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Spatial disparities in cause-specific mortality in Ukraine: A district-level analysis, 2006-19
Pavel Grigoriev1, Nataliia Levchuk2,3, Pavlo Shevchuk2
1Federal Institute for Population Research (BiB).
Ukraine
Area of Science:
- Public Health
- Demography
- Epidemiology
Background:
- Ukraine's complex socio-economic and political landscape presents unique challenges for understanding mortality patterns.
- Regional diversity and historical factors add further complexity to mortality trends in Eastern Europe.
Purpose of the Study:
- To conduct the first comprehensive, spatially detailed analysis of cause-specific mortality trends in Ukraine.
- To examine mortality patterns between 2006 and 2019, identifying key drivers and geographical variations.
Main Methods:
- Utilized official mortality data for Ukraine covering the period 2006-2019.
- Employed demographic and spatial analysis techniques, including hotspot analysis.
- Analyzed cause-specific mortality trends and regional gradients.
Main Results:
- Observed a significant reduction in historical West-East and West-South-East mortality gradients.
- Cardiovascular disease mortality in older individuals, particularly females, was the primary driver of mortality disparities.
- Mortality from external causes showed a notable decline, while clusters of suicide, HIV, and lung cancer mortality persisted.
Conclusions:
- Mortality gradients in Ukraine are attenuating, largely due to changes in cardiovascular disease mortality.
- Persistent geographical clusters of specific causes of death, such as suicide, HIV, and lung cancer, warrant further investigation.
- In-depth research into the underlying mechanisms driving these observed mortality patterns is recommended.
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