Health and Health Care in the New Russia

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This volume explores the nature of health and health-care experiences in Russia by comparing societies and communities with different socio-cultural conditions. Key questions addressed by the authors include: How do Russians understand health and what are the factors that influence this understanding? How does this influence Russian self-treatment and prevention behaviour? What are the effects of poverty and standards of living on health? And, how do Russians seek and get access to medical care?These themes were explored through the collection of original data from households in three Russian cities: Moscow, Voronezh and Kazan - the same households interviewed for the authors' earlier work on work and welfare, and poverty and social exclusion. Such a longitudinal follow-up of the same households over 10 years is a unique achievement. In addition questions were identified for inclusion in the 2005 Russian Longitudinal Monitoring Survey, conducted by University of North Carolina, Chapel Hill.This book is especially valuable for its collection of original data following a period of rapidly worsening health status amongst the Russian population and a grave decline in male life expectancy. The findings are set within the context of experience from Finland and the UK, allowing the authors to explore the challenge of the Russian health-care crisis to Western European models of health status and health care.

Author(s): Nick Manning, Nataliya Tikhonova
Year: 2009

Language: English
Pages: 352

Contents......Page 6
List of Figures......Page 8
List of Tables......Page 10
Notes on Contributors......Page 14
Preface......Page 16
1 Social Policy and the Health Crisis in the New Russia......Page 20
Part I Health Beliefs in the New Russia......Page 44
2 Measuring the Population’s Health......Page 46
3 Understanding Health......Page 72
Part II Health and Social Structure......Page 96
4 Inequalities and Health......Page 98
5 Poverty in Post-Reform Russia......Page 116
6 Poverty and Health: The Longitudinal Experience......Page 138
7 Health and Employment......Page 166
Part III Health and Social Action......Page 190
8 Access to Health Care and Self-Care......Page 192
9 Health Behaviour......Page 220
10 Gender, Health and Poverty......Page 246
11 Life Stories of Ten Russian Households: The Sequence of Events over Ten Years of Reform......Page 270
Appendix Project Methodology......Page 292
Bibliography......Page 314
Index......Page 326