Exploring the Conditions for a Mortality Crisis: Bringing Context Back into the Debate
2011 (English)In: Population, Space and Place, ISSN 1544-8452, E-ISSN 1544-8444, Vol. 17, no 3, 267-289 p.Article in journal (Refereed) Published
This study engages with the debate over the mortality crises in the former Soviet Union and Central and Eastern Europe by (i) considering at length and as complementary to each other the two most prominent explanations for the post-communist mortality crisis, stress and alcohol consumption and by (ii) emphasising the importance of context by exploiting systematic similarities and differences across the region. Differential mortality trajectories reveal three country groups that cluster both spatially and in terms of economic transition experiences. The first group includes countries in the farthest west in which mortality rates increased minimally after the transition began. The second group experienced a severe increase in mortality rates in the early 1990s but recovered previous levels within a few years. These countries are located peripherally to Russia and its nearest neighbours. The final group consists of countries that experienced two mortality increases or in which mortality levels had not recovered to pre-transition levels well into the 21st century. Cross-sectional time-series analyses of age-specific and cause-specific death rates for men and women reveal that the clustering of these countries and their mortality trajectories can be partially explained by the economic context, which is argued to be linked to stress and alcohol consumption. Above and beyond many basic differences in the country groups that are held constant - including geographically and historically shared cultural, lifestyle, and social characteristics - poor economic conditions account for a remarkably consistent share of excess age-specific and cause-specific deaths.
Place, publisher, year, edition, pages
2011. Vol. 17, no 3, 267-289 p.
mortality, alcohol consumption, stress, post-communist, health behaviour, economic context
IdentifiersURN: urn:nbn:se:su:diva-68499DOI: 10.1002/psp.660ISI: 000290000500006OAI: oai:DiVA.org:su-68499DiVA: diva2:473705
authorCount :12012-01-072012-01-042012-01-07Bibliographically approved