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Младенческая смертность в регионах России в 1927-2022 гг.
This paper presents
an analysis of the dynamics and factors of infant mortality in Russian regions from
1927 to 2022, using data from Demoscope Weekly and the Russian Fertility and Mortality Database. Despite the
significance of regional factors in infant mortality, particul
arly in the early stages of the observed period, the period
effect was generally more important. Thus, nationwide processes can primarily explain the significant progress in
reducing infant mortality in the 1950s and 1960s, the slowdown in its decline in t
he late Soviet period, and the
subsequent recovery in the post
-
transformation period. Exceptions include events early in the observation period
and, to a lesser extent, the stagnation in infant mortality observed in the 1990s amid the economic transition.
For
example, the decline in overall Russian mortality rates during World War II was significantly influenced by positive
changes in the Ural and Volga regions, while the sharp increase in mortality during the 1947 famine was partly due
to the particularly
dire situation in the Urals and Siberia.
The analysis revealed the significance of gender and locality factors. Until the early 1950s, rural areas had an
advantage over urban areas in lower infant mortality rates. However, in subsequent years, urban areas
consolidated
their leading position, which remains the case today. The sex ratio in infant mortality during the observed period
followed an inverted U
-
shaped curve, with the peak excess mortality of boys under one year occurring in the
1970s and 1980s. Cu
rrently, there has been a decline in the ratio of male and female infant mortality rates, while a
significant male "penalty" remains at 20%.