Increased alcohol-specific mortality in Germany during COVID-19: State-level trends from 2010 to 2020

Drug Alcohol Rev. 2023 Mar;42(3):633-640. doi: 10.1111/dar.13573. Epub 2022 Nov 9.

Abstract

Introduction: The COVID-19 pandemic may have led to an increase in the alcohol-specific mortality. Against this backdrop, the aim of this report is to explore alcohol-specific mortality trends in Germany of the years 2010 to 2020.

Method: Alcohol-specific mortality data aggregated by sex, 5-year age groups and state were collected from the annual cause-of-death statistics and analysed descriptively by visual inspection.

Results: The overall alcohol-specific mortality rate (age-standardised) has mainly decreased between 2010 and 2020. However, increased alcohol-specific mortality rates for the year 2020 compared to 2019 were found for both, women (+4.8%) and men (+5.5%), particularly in age groups between 40 and 69 years. Changes in alcohol-specific mortality rates differed between federated states, with steeper increases in East Germany.

Discussion and conclusions: Different mechanisms related to the increase in alcohol consumption, particularly among high-risk drinkers, and reduced resources in health care may have led to an increase in alcohol-specific mortality in Germany in 2020. Despite the recent decline in the alcohol-specific mortality in Germany, an increase in the death toll was observed in 2020.

Keywords: COVID-19; Germany; alcohol; alcohol-specific mortality; pandemic.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Alcohol Drinking
  • COVID-19*
  • Female
  • Germany / epidemiology
  • Germany, East
  • Humans
  • Male
  • Middle Aged
  • Mortality
  • Pandemics*