| Titre : | Changes in Alcohol-Related Mortality and its Socioeconomic Differences After a Large Reduction in Alcohol Prices : A Natural Experiment Based on Register Data. Commentaries. Authors'reply. (2008) |
| Auteurs : | Kimmo HERTTUA ; Susan BONDY ; Norman GIESBRECHT, disc. ; Pia MAKELA ; Pekka Martikainen ; Jayadeep PATRA ; Jürgen REHM ; Robin ROOM ; Benjamin TAYLOR ; Department of Public Health Sciences. Dalla Lana School of Public Health. University of Toronto. Toronto. ON. CAN |
| Type de document : | Article |
| Dans : | American journal of epidemiology (vol. 168, n° 10, 2008) |
| Pagination : | 1110-1131 |
| Langues: | Anglais |
| Mots-clés : | Alcoolisme ; Traumatisme ; Changement ; Consommation alcool ; Consommation ; Alcool ; Mortalité ; Epidémiologie ; Facteur socioéconomique ; Etude comparée ; Prix ; Homme ; Maladie chronique |
| Résumé : | [BDSP. Notice produite par INIST-CNRS 7pDoCR0x. Diffusion soumise à autorisation]. The authors examined the effect of a large reduction in the price of alcohol in Finland in 2004 on alcohol-related mortality by age and socioeconomic group. For this register-based study of Finns aged>15 years, data on independent variables were extracted from the employment statistics of Statistics Finland. Mortality follow-up was carried out for 2001-2003 (before the price reduction) and 2004-2005 (after). Alcohol-related causes were defined using both underlying and contributory causes of death. Alcohol-related mortality increased by 16% among men and by 31% among women ; 82% of the increase was due to chronic causes, particularly liver diseases. The increase in absolute terms was largest among men aged 55-59 years and women aged 50-54 years. Among persons aged 30-59 years, it was biggest among the unemployed or early-age pensioners and those with low education, social class, or income. The relative differences in change between the education and social class subgroups were small. The employed and persons aged<35 years did not suffer from increased alcohol-related mortality during the 2 years after the change. These results imply that a large reduction in the price of alcohol led to substantial increases in alcohol-related mortality, particularly among the less privileged, and in chronic diseases associated with heavy drinking. |
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