A comparison of the alcohol-attributable mortality in four European countries / A. BRITTON in European Journal of Epidemiology, Vol.18 n°7 (2003)

Donner un avis [article]  inEuropean Journal of Epidemiology > Vol.18 n°7 (2003) . - 643-651 Titre : A comparison of the alcohol-attributable mortality in four European countries Type de document : Périodique Auteurs : A. BRITTON ; E. NOLTE ; I. R. WHITE ; M. GRONBAEK ; J. POWLES ; F. CAVALLO ; K. McPHERSON Année de publication : 2003 Article en page(s) : 643-651 Présentation : graph. ; tabl. Note générale : European Journal of Epidemiology, 2003, 18, (7), 643-651 Langues : Anglais (eng) Mots-clés : Thésaurus TOXIBASE ALCOOL ; MORTALITE ; APPAREIL CARDIOVASCULAIRE ; PATHOLOGIE ORGANIQUE ; COMPARAISON ; EPIDEMIOLOGIE ; CONDUITE DE VEHICULE ; JEUNE ; TYPE D'USAGE Thésaurus Géographique EUROPE ; ALLEMAGNE ; ITALIE ; ROYAUME-UNI ; DANEMARK Discipline : EPI Epidémiologie / Epidemiology Résumé : ENGLISH : Background: Deaths due to alcohol consumption are an important component of all-cause mortality, particularly premature mortality. However, there are considerable regional variations, the reasons for which are unclear. Methods: Estimates were made as reliably as possibly using vital statistics and best estimates of risk of the alcohol-attributable mortality, by age, sex and cause for four European countries (England and Wales, Germany, Denmark and Italy). Twenty-seven alcohol-related conditions were considered including the possible cardio-protective effects of alcohol. Results: It was estimated that there are approximately 2% fewer deaths annually in England and Wales than would be expected in a non-drinking population and 0.3% fewer deaths among East German females. In West Germany, Denmark, Italy and among East German males there are more deaths caused by alcohol than are prevented (between 0.7 and 2.6% of all deaths). The highest age-specific proportion of alcohol-attributable deaths is found in East Germany where around 30% of deaths among males aged 25-44 years are due to drinking. Among young men in all four countries the largest contributor to alcohol-related deaths is road traffic accidents involving alcohol. Conclusions: Possible explanations for the variation in alcohol-attributable deaths between countries include different underlying heart disease rates, different patterns of alcohol consumption and beverage preferences, and different use of mortality classification. Differences in the reported alcohol consumption levels explain little of the variation in alcohol-attributable deaths. Estimating alcohol-attributable mortality by age and sex across countries may be a useful indicator for developing alcohol strategies and exploring ways of preventing premature mortality. Note de contenu : graph. ; tabl. Domaine : Alcool / Alcohol Refs biblio. : 26 Affiliation : Royaume-Uni. United Kingdom. Centre Emetteur : 13 OFDT Cote : Abonnement Permalink : https://bdoc.ofdt.fr/index.php?lvl=notice_display&id=57842 [article]

Mortality in England and Wales attribuable to current alcohol consumption / A. BRITTON in Journal of Epidemiology and Community Health, Vol.55 n°6 (2001)

Donner un avis [article]  inJournal of Epidemiology and Community Health > Vol.55 n°6 (2001) . - 383-388 Titre : Mortality in England and Wales attribuable to current alcohol consumption Type de document : Périodique Auteurs : A. BRITTON ; K. McPHERSON Année de publication : 2001 Article en page(s) : 383-388 Présentation : fig. ; tabl. Note générale : Journal of Epidemiology and Community Health, 2001, 55, (6), 383-388 Langues : Anglais (eng) Mots-clés : Thésaurus TOXIBASE MORTALITE ; ALCOOL ; EPIDEMIOLOGIE DESCRIPTIVE Thésaurus Géographique ROYAUME-UNI Note de contenu : fig. ; tabl. Domaine : Alcool / Alcohol Refs biblio. : 35 Affiliation : Etats-Unis. United States. Centre Emetteur : 13 OFDT Cote : Abonnement Permalink : https://bdoc.ofdt.fr/index.php?lvl=notice_display&id=61008 [article]

The stability of baseline-defined categories of alcohol consumption during the adult life-course: a 28-year prospective cohort study / C. S. KNOTT ; S. BELL ; A. BRITTON in Addiction, Vol.113, n°1 (January 2018)  

Donner un avis [article]  inAddiction > Vol.113, n°1 (January 2018) . - 34-43 Titre : The stability of baseline-defined categories of alcohol consumption during the adult life-course: a 28-year prospective cohort study Type de document : Périodique Auteurs : C. S. KNOTT ; S. BELL ; A. BRITTON Année de publication : 2018 Article en page(s) : 34-43 Langues : Anglais (eng) Mots-clés : Thésaurus Géographique ROYAUME-UNI Thésaurus TOXIBASE ALCOOL ; ETUDE LONGITUDINALE ; TRAJECTOIRE ; CONSOMMATION ; ADULTE ; TYPE D'USAGE ; MODELE STATISTIQUE ; SEXE ; AGE Discipline : EPI Epidémiologie / Epidemiology Résumé : Background and aims: Studies that report the relationship between alcohol consumption and disease risk have predominantly operationalized drinking according to a single baseline measure. The resulting assumption of longitudinal stability may be simplistic and complicate interpretation of risk estimates. This study aims to describe changes to the volume of consumption during the adult life-course according to baseline categories of drinking. Design: A prospective observational study. Setting: United Kingdom. Participants A cohort of British civil servants totalling 6838 men and 3372 women aged 34-55 years at baseline, followed for a mean 19.1 (standard deviation = 9.5) years. Measurements: The volume of weekly alcohol consumption was estimated from data concerning the frequency and number of drinks consumed. Baseline categories were defined: non-current drinkers, infrequent drinkers, 0.1-50.0 g/week, 50.1-100.0 g/week, 100.1-150.0 g/week, 150.1-250.0 g/week and >250.0 g/week. For women, the highest category was defined as > 100.0 g/week. Baseline frequency was derived as 'daily or almost daily' and 'not daily or almost daily'. Trajectories were estimated within baseline categories using growth curve models. Findings: Trajectories differed between men and women, but were relatively stable within light-to-moderate categories of baseline consumption. Drinking was least stable within the highest categories of baseline consumption (men: > 250.0 g/week; women: > 100.0 g/week), declining by 47.0 [95% confidence interval (CI) = 40.7, 53.2] and 16.8 g/week (95% CI = 12.6, 21.0), respectively, per 10-year increase in age. These declines were not a consequence of sudden transitions to complete abstention. Rates of decline appear greatest in older age, with trajectories converging toward moderate volumes. Conclusion: Among UK civil servants, consumption within baseline drinking categories is generally stable during the life-course, except among heavier baseline drinkers, for whom intakes decline with increasing age. This shift does not appear to be driven by transitions to non-drinking. Cohorts of older people may be at particular risk of misclassifying former heavy drinkers as moderate consumers of alcohol. Domaine : Alcool / Alcohol Refs biblio. : 41 Affiliation : Research Department of Epidemiology and Public Health, University College London, London, UK Cote : Abonnement Lien : http://dx.doi.org/10.1111/add.13949 Permalink : https://bdoc.ofdt.fr/index.php?lvl=notice_display&id=79745 [article]