Variable Scales of Avoidable Mortality Within the Russian Population
- 521 Downloads
Socio-political changes over the past 30 years have led to important changes in the mortality of the Russian population. The largest variations were observed in death rates due to preventable causes, which depend on the conditions and way of life of the population as well as on the quality of health care. We show that now that mortality rates are declining, government measures to protect public health are more important for improving the demographic situation than efforts to increase the income of the population. Expenditure on the protection of public health is greatest in regions with a high level of economic development, but they do not necessarily lead to the reduction of mortality from preventable causes. Avoidable mortality depends not only on the level of poverty in a region, but also on other factors: climate, the economic way of life, the level of property stratification of the population and the intensity of regional economic development. The analysis of the heterogeneity of avoidable mortality in Russia is of interest not only for Russian researchers. Data on mortality in Russia may be used as a testing ground for studying the various factors that influence mortality. The wide range of changes in mortality on different scales permits us to analyze trends which are weaker and less noticeable in countries with a smaller population.
KeywordsRussia Avoidable deaths Mortality trends Regional differences Gender differences
- Balatsky, E. V., & Saakyants, K. M. (2006). Indeksy sotsialnogo neravenstva (The indices of social inequality). Monitoring obschestvennogo mneniya (Monitoring of public opinion), 2 122–128.Google Scholar
- Demographic Yearbook of Russia. (2009). Federal State statistics service. http://www.gks.ru/bgd/regl/B09_16/IssWWW.exe/Stg/01-07.htm.
- Doll, R. (1976). Comparison between registries. Age-standardized rates. In J. A. H. Waterhouse, C. S. Muir, P. Correa, & J. Powell (Eds.), Cancer incidence in five continents, Vol. III (IARC Scientific Publications No. 15) (pp. 453–459). Lyon: International Agency for Research on Cancer.Google Scholar
- Duleep, H. O. (1995). Mortality and income inequality among economically developed countries. Social Security Bulletin, 58(2), 34–50.Google Scholar
- Ermakov, S. P., Antonyuk, V. V., Gavrilova, N. S., & Evdokushkina, G. N. (1999). Factographic automated information reference system (FAISS-“Potential”). In K. Peter (Ed.), Proceedings of the international collaborative effort on automating mortality statistics, Volume 1 (pp. 99–1252, 191–192). Hyattsville (NCHS): DHHS Publication No.(PHS).Google Scholar
- Gordon, L. A., & Klopov, E. V. (2000). Sotsialnye effekty i struktury bezrabotitsy v Rossii [Social effects and structure of unemployment in Russia]. Sotsiologicheskie issledovaniya (Sociological Studies), 1, 25.Google Scholar
- Gorod. (2011). [20 of the most subsidized regions of Russia] 20 samyh dotatsionnyh regionov Rossii. Electronic Journal “Gorod-812 [The City-812]” 05/12/2011; No. 41. http://www.online812.ru/2011/11/02/006/.
- Holland, W. W. (Ed.). (1988). European Community Atlas of Avoidable Death. (Commission of EC Health Services Research Series No. 3). Oxford University Press.Google Scholar
- Holland, W. W. (1997). European Community ‘Atlas of Avoidable Death’. Commission of the European Communities Health Services Research Series Oxford Medical Publications.Google Scholar
- Ivanova, A. E. (2009). Tendentsii i prichiny smerti naseleniya Rossii [Trends and causes of death in Russia]. In V. G. Osipov & L. L. Ribakovsky (Eds.), Demograficheskoe razvitie Rossii v ХХI veke (pp. 110–131) [Demographic Development of Russia in the XXI Century]. Moscow (in Russian).Google Scholar
- Ivanova, A. E., & Semyonova, V. G. (2008). Prioritetnye problemy sokrascheniya smertnosti [Priority of reducing mortality]. In V. G. Osipov & S. V. Ryazantsev (Eds.), Demograficheskie perspektivy Rossii (pp. 359–372) [Russia’s demographic prospects]. Moscow (in Russian).Google Scholar
- Lebedeva, L. F. (1999). Problemy izmereniya i dinamika urovnya bednosti (mirovoy opyt i osobennosti Rossii) [Measurement problems and the dynamics of poverty (World experience and especially in Russia]). http://www.iskran.ru/russ/works99/lebedeva1.html.
- Mikhailova, Yu. V., & Ivanova, A. E. (Eds.). (2006). Predotvratimaya smertnost v Rossii I puti ee snizheniya (in Russian) (p. 308). Moscow: CNIIOIZ. English edition: Mikhailova, Yu. V., & Ivanova, A. E. Аvoidable mortality in Russia and ways of its reduction (trans).Google Scholar
- Myers, J. L., & Well, A. D. (2003). Research design and statistical analysis (2nd ed., p. 508). Lawrence Erlbaum.Google Scholar
- Prohorov, B. B. (1998). Prikladnaya antropoekologiya [Applied anthropoecology] (p. 312). Moscow: MNEPU (in Russian).Google Scholar
- Semyonova, V. G., Antonova, O. I., Evdokushkina, G. N., & Gavrilova, N. S. (2010). Poteri naseleniya Rossii v 2000–2008, obuslovlennye alkogolem: Masshtaby, struktura, tendentsii [Loss of Russia’s population in 2000-2008 due to alcohol: Size, structure, trends]. Social aspects of public health, 14(2). http://vestnik.mednet.ru/content/view/188/30 (in Russian; electronic edition).
- Treurniet, H. F., Boshuizen, H. C., & Harteloh, P. P. M. (2004). Avoidable mortality in Europe (1980–1997): A comparison of trends. Journal of Epidemiology and Community Health, 58, 290–295.Google Scholar
- Website of Rosstat. Regions of Russia. Socio-economic indicators. (2011a). Expenses of consolidated budgets of the Russian Federation in 2005-2010. http://www.gks.ru/bgd/regl/b11_14p/IssWWW.exe/Stg/d03/23-05.htm.
- Website of Rosstat. Regions of Russia. Socio-economic indicators. (2011b). The number of people with incomes below the subsistence minimum. http://www.gks.ru/bgd/regl/b11_14p/IssWWW.exe/Stg/d01/05-11.htm.
- Website of Rosstat. Regions of Russia. Socio-economic indicators. (2011c). The average per capita income of the population. http://www.gks.ru/bgd/regl/b11_14p/IssWWW.exe/Stg/d01/05-02.htm.
- Website Sotsialny atlas rossiyskih regionov. (2009). English edition: Social atlas of Russian regions (trans). http://www.socpol.ru/atlas/overviews/household/index.shtml.
- Website WHO. (2009). http://www.who.int/gho/en/index.html.
- Westerling, R. (2003). Decreasing gender differences in “avoidable” mortality in Sweden. Scandinavian Journal of Public Health, 31(5), 342–349.Google Scholar
- Wilkinson, R. (1992). Income distribution and life expectancy. British Medical Journal, 304, 165–168.Google Scholar