Recent demographic trends in Russia have caused widespread public concern. Russia is experiencing unusually high death rates from nonnatural causes, many related to alcoholism. Life expectancy, especially among working-age males, has dropped precipitously. The Russian fertility rate has declined to among the world's lowest, while its abortion rate is the highest. As a result, for the first time in Russian history, the annual number of deaths has exceeded the number of births. Compounding these challenges, the population is aging rapidly--a trend that will accelerate over the next two decades--and immigration continues to increase, posing thorny political and social problems for a nation historically accustomed to a net outflow of people.
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