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The East–West Health Divide in Europe: Growing and Shifting Eastwards

  • Denny Vågerö (a1)
Abstract

Over a four-decade long period, a health gap has opened up between European countries, in particular along the East/West dimension. One could speak of a European health divide. The divide is growing larger and, at the same time, shifting eastwards, leaving countries such as Russia, Ukraine, Belarus and Moldova at an increasing health disadvantage. Health inequalities, or differences between social classes, within European countries also seem to have been growing for the last couple of decades. Those countries that were previously led by communist regimes today show larger health inequalities than do countries in Western Europe. The countries that were once part of the Soviet Union demonstrate the most alarming health trends, with large segments of the population actually experiencing falling life expectancies. Reducing global and European health inequalities so that the health chances of a newborn child are not dependent on which country and social class he or she is born in, is a truly formidable task, which implies an entirely new way of seeing human development.

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1.Caselli G., Meslé F. and Vallin J. (2002) Epidemiologic transition theory exceptions. Paper presented at IUSSP seminar on ‘determinants of diverging trends in mortality’, Rostock, 19–21 June.
2.Meslé F., Shkolnikov V., Hertrich V. and Vallin J. (1996) Tendances recentes de la mortalite par cause en Russie 1965–1994. Donnees Statistiques, (2).
3.Patterson D. (1995) Mortality in late czarist Russia: a reconnaissance. Social History of Medicine, 8, 179210.
4.Meslé F. (2002) Mortality in Eastern Europe and the former Soviet Union: long term trends and recent upturns. Paper presented at IUSSP seminar on ‘determinants of diverging trends in mortality’, Rostock, 19–21 June.
5.Barker D. (1989) Rise and fall of Western disease. Nature, 338, 371372.
6.Baker D., Vågerö D. and Illsley R. (1993) Today or in the past – the origins of ischaemic heart disease. Journal of Public Health Medicine, 15(3), 243248.
7.Brown A. (1997) The Gorbachev Factor (Oxford: Oxford University Press).
8.Walberg P., McKee M., Shkolnikov V., Chenet L. and Leon D. (1998) Economic change, crime and mortality in Russia: regional analysis. British Medical Journal, 317, 312318.
9.Leon D. A., Saburova L., Tomkins S., Andreev E., Kiryanov N., McKee M. and Shkolnikov V. M. (2007) Hazardous alcohol drinking and premature mortality in Russia: a population based case-control study. The Lancet, 369(9578), 20012009.
10.Sparén P., Vågerö D., Shestov D. B., Plavinskaja S., Parfenova N., Hoptiar V., Paturot D. and Galanti M. R. (2004) Long term mortality after severe starvation during the siege of Leningrad: prospective cohort study. British Medical Journal, 328, 11.
11.Koupil I., Plavinskaja S., Parfenova N., Shestov D. B., Danziger P. D. and Vågerö D. (2009) Cancer mortality in women and men who survived the siege of Leningrad (19411944). International Journal of Cancer, 124(6), 14161421.
12.World Health Organisation (2008) Closing the Gap in a Generation. Health Equity through Action on the Social Determinants of Health. Final Report from the Commission on Social Determinants of Health (Geneva: WHO).
13.Sen A. (1999) Development as Freedom (Oxford: Oxford University Press).
14.Mackenbach J. P., Stirbu I., Roskam A. J., Schaap M. M., Menvielle G., Leinsalu M. and Kunst A. E. (2008) European Union Working Group on Socioeconomic Inequalities in Health. Socioeconomic inequalities in health in 22 European countries. New England Journal of Medicine, 358, 24682481. Erratum in: New England Journal of Medicine, 2008, 359, 14.
15.Kunst A. (1997) Cross-national comparisons of socio-economic differences in mortality. Thesis. Erasmus University of Rotterdam, 1997.
16.Shkolnikov V., Leon D., Adamets S., Andreev E. and Deev A. (1998) Educational level and adult mortality in Russia: an analysis of routine data 1979–1994. Social Science and Medicine, 47, 357369.
17.Leinsalu M., Vågerö D. and Kunst A. (2003) Estonia 1989–2000: Enormous increase in mortality differences by education. International Journal of Epidemiology, 32(6), 10811087.
18.Murphy M., Bobak M., Nicholson A., Rose R. and Marmot M. (2006) The widening gap in mortality by educational level in the Russian Federation, 1980–2001. American Journal of Public Health, 96, 12931299.
19.Leinsalu M., Stirbu I., Vågerö D., Kalediene R., Kovács K., Wojtyniak B., Wróblewska W., Mackenbach J. P. and Kunst A. E. (2009) Educational inequalities in mortality in four Eastern European countries: divergence in trends during the post-communist transition from 1990 to 2000. International Journal of Epidemiology, 38(2), 512525.
20.Moser K., Leon D. and Shkolnikov V. (2005) World mortality 1950–2000: divergence replaces convergence from the late 1980s. Bulletin of the World Health Organisation, 83, 202209.
21.World Health Organisation Regional Office for Europe (1985) Targets for Health for All. Targets in Support of the European Regional Strategy for Health for All (Copenhagen: WHO).
22.Rehm J., Sulkowska U., Mańczuk M., Boffetta P., Powles J., Popova S. and Zatoński W. (2007) Alcohol accounts for a high proportion of premature mortality in central and eastern Europe. International Journal of Epidemiology, 36, 458467.
23.Hemström Ö. (2002) Alcohol-related deaths contribute to socioeconomic differentials in mortality in Sweden. European Journal of Public Health, 12(4), 254262.
24.Mäkelä P., Valkonen T. and Martelin T. (1997) Contributions of deaths related to alcohol use to socioeconomic variation in mortality: register based follow-up study. British Medical Journal, 315, 211216.
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European Review
  • ISSN: 1062-7987
  • EISSN: 1474-0575
  • URL: /core/journals/european-review
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