Arbeitsbereich

Demografische Daten

Auf einen Blick Projekte Publikationen Team

Projekt

Sterblichkeit und Gesundheit in Osteuropa

Domantas Jasilionis, Vladimir M. Shkolnikov, Dmitri A. Jdanov; in Zusammenarbeit mit David A. Leon, Martin McKee, Sergi Trias Limos (alle: London School of Hygiene & Tropical Medicine, Großbritannien), Evgeny Andreev (National Research University – Higher School of Economics, Moscow, Russland), Sergey Timonin (Australian National University, Australien), Elena Papanova, Elena Churilova (beide: National Research University – Higher School of Economics, Moscow, Russland), Jacques Vallin, France Meslé (beide: French National Institute for Demographic Studies, Paris, Frankreich), Giedré Smailyté (National Cancer Institute, Vilnius, Litauen), Daumantas Stumbrys (Vytautas Magnus University, Kaunas, Litauen)

Ausführliche Beschreibung

The project includes studies conducted in collaboration with researchers from Central and Eastern Europe and research institutes in France, the UK, the US, Canada, and other countries. The research focuses on the components and determinants of mortality in Central and Eastern Europe. 

Several studies conducted between 2017 and 2022 were devoted to general macroeconomic and epidemiological determinants of mortality and life expectancy in the Baltic countries and Russia, respectively. They suggested that only a moderate part of the mortality gap can be attributed to lower levels of income. Most of the gap is related to the general problems faced by underfinanced health care systems in addressing new health challenges, widespread alcohol abuse, other unhealthy behaviors, and psychosocial stress. Although the situation has been improving since the late 1990s in the Baltics and since the mid-2000s in Russia and Belarus, mortality excess in these countries remains large due to cardiovascular, medically amenable, external, and alcohol-related causes of death.

Project studies have also indicated that progress in health is uneven across space and sociodemographic and socioeconomic groups. For example, we have shown that all regions of Russia experienced substantial reductions in mortality at working ages, but the progress against cardiovascular diseases at older ages was larger in Moscow and a few other regions than in the rest of the country. A study of ours based on census-linked mortality data for Lithuania has revealed a substantial widening of mortality inequalities by education and economic activity from 2001-05 to 2011-15.

Earlier research identified hazardous alcohol drinking as a major factor of high working-age mortality in postcommunist countries. For example, a collaborative study has found that alcohol explained 20% of the life-expectancy gap between post-Soviet countries and the west of Europe in 2015. Two recent studies also have shown a very strong correlation between temporal changes in life expectancy and changes in fatal alcohol poisonings in Russia and Belarus. The results have revealed that the recent life expectancy increases in Lithuania and Belarus coincided with stronger alcohol control policies. Using time series analysis, the most recent studies on Lithuania confirmed the important role of the impact of alcohol control policies in reducing both cause-specific mortality and mortality inequalities. 

Publikationen

Nikoloski, Z.; Shkolnikov, V. M.; Mossialos, E.:

Preventable mortality in the Russian Federation: a retrospective, regional level study

The Lancet Regional Health - Europe 29:100631, 1–13. (2023)    

Rehm, J.; Lange, S.; Gobiņa, I.; Janik-Koncewicz, K.; Miščikienė, L.; Reile, R.; Stoppel, R.; Tran, A.; Ferreira-Borges, C.; Jasilionis, D.; Jiang, H.; Kim, K. V.; Manthey, J.; Neufeld, M.; Petkevičienė, J.; Radišauskas, R.; Room, R.; Liutkutė Gumarov, V.; Zatoński, W. A.; Štelemėkas, M.:

Classifying alcohol control policies enacted between 2000 and 2020 in Poland and the Baltic countries to model potential impact

Addiction 118:3, 449–458. (2023)    

Lange, S.; Rehm, J.; Tran, A.; Bagge, C. L.; Jasilionis, D.; Kaplan, M. S.; Meščeriakova-Veliulienė, O.; Štelemėkas, M.; Probst, C.:

Comparing gender-specific suicide mortality rate trends in the United States and Lithuania, 1990–2019: putting one of the “deaths of despair” into perspective

BMC Psychiatry 22:127, 1–9. (2022)    

Leon, D. A.; Jdanov, D. A.; Gerry, C. J.; Grigoriev, P.; Jasilionis, D.; McKee, M.; Meslé, F.; Penina, O.; Twigg, J.; Vallin, J.; Vågerö, D.:

The Russian invasion of Ukraine and its public health consequences

The Lancet Regional Health - Europe 15:100358, 1–2. (2022)    

Shkolnikov, V. M.; Andreev, E. M.; Jasilionis, D.:

Changes in mortality disparities by education in Russia from 1998 to 2017: evidence from indirect estimation

European Journal of Public Health 32:1, 21–23. (2022)    

Trias Llimós, S.; Cook, S.; Eggen, A. E.; Kudryavtsev , A. V.; Malyutina, S.; Shkolnikov, V. M.; Leon, D. A.:

Socioeconomic inequalities in physiological risk biomarkers and the role of lifestyles among Russians aged 35-69 years

International Journal for Equity in Health 21:51, 1–11. (2022)    

Cooper, R.; Shkolnikov, V. M.; Kudryavtsev , A. V.; Malyutina, S.; Ryabikov, A.; Arnesdatter Hopstock, L.; Johansson, J.; Cook, S.; Leon, D. A.; Strand, B. H.:

Between-study differences in grip strength: a comparison of Norwegian and Russian adults aged 40-69 years

Journal of Cachexia, Sarcopenia, and Muscle 12:6, 2091–2100. (2021)    

Shchur, A.; Shkolnikov, V. M.; Timonin, S. A.; Andreev, E. M.; Leon, D. A.:

Where do people live longer in Russia in the 21st century? Life expectancy across urban and rural areas

Population and Development Review 47:4, 1049–1074. (2021)    

Stickley, A.; Baburin, A.; Jasilionis, D.; Krumins, J.; Martikainen, P.; Kondo, N.; Leinsalu, M.:

Economic cycles and inequalities in alcohol-related mortality in the Baltic countries and Finland in 2000–2015: a register-based study

Addiction 116:12, 3357–3368. (2021)    

Timonin, S. A.; Shkolnikov, V. M.; Andreev, E. M.; Magnus, P.; Leon, D. A.:

Evidence of large systematic differences between countries in assigning ischaemic heart disease deaths to myocardial infarction: the contrasting examples of Russia and Norway

International Journal of Epidemiology 50:6, 2082–2090. (2021)    

Danilova, I. A.; Shkolnikov, V. M.; Andreev, E. M.; Leon, D. A.:

The changing relation between alcohol and life expectancy in Russia in 1965–2017

Drug and Alcohol Review 39:7, 790–796. (2020)    

Grigoriev, P.; Bobrova, A.:

Alcohol control policies and mortality trends in Belarus

Drug and Alcohol Review 39:7, 805–817. (2020)    

Grigoriev, P.; Jasilionis, D.; Klüsener, S.; Timonin, S. A.; Andreev, E. M.; Meslé, F.; Vallin, J.:

Spatial patterns of male alcohol‐related mortality in Belarus, Lithuania, Poland and Russia

Drug and Alcohol Review 39:7, 835–845. (2020)    

Jasilionis, D.:

Commentary on Rehm et al: Alcohol control policy and changes in alcohol-related traffic harm

Addiction 115:4, 666–667. (2020)    

Jasilionis, D.; Grigoriev, P.; Stumbrys, D.; Stankūnienė, V.:

Individual and contextual determinants of male suicide in the post-communist region: the case of Lithuania

Population, Space and Place 26:8, e2372–e2372. (2020)    

Jasilionis, D.; Leon, D. A.; Pechholdová, M.:

Impact of alcohol on mortality in Eastern Europe: trends and policy responses [Editorial]

Drug and Alcohol Review 39:7, 785–789. (2020)    

Shkolnikov, V. M.; Churilova, E.; Jdanov, D. A.; Shalnova, S. A.; Nilssen, O.; Kudryavtsev, A.; Cook, S.; Malyutina, S.; McKee, M.; Leon, D. A.:

Time trends in smoking in Russia in the light of recent tobacco control measures: synthesis of evidence from multiple sources

BMC Public Health 20:378, 1–11. (2020)    

Stumbrys, D.; Telksnys, T.; Jasilionis, D.; Liutkutė Gumarov, V.; Galkus, L.; Goštautaitė Midttun, N.; Štelemėkas, M.:

Alcohol-related male mortality in the context of changing alcohol control policy in Lithuania 2000–2017

Drug and Alcohol Review 39:7, 818–826. (2020)    

Timonin, S. A.; Jasilionis, D.; Shkolnikov, V. M.; Andreev, E. M.:

New perspective on geographical mortality divide in Russia: a district-level cross-sectional analysis, 2008-2012

Journal of Epidemiology and Community Health 74:2, 144–150. (2020)    

Papanova, E. K.; Shkolnikov, V. M.; Timonin, S. A.:

Osobennosti dinamiki i komponenty sniženija smertnosti v Moskve v 1989-2017 gg.

Demographic Review 6:1, 50–103. (2019)    

Shkolnikov, V. M.; Andreev, E. M.; Tursun-Zade, R.; Leon, D. A.:

Patterns in the relationship between life expectancy and gross domestic product in Russia in 2005-15: a cross-sectional analysis

The Lancet Public Health 4:4, e181–e188. (2019)    

Andreev, E. M.; Shkolnikov, V. M.:

Svjaz' meždu urovnjami smertnosti i ekonomiceskogo razvitija v Rossii i ee regionach

Demographic Review 5:1, 6–24. (2018)    

Bálint, L.; Németh, L.:

Az alkoholos halandóság szerepe a várható élettartam iskolai végzettség szerinti egyenlőtlenségeiben

Hungarian Science 11, 1666–1679. (2018)    

Cook, S.; Malyutina, S.; Kudryavtsev , A. V.; Averina, M.; Bobrova, N.; Boytsov, S.; Brage, S.; Clark, T. G.; Benavente, E. D.; Eggen, A. E.; Hopstock, L. A.; Hughes, A.; Johansen, H.; Kholmatova, K.; Kichigina, A.; Kontsevaya, A.; Kornev, M.; Leong, D.; Magnus, P.; Mathiesen, E.; McKee, M.; Morgan, K.; Nilssen, O.; Plakhov, I.; Quint, J. K.; Rapala, A.; Ryabikov, A.; Saburova, L.; Schirmer, H.; Shapkina, M.; Shiekh, S.; Shkolnikov, V. M.; Stylidis, M.; Voevoda, M.; Westgate, K.; Leon, D. A.:

Know Your Heart: rationale, design and conduct of a cross-sectional study of cardiovascular structure, function and risk factors in 4500 men and women aged 35-69 years from two Russian cities, 2015-18

Wellcome Open Research 3:67, 1–25. (2018)    

Shkolnikov, V. M.; Churilova, E.; Avdeeva, M.; Malyutina, S.; Kudryavtsev, A.; Jdanov, D. A.; Cook, S.; Leon, D. A.:

Smoking in Russia: recent trends and socio-demographic features; synthesis of evidence from multiple studies

European Journal of Public Health 28:Supplement 4, 298–298. (2018)    

Steponavičienė, L.; Vansevičiūtė, R.; Zabulienė, L.; Jasilionis, D.; Smailytė, G.:

133 (PB-034): Reproductive factors and breast cancer risk in Lithuanian women: a population-based cohort study [Abstract]

European Journal of Cancer 92:S3, S30–S30. (2018)    

Trias Llimós, S.; Kunst, A. E.; Jasilionis, D.; Janssen, F.:

The contribution of alcohol to the East-West life expectancy gap in Europe from 1990 onward

International Journal of Epidemiology 47:3, 731–739. (2018)    

Vallin, J.; Jasilionis, D.; Meslé, F.:

La transition sanitaire à l’épreuve d’une histoire tourmentée: le cas des pays baltes

Population et Sociétés 555, 1–4. (2018)    

Grigoriev, P.; Jasilionis, D.; Stumbrys, D.; Stankūnienė, V.; Shkolnikov, V. M.:

Individual- and area-level characteristics associated with alcohol-related mortality among adult Lithuanian males: a multilevel analysis based on census-linked data

PLoS One 12:7, e0181622–e0181622. (2017)    

Timonin, S. A.; Danilova, I. A.; Andreev, E. M.; Shkolnikov, V. M.:

Recent mortality trend reversal in Russia: are regions following the same tempo?

European Journal of Population 33:5, 733–763. (2017)    

Penina, O.; Jdanov, D. A.; Grigoriev, P.:

Producing reliable mortality estimates in the context of distorted population statistics: the case of Moldova

MPIDR Working Paper WP-2015-011. (2015)    

Grigoriev, P.; Meslé, F.; Vallin, J.:

Reconstruction of continuous time series of mortality by cause of death in Belarus, 1965–2010

MPIDR Working Paper WP-2012-023. (2012)    

Shkolnikova, M. A.; Aber, B.; Weinstein, M.; Kravtsova, L.; Shalnova, S. A.; Shkolnikov, V. M.; Vaupel, J. W.:

Objective sleep duration and health in elderly Russians

MPIDR Working Paper WP-2006-009. (2006)