High cardiovascular mortality in Russia: role of alcohol versus smoking, blood pressure, and treatment

Leon, David A.; Ezzati, Majid

doi:10.1038/nrcardio.2015.167

Cited by 2 publications

(3 citation statements)

References 12 publications

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“…Probable explanations for these patterns include the success of the acute care system in reducing deaths from infectious disease and deaths occurring in infancy, 13 the previous success of the Soviet health system in many of its efforts to reduce communicable diseases and set up comprehensive childhood vaccination programmes, and improvements in care for many aspects of cardiovascular disease that have lessened adverse outcomes for older patients. 13 , 14 …”

Section: Discussionmentioning

confidence: 99%

“…Rapid increases in death rates at working age in Russia, particularly in men, have been linked to socioeconomic upheaval following the dissolution of the Soviet Union in 1989 and the economic crisis in 2008. 14 Across the leading causes of premature mortality in Russia, the burden for men remains greater than that for women, most notably in the case of lung cancer and alcohol-related conditions (which have mirrored the cycling patterns of mortality of the post-Soviet era) but also for self-harm, drug use, COPD, and falls. The prevalence of smoking in women in Russia is low, particularly relative to its prevalence in men, 15 which is reflected in the extent of the disparity in burden between the sexes from associated diseases; for example, in 2016, mortality from lung cancer (rates of which were 12 times higher in men) and cardiovascular diseases (rates of which were six times higher in men than women) were both higher in men.…”

Section: Discussionmentioning

confidence: 99%

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The burden of disease in Russia from 1980 to 2016: a systematic analysis for the Global Burden of Disease Study 2016

Стародубов¹,

Marczak²,

Varavikova³

et al. 2018

The Lancet

132

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SummaryBackgroundOver the past few decades, social and economic changes have had substantial effects on health and wellbeing in Russia. We aimed to use data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) to evaluate trends in mortality, causes of death, years lived with disability (YLDs), years of life lost (YLLs), disability-adjusted life-years (DALYs), and associated risk factors in Russia from 1980 to 2016.MethodsWe estimated all-cause mortality by use of a multistage modelling process that synthesised data from vital registration systems, surveys, and censuses. A composite measure of health loss due to both fatal and non-fatal disease burden (DALYs) was calculated as the sum of YLLs and YLDs for each age, sex, year, and location. Health progress was evaluated in comparison with patterns of change in similar countries by use of the Socio-demographic Index that was developed for GBD 2016.FindingsFollowing rapid decreases in life expectancy after the collapse of the Soviet Union, life expectancy at birth in Russia improved between 2006 and 2016. The all-cause mortality rate decreased by 16·6% (95% uncertainty interval 9·4–33·8) between 1980 and 2016. This overall decrease encompasses the cycles of sharp increases and plateaus in mortality that occurred before 2005. Child mortality decreased by 57·5% (53·5–61·1) between 2000 and 2016. However, compared with countries at similar Socio-demographic Index levels, rates of mortality and disability in Russia remain high and life expectancy is low. Russian men have a disproportionate burden of disease relative to women. In 2016, 59·2% (55·3–62·6) of mortality in men aged 15–49 years and 46·8% (44·5–49·5) of mortality in women were attributable to behavioural risk factors, including alcohol use, drug use, and smoking.InterpretationTrends in mortality in Russia from 1980 to 2016 might be related to complicated patterns of behavioural risk factors associated with economic and social change, to shifts in disease burden, and to changes in the capacity of and access to health care. Ongoing mortality and disability from causes and risks amenable to health-care interventions and behaviour modifications present opportunities to continue to improve the wellbeing of Russian citizens.FundingBill & Melinda Gates Foundation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The burden of disease in Russia from 1980 to 2016: a systematic analysis for the Global Burden of Disease Study 2016

Стародубов¹,

Marczak²,

Varavikova³

et al. 2018

The Lancet

132

View full text Add to dashboard Cite

show abstract

“…17 Effective tobacco control policies are required, such as increased taxes, education regarding health outcomes, and improved access to cessation treatments. Additionally, the mortality rate among men of working age in Russia has been high for the past decade, 18 resulting in a marked sex-based difference among older persons with BVL, with the number of BVL cases in older women estimated to be twice that in older men.…”

Section: Discussionmentioning

confidence: 99%

Temporal trends and projection of blindness and vision loss prevalence in older adults in BRICS countries

Chen,

Zhu,

et al. 2023

J American Geriatrics Society

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BackgroundBlindness and vision loss (BVL) is a major global health issue affecting older adults, but its burden in transition countries has received limited attention. Therefore, we aimed to assess the trends in the burden of BVL among older adults between 1990 and 2019 across Brazil, Russia, India, China, and South Africa (BRICS), and predict the burden by 2040.MethodsData on BVL and its related causes were obtained from the Global Burden of Disease 2019 study. We investigated the temporal trends by calculating the average annual percentage change using joinpoint regression analysis. Subsequently, we performed Bayesian age‐period‐cohort modeling to estimate the burden of BVL and its related causes by 2040.ResultsMost BRICS countries experienced a significant decline (p < 0.05) in age‐standardized prevalence rates, and the decreasing trends tend to continue. However, by 2040, the number of BVL cases is expected to increase by approximately 50% across BRICS, with an estimated approximately 192, 170, 25, 17, and 7 million cases in China, India, Russia, Brazil, and South Africa, respectively. The related ranks of BVL causes are also estimated to change in the future, particularly in India.ConclusionsThe different burdens and trends of BVL across BRICS reflected the different stages of population health transition. Effective eye disease prevention requires appropriate public health interventions. Developing effective health policies and services for older adults is urgently needed in BRICS countries.

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High cardiovascular mortality in Russia: role of alcohol versus smoking, blood pressure, and treatment

Cited by 2 publications

References 12 publications

The burden of disease in Russia from 1980 to 2016: a systematic analysis for the Global Burden of Disease Study 2016

The burden of disease in Russia from 1980 to 2016: a systematic analysis for the Global Burden of Disease Study 2016

Temporal trends and projection of blindness and vision loss prevalence in older adults in BRICS countries

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