|Titre :||Changes in mortality due to major alcohol-related diseases in four Nordic countries, France and Germany between 1980 and 2009: a comparative age-period-cohort analysis (2015)|
|Auteurs :||L. KRAUS ; S. OSTHUS ; E. J. AMUNDSEN ; D. PIONTEK ; J. HARKONEN ; S. LEGLEYE ; K. BLOOMFIELD ; P. MAKELA ; J. LANDBERG ; J. TORRONEN|
|Type de document :||Article : Périodique|
|Dans :||Addiction (Vol.110, n°9, September 2015)|
|Article en page(s) :||1443-1452|
|Discipline :||EPI (Epidémiologie / Epidemiology)|
Thésaurus TOXIBASEALCOOL ; MORTALITE ; EVOLUTION ; COMPARAISON ; AGE
Thésaurus GéographiqueDANEMARK ; FINLANDE ; SCANDINAVIE ; NORVEGE ; SUEDE ; FRANCE ; ALLEMAGNE
Aims: To investigate age, period and cohort effects on time trends of alcohol-related mortality in countries with different drinking habits and alcohol policies.
Design and setting: Age-period-cohort (APC) analyses on alcohol-related mortality were conducted in Denmark, Finland, Norway, Sweden, France and Germany.
Participants: Cases included alcohol-related deaths in the age range 20-84 years between 1980 and 2009.
Measurements: Mortality data were taken from national causes of death registries and covered the ICD codes alcoholic psychosis, alcohol use disorders, alcoholic liver disease and toxic effect of alcohol.
Findings: In all countries changes across age, period and cohort were found to be significant for both genders [effect value with confidence interval (CI) shown in Supporting information, Table S1]. Period effects pointed to an increase in alcohol-related mortality in Denmark, Finland and Germany and a slightly decreasing trend in Sweden, while in Norway an inverse U-shaped curve and in France a U-shaped curve was found. Compared with the cohorts born before 1960, the risk of alcohol-related mortality declined substantially in cohorts born in the 1960s and later. Pairwise between-country comparisons revealed more statistically significant differences for period (P Conclusions: Strong period effects suggest that temporal changes in alcohol-related mortality in Denmark, Finland, Norway, Sweden, France and Germany between 1980 and 2009 were related to secular differences affecting the whole population and that these effects differed across countries.
|Domaine :||Alcool / Alcohol|
|Refs biblio. :||44|
|Affiliation :||Centre for Social Research on Alcohol and Drugs (SoRAD), Stockholm University, Stockholm, Sweden|