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The Role of Alcohol and Social Stress in Russia's Mortality Rate
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To the Editor: Drs Leon and Shkolnikov,1 in their Editorial regarding the article by Dr Notzon and colleagues,2 discussed the increase in mortality in Russia in relation to the drinking habits of Russians: "Initially, there was an increase in life expectancy at birth, a result of Gorbachev's antialcohol campaign . . . followed by a steady decrease in life expectancy." Later in the Editorial, they state that "alcohol appears to be a proximal risk factor and plays a central role."
Proposing alcohol as a cause of reduced life expectancy is a weak hypothesis. While an increased life expectancy was noted between 1986 and 1988 in almost all "socialist" countries, the Soviet Union was the only country where there was an antialcohol campaign. The subsequent increase in mortality took place in all postsocialist countries, irrespective of alcohol consumption.3
In their study, Notzon et al2 used the group of deaths due to . . . [Full Text of this Article]
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