Fraction of stroke mortality attributable to alcohol consumption in Russia

• Autores: Yuri Evgeny Razvodovsky
• Localización: Adicciones: Revista de socidrogalcohol, ISSN 0214-4840, Vol. 26, Nº. 2, 2014, págs. 126-133
• Idioma: inglés
• DOI: 10.20882/adicciones.14
• Títulos paralelos:
  • Fracción de la mortalidad por accidente cerebrovascular atribuible al consumo de alcohol en Rusia
• Enlaces
  • Texto completo
• Dialnet Métricas: 6 Citas
• Resumen
  • español

    El accidente cerebrovascular es un problema internacional de salud asociado a altos costes humanos y económicos. La tasa de mortalidad por accidente cerebrovascular en Rusia es una de las más altas del mundo. Por lo tanto, la identificación de los factores de riesgo constituye una prioridad desde el punto de vista de la salud pública. La evidencia epidemiológica sugiere que el consumo de atracón (binge drinking) supone en Rusia un importante factor determinante de dicha alta tasa de mortalidad por accidente cerebrovascular. El objetivo del presente estudio fue estimar la mortalidad prematura por accidente cerebrovascular atribuible al consumo de alcohol sobre una base de datos agregados de mortalidad por accidente cerebrovascular y de consumo de alcohol. Datos estandarizados, por grupo de edad y sexo, de mortalidad por accidente cerebrovascular para el periodo 1980-2005 y datos del consumo total de alcohol se analizaron mediante análisis de series temporales ARIMA. Los resultados del análisis indican que el 26,8% de todas las muertes por accidente cerebrovascular, entre los varones, y el 18,4%, entre las mujeres, serian atribuibles al alcohol. La fracción atribuible al alcohol para los hombres oscila entre un 16,2% (grupo de +75 años) y un 57,5% (grupo de 30-44 años); y para las mujeres entre el 21,7% (grupo de 60-74 años) y 43,5% (grupo de 30-44 años). Los resultados de este estudio apoyan la hipótesis de que el alcohol es un importante factor que contribuye a las altas tasas de mortalidad por accidente cerebrovascular en la Federación Rusa. Por tanto, la prevención del daño atribuible al alcohol debe tener una mayor prioridad de la salud pública en Rusia. Dada la distribución de las muertes por accidente cerebrovascular relacionado con el alcohol, las intervenciones deben centrarse en los hombres y mujeres de mediana edad.

  • English

    Stroke is an international health problem with high associated human and economic costs. The mortality rate from stroke in Russia is one of the highest in the world. Risk factors identification is therefore a high priority from the public health perspective. Epidemiological evidence suggests that binge drinking is an important determinant of high stroke mortality rate in Russia. The aim of the present study was to estimate the premature stroke mortality attributable to alcohol abuse in Russia on the basis of aggregate-level data of stroke mortality and alcohol consumption. Age-standardized sex-specific male and female stroke mortality data for the period 1980-2005 and data on overall alcohol consumption were analyzed by means ARIMA time series analysis. The results of the analysis suggest that 26.8% of all male stroke deaths and 18.4% female stroke deaths in Russia could be attributed to alcohol. The estimated alcohol-attributable fraction for men ranged from 16.2% (75+ age group) to 57,5% (30-44 age group) and for women from 21.7% (60-74 age group) and 43.5% (30- 44 age group). The outcomes of this study provide support for the hypothesis that alcohol is an important contributor to the high stroke mortality rate in Russian Federation. Therefore prevention of alcoholattributable harm should be a major public health priority in Russia. Given the distribution of alcohol-related stroke deaths, interventions should be focused on the young and middle-aged men and women.

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