Rehm Jürgen, Shield Kevin D
Alcohol Res. 2013;35(2):174-83.
Alcohol consumption has long been recognized as a risk factor for mortality. By combining data on alcohol per capita consumption, alcohol-drinking status and alcohol-drinking patterns, risk relationships, and mortality, the Comparative Risk Assessment Study estimated alcohol-attributable mortality for 1990 and 2010. Alcohol-attributable cancer, liver cirrhosis, and injury were responsible for the majority of the burden of alcohol-attributable mortality in 1990 and 2010. In 2010, alcohol-attributable cancer, liver cirrhosis, and injury caused 1,500,000 deaths (319,500 deaths among women and 1,180,500 deaths among men) and 51,898,400 potential years of life lost (PYLL) (9,214,300 PYLL among women and 42,684,100 PYLL among men). This represents 2.8 percent (1.3 percent for women and 4.1 percent for men) of all deaths and 3.0 percent (1.3 percent for women and 4.3 percent for men) of all PYLL in 2010. The absolute mortality burden of alcohol-attributable cancer, liver cirrhosis, and injury increased from 1990 to 2010 for both genders. In addition, the rates of deaths and PYLL per 100,000 people from alcohol-attributable cancer, liver cirrhosis, and injury increased from 1990 to 2010 (with the exception of liver cirrhosis rates for women). Results of this paper indicate that alcohol is a significant and increasing risk factor for the global burden of mortality.
长期以来,饮酒一直被视为导致死亡的一个风险因素。通过整合人均酒精消费量、饮酒状况、饮酒模式、风险关系以及死亡率等数据,比较风险评估研究估算了1990年和2010年酒精导致的死亡率。酒精导致的癌症、肝硬化和损伤是1990年和2010年酒精所致死亡负担的主要原因。2010年,酒精导致的癌症、肝硬化和损伤造成了150万例死亡(女性死亡319500例,男性死亡1180500例)以及51898400潜在寿命损失年(PYLL)(女性为9214300 PYLL,男性为42684100 PYLL)。这占2010年所有死亡人数的2.8%(女性为1.3%,男性为4.1%)以及所有潜在寿命损失年的3.0%(女性为1.3%,男性为4.3%)。1990年至2010年,男女因酒精导致的癌症、肝硬化和损伤的绝对死亡负担均有所增加。此外,1990年至2010年,每10万人中因酒精导致的癌症、肝硬化和损伤的死亡率及潜在寿命损失年率有所上升(女性肝硬化率除外)。本文结果表明,酒精是全球死亡负担中一个重要且呈上升趋势的风险因素。