About this Journal Publication ethics Editorial Board Editorial Council Editorial Office For the Authors Contacts
English

News feeds

Journal in Databases

eLIBRARY.RU - ÍÀÓ×ÍÀß ÝËÅÊÒÐÎÍÍÀß ÁÈÁËÈÎÒÅÊÀ

Google Scholar

Google Scholar
Main arrow Archive of previous Issues arrow ¹2 2014 (36) arrow Health loss in Russia, Belarus and Ukraine during post-soviet period: comparative analysis
Health loss in Russia, Belarus and Ukraine during post-soviet period: comparative analysis Print
Tuesday, 27 May 2014

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.

 

References

  1. Andreev E.M., Vishnevskiy A.G. Challenge of high mortality rate in Russia. Narodonaselenie 2004;(3):75-84. (In Russia).
  2. Andreev E.M., Zhdanov D.A., Shkol'nikov V.M. Mortality in Russia 15 years after collapse of the USSR: facts and explanations. Demoskop Weekly [Internet] 2007 [cited 2014 Feb 04]; (311-312). Available from: http://demoscope.ru/weekly/2007/0311/analit01.php (In Russia).
  3. Andreev E.M., Kvasha E.A., Khar'kova T.L. We should not expect a rapid reduction in mortality in Russia. Voprosy statistiki 2003; (11): 13-27. (In Russia).
  4. Bobrova A. Health and mortality of the population of Belarus. Demoskop Weekly [Internet] 2011[cited 2014 Feb 04]; (471-472). Available from: http://demoscope.ru/weekly/2011/0471/tema01.php (In Russia).
  5. Vasin S., Vishnevskiy A., Denisenko M. Demographic changes and economy. Demoskop Weekly [Internet] 2010 [cited 2014 Feb 04]; (429-430). Available from: http://demoscope.ru/weekly/2010/0429/tema02.php (In Russia).
  6. Vishnevskiy A.G., Vasin S.A. Mortality causes and priorities of the policy for mortality reduction. Ekonomicheskiy zhurnal Vysshey shkoly ekonomiki [Internet] 2011 [cited 2014 Feb 04]; 15 (4) 472-496. Available from: www.hse.ru/data/2012/03/25/1265526960/15_04_07.pdf (In Russia).
  7. Health for all. European data base. WHO Regional Office for Europe. [Internet] [cited 2014 Feb 04]. Available from: http://data.euro.who.int/hfadb/ (In Russia).
  8. European mortality database. WHO Regional Office for Europe. [Internet] [cited 2014 Feb 04]. Available from: http://data.euro.who.int/hfamdb/ (In Russia).
  9. Health of the Russian population in a social context of the 90s: challenges and future. Starodubov V.I., Mikhaylova Yu.V., Ivanova A.E., editors. Moscow: Meditsina; 2003. 287 p. (In Russia).
  10. Ivanova A.E. The impact of new demographic policy measures on population mortality. Sotsial'nye aspekty zdorov'ya naseleniya [series online] 2009 [cited 2014 Feb 04]; 12 (4). Available from: http://vestnik.mednet.ru/content/vi ew/158/30/ (In Russia).
  11. Ivanova A.E. Tendencies of mortality in Russia and potentials for reducing preventable mortality. Demoskop Weekly [Internet] 2010 [cited 2014 Feb 04]; (425-426). Available from: www.demoscope.ru/weekly/2010/0425/analit04.php (In Russia).
  12. Ivanova A.E., Sabgayda T.P., Semenova V.G., Zaporozhchenko V.G., Zemlyanova E.V., Nikitina S.Yu. Factors of structure distortion in the mortality causes of the working population in Russia. Sotsial'nye aspekty zdorov'ya naseleniya [series online] 2013 [cited 2014 Feb 04]; 32 (4). Available from: http://vestnik.mednet.ru/content/view/491/30/lang,ru/ (In Russia).
  13. Ivanova A.E., Semenova V.G. New phenomena of mortality in Russia. Narodonaselenie 2004; (3): 85-92. (In Russia).
  14. Ivanova A.E., Semenova V.G., Gavrilova N.S., Evdokushkina G.N., Gavrilov L.A. Is it possible to increase the longevity in Russia up to 70 years? Obshchestvennoe zdorov'e i profilaktika zabolevaniy 2005; (1): 21-26. (In Russia).
  15. Libanova E.M. Population longevity in Ukraine: analysis of the past, assessment of the present and projected future. Demoskop Weekly [Internet] 2010 [cited 2014 Feb 04]; (405-406). Available from: http://www.demoscope.ru/weekly/2010/0405/analit03.php (In Russia).
  16. Libanova E.M., Levchuk N., Rudnitskiy E., Ryngach N., Ponyakina S., Shevchuk P. Mortality in Ukraine population of active labor ages. Demoskop Weekly [Internet] 2008 [cited 2014 Feb 04]; (327-328). Available from: http://demoscope.ru/weekly/2008/0327/tema01.php (In Russia).
  17. Mille F., Shkol'nikov V.M., Vallen Zh. Contemporary tendencies of mortality by causes of death in Russia, 1965–1994. Paris: INED; 1996. 140 p.
  18. Polishchuk N. How to improve the health of Ukrainians? Demoskop Weekly [Internet] 2012 [cited 2014 Feb 04]; (495-496). Available from: http://www.demoscope.ru/weekly/2012/0495/gazeta020.php (In Russia).
  19. The explanatory note to the Report on the state budget of Ukraine for 2009. Ministry of Finance of Ukraine. [Internet] 2009 [cited 2014 Feb 04]. Available from: URL:http://www.minfin.gov.ua/control/uk/publish/article?art_id=276024 (In Russia).
  20. Development of human potential in Russia through the prism of population health. Starodubov V.I., Ivanova A.E., editors. Moscow: GEOTAR-Media; 2012. 357 p. (In Russia).
  21. Razvodovskiy Yu.E. Alcohol and aggression: aspects of interrelation. Meditsinskie novosti 2005; (10): 10-14. (In Russia).
  22. Revun V.I. Demographic development of Belarus, Russia, and Ukraine at the end of XX - beginning of XXI centuries. Moscow: Ekon-Inform; 2009. 308 p. (In Russia).
  23. The size of social tax benefits in 2004-2008. “Podatki: bukhgalters'kiy oblik” information and analytical newspaper. [Internet] 2008 [cited 2014 Feb 04]. Available from: http://www.nibu.factor.ua/ukr/info/pnalog/nsl/nsl-2004-2008/ (In Ukrainian).
  24. Sabgayda T.P. Age features of preventable population mortality in Russia. Sotsial'nye aspekty zdorov'ya naseleniya [series online] 2013; 33 (5). Available from: http://vestnik.mednet.ru/content/view/505/30/lang,ru/ (In Russia).
  25. Semenova V.G. Returning epidemiological transition in Russia. Moscow: Center for Social Prediction; 2005. 235 p. (In Russia).
  26. Semenova V.G., Antonova O.I., Evdokushkina G.N., Gavrilova N.S. Russian population losses in 2000-2008 caused by alcohol: the scale, structure, and tendencies. Sotsial'nye aspekty zdorov'ya naseleniya [series online] 2010 [cited 2014 Feb 04]; 14 (2). Available from: http://vestnik.mednet.ru/content/view/188/30/lang,ru/ (In Russia).
  27. The income level of the population. Research&Branding group. [Internet] 2012 [cited 2014 Feb 04]. Available from: http://rb.com.ua/rus/marketing/tendency/8378/ (In Russia).
  28. Shakhot'ko L.P. Mortality as one of the challenges to demographic security of the Republic of Belarus. Voprosy statistiki 2006; (8): 18-24. (In Russia).
  29. Nemtzov AV. A contemporary history of Alcohol in Russia. Stockholm: Sodertorns hogskola; 2011. 343 p.
  30. Stuckler D, King L, McKee M. Mass privatization and the post-communist mortality crisis: a cross-national analysis. The Lancet 2009; 9661 (373): 399-407.
  31. Zaridze D, Maximovitch D, Lazarev A, Igitov V, Boroda A, Boreham J., et al. Alcohol poisoning is a main determinant of recent mortality trends in Russia: evidence from a detailed analysis of mortality statistics and autopsies. International Journal of Epidemiology 2009; 38:143-153.
  32. Zaridze, D, Brennan P, Boreham J, Boroda A, Karpov R, Lazarev A, et al. Alcohol and cause-specific mortality in Russia: a retrospective case-control study of 48 557 adult deaths. The Lancet 2009; 373:2201-14.
  33. Zaridze D, Lewington S., Boroda A., Sculo Gh., Karpov R., Lazarev A., et al. Alcohol and mortality in Russia: prospective observational study of 151000 adults. The Lancet. [Internet] 2014 [cited 2014 Feb 04], Available from: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)62247-3/fulltext .

Views: 21109

Be first to comment this article

Write Comment
  • Please keep the topic of messages relevant to the subject of the article.
  • Personal verbal attacks will be deleted.
  • Please don't use comments to plug your web site. Such material will be removed.
  • Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button.
  • Keep in mind that the above process only applies if you simply entered the wrong security code.
Name:
E-mail
Comment:

Code:* Code
Last Updated ( Friday, 30 May 2014 )
Next >
[ Back ]

All Rights Reserved © 2024 http://vestnik.mednet.ru
The reprint of the information is possible only at presence
the consent of the administrator of a site and the active reference to a source!



home contact search contact search