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The stark reality underlying this shift was that mortality among Russian men had increased by 60% since 1991 -- four to five times higher than the European average -- contributing to the precipitous decline in life expectancy among males, to a low of 58 years in 2004 from the peak of 65 years in 1964, while women lived 14 years longer

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In the classroom setting and with the absence of schoolteachers, the well-trained fieldworkers verbally briefed the students on the logistic and anonymous nature of the survey