Analysis of medical and statistical measures of morbidity in officers of the Navy and Ground Forces of the Russian Federation in 2003–2018

Abstract

Relevance. Professional activities of the officers of the Navy of Russia and the Ground Forces of Russia are obviously different. Due to autonomous combat missions, medical support for the officers of the Russian Navy is quite specific, with high requirements to the health status of the navy personnel.
Intention. To analyze morbidity of officers of the Russian Navy and the Ground Forces in 2003–2018.
Methodology. A selective statistical analysis was performed using medical reports on the state of health of personnel and activities of the medical service according to Form 3 / MED in military units, in which about 60% of the total number of officers of the Armed Forces of Russia served in 2003–2018. Commonly accepted medical and statistical morbidity indicators were analyzed by disease categories of the International Statistical Classification of Diseases and Health Problems, 10th revision.
Results and Discussion. The average annual morbidity rates for Russian Navy officers were (918.9 ± 35.3) and (1014.0 ± 79.2) ‰ for the Russian Navy and Ground Forces officers, respectively; primary morbidity rates were (351.0 ± 9.2) and (473.5 ± 38.0) ‰, respectively (p < 0.01); the need for case follow-up was (151.0 ± 9.1) and (114.2 ± 9.2) ‰, respectively (p <0.05); hospital admissions (236.5 ± 11.1) and (194.6 ± 17.8) ‰, respectively; work days lost (4997 ± 183) and (4180 ± 354) ‰, respectively; dismissal rates (15.90 ± 1.36) and (12.27 ± 2.72) ‰, respectively; mortality rates were (102.53 ± 5.95) and (138.35 ± 9.49) per 100 thousand officers of the respective cohort (p < 0.01). The trends in almost all morbidity and mortality types are not consistent, which may indicate the influence of various factors, for example, military-professional ones. The consistency of the trends of dismissal rates is moderate and statistically significant (r = 0.56; p <0.05), which indicates the influence of unidirectional factors, possibly organizational ones. When assessing the military-epidemiological significance of disase categories, the following diseases ranked first: acute respiratory infections of the upper respiratory tract (J00 – J06 by ICD-10), coronary heart disease (I20 – I25), hypertensive diseases (I10 – I15), diseases of the esophagus, stomach and duodenum (K20 – K31). In the Russian Navy officers, the leading 10 disease categories included malignant neoplasms (C00 – C80), obesity and other hyperalimentation (E65 – E68); other acute respiratory infections of the lower respiratory tract (J20 – J22), infections of the skin and subcutaneous tissue (L00 – L08).
Conclusion. Prevention, timely treatment and rehabilitation will help improve the health status of officers. Taking into account the rates and structure of morbidity will optimize allocation of resources the medical service of the Armed Forces of Russia.