Cities of over a million people on the mortality map of Russia
The problem of excess mortality in Russia has not lost its relevance. The situation is complicated by the high level of spatial inequality in health, which is usually measured at the regional level in our country. This work is one of the first attempts to look at the dynamics and extent of spatial...
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| Format: | Article |
| Language: | English |
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National Research University Higher School of Economics (HSE)
2019-12-01
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| Series: | Демографическое обозрение |
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| Online Access: | https://demreview.hse.ru/article/view/10179 |
| _version_ | 1811198321338875904 |
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| author | Aleksei Shchur |
| author_facet | Aleksei Shchur |
| author_sort | Aleksei Shchur |
| collection | DOAJ |
| description |
The problem of excess mortality in Russia has not lost its relevance. The situation is complicated by the high level of spatial inequality in health, which is usually measured at the regional level in our country. This work is one of the first attempts to look at the dynamics and extent of spatial inequality in health in Russia at the sub-regional level, by contrasting the "center/core" (in our case, represented by the largest Russian cities) with the "periphery" (the rest of the country). Cities with a population of over a million people were chosen based on the spatial hierarchy that exists in Russia, according to which the highest level of social and economic development is concentrated in the largest cities. As a rule, a higher level of development of human capital corresponds to lower mortality. Using data provided by Rosstat, we calculated life expectancy at birth for Russian cities with a population of over a million people in 1989-2016. The results fully coincided with our expectations: the polarization in the health levels between the largest Russian cities and the rest of the country has significantly increased in the last twenty-five years, which is a reflection of those centripetal processes that have been taking place in our country during this period. Russian cities with a population of over a million people are attractive destinations for both internal and external migrants, and thus acquire, among other things, a much more educated population. Since people with higher education take better care of their health, having a more educated population is undoubtedly an essential advantage of bigger cities over the periphery when it comes to the overall health level. Without solving the structural problems that restrain social and economic development outside the largest agglomerations, convergence in mortality rates between cities with a population of over a million people and the surrounding territories is hardly possible.
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| first_indexed | 2024-04-12T01:29:22Z |
| format | Article |
| id | doaj.art-3f272da79b2a487ab3ff858493e640a0 |
| institution | Directory Open Access Journal |
| issn | 2409-2274 |
| language | English |
| last_indexed | 2024-04-12T01:29:22Z |
| publishDate | 2019-12-01 |
| publisher | National Research University Higher School of Economics (HSE) |
| record_format | Article |
| series | Демографическое обозрение |
| spelling | doaj.art-3f272da79b2a487ab3ff858493e640a02022-12-22T03:53:32ZengNational Research University Higher School of Economics (HSE)Демографическое обозрение2409-22742019-12-015510.17323/demreview.v5i5.1017910179Cities of over a million people on the mortality map of RussiaAleksei Shchur0National Research University Higher School of Economics The problem of excess mortality in Russia has not lost its relevance. The situation is complicated by the high level of spatial inequality in health, which is usually measured at the regional level in our country. This work is one of the first attempts to look at the dynamics and extent of spatial inequality in health in Russia at the sub-regional level, by contrasting the "center/core" (in our case, represented by the largest Russian cities) with the "periphery" (the rest of the country). Cities with a population of over a million people were chosen based on the spatial hierarchy that exists in Russia, according to which the highest level of social and economic development is concentrated in the largest cities. As a rule, a higher level of development of human capital corresponds to lower mortality. Using data provided by Rosstat, we calculated life expectancy at birth for Russian cities with a population of over a million people in 1989-2016. The results fully coincided with our expectations: the polarization in the health levels between the largest Russian cities and the rest of the country has significantly increased in the last twenty-five years, which is a reflection of those centripetal processes that have been taking place in our country during this period. Russian cities with a population of over a million people are attractive destinations for both internal and external migrants, and thus acquire, among other things, a much more educated population. Since people with higher education take better care of their health, having a more educated population is undoubtedly an essential advantage of bigger cities over the periphery when it comes to the overall health level. Without solving the structural problems that restrain social and economic development outside the largest agglomerations, convergence in mortality rates between cities with a population of over a million people and the surrounding territories is hardly possible. https://demreview.hse.ru/article/view/10179life expectancyspatial inequality in mortalitycities with a population of over a million peopleeducational levelcore and periphery |
| spellingShingle | Aleksei Shchur Cities of over a million people on the mortality map of Russia Демографическое обозрение life expectancy spatial inequality in mortality cities with a population of over a million people educational level core and periphery |
| title | Cities of over a million people on the mortality map of Russia |
| title_full | Cities of over a million people on the mortality map of Russia |
| title_fullStr | Cities of over a million people on the mortality map of Russia |
| title_full_unstemmed | Cities of over a million people on the mortality map of Russia |
| title_short | Cities of over a million people on the mortality map of Russia |
| title_sort | cities of over a million people on the mortality map of russia |
| topic | life expectancy spatial inequality in mortality cities with a population of over a million people educational level core and periphery |
| url | https://demreview.hse.ru/article/view/10179 |
| work_keys_str_mv | AT alekseishchur citiesofoveramillionpeopleonthemortalitymapofrussia |