scholarly journals Some aspects of alcohol-related mortality in Russia: Commentary on the article by P. Kuznetsova published in issue 4 (3) / 2020 of the Population and Economics Journal

2021 ◽  
Vol 5 (3) ◽  
pp. 24-29
Author(s):  
Sergei V. Jargin

The aim of this communication is to comment on certain statements and conclusions presented in the paper on alcohol-related mortality by P.O. Kuznetsova from the medical viewpoint, summarizing and updating at the same time the preceding papers. The author refers to some evidence showing positive tendencies in Russia, namely, a decline in both the heavy binge drinking and total alcohol consumption, and claims that exaggerating the alcohol consumption problem indirectly shifts the responsibility for the relatively short life expectancy onto the excessive alcohol consumption, thus camouflaging shortcomings of the healthcare and public assistance.

2005 ◽  
Vol 187 (6) ◽  
pp. 544-551 ◽  
Author(s):  
Jonathan C. Haynes ◽  
Michael Farrell ◽  
Nicola Singleton ◽  
Howard Meltzer ◽  
Ricardo Araya ◽  
...  

BackgroundLongitudinal studies have been inconclusive in identifying alcohol as a risk factor for anxiety and depression.AimsTo examine whether excessive alcohol consumption is a risk factor for anxiety and depression in the general population, and whether anxiety and depression are risk factors for excessive alcohol consumption.MethodData were analysed from the 18-month follow-up of the Psychiatric Morbidity Among Adults Living in Private Households, 2000 survey.ResultsHazardous and dependent drinking were not associated with onset of anxiety and depression at follow-up. Binge-drinking was non-significantly associated with incident anxiety and depression (adjusted OR= 1.36, 95% CI 0.74–2.50). Abstainers were less likely to have new-onset anxiety and depression at follow-up. Anxiety and depression or sub-threshold symptoms at baseline were not associated with incident hazardous or binge-drinking at follow-up, but there was weak evidence linking sub-threshold symptoms with onset of alcohol dependence (adjusted OR=2.04, 95% CI 0.84–4.97).ConclusionsExcessive alcohol consumption was not associated with the onset of anxiety and depression but abstinence was associated with a lower risk. Sub-threshold symptoms were weakly associated with new-onset alcohol dependence.


2020 ◽  
Vol 4 (3) ◽  
pp. 75-95
Author(s):  
Polina O. Kuznetsova

According to vast empirical evidence, excessive alcohol consumption is an important factor of premature mortality in Russia. At the same time, quantifying alcohol-related deaths is not so easy, as generally the discussion of alcohol mortality only concerns the causes of death attributed solely to alcohol, which significantly narrows the range of possible negative consequences. Including data on losses from myocardial infarction, coronary heart disease and other common cardiovascular and other diseases in alcohol mortality estimates is enabled by an approach using data on the relative risks of death from various causes depending on the type of alcohol consumption. Within this study, alcohol consumption, depending on sex and age, was assessed on data from a representative national survey, taking into account information on the volume of recorded sales of alcoholic beverages. According to the obtained results, in 2018 the death rate from alcohol-related causes in Russia amounted to 196,000 people, 146,000 men and 50,000 women among them. The peak of alcohol mortality is observed among people aged over 50. The structure of alcohol mortality is dominated by diseases of the cardiovascular system and external causes, and for men the contribution of external causes is significantly higher. Excessive alcohol consumption reduces life expectancy by 5.9 and 4.7 years for men and women, and healthy life expectancy by 4.2 and 2.6 years for men and women.


2021 ◽  
Vol 34 (13) ◽  
Author(s):  
André Coimbra Trigo ◽  
Luiz Miguel Santiago

Introduction: The international and national literature as well as studies carried out in universities in Portugal show there is excessive alcohol consumption and binge drinking. However, no relation with alcohol consumption and college parties has yet been established. The aim of this study was to assess the association between alcohol consumption and binge drinking with college parties, and also to understand specific patterns of alcohol consumption by gender and years of university attendance.Material and Methods: A survey comprised of the “Alcohol Use Disorders Identification Test – Consumption” (AUDIT-C) and the question “What is your most consumed drink?” referring to months without and with college parties, was disseminated in the University of Coimbra Facebook® page to students of the University of Coimbra and of the Polytechnic Institute of Coimbra seventeen years old and over.Results: The AUDIT-C score in college party months is higher than in months without such parties with strong, positive and significant correlation (ρ = 0.711; ρ < 0.001). In months without college parties, 41.8% of females and 24.0% of males have a positive AUDIT-C. In months with college parties, 73.8% of females and 56.3% of males have a positive AUDIT-C. In months with college parties, females have higher risk of excessive consumption (ρ < 0.001) and drink a higher amount of spirits / shots. There is a significant difference in the most consumed drinks between genders (ρ < 0.001).Discussion: Alcohol consumption is higher in those with less years in college attendance, but college parties seem to have a proportional impact regardless of the number of years of college attendance. In a month with college parties, there is more binge drinking and higher consumption than the daily maximum recommended amount. Males consume a higher amount of spirits / shots.Conclusion: College parties allow for more opportunities of pre-existing binge drinking. The way young people face alcohol consumption is a major problem to be addressed.


Author(s):  
Thomas Fankhänel ◽  
Benjamin Jovan Panic ◽  
Marcus Schwarz ◽  
Katrin Schulz ◽  
Thomas Frese

Abstract. Background: General Practitioners’ (GP) readiness to implement screening and brief intervention to reduce alcohol consumption of excessive consumers is low. Although several barriers were identified by past research, improving these conditions has not led to improved implementation. Based on Expectancy Value Theory of Achievement Motivation we assume that low seriousness of the health problem in association with the treatment of excessive alcohol consumers may be considered as a crucial barrier too. Aims: By our study, we tested for the influence of the seriousness of the health problem on the GP’s readiness to implement brief intervention (BI) in comparison to crucial barriers such as insufficient financial reimbursement and low patient adherence. Method: In order to manipulate the seriousness of the health problem GPs were confronted with three different situations each introducing a fictitious patient with either excessive alcohol consumption, or binge drinking, or harmful alcohol consumption. Results: Questionnaires of 185 GPs were analyzed. As hypothesized GPs were less ready to treat patients with excessive consumption in comparison to patients with harmful consumption, t(184) = 5.51, p < .001, d = .40, and binge drinking, t(184) = 6.14, p < .001, d = .43. Their readiness was higher in case of high adherence, F(1, 181) = 17.35, p < .001, η2 = .09. Limitations: Recruitment of GPs was based on voluntary participation. GPs had to assess their readiness in the artificial context of case vignettes. Conclusion: GPs’ readiness to implement a BI was influenced by the seriousness of the health problem and expected patient adherence. No such effect was found for financial reimbursement.


Medicines ◽  
2021 ◽  
Vol 8 (7) ◽  
pp. 39
Author(s):  
Akihiko Shibamoto ◽  
Tadashi Namisaki ◽  
Junya Suzuki ◽  
Takahiro Kubo ◽  
Satoshi Iwai ◽  
...  

: Background: This study aimed to compare the diagnostic performance of carbohydrate-deficient transferrin (CDT) and gamma-glutamyltranspeptidase (γ-GTP) to assess the single and combined benefits of these biological markers for the detection of chronic excessive alcohol consumption in patients with alcoholic cirrhosis. Methods: Biological markers were determined in blood samples from patients with alcoholic cirrhosis (drinking group, n = 35; nondrinking group, n = 81). The prediction accuracy of %CDT alone, γ-GTP alone, and their combination for the detection of excessive alcohol consumption was determined in patients with alcoholic cirrhosis. Results: Serum total bilirubin, alanine aminotransferase, aspartate aminotransferase, γ-GTP, and alkaline phosphatase levels and %CDT were significantly higher and serum albumin levels were significantly lower in the drinking group than in the nondrinking group. The combination of %CDT and γ-GTP compared with %CDT or γ-GTP alone showed a higher prediction accuracy. The combination of %CDT and γ-GTP exhibited a higher specificity than γ-GTP alone. However, in terms of sensitivity, no significant difference was found between single or combined markers. Conclusions: The combination of %CDT and γ-GTP is considered a useful biomarker of chronic excessive alcohol consumption in patients with alcoholic cirrhosis.


Author(s):  
Beata Gavurova ◽  
Miriama Tarhanicova

Background: Alcohol is a risk factor with serious consequences for society and individuals. This study aims to present methods and approaches that might be used to estimate the costs related to excessive alcohol consumption. It emphasizes the need for general methods and approaches that are easily applicable, because the level of digitalization and data availability vary across regions. The lack of data makes many methods inapplicable and useless. The ease of applicability will help to make cost-of-illness studies and their results comparable globally. Methods: This study is based on data from the Czech Republic in 2017. Drinking alcohol results in costs of healthcare, social care, law enforcement, and administrative costs of public authorities. To quantify the cost of drinking in the Czech Republic, the top-down approach, bottom-up approach, human capital approach and attributable fractions were used. Results: In 2017, the cost related to alcohol was estimated at 0.66% of the national GDP. Lost productivity represented 54.45% of total cost related to alcohol. All cost related to alcohol is considered to be avoidable. Conclusions: The methods and approaches applied to estimate the cost of disease or any other health issue should be generalized regarding the availability of data and specifics of provided services to people who are addicted or have any kind of disability.


2006 ◽  
Vol 41 (6) ◽  
pp. 643-649 ◽  
Author(s):  
SWATI SHOURIE ◽  
KATHERINE M. CONIGRAVE ◽  
ELIZABETH M. PROUDE ◽  
JEANETTE E. WARD ◽  
SONIA E. WUTZKE ◽  
...  

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