Cent Eur J Public Health 2019, 27(Supplement):S40-S47 | DOI: 10.21101/cejph.a5765

Age-gender mortality study on alcohol-induced deaths in Slovakia

Beáta Gavurová1, Matúš Kubák2, Adam Kulhánek1
1 Department of Addictology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Prague, Czech Republic
2 Faculty of Economics, Technical University of Košice, Košice, Slovak Republic

Objective: Alcohol use is one of the ten most common risk factors threatening global health that is avoidable (ranked fifth after smoking). It is involved in high rates of liver cirrhosis, epilepsy, hypertension, cerebrovascular and mental illness. Negative consequences of family and social drinking are also very significant. The aim of the study is to quantify the gender and age-differentiated disparities in alcohol-related mortality in the population over 16 years between the years 1996-2017 in Slovakia.

Methods: We used data from mortality reports within 1996-2017 provided by the National Health Information Centre in the Slovak Republic. We applied two-dimensional correspondence analysis where dimensions are age and chosen causes of deaths induced by use of alcohol and classified by the International Classification of Diseases.

Results: In case of males, we found that K74 - Fibrosis and cirrhosis of liver diagnosis almost perfectly corresponds to age 66-75 years, and we documented strong correspondence between K70 - Alcoholic liver disease and age 46-55 years. For females, the most robust finding is that K70 - Alcoholic liver disease corresponds relatively similarly with age groups 26-35, 36-45, 46-55. The results of the analysis allow us to obtain a detailed overview of the development of mortality in individual alcohol diagnoses and their intervention in individual age groups by gender. Mortality for some diagnoses affects the young female as well as male population. We observed that there are systematic differences in alcohol-induced mortality between males and females.

Conclusions: In such development of the alcohol-related mortality structure, the priority remains the permanent provision of primary, secondary and tertiary prevention at the individual and population level. The results of our analysis represent a valuable platform for health and social policymakers to develop quality national and regional health strategies aimed at eliminating the consequences of alcohol use. Lessons learned from our analysis will be supported by our other geographically oriented analytical lines to link identified and quantified regional disparities in the mortality of alcohol diagnoses to the availability of health care to treat these diseases.

Klíčová slova: alcohol, age, gender, alcohol-related mortality, significant regional disparities, correspondence analysis

Vloženo: 15. březen 2019; Revidováno: 22. září 2019; Přijato: 3. leden 2020; Zveřejněno: 31. prosinec 2019  Zobrazit citaci

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Gavurová B, Kubák M, Kulhánek A. Age-gender mortality study on alcohol-induced deaths in Slovakia. Cent Eur J Public Health. 2019;27(Supplement):S40-47. doi: 10.21101/cejph.a5765. PubMed PMID: 31901191.
Stáhnout citaci

Reference

  1. Okruhlica Ľ, Kantorková A. Alcohol addiction and its treatment [Internet]. Bratislava: National Health Information Centre; 2016 [cited 2019 Sep 22]. Available from: https://www.npz.sk/sites/npz/Stranky/NpzArticles/2013_06/Zavislost_od_alkoholu_a_jej_liecba.aspx?did=2&sdid=54&tuid=0&page=full&. (In Slovak.)
  2. Kučerová T. Alcohol consumption in Czech Republic is increasing. Only Lithuanians drink more than Czechs [Internet]. Prague: iDNES; 2018 [cited 2019 Sep 22]. Available from: https://www.idnes.cz/ekonomika/domaci/alkohol-cesi-piji-alkohol-oecd.A180720_150136_ekonomika_kuce. (In Czech.)
  3. European Monitoring Center for Drugs and Drug Addiction. The state of the drugs problem in Europe: annual report 2010. Luxembourg: Publications Office of the European Union; 2010.
  4. Gavurová B, Koróny S, Barták M. The prevalence and perception of drinking among full-time Slovak University students in relation to socio-economic determinants. Adiktologie. 2017;17(2):92-106. (In Slovak.)
  5. Gavurová B, Tóth P, Barták M, Petruželka B. Preventable mortality caused by the use of alcohol in Slovakia - a regional and socio-economic perspective. Adiktologie. 2018;18(2):73-80.
  6. Petruželka B, Barták M, Rogalewicz V, Popov P, Gavurová B, Dlouhý M, et al. Alcohol use and related problems among students of social work at selected universities in the Czech Republic and Slovakia - a pilot study of risky periods. Adiktologie. 2017;17(2):108-17. (In Czech.)
  7. Chen W, Xia C, Zheng R, Zhou M, Lin C, Zeng H, et al. Disparities by province, age, and sex in site-specific cancer burden attributable to 23 potentially modifiable risk factors in China: a comparative risk assessment. Lancet Glob Health. 2019;7(2):PE257-69. Přejít k původnímu zdroji... Přejít na PubMed...
  8. Greenfield BL, Venner KL, Tonigan JS, Honeyestewa M, Hubbell H, Bluehorse D. Low rates of alcohol and tobacco use, strong cultural ties for Native American college students in the Southwest. Addict Behav. 2018;82:122-28. Přejít k původnímu zdroji... Přejít na PubMed...
  9. Barrios E, Sierra MS, Musetti C, Forman D. The burden of oesophageal cancer in Central and South America. Cancer Epidemiol. 2016;44 Suppl 1:S53-61. Přejít k původnímu zdroji... Přejít na PubMed...
  10. Saint Onge JM, Krueger PM. Health lifestyle behaviors among US adults. SSM Popul Health. 2017;3:89-98.
  11. Hadland SE, Xuan Z, Blanchette JG, Heeren TC, Swahn MH, Naimi TS. Alcohol policies and alcoholic cirrhosis mortality in the United States. Prev Chronic Dis. 2015;12:150200. doi: 10.5888/pcd12.150200. Přejít k původnímu zdroji... Přejít na PubMed...
  12. Beard E, Brown J, West R, Angus C, Kaner E, Michie S. Healthier central England or North-South divide? Analysis of national survey data on smoking and high-risk drinking. BMJ Open. 2017;7(3):e014210. doi: 10.1136/bmjopen-2016-014210. Přejít k původnímu zdroji... Přejít na PubMed...
  13. Bea VJ, Cunningham JE, Alberg AJ, Burshell D, Bauza CE, Knight KD, et al. Alcohol and tobacco use in an ethnically diverse sample of breast cancer patients, including sea island African Americans: implications for survivorship. Front Oncol. 2018;8:392. doi: 10.3389/fonc.2018.00392. Přejít k původnímu zdroji... Přejít na PubMed...
  14. Elias B, Kliewer EV, Hall M, Demers AA, Turner D, Martens P, et al. The burden of cancer risk in Canada's indigenous population: a comparative study of known risks in a Canadian region. Int J Gen Med. 2011;4:699-709. Přejít k původnímu zdroji... Přejít na PubMed...
  15. Zanjani F, Smith R, Slavova S, Charnigo R, Schoenberg N, Martin C, et al. Concurrent alcohol and medication poisoning hospital admissions among older rural and urban residents. Am J Drug Alcohol Abuse. 2016;42(4):422-30. Přejít k původnímu zdroji... Přejít na PubMed...
  16. Benzécri JP. L'Analyse des Données. Volume 2: L'Analyse des Correspondances. Paris: Dunod; 1973.
  17. Hirschfeld HO. A connection between correlation and contingency. Mathematical Proceedings of the Cambridge Philosophical Society. 1935;31(4):520-4. Přejít k původnímu zdroji...
  18. Bobrovská M. Alcohol and women [Internet]. 2019 [cited 2019 Sep 22]. Available from: http://www.ruvzmartin.sk/poradna/Alkohol_zavislot/Alkohol_zeny.pdf. (In Slovak.)
  19. Szántová M, Kupčová V, Bada V, Goncalvesová E. Trends in alcohol consumption in relation to liver diseases in Slovakia 1973-1994. Bratisl Lek Listy. 1997;98(1):12-6. (In Slovak.) Přejít na PubMed...
  20. Richter G. Alkoholsmissbrauch und seine medizinischen Folgen. Pharmedicum. 1994;(3):18-20.