Regional mortality disparities and causes of death in Moldova

Olga Penina, Nicolae Testemitanu State University Of Medicine And Pharmacy Of The Republic Of Moldova

Moldova has been facing a population health crisis since the mid-1960. Cardiovascular diseases, digestive diseases and external causes drive the long-term unfavourable trend in life expectancy. The study is aimed at examining the current geographical differentiation of all-cause and cause-specific mortality in Moldova and identifying evidence-based modalities to reduce it. We use the adjusted results from the 2014 census of population and individual death records for the five years surrounding it. There is a gradient in overall mortality between the leading north and the municipality of Chisinau (the capital), on the one hand, and the lagging centre, on the other. In the lagging central districts, losses of life expectancy are mainly related to higher mortality among 45-64 year-olds in both sexes as well as among older women and young adult men. Digestive diseases, cardiovascular diseases and external causes of death (males only) have a statistically significant impact on interregional mortality differentiation. The alcohol consumption patterns of the Moldovan population are different between the central districts and the rest of the country. Certain districts of the centre have a dangerous culture of homemade wine consumption, which affects both men and women. Adequate alcohol preventive measures are needed.

Keywords: Mortality, Geo-referenced/geo-coded data, Spatial analysis/regression

See paper.

  Presented in Session P23.