Factors of Differences in Infant Mortality by the Place of Residence in Moscow

Final qualifying work is devoted to the study of one of the possible causes of relatively high infant mortality in Moscow, compared with other Western countries and some regions of Russia. This reason is based on the prevailing opinion about the high proportion of nonresident and foreign citizens in the structure of infant mortality in Moscow (about 40%) due to the published official data of state statistics. In this regard, at the level of state bodies, the idea of forming the infant mortality rate only among deceased infants registered at the place of residence of Moscow is proposed, thereby reducing the value of the indicator by almost 15%. Therefore, the relevance of the theme of the final qualifying work is due to the need to better understand the actual contribution of nonresident and foreign citizens in the structure of infant mortality in Moscow. An important point in the study is the distribution of deceased infants into three groups depending on their place of birth and place of residence on the basis of an alternative source of data from the office registry of the Moscow and the Bureau of forensic medicine. The aim of the study was to identify the differences between these groups of deceased infants in the individual factors that are the points of the medical certificate of death and perinatal death for 2012-2016. Research problem: -to analyze and summarize the experience of infant mortality studies depending on their place of residence; -to analyze the structure of deceased infants according to their place of birth and place of residence and to identify similarities or differences between them in individual infant mortality factors. As a result of the study, the actual share of non-Muscovites born outside of Moscow in the structure of infant mortality was 9%, instead of 37.8% according to official statistics. In view of this, we should continue to study the phenomenon of relatively high infant mortality in Moscow, but from other reasons.