Key result
Premature CVD mortality in the NIS remains ~5 times higher than in the EU.
Why the study?
Reducing non-communicable disease premature mortality by one-third by 2030 is a UN Sustainable Development Goal, prompting evaluation of mortality profiles and progress in the Newly Independent States of the former Soviet Union compared to the European Union.
Observational
Despite significant reductions in premature CVD mortality in the former Soviet Union between 2000 and 2019, CVD remains the leading cause of premature death with rates five times higher than in the EU.
BACKGROUND: A reduction in non-communicable diseases premature mortality by one-third by 2030 is one of the targets of the UN Sustainable Development Goals (SDG3.4). We examined the mortality profiles in the Newly Independent States of the former Soviet Union (NIS) and the European Union (EU) and assessed progress in reductions of premature mortality from cancer, as compared to cardiovascular disease (CVD). METHODS: We used WHO's Global Health Estimates and GLOBOCAN 2020 to examine current mortality profiles and computed the unconditional probabilities of dying at ages 30-70 from CVD and cancer for the years 2000-19 in both sexes, using a linear extrapolation of this trend to predict whether the target of a one-third reduction, as set in 2015, would be met in 2030. RESULTS: CVD was the main cause of premature death in the NIS (43%), followed by cancer (23%), inversely from the EU with 42% cancer and 24% CVD deaths. The NIS achieved major reductions in premature CVD mortality, although the probabilities of death in 2019 remained about five times higher in the NIS compared to the EU. For cancer, mortality reductions in most NIS were quite modest, other than large declines seen in Kazakhstan (44%) and Kyrgyzstan (30%), with both on course to meet the 2030 target. CONCLUSIONS: Limited progress in cancer control in the NIS calls for policy action both in terms of structural changes towards universal health coverage, and scaling up of national cancer control plans, including a shift from opportunistic to evidence-based early detection practices.
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Znaor et al. (2022) conducted an observational in Premature mortality from cancer and cardiovascular disease. Residence in the Newly Independent States (NIS) vs. Residence in the European Union (EU-27 + 1) was evaluated on Unconditional probability of dying between ages 30 and 70 years from CVD and cancer. Between 2000 and 2019, cardiovascular disease was the leading cause of premature death in the NIS (43%), with mortality probabilities remaining about five times higher than in the EU.
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