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Russia’s Demographic Dilemma. Oleh Wolowyna, Ph. D. Univ. of N. Carolina at Chapel Hill World View Seminar Chapel Hill, March 23-24, 2011. POPULATION. Population. The largest area in the world, but very low density (Russia followed by Canada and the US)
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Russia’s Demographic Dilemma Oleh Wolowyna, Ph. D. Univ. of N. Carolina at Chapel Hill World View Seminar Chapel Hill, March 23-24, 2011
Population The largest area in the world, but very low density (Russia followed by Canada and the US) High urbanization: 2/3 of population in lives in urban areas Old age structure
Fertility Very low fertility, below replacement level (1.1 child/woman) Abortion: still the most prevalent method of family planning: cost, lack of training and education among health staff and women About 1.2 million Russian women have abortions, and 800,000 become sterile High level of illegal abortions (180,000 out of 1.2 million) The number of abortions is close to the number of births Some women had 14 or more abortions in their lifetime
Mortality Very high mortality, specially among men Difference in life expectancy at birth between women and men = 12 yrs.: Compared to US: females six yrs. lower, males 13 yrs. lower Very high infant mortality rate: about 40% higher than in US
Health • Less developed country cause of death profile: • higher % of cardiovascular diseases and lower % of cancer • very high % of accidents, drinking and smoking-related diseases, suicides, drugs, etc. • Factors: • very inefficient and corrupt health care system • low priority on preventive medicine and education • expensive drugs • unhealthy life style (lack of education) • HIV/AIDS: • very high incidence, serious public health problem: unprotected sex, drugs, lack of treatment (cost)
Future Trends Negative growth (loss of population): very low fertility and high mortality On the average loosing 380 thousand per year By 2050, expected population 11% lower than in 2010 Further aging of population