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This Article Figures Only Full Text Full Text (PDF) All Versions of this Article: AJPH.2004.056929v1 96/7/1293    most recent Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (17) Citing Articles via Google Scholar Google Scholar Articles by Murphy, M. Articles by Marmot, M. Search for Related Content PubMed PubMed Citation Articles by Murphy, M. Articles by Marmot, M. Related Collections Epidemiology Socioeconomic Factors Mortality Surveys

Michael Murphy, MPhil, Martin Bobak, PhD, Amanda Nicholson, PhD, Richard Rose, DPhil and Michael Marmot, PhD

Michael Murphy is with the Department of Social Policy, London School of Economics and Political Science, London, England. Martin Bobak, Amanda Nicholson, and Michael Marmot are with the International Centre for Health and Society, Department of Epidemiology and Public Health, University College London, London, England. Richard Rose is with the Centre for the Study of Public Policy, Department of Politics and International Relations, University of Aberdeen, Aberdeen, Scotland.

Correspondence: Requests for reprints should be sent to Michael Murphy, Department of Social Policy, London School of Economics, Houghton Street, London WC2A 2AE, UK (e-mail: m.murphy{at}lse.ac.uk).

Objectives. We examined trends in the relation between educational level and adult mortality in the Russian Federation in the period 1989 through 2001.

Methods. We used a convenience cohort based on survey respondents’ information about age, survival status, and educational level of close relatives, and applied modified indirect demographic techniques to stratify mortality rates by educational level in the study period. A random sample of 7172 respondents (response rate=61%) provided full information on 10440 relatives.

Results. The mortality advantage of better-educated men and women in 1980 increased substantially by 2001. In 1980, life expectancy at age 20 for university-educated men was 3 years greater than for men with elementary education only, but was 11 years greater by 2001, reflecting not only declining life expectancy in less-educated men but also an improvement among better-educated men. Similar patterns were seen in women.

Conclusions. The well-documented mortality increases seen in Russia after 1990 have predominantly affected less-educated men and women, whereas the mortality of persons with university education has improved, resulting in a sharp increase in educational-level mortality differentials.

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