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Causes of Fluctuating Mortality in Romania

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  • Solveig Argeseanu Cunningham

    (Emory University)

Abstract

During the post-communist transition, Romanians experienced some of the highest mortality rates in eastern Europe, some of the greatest fluctuations in life expectancy and some of the greatest delays in recovery. This study examines the shifts in cause-specific mortality underlying these fluctuations. Using demographic methods to understand the peaks and troughs in life expectancy during the past twenty years, we explore several explanations for these fluctuations: changes in exposure and behaviour associated with the social, economic and political changes; changes in health care affecting amenable causes of death and the progression of the epidemiologic transition. Throughout this period, there is a continuing shift from infectious towards chronic diseases mortality. Psycho-social stress during the period of transition affected survival, evidenced by increases in suicides and differences in mortality between men and women. Amenable causes of death took a greater toll on life expectancy, and increases in tuberculosis and congenital heart abnormality mortality provide evidence of a weakening of health services. However, decreases in vaccine-preventable mortality demonstrate that the health system did not fully fail. Policy changes also affected survival, including decreasing abortion-related mortality and, after initial increases in accidental mortality, new improvements, especially in traffic fatalities.

Suggested Citation

  • Solveig Argeseanu Cunningham, 2009. "Causes of Fluctuating Mortality in Romania," European Journal of Population, Springer;European Association for Population Studies, vol. 25(2), pages 197-214, May.
    • Handle: RePEc:spr:eurpop:v:25:y:2009:i:2:d:10.1007_s10680-008-9168-4
    DOI: 10.1007/s10680-008-9168-4
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    1. repec:cai:poeine:pope_201_0157 is not listed on IDEAS
    2. Bobak, M. & Kriz, B. & Leon, D.A. & Danova, J. & Marmot, M., 1994. "Socioeconomic factors and height of preschool children in the Czech Republic," American Journal of Public Health, American Public Health Association, vol. 84(7), pages 1167-1170.
    3. Brainerd, Elizabeth, 1998. "Market reform and mortality in transition economies," World Development, Elsevier, vol. 26(11), pages 2013-2027, November.
    4. Hertzman, Clyde & Siddiqi, Arjumand, 2000. "Health and rapid economic change in the late twentieth century," Social Science & Medicine, Elsevier, vol. 51(6), pages 809-819, September.
    5. France Meslé, 2004. "Mortality in Central and Eastern Europe," Demographic Research Special Collections, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 2(3), pages 45-70.
    6. Eduardo Arriaga, 1984. "Measuring and explaining the change in life expectancies," Demography, Springer;Population Association of America (PAA), vol. 21(1), pages 83-96, February.
    7. Gerdi Weidner, 1998. "Gender gap in health decline in East Europe," Nature, Nature, vol. 395(6705), pages 835-835, October.
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