Alcohol-attributed disease burden in four Nordic countries: a comparison using the Global Burden of Disease, Injuries and Risk Factors 2013 study

TY - JOUR

T1 - Alcohol-attributed disease burden in four Nordic countries

T2 - a comparison using the Global Burden of Disease, Injuries and Risk Factors 2013 study

AU - Agardh, Emilie E

AU - Danielsson, Anna-Karin

AU - Ramstedt, Mats

AU - Ledgaard Holm, Astrid

AU - Diderichsen, Finn

AU - Juel, Knud

AU - Vollset, Stein Emil

AU - Knudsen, Ann Kristin

AU - Minet Kinge, Jonas

AU - White, Richard

AU - Skirbekk, Vegard

AU - Mäkelä, Pia

AU - Forouzanfar, Mohammad Hossein

AU - M Coates, Matthew

AU - C Casey, Daniel

AU - Naghavi, Mohesen

AU - Allebeck, Peter

N1 - This article is protected by copyright. All rights reserved.

PY - 2016/10/1

Y1 - 2016/10/1

N2 - Aims: (1) To compare alcohol-attributed disease burden in four Nordic countries 1990–2013, by overall disability-adjusted life years (DALYs) and separated by premature mortality [years of life lost (YLL)] and health loss to non-fatal conditions [years lived with disability (YLD)]; (2) to examine whether changes in alcohol consumption informs alcohol-attributed disease burden; and (3) to compare the distribution of disease burden separated by causes. Design: A comparative risk assessment approach. Setting: Sweden, Norway, Denmark and Finland. Participants: Male and female populations of each country. Measurements: Age-standardized DALYs, YLLs and YLDs per 100 000 with 95% uncertainty intervals (UIs). Findings: In Finland, with the highest burden over the study period, overall alcohol-attributed DALYs were 1616 per 100 000 in 2013, while in Norway, with the lowest burden, corresponding estimates were 634. DALYs in Denmark were 1246 and in Sweden 788. In Denmark and Finland, changes in consumption generally corresponded to changes in disease burden, but not to the same extent in Sweden and Norway. All countries had a similar disease pattern and the majority of DALYs were due to YLLs (62–76%), mainly from alcohol use disorder, cirrhosis, transport injuries, self-harm and violence. YLDs from alcohol use disorder accounted for 41% and 49% of DALYs in Denmark and Finland compared to 63 and 64% in Norway and Sweden 2013, respectively. Conclusions: Finland and Denmark has a higher alcohol-attributed disease burden than Sweden and Norway in the period 1990–2013. Changes in consumption levels in general corresponded to changes in harm in Finland and Denmark, but not in Sweden and Norway for some years. All countries followed a similar pattern. The majority of disability-adjusted life years were due to premature mortality. Alcohol use disorder by non-fatal conditions accounted for a higher proportion of disability-adjusted life years in Norway and Sweden, compared with Finland and Denmark.

AB - Aims: (1) To compare alcohol-attributed disease burden in four Nordic countries 1990–2013, by overall disability-adjusted life years (DALYs) and separated by premature mortality [years of life lost (YLL)] and health loss to non-fatal conditions [years lived with disability (YLD)]; (2) to examine whether changes in alcohol consumption informs alcohol-attributed disease burden; and (3) to compare the distribution of disease burden separated by causes. Design: A comparative risk assessment approach. Setting: Sweden, Norway, Denmark and Finland. Participants: Male and female populations of each country. Measurements: Age-standardized DALYs, YLLs and YLDs per 100 000 with 95% uncertainty intervals (UIs). Findings: In Finland, with the highest burden over the study period, overall alcohol-attributed DALYs were 1616 per 100 000 in 2013, while in Norway, with the lowest burden, corresponding estimates were 634. DALYs in Denmark were 1246 and in Sweden 788. In Denmark and Finland, changes in consumption generally corresponded to changes in disease burden, but not to the same extent in Sweden and Norway. All countries had a similar disease pattern and the majority of DALYs were due to YLLs (62–76%), mainly from alcohol use disorder, cirrhosis, transport injuries, self-harm and violence. YLDs from alcohol use disorder accounted for 41% and 49% of DALYs in Denmark and Finland compared to 63 and 64% in Norway and Sweden 2013, respectively. Conclusions: Finland and Denmark has a higher alcohol-attributed disease burden than Sweden and Norway in the period 1990–2013. Changes in consumption levels in general corresponded to changes in harm in Finland and Denmark, but not in Sweden and Norway for some years. All countries followed a similar pattern. The majority of disability-adjusted life years were due to premature mortality. Alcohol use disorder by non-fatal conditions accounted for a higher proportion of disability-adjusted life years in Norway and Sweden, compared with Finland and Denmark.

U2 - 10.1111/add.13430

DO - 10.1111/add.13430

M3 - Journal article

C2 - 27085097

SN - 0965-2140

VL - 111

SP - 1806

EP - 1813

JO - Addiction

JF - Addiction

IS - 10

ER -