Alcohol Poisoning and Cardiovascular Mortality in Russia 1956-2005

By Razvodovsky, Yuri E. | Alcoholism, January 1, 2009 | Go to article overview

Alcohol Poisoning and Cardiovascular Mortality in Russia 1956-2005


Razvodovsky, Yuri E., Alcoholism


Summary - High mortality from cardiovascular disease (CVD) in Russia and its profound fluctuations over the past decades have attracted considerable interest. It was emphasized that cardiovascular death played an important role in the Russian mortality crisis during the 1990s. The mounting body of evidence points to binge drinking pattern as a potentially important contributor to high cardiovascular mortality rate in Russia. The purpose was to estimate the aggregate level effect of binge drinking on the CVD mortality rate in Russia. Trends in age-adjusted, sex-specific CVD mortality and fatal alcohol poisoning rate (as a proxy for binge drinking) from 1956 to 2005 were analyzed employing an ARIMA analysis in order to asses bivariate relationship between the two time series. The results of the time series analysis indicate the presence of a statistically significant association between the two time series at zero lag for male (r = 0.79; S.E. = 0.14), and for female (r = 0.58; S.E. = 0.14). The results of the present study suggest a positive relation between alcohol and cardiovascular mortality rate at aggregate level and support the hypothesis that alcohol played a crucial role in cardiovascular mortality fluctuation in Russia over the past decades. The findings of this study contribute to the growing body of evidence that suggests that a substantial proportion of cardiovascular deaths in Russia is due to acute effect of binge drinking. Thus, from a public policy point of view, the outcome of this study suggests that cardiovascular-related mortality prevention programs should focus more on addressing the drinking pattern.

Key words: CVD mortality; fatal alcohol poisoning; ARIMA time series analysis; Russia; 1956-2005

INTRODUCTION

High mortality from cardiovascular disease (CVD) in Russia and its profound fluctuations over the past decades have attracted considerable interest.1-3 After a substantial decline in 1985-1988, coinciding with a major anti-alcohol campaign, CVD mortality rate was rapidly reversed and increased dramatically after the dissolution of the USSR.4 It was repeatedly emphasized that this phenomenon is only partially associated with the traditional CVD risk factors identified in epidemiologic studies.5,6 The results of population studies have shown that such risk factors as total cholesterol and apoprotein profile had little predictive value.7,8 This evidence suggests an influence of other powerful factors that are associated with the increase of the risk of cardiovascular death. Several scholars argue that these mortality fluctuations may be related to alcohol consumption.9,10 This hypothesis is based on a fairly close temporal covariation between trends in overall consumption and CVD mortality during anti-alcohol campaign. This evidence challenged the view on a curvilinear relationship between alcohol and cardiovascular mortality that has been reported repeatedly in the literature.11-14 Several studies point to binge drinking pattern as a potentially important contributor to a higher cardiovascular mortality rate in Russia.15-17 For example, in the Novosibirsk cohort study it was shown that frequent heavy drinking increased the mortality from CVD.16 Similarly, a case-control study of men aged 20-55 in the Republic of Udmurd established that periods of heavy drinking were associated with an increased risk of CVD mortality.17 This study reported that medium or greater level of intoxication occurred in a quarter of Russian men aged 20-55 dying from CVD. The role of excessive drinking pattern as a powerful risk factor for CVD mortality was emphasized in a study based on data from Moscow that reported an increase in deaths from alcohol poisoning and cardiovascular disease on weekends.3 These findings support the argument that binge drinking pattern may strengthen the negative role of alcohol as the major cause of high cardiovascular death rate in Russia.

The change of the paradigm from drinking volume to drinking pattern (heavy episodic drinking or binge drinking versus regular moderate drinking) as the primary determinant of cardiovascular mortality is supported by the mounting body of research evidence from other settings. …

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

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.
Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

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

Alcohol Poisoning and Cardiovascular Mortality in Russia 1956-2005
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?

Help
Full screen

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access 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

    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.

    Buy instant access to save your work.

    Already a member? Log in now.

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.