A country divided? Regional variation in mortality in Ukraine
- PDF / 527,187 Bytes
- 8 Pages / 595.276 x 790.866 pts Page_size
- 109 Downloads / 177 Views
ORIGINAL ARTICLE
A country divided? Regional variation in mortality in Ukraine Adrianna Murphy • Nataliia Levchuk • Andrew Stickley Bayard Roberts • Martin McKee
•
Received: 4 October 2012 / Revised: 27 February 2013 / Accepted: 4 March 2013 Ó Swiss School of Public Health 2013
Abstract Objectives We set out to identify the contribution of various causes of death to regional differences in life expectancy in Ukraine. Methods Mortality data by oblast (province) were obtained from the State Statistical Committee of Ukraine. The contribution of various causes of death to differences in life expectancy between East, West and South Ukraine was estimated using decomposition. Results In 2008, life expectancy for men in South (61.8 years) and East Ukraine (61.2 years) was lower than for men in West Ukraine (64.0 years). A similar pattern
Electronic supplementary material The online version of this article (doi:10.1007/s00038-013-0457-2) contains supplementary material, which is available to authorized users. A. Murphy (&) B. Roberts M. McKee European Centre on Health of Societies in Transition, Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, UK e-mail: [email protected] B. Roberts e-mail: [email protected] M. McKee e-mail: [email protected] N. Levchuk Institute for Demography and Social Studies, National Academy of Sciences of Ukraine, Tarasa Shevchenka Boulevard 60, Kiev 01032, Ukraine e-mail: [email protected] A. Stickley Stockholm Centre on Health of Societies in Transition, So¨derto¨rn University, 141 89 Huddinge, Sweden e-mail: [email protected]
was observed among women. This was mostly due to deaths from infectious disease and external causes among young adults, and cardio- and cerebro-vascular deaths among older adults. Deaths from TB among young adults contribute most to differences in life expectancy. Conclusions Deaths due to infectious disease, especially TB, play an important role in the gap in life expectancy between regions in Ukraine. These deaths are entirely preventable—further research is needed to identify what has ‘protected’ individuals in Western Ukraine from the burden of deaths experienced by their Southern and Eastern counterparts. Keywords Ukraine
Mortality Differential Decomposition
Introduction In the past two decades there has been a substantial expansion in research seeking to understand the east–west health divide in Europe (Brainerd and Cutler 2005; Bobak and Marmot 1996; Vagero 2010). Yet the settings for this research have been somewhat uneven with almost all studies focusing on Russia and the three Baltic states. The limited research on Ukraine focuses on the country as a single entity (Cockerham et al. 2005; Gilmore et al. 2002; Lipsitz 2005; Mesle´ and Vallin 2003), even though, in some ways, it can be seen as a microcosm of Europe, combining elements of both east and west (Wilson 2002). Ukraine’s current situation reflects its history, having previou
Data Loading...
