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Influence of affordability of alcohol on educational disparities in alcohol-related mortality in Finland and Sweden: a time series analysis.
J Epidemiol Community Health. 2017 Dec; 71(12):1168-1176.JE

Abstract

BACKGROUND

Prices of alcohol and income tend to influence how much people buy and consume alcohol. Price and income may be combined into one measure, affordability of alcohol. Research on the association between affordability of alcohol and alcohol-related harm is scarce. Furthermore, no research exists on how this association varies across different subpopulations. We estimated the effects of affordability of alcohol on alcohol-related mortality according to gender and education in Finland and Sweden.

METHODS

Vector-autoregressive time series modelling was applied to the quarter-annual aggregations of alcohol-related deaths and affordability of alcohol in Finland in 1988-2007 and in Sweden in 1991-2008. Alcohol-related mortality was defined using information on both underlying and contributory causes of death. We calculated affordability of alcohol index using information on personal taxable income and prices of various types of alcohol.

RESULTS

Among Finnish men with secondary education, an increase of 1% in the affordability of total alcohol was associated with an increase of 0.028% (95% CI 0.004 to 0.053) in alcohol-related mortality. Similar associations were also found for affordability for various types of alcohol and for beer only in the lowest education group. We found few other significant positive associations for other subpopulations in Finland or Sweden. However, reverse associations were found among secondary-educated Swedish women.

CONCLUSIONS

Overall, the associations between affordability of alcohol and alcohol-related mortality were relatively weak. Increased affordability of total alcoholic beverages was associated with higher rates of alcohol-related mortality only among Finnish men with secondary education.

Authors+Show Affiliations

Department of Public Health, Centre of Maritime Health and Society, University of Southern Denmark, Esbjerg, Denmark. Department of Social Research, Population Research Unit, University of Helsinki, Helsinki, Finland.Centre for Health Equity Studies, Stockholm University and Karolinska Institutet, Stockholm, Sweden.Centre for Health Equity Studies, Stockholm University and Karolinska Institutet, Stockholm, Sweden.Department of Social Research, Population Research Unit, University of Helsinki, Helsinki, Finland. Centre for Health Equity Studies, Stockholm University and Karolinska Institutet, Stockholm, Sweden. The Max Planck Institute for Demographic Research, Rostock, Germany.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29061845

Citation

Herttua, Kimmo, et al. "Influence of Affordability of Alcohol On Educational Disparities in Alcohol-related Mortality in Finland and Sweden: a Time Series Analysis." Journal of Epidemiology and Community Health, vol. 71, no. 12, 2017, pp. 1168-1176.
Herttua K, Östergren O, Lundberg O, et al. Influence of affordability of alcohol on educational disparities in alcohol-related mortality in Finland and Sweden: a time series analysis. J Epidemiol Community Health. 2017;71(12):1168-1176.
Herttua, K., Östergren, O., Lundberg, O., & Martikainen, P. (2017). Influence of affordability of alcohol on educational disparities in alcohol-related mortality in Finland and Sweden: a time series analysis. Journal of Epidemiology and Community Health, 71(12), 1168-1176. https://doi.org/10.1136/jech-2017-209636
Herttua K, et al. Influence of Affordability of Alcohol On Educational Disparities in Alcohol-related Mortality in Finland and Sweden: a Time Series Analysis. J Epidemiol Community Health. 2017;71(12):1168-1176. PubMed PMID: 29061845.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Influence of affordability of alcohol on educational disparities in alcohol-related mortality in Finland and Sweden: a time series analysis. AU - Herttua,Kimmo, AU - Östergren,Olof, AU - Lundberg,Olle, AU - Martikainen,Pekka, Y1 - 2017/10/23/ PY - 2017/06/26/received PY - 2017/09/19/revised PY - 2017/09/20/accepted PY - 2017/10/25/pubmed PY - 2018/4/28/medline PY - 2017/10/25/entrez KW - alcohol KW - education KW - mortality KW - public health policy KW - time series SP - 1168 EP - 1176 JF - Journal of epidemiology and community health JO - J Epidemiol Community Health VL - 71 IS - 12 N2 - BACKGROUND: Prices of alcohol and income tend to influence how much people buy and consume alcohol. Price and income may be combined into one measure, affordability of alcohol. Research on the association between affordability of alcohol and alcohol-related harm is scarce. Furthermore, no research exists on how this association varies across different subpopulations. We estimated the effects of affordability of alcohol on alcohol-related mortality according to gender and education in Finland and Sweden. METHODS: Vector-autoregressive time series modelling was applied to the quarter-annual aggregations of alcohol-related deaths and affordability of alcohol in Finland in 1988-2007 and in Sweden in 1991-2008. Alcohol-related mortality was defined using information on both underlying and contributory causes of death. We calculated affordability of alcohol index using information on personal taxable income and prices of various types of alcohol. RESULTS: Among Finnish men with secondary education, an increase of 1% in the affordability of total alcohol was associated with an increase of 0.028% (95% CI 0.004 to 0.053) in alcohol-related mortality. Similar associations were also found for affordability for various types of alcohol and for beer only in the lowest education group. We found few other significant positive associations for other subpopulations in Finland or Sweden. However, reverse associations were found among secondary-educated Swedish women. CONCLUSIONS: Overall, the associations between affordability of alcohol and alcohol-related mortality were relatively weak. Increased affordability of total alcoholic beverages was associated with higher rates of alcohol-related mortality only among Finnish men with secondary education. SN - 1470-2738 UR - https://www.unboundmedicine.com/medline/citation/29061845/Influence_of_affordability_of_alcohol_on_educational_disparities_in_alcohol_related_mortality_in_Finland_and_Sweden:_a_time_series_analysis_ DB - PRIME DP - Unbound Medicine ER -