Mortality among adults in the arctic macro-region: Dynamics, structure and features

View or download the full article: 

B.А. Revich1, Т.L. Khar'kova1,2, Е.А. Kvasha2


1Institute of Economic Forecasting of the Russian Academy of Sciences, 47 Nakhimovskii Ave., Moscow, 117418, Russian Federation
2The Institute of Demography of National Research University ‘Higher School of Economics’, 3 Bolshoi Trekhsvyatitelskii lane, Moscow, 109028, Russian Federation


An expected increase in the number of workplaces in the Arctic macro-region will require a lot of available local workforce. However, currently the working age population is declining markedly there. Between 2014 and 2020, the population decreased everywhere, except the Yamal Nenets Autonomous Area; the decrease was the most apparent in the Arkhangelsk region, Murmansk region, and the Komi Republic.
Fluctuations in the share of the working age population in the Arkhangelsk region and the Nenets Autonomous Area practically have the same dynamic as in the country as a whole (the decline equals 2–3 %). The greatest declines (5–7 %) were observed in the Magadan region, Chukotka, the Murmansk region and the Komi Republic.

Mortality rates in the Arctic macro-region tend to be higher than the national average rate due to uncomfortable Arctic climate, long distances between the settlements and basic healthcare facilities, and some other reasons. A current decline in mortality among the working age population has not reached its national average level yet. The major causes of elevated mortality in the Arctic macro-region include ischemic heart disease (in Chukotka, the Arkhangelsk region and the Murmansk region); stroke (in Karelia and the Komi Republic); external causes including accidental alcohol poisoning (in Karelia, the Komi Republic, and the Arkhangelsk region).

To protect health of the working age population, it is necessary to develop and implement regional programs aimed at reducing mortality due to the major causes, which differ from one region to another. These programs should consider the experience gained in the other Arctic regions. It is also necessary to implement more effective healthcare management systems. This includes development of specific models for various population groups with specific working conditions and lifestyle; development of private-public partnerships; making healthcare more available.

Arctic, demography, public health, mortality, working age population, prevention, working conditions and lifestyle, macro-region, natural and climatic conditions
Revich B.А., Khar'kova Т.L., Kvasha Е.А. Mortality among adults in the arctic macro-region: dynamics, structure and features. Health Risk Analysis, 2023, no. 1, pp. 13–26. DOI: 10.21668/health.risk/2023.1.02.eng
  1. Polovinkin V.N. Human resources – the main problem of the north development. Arktika: ekologiya i ekonomika, 2013, no. 4 (12), pp. 026–031 (in Russian).
  2. Ivanter V.V., Lexin V.N., Porfiriev B.N. Arctic megaproject in the system of national interests and state administration. Problemnyi analiz i gosudarstvenno-upravlencheskoe proektirovanie, 2014, vol. 7, no. 6, pp. 6–24 (in Russian).
  3. Fauzer V.V., Smirnov A.V., Lytkina T.S., Fauzer G.N. Russian and World Arctic: population, economy, settlement. In: V.V. Fauzer ed. Moscow, Politicheskaya entsiklopediya, 2022, 215 p. (in Russian).
  4. Leksin V. N. Healthcare system in the Arctic zone of Russia. Known and emerging issues and solutions to them. Rossiiskii ekonomicheskii zhurnal, 2019, no. 4, pp. 3–20 (in Russian).
  5. Mkrtchyan N.V. Population Migration Balance of the Russian North and the Arctic in the 2010s and its Structural Components. Nauchnye trudy. Institut narodnokhozyaistvennogo prognozirovaniya RAN, 2021, pp. 304–325. DOI: 10.47711/2076-318-2021-304-325 (in Russian).
  6. Tikhonova G.I., Gortchakova T.Yu., Tchuranova A.N. Mortality among able-bodied population in industrial cities in ac-cordance with specific enterprise forming a company city. Meditsina truda i promyshlennaya ekologiya, 2013, no. 10, pp. 9–15 (in Russian).
  7. Shopina O.V., Saltykova M.M., Balakaeva A.V., Bobrovnitskii I.P. Osobennosti smertnosti naseleniya v gorodakh Krainego Severa (na primere Nizhnevartovska i Yakutska) [Peculiarities of mortality in the cities of the Far North (on the example of Nizhnevartovsk and Yakutsk)]. Analiz riska zdorov'yu – 2021. Vneshnesredovye, sotsial'nye, meditsinskie i povedencheskie aspekty. Sovmestno s mezhdunarodnoi vstrechei po okruzhayushchei srede i zdorov'yu RISE-2021: materialy XI Vserossiiskoi nauchno-prakticheskoi konferentsii s mezhdunarodnym uchastiem. Perm, 2021, vol. 1, pp. 189–200 (in Russian).
  8. Shchepin V.O., Shishkin E.V. The analysis of mortality of population of able-bodied age because of external causes. Problemy sotsial'noi gigieny, organizatsii zdravookhraneniya i istorii meditsiny, 2019, vol. 27, no. 3, pp. 222–226. DOI: 10.32687/0869-866X-2019-27-3-222-226 (in Russian).
  9. Revich B.A., Kharkova T.L., Kvasha E.A., Bogoyavlensky D.D., Korovkin A.G., Korolev I.B. Demographic trends, labour force dynamics and health risks for the population of Russian Arctic. In: B.A. Revich, B.N. Porfir’ev eds. Moscow, Le-nand, 2016, 304 p. (in Russian).
  10. Revich B.A., Kharkova T.L., Podolnaya M.A. Mortality Dynamics and Life Expectancy of Population of Arc-tic/Subarctic Region of the Russian Federation in 1999–2014. Ekologiya cheloveka, 2017, no. 9, pp. 48–58. DOI: 10.33396/1728-0869-2017-9-48-58 (in Russian).
  11. Shchur A., Timonin S. Center-peripheral differences in life expectancy in Russia: regional analysis. Demograficheskoe obozrenie, 2020, vol. 7, no. 3, pp. 108–133. DOI: 10.17323/demreview.v7i3.11638 (in Russian).
  12. Russia’s Population in 2017: 25rd Annual Demographic Report. In: S.V. Zakharov ed. Moscow, HSE Publ., 2019, 480 p. DOI: 10.17323/978-5-7598-2124-3 (in Russian).
  13. Korneeva Ya.A., Simonova N.N., Degteva G.N. Components of adaptative strategies as professionally important properties of specialists working on rotational basis in the North. Ekologiya cheloveka, 2011, no. 6, pp. 17–21 (in Russian).
  14. Silin A.N. Sociological aspects of rotational employment in the northern territories of Western Siberia. Economic and Social Changes: Facts, Trends, Forecast, 2015, no. 4 (40), pp. 109–123. DOI: 10.15838/esc/2015.4.40.7
  15. Fauzer V.V., Smirnov A.V., Lytkina T.S., Fauzer G.N. Challenges and contradictions in the development of the North and the Arctic: demographic dimension. Arktika: ekologiya i ekonomika, 2022, vol. 12, no. 1, pp. 111–122. DOI: 10.25283/2223-4594-2022-1-111-122 (in Russian).
  16. Boytsov S.A., Zayratiants O.V., Andreev E.M., Samorodskaya I.V. Comparison of coronary heart disease mortality in men and women age 50 years and older in Russia and USA. Rossiiskii kardiologicheskii zhurnal, 2017, vol. 22, no. 6, pp. 100–107. DOI: 10.15829/1560-4071-2017-6-100-107 (in Russian).
  17. Leksin V.N., Porfiriev B.N. The other Arctic: Experience in System Diagnostics. Studies on Russian Economic Development, 2022, vol. 33, no. 1, pp. 22–28. DOI: 10.1134/S1075700722010105
  18. Mel'nikov I.V., Gerelishin I.Ya. Sistema sokhraneniya zdorov'ya i obespecheniya sanitarno-epidemiologicheskogo blagopoluchiya v Arktike na primere OOO «Gazprom dobycha Nadym» [The system of health protection and ensuring sanitary and epidemiological well-being in the Arctic on the example of Gazprom dobycha Nadym LLC]. Problemy sokhraneniya zdo-rov'ya i obespecheniya sanitarno-epidemiologicheskogo blagopoluchiya naseleniya v Arktike: materialy III mezhdunarodnoi nauchno-prakticheskoi konferentsii. St. Petersburg, 2021, pp. 265–271 (in Russian).
  19. Shartova N.V., Grischenko M.Yu., Revich B.A. Geographical accessibility of health services based on open data in the Arkhangelsk region. Sotsial'nye aspekty zdorov'ya naseleniya: online scientific journal, 2019, vol. 65, no. 6, pp. 1. Available at:,ru/ (December 19, 2022) (in Russian).
  20. Revich B.A. Determinants of public health in Arctic and Subarctic territories of Russia. Studies on Russian Economic Development, 2017, vol. 28, no. 1, pp. 39–47. DOI: 10.1134/S1075700717010099
  21. Sleptsov S.S., Sleptsova S.S., Burtseva T.E. Mortality analysis of the working-age population of Yakutia. Yakutskii meditsinskii zhurnal, 2022, vol. 77, no. 1, pp. 72–75. DOI: 10.25789/YMJ.2022.77.18 (in Russian).
  22. Dmitrieva T.E., Fomina V.F. Ecological and economic assessment of public health in the Komi Republic. Arktika: ekologiya i ekonomika, 2021, vol. 11, no. 3, pp. 436–448. DOI: 10.25283/2223-4594-2021-3-436-448 (in Russian).
  23. Balanova Yu.A., Kontsevaya A.V., Myrzamatova A.O., Mukaneeva D.K., Khudyakov M.B., Drapkina O.M. Economic Burden of Hypertension in the Russian Federation. Ratsional'naya farmakoterapiya v kardiologii, 2020, vol. 16, no. 3, pp. 415–423. DOI: 10.20996/1819-6446-2020-05-03 (in Russian).
  24. Skvortsova V.I., Shetova I.M., Kakorina E.P., Kamkin E.G., Boiko E.L., Alekyan B.G., Ivanova G.E., Shamalov N.A. [et al.]. Reduction in stroke death rates through a package of measures to improve medical care for patients with vascular diseases in the Russian Federation. Profilakticheskaya meditsina, 2018, vol. 21, no. 1, pp. 4–10. DOI: 10.17116/profmed20182114-10 (in Russian).
  25. Shabunova A.A., Duganov M.D., Kalashnikov K.N. Untimely death as a cause of economic losses in a region. Zdra-vookhranenie Rossiiskoi Federatsii, 2012, no. 3, pp. 26–30 (in Russian).
  26. Porfiriev B.N. Economic evaluation of human losses from disasters. Voprosy ekonomiki, 2013, no. 1, pp. 48–68. DOI: 10.32609/0042-8736-2013-1-48-68 (in Russian).
  27. Watts N., Amann M., Arnell N., Ayeb-Karlsson S., Belesova K., Boykoff M., Byass P., Cai W. [et al.]. The 2019 re-port of The Lancet Countdown on health and climate change: ensuring that the health of a child born today is not defined by a changing climate. Lancet, 2019, vol. 394, no. 10211, pp. 1836–1878. DOI: 10.1016/S0140-6736(19)32596-6
Accepted for publication: 

You are here