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BMJ 2003;326 (7 June), doi:10.1136/bmj.326.7401.0-e
During the economic breakdown in Russia in the 1990s the greatest increases in mortality were among men with little education. Plavinski and colleagues (p 1240) used data from two prospective cohorts generated from voting lists in Leningrad (now Saint Petersburg) during the mid-1970s and 1980s. They found that men with university degrees were unaffected by the increased mortality, whereas men with less than high school education were most affected. Low education is a risk for mortality that cannot be fully explained by other risk factors, particularly during times of economic trouble.
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GLEB GARANICH/REX
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