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.

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.

References

1. Andreev E.M., Zbarskaya I.A. Statistika smertnosti v Rossii ot prichin alkogol'noy etiologii [Statistics of mortality caused by alcohol etiology in Russia]. Voprosy statistiki 2009;(8):44-49. (In Russian).
2. Zakharov S.N. Kogortnyy analiz smertnosti naseleniya Rossii (dolgosrochnye i kratkosrochnye effekty neravenstva pokoleniy pered litsom smerti) [Cohort analysis of mortality in Russia (long-term and short-term effects of generation inequality in the face of death)]. Problemy prognozirovaniya 1999;(2):114-131. (In Russian).
3. Zloupotreblenie alkogolem v Rossiyskoy Federatsii: sotsial'no-ekonomicheskie posledstviya i mery protivodeystviya [Alcohol abuse in the Russian Federation: socio-economic consequences and countermeasures]. Doklad Obshchestvennoy Palaty Rossiyskoy Federatsii. Moscow. 2009. 84 p. (In Russian).
4. Kozlov A.I. Potreblenie alkogolya i svyazannye s alkogolem problemy u korennogo naseleniya Severa Rossii [Alcohol consumption and alcohol-related problems in the indigenous population of the Russian North]. Narkologiya 2006;(10):22-29. (In Russian).
5. Kontseptsiya realizatsii gosudarstvennoy politiki po snizheniyu masshtabov zloupotrebleniya alkogol'noy produktsiey i profilaktike alkogolizma sredi naseleniya Rossiyskoy Federatsii na period do 2020 goda [The concept of implementing the state policy aimed at alcohol abuse reduction and alcoholism prevention among the population in the Russian Federation until 2020]. Rasporyazhenie Pravitel'stva Rossiyskoy Federatsii ot 30 dekabrya 2009 g. ¹2128-r. [Online]. 2009 [cited 2017 Sept 15]. Available from: http://www.consultant.ru/document/cons_doc_LAW_96236/b88ce90c1402afee8a43afd0f24d507e67cc2a83 (In Russian).
6. Nemtsov A.V., Terekhin A.T. Razmery i diagnosticheskiy sostav alkogol'noy smertnosti v Rossii [Size and diagnostic structure of alcohol-related deaths in Russia]. Narkologiya 2007;12(72):29-36. (In Russian).
7. Ob utverzhdenii Kontseptsii demograficheskoy politiki Rossiyskoy Federatsii na period do 2025 goda [On approving the Concept of the Demographic Policy of the Russian Federation for the period up to 2025]. Ukaz Prezidenta Rossiyskoy Federatsii ot 9 oktyabrya 2007 g. ¹1351. [Online]. 2007 [cited 2017 Sept 15]. Available from: http://www.consultant.ru/document/cons_doc_LAW_71673/7a46cb13de731db3333fcd77a4f7887e468287e3/ (In Russian).
8. Ob utverzhdenii gosudarstvennoy programmy Rossiyskoy Federatsii "Razvitie zdravookhraneniya" [On approving "Development of Health" the state program of the Russian Federation]. Postanovlenie Pravitel'stva Rossiyskoy Federatsii ot 15 aprelya 2014 g. ¹294 (red. ot 12.08.2017). [Online]. 2014 [cited 2017 Sept 15]. Available from: http://www.consultant.ru/document/cons_doc_LAW_162178/. (In Russian).
9. O Strategii natsional'noy bezopasnosti Rossiyskoy Federatsii [On the Strategy of National Security in the Russian Federation]. Ukaz Prezidenta Rossiyskoy Federatsii ot 31 dekabrya 2015 g. ¹683. [Online]. 2015 [cited 2017 Sept 15]. Available from: http://www.consultant.ru/document/cons_doc_LAW_191669/. (In Russian).
10. Ðàfaenko M.V., Tsygankov D.B., Vil'yanov V.B. Dinamika klinicheskikh proyavleniy bolezni u bol'nykh alkogol'noy zavisimost'yu Respubliki Komi [Dynamics of clinical manifestations of the disease in patients with alcohol abuse in Republic of Komi]. Narkologiya 2009;10(94):30-34. (In Russian).
11. Semenova V.G., Antonova O.I., Evdokushkina G.N., Gavrilova N.S. Poteri naseleniya Rossii v 2000-2008 gg., obuslovlennye alkogolem: masshtaby, struktura, tendentsii [The loss of the Russian population in 2000-2008 due to alcohol consumption: the scale, structure, trends]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2010 [cited 2017 Sept 15]; 2;(14). Available from: http://vestnik.mednet.ru/content/view/188/30/ (In Russian).
12. Solov'ev A.G., Vyaz'min A.M., Mordovskiy E.A., Kuzin S.G., Krasil'nikov S.V. Analiz dostovernosti statistiki smertnosti po prichinam na primere sluchaev smerti ot alkogol'-atributivnykh sostoyaniy [Analysis of reliability of mortality statistics by causes of death based on an example of deaths from alcohol-related conditions]. Voprosy narkologii 2014;(6):10-26. (In Russian).
13. Federal'naya sluzhba po regulirovaniyu alkogol'nogo rynka: svedeniya ob ob"eme i dole roznichnykh prodazh alkogol'noy produktsii po EGAIS v razreze sub"ektov RF [Federal service for the regulation of the alcohol market: information on the volume and share of retail sales of alcoholic production by the EGAIS data in the context of the subjects of the Russian Federation]. [Online]. 2016 [cited 2017 Sept 15]. Available from: http://fsrar.ru/statisticheskaja_informacija/svedia_ob_obyme_i_dole_roznuchnuh_prodag_po_egais. (In Russian).
14. Chernobrovkina T.V., Artemchuk A.F., Sosin I.K., Nikiforov I.A. Problema komorbidnosti i sovremennye formy alkogol'noy bolezni (kliniko-patogeneticheskiy aspekt) [The problem of comorbidity and modern forms of alcohol disease (clinical and pathogenetic aspect). Narkologiya 2006;(12):47-74. (In Russian).
15. Efros L.A., Samorodskaya I.V., Kalev O.F., Mishchenko A.L. Alkogol'naya kardiomiopatiya kak problema predotvratimoy smertnosti naseleniya [Alcoholic cardiomyopathy as a problem of preventable population mortality]. Profilakticheskaya meditsina 2016;(2):85-86. (In Russian).
16. Global status report on alcohol and health 2014. World Health Organization. Department of Mental Health and Substance Abuse. Geneva, 2014. 86 p.
17. Szklo M. Epidemiology: beyond the basics / M. Szklo, F. J. Nieto. 3rd ed. Burlington, Mass: Jones & Bartlett Learning, 2012. 515 p.

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:*