Titre : | Area of residence and alcohol-related mortality risk: a five-year follow-up study (2011) |
Titre traduit : | (Zone de résidence et risque de mortalité lié à l'alcool : un étude de suivi sur cinq ans) |
Auteurs : | S. CONNOLLY ; D. O'REILLY ; M. ROSATO ; C. CARDWELL |
Type de document : | Article : Périodique |
Dans : | Addiction (Vol.106, n°1, January 2011) |
Article en page(s) : | 84-92 |
Langues: | Anglais |
Discipline : | EPI (Epidémiologie / Epidemiology) |
Mots-clés : |
Thésaurus géographique IRLANDE DU NORDThésaurus mots-clés ETUDE LONGITUDINALE ; ALCOOL ; MORTALITE ; MILIEU URBAIN ; MILIEU RURAL ; HABITAT ; DEMOGRAPHIE ; CATEGORIE SOCIO-PROFESSIONNELLE |
Résumé : | AIMS: To examine differences in alcohol-related mortality risk between areas, while adjusting for the characteristics of the individuals living within these areas. DESIGN: A 5-year longitudinal study of individual and area characteristics of those dying and not dying from alcohol-related deaths. SETTING: The Northern Ireland Mortality study. PARTICIPANTS: A total of 720,627 people aged 25-74, enumerated in the Northern Ireland 2001 Census, not living in communal establishments. MEASUREMENTS: Five hundred and seventy-eight alcohol-related deaths. FINDINGS: There was an increased risk of alcohol-related mortality among disadvantaged individuals, and divorced, widowed and separated males. The risk of an alcohol-related death was significantly higher in deprived areas for both males [hazard ratio (HR) 3.70; 95% confidence interval (CI) 2.65, 5.18] and females (HR 2.67 (95% CI 1.72, 4.15); however, once adjustment was made for the characteristics of the individuals living within areas, the excess risk for more deprived areas disappeared. Both males and females in rural areas had a reduced risk of an alcohol-related death compared to their counterparts in urban areas; these differences remained after adjustment for the composition of the people within these areas. CONCLUSIONS: Alcohol-related mortality is higher in more deprived, compared to more affluent areas; however, this appears to be due to characteristics of individuals within deprived areas, rather than to some independent effect of area deprivation per se. Risk of alcohol-related mortality is lower in rural than urban areas, but the cause is unknown. |
Domaine : | Alcool / Alcohol |
Refs biblio. : | 35 |
Affiliation : | Centre for Public Health, Queen's University Belfast, Belfast, United Kingdom / Royaume-Uni |
Lien : | http://onlinelibrary.wiley.com/doi/10.1111/j.1360-0443.2010.03103.x/abstract |
Accueil