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Life sciences · Journal article
Bulletin of the Russian Association of Specialists in Medical and Social Expert Evaluation Rehabilitation and Rehabilitation Industry · October 10, 2026
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The article addresses the epidemiology of disability among the adult population due to socially significant diseases (SSDs) in Moscow. The aim of the study is to analyse indicators characterising the contingent of persons repeatedly recognised as disabled among the adult population of Moscow due to chronic non-communicable diseases included in the list of socially significant ones. Materials and methods. The study uses official statistical data for Moscow. The growth/decline rates of the SSDs’ share, the coefficient of visibility (with 2010 as the base year), and the coefficient of determination R2 were calculated to assess the trend’s stability. The structure of the contingents of persons repeatedly recognised as disabled was studied by age groups (18–44 years; 45–54/59 years; over 55/60 years) and disability groups (I, II, III) across key nosologies: malignant neoplasms (C00–C97), diabetes mellitus (E10–E14), mental and behavioural disorders (F00–F99), and diseases characterised by elevated blood pressure (I10–I15). Results. A steady increase in the share of disabled persons due to SSDs was revealed: from 14.92 % in 2010 to 51.14 % in 2025. The coefficient of determination of the linear trend, R2 = 0,94, confirms the high degree of stability of this trend. Pronounced age-specific features were noted for individual nosologies: disability due to mental disorders is concentrated in the younger age group (64 % in the 18–44 age group), while disability due to arterial hypertension is prevalent in older age groups (69.4 % among those over 55 years for women and over 60 years for men). Malignant neoplasms form the largest nosological group (34,051 persons), with a significant contribution from the working-age population (37.7 %) and a high proportion of disability groups I and II (53.8 %), reflecting the severity of functional impairments in this category of disabled persons. Conclusions. The dynamics and structure of the contingents of persons repeatedly recognised as disabled due to SSDs allow for the differentiation of rehabilitation programmes. The obtained data are advisable to use as a target indicator for assessing the effectiveness of treatment and rehabilitation measures and for planning healthcare resources and the social protection system aimed at protecting public health.