Research Brief
Russia's Mortality Crisis: Drinking, Disease, and Deteriorating Health Care
Jan 1, 2001
Dire Demographics
Population Trends in the Russian Federation
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Since the fall of the Soviet Union, the Russian Federation has seen its births plummet and its deaths increase sharply. Mortality increases have been particularly steep for working-age males and are often attributable to alcohol-related causes. Some analysts fear the Russian population could decline by nearly a third between now and 2050. In the short-term, Russia may be better able to stabilize its population numbers by focusing more on curbing mortality than increasing fertility. Past Soviet pronatalist incentives had only negligible long-term effects on the number of births. The types of health problems indicated by high Russian mortality rates point to a greater need for preventive rather than curative care. In sum, the demographic problems Russia faces indicate it may do better to focus on qualitative indicators, such as the health and welfare of its population, than on quantitative indicators, such as the overall size of its population.
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Table of Contents
Chapter One
Russian Demography and Its Implications
Chapter Two
Population Change in Russia
Chapter Three
Fertility in Russia
Chapter Four
Causes and Implications of Russian Mortality
Chapter Five
Demographic History, Age Structure, and Future Policy Issues
Chapter Six
What Can Be Done to Address Demographic Policy Issues in Russia?
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The research described in this report was performed within the Population Matters program under the auspices of RAND's Labor and Population program.
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