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Main
COHORT AND AGE/GENDER SPECIFIC ALCOHOL-ATTRIBUTABLE MORTALITY IN THE SUBARCTIC REGIONS OF THE EUROPEAN NORTH OF RUSSIA, 2006-2015 Print
Monday, 25 December 2017

DOI: 10.21045/2071-5021-2017-58-6-3

Mordovsky E.A.
Northern State Medical University, Arkhangelsk

Contacts: Mordovsky Edgar, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about author:
Mordovsky E.A., http://orcid.org/0000-0002-2346-9763
Acknowledgments. The study had no sponsorship.
Conflict of interests. The author declares no conflict of interest.

Abstract

Significance. Alcohol consumption and alcohol dependency determine the existing level of social welfare in Russia. Their various negative consequences (including alcohol-attributable mortality) are recognized as a threat to national security.

The purpose of the study is to identify cohort and age/gender characteristics of alcohol-attributable mortality in the Murmansk and Arkhangelsk regions and the Republic of Komi in 2006-2015.

Methods. Crude and standardized death rates from acute and chronic alcohol-attributable conditions of the population of the Subarctic regions (by gender and age) were calculated. Procedures of the APC-analysis (Age-Period-Cohort analysis) were performed to evaluate the "age effect", "cohort effect" and "period effect" in the dynamics of age/gender death rates from the above-mentioned groups of conditions.

Results. The decline rates in the values of standardized mortality from alcohol-attributable conditions added up to 34.5% in the Murmansk region, 36.4% in the Arkhangelsk region, and 18.2% in the Republic of Komi in 2006 - 2015. The risk group of excess alcohol-attributable mortality included men aged 35-64.

Decline in alcohol-attributable mortality in the Murmansk and Arkhangelsk regions was due to "cohort" and "period" effects; in the Republic of Komi it was due to the "cohort effect" only. At present, high values of alcohol-attributable mortality indices among the subarctic population are associated with the excessive death rates in older generations (born in the 1940s and 1950s).

Conclusions. Results of the APC-analysis prove significant differences in the mechanism of alcohol-attributable mortality evolution in the Murmansk and Arkhangelsk regions in comparison with the Republic of Komi in 2006-2015.

Scope of application. Results of this study can be used to develop regional programs on preventing excessive alcohol-attributable mortality, tailored for representatives of different generations and age/gender groups.

Keywords: alcohol-attributable mortality; Subarctic territories; Murmansk region; Arkhangelsk region; Republic of Komi; APC-analysis; age effect; birth-cohort effect; period effect.

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