Lost years of life as a result of premature mortality in municipal districts of Arkhangelsk oblast in 2010–2019

To solve demographic problems and, in particular, to increase the life expectancy in Arctic regions, analysis of mortality in small territories is of particular relevance. The object of this study is to analyze the intraregional differentiation of mortality based on age-standardized indicator of lost years of life caused by premature mortality in the context of main classes of death’s causes for the period 2010- 2019 in Arkhangelsk region. The standardized indicator of lost years of life has decreased for all ages and all classes of death’s causes in Arkhangelsk region. Dynamic and level of the standardized indicator of lost years of life have big differentiation at municipal level. For example, in urban districts and adjacent areas the reduction in mortality was bigger than in border and peripheral areas. Our study shows that in the structure of lost years of life the first place is occupied by diseases of circulatory system (50.0%), the second – by external causes (19.7%), and the third – by neoplasms (14.3%). The most difficult situation is in the peripheral areas of the region due to higher losses from external causes of death at working age.