Cluster systematization of the parameters of sanitary and epidemiological welfare of the population in the regions of the Russian Federation and the federal cities

On the base of the analysis of multidimensional data on the levels of socio-economic development of Russian regions, the conditions of life of citizens and the quality indicators of habitat for the 2013-2015 a clustering of the subjects of the federation has been made. Four types of regions were defined in terms of sanitary and epidemiological welfare of the population, in which environmental factors and socio-economic conditions dictate a different health status. 1 cluster consists of the regions of relative sanitary and epidemiological welfare (27 subjects). 4 regions and 2 federal cities are in the group of territories with severe sanitary and epidemiological issues with a high level of socio-economic indicators of the population. Cluster 3 includes regions with moderate to severe sanitary and hygienic as well as medical and demographic challenges with national average indicators of socio-economic development (21 regions). 25 regions belong to the cluster of sanitary and epidemiological distress with a low level of socio-economic development. Priority issues that shape medical and demographic population losses were described for each cluster.