Mikhaylov A.Yu.¹, Abramov A.Yu.², Semyonova V.G.¹, Nikitina S.Yu.³, Sabgayda T.P.¹, Gavrilova N.S.^4
1 Federal Research Institute for Health Organization and Informatics of Ministry of Health and Social Development of the Russian Federation, Moscow
² People’s Friendship University of Russia, Moscow
³ Federal State Statistics Service, Moscow
⁴ Center of Aging, National Opinion Research Center, University of Chicago, USA

Abstract. At the background of rejuvenation and widespread of drug abuse in the country, estimation of the related irrecoverable loss and its dynamic trends is very important.

The aim of the study is to analyze mortality of the Russian population caused by the use of narcotic and psychotropic substances.

We analyzed dynamics in 2000-2011, age structure (2010) and regional distribution (average for 2009-2011) of mortality caused by the use of narcotic drugs, sedative and psychotropic medications as well as organic solvents.

Also we analyzed distribution of deaths due to main causes of narcotic etiology (mental disorders due to narcotics poisonings, accidental poisonings, poisonings of undetermined intent and suicides) depending upon age (1-19 years, 20-39 years, 40-59 years and over 60 years) and sex.

From the beginning of the century the Russian mortality has visibly reduced: due to the use of narcotics and organic solvents – by one third; due to sedative and psychotropic medications – by 4.7 times in men and nearly by 2 times in women.

According to the official statistics mortality caused by drug use estimated 4.9 per 100,000 men and 0.7 per 100,000 women, and including the corresponding medications poisonings and organic solvents poisonings it was about 6.0 and 1.0 per 100,000 in men and women respectively.

Imbalance of the regional data points out underestimation of the three types of psychotropic substances in question.

Age profiles of mortality have their own specifics for every substance type: in case of narcotic mortality there is a well-shaped maximum in ages 25-34 years followed by decrease; in case of mortality due to the use of sedative and psychotropic medications there is a peak mortality at 30-39 years and maximal levels in the elderly (the same profile is characterisrtic to suicides); in case of mortality due to organic solvents there is a peak mortality in ages 50-59 years with a further reduction (similar to the age profile of alcohol poisonings).

Such results suggest different approaches to prevention of premature mortality.

Keywords. Mortality due to drug use; mortality due to poisonings by sedative and psychotropic medications; mortality due to poisonings by organic solvents; age specifics of narcotic mortality; regional distribution of narcotic mortality; underestimation of narcotic mortality.

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