Historique
Article de Périodique
Epidemiology and alcohol policy in Europe (2011)
Auteur(s) :
REHM, J. ;
ZATONKSI, W. ;
TAYLOR, B. ;
ANDERSON, P.
Année
2011
Page(s) :
11-19
Langue(s) :
Anglais
Refs biblio. :
51
Domaine :
Alcool / Alcohol
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus géographique
EUROPE
Thésaurus mots-clés
ALCOOL
;
EPIDEMIOLOGIE
;
POLITIQUE
;
SANTE PUBLIQUE
;
INEGALITE
;
MORTALITE
;
CONSOMMATION
;
COMPARAISON
;
MORBIDITE
Résumé :
AIMS: To describe three aspects of the epidemiology of alcohol-attributable deaths in Europe, dose, demography and place, and to illustrate how such knowledge can better be used to inform alcohol policy formulation and implementation.
DESIGN: epidemiological and population health modeling.
SETTING: Europe. PARTICIPANTS: Based on country-specific aggregate statistics.
MEASUREMENTS: Exposure: country-specific adult per capita consumption triangulated with survey data; outcomes: mortality statistics.
FINDINGS: The absolute risk of dying from an alcohol-attributable disease and injury (accounting for a protective effect for ischaemic diseases) increases with increasing daily alcohol consumption beyond 10 g alcohol per day, the first data point. Over 2/3 of all alcohol-attributable deaths occurring amongst the 20-64 year old population of the European Union (minus Cyprus and Malta) occur in the 45-64 year olds. About 25% of the difference in life expectancy between western and eastern Europe for men aged 20-64 years in 2002 can be attributed to alcohol, largely, but not exclusively, as a result of differences in heavy episodic drinking patterns.
CONCLUSIONS: Any reduction in the dose of alcohol consumed, at least down to 10 g/day, will reduce the annual and lifetime risk of an alcohol-related death. There is a need for alcohol policy to focus on measures in reducing alcohol consumption, throughout middle age, with immediacy of impact. Policy should strive to reduce alcohol-related health inequalities, with the specific recommendations for policy depending on the cost-effectiveness of interventions related to the epidemiological profile of the country or region under consideration. Fortunately, there are evidence-based policy options that reduce the amount of alcohol consumed and many alcohol-related harms with immediate effect, that reduce the risk of an alcohol-related death in middle age, and that would help to close the health gap between eastern and western Europe.
DESIGN: epidemiological and population health modeling.
SETTING: Europe. PARTICIPANTS: Based on country-specific aggregate statistics.
MEASUREMENTS: Exposure: country-specific adult per capita consumption triangulated with survey data; outcomes: mortality statistics.
FINDINGS: The absolute risk of dying from an alcohol-attributable disease and injury (accounting for a protective effect for ischaemic diseases) increases with increasing daily alcohol consumption beyond 10 g alcohol per day, the first data point. Over 2/3 of all alcohol-attributable deaths occurring amongst the 20-64 year old population of the European Union (minus Cyprus and Malta) occur in the 45-64 year olds. About 25% of the difference in life expectancy between western and eastern Europe for men aged 20-64 years in 2002 can be attributed to alcohol, largely, but not exclusively, as a result of differences in heavy episodic drinking patterns.
CONCLUSIONS: Any reduction in the dose of alcohol consumed, at least down to 10 g/day, will reduce the annual and lifetime risk of an alcohol-related death. There is a need for alcohol policy to focus on measures in reducing alcohol consumption, throughout middle age, with immediacy of impact. Policy should strive to reduce alcohol-related health inequalities, with the specific recommendations for policy depending on the cost-effectiveness of interventions related to the epidemiological profile of the country or region under consideration. Fortunately, there are evidence-based policy options that reduce the amount of alcohol consumed and many alcohol-related harms with immediate effect, that reduce the risk of an alcohol-related death in middle age, and that would help to close the health gap between eastern and western Europe.
Affiliation :
Epidemiological Research Unit, Technische Universitat Dresden, Klinische Psychologie and Psychotherapie, Dresden, Germany
Cote :
Abonnement