environmental factors harmful effects) (Press-vypusk
VCIOM). The accumulation of these destructive
processes has been exacerbated by the ill-considered
regional policy of the regional Ministry of Health
since 2018, when a massive reduction in medical
personnel (by 6,000 staff units) was carried out.
According to the experts, today the shortage in the
full-time number of medical staff is approximately
equal to 30,000 employees. The regional medical
institutions are staffed by less than 50%. Moreover,
the data need to be clarified, since during the
pandemic there were even greater losses in the
number of medical staff because of natural losses due
to infection, as well as due to migration from the
profession due to the growth of already high labor
intensity. It is obvious that these listed circumstances
significantly complicate the planned demographic
indicators implementation in the region, objectively
jeopardize the achievement of the total life
expectancy (by 2035, according to the plan in the
region – 76.78 years, 72.13 years for men, 81.23 years
for women). These processes generally have a
negative impact on the social well-being and social
reality perception, which, from an objective and
subjective points of view, contributes to the growth of
depressive moods among the region population.
4 DISCUSSION OF RESULTS
There is no doubt that the regional demographic
structure dynamics is a social phenomenon with a
complex nature, determined by the influence of a
composite of objective economic and subjective
socio-psychological factors.
The objective side of the issue traditionally
includes the population nominal and real income, life
expectancy, availability of high-quality medical care
and recreational activities, stable working conditions,
housing conditions that meet sanitary standards, the
amount of vital and cultural goods consumed, and the
safety of life and health.
The subjective, but also relevant side, are social
affiliation, full participation in public life, social well-
being, life satisfaction index, the level of population
inclusion in social relations and cultural
environments.
Despite the current socio-economic situation
disappointing statistics of the region, its territories
today are characterized by social processes of a dual
nature, including not only destruction, but also some
advantages over other Russian regions.
These advantages include the geolocation
features, the natural resources presence and diversity,
the landscape and minerals richness. But at the same
time, there are still real threats to the environmental
situation in the region. There are still unresolved
issues assessed by the modern scientific community
as eco-disasters that pose threats not only to the
region, but also to the territories of neighboring
regions and the entire State, including (these are, first
of all, man-made "traces" in Usolye-Sibirskoye,
Baikal, etc.), "frightening" indicators of the air, water,
and land pollution. The region has an extensive
production, which simultaneously "feeds" the
territory, finances an extensive structure of
educational, cultural and leisure institutions, but also
lays new environmental risks.
5 CONCLUSION
So, the dynamics of the Irkutsk region demographic
structure are influenced by many trends of the current
time. Among them, in our opinion, the most important
are:
progressing natural population decrease;
low birth rate;
the migration losses that increased during the
pandemic and the maintaining traditional
negative migration balance;
the increase in the decline of the economically
active population migrating to more prosperous
regions, as a rule, to the central part and the
southern territories of Russia;
the increase in the demographic burden and the
growth of the modern pension system financial
needs due to the aging of the region's
population and the older people stratum
expansion;
the preservation of low average life expectancy
trends (80th place out of all subjects of the
Russian Federation);
the unemployment rate, narrowness of labor
spheres in the single-industry cities of the
region (Angarsk, Usolye-Sibirskoye, Baikalsk,
Sayansk, Shelekhov, etc.);
low real incomes, most of which is spent on the
vital goods, especially in the region remote
areas;
the labor crisis and the growth of
unemployment, which led to the shadow
employment expansion in all age groups;
low per capita income;
the infrastructure development disadvantages;
small ammount of quotas for providing
affordable recreation for children and adults;