Historique
Article de Périodique
Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. (Alcohol and global health 1) (2009)
Auteur(s) :
REHM, J. ;
MATHERS, C. ;
POPOVA, S. ;
THAVORNCHAROENSAP M. ;
TEERAWATTANANON Y. ;
PATRA, J.
Année
2009
Page(s) :
2223-2233
Langue(s) :
Anglais
Refs biblio. :
67
Domaine :
Alcool / Alcohol
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus mots-clés
ALCOOL
;
COUT
;
PATHOLOGIE
;
MORBIDITE
;
COMPARAISON
;
FACTEUR DE RISQUE
Thésaurus géographique
INTERNATIONAL
Note générale :
Lancet (The), 2009, 373, (9682), 2223-2233
Editorial: 'Alcohol and harm reduction in Russia', p.2171. Comments: 'Alcohol: a global health priority', Beaglehole R. & Bonita R., p.2173-4 ; 'Action needed to tackle a global drink problem', Gilmore I., p.2174-6 ; 'A case study in how harmful alcohol consumption can be', Rehm J. & Room R., p.2176-7. Profile: 'Sally Casswell: champion for communities tackling alcohol. Interview by Kelly Morris', p. 2191.
Editorial: 'Alcohol and harm reduction in Russia', p.2171. Comments: 'Alcohol: a global health priority', Beaglehole R. & Bonita R., p.2173-4 ; 'Action needed to tackle a global drink problem', Gilmore I., p.2174-6 ; 'A case study in how harmful alcohol consumption can be', Rehm J. & Room R., p.2176-7. Profile: 'Sally Casswell: champion for communities tackling alcohol. Interview by Kelly Morris', p. 2191.
Note de contenu :
fig. ; graph. ; tabl.
Résumé :
ENGLISH :
Alcohol consumption has been identified as an important risk factor for chronic disease and injury. In the first paper in this Series, we quantify the burden of mortality and disease attributable to alcohol, both globally and for ten large countries. We assess alcohol exposure and prevalence of alcohol-use disorders on the basis of reviews of published work. After identification of other major disease categories causally linked to alcohol, we estimate attributable fractions by sex, age, and WHO region. Additionally, we compare social costs of alcohol in selected countries. The net effect of alcohol consumption on health is detrimental, with an estimated 3.8% of all global deaths and 4.6% of global disability-adjusted life-years attributable to alcohol. Disease burden is closely related to average volume of alcohol consumption, and, for every unit of exposure, is strongest in poor people and in those who are marginalised from society. The costs associated with alcohol amount to more than 1% of the gross national product in high-income and middle-income countries, with the costs of social harm constituting a major proportion in addition to health costs. Overall, we conclude that alcohol consumption is one of the major avoidable risk factors, and actions to reduce burden and costs associated with alcohol should be urgently increased. (Author' s abstract)
Affiliation :
Public Health and Regulatory Policies, Centre for Addiction and Mental Health, Toronto, ON. Email : jtrehm@aol.com
Canada. Canada.
Canada. Canada.