What underlies the high alcohol related mortality of the disadvantaged: high morbidity or poor survival?
Related Experiment Video
Updated: Aug 29, 2026

Assessment of Glutamine as a Fuel Source for Alveolar Macrophages Exposed to Chronic Ethanol Using an Extracellular Flux Bioanalyzer
Published on: November 15, 2024
P Mäkelä1, I Keskimäki, S Koskinen
1STAKES, National Research and Development Centre for Welfare and Health, Finland. pia.makela@stakes.fi
Study Objective:
To investigate whether the large socioeconomic differences in alcohol related mortality can be explained by differences in morbidity or differences in survival.
Design:
Register linkage study. A nationwide hospital discharge register was linked to population censuses for socioeconomic data and to the cause of death register for mortality follow up.
Setting:
Finland.
Participants:
Men and women aged 15 years and older discharged from hospitals with an alcohol related diagnosis in 1991-1996.
Measurements:
Mortality hazard up to the end of 1997 by socioeconomic category was estimated with Cox's regression model.
Main Results:
Socioeconomic differences in alcohol related hospitalisation rates were almost as large as those that have been observed for alcohol related mortality. For example, the rate ratio among male unspecialized workers for any alcohol related hospitalisations was 3.6 as compared with upper white collar workers; among women the rate ratio was 2.7. Depending on gender, age, hospitalisation diagnosis, and cause of death, survival after discharge either showed no socioeconomic differences or it was worse among better off groups.
Conclusions:
The study suggests that differences in survival after hospitalisation do not cause the high socioeconomic differences in alcohol related mortality.
Related Concept Videos
Pulmonary Tuberculosis I
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Stress Prevention and Stress Management Techniques IV
Drug Toxicity: Risk factors
Comparing the Survival Analysis of Two or More Groups
Kaplan-Meier Approach
