Agren G, Romelsjö A
Karolinska Institute, Department of Social Medicine, Kronan Health Centre, Sundbyberg.
Scand J Soc Med. 1992 Sep;20(3):134-42. doi: 10.1177/140349489202000302.
A new Swedish population register, created by linking Census data to the Cause of Death Registry and covering over 99% of the population, has been used to study the relationship between occupational category, marital status and citizenship in 1970 and mortality in closely alcohol-related diseases during 1971-1980 for the ages 25-64 years. Age-standardized rate ratios (SRR) have been computed for mortality in alcoholism, alcohol intoxication and alcohol psychosis ("AAA") and in liver cirrhosis. SRR-values for both diagnose categories and both sexes were higher than average among not gainfully employed (SRR = 3.71 among males and SRR = 1.96 among females in 1976-80 for "AAA"), among employees in the service sector, engine-drivers and unskilled workers and increased in liver cirrhosis among artists and authors. Among females there were smaller variations in mortality for occupational groups than among males. The SRR-values showed a tendency to be higher in 1976-80 than in 1971-75, probably due to health-related selection to some extent. The alcohol-related mortality was also increased among divorced, widows (SRR = 1.37 for "AAA" and 2.81 for liver cirrhosis in 1976-80) and widowers and among never married males. SRR was much higher among Finnish citizens in Sweden (SRR for "AAA" = 3.85 among males and 2.35 among females in 1976-80) than among males and females living in Finland (SRR for "AAA" = 1.13 among males and 0.36 among females) and also higher than among immigrants from other countries, summed (SRR for "AAA" = 0.62 among males and 0.64 among females).(ABSTRACT TRUNCATED AT 250 WORDS)
瑞典通过将人口普查数据与死因登记册相链接，创建了一个新的人口登记册，覆盖了99%以上的人口。该登记册被用于研究1970年职业类别、婚姻状况和公民身份与1971年至1980年期间25至64岁人群中与酒精密切相关疾病死亡率之间的关系。计算了酗酒、酒精中毒和酒精性精神病（“AAA”）以及肝硬化死亡率的年龄标准化率比（SRR）。在无业人员中，两个诊断类别和男女两性的SRR值均高于平均水平（1976 - 80年男性“AAA”的SRR = 3.71，女性为1.96），服务业员工、火车司机和非技术工人中也是如此，艺术家和作家患肝硬化的比例有所增加。职业群体中女性死亡率的差异小于男性。SRR值在1976 - 80年比1971 - 75年有升高趋势，这可能在一定程度上归因于与健康相关的选择。离婚者、寡妇（1976 - 80年“AAA”的SRR = 1.37，肝硬化为2.81）和鳏夫以及未婚男性中与酒精相关的死亡率也有所上升。在瑞典的芬兰公民中，SRR远高于居住在芬兰的男性和女性（1976 - 80年男性“AAA”的SRR = 3.85，女性为2.35），也高于其他国家移民的总和（男性“AAA”的SRR = 0.62，女性为0.64）。（摘要截断于250字）
