Influence of economical factors on avoidable mortality in Russia

Avoidable mortality in Russia was 526.2 per 100000 among men and 175.1 among women in 2010. Its level varied by 4.2 times (between Moscow and Tuva Republic - from 256.2 to 1097.7 for males and from 113.7 to 473.8 for females). We aimed characterize the factors influencing regional variations. Mortality of population aged 5-64 years from 38 preventable causes of death for 80 regions were analyzed together with economic indexes. The biggest consolidated expenditure on protection of public health is in the regions with high level of economic development, but they do not stimulate the reduction of mortality from preventable causes. Mortality decreased more intensively in regions where the levels of spending on health, physical education and sports are small. In all regions the leading causes of deaths depend on the living conditions and behavioral risk factors among population. In regions with higher spending on health such mortality is significantly higher than in regions with low costs. There are no regional differences in the proportion of avoidable deaths, which depends on timeliness of diagnostics. Mortality, which depends on quality of health care, is determined by socio-political situation in the country in a great extend then by regional health care expenses.