The Level and Structure of Alcohol-Related Mortality in Grodno, Belarus

By Razvodovsky, Yury; Stickley, Andrew | Alcoholism, July 1, 2007 | Go to article overview

The Level and Structure of Alcohol-Related Mortality in Grodno, Belarus


Razvodovsky, Yury, Stickley, Andrew, Alcoholism


Summary - The aim of the study was to examine the impact of alcohol on the level and structure of mortality in the province of Grodno, Belarus. All death certificates for the year 2002 were collected and examined for information concerning the presence of alcohol as either a direct or an underlying cause of death. 4.2% of all deaths were alcohol-related with acute causes of death predominating. The rate of male alcohol-related mortality was far higher than the female rate. Alcohol also had a much greater impact on mortality among rural men and women compared with their urban counterparts with a rural man's life expectancy reduced by two years from birth due to the effect of alcohol-related mortality. In conclusion, alcohol is having a particularly negative effect on mortality in Belarus. There may be a number of factors underlying this, ranging from the pattern of drinking and use of surrogates through to the imbalanced population structure in rural areas.

Key words: Alcohol-related mortality, Belarus, Grodno

INTRODUCTION

In 2002 over 6% of all deaths in the European region were attributable to alcohol.1 Its contribution to mortality in Eastern Europe was particularly high with over 18% of male and 5% of female deaths resulting from the use of alcohol.2 Within this region much attention has been given on the role that alcohol has played in the alarming rise of mortality that has occurred in Russia during the transition period,3 when it has been linked to increases of both cardiovascular and external causes of death.4-6 There is also evidence however, that alcohol may have played an equally important role in mortality in other countries in this region in recent years.7 In the first half of the 1990s, the Baltic countries experienced a sharp increase in mortality that coincided with a great rise of alcohol-related causes of death.8 Similarly, the unprecedented rise in mortality that has occurred in several of the Slavic countries during the post-Soviet period has also been accompanied by a sharp rise of certain forms of alcohol-related mortality, such as alcohol poisoning.9

Although alcohol seems to be an important contributor to the burden of disease in the countries of Eastern Europe, as yet, with the obvious exception of Russia, little systematic research has been undertaken on its impact on mortality in specific countries in the region. This is especially true regarding Belarus where, since 1994, falling birth rates and high mortality rates have resulted in depopulation.10 The extent of the demographic problems affecting the country can be gauged by the reduction that has occurred in life expectancy which fell from 71.3 years at birth in 1990 to just 68.0 in 2002.11 Despite these changes, until now, only one (non-Western) study has attempted to systematically examine the effect of alcohol on increasing mortality in Belarus. It suggested that alcohol may be having a similar impact to that observed in Russia during recent years.12

The aim of the present study is to address this particular deficit concerning alcohol-related mortality in Belarus by using regional-level data drawn from death certificates. By doing this it will be possible to assess not only the level of alcohol-related mortality but also whether alcohol has a differential impact on death rates in Belarus in terms of such variables as age, sex and place of residence.

MATERIALS AND METHODS

The data used in this study come from Grodno province in Western Belarus which contains approximately 12% of the country's population with a majority of the province's residents (64%) living in urban areas. For the year 2002 all the death certificates from the province were obtained from hospital archives and examined to see if there was any mention of ' alcohol intoxication' as either a direct or underlying cause of death. From the 18,200 certificates that were retrospectively examined, 758 met the inclusion criteria for this study. …

The rest of this article is only available to active members of Questia

Sign up now for a free, 1-day trial and receive full access to:

  • Questia's entire collection
  • Automatic bibliography creation
  • More helpful research tools like notes, citations, and highlights
  • Ad-free environment

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

The Level and Structure of Alcohol-Related Mortality in Grodno, Belarus
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Full screen

matching results for page

Cited passage

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.