The first year of the pandemic: social response in the context of causes of death

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Significance. The COVID-19 pandemic has led to a number of social consequences affecting various spheres of life in modern society.

Purpose: to assess changes in mortality from causes caused by social stress during the COVID-19 pandemic in a metropolis (Moscow).

Material and methods. The analysis is based on data from Federal State Statistics Service and the database of deaths in Moscow (medical death certificates issued to medical organizations of the Moscow Department of Health) for 2019–April 2021.

Results. During the COVID-19 pandemic since April 2020, losses from suicides turned out to be lower than in the corresponding months of 2019, however during the period of strict quarantine (April–June 2020), a local maximum of losses was observed.

Mortality attributable to alcohol and drug use (poisoning and mental disorders) was characterized by stabilization or insignificant gain during the period of strict quarantine (April–May) with a sharp splash during the exit from it (June 2020), as well as in the fall and winter of 2021.

Limitations. The results of the study of the social consequences during the COVID-19 pandemic apply only to Moscow and include deaths only from suicide, alcohol poisoning, drug poisoning, as well as mental disorders associated with alcohol and drug use for the period 2020–2021.

Conclusions. A completely logical picture of social stress has formed in Moscow with an acute reaction (suicide) at the first stage of the pandemic and its long-term socio-economic consequences (alcoholism and drug addiction) at subsequent stages, which could not be avoided despite external stabilization life in the capital.

Contribution of the authors:

Semyonova V.G. — research concept and design, collection and processing of material.

Ivanova A.E. — research concept and design, text writing, text writing, editing.

Sabgayda T.P. — research concept and design, collection and processing of material, statistical processing, text writing, editing.

Evdokushkina G.N. — collection and processing of material, statistical processing.

Zaporozhchenko V.G. — statistical processing, editing.

All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version. 

Acknowledgment. The study had no sponsorship.

Conflict of interest. The authors declare the absence of any conflicts of interest regarding the publication of this paper.

Received: December 28, 2021

Accepted: March 11, 2022

Published: May 04, 2022

Sobre autores

Victoria Semyonova

Research Institute of Healthcare Organization and Medical Management of the Moscow Healthcare Department; Institute for Demographic Research — Branch of the Federal Center of Theoretical and Applied Sociology of the Russian Academy of Sciences; Federal Research Institute for Health Organization and Informatics

Autor responsável pela correspondência
Email: vika-home@yandex.ru
ORCID ID: 0000-0002-2794-1009

MD, PhD, DSci, chief researcher at the demography department of the Research Institute of Medical Management and Health Organization of the Moscow Department of Health, Moscow, 115088, Russian Federation.

e-mail: vika-home@yandex.ru

Rússia

Alla Ivanova

Research Institute of Healthcare Organization and Medical Management of the Moscow Healthcare Department; Institute for Demographic Research — Branch of the Federal Center of Theoretical and Applied Sociology of the Russian Academy of Sciences

Email: noemail@neicon.ru
ORCID ID: 0000-0002-0258-3479
Rússia

Tamara Sabgayda

Research Institute of Healthcare Organization and Medical Management of the Moscow Healthcare Department; Institute for Demographic Research — Branch of the Federal Center of Theoretical and Applied Sociology of the Russian Academy of Sciences; Federal Research Institute for Health Organization and Informatics

Email: noemail@neicon.ru
ORCID ID: 0000-0002-5670-6315
Rússia

Galina Evdokushkina

Research Institute of Healthcare Organization and Medical Management of the Moscow Healthcare Department; Institute for Demographic Research — Branch of the Federal Center of Theoretical and Applied Sociology of the Russian Academy of Sciences; Federal Research Institute for Health Organization and Informatics

Email: noemail@neicon.ru
ORCID ID: 0000-0002-1389-2509
Rússia

Vyacheslav Zaporozhchenko

Federal Research Institute for Health Organization and Informatics

Email: noemail@neicon.ru
ORCID ID: 0000-0002-6167-7379
Rússia

Bibliografia

  1. Leon D.A., Shkolnikov V.M. Social stress and the mortality crisis. JAMA. 1998; 279(10): 790–1. https://doi.org/10.1001/jama.279.10.790
  2. Shapiro J. Russian health care policy and Russian health. In: Russian Political Development. London: Macmillan; 1997.
  3. Shapiro J. The Russian mortality crisis and its causes. In: Economic Reform at Risk. London; 1995: 149–78.
  4. Vlassov V. The role of alcohol and social stress in Russia’s mortality rate. JAMA. 1999; 281(4): 321–2. https://doi.org/10.1001/jama.281.4.321
  5. Ivanova A.E., Semenova V.G. New features of the Russian mortality. Narodonaselenie. 2004; (3): 85–93. (in Russian)
  6. Semenova V.G. Reverse Epidemiological Transition in Russia [Obratnyy epidemiologicheskiy perekhod v Rossii]. Moscow; 2005. (in Russian)
  7. WHO. Strengthening public health surveillance: a tool to select indicators needed to monitor and report the broader impacts of the COVID-19 pandemic. Copenhagen: WHO Regional Office for Europe; 2021.
  8. Federal State Statistics Service. Demographics; 2021. Available at: https://rosstat.gov.ru/folder/12781 (in Russian)
  9. Semenova V.G., Gavrilova N.S., Evdokushkina G.N., Gavrilov L.A. The quality of medical statistics as a reflection of the crisis of modern Russian health care. Obshchestvennoe zdorov’e i profilaktika zabolevaniy. 2004; (3): 11–8. (in Russian)
  10. Semenova V.G., Antonova O.I. Reliability of mortality statistics (by an example of mortality caused by traumas and poisoning in Moscow). Sotsial’nye aspekty zdorov’ya naseleniya. 2007; (2): 2. (in Russian)
  11. Gavrilova N.S., Semyonova V.G., Dubrovina E.V., Evdokushkona G.N., Ivanova A.E., Gavrilov L.A. Russian mortality Crisis and the Quality of vital statistics. Popul. Res. Policy Rev. 2008; 27: 551.
  12. Ivanova A.E., Sabgayda T.P., Semenova V.G., Zaporozhchenko V.G., Zemlyanova E.V., Nikitina S.Yu. Factors distorting the structure of causes of death in working population of Russia. Sotsial’nye aspekty zdorov’ya naseleniya. 2013; 32(4): 1. (in Russian)
  13. Vasin S.A. Mortality from undetermined causes of death in Russia and in a selected set of countries. Demograficheskoe obozrenie. 2015; 2(1): 89–124. (in Russian)
  14. Andreev E.M. Ill-defined and unspecified causes of death in Russia. Demograficheskoe obozrenie. 2016; 20(3): 103–42. https://doi.org/10.17323/demreview.v3i2.1755 (in Russian)
  15. Björkenstam C., Johansson L.A., Nordström P., Thiblin I., Fugelstad A., Hallqvist J., et al. Suicide or undetermined intent? A register-based study of signs of misclassification. Popul. Health Metr. 2014; 12: 11. https://doi.org/10.1186/1478-7954-12-11
  16. Breiding M.J., Wiersema B. Variability of undetermined manner of death classification in the US. Inj. Prev. 2006; 12(Suppl. 2): ii49–54. https://doi.org/10.1136/ip.2006.012591
  17. Kapusta N.D., Tran U.S., Rockett I.R., De Leo D., Naylor C.P., Niederkrotenthaler T., et al. Declining autopsy rates and suicide misclassification: a cross-national analysis of 35 countries. Arch. Gen. Psychiatry. 2011; 68(10): 1050–7. https://doi.org/10.1001/archgenpsychiatry.2011.66
  18. Rockett I.R., Kapusta N.D., Bhandari R. Suicide misclassification in an international context: revisitation and update. Suicidology Online. 2011; (2): 48–61.
  19. WHO. Suicide worldwide in 2019: Global health estimates. Geneva; 2021.
  20. Nemtsov A.V., Gridin R.V. Indirect indicators of alcohol consumption during the coronavirus epidemic in Russia. Epidemiologicheskie aspekty narkologii. 2020; (10): 16–33. https://doi.org/10.47877/0234-0623_2020_10_16 (in Russian)
  21. Semenova V.G., Sabgayda T.P., Mikhaylov A.Yu., Zaporozhchenko V.G., Evdokushkina G.N., Gavrilova N.S. Mortality of the Russian population from alcohol-related causes in the 2000. Sotsial’nye aspekty zdorov’ya naseleniya. 2018; 59(1). https://doi.org/10.21045/2071-5021-2018-59-1-3 Available at: https://vestnik.mednet.ru/content/view/950/30/lang,en
  22. Nemtsov A.V. Alcoholic History of Russia. The Newest Period [Alkogol’naya istoriya Rossii. Noveyshiy period]. Moscow: URSS; 2008. (in Russian)
  23. Semenova V.G., Ivanova A.E., Zubko A.V., Sabgayda T.P., Zaporozhchenko V.G., Evdokushkina G.N., et al. Risk factors of youth mortality growth and peculiarities of their accounting in Moscow. Zdravookhranenie Rossiyskoy Federatsii. 2019; 63(6): 322–30. https://doi.org/10.18821/0044-197X-2019-63-6-322-330 (in Russian)

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