IMR Press / RCM / Volume 25 / Issue 3 / DOI: 10.31083/j.rcm2503100
Open Access Original Research
Cardiovascular Diseases Increased among the Rural and Urban Population of the Northern Regions of the Republic of Kazakhstan during COVID-19: A Descriptive Study with Forecasting
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1 Department of Clinical Disciplines, Kokshetau University named after Sh. Ualikhanov, 020000 Kokshetau, Republic Kazakhstan
2 Department of Health Policy and Management, NJSC “Kazakh National Medical University named after S.D. Asfendiyarov”, 050000 Almaty, Republic Kazakhstan
3 Department of General Hygiene, NJSC “West Kazakhstan Medical University named after M. Ospanov”, 030012 Aktobe, Republic Kazakhstan
4 Department of Public Health and Hygiene, NJSC “Astana Medical University”, 010000 Astana, Republic Kazakhstan
5 Department of Clinical Disciplines, Al-Farabi Kazakh National University, 050040 Almaty, Republic Kazakhstan
6 Department of Epidemiology with a course on HIV infection, NJSC “Kazakh National Medical University named after S.D. Asfendiyarov”, 050000 Almaty, Republic Kazakhstan
*Correspondence: kayupova.sh@gmail.com (Kulbayeva Shynar)
Rev. Cardiovasc. Med. 2024, 25(3), 100; https://doi.org/10.31083/j.rcm2503100
Submitted: 1 July 2023 | Revised: 9 November 2023 | Accepted: 23 November 2023 | Published: 8 March 2024
(This article belongs to the Section Cardiovascular Quality and Outcomes)
Copyright: © 2024 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Background: The biggest health problem in most developed countries of the world, including Kazakhstan, is high morbidity and death rates due to cardiovascular diseases (CVD), both in urban and rural areas. As is known during the outbreak of COVID-19, the inaccessibility of many medical services played a big role in the incidence of CVD, in particular in the northern regions of the Republic of Kazakhstan (KZ). The objective of our research was to analyze the prevalence of CVD in city and village regions of the northern regions of the Republic of Kazakhstan, considering the outbreak period with forecasting. Methods: A descriptive study with forecasting was conducted based on the “Health of the population of the Republic of Kazakhstan and the activities of healthcare organizations”, secondary statistical reporting data (collected volume) of the KZ. Information from this database was collected for five districts, two cities and one city of regional significance in the northern region of the KZ. Results: According to our descriptive study, the incidence of CVD indicates a comparatively large prevalence of CVD among the municipal population of the northern regions of the KZ. The prevalence of CVD in urban areas of the North Kazakhstan region (NKR) was 1682.02 (2015) and 4784.08 (2020) per 100,000 population. Among rural NKR residents, it was (per 100,000 population) 170.84 (2015) and 341.98 (2020). According to the forecast, by 2025, the incidence of CVD will grow, both in urban (7382.91/100,000) and in rural areas (417.29/100,000). Conclusions: Given the situation during the pandemic, the incidence of CVD has had a sharp increase, both in the rural and in urban areas of the northern regions of the KZ. This may be due to the poor availability of medical facilities, and medical services, which may have prevented timely diagnosis, as well as the psychology of the situation and the load on cardiac activity in relation to the pandemic.

Keywords
cardiovascular diseases
urban health
rural health
ambulatory care
forecasting
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