The article presents a comprehensive analysis of primary disability rates among the working-age population of the Arkhangelsk Region. All cases of primary disability were analyzed from the database of the Federal State Institution Medico-social expertise center for the Arkhangelsk Region and the Nenets Autonomous Okrug of the Ministry of Labor of the Russian Federation. It was found that during the study period, there was no trend towards a decrease or increase in disability rates among the working-age population of the Region, and the average rate decreased by 0.7%. In the structure of primary disability, the most numerous group was made up of persons with the third disability group (least severe), accounting for up to 52.3%; men accounted for 65.9% of all persons initially recognized as disabled. Men also have a higher incidence of the first disability group (most severe) than women. The distribution of disability by group did not change significantly during the period under review. Cancer (31.1%) and circulatory system diseases (21.6%) are the leading causes of disability among the working-age population. There is also an increase in the proportion of diseases of the musculoskeletal system and connective tissue (by 4.0% over 5 years). The analysis of the information obtained allows us to clarify the scope of preventive measures, early diagnosis of diseases, and comprehensive rehabilitation programs aimed at improving the quality of life for people with disabilities and preserving their labor potential. The results of this study can serve as a basis for improving regional health policies and the medical and social examination system.

working age, disability structure, primary disability, Arkhangelsk region.