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dc.contributor.authorDanilova, Inna
dc.contributor.authorShkolnikov, Vladimir M.
dc.contributor.authorEvgenij, Andreev
dc.contributor.authorLeon, David Adrew
dc.date.accessioned2022-03-17T08:35:54Z
dc.date.available2022-03-17T08:35:54Z
dc.date.issued2020-01-18
dc.description.abstractIntroduction and Aims. In the 1990s, a strong inverse relationship between life expectancy (LE) in Russia and mortality from alcohol poisoning was observed. This association is remarkable as this cause accounts for less than 2% of deaths each year. It can be explained by treating the alcohol poisoning mortality as the best available measure in Russia of the population prevalence of harmful drinking in any year which in turn associated with mortality from a wide range of causes. This study analyses the evolving relationship of LE with this mortality-based measure of harmful drinking since 1965, and places it in a policy context.<p><p> Design and Methods. We examine three periods: 1965–1984, a period of gradual LE decline; 1984–2003, a period of massive LE fluctuations; and 2003–2017, a period of LE improvement. Pearson’s correlation coefficients and a linear relationship between annual changes in LE and alcohol poisoning were estimated for each period.<p><p> Results. The strongest negative correlation between changes in LE and alcohol poisonings was found in 1984–2003. Over the period 2003–2017 a consistent positive LE trend emerged that was statistically independent of alcohol poisoning.<p><p>Discussion and Conclusions. These results suggest that in the period from the mid-2000s a growth of LE in Russia was to a large extent independent of changes in the population prevalence of harmful drinking. While there has been a reduction in mortality at ages 15–64, at older ages mortality reduction unrelated to alcohol has become an increasingly important driver of overall mortality improvements.en_US
dc.identifier.citationDanilova, Shkolnikov VM, Evgenij, Leon DA. The changing relation between alcohol and life expectancy in Russia in 1965-2017. Drug and Alcohol Review. 2020en_US
dc.identifier.cristinIDFRIDAID 1900164
dc.identifier.doi10.1111/dar.13034
dc.identifier.issn0959-5236
dc.identifier.issn1465-3362
dc.identifier.urihttps://hdl.handle.net/10037/24432
dc.language.isoengen_US
dc.publisherWileyen_US
dc.relation.journalDrug and Alcohol Review
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2020 The Author(s)en_US
dc.titleThe changing relation between alcohol and life expectancy in Russia in 1965-2017en_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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