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Contribution of deaths related to alcohol use to socioeconomic variation in mortality: register based follow up study.
BMJ. 1997 Jul 26; 315(7102):211-6.BMJ

Abstract

OBJECTIVE

To estimate the contribution of excessive alcohol use to socioeconomic variation in mortality among men and women in Finland.

DESIGN

Register based follow up study.

SUBJECTS

The population covered by the 1985 and 1990 censuses, aged > or = 20 in the follow up period 1987-93.

MAIN OUTCOME MEASURES

Total mortality and alcohol related mortality from all causes, from diseases, and from accidents and violence according to socioeconomic position. The excess mortality among other classes compared with upper non-manual employees and differences in life expectancy between the classes were used to measure mortality differentials.

RESULTS

Alcohol related mortality constituted 11% of all mortality among men aged > or = 20 and 2% among women and was higher among manual workers than among other classes. It accounted for 14% of the excess all cause mortality among manual workers over upper non-manual employees among men and 4% among women and for 24% and 9% of the differences in life expectancy, respectively. Half of the excess mortality from accidents and violence among male manual workers and 38% among female manual workers was accounted for by alcohol related deaths, whereas in diseases the role of alcohol was modest. The contribution of alcohol related deaths to relative mortality differentials weakened with age.

CONCLUSIONS

Class differentials in alcohol related mortality are an important factor in the socioeconomic mortality differentials in Finland, especially among men, among younger age groups, and in mortality from accidents and violence.

Authors+Show Affiliations

Department of Sociology, University of Helsinki, Finland. pia.makela@helsinki.fiNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

9253268

Citation

Mäkelä, P, et al. "Contribution of Deaths Related to Alcohol Use to Socioeconomic Variation in Mortality: Register Based Follow Up Study." BMJ (Clinical Research Ed.), vol. 315, no. 7102, 1997, pp. 211-6.
Mäkelä P, Valkonen T, Martelin T. Contribution of deaths related to alcohol use to socioeconomic variation in mortality: register based follow up study. BMJ. 1997;315(7102):211-6.
Mäkelä, P., Valkonen, T., & Martelin, T. (1997). Contribution of deaths related to alcohol use to socioeconomic variation in mortality: register based follow up study. BMJ (Clinical Research Ed.), 315(7102), 211-6.
Mäkelä P, Valkonen T, Martelin T. Contribution of Deaths Related to Alcohol Use to Socioeconomic Variation in Mortality: Register Based Follow Up Study. BMJ. 1997 Jul 26;315(7102):211-6. PubMed PMID: 9253268.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Contribution of deaths related to alcohol use to socioeconomic variation in mortality: register based follow up study. AU - Mäkelä,P, AU - Valkonen,T, AU - Martelin,T, PY - 1997/7/26/pubmed PY - 1997/7/26/medline PY - 1997/7/26/entrez SP - 211 EP - 6 JF - BMJ (Clinical research ed.) JO - BMJ VL - 315 IS - 7102 N2 - OBJECTIVE: To estimate the contribution of excessive alcohol use to socioeconomic variation in mortality among men and women in Finland. DESIGN: Register based follow up study. SUBJECTS: The population covered by the 1985 and 1990 censuses, aged > or = 20 in the follow up period 1987-93. MAIN OUTCOME MEASURES: Total mortality and alcohol related mortality from all causes, from diseases, and from accidents and violence according to socioeconomic position. The excess mortality among other classes compared with upper non-manual employees and differences in life expectancy between the classes were used to measure mortality differentials. RESULTS: Alcohol related mortality constituted 11% of all mortality among men aged > or = 20 and 2% among women and was higher among manual workers than among other classes. It accounted for 14% of the excess all cause mortality among manual workers over upper non-manual employees among men and 4% among women and for 24% and 9% of the differences in life expectancy, respectively. Half of the excess mortality from accidents and violence among male manual workers and 38% among female manual workers was accounted for by alcohol related deaths, whereas in diseases the role of alcohol was modest. The contribution of alcohol related deaths to relative mortality differentials weakened with age. CONCLUSIONS: Class differentials in alcohol related mortality are an important factor in the socioeconomic mortality differentials in Finland, especially among men, among younger age groups, and in mortality from accidents and violence. SN - 0959-8138 UR - https://www.unboundmedicine.com/medline/citation/9253268/Contribution_of_deaths_related_to_alcohol_use_to_socioeconomic_variation_in_mortality:_register_based_follow_up_study_ L2 - https://www.bmj.com/lookup/pmidlookup?view=long&pmid=9253268 DB - PRIME DP - Unbound Medicine ER -