Differences by sex and income level in mortality from causes directly related to alcohol in Navarre, 1993-2017
DOI:
https://doi.org/10.23938/ASSN.0750Keywords:
Mortality. Alcohol. Trend. Income.Abstract
Background. 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).
Methods. 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.
Results. 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.
Conclusions. 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.Downloads
References
Ministerio de Sanidad, Consumo y Bienestar Social. Gobierno de España. Encuesta sobre alcohol y otras drogas en España, EDADES. Consultado el 10 de julio de 2019. http://www.pnsd.mscbs.gob.es/profesionales/sistemasInformacion/sistemaInformacion/encuestas_EDADES.htm
REHM J. The risks associated with alcohol use and alcoholism. Alcohol Res Health 2010; 34: 135-143.
REHM J, GMEL GE SR, GMEL G, HASAN OSM, IMTIAZ S, POPOVA S et al .The relationship between different dimensions of alcohol use and the burden of disease - an update. Addiction 2017; 112: 968-1001. https://doi.org/10.1111/add.13757
SORIANO JB, ROJAS-RUEDA D, ALONSO J, ANTÓ JM, CARDONA PJ, FERNÁNDEZ E et al. La carga de enfermedad en España: resultados del Estudio de la Carga Global de las Enfermedades 2016. Med Clin (Barc) 2018; 151: 171-190. https://doi.org/10.1016/j.medcli.2018.05.011
PROBST C, ROERECKE M, BEHRENDT S, REHM J. Gender differences in socioeconomic inequality of alcohol-attributable mortality: A systematic review and meta-analysis. Drug Alcohol Rev 2014; 34: 267-277. https://doi.org/10.1111/dar.12184
MACKENBACH JP, KULHÁNOVÁ I, BOPP M, BORRELL C, DEBOOSERE P, KOVÁCS K et al. Inequalities in alcohol-related mortality in 17 european countries: a retrospective analysis of mortality registers. PLoS Med 12: e1001909. https://doi.org/10.1371/journal.pmed.1001909
BORRELL C, MARÍ-DELL'OLMO M, SERRAL G, MARTÍNEZ-BENEITO M, GOTSENS M; MEDEA members. Inequalities in mortality in small areas of eleven Spanish cities (the multicenter MEDEA project). Health Place 2010; 16: 703-711. https://doi.org/10.1016/j.healthplace.2010.03.002
IZCO GOÑI N, ETXEBERRÍA ANDUEZA J, DELFRADE OSINAGA J, FLORISTÁN FLORISTÁN Y; otros miembros de MEDEA. Desigualdades socioeconómicas en la mortalidad en Pamplona y Logroño en el periodo 1996-2007. An Sist Sanit Navar 2013; 36: 229-240. https://doi.org/10.4321/s1137-66272013000200006
MIQUELEIZ E, LOSTAO L, REQUES L, SANTOS JM, CALLE ME, REGIDOR E. Desigualdades en mortalidad total y por causa de muerte según el nivel de estudios en Navarra: hallazgos de un estudio longitudinal 2001-2008. Rev Esp Salud Publica 2015; 89: 295-306. https://doi.org/10.4321/s1135-57272015000300007
PULIDO J, VALLEJO F, ALONSO-LÓPEZ I, REGIDOR E, VILLAR F, DE LA FUENTE L et al. Directly alcohol-attributable mortality by industry and occupation in Spanish Census cohort of economically active population. Drug Alcohol Depend 2017; 180: 93-102. https://doi.org/10.1016/j.drugalcdep.2017.07.028
MORENO-IRIBAS C, GUEVARA M, DÍAZ-GONZÁLEZ J, ÁLVAREZ-ARRUTI N, CASADO I, DELFRADE J et al. Exhaustividad de la estadística de mortalidad de Navarra. Rev Esp Salud Publica 2013; 87: 651-657. https://doi.org/10.4321/s1135-57272013000600009
IBÁÑEZ B, GALBETE A, GOÑI MJ, FORGA L, ARNEDO L, AIZPURU F et al. Socioeconomic inequalities in cardiometabolic control in patients with type 2 diabetes. BMC Public Health 2018; 18: 408. https://doi.org/10.1186/s12889-018-5269-0
Statistical Methodology and Applications Branch, Surveillance Research Program, National Cancer Institute. US Department of Health and Human Services. Joinpoint Regression Program, Version 4.4.0.0. January 2017. https://surveillance.cancer.gov/joinpoint/
Ministerio de Sanidad, Servicios Sociales e Igualdad. Gobierno de España. Patrones de mortalidad en España, 2016. Madrid: Ministerio de Sanidad, Servicios Sociales e Igualdad, 2019.
PULIDO J, INDAVE-RUIZ BI, COLELL-ORTEGA E, RUÍZ-GARCÍA M, BARTROLI M, BARRIO G. Estudios poblacionales en España sobre daños relacionados con el consumo de alcohol. Rev Esp de Salud Publica 2014; 88: 493-513. https://doi.org/10.4321/s1135-57272014000400005
MARTÍNEZ A, DEL MORAL A, GABILONDO L, PÉREZ MJ, CARRASCO JL, LARDINOIS R. Hipertensión. Epidemiología. Estudio de Navarra. En: Pardell H, editor. Hipertensión Arterial en España. 2ª ed. Madrid: Liga Española para la lucha contra la Hipertensión Arterial, 1986.
Observatorio de Salud Comunitaria de Navarra. Serie Estilos de Vida - Desigualdades en estilos de vida relacionados con salud 2019. Consultado el 1 de agosto de 2019. Disponible en: https://www.navarra.es/home_es/Temas/Portal+de+la+Salud/Ciudadania/Observatorio+de+Salud+Comunitaria+de+Navarra/Temas+de+Salud/Estilos+de+vida/Serie+Estilos+de+Vida+Desigualdades+en+estilos+de+vida+relacionados+con+salud+2019.htm
TRIAS-LLIMÓS S, MARTIKAINEN P, MÄKELÄ P, JANSSEN F. Comparison of different approaches for estimating age-specific alcohol-attributable mortality: The cases of France and Finland. PLoS One 2018; 13: e0194478. https://doi.org/10.1371/journal.pone.0194478
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Anales del Sistema Sanitario de Navarra
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
La revista Anales del Sistema Sanitario de Navarra es publicada por el Departamento de Salud del Gobierno de Navarra (España), quien conserva los derechos patrimoniales (copyright ) sobre el artículo publicado y favorece y permite la difusión del mismo bajo licencia Creative Commons Reconocimiento-CompartirIgual 4.0 Internacional (CC BY-SA 4.0). Esta licencia permite copiar, usar, difundir, transmitir y exponer públicamente el artículo, siempre que siempre que se cite la autoría y la publicación inicial en Anales del Sistema Sanitario de Navarra, y se distinga la existencia de esta licencia de uso.
