Huge variation in Russian mortality rates 1984-94 : artefact, alcohol, or what ?
Background According to published data, between 1984 and 1994 mortality rates in Russia initially underwent a rapid decline followed by an even steeper increase.
In 1994, male life expectancy at birth was 57.6 years, having fallen by 6.2 years since 1990.
There has been concern that such striking fluctuations in mortality are an artefact, although, among other factors, alcohol consumption has been implicated.
Methods We analysed the age-specific and cause-specific patterns of mortality decrease and increase by use of data from a newly reconstructed mortality series for Russia so that we could examine the plausibility of various explanations for the mortality trends.
Findings All major causes of death, with the exception of neoplasms, showed declines in mortality between 1984 and 1987 and increases between 1987 and 1994.
In relative terms, these tended to be largest for the age-group 40-50 years ; surprisingly, they were of the same magnitude among women and men.
The largest declines and subsequent increases in proportional terms were observed for alcohol-related deaths and accidents and violence.
However, pronounced effects were also seen for deaths from infections, circulatory disease, and respiratory disease.
No substantial variations were seen for neoplasms. (...)
Mots-clés Pascal : Mortalité, Epidémiologie, Prévalence, Alcoolisme, Facteur risque, Artefact, Etude cohorte, Etiologie, Homme, Russie, Eurasie, Organisation santé, Métabolisme pathologie, Psychopathologie
Mots-clés Pascal anglais : Mortality, Epidemiology, Prevalence, Alcoholism, Risk factor, Artefact, Cohort study, Etiology, Human, Russia, Eurasia, Public health organization, Metabolic diseases, Psychopathology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0428945
Code Inist : 002B30A01A2. Création : 19/12/1997.