Population mortality in the central Russia municipalities

The Central Federal District (CFD) is the most populous district in Russia, as of the beginning of 2021, 27% of the Russian population lived out there. However, the CFD mortality rate is characterized by a significant variation across different territories of the District. The purpose of this study is to assess the CFD territorial differentiation of mortality rate based on life expectancy with a breakdown on municipalities in 2010-2019. Life expectancy by CFD municipality and urban district was based on information about population size of the CDF municipalities and urban districts, obtained from the database on municipalities for the period 2010-2020 and individual non-personalized Rosstat (Federal State Statistics Service) data on cause-of-death mortality. A total of 326 municipalities and 63 urban districts were included in the analysis. A total of 11.5 thousand life tables were developed. The analysis shows a significant differentiation of mortality rate at the municipal level. Even though the CFD life expectancy is above the Russian average mainly due to high levels of life expectancy in Moscow, the vast majority of the CFD municipalities report a life expectancy below the Russian average. The worst situation with mortality in the CFD is developed in municipalities with a population of less than 10 thousand people. The main factor for a high gap in life expectancy across territories and gender is a high male mortality in working ages. There are significant reserves of for life expectancy growth within the CFD. These reserves are concentrated in the regional capitals with adjacent municipalities, as well as other large municipalities with a population over 100 thousand people.