The impact of alcohol on mortality is not negligible, not globally and
especially not in Europe. Alcohol as a mortality factor in Serbia has not
yet been specifically analysed, chiefly due to a lack of data. The cultural
pattern and results from surrounding countries - as well as research on the
extent of alcohol consumption in Serbia - all suggest that alcohol-related
mortality represents a significant share of total mortality, especially
when it comes to men. The results of the study on alcohol abuse or excessive
consumption in this paper do not confirm that this mortality factor places a
significant burden on the population. This paper provides estimates of
alcohol-related mortality using guidelines from the World Health
Organization. Analysis of the direct impact and estimates of the indirect
impact of alcohol on mortality in Serbia (2016-2018) show that the average
number of deaths is about 2,500 annually. The number of alcohol-related
deaths is highest in the later years of life, while the proportion of
alcohol-related deaths is highest in early adulthood. Men are more likely to
consume alcohol, so their mortality is higher as a consequence. Men die from
alcohol-related causes at a rate almost four times higher than that of
women, and they have more deaths caused by alcohol than women across all
age groups. The overall alcohol-related mortality rate for men is 56.6 per
100,000, while for women it is significantly lower at 14.2 per 100,000. The
most common cause of alcohol-related mortality is in the form of digestive
system diseases (about 26% of all alcohol-related deaths in Serbia),
followed by tumours and violence (24% and 23% respectively). From region to
region (NUTS 2), significant differences in alcohol-related mortality can
be noted. Every third death due to alcohol occurs in Vojvodina, which leads
the way for both sexes. There, values for men are as much as 60% higher than
those in the Sumadija and Western Serbia regions, while those values are
about 30% higher for women. Standardised alcohol-related death rates are
highest in the north of Vojvodina, in the districts of North Backa and North
Banat (NUTS 3). Moravicki, Sumadija, and Pirot districts have values that
are about 30% lower than average for Serbia. Excessive alcohol consumption
is one of the preventable mortality factors that can be addressed with
appropriate prevention measures. Some good reasons to avoid alcohol abuse
include longer lifespan, lower likelihood of depression, significantly lower
likelihood of committing suicide, and lower likelihood of dying from liver
disease. Those who drink less are also less likely to be involved in a car
accident or have to deal with the police. When consumed in excess, alcohol
disrupts family relationships, leads to obesity, damages the brain, and
causes sexual dysfunction.