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January 27, 1999

The Role of Alcohol and Social Stress in Russia's Mortality Rate

Author Affiliations

Margaret A.Winker, MDIndividualAuthorPhil B.FontanarosaMD, Senior EditorsIndividualAuthor

JAMA. 1999;281(4):321-322. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-4-jbk0127

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."

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