|Titre :||Epidemiology and alcohol policy in Europe (2011)|
|Auteurs :||J. REHM ; W. ZATONKSI ; B. TAYLOR ; P. ANDERSON|
|Type de document :||Article : Périodique|
|Dans :||Addiction (Vol.106, Suppl.1, March 2011)|
|Article en page(s) :||11-19|
|Discipline :||EPI (Epidémiologie / Epidemiology)|
Thésaurus TOXIBASEALCOOL ; EPIDEMIOLOGIE ; POLITIQUE ; SANTE PUBLIQUE ; INEGALITE ; MORTALITE ; CONSOMMATION ; COMPARAISON ; MORBIDITE
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.
|Domaine :||Alcool / Alcohol|
|Refs biblio. :||51|
|Affiliation :||Epidemiological Research Unit, Technische Universitat Dresden, Klinische Psychologie and Psychotherapie, Dresden, Germany|