The Transition Mortality Crisis: Evidence, Interpretation and Policy Responses

Cornia, Giovanni Andrea; Paniccià, Renato

doi:10.1093/acprof:oso/9780198297413.003.0001

Cited by 56 publications

(53 citation statements)

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“…Crime levels in Russia appear to be declining, as demonstrated by substantial reductions in the rates of severe offenses, murders, and assaults. Finally, changes in psychosocial factors might have played a role in the recent improvements in Russia, especially given their importance in the past (Cornia and Paniccia 2000;Cockerham, Hinote, and Abbott 2006). Studies have shown that between 2001 and 2010, levels of acute psychological distress in eight countries of the former Soviet Union, including Russia, have decreased substantially (Roberts, Abbott, and McKee 2012).…”

Section: Explanations For the Observed Improvementmentioning

confidence: 99%

“…Studies have shown that between 2001 and 2010, levels of acute psychological distress in eight countries of the former Soviet Union, including Russia, have decreased substantially (Roberts, Abbott, and McKee 2012). This positive trend could have contributed to the reduction in CVD mortality, either directly through the reduced incidence of fatalities associated with elevated stress, or indirectly through the reduced level of alcohol consumption as a "stress-reliever" (Cornia and Paniccia 2000).…”

Section: Explanations For the Observed Improvementmentioning

confidence: 99%

“…A number of factors are thought to have been responsible for the sharp deterioration in the health situation in Russia in the early 1990s. It has been widely accepted that the further rapid spread of unhealthy lifestyles (in particular, alcohol consumption) and psychological stress caused by abrupt and poorly executed social and economic reforms were mainly responsible for reductions in life expectancy (Cornia and Paniccia 2000;Brainerd andCutler 2005, Shkolnikov et al 2004a).…”

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confidence: 99%

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The Recent Mortality Decline in Russia: Beginning of the Cardiovascular Revolution?

Grigoriev

Shkolnikov

Andreev

et al. 2014

Population & Development Rev

103

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The health situation in Russia has often been characterized as a long‐running crisis. From the 1960s until the beginning of the 2000s, the declining life expectancy trend was substantially interrupted only twice: once in the mid‐1980s as a result of Gorbachev's anti‐alcohol campaign, and again at the end of the 1990s as a result of the “rebound” effect following the dramatic rise in mortality associated with the acute socioeconomic crisis. In both cases, the progress made proved to be short‐lived. A third mortality decline in Russia began in 2003 and is still ongoing. We investigate the components and driving forces of this new development, in particular the role played by cardiovascular diseases. Using cause‐specific mortality data, we identify the main features of the recent improvements and compare these features with those observed in selected European countries, specifically France, Poland, and Estonia. Our aim is to gauge whether the features of the improvements in these countries are similar to those of the recent advancements made in Russia. Although the recent improvements in Russia have features in common with initial stages of prior mortality declines in other countries and may support optimism about the future, a return to mortality stagnation cannot be ruled out.

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Section: Explanations For the Observed Improvementmentioning

confidence: 99%

Section: Explanations For the Observed Improvementmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

The Recent Mortality Decline in Russia: Beginning of the Cardiovascular Revolution?

Grigoriev

Shkolnikov

Andreev

et al. 2014

Population & Development Rev

103

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“…the so-called health paradox). This paradox means a strikingly high rate of premature mortality in societies under transition, this region showing a considerably worse general health status than justified on the basis of economic indicators (Cornia-Paniccia 2000, Kopp-Skrabski 2001, Kopp-Réthelyi 2004.…”

Section: Introductionmentioning

confidence: 99%

“…This phenomenon emerged during peacetime, over a period with no known cases of global/regional infection, famine, or any natural disaster (Ruminska-Zimny 1997, Cornia-Paniccia 2000. While life expectancy at birth had been similar in the two blocks until the 1960s, the socialist block had been struggling with stagnation and involution from 1965 (Cornia-Paniccia 2000).…”

Section: Introductionmentioning

confidence: 99%

Regional health inequalities in the European macrore-gion from the East Central European perspective

Egri¹

2017

Reg. Stat.

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This study analyses the regional health inequalities in the European macroregion, with particular emphasis on the mortality trends in East Central Europe. On one hand, our research aims focus on the territorial fragmentation of the examined area, the identification of main breaklines, and examination of mortality factors affecting differentiation. On the other hand, we identify the socioeconomic differentiation behind regional disparities in health status. According to our results, beyond the traditional east-west division of the European macroregion, additional "micro-cracks" can be detected through the different variables describing health status. Previously, the East Central European region was somewhat unanimously disadvantaged, but now it is far from being homogeneous. The main drivers of regional divide are still non-communicable chronic diseases, with the main priority attached to cardiovascular one. Our results suggest that, besides the mortality slope, a parallel economic performance gradient can also be observed.

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Mortality in Belarus, Lithuania, and Russia: Divergence in Recent Trends and Possible Explanations

et al. 2010

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Before the collapse of the Soviet Union, Belarus, Lithuania, and Russia were quite comparable in terms of their socioeconomic development. Despite some differences in overall mortality levels, the three former Soviet republics were also very close to each other in terms of directions of mortality trends and age-and cause-specific mortality patterns. After 1991, all the three countries experienced substantial political and social transformations, and the challenges associated with the transition from a socialist to a market economy system. The sudden changes brought numerous problems, such as rapid growth in unemployment, falling standards of living, and growing social and income inequalities. These factors contributed to the significant deterioration of the health situation in all the countries, but the size and the nature of the mortality crisis was different in Belarus than it was in Lithuania and Russia. The marked similarities in socioeconomic and mortality trends in the countries up to 1991 contrast with their notable divergence during the subsequent years. The nature and success of market reforms seems to be the most plausible explanation for these differences. Russia and Lithuania have chosen more radical forms of economic and political transformations, which have led to massive privatization campaigns. The reforms were more sustainable and systematic in

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The Transition Mortality Crisis: Evidence, Interpretation and Policy Responses

Cited by 56 publications

References 0 publications

The Recent Mortality Decline in Russia: Beginning of the Cardiovascular Revolution?

The Recent Mortality Decline in Russia: Beginning of the Cardiovascular Revolution?

Regional health inequalities in the European macrore-gion from the East Central European perspective

Mortality in Belarus, Lithuania, and Russia: Divergence in Recent Trends and Possible Explanations

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