Глава 2. Смертность от внешних причин и эпидемиологический переход

Гл. 2. С. 45–83.

Vishnevsky A.

The chapter examines mortality from external causes of death in the context of the present stage of mortality reduction, in which noncommunicable diseases and causes of death resulting from external sources come to the fore. At this stage, which has lasted for at least half a century, revolutionary changes have taken place in most developed countries.  These changes manifest themselves in the drastic expansion of control over non-infectious causes of death, particularly over diseases of the circulatory system, neoplasms, and other noncommunicable diseases, as well as over external causes of death. The consequence of these changes has been the rapid shift of deaths from the abovementioned causes to older ages, an increase in the mean age of death from them and, ultimately, a significant rise in life expectancy. Meanwhile, Russia has been mostly unaffected by these changes and has failed to provide the necessary  growth of control over noncommunicable causes of death, including external causes of death. The age distribution of deaths from major classes of causes of death in Russia over the past half-century has not changed, leading to a stagnation in life expectancy and to an increasing lag behind the majority of developed countries with respect to this indicator.  "The second epidemiologic revolution" in Russia is still a matter for the future.

Keywords: эпидемиологический переход, смертность в России, external causes of death, внешние причины смерти, mortality in Russia, second epidemiologic revolution, epidemiologic transition, epidemiologic revolution, health transition, injuries, эпидемиологическая революция, вторая эпидемиологическая революция, excess mortality, избыточная смертность, санитарный переход

Publication based on the results of: The long-term demographic development of Russia in the light of the 2015 Microcensus results (2017)

In book

Смертность от внешних причин в России с середины XX века

М.: Издательский дом НИУ ВШЭ, 2017.