IJE Advance Access originally published online on April 12, 2007
International Journal of Epidemiology 2007 36(2):468-469; doi:10.1093/ije/dym057
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Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2007; all rights reserved.
Commentary: The role of alcohol in mortality differences between European countries
Centre for Health Equity Studies, CHESS, Stockholm University/Karolinska Institute.
E-mail: denny.vagero@chess.su.se
Accepted 6 March 2007
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Mortality trends in European countries have diverged since the late 1960s mainly because of the long period (1968–84) of health stagnation in the countries that once made up communist Europe coupled with steady health improvements in the West. Perestroika and the anti-alcohol policies of Gorbachev in the mid-1980s led to an abrupt break in this pattern in the East which was almost immediately followed by the collapse of the communist system in 1989–91. This in turn led to an immediate widening of health differences between East and West. Today differences are still large—life expectancy for men differs by almost two decades between the European Union (EU) (15 old members) and Russia. However, the
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