Cent Eur J Public Health 2019, 27(Supplement):S48-S54 | DOI: 10.21101/cejph.a5766

Spatial analysis of alcohol-related mortality in Slovakia

Matúš Kubák1, Beáta Gavurová2, Adam Kulhánek2
1 Faculty of Economics, Technical University of Košice, Košice, Slovak Republic
2 Department of Addictology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Prague, Czech Republic

Objective: The aim of our study was to investigate the relationship between alcohol-related mortality in Slovak regions, as represented by Nomenclature of Territorial Units for Statistics (NUTS) III level.

Methods: We used data from mortality reports spanning 1996-2017 in the Slovak Republic. Data was provided by the National Health Information Centre in Slovakia. We applied two-dimensional correspondence analysis where the dimensions are regions and selected alcohol-related deaths diagnoses are classified by the International Classification of Diseases.

Results: Analysis revealed a relationship between the Prešov region and diagnoses I42 - Cardiomyopathy and K29 - Alcoholic gastritis. Furthermore, the Banská Bystrica and Žilina regions correspond to G31 - Degeneration of nervous system due to alcohol and K86 - Alcohol-induced chronic pancreatitis. In the case of K70 - Alcoholic liver disease - the Banská Bystrica, Trenčín and Nitra regions are identified as regions which have an intermediate relationship with this diagnosis. The Trnava region corresponds to F10 - Acute alcohol intoxication. The Trenčín and Nitra regions correspond closely to G62 - Alcoholic polyneuropathy. Perfect correspondence can be seen between the Košice region and K73 - Chronic hepatitis, not elsewhere classified. K74 - Fibrosis and cirrhosis of liver diagnosis also corresponds with the Košice region.

Conclusions: The results of this analysis provide valuable insights for national and regional health policymakers in the process of preparing high-quality health regional plans, as well as retrospectively assessing the success of existing health policies and interventions in this area. Facts presented in the study justify the need for specialised health care, which is part of the process of building an Integrated Health Care Centre in Slovakia.

Keywords: alcohol-related deaths, correspondence analysis, region, Slovakia

Received: March 22, 2019; Revised: September 22, 2019; Accepted: January 3, 2020; Published: December 31, 2019  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Kubák M, Gavurová B, Kulhánek A. Spatial analysis of alcohol-related mortality in Slovakia. Cent Eur J Public Health. 2019;27(Supplement):S48-54. doi: 10.21101/cejph.a5766. PubMed PMID: 31901192.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Bosakova L, Rosicova K, Filakovska Bobakova D, Rosic M, Dzurova D, Pikhart H, et al. Mortality in the Visegrad countries from the perspective of socioeconomic inequalities. Int J Public Health. 2019;64(3):365-76. Go to original source... Go to PubMed...
    2. World Health Organization. Global Status report on Alcohol and Health. Geneva: WHO; 2011.
    3. Mookerjee RP, Lackner C, Stauber R, Stadlbauer V, Deheragoda M, Aigelsreiter A, et al. The role of liver biopsy in the diagnosis and prognosis of patients with acute deterioration of alcoholic hepatitis. J Hepatol. 2011;55(5):1103-11. Go to original source... Go to PubMed...
    4. Rehm J, Mathers C, Popova S, Thavorncharoensap M, Teerawattananon Y, Patra J. Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. Lancet. 2009;373(9682):2223-33. Go to original source... Go to PubMed...
    5. GBD 2016 Alcohol and Drug Use Collaborators. The global burden of disease attributable to alcohol and drug use in 195 countries and territories, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Psychiatry. 2018;5(12):987-1012. Go to original source... Go to PubMed...
    6. Zábranský T, Beláčková V, Štefunková M, Vopravil J, Langrová M. Social costs of the use of alcohol, tobacco, and illegal drugs in the Czech Republic, 2007. Prague: Department of Addictology, First Faculty of Medicine, Charles University in Prague and General Faculty Hospital in Prague; 2011. (In Czech.)
    7. iHETA. Social costs of alcohol consumption in the Czech Republic [Internet]. iHETA; 2018 [cited 2019 Mar 13]. Available from: http://www.iheta.org/p68-spolecenske-naklady-konzumace-alkoholu-v-cr. (In Czech.)
    8. Nociar A. Age, gender and substance use in relation to violence at primary and secondary schools in Slovakia. In: 4th world conference Violence in school and public policies; 2008 Jun 23-25; Lisbon, Portugal. Lisbon: Faculty of Human Kinetics, Technical University of Lisbon; 2008.
    9. Nociar A. European School Survey on Alcohol and Other Drugs (ESPAD) in Slovakia in 2015. Final Report. Bratislava: Research Institute of Child Psychology and Psychopathology; 2015. (In Slovak.)
    10. Nociar A. Report from the TAD survey of primary school students, secondary school students and their teachers in 2014 Bratislava: Research Institute of Child Psychology and Psychopathology; 2014. (In Slovak.)
    11. Madarasová Gecková A, Dankulicová Z, editors. National report on health and health-related behavior of 11, 13 and 15 year old schoolchildren: based on a survey conducted in 2013/2014 as part of the international project "Health Behavior in School Aged Children" (HBSC). Košice: WHO Country Office in Slovakia; 2015 [cited 2017 Jul 10] Available from: http://www.infodrogy.sk/indexAction.cfm?module=Library&action=GetFile&DocumentID=1153. (In Slovak.)
    12. 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.)
    13. Monitoring Center for Drugs and Drug Addiction (EMCDDA); Kastelová E, editor. The state of drug addiction and drug control in the Slovak republic in 2015. Equilibria; 2016.
    14. Monnat SM. Factors associated with county-level differences in us drug-related mortality rates. Am J Prev Med. 2018;54(5):611-9. Go to original source... Go to PubMed...
    15. Rosicova K, Madarasova Geckova A, Rosic M, Speybroeck N, Groothoff JW, van Dijk JP. Socioeconomic factors, ethnicity and alcohol-related mortality in regions in Slovakia. What might a tree analysis add to our understanding? Health Place. 2011;17(3):701-9. Go to original source... Go to PubMed...
    16. Barrios E, Sierra MS, Musetti C, Forman D. The burden of oesophageal cancer in Central and South America. Cancer Epidemiol. 2018;44 Suppl 1:S53-S61. Go to original source... Go to PubMed...
    17. Saint Onge JM, Krueger PM. Health lifestyle behaviours among US adults. SSM-Popul Health. 2017;3:89-98.
    18. Gennuso KP, Jovaag A, Catlin BB, Rodock M, Park H. Peer reviewed: assessment of factors contributing to health outcomes in the eight states of the Mississippi Delta Region. Prev Chronic Dis. 2016;13:E33. doi: http://dx.doi.org/10.5888/pcd13.150440 Go to original source... Go to PubMed...
    19. Renard F, Tafforeau J, Deboosere P. Mapping the cause-specific premature mortality reveals large between-districts disparity in Belgium, 2003-2009. Arch Public Health. 2015;73(1):13. doi 10.1186/s13690-015-0060-5. Go to original source... Go to PubMed...
    20. Jeon YJ, Kim CR, Park JS, Choi KH, Kang MJ, Park SG, et al. Health inequalities in hypertension and diabetes management among the poor in urban areas: a population survey analysis in south Korea. BMC Public Health. 2016;16:492. doi: 10.1186/s12889-016-3169-8. Go to original source... Go to PubMed...
    21. 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. Go to original source... Go to PubMed...
    22. OECD. Alcohol consumption [Internet]. OECD; 2019 [cited 2019 Sep 10]. Available from: https://data.oecd.org/healthrisk/alcohol-consumption.htm.
    23. Popova S, Rehm J, Patra J, Zatonski W. Comparing alcohol consumption in central and eastern Europe to other European countries. Alcohol Alcohol. 2007;42(5):465-73. Go to original source... Go to PubMed...
    24. World Health Organization. Global status report on alcohol and health 2018. Geneva: WHO; 2018.
    25. European Monitoring Centre for Drugs and Drug Addiction. European drug report 2019: trends and developments. Luxembourg: Publications Office of the European Union; 2019.
    26. Formnek T, Kagström A, Cermakova P, Csémy L, Mladá K, Winkle P. Prevalence of mental disorders and associated disability: results from the cross-sectional CZEch mental health Study (CZEMS). Eur Psychiatry. 2019;60:1-6. Go to original source... Go to PubMed...
    27. Kagstrom A, Alexova A, Tuskova E, Csajbok Z, Schomerus G, Formanek T, et al. The treatment gap for mental disorders and associated factors in the Czech Republic. Eur Psychiatry. 2019;59:37-43. Go to original source... Go to PubMed...
    28. Janssen MM1, Mathijssen JJ, van Bon-Martens MJ, van Oers HA, Garretsen HF. Effectiveness of alcohol prevention interventions based on the principles of social marketing: a systematic review. Subst Abuse Treat Prev Policy. 2013 Jun 1;8:18. doi: 10.1186/1747-597X-8-18. Go to original source... Go to PubMed...
    29. Čablová L, Miovský M. Risk and protective factors in the family that predict alcohol use of children and adolescents. Cesk Psychol. 2013;57(3):255-70. (In Czech.)
    30. Benzécri JP. L'Analyse des Données. Volume II.: L'Analyse des Correspondances. Paris: Dunod; 1973.
    31. Hirschfeld HO. A connection between correlation and contingency. Proc Camb Philos Soc. 1935;31(4):520-4. Go to original source...
    32. Novotný V, Janík P. Does psychiatry substitute for drunk tank?. Alkohol Drog Záv (Protialkohol Obz). 2010;45(1):107-12. (In Czech.)
    33. Janík P, Vašečková B. Urgent hospitalizations due to alcohol intoxication. Alkohol Drog Záv (Protialkohol Obz). 2012;47(5):285-92. (In Czech.)
    34. Szantova M. Alcoholic liver disease. Alkohol Drog Záv (Protialkohol Obz). 2013;48(1):25-35. (In Czech.)
    35. FNsP F. D. Roosevelta. The first liver transplantation in Slovakia was performed in Banská Bystrica 20 years ago [Internet]. BBonline; 2017 [cited 2019 Mar 3]. Available from: https://bbonline.sk/pred-dvadsiatimi-rokmi-prebehla-v-bystrici-prva-transplantacia-pecene-na-slovensku/. (In Slovak.)
    36. Miso P, Maslejová V. We're losing the fight for the liver. Why do we do few transplants? [Internet]. iZdravie; 2014 [cited 2019 Mar 3]. Available from: https://www.pluska.sk/izdravie/liecba/boj-pecen-prehravame-preco-robime-malo-transplantacii.html. (In Slovak.)

    Return to the content