2001-22年英格兰特定酒精死亡的趋势:一项观察性研究
Melissa Oldham1, Sarah Jackson1, Jamie Brown1
1Department of Behavioural Science and Health, University College London, London, UK.
The Lancet. Public health
|April 13, 2025
概括
在英格兰,COVID-19大流行后,特定于酒精的死亡人数急剧上升,特别是在男性和贫困地区. 公共卫生政策应侧重于减少酒精消费和改善肝病的检测和治疗.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 死亡率研究 死亡率研究
背景情况:
- 随着COVID-19大流行,英国的酒精特定死亡人数显著增加.
- 这项研究调查了人口结构的变化和酒精特异性死亡率的原因.
研究的目的:
- 分析2001年至2022年英格兰酒精特定死亡的趋势.
- 通过年龄,性别,区域级贫困和COVID-19大流行前后死亡原因来检查死亡率特征的变化.
主要方法:
- 使用来自英国国家统计局 (Office for National Statistics) 的年度死亡数据.
- 计算了年龄标准化率,并比较了流行病前和流行病后 (2017-19 vs. 2020-22) 的人口概况.
- 采用多变量波桑回归来分析多重贫困指数 (IMD) 对死亡率的影响,调整年龄和性别.
主要成果:
- 年龄标准化酒精特定死亡率在2020年增加了19.4%,在2022年增加了13.5%,达到每10万人的14.7.
- 最大的绝对增长在男性和来自贫困地区的个人中被观察到.
- 与酒精有关的肝病显示死亡原因的绝对增加最大,而急性原因的相对增加最大.
结论:
- 英格兰的酒精特定死亡率在流行病后仍然很高.
- 建议在人口层面制定减少酒精消费的策略.
- 增加对早期发现和治疗肝病的投资至关重要.
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