Heavy alcohol consumption contributes to numerous problems in Russia, not the least of which is a very high death rate.
In an ongoing study of 25- to 54-year-old Russian men living in an industrial city, researchers have discovered that a significant proportion consume "surrogate" alcohols, otherwise known as products containing alcohol that are not legally sold for consumption. Researchers have now analyzed the contents of these surrogate alcohol products, finding either high alcohol content or toxic contaminants. Results are published in the October issue of Alcoholism: Clinical & Experimental Research.
"During the past decade we have been investigating reasons for the very high death rate among Russians," said Martin McKee, professor of European public health at the London School of Hygiene and Tropical Medicine. "We have been looking in detail at men in Izhevsk, a city in central Russia. While we confirmed what we already knew, that a lot of vodka is drunk in Russia, we also found that … a surprisingly large number of people - seven percent - were drinking substances containing alcohol but not meant to be drunk. We then decided to find out what was in these substances."
"History has shown us that alcohol plays an important role in life, health and death in Russia," added Vladimir M. Shkolnikov, laboratory chief at the Max Planck Institute for Demographic Research in Rostock, Germany. "For example, Mikhail Gorbachev's anti-alcohol campaign that was launched in May 1985; it included heavy reductions in alcohol production and sales, an increase in alcohol prices, a strengthening of mandatory treatment of alcoholism, and enforcement of measures against home production. Results were swift. From 1985 to 1987, life expectancy increased by 3.2 years for men, and 1.4 years for women, after two decades of a continuously slow decline."
In 1992, however, economic reforms led to a liberalization of alcohol prices and few, if any, restrictions on alcohol sales. "Hard liquor became available 24 hours a day," said Shkolnikov. "Consequently, from 1992 to 1994, life expectancy decreased by 4.7 years for men and 3.4 years for women, largely due to accidents and violence, alcohol-related causes, and cardiovascular deaths."
For the current study, researchers analyzed the surrogate products being consumed, dividing them into three broad groups: "samogon" (home-produced spirits, also known as "moonshine" in North America); medicinal compounds, essentially tinctures containing herbal remedies; and other spirits (mainly aftershave products and cleaning fluids). Commercially produced vodkas were used for content comparison.
The results indicate that a significant proportion of Russian men are drinking products that have either very high concentrations of ethanol, or contaminants known to be toxic.
"We found that home-made alcohol had about the same amount of alcohol as vodka, but also contained a number of more toxic alcohols that could cause damage to the heart and liver," said McKee. "The medicinal substances were about one and a half times as strong as vodka. The third group, including products such as aftershaves, was more than twice as strong as vodka."
Both McKee and Shkolnikov believe the study results are highly applicable to other regions in Russia.
"In the early 1980s," said Shkolnikov, "it was estimated that samogon constituted about one third of the total amount of alcohol consumed in Russia. Its production was largely concentrated in the countryside. Samogon consumption is, of course, in addition to other alcohol surrogates such as eau de colognes, aftershaves, and medicinal compounds."