Impacto del trastorno por consumo de alcohol en la mortalidad: ¿hay diferencias según la edad y el sexo?

Translated title of the contribution: Impact of alcohol use disorder on mortality: Are there age and gender differences?

Anna M. Guitart, Albert Espelt, Yolanda Castellano, Montse Bartroli, Joan R. Villalbí, Antonia Domingo-Salvany, M. Teresa Brugal

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: To estimate excess mortality in patients with an alcohol use disorder and to calculate the population-based impact attributable to this disorder, with emphasis on differences according to gender and age. Methods: We carried out a longitudinal study of a dynamic retrospective cohort in which 7,109 patients (76.5%men) aged 18-64 yearswho startedmedical day treatment between 1997 and 2006were recruited. Deaths weremonitored until the end of 2006 using a nationalmortality register. Standardizedmortality ratios (SMR) by age and gender and population attributable risks (PAR) by age group were estimated. Results: There were 557 deaths (83% were men). The total excess mortality was 8 times higher than in the general population aged 18-64 years, especially in the group aged 25-34 years old (SMR: 11.2 [95% CI: 7.8-16.0] in men and 24 [IC95%: 11.5-50.4] in women). Signi?cant differences by gender were found in all the variables analyzed. In Barcelona, alcohol use disorder was estimated to cause 73 deaths per year, representing 3.3% of the total annual deaths in this city in persons aged 18-64 years. This percentage was substantially higher in the groups aged 25-34 years (PAR: 19.4% [95% CI: 19.2-19.6]) and 18-24 years (PAR: 11.1% [95% CI: 10.7-11.4]). Conclusions: Women and young men with an alcohol use disorder have a higher risk of early mortality. Early detection of problematic alcohol consumption and selective and well-indicated prevention programs should be improved.

Translated title of the contributionImpact of alcohol use disorder on mortality: Are there age and gender differences?
Original languageSpanish
Pages (from-to)385-390
Number of pages6
JournalGaceta Sanitaria
Volume25
Issue number5
DOIs
StatePublished - Sep 2011

Keywords

  • Alcohol-related disorders
  • Attributable risk
  • Mortalidad
  • Mortality
  • Riesgo atribuible
  • Trastornos relacionados con alcohol

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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