TITLE

Drinking in transition: trends in alcohol consumption in Russia 1994-2004

AUTHOR(S)
Perlman, Francesca J. A.
PUB. DATE
January 2010
SOURCE
BMC Public Health;2010, Vol. 10 Issue 1, p691
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Heavy alcohol consumption is widespread in Russia, but studying changes in drinking during the transition from Communism has been hampered previously by the lack of frequent data. This paper uses 1-2 yearly panel data, comparing consumption trends with the rapid concurrent changes in economic variables (notably around the "Rouble crisis", shortly preceding the 1998 survey round), and mortality. Methods: Data were from 9 rounds (1994-2004) of the 38-centre Russia Longitudinal Monitoring Survey. Respondents aged over 18 were included (>7,000 per round). Trends were measured in alcohol frequency, quantity per occasion (by beverage type) and 2 measures of potentially hazardous consumption: (i) frequent, heavy spirit drinking (≥80 g per occasion of vodka or samogon and >weekly) (ii) consuming samogon (cheap home-distilled spirit). Trends in consumption, mean household income and national mortality rates (in the same and subsequent 2 years) were compared. Finally, in a subsample of individual male respondents present in both the 1996 and 1998 rounds (before and after the financial crash), determinants of changes in harmful consumption were studied using logistic regression. Results: Frequent, heavy spirit drinking (>80 g each time, ≥weekly) was widespread amongst men (12-17%) throughout, especially in the middle aged and less educated; with the exception of a significant, temporary drop to 10% in 1998. From 1996-2000, samogon drinking more than doubled, from 6% to 16% of males; despite a decline, levels were significantly higher in 2004 than 1996 in both sexes. Amongst women, frequent heavy spirit drinking rose non-significantly to more than 1% during the study. Heavy frequent male drinking and mortality in the same year were correlated in lower educated males, but not in women. Individual logistic regression in a male subsample showed that between 1996 and1998, those who lost their employment were more likely to cease frequent, heavy drinking; however, men who commenced drinking samogon in 1998 were more likely to be rural residents, materially poor, very heavy drinkers or pessimistic about their finances. These changes were unexplained by losses to follow-up. Conclusions: Sudden economic decline in late 1990s Russia was associated with a sharp, temporary fall in heavy drinking, and a gradual and persistent increase in home distilled spirit consumption, with the latter more common amongst disadvantaged groups. The correlation between heavy drinking and national mortality in lower educated men is interesting, but the timing of RLMS surveys late in the calendar year, and the absence of any correlation between drinking and the subsequent year's mortality, makes these data hard to interpret. Potential study limitations include difficulty in measuring multiple beverages consumed per occasion, and not specifically recording "surrogate" (non-beverage) alcohols.
ACCESSION #
57221385

 

Related Articles

  • Has mortality related to alcohol decreased in Sweden? Romelsjo, Anders; Agren, Gunnar // British Medical Journal (Clinical Research Edition);7/20/1985, Vol. 291 Issue 6489, p167 

    Presents a study on the mortality rate related to alcohol in Sweden. Effects of a decrease in the consumption of alcohol on deaths related to alcohol; Information on live cirrhosis and pancreatitis; Diagnosis of alcoholic psychosis, alcoholism and alcohol intoxication in persons with...

  • Alcohol and the emergency service patient. Holt, S.; Stewart, I.C.; Dixon, J.M.; Elton, R.A.; Taylor, T.V.; Little, K. // British Medical Journal;9/6/1980, Vol. 281 Issue 6241, p638 

    Determines the prevalence of alcohol use in casualty patients breath-alcohol analysis. Role of alcohol abuse in mortality and morbidity from road traffic, industrial and recreational accidents; Unreliability of clinical diagnosis of alcohol intoxification; Effects of alcohol on...

  • TRENDS IN MORTALITY FROM LIVER DISEASE IN WALES. Ahmed, Z.; Ahmed, S.; Hawkes, N.D. // Gut;Apr2003 Supplement 1, Vol. 52, pA108 

    Aims: To assess changes in mortality from liver disease across the Principality of Wales over the past decade, and to relate these changes to published figures on alcohol consumption by region. Methods: Deaths from liver disease were identified from public health mortality files supplied by the...

  • Alcohol Consumption and Alcohol-related Mortality in Canada, 1950-2000. Ramstedt, Mats // Canadian Journal of Public Health;Mar/Apr2004, Vol. 95 Issue 2, p121 

    To describe trends in overall alcohol consumption and alcohol-related mortality in Canada, and to test regional associations between per capita alcohol consumption and alcohol-related mortality. Both alcohol consumption and alcohol-related mortality increased in all regions up to 1975–80...

  • The Editor's offering. Davis, Michael // Diving & Hyperbaric Medicine: Journal of the South Pacific Under;Dec2012, Vol. 42 Issue 4, p193 

    The article cites evidence about drinking alcohol while diving as commonplace among recreational divers. Results of research studies have indicated the relationship between alcohol consumption and diving morbidity and mortality. Risk factors to diving death including poor dive planning and poor...

  • Population Drinking and Fatal Injuries in Eastern Europe: A Time-Series Analysis of Six Countries. Landberg, Jonas // European Addiction Research;2010, Vol. 16 Issue 1, p43 

    Aims: To estimate to what extent injury mortality rates in 6 Eastern European countries are affected by changes in population drinking during the post-war period. Data and Methods: The analysis included injury mortality rates and per capita alcohol consumption in Russia, Belarus, Poland,...

  • Living alone is associated with an increased risk of alcohol-related deaths.  // Biomedical Market Newsletter;9/30/2011, Vol. 21, p825 

    The article reports on a study from Finland which suggests that lack of social relationships and living alone is linked with increased risk of alcohol-related deaths.

  • Temporal changes in geographical disparities in alcohol-attributed disease mortality before and after implementation of the alcohol tax policy in Taiwan. Chih-Ming Lin; Tzai-Hung Wen // BMC Public Health;2012, Vol. 12 Issue 1, p889 

    Background: Taxation of alcohol-containing products may effectively reduce alcohol consumption. However, whether alcohol taxation may lead to a decrease in alcohol-attributed disease mortality (ADM) remains unclear. The objective of this study was to assess the effect of alcohol tax policy in...

  • The effects of alcohol consumption, psychological distress and smoking status on emergency department presentations in New South Wales, Australia. Indig, Devon; Eyeson-Annan, Margo; Copeland, Jan; Conigrave, Katherine M. // BMC Public Health;2007, Vol. 7 Issue 1, p46 

    Background: Despite clear links between risky alcohol consumption, mental health problems and smoking with increased morbidity and mortality, there is inconclusive evidence about how these risk factors combine and if they are associated with increased attendance at emergency departments. This...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics