Alcohol-attributable and alcohol-preventable mortality in Italy -: A balance in 1983 and 1996
Alcohol-attributable and alcohol-preventable mortality in Italy -: A balance in 1983 and 1996
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DOI：
10.1093/eurpub/12.3.214
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发表时间：
2002-09-01
影响因子：
4.4
通讯作者：
Aricò, S
中科院分区：
文献类型：
--
作者：
Corrao, G;Rubbiati, L;Aricò, S
背景：自1970年代中期以来，意大利和其他发达国家的酒精消费量显著减少。对1983年和1996年意大利与酒精有关的死亡率进行了估计。研究方法：酒精可归因的和酒精可预防的死亡是通过以下方式估计的：i）来自两项意大利调查的饮酒者流行率数据; ii）调查酒精摄入量与几种与酒精正相关和负相关的疾病风险之间关系的荟萃回归模型的参数; iii）21种酒精相关疾病的死亡人数。结果如下：1983年和1996年分别有68，000和42，000人死于饮酒，其中大部分死于出血性中风、肝硬化、癌症和受伤。约有6，600例冠心病死亡是由酒精预防的。低摄入量（25克/天或更少）导致约30%的死亡可归因于妇女的任何消费。在男性中，大约一半的死亡归因于最高类别的摄入量（100克/天或更多），而较低比例的死亡归因于摄入量不足（近7%）。1996年，因摄入少量食物而造成的死亡人数和因摄入少量食物而避免的死亡人数大致相同（分别为5，400人和5，200人），差别不大。结论：在意大利，由于饮酒导致的死亡人数估计仍然远远超过男女预防人数。尽管有保护心脏的作用，酒精消费仍然是意大利的一个主要公共卫生问题。应实施预防酒精相关问题的人口和高风险战略。
Background: Since the mid-1970s, a striking reduction in alcohol consumption has been observed in Italy and other developed countries. Alcohol-related mortality in Italy has been estimated for 1983 and 1996. Methods: Alcohol-attributable and alcohol-preventable deaths were estimated by: i) data on prevalence of drinkers from two Italian surveys; ii) the parameters of meta-regression models investigating the relationship between alcohol intake and the risk of several conditions positively and negatively related to alcohol; and iii) the number of deaths from 21 alcohol-related conditions. Results: About 68,000 and 42,000 deaths were attributed to alcohol consumption in 1983 and in 1996 respectively, mostly from hemorrhagic stroke, liver cirrhosis, cancer, and injuries. About 6,600 deaths from coronary heart disease were prevented by alcohol. Light intake (25 g/day or less) caused about 30% of deaths attributable to any consumption in women. In men, about one-half of the deaths were attributable to the highest category of intake (100 g/day or more), while a lower proportion of deaths was attributed to light intake (almost 7%). In 1996 the number of the deaths caused and those prevented by light intake was approximately the same (5,400 and 5,200 respectively) and did not significantly differ. Conclusion: The estimated number of deaths attributable to alcohol consumption in Italy still far exceeds the number prevented for both women and men. Despite the cardiac protective effect, alcohol consumption remains a major public health problem in Italy. Both population and high risk strategies in preventing alcohol-related problems should be implemented.