nach oben

International Journal of Public Health

Erschienen in:

01.04.2012 | Original Article

Alcohol-attributable burden of disease and injury in Canada, 2004

verfasst von: Kevin D. Shield, Tara Kehoe, Ben Taylor, Jayadeep Patra, Jürgen Rehm

Erschienen in: International Journal of Public Health | Ausgabe 2/2012

Einloggen, um Zugang zu erhalten

Abstract

Objective

This analysis aimed to estimate the burden of disease and injury caused and prevented by alcohol in 2004 for Canadians aged 0–69 years and compare the effects of different magnitudes of adjustment of survey data on these estimates.

Methods

Alcohol indicators were obtained from the Canadian Alcohol and Drug Use Monitoring Survey 2008 and were corrected to 80% coverage using adult per capita recorded and unrecorded consumption. Risk relations were taken from meta-analyses. Estimates of burden of disease and injury were obtained from the World Health Organization.

Results

In 2004, 4,721 (95% CI 1,432–8,150) deaths and 274,663 (95% CI 201,397–352,432) disability-adjusted life years lost (DALYs) of Canadians 0–69 years of age were attributable to alcohol. This represented 7.1% (95% CI 2.1–12.2%) of all deaths and 9.3% (95% CI 6.8–11.9%) of DALYs for this age range. The sensitivity analysis showed that the outcome estimates varied substantially based on the adjusted coverage rate.

Conclusion

More attention to burden of disease and injury statistics is required to accurately characterize alcohol-related harms. This burden is preventable and could be reduced by implementation of more effective policies.

Nur mit Berechtigung zugänglich

Baan R, Straif K, Grosse Y, Secretan B, El Ghissassi F et al (2007) Carcinogenicity of alcoholic beverages. Lancet Oncol 8(4):292–293PubMedCrossRef

Bagnardi V, Zambon A, Quatto P, Corrao G (2004) Flexible meta-regression functions for modeling aggregate dose-response data, with an application to alcohol and mortality. Am J Epidemiol 159:1077–1086PubMedCrossRef

Baliunas D, Taylor B, Irving H, Roerecke M, Patra J et al (2009) Alcohol as a risk factor for type 2 diabetes—a systematic review and meta-analysis. Diabetes Care 32(11):2123–2132. doi:10.2337/dc09-0227 PubMedCrossRef

Beaglehole R, Bonita R (2009) Alcohol: a global health priority. Lancet 373:2173–2217PubMedCrossRef

Canadian Centre on Substance Abuse (2004) Canadian Addiction Survey 2004: microdata eguide. Canadian Centre on Substance Abuse, Ottawa, ON

Casswell S, Thamarangsi T (2009) Reducing the harm from alcohol: call to action. Lancet 373:2247–2257PubMedCrossRef

Chisholm D, Rehm J, van Ommeren M, Monteiro M (2004) Reducing the global burden of hazardous alcohol use: a comparative cost-effectiveness analysis. J Stud Alcohol 65:782–793PubMed

Corrao G, Bagnardi V, Zambon A, La Vecchia C (2004) A meta-analysis of alcohol consumption and the risk of 15 diseases. Prev Med 38:613–619. doi:10.1016/j.ypmed.2003.11.027 PubMedCrossRef

Eide G, Heuch I (2001) Attributable fractions: fundamental concepts and their visualization. Stat Methods Med Res 10:159–193PubMedCrossRef

Ezzati M, Lopez A, Rodgers A, Murray CJL (2004) Comparative quantification of health risks. Global and regional burden of disease attributable to selected major risk factors. WHO, Geneva

Flegal KM, Williamson DF, Graubard BI (2006) Using adjusted relative risks to calculate attributable fractions. Am J Public Health 96:398PubMedCrossRef

Gilmore I (2009) Action needed to tackle a global drinking problem. Lancet 373:2174–2176PubMedCrossRef

Health Canada (2004) Canadian Addiction Survey 2004: Microdata User Guide. http://www.ccsa.ca/2004CCSADocuments/ccsa-005363-2004.pdf. Accessed 11 Apr 2010

Health Canada (2008) Canadian Alcohol and Drug Use Monitoring Survey (CADUMS). http://www.hc-sc.gc.ca/hc-ps/drugs-drogues/cadums-esccad-eng.php. Accessed 11 Apr 2010

Health Canada (2009) Canadian Alcohol and Drug Use Monitoring Survey 2008: microdata user guide. http://prod.library.utoronto.ca/datalib/codebooks/cstdli/cadums/2008/cadums-technical-guide-2008-final-eng.pdf. Accessed 11 Apr 2010

Institute for Health Metrics and Evaluation (2010) Global burden of diseases: injuries and risk factors study operations manual. Institute for Health Metrics and Evaluation, Seattle, WA

Irving HM, Samokhvalov A, Rehm J (2009) Alcohol as a risk factor for pancreatitis. A systematic review and meta-analysis. JOP 10(4):387–392PubMed

Korn EL, Graubard BI (1999) Analysis of health surveys. Wiley, New YorkCrossRef

Laslett AM, Catalano P, Chikritzhs T, Dale C, Doran C et al (2010) The range and magnitude of alcohol’s harm to others. Turning Point Alcohol & Drug Centre, Fitzroy, VIC

Lönnroth K, Williams B, Stadlin S, Jaramillo E, Dye C (2008) Alcohol use as a risk factor for tuberculosis—a systematic review. BMC Public Health 8:289. doi:10.1186/1471-2458-8-289 PubMedCrossRef

Macdonald S, Wells S, Giesbrecht N (1999) Unrecorded alcohol consumption in Ontario, Canada: estimation procedures and research implications. Drug Alcohol Rev 18:21–29CrossRef

Mathers C, Bernard C, Iburg K, Inoue M, Ma Fat D et al (2003) The Global Burden of Disease in 2002: data sources methods and results. World Health Organization, Geneva

Murray R, Connett J, Tyas S, Bond R, Ekuma O et al (2002) Alcohol volume, drinking pattern, and cardiovascular disease morbidity and mortality: is there a U-shaped function? Am J Epidemiol 155:242–248PubMedCrossRef

Patra J, Taylor B, Rehm J, Baliunas D, Popova S (2007) Substance-attributable morbidity and mortality changes to Canada’s epidemiological profile: measurable differences over a ten-year period. Can J Public Health 98:228–234PubMed

Patra J, Taylor B, Irving H, Roerecke M, Baliunas D et al (2010) Alcohol consumption and the risk of morbidity and mortality from different stroke types—a systematic review and meta-analysis. BMC Public Health 10:258

Patra J, Bakker R, Irving H, Jaddoe VWV, Rehm J (2011) Dose-response relationship between alcohol consumption before and during pregnancy and risk of low birth weight and preterm birth—a systematic review and meta-analyses. Obstet Gynaecol (in press)

Public Health Agency of Canada (PHAC) (2007) Alcohol use and pregnancy: an important Canadian public health and social issue. PHAC, Ottawa

Puddey IB, Rakic V, Dimmitt SB, Beilin LJ (1999) Influence of pattern of drinking on cardiovascular disease and cardiovascular risk factors—a review. Addiction 94:649–663PubMedCrossRef

Rehm J, Frick U (2010) Valuation of health states in the U.S. study to establish disability weights: lessons from the literature. Int J Methods Psychiatr Res 19:18–33PubMedCrossRef

Rehm J, Room R, Graham K, Monteiro M, Gmel G et al (2003) The relationship of average volume of alcohol consumption and patterns of drinking to burden of disease—an overview. Addiction 98:1209–1228PubMedCrossRef

Rehm J, Patra J, Popova S (2006) Alcohol-attributable mortality and potential years of life lost in Canada 2001: implications for prevention and policy. Addiction 101:373–384PubMedCrossRef

Rehm J, Klotsche J, Patra J (2007) Comparative quantification of alcohol exposure as risk factor for global burden of disease. Int J Methods Psychiatr Res 16:66–76PubMedCrossRef

Rehm J, Room R, Taylor B (2008) Method for moderation: measuring lifetime risk of alcohol-attributable mortality as a basis for drinking guidelines. Int J Methods Psychiatr Res 17(3):141–151. doi:10.1002/mpr.259 PubMedCrossRef

Rehm J, Mathers C, Popova S, Thavorncharoensap M, Teerawattananon Y et al (2009a) Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. Lancet 373:2223–2233PubMedCrossRef

Rehm J, Samokhvalov AV, Neuman MG, Room R, Parry C et al (2009) The association between alcohol use, alcohol use disorders and tuberculosis (TB). A systematic review. BMC Public Health 9(1):450. doi:10.1186/1471-2458-9-450

Rehm J, Baliunas D, Borges GLG, Graham K, Irving HM et al (2010a) The relation between different dimensions of alcohol consumption and burden of disease—an overview. Addiction 105:817–843. doi:10.1111/j.1360-0443.2010.02899.x PubMedCrossRef

Rehm J, Gmel G Jr, Shield K, Frick U, Kehoe T et al (2010b) Estimating uncertainty for alcohol-attributable fractions for infectious and chronic disease. Centre for Addiction and Mental Health, Toronto, ON

Rehm J, Kehoe T, Gmel G, Stinson F, Grant B et al (2010c) Statistical modelling of volume of alcohol exposure for epidemiological studies of population health: the example of the US. Popul Health Metr 8:3PubMedCrossRef

Rehm J, Taylor B, Mohapatra S, Irving H, Baliunas D et al (2010d) Alcohol as a risk factor for liver cirrhosis—a systematic review and meta-analysis. Drug Alcohol Rev 29(4):437–445. doi:10.1111/j.1465-3362.2009.00153.x PubMedCrossRef

Rockhill B, Newman B (1998) Use and misuse of population attributable fractions. Am J Public Health 88:15–19PubMedCrossRef

Roerecke M, Rehm J (2010) Alcohol consumption and the risk for morbidity and mortality of ischemic heart disease—a systemic review and meta-analysis. Centre for Addiction and Mental Health, Toronto, Canada

Roerecke M, Rehm J (2011) Ischemic heart disease mortality and morbidity in former drinkers: a meta-analysis. Am J Epidemiol 173:245–258PubMedCrossRef

Samokhvalov AV, Irving HM, Rehm J (2010a) Alcohol consumption as a risk factor for atrial fibrillation: a systematic review and meta-analysis. Eur J Cardiovasc Prev Rehabil. doi:10.1097/HJR.0b013e32833a1947

Samokhvalov AV, Irving H, Mohapatra S, Rehm J (2010b) Alcohol consumption, unprovoked seizures and epilepsy: a systematic review and meta-analysis. Epilepsia 51(7):1177–1184. doi:10.1111/j.1528-1167.2009.02426.x PubMedCrossRef

Schmidt LA, Mäkelä P, Rehm J, Room R (2010) Alcohol: equity and social determinants. In: Blas E, Sivasankara Kurup A (eds) Equity social determinants and public health programmes. World Health Organization, Geneva, pp 11–29

Shield K, Rehm J (2009) Difficulties with telephone-based surveys on alcohol in high-income countries: the Canadian example. Int J Methods Psychiatr Res (in press)

Single E, Robson L, Rehm J, Xie X (1999) Morbidity and mortality attributable to alcohol, tobacco, and illicit drug use in Canada. Am J Public Health 89:385–390PubMedCrossRef

Statistics Canada (2010) Vital Statistics—Death Database. http://www.statcan.gc.ca/cgi-bin/imdb/p2SV.pl?Function=getSurvey&SDDS=3233&lang=en&db=imdb&adm=8&dis=2. Accessed 1 June 2010

Taylor B, Rehm J, Room R, Patra J, Bondy S (2008a) Determination of lifetime injury mortality risk in Canada in 2002 by drinking amount per occasion and number of occasions. Am J Epidemiol 168:1119–1125PubMedCrossRef

Taylor B, Rehm J, Room R, Patra J, Bondy S (2008b) Determination of lifetime injury mortality risk in Canada in 2002 by drinking amount per occasion and number of occasions. Am J Epidemiol 168(10):1119–1125. doi:10.1093/aje/kwn215 PubMedCrossRef

Taylor B, Irving HM, Kanteres F, Room R, Borges G et al (2010) The more you drink, the harder you fall: a systematic review and meta-analysis of how acute alcohol consumption and injury or collision risk increase together. Drug Alcohol Depend 110(1–2):108–116. doi:10.1016/j.drugalcdep.2010.02.011 PubMedCrossRef

United Nations Population Division (2007) World population prospects—the 2006 revision. United Nations, New York

World Health Organization (2002) The world health report 2002: Reducing risks, promoting healthy life. World Health Organization, Geneva

World Health Organization (2007) International classification of diseases and related health problems, 10th revision (version for 2007). World Health Organization, Geneva

World Health Organization (2009) Global health risks. Mortality and burden of disease attributable to selected major risks. World Health Organization, Geneva

World Health Organization (2010) Global strategy to reduce the harmful use of alcohol. World Health Organization, Geneva

Titel: Alcohol-attributable burden of disease and injury in Canada, 2004
verfasst von: Kevin D. Shield
Tara Kehoe
Ben Taylor
Jayadeep Patra
Jürgen Rehm
Publikationsdatum: 01.04.2012
Verlag: SP Birkhäuser Verlag Basel
Erschienen in: International Journal of Public Health / Ausgabe 2/2012
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-011-0247-7

Springer Medizin

Abstract

Objective

Methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2012

Influenza surveillance using data from a telemedicine centre

Effects of individual and social factors on preterm birth and low birth weight: empirical evidence from regional data in Italy

Similarity of parents and physicians in the decision to vaccinate children against measles, mumps and rubella

Socioeconomic position, resilience, and health behaviour among elderly people

Characteristics of family nucleus as correlates of regular participation in sports among adolescents

The lower prevalence of female genital mutilation in the Netherlands: a nationwide study in Dutch midwifery practices