Regularities in the gender gap in life expectancy at birth in European post-communist countries

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Tomasz Michalski
Wioletta Szymańska


The aim of the article is to find patterns in the gender gap in life expectancy at birth in European post-communist countries. The analysis covers the years 1990–2018. Larger differences occur in the countries of the former USSR, smaller ones on the Balkan Peninsula. Belonging to the USSR (larger gap) and the Ottoman Empire (smaller gap) in the past has a great influence of the gender gap. In half of the analysed countries, the gender gap decreased. In a quarter, after an initial increase, there was also a decrease in the gender gap (some countries of the former USSR). Moreover, in a quarter of the countries, these changes were ambiguous (some countries on the Balkan Peninsula). One can see here the impact of an improving economic situation of the population. An attempt to link the gender gap and life expectancy with the ’homo-sovieticus’ requires further research.

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Michalski, T., & Szymańska, W. (2020). Regularities in the gender gap in life expectancy at birth in European post-communist countries. Studia Demograficzne, (2(178), 35-52.
Original research papers & review papers


[1] Barrett, J. B., & Buckley, C. (2009). Gender and Perceived Control in the Russian Federation. Europe-Asia Studies, 61 (1), 29–49,
[2] Brainerd, E. (1998). Market Reform and Mortality in Transition countries. World Development, 26 (11), 2013–2027.
[3] Cockerham, W. C. (1997). The Social Determinants of the Decline of Life Expectancy in Russia and Eastern Europe: A Lifestyle. Journal of Health and Social Behavior, 38 (2), 117–130.
[4] Cockerham, W. C., Hinote, B. P., & Abbott, P. (2006). Psychological distress, gender, and health lifestyles in Belarus, Kazakhstan, Russia and Ukraine. Social Science & Medicine, 63, 2381–2394.
[5] Czarniawska, B. (2014). Social Science Research: From Field to Desk. Los Angeles: SAGE Publications.
[6] Dursteler, E. (2016). Fleeing “the Vomit of Infidelity”: Borders, Conversion, and Muslim Women’s Agency. In: Ch. Isom-Verhaaren, K. F. Schull (Eds.), Living in the Ottoman Realm: Empire and Identity, 13th to 20th Centuries (pp. 182–192). Bloomington: Indiana University Press.
[7] Engel, B. A. (2004). Women in Russia: 1700–2000. Cambridge UK, New York: Cambridge University Press.
[8] Faroqui, S. (2009). The Ottoman Empire: A Short History. Princeton: Markus Wiener Publishers.
[9] Ganev, V. I. (2017). The spectre of Homo post-Sovieticus. Retrieved from: (accessed: March 17, 2019).
[10] Ginter, E., & Simko, V. (2013). Women live longer than men, Bratislavské lekárske listy, 114 (2), 45–49,
[11] Heller, M. (1988). Cogs in the Wheel: The Formation of Soviet Man. New York: Alfred A. Knopf.
[12] Hellwig, Z. (1968). Zastosowanie metody taksonomicznej do typologicznego podziału krajów ze względu na poziom ich rozwoju oraz zasoby i strukturę wykwalifikowanych kadr. Przegląd Statystyczny, 15 (4), 307–327.
[13] Janssen, F. (2020). Changing contribution of smoking to the sex differences in life expectancy in Europe, 1950–2014. European Journal of Epidemiology, online first article,‑x
[14] Kettani, H. (2020). The World Muslim Population: Spatial and Temporal Analyses. Singapore: Jenny Stanford Publishing.
[15] Kia, M. (2008). The Ottoman Empire. Westport: Greenwood Press.
[16] Kolodko, G. W. (2000). From Shock to Therapy. The Political Economy of Postsocialist Transformation. Helsinki, Oxford: UNU/Wider, Oxford University Press.
[17] Kornai, J. (1993). Transformational recession: a general phenomenon examined through the example of Hungary’s development. Economie Applique´e, 46 (2), 181–227.
[18] Kotlebová, E. (2017). Využitie Bayesovských metód pri analýze dostupnosti zdravotnej starostlivosti na Slovensku. Slovenská Štatisticka a Demografia, 27 (3), 34–46.
[19] Kühn, M., Dudel, Ch., Vogt, T., & Oksuzyan, A. (2017). Trends in gender differences in health and mortality at working ages among West and East Germans. MPIDR Working Paper WP, 2017–009. Retrieved from:–009.pdf (accessed: September 16, 2019).
[20] Lankford, P. M. (1974). Comparative Analysis of Clique Identification Methods. Sociometry, 37 (2). 287–305.
[21] Leinsalu, M., Stirbu, I., Vagerö, D., Kladiene, R., Kovács, K., Wojtyniak, B., Wróblewska, W., Mackenbach, J. P., & Kunst, A. E. (2009). Educational inequalities in mortality in four Eastern European countries: divergence in trends during the post-communist transition from 1990 to 2000. International Journal of Epidemiology, 38 (2), 512–525,
[22] Levchuk, N. (2009). Alcohol and mortality in Ukraine. Rostock: Max Planck Institute for Demographic Research.
[23] Loef, M., & Walach, H. (2012). The combined effects of healthy lifestyle behaviors on all cause mortality: A systematic review and meta-analysis. Preventive Medicine, 55 (3),163–170,
[24] Luty, M. (2003). Cause of Male Excess Mortality: Insights from Cloistered Population. Population and Development Review, 29 (4), 647–676.
[25] McCartney, G., Mahmood, L., Leyland, A. H., Batty, G. D., & Hunt, K. (2011). Contribution of smoking-related and alcohol-related deaths to the gender gap in mortality: evidence from 30 European countries. Tobacco Control, 20 (2), 166–168,
[26] McKee, M., & Nolte, E. (2004). Health sector reforms in central and eastern Europe: how well are health services responding to changing patterns of health? Demographic Research, Special Collection 2, 163–182, 10.4054/DemRes.2004. S2.
[27] Mernissi, F. (1991). Women & Islam. Oxford: Blackwell Publishers.
[28] Moran, P. A. P. (1950). Notes on Continuous Stochastic Phenomena. Biometrika, 37 (1/2), 17–23.
[29] O’Donnell, J. S. (1999). A Coming of Age: Albania under Enver Hoxha. New York: Columbia University Press.
[30] Oksuzyan, A., Juel, K., Vaupel, J. W., & Christensen, K. (2008). Men: good health and high mortality. Sex differences in health and aging. Aging Clinical and Experimental Research, 20 (2), 91–102,
[31] Parniewski, W. (1995). Homo Sovieticus (A. Zinowiew, M. Heller, J. Tischner). Acta Universitatis Lodziensis. Folia Litteraria, 37, 135–151.
[32] Pipa, A. (1990). Albanian Stalinism. New York: Boulder.
[33] Ram, B. (1993). Sex differences in mortality as a social indicator. Social Indicator Research, 29, 83–108.
[34] Reid, H. M. (2013). Introduction to Statistics Fundamental Concepts and Procedures of Data Analysis. Thousand Oaks: SAGE Publications.
[35] Republic of North Macedonia. Population: Demographic Situation, Languages and Religions. (2020). Retrieved from: (accessed: June 26, 2020).
[36] Schünemann, J., Strulik, H., & Trimborn, T. (2017). The gender gap in mortality: How much is explained by behavior? Journal of Health Economics, 54, 79–90,
[37] Seligman, B., Greenberg, G., & Tuljapurkar, S. (2016). Convergence in male and female life expectancy: Direction, age pattern, and causes. Demographic Research, 34, 1063– 1074,
[38] Shakarishvili, G. (Ed.). (2005). Decentralization in Healthcare. Analyses and Experiences in Central and Eastern Europe in the 1990s. Budapest: Local Government and Public Service Reform Initiative, Open Society Institute – Budapest.
[39] Skraćene aproksimativne tablice mortaliteta republika srbija 2002–2008. – očekivano trajanje života živorođenih 2001–2003. i 2005–2007. (nivo opština). (2009). Beograd: Republika Srbija Republički zavod za statistiku. Retrieved from: (accessed: May 30, 2020).
[40] Solé-Auró, A., Jasilionis, D, Li, P., & Oksuzyan, A. (2018). Do women in Europe live longer and happier lives than men? European Journal of Public Health, 28 (5), 847–852,
[41] Sundberg, L., Agahi, N., Fritzell, J., & Fors, S. (2018). Why is the gender gap in life expectancy decreasing? The impact of age- and cause-specific mortality in Sweden 1997–2014. International Journal of Public Health, 63, 673–681,
[42] Tischner, J. 1992. Etyka solidarności oraz Homo Sovieticus [Ethics of solidarity and Homo Sovieticus]. Kraków: Znak.
[43] Trias-Llimós, S., & Janssen, F. (2018). Alcohol and gender gaps in life expectancy in eight Central and Eastern European countries. European Journal of Public Health, 28 (4), 687–692,
[44] Trias-Llimós, S., Kunst, A. E., Jasilionis, D., & Janssen, F. (2018). The contribution of alcohol to the East-West life expectancy gap in Europe from 1990 onward. International Journal of Epidemiology, 47 (3), 731–739,
[45] Tukhtarova, E. Kh., Kuzmin, A. I., & Neklyudova, N. P. (2018), Social’no-kul’turnye factory dožitiâ lic mužskogo i ženskogo pola v ekonomičeski aktivnom vozraste: regional’nyj analiz. Ekonomika regiona, 14 (1), 109–122,
[46] Ustryalov, N. (1934). Ot nepa k sovestskomu socjalizmu. Retrieved from: (accessed: May 12, 2019).
[47] World Bank (n.d.). Gender Statistics. Retrieved from: (accessed: May 28, 2020).
[48] World Bank (n.d.). World Development Indicators. Retrieved from: (accessed: June 5, 2020)
[49] World Health Organization Regional Office for Europe (n.d.). European Health for All database (HFA-DB). Retrieved from: (accessed: May 29, 2020).
[50] Zinoviev, A. (1986). Homo Sovieticus. New York: Grave Atlantic.