Evidence map›Paper›PMID 28626827›Full record

ArticleThe Lancet. Public health2017

The effect of rapid privatisation on mortality in mono-industrial towns in post-Soviet Russia: a retrospective cohort study.

Aytalina Azarova, Darja Irdam, Alexi Gugushvili, Mihaly Fazekas, Gábor Scheiring, Pia Horvat, Denes Stefler, Irina Kolesnikova, Vladimir Popov, Ivan Szelenyi and 6 more

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Article in The Lancet. Public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
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  3. Communism's Lasting Effect? Former Communist States and COVID-19 Vaccinations.Cross-cultural research : official journal of the Society for Cross-Cultural Research · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Aytalina AzarovaDepartment of Sociology, University of Cambridge, Cambridge, UK.
Darja IrdamDepartment of Sociology, University of Cambridge, Cambridge, UK.
Alexi GugushviliDepartment of Social Policy and Intervention, University of Oxford, Oxford, UK.
Mihaly FazekasDepartment of Sociology, University of Cambridge, Cambridge, UK.
Gábor ScheiringDepartment of Sociology, University of Cambridge, Cambridge, UK.
Pia HorvatDepartment of Epidemiology and Public Health, University College London, London, UK.
Denes SteflerDepartment of Epidemiology and Public Health, University College London, London, UK.
Irina KolesnikovaInstitute of Economics of the National Academy of Sciences of Belarus, Minsk, Belarus.
Vladimir PopovCentral Economics and Mathematics Institute, Russian Academy of Sciences, Moscow, Russia.
Ivan SzelenyiSociology Department, Yale University, New Haven, CT, USA.
David StucklerFaculty of Politics, Psychology, Sociology and International Studies, University of Oxford, Oxford, UK.
Michael MarmotDepartment of Epidemiology and Public Health, University College London, London, UK.
Michael MurphyDepartment of Social Policy, London School of Economics, London, UK.
Martin McKeeDepartment of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, UK.
Martin BobakDepartment of Epidemiology and Public Health, University College London, London, UK.
Lawrence KingDepartment of Sociology, University of Cambridge, Cambridge, UK.

Funding

Wellcome Trust
6 · The paper itself

Abstract

backgroundPopulation-level data suggest that economic disruptions in the early 1990s increased working-age male mortality in post-Soviet countries. This study uses individual-level data, using an indirect estimation method, to test the hypothesis that fast privatisation increased mortality in Russia.

methodsIn this retrospective cohort study, we surveyed surviving relatives of individuals who lived through the post-communist transition to retrieve demographic and socioeconomic characteristics of their parents, siblings, and male partners. The survey was done within the framework of the European Research Council (ERC) project PrivMort (The Impact of Privatization on the Mortality Crisis in Eastern Europe). We surveyed relatives in 20 mono-industrial towns in the European part of Russia (ie, the landmass to the west of the Urals). We compared ten fast-privatised and ten slow-privatised towns selected using propensity score matching. In the selected towns, population surveys were done in which respondents provided information about vital status, sociodemographic and socioeconomic characteristics and health-related behaviours of their parents, two eldest siblings (if eligible), and first husbands or long-term partners. We calculated indirect age-standardised mortality rates in fast and slow privatised towns and then, in multivariate analyses, calculated Poisson proportional incidence rate ratios to estimate the effect of rapid privatisation on all-cause mortality risk.

findingsBetween November, 2014, and March, 2015, 21 494 households were identified in 20 towns. Overall, 13 932 valid interviews were done (with information collected for 38 339 relatives [21 634 men and 16 705 women]). Fast privatisation was strongly associated with higher working-age male mortality rates both between 1992 and 1998 (age-standardised mortality ratio in men aged 20-69 years in fast

interpretationThe rapid pace of privatisation was a significant factor in the marked increase in working-age male mortality in post-Soviet Russia. By providing compelling evidence in support of the health benefits of a slower pace of privatisation, this study can assist policy makers in making informed decisions about the speed and scope of government interventions.

fundingThe European Research Council.

Identifiers

PMID28626827
PMCPMC5459934

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