Department of Public Health, Medical University of Warsaw, Warsaw, Poland.
Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland.
Med Sci Monit. 2023 Jun 21;29:e940904. doi: 10.12659/MSM.940904.
BACKGROUND Identifying risk and protective factors for excessive alcohol consumption can inform targeted health policies, reducing the impact of potential mental health crises. This study examined the validity and reliability of COVID-19-related death data and explored the correlations among age, sex, residential status, alcohol abuse, and healthcare access. MATERIAL AND METHODS This analysis of Polish residents' mortality relies on individual data from the register of deaths maintained by Statistics Poland. This study examined deviations in the number of deaths between 2020 and 2021 by analyzing specific causes of death. RESULTS Alcohol abusers had increased COVID-19 risk factors compared to the general population. F10 values were 22% higher than expected in 2020, aligning with predictions for 2021. Higher mortality rates were observed in the first year of the pandemic. In 2020, women and rural residents were more affected (31% and 25% higher than expected, respectively), while men and urban residents were less affected (21% and 20% higher than expected, respectively). In 2021, the trend reversed, with men 2% higher than predicted and women 4% lower. Urban area residents had a 77% lower than expected value, while rural area residents were similar (8% higher). Overall mortality exceeded expectations in both 2020 (13% higher) and 2021 (23% higher). In 2021, alcohol-related non-mental health problems increased by more than 40% in standardized death rates (SDRs). CONCLUSIONS Alcohol-related deaths reflect the hidden effects of the pandemic. Measuring the pandemic's impact on global excess mortality is hindered by inconsistencies in COVID-19 death reporting.
识别与过度饮酒相关的风险和保护因素可以为有针对性的健康政策提供信息，从而减轻潜在心理健康危机的影响。本研究检验了与 COVID-19 相关的死亡数据的有效性和可靠性，并探讨了年龄、性别、居住状况、酒精滥用和医疗保健获取之间的相关性。
本研究基于波兰统计局维护的死亡登记处的个人数据，分析了波兰居民的死亡率。本研究通过分析特定的死亡原因，研究了 2020 年和 2021 年死亡人数的偏差。
与普通人群相比，酒精滥用者的 COVID-19 风险因素增加。2020 年 F10 值比预期高出 22%，与 2021 年的预测相符。在大流行的第一年观察到更高的死亡率。2020 年，女性和农村居民受影响更大（分别比预期高出 31%和 25%），而男性和城市居民受影响较小（分别比预期高出 21%和 20%）。2021 年，趋势逆转，男性比预测值高出 2%，女性比预测值低 4%。城市地区居民的实际值比预期值低 77%，而农村地区居民则相似（高 8%）。2020 年（高 13%）和 2021 年（高 23%）的总死亡率均超过预期。2021 年，标准化死亡率（SDR）中与酒精相关的非精神健康问题增加了 40%以上。
与酒精相关的死亡反映了大流行的潜在影响。衡量大流行对全球超额死亡率的影响受到 COVID-19 死亡报告不一致的阻碍。
