Gender aspects of cardiovascular mortality and number of inhabitants in the typical city of Western Siberia

The article presents the analysis of gender-specific aspects of mortality trend for the leading cause of death, cardiovascular diseases, in Tomsk, typical West Siberian city. The study was performed in a framework of the WHO project “Epihealth Russia” to analyze population size and mortality trends in men and women in 1990-2010. The results of this retrospective study suggested the presence of prognostically unfavorable regressive type of population, decline in the number of men (4.5%), significant decrease in the number of individuals aged 45 year old and older, and aging of the population. The gap in life expectancy between men and women was 11.92 years on average ranging from 13.42 years in 1993 to 10.68 years in 1999, respectively. The study demonstrated that cardiovascular diseases continued to be the number one cause of death for adult population in Tomsk. Standardized death rates from cardiovascular diseases ranged from a minimum of 686 in 1991 to maximum of 957 in 1994 and 761 in 2010 in men and from a minimum of 426 to maximum of 585 and 455 cases in women for the corresponding years, respectively. These data provided clear evidence for prevailing trend of cardiovascular mortality that was higher in men than in women by 1.6 times (p