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. 2003 Jun 7;326(7401):1240-2.
doi: 10.1136/bmj.326.7401.1240.

Social factors and increase in mortality in Russia in the 1990s: prospective cohort study

S L Plavinski  1 , S I Plavinskaya, A N Klimov
Affiliations

Social factors and increase in mortality in Russia in the 1990s: prospective cohort study

S L Plavinski et al. BMJ. .

Abstract

Objective: To determine the association between social factors and the increase in mortality in Russia in the 1990s.

Design: Prospective population cohort study.

Setting: Saint Petersburg, Russia.

Participants: Two cohorts of men aged 40-59 years randomly selected from district voting list: 3907 screened in 1975-7 and 1467 in 1986-8.

Main outcome measures: Education, various health related measures, alcohol intake. Mortality in subsequent 10 years.

Results: There was no recorded increase in mortality in men with university degrees. The relative risk in the second cohort compared with the first was 0.92 (95% confidence interval 0.67 to 1.24). For participants with only high school education it was significantly higher in the second cohort (1.32, 1.02 to 1.71). The most pronounced differences were found among participants with the lowest level of education, in which the relative risk was 1.75 (1.44 to 2.12). The same pattern held for coronary vascular disease and cancer mortality.

Conclusion: In Russia men in the lower socioeconomic groups were most affected by the sharp increases in mortality in the 1990s.

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Figures

Figure 1
Figure 1
All cause mortality among two cohorts according to level of education (group 1 screened in 1975-7, group 2 screened in 1986-8)
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Comment in

References

    1. Shkolnikov V. The Russian health crisis of the 1990s in mortality dimensions. Cambridge, MA: Harvard Center for Population and Development Studies, 1997. (Working Paper Series No 97.01).
    1. Lipid Research Clinics Population Studies Data Book. Vol III. The USSR first prevalence study. Bethesda: National Institutes of Health, 1986. (NIH Publication No 87-2727).
    1. Klimov AN, ed. Epidemiology and risk factors of ischemic heart disease [In Russian]. Leningrad: Medicine, 1989.
    1. Plavinskaya SI. The role of risk factors in the prognosis of CHD in the male or female population of a big industrial city [dissertation in Russian]. Saint Petersburg: Institute for Experimental Medicine, 1993.
    1. Sahai H, Khurshid A. Statistics in epidemiology. Boca Raton: CRC Press, 1996.

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