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Autopsy on an Empire: Understanding Mortality in Russia and the Former Soviet Union

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  • Elizabeth Brainerd
  • David M. Cutler

Abstract

Male life expectancy at birth fell by over six years in Russia between 1989 and 1994. Many other countries of the former Soviet Union saw similar declines, and female life expectancy fell as well. Using cross-country and Russian household survey data, we assess six possible explanations for this upsurge in mortality. Most find little support in the data: the deterioration of the health care system, changes in diet and obesity, and material deprivation fail to explain the increase in mortality rates. The two factors that do appear to be important are alcohol consumption, especially as it relates to external causes of death (homicide, suicide, and accidents) and stress associated with a poor outlook for the future. However, a large residual remains to be explained.

Suggested Citation

  • Elizabeth Brainerd & David M. Cutler, 2005. "Autopsy on an Empire: Understanding Mortality in Russia and the Former Soviet Union," William Davidson Institute Working Papers Series wp740, William Davidson Institute at the University of Michigan.
    • Handle: RePEc:wdi:papers:2005-740
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    References listed on IDEAS

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    1. Judyth Twigg, 1998. "Balancing the state and the market: Russia's adoption of obligatory medical insurance," Europe-Asia Studies, Taylor & Francis Journals, vol. 50(4), pages 583-602.
    2. Elizabeth Brainerd & David M. Cutler, 2005. "Autopsy on an Empire: Understanding Mortality in Russia and the Former Soviet Union," Journal of Economic Perspectives, American Economic Association, vol. 19(1), pages 107-130, Winter.
    3. Mr. Robert J. Flanagan, 1995. "Wage Structure in the Transition of the Czech Economy," IMF Working Papers 1995/036, International Monetary Fund.
    4. David M. Cutler & Edward L. Glaeser & Jesse M. Shapiro, 2003. "Why Have Americans Become More Obese?," Journal of Economic Perspectives, American Economic Association, vol. 17(3), pages 93-118, Summer.
    5. Robert J. Flanagan, 1995. "Wage Structures in the Transition of the Czech Economy," IMF Staff Papers, Palgrave Macmillan, vol. 42(4), pages 836-854, December.
    6. Brainerd, Elizabeth, 1998. "Winners and Losers in Russia's Economic Transition," American Economic Review, American Economic Association, vol. 88(5), pages 1094-1116, December.
    7. Cornia, Giovanni Andrea & Paniccia, Renato (ed.), 2000. "The Mortality Crisis in Transitional Economies," OUP Catalogue, Oxford University Press, number 9780198297413.
    8. Field, Mark G., 1995. "The health crisis in the former Soviet Union: A report from the 'post-war' zone," Social Science & Medicine, Elsevier, vol. 41(11), pages 1469-1478, December.
    9. Watson, Peggy, 1995. "Explaining rising mortality among men in Eastern Europe," Social Science & Medicine, Elsevier, vol. 41(7), pages 923-934, October.
    10. Andrei Shleifer & Daniel Treisman, 2003. "A Normal Country," NBER Working Papers 10057, National Bureau of Economic Research, Inc.
    11. Mendez, Oscar & Cutler, David & Knaul, Felicia & Lozano, Rafael & Zurita, Beatriz, 2002. "Financial Crisis, Health Outcomes, and Aging: Mexico in the 1980s and 1990s," Scholarly Articles 2707939, Harvard University Department of Economics.
    12. Ellman, Michael, 1994. "The Increase in Death and Disease under "Katastroika."," Cambridge Journal of Economics, Cambridge Political Economy Society, vol. 18(4), pages 329-355, August.
    13. Stillman, Steven & Thomas, Duncan, 2004. "The Effect of Economic Crises on Nutritional Status: Evidence from Russia," IZA Discussion Papers 1092, Institute of Labor Economics (IZA).
    14. Laurent Chenet & David Leon & Martin Mckee & Serguei Vassin, 1998. "Deaths from Alcohol and Violence in Moscow: Socio-economic Determinants," European Journal of Population, Springer;European Association for Population Studies, vol. 14(1), pages 19-37, March.
    15. Jan Rutkowski, 1996. "High skills pay off: the changing wage structure during economic transition in Poland," The Economics of Transition, The European Bank for Reconstruction and Development, vol. 4(1), pages 89-112, May.
    16. Shkolnikov, Vladimir M. & Leon, David A. & Adamets, Sergey & Eugeniy Andreev & Deev, Alexander, 1998. "Educational level and adult mortality in Russia: An analysis of routine data 1979 to 1994," Social Science & Medicine, Elsevier, vol. 47(3), pages 357-369, August.
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    More about this item

    Keywords

    health; mortality; Russia; Eastern Europe;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • J10 - Labor and Demographic Economics - - Demographic Economics - - - General
    • P36 - Political Economy and Comparative Economic Systems - - Socialist Institutions and Their Transitions - - - Consumer Economics; Health; Education and Training; Welfare, Income, Wealth, and Poverty

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