Russian Mortality Crisis and the Quality of Vital Statistics |
| |
Authors: | Natalia S Gavrilova Victoria G Semyonova Elena Dubrovina Galina N Evdokushkina Alla E Ivanova Leonid A Gavrilov |
| |
Institution: | (1) Center on Demography and Economics of Aging, NORC at the University of Chicago, 1155 East 60th Street, Chicago, IL 60637, USA;(2) Central Research Public Health Institute at the Russian Ministry of Health, Moscow, Russia;(3) Kirov Department of Health Statistical Office, Kirov, Russia |
| |
Abstract: | Mortality from ill-defined conditions in Russia has the fastest rate of increase compared to all other major causes of death.
High proportion of deaths in this category is indicative for low quality of mortality statistics. This article examines the
trends and possible causes of mortality from ill-defined conditions in Russia. During 1991–2005, mortality from ill-defined
conditions in Russia increased in all age groups. The pace of increase was particularly high at working ages and the mean
expected age at death from ill-defined conditions has shifted to younger ages, particularly for men. The analysis of individual
medical death certificates issued in Kirov and Smolensk regions of Russia demonstrate that 89–100% of working-age deaths from
ill-defined conditions correspond to human bodies found in a state of decomposition. Data from Smolensk region shows that
over 60% of these decedents were unemployed. Temporal trends of mortality from ill-defined conditions and injuries of undetermined
intent in Moscow city suggest that deaths from the latter cause were probably misclassified as ill-defined conditions. This
practice can lead to underestimation of mortality from external causes. Growing number of socially isolated marginalized people
in Russia and insufficient investigation of the circumstances of their death contribute to the observed trends in mortality
from ill-defined conditions. |
| |
Keywords: | Russia Ill-defined conditions Injuries Data quality Vital statistics Mortality |
本文献已被 SpringerLink 等数据库收录! |
|