Contribution of excessive alcohol consumption to deaths and years of potential life lost in the United States.

Contribution of excessive alcohol consumption to deaths and years of potential life lost in the United States.
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DOI:
10.5888/pcd11.130293
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发表时间:
2014-06-26
影响因子:
5.5
通讯作者:
Zhang X
Zhang X
中科院分区:
医学3区
文献类型:
--
作者:
Stahre M;Roeber J;Kanny D;Brewer RD;Zhang X

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在美国,过度饮酒是导致过早死亡的主要原因。本研究的目的是更新美国酒精所致死亡(AAD)和潜在寿命损失年数(YPLL)的全国估计值,计算各州AAD和YPLL的年龄调整率,评估AAD和YPLL对工作年龄成年人总死亡和YPLL的贡献,并估计21岁以下人群的死亡人数和YPLL。我们使用2006-2010年美国疾病控制和预防中心的酒精相关疾病影响应用程序,按性别和年龄估计美国54种疾病的总AAD和YPLL。计算了美国和各州的AAD和YPLL率以及工作年龄成年人(20-64岁)过度饮酒导致的总死亡比例。从2006年到2010年,美国平均每年发生87,798例(27.9/100,000人口)AAD和250万例(831.6/100,000)YPLL。经统计学调整的州AAD率范围为新墨西哥州的51.2/100,000至新泽西的19.1/100,000。在工作年龄的成年人中,在此期间美国所有死亡的9.8%可归因于过量饮酒,所有AAD的69%涉及工作年龄的成年人。在美国,每10名工作年龄的成年人中就有1人死于过度饮酒。AAD率因州而异,但过量饮酒仍然是全国过早死亡的主要原因。社区预防服务工作队建议的策略可以帮助减少过度饮酒和与之相关的危害。
Excessive alcohol consumption is a leading cause of premature mortality in the United States. The objectives of this study were to update national estimates of alcohol-attributable deaths (AAD) and years of potential life lost (YPLL) in the United States, calculate age-adjusted rates of AAD and YPLL in states, assess the contribution of AAD and YPLL to total deaths and YPLL among working-age adults, and estimate the number of deaths and YPLL among those younger than 21 years. We used the Centers for Disease Control and Prevention’s Alcohol-Related Disease Impact application for 2006–2010 to estimate total AAD and YPLL across 54 conditions for the United States, by sex and age. AAD and YPLL rates and the proportion of total deaths that were attributable to excessive alcohol consumption among working-age adults (20-64 y) were calculated for the United States and for individual states. From 2006 through 2010, an annual average of 87,798 (27.9/100,000 population) AAD and 2.5 million (831.6/100,000) YPLL occurred in the United States. Age-adjusted state AAD rates ranged from 51.2/100,000 in New Mexico to 19.1/100,000 in New Jersey. Among working-age adults, 9.8% of all deaths in the United States during this period were attributable to excessive drinking, and 69% of all AAD involved working-age adults. Excessive drinking was responsible for 1 in 10 deaths among working-age adults in the United States. AAD rates vary across states, but excessive drinking remains a leading cause of premature mortality nationwide. Strategies recommended by the Community Preventive Services Task Force can help reduce excessive drinking and harms related to it.
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