Delfrade J, Gómez Ibáñez J C, Floristán Y, Guevara M, Moreno Iribas C
Instituto de Salud Pública y Laboral de Navarra. Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP)..
An Sist Sanit Navar. 2020 Apr 20;43(1):9-13. doi: 10.23938/ASSN.0750.
Alcohol consumption is a risk factor for many health problems. Mortality from causes of death wholly attributable to alcohol consumption by sex and income level was studied and trends in the 1993-2017 period were analyzed in Navarre (Spain).
Deaths due to alcohol-induced mental disorders, dependence and abuse, alcoholic cardiomyopathy, alcoholic cirrhosis and other alcoholic liver diseases, and accidental alcohol poisoning were selected through codes ICD-9 and ICD-10. Annual income that determines copayment level was used as an indicator of socioeconomic status. Mortality rates adjusted to the European standard population were calculated using the direct method and joinpoint regression was used to evaluate the temporal trend.
A total of 441 deaths were recorded in the population aged 35-79 years. It highlights liver cirrhosis as the most common cause (77,5%). Death rates in men were ten and five times higher than in women in 1993-1997 and 2013-2017 periods, respectively. Compared to men with incomes above 18,000 €, mortality rates were five times higher in the population with incomes below 18,000 €. No statistically significant changes were observed in the trend of mortality rates throughout the period studied.
Mortality by causes of death wholly attributable to alcohol has not decreased in Navarre in the last three decades, it is higher in men than in women and in the population with lower incomes.
饮酒是许多健康问题的风险因素。我们研究了西班牙纳瓦拉地区按性别和收入水平划分的完全归因于饮酒的死因死亡率，并分析了1993 - 2017年期间的趋势。
通过国际疾病分类第九版（ICD - 9）和国际疾病分类第十版（ICD - 10）编码，选取因酒精所致精神障碍、依赖和滥用、酒精性心肌病、酒精性肝硬化和其他酒精性肝病以及酒精中毒意外死亡的病例。将决定自付费用水平的年收入用作社会经济地位指标。采用直接法计算调整至欧洲标准人口的死亡率，并使用连接点回归评估时间趋势。
在35 - 79岁人群中总共记录了441例死亡。其中肝硬化是最常见死因（77.5%）。在1993 - 1997年和2013 - 2017年期间，男性死亡率分别是女性的10倍和5倍。与收入高于18,000欧元的男性相比，收入低于18,000欧元人群的死亡率高出5倍。在所研究的整个期间，死亡率趋势未观察到统计学上的显著变化。
在过去三十年中，西班牙纳瓦拉地区完全归因于酒精的死因死亡率没有下降，男性高于女性，且低收入人群的死亡率更高。
