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Alcohol mortality in Russia: a historical perspective.
A Stickley1, Y Razvodovsky, M McKee
1Stockholm Centre on Health of Societies in Transition, University College of South Stockholm, SE 141 89 Huddinge, Sweden. andrew.stickley@sh.se
Changes in alcohol supply in Russia significantly impacted alcohol mortality rates. Addressing hazardous drinking requires controlling all alcohol sources, legal and illegal, due to historical use of surrogates.
Area of Science:
- Public Health
- Historical Epidemiology
- Substance Abuse Research
Background:
- Examining the historical relationship between alcohol availability and mortality in Russia.
- Analyzing trends from the late-tsarist to early-Soviet periods (1860-1930).
Observation:
- Utilized statistical data on acute alcohol mortality from official and medical sources covering European Russia.
- Correlated mortality changes with fluctuations in alcohol product supply levels over time.
Findings:
- Rapid shifts in alcohol supply directly corresponded to swift, significant changes in acute alcohol mortality.
- While restricting spirits reduced mortality, populations often substituted with alcohol surrogates.
Implications:
- Effective strategies for hazardous drinking in Russia must encompass all alcohol sources, including legal and illegal ones.
- Historical patterns show persistent ingenuity in finding alternative alcohol sources, necessitating comprehensive control measures.
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