Determinants of Adult Mortality in Russia: Estimates from Sibling Data

Richard Rose, M. Bobak, M. Murphy, M. Marmot

    Research output: Contribution to journalArticle

    33 Citations (Scopus)

    Abstract

    Objectives: It would be useful to have a quick and cost-effective method to study individual-level determinants of mortality in countries where reliable data are not available. We have modified indirect demographic methods and applied them to a population sample to investigate predictors of mortality in Russia.

    Methods: A national sample of the Russian population was interviewed in a cross-sectional survey. The participants were asked about characteristics of their eldest siblings, including their vital status, year of birth, and year of death (if deceased). The association between personal characteristics and mortality risk was estimated for 682 male and 698 female siblings (of whom 122 and 81, respectively, had died).

    Results: In both sexes, mortality was strongly associated with smoking and low education. After adjustment for smoking and education, mortality was elevated in men and women who drank alcohol at least once a month. Mortality was also higher among in men who had been binge drinking (more than half a bottle of vodka per drinking session) at least once a week (adjusted risk ratio [RR] = 2.5; 95% confidence interval [CI] = 1.2-4.9) and in women who were binging at least once a month (RR = 3.9; CI = 1.1-14.5) compared with nonbinging.

    Subjects: Similar associations with drinking were seen for cardiovascular deaths in men. Childhood social circumstances were not associated with mortality.

    Conclusions: The study of siblings appears to be a cost-effective alternative for estimating risk factors for mortality in literate populations. This study identified smoking, low education, and alcohol consumption (especially binge drinking) as risk factors for mortality in Russia.

    Original languageEnglish
    Pages (from-to)603-611
    Number of pages8
    JournalEpidemiology
    Volume14
    Issue number5
    DOIs
    Publication statusPublished - 2003

    Keywords

    • epidemiology
    • methods
    • cohort studies
    • mortality
    • Russia
    • alcohol
    • ALCOHOL-CONSUMPTION
    • CARDIOVASCULAR MORTALITY
    • BINGE DRINKING
    • HEART-DISEASE
    • ALL-CAUSE
    • POPULATION
    • PATTERNS
    • US
    • ASSOCIATION
    • NOVOSIBIRSK

    Cite this

    Determinants of Adult Mortality in Russia: Estimates from Sibling Data. / Rose, Richard; Bobak, M.; Murphy, M.; Marmot, M.

    In: Epidemiology, Vol. 14, No. 5, 2003, p. 603-611.

    Research output: Contribution to journalArticle

    Rose, Richard ; Bobak, M. ; Murphy, M. ; Marmot, M. / Determinants of Adult Mortality in Russia: Estimates from Sibling Data. In: Epidemiology. 2003 ; Vol. 14, No. 5. pp. 603-611.
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    N2 - Objectives: It would be useful to have a quick and cost-effective method to study individual-level determinants of mortality in countries where reliable data are not available. We have modified indirect demographic methods and applied them to a population sample to investigate predictors of mortality in Russia.Methods: A national sample of the Russian population was interviewed in a cross-sectional survey. The participants were asked about characteristics of their eldest siblings, including their vital status, year of birth, and year of death (if deceased). The association between personal characteristics and mortality risk was estimated for 682 male and 698 female siblings (of whom 122 and 81, respectively, had died).Results: In both sexes, mortality was strongly associated with smoking and low education. After adjustment for smoking and education, mortality was elevated in men and women who drank alcohol at least once a month. Mortality was also higher among in men who had been binge drinking (more than half a bottle of vodka per drinking session) at least once a week (adjusted risk ratio [RR] = 2.5; 95% confidence interval [CI] = 1.2-4.9) and in women who were binging at least once a month (RR = 3.9; CI = 1.1-14.5) compared with nonbinging.Subjects: Similar associations with drinking were seen for cardiovascular deaths in men. Childhood social circumstances were not associated with mortality.Conclusions: The study of siblings appears to be a cost-effective alternative for estimating risk factors for mortality in literate populations. This study identified smoking, low education, and alcohol consumption (especially binge drinking) as risk factors for mortality in Russia.

    AB - Objectives: It would be useful to have a quick and cost-effective method to study individual-level determinants of mortality in countries where reliable data are not available. We have modified indirect demographic methods and applied them to a population sample to investigate predictors of mortality in Russia.Methods: A national sample of the Russian population was interviewed in a cross-sectional survey. The participants were asked about characteristics of their eldest siblings, including their vital status, year of birth, and year of death (if deceased). The association between personal characteristics and mortality risk was estimated for 682 male and 698 female siblings (of whom 122 and 81, respectively, had died).Results: In both sexes, mortality was strongly associated with smoking and low education. After adjustment for smoking and education, mortality was elevated in men and women who drank alcohol at least once a month. Mortality was also higher among in men who had been binge drinking (more than half a bottle of vodka per drinking session) at least once a week (adjusted risk ratio [RR] = 2.5; 95% confidence interval [CI] = 1.2-4.9) and in women who were binging at least once a month (RR = 3.9; CI = 1.1-14.5) compared with nonbinging.Subjects: Similar associations with drinking were seen for cardiovascular deaths in men. Childhood social circumstances were not associated with mortality.Conclusions: The study of siblings appears to be a cost-effective alternative for estimating risk factors for mortality in literate populations. This study identified smoking, low education, and alcohol consumption (especially binge drinking) as risk factors for mortality in Russia.

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    KW - BINGE DRINKING

    KW - HEART-DISEASE

    KW - ALL-CAUSE

    KW - POPULATION

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    KW - US

    KW - ASSOCIATION

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