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Problems with Mortality Data in Russia

Problems with Mortality Data in Russia. Natalia S. Gavrilova Victoria G. Semyonova Galina N. Evdokushkina Alla E. Ivanova Leonid A. Gavrilov Center on Aging, NORC/University of Chicago Central Research Public Health Institute, Moscow, Russia .

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Problems with Mortality Data in Russia

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  1. Problems with Mortality Data in Russia Natalia S. Gavrilova Victoria G. Semyonova Galina N. Evdokushkina Alla E. Ivanova Leonid A. Gavrilov Center on Aging, NORC/University of Chicago Central Research Public Health Institute, Moscow, Russia

  2. In 1992 and 1998 Russia experienced two serious economic crises accompanied with drop in personal income and rapid impoverishment

  3. Life Expectancy in Russia

  4. Pace of Growth of Age-Adjusted Mortality in 1989-2000 for Classes of Causes of Death

  5. Is this increase in mortality from ill-defined conditions related to more cases of deaths from senility?

  6. Age Profile of Mortality from Ill-Defined Conditions in Russia Males Females

  7. Top Five Causes of Death for Young Adult Males (20-24)

  8. Top Five Causes of Death for Young Adult Females (20-24)

  9. What Causes of Death Are Hidden Behind the Ill-Defined Conditions?

  10. We Used Individual Death Certificates With More Detailed Description of Circumstances of Death Collected by Kirov Department of HealthKirov is a Typical Russian Region with Lower than Average Mortality from Ill-Defined Conditions

  11. Age-Adjusted Mortality from Injuries in 1996 for Russian Males Aged 0-64 yearsData from the WebAtlas Project (http://sci.aha.ru/ATL)

  12. Deaths from Ill-Defined Conditions in Kirov Region of Russia in 2003 • Sudden infant death (R95) 3.3% • Decomposition in water (river, well, pond) (R99) 13.0% • Decomposition at home (R99) 53.5% • Decomposition in garden, summer house (R99) 1.7% • Decomposition in forest or field (R99) 6.0% • Decomposition in nonresidential building, on the street (R99) 12.3% • Decomposition in water pipe (R99) 0.7% • Decomposition on the cemetery (R99) 0.3% • Decomposition in bath, lavatory or barn (R99) 1.0% • Decomposition in other place (R99) 5.5% • unknown (R99) 2.3% • senility (R54) 0.3%

  13. Ill-defined conditions and external deaths of undetermined intent are two sides of the same coinIt appears that both causes of death are used for concealing criminal cases of violent death

  14. Top Five Causes of External Mortality in Russia and Moscow in 2001

  15. Social Background of Current Degradation in Russian Mortality Statistics

  16. Transition period was accompanied by unprecedented growth of crime rate and homicide mortality

  17. Tendencies of Intentional Murders in Russia and the United States

  18. Trends in Homicide Victimization Rates for Young and Middle-Aged AdultsData from Russian Vital Statistics Males Females

  19. Age Profile of Homicide Mortality in Russia: 1981-2002 Females Males

  20. Traditionally high rate of alcohol-related mortality increased further during the 1990s

  21. Age Profiles of Mortality from Accidental Poisoning by AlcoholData from Russian Vital Statistics Males Females

  22. Rapid increase in the number of abandon children and children without parental support during the last decade

  23. Social structure of young (16-39) males died in 2004 in Kirov region

  24. Period of reforms, started in the mid 1980s, resulted in qualitative changes in the pattern of Russian mortality. These changes may be summarized as marginalization of Russian mortality

  25. The main characteristics of marginalization are • Degradation of cause of death structure • Misrepresentation of real mortality pattern • Formation of specific social portrait of deceased in the age groups of maximal risk (young and middle working ages)

  26. Conclusions Analysis of Russian mortality statistics suggests that official levels of homicide mortality in Russia may be significantly underestimated Rapid growth of deaths coded as “Symptoms, signs and abnormal clinical and laboratory findings” may mask real level of external mortality

  27. Acknowledgments This study was made possible thanks to: generous support from the National Institute on Aging (pilot project to the Center of Aging), and stimulating working environment at the Center on Aging, NORC/University of Chicago We also are grateful to Elena Dubrovina, a head of Kirov Division of Health Statistics, for invaluable help in data collection

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