Inequalities in alcohol-attributable mortality levels and trends across Europe

Sergi Trias-Llimós, Fanny Janssen

Research output: Contribution to journalMeeting AbstractAcademic

Abstract

Antecedentes/Objetivos: Alcohol sales are recently declining or
stagnating in most European countries, albeit at a different pace.
Little is known on the impact of these trends on alcohol-attributable
mortality levels and trends across Europe, whereas this is valuable
information for preventive health policies. Furthermore, having an
European overview of (in)equality in alcohol-attributable mortality
is important to target health inequalities across Europe. We estimate
and compare country-specific alcohol-attributable mortality
levels and trends in Europe, and examine specifically whether alcohol-
attributable mortality levels are becoming more equal over
time.
Métodos: Levels and time trends in cause-specific alcohol-attributable
mortality were estimated by summing up the deaths due to
3 diseases wholly-attributable to alcohol, and liver cirrhosis as underlying
causes of death for 18 European countries using the WHO
Mortality
Database for the period 2000-2013. We assessed alcohol-
attributable mortality inequality for each year and over time
(convergence or divergence) across countries and between groups of
countries by applying additive (e.g. standard deviation) and proportional
(e.g. Theil index) dispersion measures.
Resultados: Levels and trends of both cause-specific and total alcohol-
attributable mortality clearly differed across European countries.
Western European countries (N = 8) had lower and more stable
alcohol-attributable mortality rates, whereas countries from Central
and Eastern Europe (N = 10) showed more dissimilar trends across the
countries. Both the standard deviation and the Theil index showed an
increase in alcohol-attributable mortality rates inequality up until
2007 and a decline thereafter, for both men (sd: 35.2, 38.2 and 22.6;
Theil index: 0.20, 0.25 and 0.18 in 2000, 2007 and 2013, respectively)
and women (sd: 12.0, 13.5 and 8.3; Theil index: 0.18, 0.23 and 0.18 in
2000, 2007 and 2013, respectively). The evidence for convergence is
stronger within Central and Eastern European countries as compared
to within Western Europe.
Conclusiones/Recomendaciones: Preventive health policies, especially
in Eastern European countries, are partly explaining the observed
convergence in alcohol-attributable mortality, and are a key
factor to further reduce the gap in alcohol-attributable mortality in
Europe.
Original languageEnglish
Pages (from-to)115
JournalGaceta Sanitaria
Volume31
Issue numberEspecial Congreso
Publication statusPublished - 2017

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