1950年から2002年までのイギリスにおける肝硬変の死亡率:ルーティンデータ分析
David A Leon1, Jim McCambridge
1Non-Communicable Disease Epidemiology Unit, Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK. david.leon@lshtm.ac.uk
Lancet (London, England)
|January 10, 2006
まとめ
イギリスの肝硬変による死亡率は,特にスコットランドでは急激に増加し,1990年代には男性では倍増した. これらの傾向は西ヨーロッパで最も急激で,他の地域での減少率と対照的です.
科学分野:
- 公衆衛生は公衆衛生である.
- 肝臓病理学 肝臓病理学
- エピデミオロジー エピデミオロジー
背景:
- 肝硬変による死亡率は,人口レベルでのアルコール関連被害の重要な指標として機能しています.
- 1960年から2002年の間にイギリスで記録されたアルコールの消費量は2倍になったため,肝硬変による死亡率の動向を調査することが必要となった.
研究 の 目的:
- イギリスにおける肝硬変による死亡率の動向を評価する.
- これらの傾向を西ヨーロッパ12カ国の傾向と比較する.
主な方法:
- 肝硬変による年齢別およびすべての年齢における死亡率の計算.
- ヨーロッパ標準人口に対する年齢標準化比率.
- 1955年から2001年にかけての12の西欧諸国とイギリスの税率を比較した.
主要な成果:
- 肝硬変による死亡率は1990年代にイギリスで急激に上昇した.
- スコットランドでは,1987年から1991年,そして1997年から2001年の間に,男性肝硬変による死亡率は2倍以上 (増加104%) 増加しました.
- 女性の死亡率はほぼ半減した (スコットランドでは46%,イングランド/ウェールズでは44%).
- これらの増加は西ヨーロッパで最も急激で,他の国々での減少とは対照的です.
- スコットランドの肝硬変の死亡率は西ヨーロッパで最高です.
結論:
- イギリスのアルコール政策は,肝硬変による死亡率の上昇を抑制する上で有効性を評価する必要があります.
- スコットランドの情勢の悪化は,緊急の注意と具体的な政策評価を要求している.
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