Мировой демографический барометр. Алкоголь: потребление, последствия, глобальная стратегия сокращения вредного употребления.
Aims. To determine the impact of a set of 2006 Russian alcohol policies on deaths due to traffic accidents in the country.
Design, Setting, Participants. We used autoregressive integrated moving average (ARIMA) interrupted time series techniques to model the impact of the intervention on the outcome series. The time series began in January 2000 and ended in December 2010. The alcohol policy was implemented in January 2006, providing 132 monthly observations in the outcome series, with 72 months of pre-intervention data and 60 months of post-intervention data.
Measurements. The outcome variables were the monthly number of male- and female-specific deaths of those aged 15+ years due to transport accidents in Russia.
Results The 2006 set of alcohol policies had no impact on female deaths due to traffic accidents (ω0 = 50.31, p = .27). However, the intervention model revealed an immediate and sustained monthly decrease of 203 deaths due to transport accidents for males (ω0 = -203.40, p = .04), representing an 11% reduction relative to pre-intervention levels.
Conclusions. Our findings are consistent with prior research elsewhere showing that alcohol policies are associated with a reduction in deaths due to transport accidents, especially for males. Given the high volume of alcohol consumption and the high rate of deaths due to traffic accidents in Russia, our findings are substantively important. Specifically, our results show that the implementation of the 2006 Russian alcohol policy is partially responsible for saving more than 2400 male lives annually that would otherwise have been lost to traffic accidents. More generally, our study reveals that alcohol policy is one of multiple pathways that can be utilized to reduce traffic fatalities.
The demographic situation in Russia has improved markedly in recent years. This is in large part due to the successful implementation of policy measures to support fertility, reduce harmful alcohol consumption, and improve the health care system. In 2006-2012 Russia recorded the fastest increase in total fertility rate (TFR) in Europe, and the second fastest in the world. TFR rose from 1.3 to 1.7 children per woman (30% increase). In absolute terms, the number of births in 2012 was 1,896 thousand, an increase from the 2006 value by 416 thousand children, as the crude birth rate for the period increased from 10.3 to 13.3 per 1000 (up by 29%).
Despite the recent positive dynamics of the birth rate, however, the potential for a demographic crisis is not over. In the coming years Russia will face the aftermath of the catastrophic decline of fertility of the late 1980s and the early 1990s. In 10 years the number of women in the most active reproductive age (20–29 years, when almost two thirds of all births take place), will fall by almost half; this will inevitably lead to a reduction in the number of births. Despite the recent increase in TFR to 1.7, this remains below the level for replacement. Given the sharp decline in the number of women of child-bearing age in the next generation, a considerable further increase in fertility will be necessary to stabilize Russia’s population, especially since larger cohorts will be entering their 60s and 70s and thus increasing mortality as well.
Russia's mortality rate remains very high by world standards. Despite a significant reduction in mortality in 2005-2012, Russia still rates 22nd highest in the world according to crude death rate (CDR), mainly due to the excessive mortality rate among working-age males. The gap in life expectancy between men and women is huge: men’s life expectancy is fully 12 years less than that of women. Russia’s CDR of 13.5 per 1000 in 2012 was higher than that in Mali, Burundi, or Cameroon; most importantly it remained higher than Russia’s crude birth rate, so that without immigration the population will continue to decline.
Mortality of working age males is the key component of the situation. About one in five deaths in Russia is related to alcohol (about 400 thousand deaths per year). About 300 thousand deaths annually are due to diseases associated with tobacco smoking, and no less than 100 thousand deaths result from the consequences of drug use. Continuing deficiencies of the health care delivery system also contribute to Russia’s relatively high mortality levels.
Aims: This study compared the level of alcohol mortality in tsarist and contemporary Russia. Methods: Cross-sectional and annual time-series data from 1870 to 1894, 2008 and 2009 on the mortality rate from deaths due to ‘drunkenness’ were compared for men in the 50 provinces of tsarist ‘European Russia’: an area that today corresponds with the territory occupied by the Baltic countries, Belarus, Moldova, Ukraine and the Russian provinces to the west of the Ural Mountains. Results: In 1870–1894, the male death rate from ‘drunkenness’ in the Russian provinces (15.9 per 100,000) was much higher than in the non-Russian provinces. However, the rate recorded in Russia in the contemporary period was even higher—23.3. Conclusions: Russia has had high levels of alcohol mortality from at least the late 19th century onwards. While a dangerous drinking pattern and spirits consumption may underpin high alcohol mortality across time, the seemingly much higher levels in the contemporary period seem to be also driven by an unprecedented level of consumption, and also possibly, surrogate alcohol use. This study highlights the urgent need to reduce the level of alcohol consumption among the population in order to reduce high levels of alcohol mortality in contemporary Russia.
The chapter examines the place of accidental alcohol poisoning in the ICD and the contribution of mortality from accidental alcohol poisoning to mortality from external causes. The relationship between mortality from accidental alcohol poisoning and alcohol consumption in Russia is analyzed. The level and dynamics of mortality from accidental alcohol poisoning in Russia by sex and age, the impact of mortality from accidental alcohol poisoning on the dynamics of life expectancy, regional inequality in mortality from accidental alcohol poisoning are investigated.
Several approaches to the concept of fatherhood present in Western sociological tradition are analyzed and compared: biological determinism, social constructivism and biosocial theory. The problematics of fatherhood and men’s parental practices is marginalized in modern Russian social research devoted to family and this fact makes the traditional inequality in family relations, when the father’s role is considered secondary compared to that of mother, even stronger. However, in Western critical men’s studies several stages can be outlined: the development of “sex roles” paradigm (biological determinism), the emergence of the hegemonic masculinity concept, inter-disciplinary stage (biosocial theory). According to the approach of biological determinism, the role of a father is that of the patriarch, he continues the family line and serves as a model for his ascendants. Social constructivism looks into man’s functions in the family from the point of view of masculine pressure and establishing hegemony over a woman and children. Biosocial theory aims to unite the biological determinacy of fatherhood with social, cultural and personal context. It is shown that these approaches are directly connected with the level of the society development, marriage and family perceptions, the level of egality of gender order.
This article is talking about state management and cultural policy, their nature and content in term of the new tendency - development of postindustrial society. It mentioned here, that at the moment cultural policy is the base of regional political activity and that regions can get strong competitive advantage if they are able to implement cultural policy successfully. All these trends can produce elements of new economic development.