To analyse the structure of mortality and morbidity among the population aged 60 years and older in the city of Shymkent and Turkestan Region over the period 2015-2024, and to identify priority directions for organising medical and social care for older adults. A retrospective analysis of official statistics (2015-2024) was conducted, covering mortality data (Form No.32) by sex, age group, and ICD-10 cause of death; registered morbidity data from Form No.12; and demographic estimates for the population aged 60+. Rates were calculated per 100,000 population of the corresponding age-sex group. Statistical processing employed descriptive methods and trend analysis. Cardiovascular diseases (I00-I99) were the leading cause of death among persons aged 60+, accounting for 45–52% of total mortality; neoplasms (C00-D48) ranked second (12-18%), followed by respiratory diseases (J00-J99) at 8-15%. Men died predominantly at ages 65-74 (ischaemic heart disease peak), while women died predominantly at ages 80+ (cerebrovascular diseases and dementia). Respiratory mortality rose by 40-60% in 2020-2021, correlating with COVID-19. Diabetes mellitus (E10-E14) prevalence was 18-24 per 1,000 among persons aged 60+, trending upward in the 75+ subgroups. Dispanserisation coverage reached 78.4% for cardiovascular diseases but only 52.3% for diabetes. The findings confirm a high burden of chronic non-communicable diseases in the Southern Region. Priority directions for developing medical and social care for older adults include: 1) strengthening primary geriatric care with emphasis on hypertension control and secondary stroke prevention; 2) integrating palliative and long-term care for persons aged 80+; 3) optimising care pathways for diabetes management; 4) expanding telemedicine services to improve access in rural areas of Turkestan Region.
| Mualliflar | Lyubov , Magay, Sarsenbayeva , Gulzat, Kudyarova , Saltanat |
|---|---|
| Jurnal | Жанубий оролбўйи тиббиёт журнали |
| Nashr sanasi | 2026-07-25 |
| Jild | 2 |
| Son | 3/1 |
| Betlar | 26-34 |
| Til | Ingliz |
Mortality, Aged, Geriatrics, Long-Term Care, Cardiovascular Diseases
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