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Abstract

Mortality data were collected for eight of the nine study countries in the BIOMED–II concerted action “Alcohol Consumption and Alcohol Problems among Women in European Countries”;: Finland, France, Germany, Italy, The Netherlands, the United Kingdom (Scotland), Sweden, and Switzerland. An analysis of mortality that is limited to causes of death that are fully attributable to alcohol (DAA) results in a large underestimation of alcohol–related mortality (ARM) rates in all study countries and especially among females. These estimates can be improved by including an analysis of selected causes of death that are indirectly attributable to alcohol. This produces geographic and time–trend variability of ARM rates that are more congruent with alcohol drinking levels and trends. From this study, it is evident that when German data are analyzed separately for the former German Democratic Republic (GDR) and the former Federal Republic of Germany (FRG), two distinct ARM patterns result. The authors underline methodologic limits of this study and recommend procedures for a more reliable calculation of European ARM estimates.

Keywords

alcohol mortality Europe gender attributable risk

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References

Pollock

, Coleen

, DeStefano

, Moyer

and Kirk

. 1987. Underreporting of alcohol–related mortality on death certificates of young US army veterans. JAMA, 258: 345–348.

Petersson

, Kristensson

, Krantz

, Trell

and Sternby

. 1982. Alcohol–related death: A major contributor to mortality in urban middle aged men. Lancet, ii: 1088–1090.

Agren

and Jakobsson

. 1987. Validation of diagnoses on death certificates for male alcoholics in Stockholm. Forens Sci Int, 33: 231–241.

Riddick

and Luke

. 1978. Alcohol–associated deaths in the District of Columbia—A post–mortem study. J Forensic Sci, 23: 493–502.

World Health Organization. 1996. World Health Statistics, Annual 1995, Geneve: WHO.

Shultz

, Parker

and Rice

. 1989. ARDI: Alcohol–related disease impact software, United States: Centers for Disease Control, Epidemiology Program Office.

Shultz

, Rice

, Parker

, Goodman

, Stroh

Jr and Chalmers

. 1991. Quantifying the disease impact of alcohol use and misuse with ARDI software. Public Health Rep, 106: 443–450.

CDC. 1990. Alcohol–related mortality and years of potential life lost—United States, 1987. MMWR, 39: 173–178.

Comitè National de Defense Contre l'Alcolisme. 1984. Statistiques, Paris, France: CNDCA.

10.

Pignon

and Hill

. 1991. Nombre de décès attributables à l'alcool, en France, en 1985. Gastroenterol Clin Biol, 15: 51–56.

11.

Cipriani

, Balzi

, Sorso

and Buiatti

. 1998. Alcohol–related mortality in Italy. Publ Health, 112: 183–188.

12.

Shultz

, Rice

and Parker

. 1990. Alcohol–related mortality and years of potential life lost—United States, 1987. MMWR, 39: 173–178.

13.

Parker

, Shultz

, Gertz

, Berkelman

and Remington

. 1987. The social and economic costs of alcohol abuse in Minnesota, 1983. Am J Publ Health, 77: 982–986.

14.

Sutocky

, Shultz

and Kizer

. 1993. Alcohol–related mortality in California, 1980 to 1989. Am J Publ Health, 83: 817–823.

15.

Stinson

and Debakey

. 1992. Alcohol–related mortality in United States, 1979–1988. Br J Addict, 87: 777–783.

16.

Romelsjo

, Karlsson

, Henningsohn

and Jakobsson

. 1993. The prevalence of alcohol–related mortality in both sexes: Variation between indicators, Stockholm, 1987. Am J Publ Health, 83: 838–843.

17.

Nashold

and Naor

. 1981. Alcohol–related deaths in Wisconsin: The impact of alcohol on mortality. Am J Publ Health, 71: 1237–1241.

18.

Makela

. 1998. Alcohol–related mortality by age and sex and its impact on life expectancy: Estimates based on the Finnish death register. Eur J Publ Health, 8: 43–51.

19.

Williams

, Grant

, Stinson

, Zobeck

, Aitken

and Noble

. 1988. Trends in alcohol–related morbidity and mortality. Public Health Rep, 103: 592–597.

20.

Heien

and Pittman

. 1989. The economic costs of alcohol abuse: An assessment of current methods and estimates. J Stud Alcohol, 50: 567–579.

21.

Produktschap

Voor

. 1995. “Gedistilleerde Dranken”. In World drink trends, 1995, Oxfordshire, United Kingdom: NTC Publications Ltd.

22.

International Agency for Research on Cancer (IARC). 1988. “Monographs on the evaluation of carcinogenic risks to humans”. In Alcohol Drinking, Vol. 44, Lyon, France: IARC.

23.

Poikolainen

. 1995. Alcohol and mortality: A review. J Clin Epidemiol, 48: 455–465.

24.

Makela

, Valkonen

and Poikolainen

. 1997. Estimated numbers of deaths from coronary heart disease “caused”; and “prevented”; by alcohol: An example from Finalnd. J Stud Alcohol, 58: 455–463.

25.

Gronbaek

, Deis

, Sorensen

TIA

, Becker

, Schnohr

and Jensen

. 1995. Mortality associated with moderate intakes of wine, beer, or spirits. BMJ, 310: 1165–1169.

26.

St. Leger

, Cochrane

and Moore

. 1979. Factors associated with cardiac mortality in developed countries with particular reference to the consumption of wine. Lancet, i: 1017–1020.

27.

Renaud

and De Logeril

. 1992. Wine, alcohol, platelets and the French paradox for coronary heart disease. Lancet, 339: 1523–1526.

28.

Klatsky

and Armstrong

. 1993. Alcoholic beverage choice and risk of coronary heart disease mortality: Do red wine drinkers fare best?. Am J Cardiol, 71: 467–469.

Alcohol–Related Mortality in Europe: A Tentative Analysis from the EU Project “Alcohol Consumption and Alcohol Problems among Women in European Countries”

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