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Spatial disparities in mortality by causes of death in the Republic of Moldova

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dc.contributor.author Penina, Olga
dc.date.accessioned 2021-10-16T18:27:48Z
dc.date.available 2021-10-16T18:27:48Z
dc.date.issued 2021
dc.identifier.citation PENINA, Olga. Spatial disparities in mortality by causes of death in the Republic of Moldova. In: The Moldovan Medical Journal. 2021, vol. 64, no 4, pp. 55-61. ISSN 2537-6381. https://doi.org/10.52418/moldovan-med-j.64-4.21.10
dc.identifier.issn 2537-6381
dc.identifier.issn 2537-6373
dc.identifier.uri http://moldmedjournal.md/wp-content/uploads/2021/10/Moldovan-Med-J-Vol-64-No-4-vers-5.pdf
dc.identifier.uri https://doi.org/10.52418/moldovan-med-j.64-4.21.10
dc.identifier.uri http://repository.usmf.md/handle/20.500.12710/18191
dc.description.abstract Background: Previous studies have shown long-term unfavourable changes in mortality in the Republic of Moldova accompanied by recent improvements. Little is known about the regional mortality differentiation which is an important tool for evidence-based public health policy. The aim of the study is to assess the current geographical disparities of all-cause and cause-specific mortality in Moldova and to identify evidence-based modalities to reduce them. Material and methods: This cross-sectional study is based on the corrected results of the 2014 census and individual death records for the 2012-2016 period provided by the National Agency for Public Health. Global Moran’s index and local indicators of spatial autocorrelation were computed based on contiguity matrix. Results: All-cause mortality gradient between the northern and central regions was found for males (Moran’s index=0.47, p<0.001) and females (Moran’s index=0.44, p<0.001). Digestive and cardiovascular diseases for both sexes and external causes of death for males had a statistically significant influence on the inter-regional mortality differentiation. Liver cirrhosis contributed the most to the geographical difference between the North and the Centre (Moran’s index=0.59, p<0.001), especially for females. Conclusions: The results of this study point to the existence of different drinking habits of the Moldovan population between the northern and central regions. The central regions that form the cluster of “high-high” mortality from liver cirrhosis should be considered as primarily targets for antialcohol policies. en_US
dc.language.iso en en_US
dc.publisher The Scientific Medical Association of the Republic of Moldova en_US
dc.relation.ispartof The Moldovan Medical Journal en_US
dc.subject mortality en_US
dc.subject causes of death en_US
dc.subject spatial autocorrelation en_US
dc.subject.ddc UDC: 314.4(478) en_US
dc.title Spatial disparities in mortality by causes of death in the Republic of Moldova en_US
dc.type Article en_US


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  • The Moldovan Medical Journal. Vol. 64, No 4, October 2021
    The Annual Scientific Conference of Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova on the occasion of the 76 years of activity: Research in biomedicine and health quality, excellence and performance, 20-22 October 2021

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