S L Plavinski1, S I Plavinskaya, A N Klimov. 1. College of Public Health, Medical Academy for Postgraduate Studies, Saint Petersburg, Russia. splavinskij@mail.ru
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.
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.
Authors: Laura Paalanen; Ritva Prättälä; Hannele Palosuo; Satu Helakorpi; Tiina Laatikainen Journal: Int J Public Health Date: 2010-03-27 Impact factor: 3.380
Authors: Bayard Roberts; Anna Gilmore; Andrew Stickley; David Rotman; Vladimir Prohoda; Christian Haerpfer; Martin McKee Journal: Am J Public Health Date: 2012-05-17 Impact factor: 9.308
Authors: Vladimir M Shkolnikov; Evgueni M Andreev; Domantas Jasilionis; Mall Leinsalu; Olga I Antonova; Martin McKee Journal: J Epidemiol Community Health Date: 2006-10 Impact factor: 3.710
Authors: Rachel Jenkins; Stuart Lancashire; David McDaid; Yevgeniy Samyshkin; Samantha Green; Jonathan Watkins; Angelina Potasheva; Alexey Nikiforov; Zinaida Bobylova; Valery Gafurov; David Goldberg; Peter Huxley; Jo Lucas; Nick Purchase; Rifat Atun Journal: Bull World Health Organ Date: 2007-11 Impact factor: 9.408
Authors: William Alex Pridemore; Susannah Tomkins; Krista Eckhardt; Nikolay Kiryanov; Lyudmila Saburova Journal: Eur J Public Health Date: 2010-03-10 Impact factor: 3.367