The countries of Central and Eastern Europe (CEE) have gone through immense political and socioeconomic restructuring after the collapse of communism around 1990. Such transition has affected the lives of populations in these countries in many significant respects. A key aspect of life and wellbeing in any society is that of population health. This paper traces the transitions in population health-life expectancies and mortality rates for both males and females-in seven of the CEE countries during the two decades after the fall of communism. We estimate a series of panel data models to identify some of the common factors that would explain health transitions in these countries, while allowing for country-specific variability. Our findings indicate that the health transitions are strongly country specific. Moreover, income per capita and trade openness are statistically significant common contributors to health transitions.
IntroductionTwo decades have passed since the countries of Central and Eastern Europe (CEE) like countries in the former Soviet Union went through immense political and socioeconomic restructuring that began around 1990 with the collapse of communism. Since then, they have embarked on a transition from closed, totalitarian, and centrally planned economies towards open, democratic, and market-based economies. Such transition has affected the lives of populations in these countries in many significant respects. Many people in these countries have had renewed hopes for improved living conditions and great expectations for a free and prosperous future comparable to those enjoyed by many in Western and Northern Europe for many years.It is understood that the transition from communism to democratic capitalism has provided natural experiments that allow one to examine the evolution of socioeconomic wellbeing of people in the CEE countries as they restructure their socioeconomic and political institutions away from those of the past to those modeled after Western European institutions. A key aspect of wellbeing in any society is that of population health. So, it is important to examine the evolution of health outcomes in those countries as a result of such historical restructuring over the past two decades. This examination is embedded in the social determinants of health paradigm that views socioeconomic and political structures as the upstream determinants of population health [1][2][3][4].Across the CEE countries, transition has had an immediate and largely adverse impact on health as noted by McKee [5]. Such impact has been mostly related to increased deaths due to road accidents and violence which has happened in disrespect of order and state control by Leichter [6] and Winston et al. [7] among others. Subsequently, mortality rates have fallen and life expectancies improved in these countries, albeit to various degrees.In spite of improvements in health in these transitional countries, their health attainments fall significantly short of those in the Western and Northern Europe. Researchers hav...