Alcohol consumption as health risk factor for the population in the RF regions in the ‘before crisis’ and ‘after crisis’ periods (2017–2022)

View or download the full article: 

N.А. Lebedeva-Nesevria1,2, S.S. Gordeeva2


1Federal Scientific Center for Medical and Preventive Health Risk Management Technologies, 82 Monastyrskaya Str., Perm, 614045, Russian Federation
2Perm State University, 15 Bukireva Str., Perm, 614990, Russian Federation


In this study, we have estimated alcohol consumption and alcohol-associated incidence in the RF regions in the ‘before crisis’ (2017–2019) and ‘crisis’ (2020–2022) periods. We identified types of the RF regions using hierarchical cluster analysis (Ward’s method) and relying on indirect indicators of alcohol consumption. As a result, we established considerable differences between the macro-regions (the Federal Districts) and RF regions as per alcohol consumption and severity of its outcomes. Poles in this differentiation are represented by ‘favorable’ regions in the Southern Russia where alcohol sales, alcohol-associated crime and incidence are low and ‘unfavorable’ regions located in the Far East and southern Siberia where alcohol-associated crime and incidence are high. We have shown in this study that retail alcohol sales cannot be considered a sufficient indicator to describe alcohol use in a given region. Thus, considerable volumes of alcohol sales involve severe socially significant outcomes in some regions (for example, the Khabarovsk region and Primorye) whereas such outcomes do not occur in other regions with similarly high alcohol sales (Moscow, Saint Petersburg, the Moscow region and the Leningrad region). The level of socioeconomic welfare on a given territory is confirmed as a significant determinant of alcohol consumption.

We have also analyzed a correlation between economic vulnerability of RF regions during the ‘pandemic’ and ‘sanction’ crises and levels of alcohol consumption. The analysis revealed that large industrial regions, though expected to be vulnerable, turned out to be quite stable (it is probable due to delayed macroeconomic effects). We have not been able to identify any resources of improving a tense situation with alcohol consumption in economically unfavorable but less vulnerable subsidized agricultural regions. In general, the crisis period of 2020–2022 can be considered a source of additional health risks for the population in the RF regions where the situation with alcohol consumption was rather unfavorable in the ‘before crisis’ period.

alcohol consumption, crimes, alcohol intoxication, incidence, alcoholism, alcoholic psychoses, RF regions
Lebedeva-Nesevria N.А., Gordeeva S.S. Alcohol consumption as health risk factor for the population in the rf re- gions in the ‘before crisis’ and ‘after crisis’ periods (2017–2022). Health Risk Analysis, 2023, no. 2, pp. 17–29. DOI: 10.21668/health.risk/2023.2.02.eng
  1. Ding C., O’Neill D., Bell S., Stamatakis E., Britton A. Association of alcohol consumption with morbidity and mortality in patients with cardiovascular disease: original data and meta-analysis of 48,423 men and women. BMC Med., 2021, vol. 19, no. 1, pp. 167. DOI: 10.1186/s12916-021-02040-2
  2. Mayer-Davis E., Leidy H., Mattes R., Naimi T., Novotny R., Schneeman B., Kingshipp B.J., Spill M. [et al.]. Alcohol Consumption and All-Cause Mortality: A Systematic Review [Internet]. Alexandria (VA), USDA Nutrition Evidence Systematic Review, 2020. DOI: 10.52570/NESR.DGAC2020.SR0403
  3. Di Castelnuovo A., Costanzo S., Bonaccio M., McElduff P., Linneberg A., Salomaa V., Männistö S., Moitry M. [et al.]. Alcohol intake and total mortality in 142 960 individuals from the MORGAM Project: a population-based study. Addiction, 2022, vol. 117, no. 2, pp. 312–325. DOI: 10.1111/add.15593
  4. Kuznetsova P.O. Alcohol mortality in Russia: assessment with representative survey data. Population and Economics, 2020, vol. 4, no. 3, pp. 75–95. DOI: 10.3897/popecon.4.e51653
  5. Vangorodskaya S.A. The Russian model of alcohol consumption: features and impact on population. Nauchnye vedomosti Belgorodskogo gosudarstvennogo universiteta. Seriya: Filosofiya. Sotsiologiya. Pravo, 2018, vol. 43, no. 1, pp. 28–36. DOI: 10.18413/2075-4566-2018-43-1-28-36 (in Russian).
  6. Radaev V.V. Alcohol cycles: trends in the alcohol consumption in the Soviet and post-Soviet Russia, 1980–2010. Monitoring obshchestvennogo mneniya: ekonomicheskie i sotsial'nye peremeny, 2022, no. 3 (169), pp. 327–351. DOI: 10.14515/monitoring.2022.3.2180 (in Russian).
  7. Razvodovsky Y.E., Nemtsov A.V. Contribution of alcohol to the gender gap in all-cause mortality in Russia and Bela-rus. Voprosy narkologii, 2020, no. 6 (189), pp. 60–69. DOI: 10.47877/0234-0623_2020_6_60 (in Russian).
  8. Gornyi B.E., Kalinina A.M. Integral estimation of the alcohol situation at the regional level. Profilakticheskaya meditsina, 2016, vol. 19, no. 3, pp. 34–40. DOI: 10.17116/profmed201619334-40 (in Russian).
  9. Kossova T.V., Kossova E.V., Sheluntsova M.A. Vliyanie potrebleniya alkogolya na smertnost' i ozhidaemuyu prodolzhitel'nost' zhizni v regionakh Rossii [Impact of alcohol consumption on mortality and life expectancy in Russian regions]. Ekonomicheskaya politika, 2017, vol. 12, no. 1, pp. 58–83. DOI: 10.18288/1994-5124-2017-1-03 (in Russian).
  10. Kondratenko V.A. The structure and types of alcohol consumption in Russia in 1994–2018. Vestnik Rossiiskogo monitoringa ekonomicheskogo polozheniya i zdorov'ya naseleniya NIU VShE (RLMS HSE): sbornik nauchnykh statei. Moscow, 2021, iss. 11, pp. 153–174. DOI: 10.19181/rlms-hse.2021.4 (in Russian).
  11. Grossman E.R., Benjamin-Neelon S.E., Sonnenschein S. Alcohol Consumption during the COVID-19 Pandemic: A Cross-Sectional Survey of US Adults. Int. J. Environ. Res. Public Health, 2020, vol. 17, no. 24, pp. 9189. DOI: 10.3390/ijerph17249189
  12. Roberts A., Rogers J., Mason R., Siriwardena A.N., Hogue T., Whitley G.A., Law G.R. Alcohol and other substance use during the COVID-19 pandemic: A systematic review. Drug Alcohol Depend., 2021, vol. 229, pt A, pp. 109150. DOI: 10.1016/j.drugalcdep.2021.109150
  13. Rozhanets V.V., Fadeeva E.V., Klimenko T.V. Addiction problems in the COVID-19 era: up-to-date data and trend analysis, 2020. Voprosy narkologii, 2021, no. 1 (196), pp. 5–19. DOI: 10.47877/0234-0623_2021_01_5 (in Russian).
  14. Nemtsov A.V., Gridin R.V. Alcohol consumption during the coronavirus epidemic in Russia. Obshchestvennoe zdorov'e, 2021, vol. 1, no. 2, pp. 28–47. DOI: 10.21045/2782-1676-2021-1-2-28-49 (in Russian).
  15. Lang A.A. Analiz urovnya srednedushevogo potrebleniya alkogolya naseleniem Krasnoyarskogo kraya [Analysis of alcohol consumption per capita by the population of the Krasnoyarsk region]. E-Scio, 2022, no. 4 (67), pp. 35–47 (in Russian).
  16. Gil A., Vyshynsky K., Fadeeva E., Khalfin R. Changes in alcohol consumption in the Russian Federation during the first months of the COVID-19 pandemic. Problemy standartizatsii v zdravookhranenii, 2021, no. 5–6, pp. 63–73. DOI: 10.26347/1607-2502202105-06063-073 (in Russian).
  17. Samonina S.S. The impact of the COVID-19 pandemic on alcohol consumption in Russia (territorial aspect). Izvestiya Saratovskogo universiteta. Novaya seriya. Seriya Nauki o Zemle, 2022, vol. 22, no. 2, pp. 94–100. DOI: 10.18500/1819-7663-2022-22-2-94-100 (in Russian).
  18. De Goeij M.C., Suhrcke M., Toffolutti V., van de Mheen D., Schoenmakers T.M., Kunst A.E. How economic crises affect alcohol consumption and alcohol-related health problems: a realist systematic review. Soc. Sci. Med., 2015, vol. 131, pp. 131–146. DOI: 10.1016/j.socscimed.2015.02.025
  19. Azarov T.A., Vladimirov I.V., Petrovskaya I.A. The relation between socio-economic indicators, the incidence of alcoholism and alcoholic psychosis in Russia, 1992–2020. Juvenis Scientia, 2022, vol. 8, no. 6, pp. 30–40. DOI: 10.32415/jscientia_2022_8_6_30-40 (in Russian).
  20. Karavaeva I.V. Systemic crisis 2022: theoretical aspect. Federalizm, 2022, vol. 27, no. 2 (106), pp. 46–61. DOI: 10.21686/2073-1051-2022-2-46-61 (in Russian).
  21. Zubarevich N.V. Regions of Russia in the new economic realities. Zhurnal Novoi ekonomicheskoi assotsiatsii, 2022, no. 3 (55), pp. 226–234. DOI: 10.31737/2221-2264-2022-55-3-15 (in Russian).
  22. Plotnikov A.V. Modelirovanie form proyavleniya krizisa v natsional'noi ekonomike pod vozdeistviem neekonomich-eskogo shoka (na primere krizisov v Rossii 2020 i 2022 godov) [Modeling the manifestation forms of the crisis in the national economy under the influence of a non-economic shock (on the example of the crises in Russia in 2020 and 2022)].
    Izvestiya Sankt-Peterburgskogo gosudarstvennogo ekonomicheskogo universiteta, 2022, no. 5–2 (137), pp. 194–199 (in Russian).
  23. Boytsov S.A., Samorodskaya I.V., Semenov V.Yu. The impact of economic crisises on population health. Profil-akticheskaya meditsina, 2016, vol. 19, no. 2–1, pp. 4–10. DOI: 10.17116/profmed20161924-10 (in Russian).
  24. Chashchin V.P., Kovshov A.A., Gudkov A.B., Morgunov B.A. Socioeconomic and behavioral risk factors of disabili-ties among the indigenous population in the Far North. Ekologiya cheloveka, 2016, no. 6, pp. 3–8. DOI: 10.33396/1728-0869-2016-6-3-8 (in Russian).
  25. Belova Yu.Yu. Models of social prevention of alcohol abuse in Russia’s regions with different climatic conditions. Regionologiya, 2018, vol. 26, no. 2 (103), pp. 314–337. DOI: 10.15507/2413- 1407.103.026.201802.314-337 (in Russian).
  26. Glushkova A.V., Karelin A.O., Yeremin G.B. Alcohol abuse adult population as a marker of the socio-economic prob-lems. Gigiena i sanitariya, 2022, vol. 101, no. 8, pp. 985–991. DOI: 10.47470/0016-9900-2022-101-8-985-991 (in Russian).
  27. Grishina I.V., Polynev A.O., Shkuropat A.V. The socio-economic performance of Russia’s regions in 2020: the meth-odology and results of monthly monitoring. EKO, 2021, no. 7 (565), pp. 111–128. DOI: 10.30680/ECO0131-7652-2021-7-111-128 (in Russian).
  28. Skokov R.Yu., Rogachev A.F. Human development and alcohol consumption: state and relationship in Russian regions. Regionologiya, 2022, vol. 30, no. 2 (119), pp. 342–358. DOI: 10.15507/2413-1407.119.030.202202.342-358 (in Russian).
  29. Kleyn S.V., Onishchenko G.G., Zaitseva N.V., Glukhikh М.V. Life expectancy at birth in RF regions with diriment sanitary-epidemiological wellbeing and different lifestyles. Management reserves. Health Risk Analysis, 2022, no. 4, pp. 18–32. DOI: 10.21668/health.risk/2022.4.02.eng
  30. Sitnikov A.V., Romanov M.V., Odaev T.H. Religiosity in the Chechen Republic and its influence on social and political. Monitoring obshchestvennogo mneniya: ekonomicheskie i sotsial'nye peremeny, 2019, no. 2 (150), pp. 157–183. DOI: 10.14515/monitoring.2019.2.08 (in Russian).
  31. Zasimova L., Kolosnitsyna M. Exploring the relationship between drinking preferences and recorded and unrecorded alcohol consumption in Russian regions in 2010–2016. Int. J. Drug Policy, 2020, vol. 82, pp. 102810. DOI: 10.1016/j.drugpo.2020.102810
  32. Malkina M.Yu. Resilience of the Russian regional economies to the 2020 pandemic. Prostranstvennaya ekonomika, 2022, vol. 18, no. 1, pp. 101–124. DOI: 10.14530/se.2022.1.101-124 (in Russian).
Accepted for publication: 

You are here