Trends in alcohol-related deaths in the EU countries in 1980-2003

Int J Soc Psychiatry. 2013 Aug;59(5):443-51. doi: 10.1177/0020764012438479. Epub 2012 Apr 16.

Abstract

Aims: To explore temporal trends since 1980 in alcohol-related death for people resident in the European Union (EU) and to examine differences between EU members admitted prior to 2004 and new EU members admitted since 2004.

Methods: The data were extracted from the World Health Organization's European mortality database and the European Health for All database.

Results: New EU members had higher rates of alcohol-related deaths (135.0 ± 18.48 vs 88.9 ± 18.93; t = -8.55 (d.f. = 46), p < .001) and higher death rates from alcohol abuse (whole population: 3.4 ± 1.24 vs 2.6 ± 0.12; t = -2.98 (d.f. = 23.45), p < .01; male population: 6.1 ± 2.17 vs 4.4 ± 0.19; t = -3.87 (d.f. = 23.35), p < .001) than early EU countries. However, a mortality gradient between groups of countries was visible only for female alcohol-related deaths when controlling for mortality rates from all causes. Multivariate regression analyses also indicated that alcohol-related deaths and alcohol consumption were associated negatively with the gross national product (GNP) of EU countries and positively with levels of urbanization.

Conclusions: Alcohol-related deaths represent more than 10% of all EU mortality and confirm the importance of national prevention strategies for alcohol problems.

Keywords: European Health for All database; European Union; alcohol-related mortality; joinpoint regression analysis.

MeSH terms

  • Adult
  • Alcohol Drinking / prevention & control*
  • Alcohol-Related Disorders* / epidemiology
  • Alcohol-Related Disorders* / mortality
  • Alcohol-Related Disorders* / psychology
  • Cause of Death / trends
  • Databases, Factual
  • European Union / organization & administration
  • European Union / statistics & numerical data
  • Female
  • Global Health* / trends
  • Health Promotion
  • Humans
  • Male
  • Population Dynamics / trends
  • Regression Analysis
  • Social Environment