Haberman P W, Weinbaum D F
New Jersey Division of Alcoholism and Drug Abuse, Department of Health, Trenton 08625-0362.
Br J Addict. 1990 Feb;85(2):217-22. doi: 10.1111/j.1360-0443.1990.tb03074.x.
Changes in the estimated proportion of liver cirrhosis deaths attributable to alcoholism in the United States from 1940 to 1980 are reviewed. The value of this proportion from 1940 in the original Jellinek Alcoholism Estimation Formula, through Formula modifications, to 1980 use are presented; the rationale for various changes in its value are discussed. Essex County, New Jersey, USA decedents in 1984, aged 25-years or older, whose underlying cause of death was specified alcoholic cirrhosis and those who died of cirrhosis without mention of alcohol are analyzed for differences in background and post-mortem characteristics. Some appreciable proportion of cirrhosis deaths without mention of alcohol is considered to be attributable to alcoholism. Background and post-mortem differences between persons whose underlying cause of death is certified as cirrhosis with and without mention of alcohol suggest some bases for the under-reporting of specified alcoholic cirrhosis mortality.
回顾了1940年至1980年美国酒精性肝病导致的肝硬化死亡估计比例的变化。呈现了该比例在最初的杰林内克酒精性肝病估计公式中从1940年的值，经过公式修改，到1980年使用时的值；讨论了其值发生各种变化的理由。对美国新泽西州埃塞克斯县1984年25岁及以上、根本死因被指定为酒精性肝硬化的死者，以及死于肝硬化但未提及酒精的死者，分析其背景和尸检特征的差异。一些未提及酒精的肝硬化死亡被认为可归因于酒精性肝病。根本死因被证明为肝硬化且提及酒精和未提及酒精的人群之间的背景和尸检差异，为特定酒精性肝硬化死亡率报告不足提供了一些依据。
