V.G. Semenova, T.P. Sabgayda, N.S. Gavrilova, G.N. Evdokushkina
Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow
Abstract. The aim of the study was to identify general and
specific regularities of health loss trends in Russia, Belarus and
Ukraine in the context of social and economic changes during the
post-Soviet period.
The study is based on mortality data for Belarus and Ukraine
presented in the European mortality database. The Russian data are based
on the Rosstat data calculated using program FAISS-Potential.
The comparative analysis of changes in medical and demographic
situation in these three slavic countries in 1990-2011 showed the
following. First, general trends in life expectancy dynamics were the
same during this period and were characterized by a sharp decline in
life expectancy during the first phase of the reforms, followed by
short-time differently directed trends in 1995-2005 and overcoming of
the crisis after 2005.
Second, specifics of those three countries manifested in rates of
life expectancy changes, however, at the initial phase of economic
reforms the Belarus model turned out to be least stressful resulting in
minimal loss and early crisis recovery. The Russian model that was the
utmost liberal one, turned out to be most severe
However, in the second half of the 2000s the Belarus economic model
was gradually loosing its efficiency resulting in the lowest rates of
life expectancy growth.
During the latest years under study (2008-2011) the highest rates of
life expectancy, however, of uneven growth (2008-2009), were registered
in Ukraine. The year of sharp increase of this indicator coincided with
the sharp and one-time growth of income of the Ukrainian population.
Third, in 1990-2005, regularities of life expectancy changes in
Ukraine were similar to those in Russia. On the contrary, in Belarus
they stagnated in 1995-2005.
Fourth, in all three countries those life expectancy changes were mainly determined by changes in working population mortality.
In their turn, trends in changes in working population mortality were
not accidental; they were determined by relevant changes in mortality
from all leading death causes throughout all periods under study.
The only exception in all three countries was neoplasms, mortality
caused by neoplasms has been gradually decreasing since mid 1990s.
Fifth, all three countries have seen a growing cumulative effect of
exogenous pathologies since 1990s (respiratory, digestive diseases,
infectious diseases and ill-defined conditions). Only Ukraine
demonstrated their reduction during the latest years under study.
A growing input of digestive diseases in the mortality structure in
all three countries was reported against the background of reduced share
of respiratory diseases. As a result, digestive diseases ranked fourth
descending respiratory diseases to the 5th place in Russia and Belarus and even down to the 6th place in Ukraine.
It seems to be the consequence of the leading risk factor – alcohol abuse, which is common for all three countries.
Keywords: Russia, Ukraine, Belarus, life expectancy, mortality, leading death causes, comparative analysis of mortality.
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