Differential trends in alcohol-related mortality:: A register-based follow-up study in Finland in 1987-2003
Differential trends in alcohol-related mortality:: A register-based follow-up study in Finland in 1987-2003
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DOI：
10.1093/alcalc/agl099
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发表时间：
2007-09-01
影响因子：
2.8
通讯作者：
Martikainen, Pekka
中科院分区：
文献类型：
--
作者：
Herttua, Kimmo;Makela, Pia;Martikainen, Pekka
目的：评估1987 - 2003年芬兰与酒精有关的死亡率在多大程度上随年龄、性别和教育程度而变化，这一时期有两个经济增长期，中间间隔着一次严重的经济萧条（1991 - 1995年）。方法：对所有15岁以上的芬兰男性和女性进行基于登记的随访研究。在1985年、1990年、1995年和2000年的人口普查中测量了参与者的年龄、性别和教育程度。死亡率随访时间为1987年至2003年。结果测量是与酒精相关的死亡率，这是使用死亡的潜在原因和促成原因的信息来定义的。结果：在45岁及以上的男性和女性中，与酒精相关的死亡率趋势与经济周期有关。在45岁以下的人群中，与酒精有关的死亡率从20世纪90年代初开始下降，但与中毒有关的事故和暴力仍然是过早死亡的主要原因。对老年男子不利的趋势是由于直接由酒精引起的疾病、与酒精有关的循环系统疾病以及事故和暴力造成的死亡率增加，对老年妇女不利的趋势是由于与中毒有关的事故和暴力以及酒精引起的疾病造成的死亡率增加。在受教育程度较低的群体中，与酒精有关的死亡率较高，在妇女中，受教育程度的差距在研究期结束时扩大了。结论：本研究表明，在所有人口亚组中，经济状况和人均酒精消费量的趋势与酒精相关死亡率的趋势无关。在卫生政策方面，应更加注意与酒精有关的死亡率在性别、年龄和教育程度方面的不同趋势。
Aims: To assess to what extent alcohol-related mortality has changed by age, sex and education in Finland in 19872003, a period which saw two periods of economic growth, separated by a severe depression (19911995). Methods: A register-based follow-up study of all over 15-year-old Finnish men and women. Age, sex and education of the participants were measured at the time of the 1985, 1990, 1995 and 2000 censuses. Follow-up for mortality was for 1987--2003. The outcome measure was alcohol-related mortality, which was defined using information on the underlying and contributory causes of death. Results: Among men and women aged 45 years and over, the trends in alcohol-related mortality were associated with economic cycles. Among those aged less than 45 years, alcohol-related mortality decreased from the early 1990s, but intoxication-related accidents and violence still contributed largely to premature mortality. The unfavourable trend for older men resulted from an increase in mortality due to directly alcohol-attributable diseases, alcohol-related diseases of the circulatory system and accidents and violence, and for older women from an increase due to intoxication-related accidents and violence, and alcohol-attributable diseases. Alcohol-related mortality was higher in lower educational groups, and among women the educational gap widened towards the end of the study period. Conclusion: This study shows that trends in both economic conditions and per capita consumption of alcohol are not associated with trends in alcohol-related mortality in all population subgroups. In health policy more attention should be paid to divergent trends in gender, age and education specific alcohol-related mortality.