Аңдатпа
Introduction. Many countries, including Kazakhstan, aim to achieve universal health coverage and reduce health disparities, focusing on promoting healthy lifestyles, preventing injuries, and ensuring sustainable healthcare financing. This study seeks to analyze regional differences in premature mortality from injuries across six regions of Kazakhstan to better understand the impact of injuries, which remain a leading cause of death despite a slight decrease in overall injury-related fatalities. Materials and methods. We calculated premature mortality rates (PMR) for individuals under 75 years of age using data from the National Scientific Center for Health Development, covering 2014 to 2021, and categorized by sex and aligned with ICD-10 focusing on accidents and injuries. Absolute and relative changes in PMR were computed to assess both the overall change in mortality rates and the rate of change over the defined period. Results and discussion. North Kazakhstan experienced the highest premature mortality rates, rising from 148.15 in 2014 to 188.80 in 2021, while Atyrau had the lowest, with fluctuations from 69.54 in 2014 to 111.17 in 2021. East Kazakhstan recorded the highest relative change in mortality (63.3%), with males at 62.5% and females at 63.4%, while Atyrau showed a notable male increase of 74.6% but a smaller female increase of 23.5%, resulting in a combined total of 59.9%. In terms of total absolute changes, East Kazakhstan led with 83.76, followed by Akmola at 55.22 and West Kazakhstan at 53.96, while Zhambyl had the lowest at 26.26. Conclusion. The data highlights significant regional and gender disparities in premature mortality in Kazakhstan, emphasizing the need for targeted healthcare interventions and policies that address these specific differences.