ESTIMATION OF HARMFUL CONSEQUENCES OF ALCOHOL DRINKING IN DOLENJSKA REGION AND IN THE REST OF SLOVENIA
Abstract
Background. Dolenjska is a region with well developed viniculture and spirits production. The analysis of the mortality, premature mortality, hospitalization and temporary absence from work attributed to alcohol in Dolenjska in comparison to those in the other part of Slovenia was performed.
Methods. Data source on mortality, premature mortality, hospitalization and temporary absence from work was national statistics of the Institut of Public Health of the Republic of Slovenia and of the Health Insurance Institut of Slovenia. Statistical data were collected in accordance with diagnoses and age limits defined by the metodology of the Centers for Disease Control in USA for each gender separately (1991– 1996). Alcohol-related mortality, premature mortality, hospitalization and temporary absence from work were calculated using in the USA established alcohol attributable fractions for each disease or injury with the exception of the cirrhosis of the liver, for which the known Slovene alcohol attributable fraction exists.
Results. Selected health indicators are pointing important differences for men and partly for women in Dolenjska in comparison to the rest of Slovenia. In Dolenjska there are 12.0% of deaths, 23.0% of premature mortality, 6.2% of hospitalizations and 3.4% of temporary absence from work attributed to alcohol. In the other part of Slovenia there are 9.6% of deaths, 19.4% of premature mortality, 5.3% of hospitalizations and 3.4% of temporary absence from work attributed to alcohol.
Conclusions. There is a need to build up national alcohol policy. It must be based upon measures for reducing alcohol supply and demand, early detecting and preventing harmful drinking and treatment of the dependance on alcohol. Specifity of some regions where people produce alcohol drinks by themselves must be considered. Epidemiological research about alcohol use, drinking habits among people and harmful effects of alcohol on peoples health must be performed.
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References
Nolimal D, Premik M. Nekateri socialno medicinski vidiki pitja alkoholnih pijač. Zdrav Var 1994; 33: 291–7.
Keršmanc-Hovnik M, Čebašek-Travnik Z. Najpogostejši osnovni vzroki smrti in poraba alkohola v Sloveniji. Zdrav Var 1998; 37: 19–25.
WHO. European alcohol action plan 2000–2005. Geneve: WHO Regional Office for Europe, 2000.
Centers for Disease Control. Alcohol-related mortality and years of potential life lost. United States, 1987. MMWR 1990; 39: 173–8.
Centers for Disease Control. Smoking – attributable mortality, morbidity and economic costs – California, 1985. MMWR 1989; 38: 272–3.
Grobovšek-Opara S. Vpliv alkoholnih pijač, prehrane in zdravil na tveganje zbolevanja za jetrno cirozo. Doktorska disertacija. Ljubljana: Medicinska fakulteta, 1998: 1–59.
Radešček D. Vzroki smrti, povezani z alkoholom, na Dolenjskem v primerjavi z ostalo Slovenijo. Diplomska naloga. Ljubljana: Medicinska fakulteta, 1998: 1–.
Marshall EJ, Edwards G, Taylor C. Mortality in men with drinking problems: a 20-year follow-up. Addiction 1994; 89: 1293–8.
US Department of health and human services. Alcohol and other drugs. In: Healthy people 2000. London: Jones and Bartelett publisher, 1992: 164–83.
Ramovš J, Jakopič J, Polajnar B. Indikatorji za redno epidemiološko spremljanje alkoholizma v Sloveniji. Zdrav Var 1992; 31: 247–54.
Prada Puentes C, del Rio Gracia MC, Yanez JL, Alvarez Gonzalez FJ. Mortalidad relacionada con el consumo de alcohol en Espana: 1981–1990. Gaceta Sanitaria 1996; 10: 161–8.
Giesbrecht N, Dick R. Societal norms and risk-taking behaviour: intercultural comparison of casualties and alcohol consumption. Addiction 1993; 88: 867–76.
Corrao G, Ferrari P, Zambon A, Torchio P, Arico S, Decarli A. Trends of liver cirrhosis mortality in Europe, 1970–1989: age-period-cohort analysis and changing alcohol consumption. International Journal of Epidemiology 1997; 26: 100–9.
Amler RW, Eddins DL. Cross-sectional analysis: Precursors of premature death in the United States. Am J Prev Med 1987; 3: Suppl: 181–7.
Zureik M, Ducimetiere P. High alcohol-related premature mortality in France: concordant estimates from a prospective cohort study and national mortality statistics. Alcoholism, Clinical & Experimental Research 1996; 20: 428–33.
Andreasson S, Brandt L. Mortality and morbidity related to alcohol. Alcohol & Alcoholism 1997; 32: 173–8.
Israel Y, Hollander O, Sanchez-Craig M et al. Screening for problem drinking and counseling by the primary care physician-nurse team. Alcoholism, Clinical and Experimental Research 1996; 20: 1443–50.
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