.P., Golubeva A.P.