Mortality Patterns in the Russian Federation: Indirect Technique using Widowhood Data

Richard Rose, M. Bobak, M. Murphy, H. Pikhart, P. Martikainen, M. Marmot

    Research output: Contribution to specialist publicationLetter

    19 Citations (Scopus)

    Abstract

    Objective The Russian mortality crisis of the early 1990s attracted considerable attention, but information on Possible covariates of mortality is lacking, and concerns have been raised about the validity of official mortality data. To help elucidate the determinants of mortality, we examined whether indirect demographic techniques could be used to study mortality-in countries such as the Russian Federation, where mortality data are inadequate, using input data independent from official vital statistics.

    Methods A national sample of the population was interviewed (n = 1600, response rate = 67%). Participants who had ever been married (82% of the sample) were asked about the date of birth and vital status of their first spouse. Spousal mortality was then. estimated indirectly for the 531 men and 710 women for whom valid data were available.

    Findings The estimated risk of death between the ages of 35-69 years was 57% for male spouses and 17% for female spouses. Corresponding figures derived from national data for 1990 were 52% and 25% for the Russian Federation, and 31% and 20% for the United Kingdom. According to spouses' reports, 38% of their husbands died from cardiovascular disease, 22% from cancer, and 14% from injuries and accidents. Mortality of male spouses was inversely related to the education level of their wives, and the age-adjusted hazard ratios for death from all causes, compared to primary education, were 0.77 for secondary education and 0.57 for university education (trend P = 0.03), Mortality was also inversely related to ownership of household items, but not to size of settlement, pride in Russia, membership in the Soviet Communist Party, nationality or self-assessed social status.

    Conclusions Although the indirect estimates were imprecise (partly owing to the small population size of the study), and mortality in women was probably underestimated (owing to many factors, including poorer reporting by males and high male mortality), our results are nevertheless consistent with the mortality pattern observed in official mortality data. The indirect technique thus appears to be a useful tool to study the determinants of mortality in the Russian Federation and other populations, where reliable or sufficiently extensive data are not available.

    Original languageEnglish
    Pages876-881
    Number of pages5
    Volume80
    No.11
    Specialist publicationBulletin of the World Health Organization
    Publication statusPublished - 2002

    Keywords

    • mortality/trends
    • cause of death
    • widowhood
    • spouses
    • statistics/methods
    • survival analysis
    • sex factors
    • age factors
    • socioeconomic factors
    • politics
    • sampling studies
    • cross-sectional studies
    • Russian Federation
    • HEALTH
    • EUROPE

    Cite this

    Rose, R., Bobak, M., Murphy, M., Pikhart, H., Martikainen, P., & Marmot, M. (2002). Mortality Patterns in the Russian Federation: Indirect Technique using Widowhood Data. Bulletin of the World Health Organization, 80(11), 876-881.

    Mortality Patterns in the Russian Federation: Indirect Technique using Widowhood Data. / Rose, Richard; Bobak, M.; Murphy, M.; Pikhart, H.; Martikainen, P.; Marmot, M.

    In: Bulletin of the World Health Organization, Vol. 80, No. 11, 2002, p. 876-881.

    Research output: Contribution to specialist publicationLetter

    Rose, R, Bobak, M, Murphy, M, Pikhart, H, Martikainen, P & Marmot, M 2002, 'Mortality Patterns in the Russian Federation: Indirect Technique using Widowhood Data' Bulletin of the World Health Organization, vol. 80, no. 11, pp. 876-881.
    Rose R, Bobak M, Murphy M, Pikhart H, Martikainen P, Marmot M. Mortality Patterns in the Russian Federation: Indirect Technique using Widowhood Data. Bulletin of the World Health Organization. 2002;80(11):876-881.
    Rose, Richard ; Bobak, M. ; Murphy, M. ; Pikhart, H. ; Martikainen, P. ; Marmot, M. / Mortality Patterns in the Russian Federation: Indirect Technique using Widowhood Data. In: Bulletin of the World Health Organization. 2002 ; Vol. 80, No. 11. pp. 876-881.
    @misc{5c2ae8c8c7024b6a96129193eda060e6,
    title = "Mortality Patterns in the Russian Federation: Indirect Technique using Widowhood Data",
    abstract = "Objective The Russian mortality crisis of the early 1990s attracted considerable attention, but information on Possible covariates of mortality is lacking, and concerns have been raised about the validity of official mortality data. To help elucidate the determinants of mortality, we examined whether indirect demographic techniques could be used to study mortality-in countries such as the Russian Federation, where mortality data are inadequate, using input data independent from official vital statistics.Methods A national sample of the population was interviewed (n = 1600, response rate = 67{\%}). Participants who had ever been married (82{\%} of the sample) were asked about the date of birth and vital status of their first spouse. Spousal mortality was then. estimated indirectly for the 531 men and 710 women for whom valid data were available.Findings The estimated risk of death between the ages of 35-69 years was 57{\%} for male spouses and 17{\%} for female spouses. Corresponding figures derived from national data for 1990 were 52{\%} and 25{\%} for the Russian Federation, and 31{\%} and 20{\%} for the United Kingdom. According to spouses' reports, 38{\%} of their husbands died from cardiovascular disease, 22{\%} from cancer, and 14{\%} from injuries and accidents. Mortality of male spouses was inversely related to the education level of their wives, and the age-adjusted hazard ratios for death from all causes, compared to primary education, were 0.77 for secondary education and 0.57 for university education (trend P = 0.03), Mortality was also inversely related to ownership of household items, but not to size of settlement, pride in Russia, membership in the Soviet Communist Party, nationality or self-assessed social status.Conclusions Although the indirect estimates were imprecise (partly owing to the small population size of the study), and mortality in women was probably underestimated (owing to many factors, including poorer reporting by males and high male mortality), our results are nevertheless consistent with the mortality pattern observed in official mortality data. The indirect technique thus appears to be a useful tool to study the determinants of mortality in the Russian Federation and other populations, where reliable or sufficiently extensive data are not available.",
    keywords = "mortality/trends, cause of death, widowhood, spouses, statistics/methods, survival analysis, sex factors, age factors, socioeconomic factors, politics, sampling studies, cross-sectional studies, Russian Federation, HEALTH, EUROPE",
    author = "Richard Rose and M. Bobak and M. Murphy and H. Pikhart and P. Martikainen and M. Marmot",
    year = "2002",
    language = "English",
    volume = "80",
    pages = "876--881",
    journal = "Bulletin of the World Health Organization",
    issn = "0042-9686",
    publisher = "World Health Organization",

    }

    TY - GEN

    T1 - Mortality Patterns in the Russian Federation: Indirect Technique using Widowhood Data

    AU - Rose, Richard

    AU - Bobak, M.

    AU - Murphy, M.

    AU - Pikhart, H.

    AU - Martikainen, P.

    AU - Marmot, M.

    PY - 2002

    Y1 - 2002

    N2 - Objective The Russian mortality crisis of the early 1990s attracted considerable attention, but information on Possible covariates of mortality is lacking, and concerns have been raised about the validity of official mortality data. To help elucidate the determinants of mortality, we examined whether indirect demographic techniques could be used to study mortality-in countries such as the Russian Federation, where mortality data are inadequate, using input data independent from official vital statistics.Methods A national sample of the population was interviewed (n = 1600, response rate = 67%). Participants who had ever been married (82% of the sample) were asked about the date of birth and vital status of their first spouse. Spousal mortality was then. estimated indirectly for the 531 men and 710 women for whom valid data were available.Findings The estimated risk of death between the ages of 35-69 years was 57% for male spouses and 17% for female spouses. Corresponding figures derived from national data for 1990 were 52% and 25% for the Russian Federation, and 31% and 20% for the United Kingdom. According to spouses' reports, 38% of their husbands died from cardiovascular disease, 22% from cancer, and 14% from injuries and accidents. Mortality of male spouses was inversely related to the education level of their wives, and the age-adjusted hazard ratios for death from all causes, compared to primary education, were 0.77 for secondary education and 0.57 for university education (trend P = 0.03), Mortality was also inversely related to ownership of household items, but not to size of settlement, pride in Russia, membership in the Soviet Communist Party, nationality or self-assessed social status.Conclusions Although the indirect estimates were imprecise (partly owing to the small population size of the study), and mortality in women was probably underestimated (owing to many factors, including poorer reporting by males and high male mortality), our results are nevertheless consistent with the mortality pattern observed in official mortality data. The indirect technique thus appears to be a useful tool to study the determinants of mortality in the Russian Federation and other populations, where reliable or sufficiently extensive data are not available.

    AB - Objective The Russian mortality crisis of the early 1990s attracted considerable attention, but information on Possible covariates of mortality is lacking, and concerns have been raised about the validity of official mortality data. To help elucidate the determinants of mortality, we examined whether indirect demographic techniques could be used to study mortality-in countries such as the Russian Federation, where mortality data are inadequate, using input data independent from official vital statistics.Methods A national sample of the population was interviewed (n = 1600, response rate = 67%). Participants who had ever been married (82% of the sample) were asked about the date of birth and vital status of their first spouse. Spousal mortality was then. estimated indirectly for the 531 men and 710 women for whom valid data were available.Findings The estimated risk of death between the ages of 35-69 years was 57% for male spouses and 17% for female spouses. Corresponding figures derived from national data for 1990 were 52% and 25% for the Russian Federation, and 31% and 20% for the United Kingdom. According to spouses' reports, 38% of their husbands died from cardiovascular disease, 22% from cancer, and 14% from injuries and accidents. Mortality of male spouses was inversely related to the education level of their wives, and the age-adjusted hazard ratios for death from all causes, compared to primary education, were 0.77 for secondary education and 0.57 for university education (trend P = 0.03), Mortality was also inversely related to ownership of household items, but not to size of settlement, pride in Russia, membership in the Soviet Communist Party, nationality or self-assessed social status.Conclusions Although the indirect estimates were imprecise (partly owing to the small population size of the study), and mortality in women was probably underestimated (owing to many factors, including poorer reporting by males and high male mortality), our results are nevertheless consistent with the mortality pattern observed in official mortality data. The indirect technique thus appears to be a useful tool to study the determinants of mortality in the Russian Federation and other populations, where reliable or sufficiently extensive data are not available.

    KW - mortality/trends

    KW - cause of death

    KW - widowhood

    KW - spouses

    KW - statistics/methods

    KW - survival analysis

    KW - sex factors

    KW - age factors

    KW - socioeconomic factors

    KW - politics

    KW - sampling studies

    KW - cross-sectional studies

    KW - Russian Federation

    KW - HEALTH

    KW - EUROPE

    M3 - Letter

    VL - 80

    SP - 876

    EP - 881

    JO - Bulletin of the World Health Organization

    JF - Bulletin of the World Health Organization

    SN - 0042-9686

    ER -