Evolución de la mortalidad atribuible al alcohol en España según edad, sexo, causa de muerte y tipo de bebedor (2001-2017)
- Marta Donat 1
- Luis Sordo 2
- María José Belza 1
- Juan Hoyos 3
- Enrique Regidor 2
- Gregorio Barrio 1
- 1 Instituto de Salud Carlos III, Madrid.
- 2 Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP)
-
3
Universidad Complutense de Madrid
info
ISSN: 0214-4840
Año de publicación: 2023
Volumen: 35
Número: 2
Páginas: 165-176
Tipo: Artículo
Otras publicaciones en: Adicciones: Revista de socidrogalcohol
Resumen
There are no recent estimates of alcohol-attributable mortality in Spain with Spanish alcohol consumption data. The objective is to estimate it and know its evolution between 2001 and 2017 in people ≥15 years, according to sex, age, period, cause of death and type of drinker. The cause-specific approach and Levin’s equation were used. Survey consumption was corrected for underestimation with respect to sales statistics, and past consumption and binge drinking were considered. The average annual number of deaths attributable to alcohol in 2010-2017 was 14,927, 58.6% of which were premature (<75 years). The age-standardized alcohol-attributable mortality rate was 39.4/100,000 inhabitants, representing 3.9% of overall mortality. Using standardized percentages, 68.7% corresponded to heavy drinkers. The most frequent causes of alcohol-attributable mortality were cancer (44.7%) and digestive diseases (33.2%). The rate of alcohol-attributable mortality was 3.5 times higher in men than in women (with higher ratios for young people and external causes). Between 2001-2009 and 2010-2017, the average annual rate decreased 16.8% (60.7% in 15-34 years; 19.4% in men and 9.8% in women). The contribution of heavy drinkers, digestive diseases and external causes to the risk of alcohol-attributable mortality decreased slightly between the two periods, while the contribution of cancer and circulatory diseases increased. These estimates are conservative. The contribution of alcohol to overall mortality is significant in Spain, requiring collective action to reduce it.
Referencias bibliográficas
- Alonso, I., Vallejo, F., Regidor, E., Belza, M. J., Sordo, L., Otero-García, L. y Barrio, G. (2017). Changes in directly alcohol-attributable mortality during the great recession by employment status in Spain: A population cohort of 22 million people. Journal of Epidemiology and Community Health, 71, 736-744. doi:10.1136/jech-2016-208759.
- Connor, J., Kydd, R., Rehm, J., y Shield, K. (2013). Alcohol-attributable burden of disease and injury in New Zealand: 2004 and 2007. Research report commissioned by the Health Promotion Agency. Recuperado de https: // www.hpa.org.nz / sites / default / files / Attributable%20fractions%20Final.pdf.
- Corrao, G., Bagnardi, V., Zambon, A. y Arico, S. (1999). Exploring the dose-response relationship between alcohol consumption and the risk of several alcohol-related conditions: A meta-analysis. Addiction, 94, 1551-1573. doi:10.1046/j.1360-0443.1999.9410155111.x.
- Corrao, G., Bagnardi, V., Zambron, A. y La Vecchia, C. (2004). A meta-analysis of alcohol consumption and the risk of 15 diseases. Preventive Medicine, 38, 613-619. doi:10.1016/j.ypmed.2003.11.027.
- Delegación del Gobierno para el Plan Nacional Sobre Drogas. (2018). Informes y Estadísticas del Observatorio Español de las Drogas y las Adicciones (OEDA). Estadísticas 2018. Alcohol, tabaco y drogas ilegales en España. Recuperado de http: // www.pnsd.mscbs.gob.es / profesionales / sistemasInformacion / informesEstadisticas / pdf / 2018OEDA-ESTADISTICAS.pdf.
- Di Castelnuovo, A., Costanzo, S., Bagnardi, V., Donati, M.B., Iacoviello, L. y de Gaetano, G. (2006). Alcohol dosing and total mortality in men and women: An updated meta-analysis of 34 prospective studies. Archives of Internal Medicine, 166, 2437-2445. doi: 10.1001/archinte.166.22.2437.
- Donat, M., Sordo, L., Belza, M.J. y Barrio, G. (2020). Mortalidad atribuible al alcohol en España, 2001-2017. Metodología y resultados. Madrid: Delegación del Gobierno para el Plan Nacional sobre Drogas, Ministerio de Sanidad, 2020. Recuperado de https: // pnsd.sanidad.gob.es / profesionales / publicaciones / catalogo / catalogoPNSD / publicaciones / pdf / 2020_Mortalidad_atribuible_al_alcohol_en_Espana_2001-2017.pdf.
- Fierro, I., Ochoa, R., Yánez, J. L., Valderrama, J. C. y Álvarez, F. J. (2008). Mortalidad y mortalidad prematura relacionadas con el consumo de alcohol en España entre 1999 y 2004. Medicina Clínica, 131, 10-13. doi:10.1157/13123036.
- Global Burden of Disease. (2018). Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017: A systematic analysis for the Global Burden of Disease Study 2017. Lancet, 392, 1923-1994. doi:10.1016/S0140-6736(18)32225-6.
- Graff-Iversen, S., Jansen, M.D., Hoff, D.A., Hoiseth, G., Knudsen, G. P., Magnus, P., …Tambs, K. (2013). Divergent associations of drinking frequency and binge consumption of alcohol with mortality within the same cohort. Journal of Epidemiology and Community Health, 67, 350-357. doi:10.1136/jech-2012-201564.
- Guerin, S., Laplanche, A., Dunant, A. y Hill, C. (2013). Alcohol-attributable mortality in France. European Journal of Public Health 2013, 23, 588-593. doi:10.1093/eurpub/ckt015.
- Institute for Health Metrics and Evaluation. (2019). GBD Results Tool. Seatle: Institute for Health Metrics and Evaluation (IHME). Recuperado de http: // ghdx.healthdata.org / gbd-results-tool.
- Instituto Nacional de Estadística. (2019). Encuesta Nacional de Salud. Microdatos. Recuperado de https: // www.ine.es / dyngs / INEbase / es / operacion.htm?c = Estadistica_C&cid = 1254736176783&menu = resultados&secc = 1254736195295&idp = 1254735573175.
- Marmet, S., Rehm, J. y Gmel, G. (2016). The importance of age groups in estimates of alcohol-attributable mortality: Impact on trends in Switzerland between 1997 and 2011. Addiction, 111, 255-262. doi:10.1111/add.13164.
- Marmet, S., Rehm, J., Gmel, G., Frick, H. y Gmel, G. (2014). Alcohol-attributable mortality in Switzerland in 2011--age-specific causes of death and impact of heavy versus non-heavy drinking. Swiss Medical Weekly, 144, w13947. doi:10.4414/smw.2014.13947.
- Ministerio de Sanidad, Consumo y Bienestar Social. (2019). Banco de datos. Recuperado de https: // www.mscbs.gob.es / estadEstudios / estadisticas / bancoDatos.htm.
- Ministerio de Sanidad, Servicios Sociales e Igualdad. (2017). Indicadores de Salud 2017. Evolución de los indicadores del estado de salud en España y su magnitud en el contexto de la Unión Europea. Madrid: Ministerio de Sanidad, Servicios Sociales e Igualdad (MSSSI). Recuperado de https: // www.mscbs.gob.es / estadEstudios / estadisticas / inforRecopilaciones / docs / Indicadores2017.pdf.
- Ministerio de Sanidad, Servicios Sociales e Igualdad. (2018). Patrones de mortalidad en España, 2015. Recuperado de https: // www.mscbs.gob.es / estadEstudios / estadisticas /estadisticas / estMinisterio / mortalidad / docs / PatronesMortalidad2015.pdf.
- Murray, R.P., Connett, J.E., Tyas, S.L., Bond, R., Ekuma, O., Silversides, C.K. y Barnes, G.E. (2002). Alcohol volume, drinking pattern, and cardiovascular disease morbidity and mortality: Is there a U-shaped function? American Journal of Epidemiology, 155, 242-248. doi:10.1093/aje/155.3.242.
- National Drug Research Institute. (2019). Australian alcohol-attributable harm visualisation tool: National Drug Research Institute (NDRI). Recuperado de http: // ndri.curtin.edu.au / aat / index.php.
- Plunk, A.D., Syed-Mohammed, H., Cavazos-Rehg, P., Bierut, L.J. y Grucza, R.A. (2014). Alcohol consumption, heavy drinking, and mortality: Rethinking the j-shaped curve. Alcoholism: Clinical and Experimental Research, 38, 471-478. doi: 10.1111/acer.12250.
- Pulido, J., Indave-Ruiz, B.I., Colell-Ortega, E., Ruiz-Garcia, M., Bartroli, M. y Barrio, G. (2014). Population-based studies on alcohol-related harm in Spain. Revista Española de Salud Pública, 88, 493-513. doi:S1135-57272014000400005.
- Rehm, J., Gmel, G. E., Sr., Gmel, G., Hasan, O. S. M., Imtiaz, S., Popova, S., ...Shuper, P. A. (2017). The relationship between different dimensions of alcohol use and the burden of disease-an update. Addiction, 112, 968-1001. doi:10.1111/add.13757.
- Rehm, J., Mathers, C., Popova, S., Thavorncharoensap, M., Teerawattananon, Y. y Patra, J. (2009). Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. Lancet, 373, 2223-2233. doi:10.1016/S0140-6736(09)60746-7.
- Rehm, J., Rehm, M. X., Shield, K. D., Gmel, G. y Gual, A. (2013a). Alcohol consumption, alcohol dependence and related harms in Spain, and the effect of treatment-based interventions on alcohol dependence. Adicciones, 25, 11-18.
- Rehm, J., Shield, K.D., Gmel, G., Rehm, M. X. y Frick, U. (2013b). Modeling the impact of alcohol dependence on mortality burden and the effect of available treatment interventions in the European Union. European Neuropsychopharmacology, 23, 89-97. doi:10.1016/j.euroneuro.2012.08.001.
- Roerecke, M. y Rehm, J. (2010). Irregular heavy drinking occasions and risk of ischemic heart disease: A systematic review and meta-analysis. American Journal of Epidemiology, 171, 633-644. doi:10.1093/aje/kwp451.
- Roerecke, M. y Rehm, J. (2011). Ischemic heart disease mortality and morbidity rates in former drinkers: A meta-analysis. American Journal of Epidemiology, 173, 245-258. doi:10.1093/aje/kwq364.
- Samokhvalov, A. V., Irving, H. M. y Rehm, J. (2010). Alcohol consumption as a risk factor for atrial fibrillation: A systematic review and meta-analysis. European Journal of Cardiovascular Prevention & Rehabilitation, 17, 706-712. doi:10.1097/HJR.0b013e32833a1947.
- Sherk, A., Stockwell, T., Rehm, J., Dorocicz, J. y Shield, K. D. (2017). The International Model of Alcohol Harms and Policies (InterMAHP). Version 1.0: December 2017. Recuperado de www.intermahp.cisur.ca.
- Shield, K.D., Rehm, J., Gmel, G., Rehm, M.X. y Allamani, A. (2013). Alcohol consumption, alcohol dependence, and related mortality in Italy in 2004: Effects of treatment-based interventions on alcohol dependence. Substance Abuse Treatment, Prevention, and Policy, 8, 21. doi:10.1186/1747-597X-8-21.
- Shield, K. D., Rylett, M. y Rehm, J. (2016). Public health successes and missed opportunities. Trends in alcohol consumption and attributable mortality in the WHO European Region, 1990–2014. Recuperado de http: // www.euro.who.int / __data / assets / pdf_file / 0018 / 319122 / Public-health - successes - and - missed - opportunities - alcohol - mortality - 19902014.pdf.
- Sordo, L., Barrio, G., Bravo, M. J., Villalbí, J. R., Espelt, A., Neira, M. y Regidor, E. (2016). Estimating average alcohol consumption in the population using multiple sources: The case of Spain. Population Health Metrics, 14, 21. doi:10.1186/s12963-016-0090-4.
- World Health Organization. (2019). Global Information System on Alcohol and Health (GISAH). Recuperado de http: //apps.who.int / gho / data / node.gisah.GISAH?showonly = GISAH.
- World Health Organization-Europe. (2019). Status report on alcohol consumption, harm and policy responses in 30 European countries 2019. Copenhagen: World Health Organization. Regional Office for Europe (WHO-Europe). Recuperado de http: // www.euro.who.int / __data / assets / pdf_file / 0019 / 411418 / Alcohol-consumption-harm-policy-responses-30-European-countries-2019.pdf?ua=1.