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Int J Soc Psychiatry. 2013 Aug;59(5):443-51. doi: 10.1177/0020764012438479. Epub 2012 Apr 16.

Trends in alcohol-related deaths in the EU countries in 1980-2003.

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Department of Neurosciences, Mental Health and Sensory Functions, Suicide Prevention Centre Sant'Andrea Hospital, Sapienza University of Rome, Italy.



To explore temporal trends since 1980 in alcohol-related death for people resident in the European Union (EU) and to examine differences between EU members admitted prior to 2004 and new EU members admitted since 2004.


The data were extracted from the World Health Organization's European mortality database and the European Health for All database.


New EU members had higher rates of alcohol-related deaths (135.0 ± 18.48 vs 88.9 ± 18.93; t = -8.55 (d.f. = 46), p < .001) and higher death rates from alcohol abuse (whole population: 3.4 ± 1.24 vs 2.6 ± 0.12; t = -2.98 (d.f. = 23.45), p < .01; male population: 6.1 ± 2.17 vs 4.4 ± 0.19; t = -3.87 (d.f. = 23.35), p < .001) than early EU countries. However, a mortality gradient between groups of countries was visible only for female alcohol-related deaths when controlling for mortality rates from all causes. Multivariate regression analyses also indicated that alcohol-related deaths and alcohol consumption were associated negatively with the gross national product (GNP) of EU countries and positively with levels of urbanization.


Alcohol-related deaths represent more than 10% of all EU mortality and confirm the importance of national prevention strategies for alcohol problems.


European Health for All database; European Union; alcohol-related mortality; joinpoint regression analysis

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