Impacto del trastorno por consumo de alcohol en la mortalidad: ¿hay diferencias según la edad y el sexo?
Objectives: To estimate excess mortality in patients with an alcohol use disorder and to calculate the population-based impact attributable to this disorder, with emphasis on differences according to gender and age. Methods: We carried out a longitudinal study of a dynamic retrospective cohort in wh...
| Autores: | , , , , , , |
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| Formato: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2011 |
| País: | España |
| Recursos: | Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau) |
| Repositorio: | r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau |
| OAI Identifier: | oai:iibsantpau.fundanetsuite.com:p10640 |
| Acesso em linha: | https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=10640 https://www.scopus.com/inward/record.uri?eid=2-s2.0-80053110735&doi=10.1016%2fj.gaceta.2011.03.019&partnerID=40&md5=ee7e557de61442a206e14184c960ad5b |
| Access Level: | acceso abierto |
| Palavra-chave: | adolescent adult age alcoholism article cohort analysis comorbidity comparative study female human male mental disease middle aged mortality retrospective study risk sex difference socioeconomics Spain statistics urban population Adolescent Adult Age Factors Alcohol-Induced Disorders Cohort Studies Comorbidity Female Humans Male Mental Disorders Middle Aged Retrospective Studies Risk Sex Factors Socioeconomic Factors Urban Population Young Adult |
| Resumo: | Objectives: To estimate excess mortality in patients with an alcohol use disorder and to calculate the population-based impact attributable to this disorder, with emphasis on differences according to gender and age. Methods: We carried out a longitudinal study of a dynamic retrospective cohort in which 7,109 patients (76.5%men) aged 18-64 yearswho startedmedical day treatment between 1997 and 2006were recruited. Deaths weremonitored until the end of 2006 using a nationalmortality register. Standardizedmortality ratios (SMR) by age and gender and population attributable risks (PAR) by age group were estimated. Results: There were 557 deaths (83% were men). The total excess mortality was 8 times higher than in the general population aged 18-64 years, especially in the group aged 25-34 years old (SMR: 11.2 [95% CI: 7.8-16.0] in men and 24 [IC95%: 11.5-50.4] in women). Signi?cant differences by gender were found in all the variables analyzed. In Barcelona, alcohol use disorder was estimated to cause 73 deaths per year, representing 3.3% of the total annual deaths in this city in persons aged 18-64 years. This percentage was substantially higher in the groups aged 25-34 years (PAR: 19.4% [95% CI: 19.2-19.6]) and 18-24 years (PAR: 11.1% [95% CI: 10.7-11.4]). Conclusions: Women and young men with an alcohol use disorder have a higher risk of early mortality. Early detection of problematic alcohol consumption and selective and well-indicated prevention programs should be improved. © 2010 SESPAS. |
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