Health assessment of the adult population of medium-sized single-industry towns using the example of settlements in the Udmurt Republic

Introduction. The health of the population of large industrial centers has been sufficiently studied and widely presented in reports. At the same time, insufficient attention is paid to the health status of residents of medium-sized (by population) cities, the industrial production of which is determined by the city-forming enterprises (single research studies obtained from the RSCI database).The purpose of the study. To assess the health status of the adult population living in medium-sized cities, the economy of which has a single-industry character.Materials and methods. A comparative analysis of the primary morbidity of the adult population (18 years and older) of three medium-sized cities of the Udmurt Republic (hereinafter UR) was carried out including Glazov, Votkinsk, Sarapul, Izhevsk (the largest), and UR as a whole over a five-year period (2016–2020) according to the accounting forms of state statistics No. 12 and No. 7. Statistical analysis made using the Statistica 10.0 (StatSoft Inc.).Results. The primary morbidity of the adult population of medium-sized cities of the UR (Votkinsk, Glazov, Sarapul) with a monoprophilic nature of the economy significantly was found to differ from the average level in the republic for the following diseases: respiratory organs, digestive organs, skin and subcutaneous tissue. At the same time, the incidence of diseases of the circulatory system, genitourinary system, and neoplasms is higher in the largest city — Izhevsk and UR as a whole than in medium-sized cities. The revealed differences show the need for a differentiated approach to the analysis of the health status of the population depending on the category of cities.Research limitations. The range of studies is limited to a 5-year period (2016–2020).Conclusion. In the course of the study, a range of priority diseases of the adult population of medium-sized (in terms of population) cities was determined. The results obtained can be used in the development of differentiated programs at the regional level in the formation of a long-term health strategy.Compliance with ethical standards. The study was approved at a meeting of the Local Ethics Committee of the Federal State Budgetary Institution "Center for Strategic Planning" of the Federal Medical and Biological Agency of Russia (Minutes No. 01/10/21 dated 25.10.2021).Contribution of the authors: Sabirova Z.F. — concept and design of research, collection and processing of material, writing of text; Khripach L.V. — statistical data processing, editing; Budarina O.V. — editing; Skovronskaya S.A., Mullagaleeva N.F. — collection and processing of material, statistical data processing. All co-authors — approval of the final version, responsibility for the integrity of all parts of the article.Funding. The study was carried out within the framework of state task № 388-00084-24-00.Conflict of interest. The authors declare no conflict of interest.Received: March 15, 2024 / Revised: November 20, 2024 / Accepted: October 8, 2025 / Published: December 17, 202

single-industry towns, average (by population), adult population, morbidity, dominant classes and diseases (according to ICD-10), solutions, optimization