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Article

Смертность от болезней системы кровообращения и продолжительность жизни в России

Демографическое обозрение. 2016. Т. 3. № 1. С. 6-34.

High premature mortality from cardiovascular diseases (CVD) and its long-term adverse trends are one of the main reasons for Russia's lagging behind the developed countries in life expectancy, especially the female population. Despite the mortality decline since 2003, CVD mortality rates at particular ages (30-74 years for men and 30-49 for women) are still higher than they were in 1970. Analysis of long-term changes in life expectancy in Russia shows a negative contribution of changes in CVD mortality for men (-1.0 years in 1972-2010) and a small positive contribution for women (0.7 years in 1972-2010). The mortality structure within the class of cardiovascular diseases in Russia is significantly different from that observed in those countries with the lowest level of CVD mortality. Ischemic heart disease constitutes more than half of all deaths, and this share, in contrast to Western countries, tends to be on the rise. Second place belongs to deaths from cerebrovascular diseases, the share of which is declining, but remains significantly higher than in Western countries. The share of deaths from all other cardiovascular diseases accounts for about 50% of deaths in Western countries, while in Russia it accounts for only about 15%, but is characterized by a very low age at death. Regional patterns of CVD mortality in Russia are discussed, as well as the quality of statistics on causes of death and the changes in coding practices in the Russian Federation.