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Between ‘Pioneers’ of the Cardiovascular Revolution and Its ‘Late Followers’: Mortality Changes in the Czech Republic and Poland Since 1968

Author

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  • Agnieszka Fihel

    (Université Paris Nanterre
    University of Warsaw)

  • Marketa Pechholdová

    (University of Economics
    INED)

Abstract

After several decades of stagnation, mortality in most Central European countries started to decrease after 1989. The Czech Republic and Poland were the first former Communist countries in this region to experience a rapid and sustained increase in life expectancy. This study focuses on the trends in cause-of-death mortality that have contributed to the recent progress in these two countries. The analysis is based on the cause-of-death time series (1968–2013) reconstructed in accordance with the 10th ICD revision, which makes the data fully comparable over the full period under study. Actual trends in cause-specific mortality are presented, and age, sex and causes of death components of life expectancy changes are disentangled. In both countries, the reduction in cardiovascular mortality at adult and old ages was crucial for the increase in life expectancy after 1991. Results are discussed in the context of institutional changes that occurred after the fall of Communism, such as the reorientation of health policies and the emergence of non-governmental organizations. Changes in health-related attitudes and behaviours as well as structural changes in societies, notably the rising share of persons with tertiary education, are also discussed.

Suggested Citation

  • Agnieszka Fihel & Marketa Pechholdová, 2017. "Between ‘Pioneers’ of the Cardiovascular Revolution and Its ‘Late Followers’: Mortality Changes in the Czech Republic and Poland Since 1968," European Journal of Population, Springer;European Association for Population Studies, vol. 33(5), pages 651-678, December.
    • Handle: RePEc:spr:eurpop:v:33:y:2017:i:5:d:10.1007_s10680-017-9456-y
    DOI: 10.1007/s10680-017-9456-y
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    References listed on IDEAS

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    Cited by:

    1. Paola Bertoli & Veronica Grembi, 2021. "Mortality Inequality in the Czech Republic," Fiscal Studies, John Wiley & Sons, vol. 42(1), pages 171-191, March.
    2. José Manuel Aburto & Alyson van Raalte, 2018. "Lifespan Dispersion in Times of Life Expectancy Fluctuation: The Case of Central and Eastern Europe," Demography, Springer;Population Association of America (PAA), vol. 55(6), pages 2071-2096, December.
    3. Rok Hrzic & Tobias Vogt & Helmut Brand & Fanny Janssen, 2021. "The Short-Term Effects of European Integration on Mortality Convergence: A Case Study of European Union’s 2004 Enlargement," European Journal of Population, Springer;European Association for Population Studies, vol. 37(4), pages 909-931, November.
    4. Tóth, Csaba G., 2025. "A New Approach to Understanding Population Change in Central and Eastern Europe," SocArXiv 3qn82_v1, Center for Open Science.

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