alcohol consumption, alcohol dependence and attributable...

Download Alcohol consumption, alcohol dependence and attributable ...iogt.org/wp-content/uploads/2015/03/CAMH-Alcohol-Report-Europe... ·…

Post on 14-Feb-2019

214 views

Category:

Documents

0 download

Embed Size (px)

TRANSCRIPT

Alcohol consumption, alcohol dependence and attributable burden of disease in EuropePotential gains from effective interventions for alcohol dependence

jrgen rehmkevin d. shield

Maximilien X. Rehm Gerrit GmelUlrich Frick

Alcohol consumption, alcohol dependence and attributable burden of disease in

Europe: Potential gains from effective interventions for alcohol dependence

ISBN: 978-1-77114-046-1 (PRINT)

ISBN: 978-1-77114-047-8 (PDF)

ISBN: 978-1-77114-048-5 (HTML)

ISBN: 978-1-77114-049-2 (ePUB)

Printed in Canada

Copyright 2012 Centre for Addiction and Mental Health

No part of this work may be reproduced or transmitted in any form or by any means electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system without written permission from the publisherexcept for a brief quotation (not to exceed 200 words) in a review or professional work.

Website: www.camh.net 467

5 /

04

-20

12

Alcohol consumption, alcohol dependenceand attributable burden of disease in Europe:

Potential gains from effective interventions for alcohol dependence

Authors: Jrgen Rehm,1 6* Kevin D. Shield,1,3* Maximilien X. Rehm,7 Gerrit Gmel,1,8 Ulrich Frick9

* JR and KS share first authorship.

Affiliations

1 Centre for Addiction and Mental Health (CAMH), Toronto

2 Institute for Clinical Psychology and Psychotherapy, Technische Universitt, Dresden, Germany

3 Institute of Medical Science, University of Toronto, Canada

4 Dalla Lana School of Public Health (DLSPH), University of Toronto, Canada

5 Department of Psychiatry, University of Toronto, Canada

6 PAHO/WHO Collaborating Centre for Mental Health and Addiction

7 Faculty of Arts and Sciences/Politics and Governance, Ryerson University, Toronto, Canada

8 Ecole Polytechnique Fdrale de Lausanne, Lausanne, Switzerland

9 Dept. Healthcare Management, Carinthia University of Applied Sciences, Feldkirchen, Austria

Corresponding author: J. Rehm, CAMH, 33 Russell Street, Toronto, ON, M5S 2S1, Canada

Competing interests: The authors have declared that no competing interests exist.

Funding: This work was supported by an unrestricted contract from Lundbeck A/S. In addition, WHO

European Region supported the calculations of alcohol attributable harm; and the methodology for

determining alcohol attributable fractions was developed as a result of the Comparative Risk

Assessment of the Global Burden of Disease 2005 study.

Acknowledgments: The authors would like to thank Peter Anderson, Peter Iversen and Uli Wittchen for

their very helpful comments on an earlier version of this manuscript. Thanks also go to Julie Grayson for

English copy editing, and to Michelle Tortolo and Christine Vrbanac for referencing the multiple versions

of this manuscript.

1

TABLE OF CONTENTS

ALCOHOL CONSUMPTION, ALCOHOL DEPENDENCE AND ATTRIBUTABLE BURDEN OF DISEASE IN

EUROPE: POTENTIAL GAINS FROM EFFECTIVE INTERVENTIONS FOR ALCOHOL DEPENDENCE.............................. 1

FOREWORD ....................................................................................................................................................7

WAKE UP CALL FOR EUROPES DRINKING PROBLEM.................................................................................................8

Dealing with Europes drinking problem.................................................................................................8

Why has Europe got it so wrong?...........................................................................................................8

Enter the pharmaceutical business.........................................................................................................9

References ............................................................................................................................................10

EXECUTIVE SUMMARY.....................................................................................................................................11

ABBREVIATIONS USED.....................................................................................................................................14

THE AIM OF THIS BOOK ..................................................................................................................................15

TRADITIONAL PATTERNS OF ALCOHOL CONSUMPTION IN EUROPE ...........................................................................16

KEY INDICATORS OF ALCOHOL CONSUMPTION IN EUROPE......................................................................................18

Drinking status and volume of drinking................................................................................................18

Table 1: Key alcohol consumption indicators ................................................................................................... 20

Deriving indicators for alcohol consumption ........................................................................................22

Measures of alcohol consumption: definitions and procedures ...................................................................... 22

Adult alcohol consumption in 2009 ......................................................................................................23

Figure 1: Adult consumption in litres ............................................................................................................... 24

Table 2: Adult consumption and drinking patterns .......................................................................................... 25

Time trends in consumption............................................................................................................................. 27

Figure 2: Adult consumption in litres since 2000.............................................................................................. 27

Patterns of drinking ..............................................................................................................................28

Figure 3: Global patterns of drinking (2005)..................................................................................................... 29

Heavy drinking occasions......................................................................................................................29

Table 3: Frequency of drinking by country ....................................................................................................... 30

ALCOHOL ATTRIBUTABLE BURDEN OF DISEASE IN EUROPE .....................................................................................31

Acknowledgment ..................................................................................................................................31

Relationships between alcohol, disease and injury ..............................................................................32

Methodology for deriving the alcohol attributable burden..................................................................32

The problem of time lag........................................................................................................................33

Alcohol attributable mortality..............................................................................................................34

3

Deaths due to alcohol consumption................................................................................................................. 35

Figure 4: Regional variations in proportions of deaths..................................................................................... 35

Figure 5: Country variations in the proportions of deaths ............................................................................... 38

Table 4: Deaths by disease categories .......................................................................................................... 39

Figure 6: Proportion of deaths for major disease categories ........................................................................... 40

Potential Years of Life Lost (PYLL) due to alcohol ............................................................................................. 42

Figure 7: Regional variations in the proportion of PYLL.................................................................................... 42

Figure 8: Proportion of PYLL for major disease categories ............................................................................... 43

Alcohol attributable disability and burden of disease ..........................................................................44

Years of Life Lost Due to Disability (YLD) .......................................................................................................... 44

Figure 9: Alcohol attributable YLD to all YLD, by region................................................................................... 45

Burden of disease due to alcohol ..................................................................................................................... 45

Figure 10: Alcohol attributable DALYs to all DALYs, by region ......................................................................... 46

Figure 11: Proportion of alcohol attributable DALYs to all DALYs .................................................................... 48

Recommended

View more >