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Excess mortality associated with alcohol consumption.

P Anderson1

  • 1Oxfordshire Health Authority.

BMJ (Clinical Research Ed.)
|October 1, 1988
PubMed
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Alcohol consumption is linked to an estimated 28,000 excess deaths annually in England and Wales. This study quantifies alcohol-related mortality across different consumption levels.

Area of Science:

  • Public Health
  • Epidemiology
  • Alcohol Research

Background:

  • Alcohol consumption is a significant public health concern with documented links to mortality.
  • Previous studies suggest a complex relationship between alcohol intake and death rates, often exhibiting a J-shaped curve.
  • Quantifying excess mortality attributable to alcohol is crucial for public health policy and interventions.

Purpose of the Study:

  • To estimate the annual excess mortality associated with alcohol consumption in England and Wales.
  • To apply alcohol-specific death rates from longitudinal studies to the current population.
  • To adjust for the J-shaped relationship between alcohol and mortality, using a low-risk consumption group as a baseline.

Main Methods:

  • Utilized death rates specific to alcohol consumption derived from five longitudinal studies.

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  • Applied these rates to the population of England and Wales, categorized by alcohol consumption levels.
  • Calculated excess deaths by comparing observed mortality to that expected in the lowest-risk group (1-10 units/week), with adjustments for abstainers and total observed mortality.

    • Main Results:

    • An estimated 28,000 excess deaths annually were attributed to alcohol consumption in England and Wales.
    • This estimate specifically pertains to individuals aged 15-74.
    • The methodology accounted for the non-linear relationship between alcohol intake and mortality risk.

    Conclusions:

    • Alcohol consumption contributes significantly to excess mortality in England and Wales.
    • The findings highlight the substantial public health burden imposed by alcohol-related deaths.
    • This research provides a quantitative basis for understanding and potentially mitigating alcohol-related harm.