Distinctive features and components of mortality decrease in Moscow in 1989-2017
Abstract
Moscow is the region with the highest life expectancy in Russia. The country’s largest city, it has high incomes, a special population structure and a high concentration of all resources, including in the healthcare sector, which is given special attention by the city authorities. In some periods, the changes in life expectancy in Moscow have been unique compared to most other regions of Russia. The difference in life expectancy between Moscow and Russia in the period from the mid-1990s to the mid-2000s was mainly due to lower mortality in middle age. Since the mid-2000s, the main contribution to the difference in life expectancy has been shifting to old age mortality. Given the overall rapid decline of mortality in Moscow since then, changes in the mortality rates and life expectancy of certain age groups seem implausible. The quality of population and mortality data has a significant impact on the accuracy of estimates of mortality indicators and requires special attention in the case of Moscow. In particular, the number of people at advanced ages in Moscow is likely to be overestimated, which affects mortality rates in this age group. Peculiarities of mortality by causes of death in Moscow generally correspond to the average Russian trends; however, in Moscow a more rapid decrease in mortality from neoplasms is observed, as well as more realistic age-specific death rates in older age groups.
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References
Andreev E.M. (1982). The method of components in the analysis of length of life. Vestnik statistiki, 3, 42–47. (In Russ.)
Andreev E.M. (2012). On the accuracy of the results of Russian population censuses and the level of confidence in different sources of information. Voprosy statistiki [Statistical Issues], 11, 21–35. (In Russ.)
Andreev E.M. (2016). Ill-defined and unspecified causes of death in Russia. Demograficheskoe obozrenie [Demographic Review], 3(2), 103-142. doi:10.17323/demreview.v3i2.1755 (In Russ.)
Andreev E.M., Kvasha E.A., Kharʹkova T.L. (2006). Special points on the mortality map. In A.G. Vishnevsky (Ed.), Naselenie Rossii 2003–2004. Odinnadtsatyy-dvenadtsatyy ezhegodnyy demograficheskiy doklad (pp. 298–305) [Russia’s Population in 2003-2004. 11-12 Annual Demographic Report]. Мoscow: Nauka. (In Russ.)
Andreev E.M., Kvasha E.A., Kharʹkova T.L. (2016). Mortality in Moscow and other megacities of the world: similarities and differences. Demograficheskoe obozrenie [Demographic Review], 3(3), 39–79. doi:10.17323/demreview.v3i3 (In Russ.)
Andreev E.M., Shkolnikov V.M. (2018). The relationship between mortality and economic development in Russia and its regions. Demograficheskoe obozrenie [Demographic Review], 5(1), 6-24. doi:10.17323/demreview.v5i1.7707 (In Russ.)
Andreev E.M., Shkolnikov V.M., Begun A.Z. (2002). Algorithm for decomposition of differences between aggregate demographic measures and its application to life expectancies, healthy life expectancies, parity-progression ratios and total fertility rates. Demographic Research, 7(14), 499–522. doi:10.4054/DemRes.2002.7.14.
Arkhangel’skiy V.N., Ivanova A.E., Rybakovskiy L.L., Ryazantsev S.V. (2006). Demograficheskaya situatsiya v Moskve i tendentsii eye razvitiya [The demographic situation in Moscow and its development trends]. Moskva: TSentr sotsial’nogo prognozirovaniya. (In Russ.)
Center for Demographic Research. (2018). Russian Fertility and Mortality Database. Retrieved from http://www.demogr.nes.ru/index.php/ru/demogr_indicat/data (data downloaded on 05.07.2018).
Danilova I.A. (2015). The issue of quality of Russian cause-specific mortality statistics at old ages. Uspekhi gerontologii [Advances in Gerontology], 28(3), 409-414. (In Russ.)
Danilova I.A., Shkolnikov V.M., Jdanov D.A., Meslé F., Vallin J. (2016). Identifying potential differences in cause-of-death coding practices across Russian regions. Population Health Metrics, 14(8). doi:10.1186/s12963-016-0078-0
Eurostat (2018). Amenable and preventable deaths statistics. URL: http://ec.europa.eu/eurostat/statistics-explained/index.php/Amenable_and_preventable_deaths_statistics (data downloaded on 15.09.2018).
Gavrilova N.S., Semyonova V.G., Dubrovina E., Evdokushkina G.N., Ivanova A.E., Gavrilov L.A. (2008). Russian Mortality Crisis and the Quality of Vital Statistics. Population Research and Policy Review, 27, 551-574. doi:10.1007/s11113-008-9085-6
Gusmano M.K., Rodwin V.G., Wang C., Weisz D., Luo L., Hua F. (2015). Shanghai rising: health improvements as measured by avoidable mortality since 2000. International Journal of Health Policy and Management, 4(1), 7–12. http://doi.org/10.15171/ijhpm.2015.07
Gusmano M.K., Rodwin V.G., Weisz D., Ayoub R. (2016). Health Improvements in BRIC Cities: Moscow, São Paulo, and Shanghai, 2000–10. World Medical & Health Policy, 8, 127-138. doi:10.1002/wmh3.188
Ivanova A.E., Sabgayda T.P., Semenova V.G., Zaporozhenko V.G., Zemlyanova E.V., Nikitina S.YU. (2013). Factors distorting structure of death causes in working population in Russia. Sotsial’nyye aspekty zdorov’ya naseleniya [Social aspects of population health], 4(32). URL:http://vestnik.mednet.ru/content/view/49 1/30/lang,ru/ (In Russ.)
Jdanov D.A., Scholz R.D., Shkolnikov V.M. (2005). Official population statistics and the Human Mortality Database estimates of populations aged 80+ in Germany and nine other European countries. Demographic Research, 13(14), 335-362. doi:10.4054/DemRes.2005.13.14
Kharʹkova T.L., Nikitina S.YU., Andreev E.M. (2017). Dependence of life expectancy on the education levels in Russia. Voprosy statistiki [Statistical Issues], 8, 61–68. (In Russ.)
Koster E.M., de Gelder R. , Di Nardo F., Williams G., Harrison A., van Buren L.P., Lyshol H., Patterson L., Birt C.A., Higgerson J., Achterberg P.W., Verma A., van Ameijden E.J.C. (2017). Health status in Europe: comparison of 24 urban areas to the corresponding 10 countries (EURO-URHIS 2). European Journal of Public Health, 27(2), 62–67. doi:10.1093/eurpub/ckw188
Mkrtchyan N.V. (2012). Problemy ucheta naseleniya otdelʹnykh vozrastnykh grupp v khode perepisi naseleniya 2010 g.: prichiny otkloneniy poluchennykh dannykh ot ozhidaemykh [Problems of registration of the population of certain age groups during the 2010 census: reasons for deviations of the data from the expected] / In M.B. Denisenko (Ed.), Demograficheskie aspekty sotsialʹno-ehkonomicheskogo razvitiya [Demographic aspects of social and economic development], Vyp. 22 (pp. 197–214.). Moscow: MAKS Press. (In Russ.)
Nemtsov A.V. (2003). Alkogolʹnyy uron regionov Rossii [Alcohol-Induced Harm in the Regions of Russia]. Moscow: NALEX. (In Russ.)
Papanova E.K., Shkolnikov V.M., Andreev E.M., Timonin S.A. (2017). High life expectancy of muscovites at old ages: reality or statistical artifact? Uspekhi gerontologii [Advances in Gerontology], 30(6), 826-835. (In Russ.)
Preston S., Elo I. (2014). Anatomy of a Municipal Triumph: New York City's Upsurge in Life Expectancy. Population and Development Review, 40(1), 1-29. doi:10.1111/j.1728-4457.2014.00648.x
Pridemore W.A. (2003). Measuring homicide in Russia: a comparison of estimates from the crime and vital statistics reporting system. Social Science & Medicine, 57(8), 1343-1354. doi:10.1016/S0277-9536 (02) 00509-9
Revich B.A. (2011). Heat-wave, air quality and mortality in European Russia in summer 2010: preliminary assessment. Ehkologiya cheloveka [Human Ecology], 7, 3-9. (In Russ.)
Roshchin D.O., Sabgayda T.P., Evdokushkina G.N. (2012). The problem of diabetes mellitus recording while diagnostics of death causes. Sotsialʹnye aspekty zdorovʹya naseleniya [Social aspects of population health], 5(27). URL: http://vestnik.mednet.ru/content/view/430/30/lang,ru/ (In Russ.)
Semenova V.G., Antonova O.I. (2007). The validility of the mortality statistics (on example of mortality from injury and poisoning in Moscow). Sotsial’nyye aspekty zdorov’ya naseleniya [Social aspects of population health], 2. URL: http://vestnik.mednet.ru/content/view/28/30/ (In Russ.)
Shaposhnikov D., Revich B., Bellander T., Bedada G.B., Bottai M., Kharkova T., Kvasha E., Lezina E., Lind T., Semutnikova E., Pershagen G. (2014). Mortality Related to Interactions Between Heat Wave and Wildfire Air Pollu-tion During the Summer of 2010 in Moscow. Epidemiology, 3(25), 359-364. doi:10.1097/EDE.0000000000000090
Shkolnikov V.M., Andreev E.M., Jasilionis D., Leinsalu M., Antonova O.I., McKee M. (2006). The Changing Relation between Education and Life Expectancy in Central and Eastern Europe in the 1990s. Journal of Epidemiology and Community Health, 60(10), 875–881.
Shkolnikov V.M., Andreev E.M., McKee M., Leon D.A. (2013). Components and possible determinants of the decrease in Russian mortality in 2004-2010. Demographic Research, 28(32), 917-950. doi:10.4054/DemRes.2013.28.32
Shkolnikov V.M., Cornia G.A. (2000). Population crisis and rising mortality in transitional Russia. In G.A. Cornia, R. Paniccià (Eds.), The mortality crisis in transitional economies (pp. 253-279). Oxford: Oxford University Press.
Shkolnikov V.M., Cornia G.A., Leon D.A., Meslé F. (1998a). Causes of the Russian Mortality Crisis: Evidence and Interpretations. World Development, 26(6), 1995-2011.
Shkolnikov V.M., Leon D.A., Adamets S., Andreev E.M., Deev A. (1998b). Educational Level and Adult Mortality in Russia: An Analysis of Routine Data 1979 to 1994. Social Science and Medicine, 47(3), 357–369.
Shkolnikov V.M., McKee M., Chervyakov V.V., Kiryanov N.A. (2002). Is the link between alcohol and cardiovascular death among young Russian men attributable to misclassification of acute alcohol intoxication? Evidence from the city of Izhevsk. Journal of Epidemiology and Community Health, 56(3), 171-174. doi:10.1136/jech.56.3.171
Shkolnikov V.M., McKee M., Vallin J., Aksel E., Leon D., Chenet L., Meslé F. (1999). Cancer mortality in Russia and Ukraine: validity, competing risks, and cohort effects. International Journal of Epidemiology, 28, 19-29.
Shkolnikov V.M., Meslé F., Vallin J. (1996). Health Crisis in Russia I. Recent Trends in Life Expectancy and Causes of Death from 1970 to 1993. Population: An English Selection, 8, 123–154.
Sidorenkov O., Nilssen O., Nieboer E., Kleschinov N., Grjibovski A.M. (2011). Premature cardiovascular mortality and alcohol consumption before death in Arkhangelsk, Russia: an analysis of a consecutive series of forensic autopsies. International Journal of Epidemiology, 40(6), 1519-1529. doi:0.1093/ije/dyr145
Thatcher A.R., Kannisto V., Andreev K.F. (2002). The survivor ratio method for estimating numbers at high ages. Demographic Research, 6(1), 1–16. doi:10.4054/DemRes.2002.6.1
Timonin S.A., Danilova I.A., Andreev E.M., Shkolnikov V.M. (2017). Recent mortality trend reversal in Russia: are regions following the same tempo? European Journal of Population, 33(5), 733-763. doi:10.1007/s10680-017-9451-3
Todd M.A., Shkolnikov V.M., Goldman N. (2016). Why are well-educated Muscovites more likely to survive? Understanding the biological pathways. Social Science & Medicine, 157, 138–147. http://doi.org/10.1016/j.socscimed.2016.02.041 V.M.
University of California, Berkeley, Max Planck Institute for Demographic Research (MPIDR). (2018). Human Mortality Database. Retrieved from http://www.mortality.org. (data downloaded on 20.06.2018)
Vallin J., Andreev E.M., Meslé F., Shkolnikov (2005). Geographical diversity of cause-of-death patterns and trends in Russia. Demographic Research, 12(13), 323-380.
Vasin S.A. (2015). Mortality from undetermined causes of death in Russia and in a selected set of countries. Demograficheskoye obozreniye [Demographic Review], 2(1), 89-124. doi:/10.17323/demreview.v2i1.1790 (In Russ.)
Vishnevsky A.G., Andreev E.M., Timonin S.A. (2016). Mortality from cardiovascular diseases and life expectancy in Russia. Demograficheskoe obozrenie [Demographic Review], 3(1), 6-34. doi:10.17323/demreview.v3i1.1761 (In Russ.)
WHO Regional Office for Europe. (2018). European Health for All database (HFA-DB). Retrieved from https://gateway.euro.who.int/en/datasets/european-health-for-all-database/ (data downloaded on 15.09.2018).
WHO. (2018). World Health Organization Mortality Database. Retrieved from http://www.who.int/healthinfo/mortality_data/en/ (data downloaded 10.06.2018).
Zaridze D., Maximovitch D., Lazarev A., Igitov V., Boroda A., Boreham J. et al. (2009). Alcohol poisoning is a main determinant of recent mortality trends in Russia : evidence from a detailed analysis of mortality statistics and autopsies. International Journal of Epidemiology, 38(1), 143-153. doi:10.1093/ije/dyn160
Zemlyanova E., Lopakov K., Ivanova A. (2017). Regional mortality differences in big Russian cities. European Journal of Public Health, 27(3). doi:10.1093/eurpub/ckx186.007
