Harriet S.MeyerMD, Contributing EditorDavid H.MorseMS, Journal Review EditorRobertHoganMD, adviser for new media
by Mark G. Field and Judyth L. Twigg, 314 pp, $49.95, ISBN 0-312-22916-X, New York, NY, St Martin's Press, 2000.
Mark Field and Judyth Twigg have assembled a collection of original essays from several scholars on health and social welfare during the current transition period in Russia. The ineffective Soviet safety net had guaranteed but failed to deliver positive outcomes for the health and well-being of its citizens. Mortality rates from heart disease and alcohol-related trauma were pushing life expectancy downward for middle-aged men, while longevity for women was advancing very slowly. With the collapse of communism, an already bad health situation worsened, and life expectancy for both men and women fell, only to recover slightly in the mid-1990s. The most recent figures (1999) show a decline in life expectancy once again for both sexes. Russians lived longer on average in 1965 than they did in 1999. For men, the difference is more than four years (64.0 years vs 59.8 years). So the problems are far from over.
Health in RussiaRussia's Torn Safety Nets: Health and Social Welfare During the Transition. JAMA. 2001;285(13):1772-1773. doi:10.1001/jama.285.13.1772-JBK0404-4-1