Why is the death rate from lung cancer falling in the Russian Federation?
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Age standardised death rates (European standard population) from lung cancer in the Russian Federation, have been rising since at least 1965, levelled out in the late 1980s and have subsequently decreased. The reasons for this decline are not apparent. This study seeks to identify the reasons for the decline in mortality from lung cancer in the Russian Federation in the 1990s. Changes in age-specific mortality from lung cancer in the Russian Federation between 1990 are described and age-cohort analysis, based on age-specific death rates for lung cancer is undertaken for the period 1965 to 1995. As other work has shown that any recent deterioration in coding of cause of death has been confined largely to the elderly, this suggests that the trend is not a coding artefact. Age-period-cohort analysis demonstrates the existence of a marked birth cohort effect, with two major peaks corresponding to those born around 1926 and 1938. These groups would have reached their early teens during the second world war and the period immediately after the death of Stalin, respectively. The present downward trend in death rates from lung cancer in the Russian Federation is partly due to a cohort effect and it is expected that this will soon reverse, with a second peak occurring in about 2003.
- WHO. Health for All Database. Copenhagen: WHO, 1997.
- Shkolnikov V, Meslé F, Vallin J. La crise sanitaire en Russie. Population 1995; 4–5: 907–982.
- Shkolnikov VM, McKee M, Vallin J, Aksel E, Leon D, Chenet L, Meslé F. Cancer mortality in Russia and Ukraine: Validity, competing risks, and cohort effects. Int J Epidemiol (In press).
- Goskomstat Naseleniye SSSR. Statisticheskiy ejegodnik [Population of the USSR 1988. Statistical Yearbook]. Moscow: Finansi i Statistika, 1998.
- Anderson B, Silver B. Patterns of the cohort mortality in the Soviet population. Popul Dev Rev 1989; 15: 471–501.
- Peto R, Lopez AD, Boreham J, Thun M, Heath C. Mortality from smoking in developed countries 1950–2000. Oxford: Oxford University Press, 1994.
- McKee M, Bobak M, Rose R, Shkolnikov V, Chenet L, Leon D. Patterns of smoking in Russia. Tobacco Control 1998; 7: 22–26.
- Why is the death rate from lung cancer falling in the Russian Federation?
European Journal of Epidemiology
Volume 15, Issue 3 , pp 203-206
- Cover Date
- Print ISSN
- Online ISSN
- Kluwer Academic Publishers
- Additional Links
- Cohort analysis
- Lung cancer
- The Russian Federation
- Industry Sectors
- Author Affiliations
- 1. Centre for Demography and Human Ecology, Russian Academy of Sciences, Moscow, Russian Federation
- 2. European Centre on Health of Societies in Transition, London School of Hygiene and Tropical Medicine, London, WC1E 7HT, UK