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Monday, 06 March 2017

DOI: 10.21045/2071-5021-2017-53-1-7

1Semnova VG, 1Sabgayda TP, 2Nikitina SYu, 3Borovkov VN, 4Gavrilova NS.
Federal Research Institute for Health Organization and Informatics of Ministry of Public Health of Russian Federation, Moscow
Federal State Statistics Service, Moscow, Russia
City clinical hospital 71, Moscow
National Opinion Research Center at the University of Chicago, USA

Contacts: Viktoria Semenova, e-mail:  This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about authors:
Semenova V.G., http://orcid.org/0000-0002-2794-1009
Sabgaida T.P., http://orcid.org/0000-0002-5670-6315
Nikitina S.Yu., . http://orcid.org/0000-0003-0749-0965
Gavrilova N.S., http://orcid.org/0000-0003-3572-0879
Acknowledgments.The study had no sponsorship.
Conflct of interests. The authors declare no conflict of interest.

Abstract. Currently, analysis of multiple death causes during mortality registration is being widespread in the post-industrial countries. However, in Russia it is hardly available.One of the reasons is lack of evidence on possibility to conduct such analysis based on the Russias data particularly in case of traumas and poisonings when presence of multiple causes is logically inevitable especially in suicides, accidental falls, alcohol, narcotic or drug poisonings.

The study purpose is to detect possibilities for conducting tabulation of multiple death causes in case of traumas and poisonings based on the Russias data.

Methods. Cumulative data on the total number of suicides (54862), accidental falls (17531), accidental alcohol (29701), narcotic (7132) and drug (728) poisonings in the Russian population in 2013-2014 containing in the depersonified death register of the Federal State Statistics Service.

Results. Information necessary to conduct analysis of deaths due to suicides, accidental falls, accidental alcohol, narcotic and drug poisonings within the context of multiple causes was available in 0.3%, 2%, 1.5%, 1.4% and 0.8% cases respectively.

The authors has developed the following list of associated causes: suicides exposure to alcohol and cancers; accidental falls alcohol abuse, pulmonary engorgement, cardiovascular diseases; alcohol poisonings diseases of the digestive system (presumably alcoholic cirrhosis); narcotic poisoning alcohol abuse.

The authors didnt identify the following expected associations: not a single case of osteoporosis associated with accidental falls; only one case of HIV associated with narcotic poisonings; drug poisonings only two cases of drug intake associated with the lethal disease.

Conclusions. Analysis of mortality within the context of multiple death causes may become an effective instrument for detecting risk factors of mortality from external causes. This requires improved completion of death certificates on the one hand, and development of the death register on the basis of medical certificates of death using the aggregate information from those certificates.

Keywords: multiple death causes; associated death causes; accidental falls; accidental alcohol poisonings; accidental narcotic poisonings; accidental drug poisonings; associated conditions.


  1. Dubrovina E.V. Mediko-sotsial'naya evolyutsiya smertnosti ot vneshnikh prichin v period ekonomicheskikh reform [Medical and social evolution of mortality from external causes in the period of economic reforms]. Moscow: RIO TsNIIOIZ, 2006. 280 p. (In Russian).
  2. Zelenev V.V. Sovershenstvovanie tekhnologiy protivodeystviya rasprostraneniyu narkomanii i VICh-infektsii [Improving the technology to counter the prevalence of drug abuse and HIV infection]. Cand. Med. Sci [thesis]. Moscow, 2009. 24 p. (In Russian).
  3. Nasilie i ego vliyanie na zdorov'e [Violence and its impact on health]. WHO, 2003. 349 p. (In Russian).
  4. Nemtsov A.V. Alkogol'naya istoriya Rossii: noveyshiy period [Alcohol history of Russia: the latest period]. Moscow: Knizhnyy dom Librokom, 2009. 320 p. (In Russian).
  5. Rodionova S. S. Perelomy sheyki bedrennoy kosti na fone osteoporoza. Nasushchnaya travmatologo-ortopedicheskaya problema [Fractures of the femoral neck on the background of osteoporosis. Urgent trauma and orthopedic problems]. Kremlevskaya meditsina 2001; 5: 43-44. (In Russian).
  6. Rybakovskiy L.L., editor. Demograficheskiy ponyatiynyy slovar'. [Demographic conceptual dictionary]. Moscow: TsSP. [Online] 2003 [cited 2015 Aug 13]. Available from: http://rybakovsky.ru/uchebnik1.html. (In Russian).
  7. Sabgayda T.P., Semenova V.G., Ivanova A.E., Evdokushkina G.N., Sekrieru E.M., Nikitina S.Yu. Polnota ucheta v meditsinskikh svidetel'stvakh o smerti sostoyaniy, privedshikh k smerti [Completeness of records in medical death certificates about multiple conditions that led to the death]. Zdravookhranenie Rossiyskoy Federatsii 2014; 58(5): 4-8.(In Russian).
  8. Strukov V. Osteoporoz [Osteoporosis]. Vrach 2014; 4: 52-54. (In Russian).
  9. Shigeev S.V., Zharov V.V. Diagnosticheskoe znachenie soderzhaniya morfina v krovi i moche na fone alkogol'nogo op'yaneniya [Diagnostic value of morphine in the blood and urine on a background of alcoholic intoxication]. Sudebno-meditsinskaya ekspertiza 2006; 49(2): 30-34. (In Russian).
  10. Asdigian NL,Whitesell NR,Keane EM,Mousseau AC,Kaufman CE. Effects of the "Circle of Life" HIV-prevention program on marijuana use among American Indian middle school youths: a group randomized trial in a Northern Plains tribe. Am JDrug Alcohol Abuse2016; Dec 29: 1-9.
  11. Australian Institute of Health and Welfare. 23 Aug 2012. Multiple causes of death. Bulletin no. 105. Cat. no. AUS 159. Canberra: AIHW. [Online]. 2012 [cited 2015 Aug 13]. Available from:http://www.aihw.gov.au/publication-detail/?id=10737422603
  12. Campbell G, Darke S, Bruno R, Degenhardt L. The prevalence and correlates of chronic pain and suicidality in a nationally representative sample. Aust N Z J Psychiatry.2015; 49(9):803-11.
  13. Center J,Eisman J. The epidemiology and pathogenesis of osteoporosis. BaillieresClinEndocrinolMetab. 1997; 11(1): 23-62.
  14. Désesquelles A, Salvatore MA,Frova L, Pace M, Pappagallo M, Meslé F, Egidi V.Revisiting the mortality of France and Italy with the multiple-cause-of-death approach. Demographic Research 2010;(23), article 28: 771-806.
  15. Dorn HF., Moriyama IM. Uses and significance of multiple cause tabulations for mortality statistics. American Journal of Public Health Nations Health 1964; 54(3): 400-406.
  16. Goldstein CL, Chutkan NB, Choma TJ, Orr RD. Management of the Elderly with Vertebral Compression Fractures. Neurosurgery. 2015; Suppl 4: 33-45.
  17. Gordon C. Australian Bureau of Statistics, Multiple cause of death analysis, 1997-2001. Publication 3319.0.55.001. [Online]. 20 June 2006 [cited 2015 Aug 13]. Available from: http://www.abs.gov.au/Ausstats/abs@.nsf/Lookup/FDB92CC903BC3DC8CA256D6B0005A769
  18. Hansell AL, Walk JA, Soriano JB. What do chronic obstructive pulmonary disease patients die from? A multiple cause coding analysis. EurRespir J 2003; 22: 809814.
  19. Israel RA, Rosenberg HM, Curtin LR. Analytic potential for multiple cause-of-death data. American Journal of Epidemiology 1986;124(2):161-179.
  20. Moriyama IM, Loy RM, Robb-Smith AHT. History of the statistical classification of diseases and causes of death. Rosenberg HM, Hoyert DL, eds. Hyattsville, MD: National Center for Health Statistics. 2011. 66 . [cited 2015 Aug 13]. Available from: http://www.cdc.gov/nchs/data/misc/classification_diseases2011.pdf -19
  21. National Center for Health Statistics. Multiple causes of death in the United States. Monthly vital statistics report; 32(10) (Suppl 2). Hyattsville, MD. 1984.
  22. Nayak S, Edwards DL, Saleh AA, Greenspan SL. Performance of risk assessment instruments for predicting osteoporotic fracture risk: a systematic review. OsteoporosInt 2014; 25(1): 23-49.
  23. Pan Y, Liu H, Metsch LR, Feaster DJ. Factors Associated with HIV Testing Among Participants from Substance Use Disorder Treatment Programs in the US: A Machine Learning Approach. AIDS Behav. 2017; 21(2): 534-546.
  24. Redelings MD, Sorvillo F, Simon PA. Comparison of Underlying Cause and Multiple Causes of Death. US Vital Statistics, 20002001. Epidemiology 2006: 1(17): 100-103.
  25. Rockett IR, Lian Y, Stack S, Ducatman AM, Wang S. Discrepant comorbidity between minority and white suicides: a national multiplecause-of-death analysis.BMC Psychiatry 2009 Mar 18;9-10. doi: 10.1186/1471-244X-9-10.
  26. Ruzicka LT, Choi CY, Sadkowsky K. Medical disorders of suicides in Australia: analysis using a multiple-cause-of-death approach. Soc Sci Med 2005 Jul;61(2):333-341.
  27. Speizer FE, Trey C, Parker P. The uses of multiple causes of death data to clarify changing patterns of cirrhosis mortality in Massachusetts. American Journal of Public Health 1977; 67(4): 333-336.

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