Alcohol consumption in Russia

Alcohol consumption in Russia remains among the highest in the world. According to a 2011 report by the World Health Organization, annual per capita consumption of alcohol in Russia was about 15.76 litres, the fourth-highest volume in Europe.[1] Another dangerous trait of Russian alcohol consumption pattern was the high volume of spirits compared with other alcoholic drinks (such as beer or red wine).[2]

Russia currently implements a variety of anti-alcoholism measures (banning spirits and beer trade at night, raising taxes, and others). According to medical officials, these policies have resulted in a considerable fall of alcohol consumption volumes, to 13.5 litres by 2013, with wine and beer overtaking spirits as the main source of beverage alcohol.[3] These levels are comparable with European Union averages. Alcohol producers claim that falling legal consumption is accompanied by growth in sales of illegally produced drink.[4]

High volumes of alcohol consumption have serious negative effects on Russia's social fabric and bring political, economic and public health ramifications. Alcoholism has been a problem throughout the country's history because drinking is a pervasive, socially acceptable behaviour in Russian society[5] and alcohol has also been a major source of government revenue for centuries. It has repeatedly been targeted as a major national problem,[6][7] with mixed results. Alcoholism in Russia has according to some authors acquired a character of a national disaster[8][9] and has the scale of a humanitarian catastrophe.[10]

History

Legend holds that the tenth-century Russian prince Vladimir the Great rejected Islam as a state religion for the country because of its prohibition of alcohol.[11] Historically, alcohol has been tolerated or even encouraged as a source of revenue.[12]

In the 1540s, Ivan IV began setting up kabaks (кабак) or taverns in his major cities to help fill his coffers;[12][13] a third of Russian men were in debt to the kabaks by 1648.[13] By 1860, vodka, the national drink, was the source of 40% of the government's revenue.[13] At the beginning of World War I, prohibition was introduced in the Russian Empire, limiting the sale of hard liquor to restaurants.

20th century

In 1909 average alcohol consumption was said to be 11 bottles per capita per year. An estimated 4% of the population of St.Petersburg were estimated to be alcoholics in 1913.[14]

After the Bolshevik Party came to power, they made repeated attempts to reduce consumption in the Soviet Union.[12] However, by 1925, vodka had reappeared in state-run stores.[13] Joseph Stalin reestablished a state monopoly to generate revenue.[12]

Soviet leaders Nikita Khrushchev,[15] Leonid Brezhnev,[15] Yuri Andropov, and Konstantin Chernenko all tried to stem alcoholism.[12] Mikhail Gorbachev increased controls on alcohol in 1985;[16] he attempted to impose a partial prohibition, which involved a massive anti-alcohol campaign, severe penalties against public drunkenness and alcohol consumption, and restrictions on sales of liquor. The campaign was temporarily successful in reducing per capita alcohol consumption and improving quality-of-life measures such as life expectancies and crime rates, but it was deeply unpopular among the population and it ultimately failed.

21st century

In 2006, a new alcohol excise stamp known as the EGAIS system was introduced, allowing to identify every bottle sold in Russia through a centralized data system.[17]

In 2010, Russian President Dmitry Medvedev nearly doubled the minimum price of a bottle of vodka in an effort to combat the problem.[18]

In 2012, a national ban on sales of all types of alcoholic beverages from 11 p.m. to 8 a.m. was introduced to complement regional bans [19].

The Russian government has proposed reducing the state minimum price of vodka in reaction to the 2014–15 Russian financial crisis.[20]

In December 2016, 49 people in Irkutsk died in a mass methanol poisoning.[21] Medvedev reacted by calling for a ban on non-traditional alcoholic liquids like the bath lotion involved in this case, stating that "it's an outrage, and we need to put an end to this".[22]

Impact

Disability-adjusted life year for alcohol use disorders per 100,000 inhabitants in 2004.
  no data
  <50
  50-170
  170-290
  290-410
  410-530
  530-650
  650-770
  770-890
  890-1010
  1010-1130
  1130–1250
  >1250

Demographic

A study by Russian, British and French researchers published in The Lancet scrutinized deaths between 1990 and 2001 of residents of three Siberian industrial towns with typical mortality rates and determined that 52% of deaths of people between the ages of 15 and 54 were the result of alcohol abuse.[23] Lead researcher Professor David Zaridze estimated that the increase in alcohol consumption since 1987 has caused an additional three million deaths nationwide.[23]

In 2007, Gennadi Onishenko, the country's chief public health official, voiced his concern over the nearly threefold rise in alcohol consumption over the past 16 years; one in eight deaths was attributed to alcohol-related diseases, playing a major role in Russia's population decline.[16] Men are particularly hit hard: according to a U.N. National Human Development Report, Russian males born in 2006 had a life expectancy of just over 60 years, or 17 years fewer than western Europeans, while Russian females could expect to live 13 years longer than their male counterparts.[24]

In June 2009, the Public Chamber of Russia reported over 500,000 alcohol-related deaths annually, noting that Russians consume about 18 litres (4.0 imp gal; 4.8 US gal) of spirits a year, more than double the 8 litres (1.8 imp gal; 2.1 US gal) that World Health Organization experts consider dangerous.[25]

Economic

In 1985, at the time of Gorbachev's campaign to reduce drinking, it was estimated that alcoholism resulted in $8 billion in lost production.[26]

Social

In the early 1980s, an estimated "two-thirds of murders and violent crimes were committed by intoxicated persons; and drunk drivers were responsible for 14,000 traffic deaths and 60,000 serious traffic injuries".[15] In 1995, about three quarters of those arrested for homicide were under the influence of alcohol, and 29% of respondents reported that children beaten within families were the victims of drunks and alcoholics.[27]

A 1997 report published in the Journal of Family Violence found that among male perpetrators of spousal homicide, 60–75% of offenders had been drinking prior to the incident.[27]

Suicide

In 2008, suicide claimed 38,406 lives in Russia.[28] With a rate of 27.1 suicides per 100,000 people, Russia has one of the highest suicide rates in the world, although it has been steadily decreasing since it peaked at around 40 per 100,000 in the mid-late '90s,[29] including a 30% drop from 2001 to 2006.

Heavy alcohol use is a significant factor in the suicide rate, with an estimated half of all suicides a result of alcohol abuse. This is evident by the fact that Russia's suicide rate since the mid-90s has declined alongside per capita alcohol consumption, despite the economic crises since then; alcohol consumption is more of a factor than economic conditions.[30]

Treatment

Prophylactoriums, medical treatment centres, were established in 1925 to treat alcoholics and prostitutes. By 1929 there were five in Moscow.[31] Chronic alcoholics evading treatment were detained for up to two years.[32]

From the 1930s and 1940s until the mid-1980s, the main treatment for alcoholism in Russia was conditioned response therapy. This treatment has since fallen out of favour, and the modern mainstream treatment has become pharmacotherapy, which involves detailed analyses of each patient, medicinal treatment, psychotherapy, sociotherapy, and other support.[33] Although Alcoholics Anonymous exists in Russia, it lacks support from the government and so is generally dismissed by the Russian population.

One alternative therapy for alcoholism that has been used in Russia is the practice of "coding", in which therapists pretend to insert a "code" into patients' brains with the ostensible effect that drinking even small amounts of alcohol will be extremely harmful or even lethal. Despite not being recommended in Russian clinical guidelines, it has enjoyed considerable popularity. In recent years its use has lessened, due to the spread of information about its ineffectiveness.[34][35]

See also

References

  1. ↑ "Global status reporton alcohol and health - WHO" (PDF). 2011. Retrieved February 26, 2016.
  2. ↑ See, e.g., Korotayev A., Khaltourina D. Russian Demographic Crisis in Cross-National Perspective. Russia and Globalization: Identity, Security, and Society in an Era of Change. Ed. by D. W. Blum. Baltimore, MD: Johns Hopkins University Press, 2008. P. 37-78; Khaltourina, D. A., & Korotayev, A. V. 'Potential for alcohol policy to decrease the mortality crisis in Russia', Evaluation & the Health Professions, vol. 31, no. 3, Sep 2008. pp. 272–281.
  3. ↑ "Россияне стали меньше пить". October 17, 2013. Retrieved February 26, 2016.
  4. ↑ "Анализ алкогольного рынка в 2013 году - рост и падение". RosInvest. March 19, 2014. Retrieved February 26, 2016.
  5. ↑ See, e.g., Korotayev A., Khaltourina D. Russian Demographic Crisis in Cross-National Perspective. Russia and Globalization: Identity, Security, and Society in an Era of Change. Ed. by D. W. Blum. Baltimore, MD: Johns Hopkins University Press, 2008. P. 37-78; Khaltourina, D. A., & Korotayev, A. V. 'Potential for alcohol policy to decrease the mortality crisis in Russia', Evaluation & the Health Professions, vol. 31, no. 3, Sep 2008. pp. 272–281.
  6. ↑ "Russia declares war on alcoholism". RIA Novosti. January 14, 2010.
  7. ↑ "Each of 7 million Russian alcoholics drinks 27 liters of alcohol a year". Pravda. November 9, 2006.
  8. ↑ Заграев Г. Г. Алкоголизм и пьянство в России. Пути выхода из кризисной ситуации //Социологические исследования, № 8, Август 2009, C. 74-84
  9. ↑ Пьянство ставит крест на будущем России // Утро, 05 октября 2009 по материалам ООН: Россия перед лицом демографических вызовов — М., ПРООН, 2009, 208 страниц
  10. ↑ Халтурина Д. А., Коротаев А. В. Алкогольная катастрофа и возможности государственной политики в Преодоление алкогольной сверхсмертности в России М., ЛЕНАНД, 2008, 376 страниц ISBN 978-5-9710-0195-9
  11. ↑ Primary Chronicle, year 6494 (986)
  12. 1 2 3 4 5 McKee, Martin (1999). "Alcohol in Russia". Alcohol and Alcoholism. Oxford Journals. 34 (6): 824–829. doi:10.1093/alcalc/34.6.824. PMID 10659717.
  13. 1 2 3 4 Claire Suddath (January 5, 2010). "A Brief History of Russians and Vodka". Time magazine. Archived from the original on 25 May 2010. Retrieved May 10, 2010.
  14. ↑ Khwaja, Barbara (26 May 2017). "Health Reform in Revolutionary Russia". Socialist Health Association. Retrieved 26 May 2017.
  15. 1 2 3 Dorman, Nancy D.; Towle, Leland H. (1991). "Initiatives to curb alcohol abuse and alcoholism in the former Soviet Union". Alcohol Health & Research World.
  16. 1 2 Tony Halpin (April 13, 2007). "Health alert as Russia's alcohol consumption triples". The Times.
  17. ↑ "Russia may soon be booze free". Fin24. 2006-07-27. Retrieved 4 September 2017.
  18. ↑ Kate Transchel (January 18, 2010). "Opinion: Why a $3 bottle of vodka won't cut it". Global Post. Retrieved May 10, 2010.
  19. ↑ Khaltourina, Daria, and Andrey Korotayev. "Effects of Specific Alcohol Control Policy Measures on Alcohol-Related Mortality in Russia from 1998 to 2013." Alcohol and Alcoholism (2015): 2015) 50 (5): 592.
  20. ↑ Petroff, Alanna (December 31, 2014). "Russia slashing vodka prices as economy reels". CNN. Retrieved 1 January 2015.
  21. ↑ Nechepurenko, Ivan (19 December 2016). "In Russia, Dozens Dies After Drinking Alcohol Substitute". The New York Times. Retrieved 19 December 2016.
  22. ↑ Isachenkov, Vladimir (2016-12-19). "Alcohol poisoning death toll in Russian city rises to 49". Associated Press. Retrieved 2016-12-19.
  23. 1 2 Zaridze, David; Brennan, Paul; Boreham, Jillian; Boroda, Alex; Karpov, Rostislav; Lazarev, Alexander; Konobeevskaya, Irina; Igitov, Vladimir; et al. (2009). "Alcohol and cause-specific mortality in Russia: a retrospective case—control study of 48 557 adult deaths". The Lancet. 373 (9682): 2201–2214. doi:10.1016/S0140-6736(09)61034-5. PMC 2715218. PMID 19560602.
  24. ↑ "Alcohol blamed for half of '90s Russian deaths". Associated Press. June 25, 2009. Retrieved May 10, 2010.
  25. ↑ "Russia's alcohol consumption more than 100% above critical level". RIA Novosti. September 24, 2009.
  26. ↑ John Moody; James O. Jackson; Nancy Traver (October 21, 1985). "Soviet Union Fighting the Battle of the Bottle". Time magazine. Retrieved May 12, 2010.
  27. 1 2 "Interpersonal Violence and Alcohol in the Russian Federation" (PDF). Violence and Injury Prevention Programme - WHO Regional Office for Europe. 2006. Retrieved February 26, 2016.
  28. ↑ H1 2009 demographic figures Archived 2012-02-18 at the Wayback Machine. Rosstat Retrieved on August 28, 2009
  29. ↑ WHO Russia suicide statistics WHO retrieved on March 21, 2008
  30. ↑ Demoscope - Demographic, social and economic consequences of alcohol abuse in Russia Demoscope Retrieved on July 6, 2010
  31. ↑ Khwaja, Barbara (26 May 2017). "Health Reform in Revolutionary Russia". Socialist Health Association. Retrieved 26 May 2017.
  32. ↑ Jargin, Sergei (27 July 2006). "Learning from the Russians". British Medical Journal. Retrieved 29 May 2017.
  33. ↑ Treatment systems overview. Strasbourg: Council of Europe Publishing. 2010. pp. 127–128. ISBN 978-92-871-6930-3. Retrieved June 14, 2011.
  34. ↑ Mosher, Clayton (2007). Drugs and Drug Policy. Thousand Oaks: Sage. p. 269. ISBN 978-0-7619-3007-5. Retrieved June 9, 2011.
  35. ↑ Finn, Peter (October 2, 2005). "Russia's 1-Step Program: Scaring Alcoholics Dry". Washington Post. Retrieved June 9, 2011.

Further reading

  • WHO (2004). "Country Profiles. Russian Federation" (PDF). WHO Global Status Report on Alcohol .
  • Jargin, SV (2010). "On the causes of alcoholism in the former Soviet Union". Alcohol and Alcoholism. 45 (1): 104–5. doi:10.1093/alcalc/agp082.
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