[1][2][3][4][5] In Russia, starting in 1988, birth rates among native Russians (as well as most other ethnic groups of the European part of the former Soviet Union) were declining, while from 1991 (when Soviet Union collapsed) the death rates started climbing.
[13] It has been demonstrated that this is connected with the fact that post-Soviet Russia experiences one of the world's highest prevalences of alcohol-related diseases, contributing to high mortality rates in this region.
Reduction in alcohol-related problems in Russia could have strong effects on mortality decline.
Andrey Korotayev and Daria Khaltourina have analyzed the plausibility of the application of general principles of alcohol policy to the Russian Federation.
[14] Other factors explaining the Russian cross include: The Russian cross is not confined to Russia, as it has also happened in other countries, most commonly with the fall of the Soviet Union (as in Russia): Belarus, Bulgaria, Estonia, Latvia, Lithuania, Romania, Serbia, and Ukraine.