Population Research and Policy Review

, Volume 37, Issue 5, pp 851–869 | Cite as

Changing Life Expectancy and Health Expectancy Among Russian Adults: Results from the Past 20 Years

  • Yuka S. Minagawa
Original Research


The decade following the collapse of the Soviet Union was characterized by wide fluctuations in Russian mortality rates, but since the early 2000s, life expectancy has improved progressively. Recent upturns in longevity have promoted policy debates over extending the retirement age in the country. However, whether observed gains in life expectancy are accompanied by improving health remains to be addressed. Using data from the 1994–2014 Russian Longitudinal Monitoring Survey of the Higher School of Economics, this study investigates trends over 20 years in healthy life expectancy (HLE) and illness-free life expectancy (IFLE) for men and women at adult ages. Analyses using the Sullivan method show that men and women at adult ages have experienced large increases in health expectancies during the post-Soviet period. Increases in HLE exceeded increases in total life expectancy for both genders. Further, health expectancies have evolved over time through cycles of increases and decreases, just like life expectancy. These results suggest increases in good-quality years among men and women at working ages, offering support for changing the official retirement age. The extent of the change in the retirement age, however, needs to be carefully considered, given that, despite recent improvements, the health expectancy of the Russian population still remains low.


Health expectancy Life expectancy Retirement age Russia 


  1. Abbott, P. A., Turmov, S., & Wallace, C. (2006). Health world views of post-Soviet citizens. Social Science & Medicine, 62(1), 228–238.CrossRefGoogle Scholar
  2. Abbott, P. A., & Wallace, C. (2007). Talking about health and well-being in post-Soviet Ukraine and Russia. Journal of Communist Studies and Transition Politics, 23(2), 181–202.CrossRefGoogle Scholar
  3. Andreev, E. M., McKee, M., & Shkolnikov, V. M. (2003). Health expectancy in the Russian Federation: A new perspective on the health divide in Europe. Bulletin of the World Health Organization, 81(11), 778–789.Google Scholar
  4. Aslund, A. (2007). Russia’s capitalist revolution: Why market reform succeeded and democracy failed. Washington DC: Peterson Institute for International Economics.Google Scholar
  5. Balabanova, D., McKee, M., Pomerleau, J., Rose, R., & Haerpfer, C. (2004). Health service utilization in the former Soviet Union: Evidence from eight countries. Health Services Research, 39(6 PT2), 1927–1950.CrossRefGoogle Scholar
  6. Brainerd, E., & Cutler, D. M. (2005). Autopsy on an empire: Understanding mortality in Russia and the former Soviet Union. Journal of Economic Perspectives, 19(1, Winter), 107–130.CrossRefGoogle Scholar
  7. Buchs, T. D. (1999). Financial crisis in the Russian Federation: Are the Russians learning to tango? Economics of Transition, 7(3), 687–715.CrossRefGoogle Scholar
  8. Cambois, E., Laborde, C., Romieu, I., & Robine, J.-M. (2011). Occupational inequalities in health expectancies in France in the early 2000s: Unequal chances of reaching and living retirement in good health. Demographic Research, 25(12), 407–436.CrossRefGoogle Scholar
  9. Carlson, P. (2005). Relatively poor, absolutely ill? A study of regional income inequality in Russia and its possible health consequences. Journal of Epidemiology and Community Health, 59(5), 389–394.CrossRefGoogle Scholar
  10. Chenet, L., Leon, D., McKee, M., & Vassin, S. (1998). Deaths from alcohol and violence in Moscow: Socio-economic determinants. European Journal of Population, 14, 19–37.CrossRefGoogle Scholar
  11. Cockerham, W. C. (2000). Health lifestyles in Russia. Social Science & Medicine, 51(9), 1313–1324.CrossRefGoogle Scholar
  12. Crimmins, E. M., Hayward, M. D., Ueda, H., Saito, Y., & Kim, J. K. (2008). Life with and without heart disease among women and men over 50. Journal of Women & Aging, 20(1–2), 5–19.CrossRefGoogle Scholar
  13. Crimmins, E. M., Reynolds, S. L., & Saito, Y. (1999). Trends in health and ability to work among the older working-age population. Journal of Gerontology: Social Sciences, 54(1), S31–S40.CrossRefGoogle Scholar
  14. Crimmins, E. M., Saito, Y., & Ingegneri, D. (1997). Trends in disability-free life expectancy in the United States, 1970-90. Population and Development Review, 23(3), 555–572.CrossRefGoogle Scholar
  15. Crimmins, E. M., Zhang, Y., & Saito, Y. (2016). Trends over 4 decades in disability-free life expectancy in the United States. American Journal of Public Health, 106, 1287–1293.CrossRefGoogle Scholar
  16. Eich, F., Gust, C., & Soto, M. (2012). Reforming the public pension system in the Russian Federation.Washington, DC: International Monetary Fund (IMF), No. 12/201.CrossRefGoogle Scholar
  17. Federal State Statistics Service of the Russian Federation. (2015). Russia in figures. Moscow: Federal State Statistics Agency of the Russian Federation.Google Scholar
  18. Freedman, V. A., Wolf, D. A., & Spillman, B. C. (2016). Disability-free life expectancy over 30 years: A growing female disadvantage in the US population. American Journal of Public Health, 106(6), 1079–1085.CrossRefGoogle Scholar
  19. Fries, J. F. (1980). Aging, natural death, and the compression of morbidity. New England Journal of Medicine, 303, 130–135.CrossRefGoogle Scholar
  20. Gavrilova, N. S., & Gavrilov, L. A. (2009). Rapidly aging populations: Russia/EasternEurope. In P. Uhlenberg (Eds.), International handbook of population aging (pp. 113–131), Springer.Google Scholar
  21. Gavrilova, N. S., Semyonova, V. G., Evdokushkina, G. N., & Gavrilov, L. A. (2000). The response of violent mortality to economic crisis in Russia. Population Research and Policy Review, 19(5), 397–419.CrossRefGoogle Scholar
  22. GBD 2013 DALYs and HALE Collaborators. (2015). Global, regional, and national disability-adjusted life years (DALYs) for 306 diseases and injuries and healthy life expectancy (HALE) for 188 countries, 1990-2013: Quantifying the epidemiological transition. Lancet, 386(10009), 2145–2191.CrossRefGoogle Scholar
  23. Grigoriev, P., Meslé, F., Shkolnikov, V. M., Andreev, E., Fihel, A., Pechholdova, M., et al. (2014). The recent mortality decline in Russia: Beginning of the cardiovascular revolution? Population and Development Review, 40(1), 107–129.CrossRefGoogle Scholar
  24. Gruenberg, E. M. (1977). The failure of success. Milbank Memorial Fund Quarterly, 55, 3–24.CrossRefGoogle Scholar
  25. Human Mortality Database. University of California, Berkeley (USA), and Max Planck Institute for Demographic Research (Germany). Retrieved January 1, 2018, from, or
  26. Idler, E. L., Leventhal, H., McLaughlin, J., & Leventhal, E. (2004). In sickness but not in health: Self-ratings, identity, and mortality. Journal of Health and Social Behavior, 45(3), 336–356.CrossRefGoogle Scholar
  27. Jagger, C., Cox, B., Le Roy, S., & the EHEMU. (2007). Health expectancy calculation by the Sullivan Method. EHEMU Technical Report 2006-3.Google Scholar
  28. Jagger, C., Matthews, F. E., Wohland, P., Fouweather, T., Stephan, B. C., Robinson, L., et al. (2016). A comparison of health expectancies over two decades in England: Results of the Cognitive Function and Ageing study I and II. The Lancet, 387(10020), 779–786.CrossRefGoogle Scholar
  29. Kozyreva, P., Kosolapov, M., & Popkin, B. M. (2016). Data Resource Profile: The Russia Longitudinal Monitoring Survey-Higher School of Economics (RLMS-HSE) Phase II: Monitoring the economic and health situation in Russia, 1994–2013. International Journal of Epidemiology, 45(2), 395–401.CrossRefGoogle Scholar
  30. Levintova, M. (2007). Russian alcohol policy in the making. Alcohol and Alcoholism, 42(5), 500–505.CrossRefGoogle Scholar
  31. Loukine, L., Waters, C., Choi, B. C. K., & Ellison, J. (2011). Health-adjusted life expectancy among Canadian adults with and without hypertension. Cardiology Research and Practice, 2011(612969), 1–7.CrossRefGoogle Scholar
  32. Manton, K. G. (1982). Changing concepts of morbidity and mortality in the elderly population. Milbank Memorial Fund Quarterly, 60, 183–244.CrossRefGoogle Scholar
  33. Masters, R. K., Hummer, R. A., & Powers, D. A. (2012). Educational differences in U.S. adult mortality: A cohort perspective. American Sociological Review, 77(4), 548–572.CrossRefGoogle Scholar
  34. McKee, M., Bobak, M., Rose, R., Shkolnikov, V. M., & Chenet, L. (1998). Patterns of smoking in Russia. Tobacco Control, 7(1), 22–26.CrossRefGoogle Scholar
  35. Murray, C. J. L., Ezzati, M., Flaxman, A. D., Lim, S., Lozano, R., Michaud, C., et al. (2012). GBD: A multi-investigator collaboration for global comparative descriptive epidemiology. The Lancet, 380(9859), 2055–2058.CrossRefGoogle Scholar
  36. Muschik, D., Tetzlaff, J., Lange, K., Epping, J., Eberhard, S., & Geyer, S. (2017). Change in life expectancy with type 2 diabetes: A study using claims data from lower Saxony, Germany. Population Health Metrics, 15(1), 5.CrossRefGoogle Scholar
  37. Neufeld, M., & Rehm, J. (2013). Alcohol consumption and mortality in Russia since 2000: Are there any changes following the alcohol policy changes starting in 2006? Alcohol Alcoholism, 48(2), 222–230.CrossRefGoogle Scholar
  38. Nolte, E., McKee, M., & Scholz, R. D. (2004). Progress in health care, progress in health? Patterns of amenable mortality in Central and Eastern Europe before and after political transition. Demographic Research, S2, 139–162.CrossRefGoogle Scholar
  39. Perlman, F., & Bobak, M. (2008). Determinants of self rated health and mortality in Russia—Are they the same? International Journal for Equity in Health, 7(1), 19.CrossRefGoogle Scholar
  40. Perlman, F., & Bobak, M. (2009). Assessing the contribution of unstable employment to mortality in post transition Russia: Prospective individual-level analyses from the Russian longitudinal monitoring survey. American Journal of Public Health, 99(10), 1818–1825.CrossRefGoogle Scholar
  41. Pridemore, W. A. (2006). Heavy drinking and suicide in Russia. Social Forces, 85(1), 413–430.CrossRefGoogle Scholar
  42. Ramonov, A. (2011). Healthy life expectancy as health summary measure of Russian population. HSE Economic Journal, 15, 497–518.Google Scholar
  43. Round, J., & Williams, C. (2010). Coping with the social costs of ‘transition’: Everyday life in post-Soviet Russia and Ukraine. European Urban and Regional Studies, 17(2), 183–196.CrossRefGoogle Scholar
  44. Santosa, A., Schröders, J., Vaezghasemi, M., & Ng, N. (2016). Inequality in disability-free life expectancies among older men and women in six countries with developing economies. Journal of Epidemiology and Community Health, 70(9), 855–861.CrossRefGoogle Scholar
  45. Shkolnikov, V. M., Andreev, E. M., Jasilionis, D., Leinsalu, M., Antonova, O. I., & McKee, M. (2006). The changing relation between education and life expectancy in central and eastern Europe in the 1990s. Journal of Epidemiology and Community Health, 60(10), 875–881.CrossRefGoogle Scholar
  46. Shkolnikov, V. M., Andreev, E. M., McKee, M., & Leon, D. A. (2013). Components and possible determinants of decrease in Russian mortality in 2004-2010. Demographic Research, 28(32), 917–950.CrossRefGoogle Scholar
  47. Shkolnikov, V. M., Andreev, E. M., McKee, M., Leon, D. A., McKee, M., Meslé, F., et al. (2004). Mortality reversal in Russia: The story so far. Hygiea Internationalis, 4(1), 29–80.CrossRefGoogle Scholar
  48. Shkolnikov, V. M., McKee, M., & Leon, D. A. (2001). Changes in life expectancy in Russia in the mid-1990s. Lancet, 357(9260), 917–921.CrossRefGoogle Scholar
  49. Strizhitskaya, O. (2016). Aging in Russia. The Gerontologist, 56(5), 795–799.CrossRefGoogle Scholar
  50. Stuckler, D., King, L., & McKee, M. (2009). Mass privatization and the post-communist mortality crisis: A cross-national analysis. Lancet, 373(9661), 399–407.CrossRefGoogle Scholar
  51. Sullivan, D. F. (1971). A single index of mortality and morbidity. HSMHA Health Reports, 86(4), 347–354.CrossRefGoogle Scholar
  52. Szinovacz, M. E., & Davey, A. (2005). Predictors of perceptions of involuntary retirement. Gerontologist, 45(1), 36–47.CrossRefGoogle Scholar
  53. Tapia Granados, J. A. (2008). Macroeconomic fluctuations and mortality in postwar Japan. Demography, 45(2), 323–343.CrossRefGoogle Scholar
  54. United Nations. (2016). World Population Prospects 2015 revision. Retrieved January 24, 2018, from,
  55. World Bank. (2015). World Bank Open Data. Retrieved January 24, 2018, from,

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© Springer Nature B.V. 2018

Authors and Affiliations

  1. 1.Faculty of Liberal ArtsSophia UniversityTokyoJapan

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