DOI: 10.21045/2071-5021-2018-59-1-3

Contacts: Sabgayda Tamara, 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
Sabgayda T.P., http://orcid.org/0000-0002-5670-6315
Mikhailov A.Yu., http://orcid.org/0000-0001-9723-6228
Zaporozhchenko V.G., http://orcid.org/0000-0002-6167-7379
Gavrilova N.S., http://orcid.org/0000-0003-3572-0879
Acknowledgments. The study had no sponsorship.
Conflict of interests. The authors declare no conflict of interest.

Alcoholization of population and its related loss are the traditional and far from exhausted source of excessive mortality in Russia. The study purpose is to estimate scales of population loss due to alcohol-related causes as well as regularities of their variance by sex and age of the deceased in the 2000s.

Materials and methods. The authors used the Rosstat official data: 1) statistical form S51 (mortality) for 2012-2016 and 2) de-personalized database of death records for 2000-2011.

Mortality analysis was performed through calculation of age-specific and standardized rates for the selected death causes using descriptive statistical methods.

Underestimation sources and causes of population loss due to alcohol were determined and recommendations for their minimization were made.

Conclusions. Irrespective of age, cumulative alcohol-related mortality was on the rise until 2005 and then declined. Positive trends turned out to be exhausted by 2013; in 2013-2016 reduction rates in young working ages slowed down, visibly stagnated in older working ages, and even increased in elderly mortality rates.

Trends in mortality from alcohol poisonings in the 2000s were more positive compared to mortality from psychosomatic alcohol-related pathologies. As a result, pattern of the alcohol-related loss has changed dramatically: in early 2000s it was mainly determined by alcohol poisonings while currently it is mainly due to alcohol-related pathologies.

This makes it possible to assume with a high degree of probability that the level of alcohol-related mortality is determined by its structure with high share of alcohol poisonings predetermining high levels of cumulative alcohol-related loss.

Significant changes have taken place both in the structure of alcohol-related pathologies (decreased share of alcoholic cardiomyopathy against the background of increased input of alcoholic cirrhosis and decreased share of chronic alcoholism in the context of increasing importance of alcohol-related nervous diseases) and in the structure of alcohol poisonings (decreased share of accidental poisonings against the background of increased input of poisonings of undetermined intentions).

Keywords: mortality from alcohol-related causes; alcoholic cardiomyopathy; alcoholic cirrhosis; accidental alcohol poisonings; alcohol poisonings with undetermined intentions.

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