SOCIAL FACTORS AND MORTALITY OF THE INDIGENOUS POPULATION OF THE NORTH (ON THE EXAMPLE OF THE KORYAK OKRUG)

The purpose of the study is to determine the actual indicators and causes of mortality of the indigenous small-number peoples of the North (ISNPN) of the Koryak autonomous okrug, their impact on the overall mortality rates of the okrug population, comparison with the non-indigenous population and the population of the industrialized regions of the Arctic zone of the Russian Federation (Kirovsk, Murmansk region). Methods. Data of the death registration records from the registry offices of three districts of the Koryak autonomous okrug (3720 records) and of the Kirovsk city in Murmansk oblast (2394 records) for the period 1968-91, have been processed. The average annual mortality rates per 100 thousand of the studied population aged 20-59 years were calculated based on the All-Union Population Census of 1979. The obtained indicators were standardized according to the European standard. Results. The calculation of generalized regional mortality indicators, adopted in official statistics, does not give a real understanding of the mortality rates of the indigenous population, primarily the ISNPN, and its main causes. The maximum contribution to the ISNPN mortality rate is determined by a high level of their alcoholization, both as a result of direct toxic effects, and indirectly, being the cause of suicides, accidents. Obtaining actual indicators of the ISNPN mortality and morbidity is very difficult. Specially organized studies are needed to be carried out.