This study sought to examine the ompact of alcohol use and misuse on mortality in Korea during the 1990-1995
Metheds, ARDI(Alcohol Related Disease Impact) estimation software and Korea sital statistics data were to calculate alcohol related mortality, mortality rates, and YPLL(years of potential life lost).
THe major findings are as follows :
Injury diagnoses were major contributors to the total estimated number of alcohol related deaths and years of potential life lost before age 65. Alcohol related mortality rates were significantly higher for men. However, age-adjusted death rates for alcohol defined diagnoses declined significantly from 1990 to 1995. A structured database approach to analyzing mortality data represents an important advance for alcohol research that has implications for policy and program planning.
alcohol related mortality were motor vehicle accidents(5,331 deaths, 23.5), cander of the stomach(1,470 deaths, 17.3), cancer of the liver/intra bepatic bilc ducts(1,112 deaths, 13.1) alcohol dependence syndrome(1,112 deaths, 6.5), cardiovascular diseases(1,096 deaths, 12.9) and cancer of the esophagus(948 deaths, 11.2), these five individual causes of death accounted for more than half of the estimated alcohol related mortality korcan during 1995.
Man accounted for 16,674(72.8%) of the alcohol related dcaths in korea during 1995 ; women, for 6,229(27.2%). Such deaths accounted for 12.3% of all deaths for men and 6.0% for women. for men, major causes of these deaths were motor vehicle accidents(5.33] deaths, 32.0%), cancer of the stomach(1,470 deaths, 8.8%) and chronic liver diseases and cirrhosis(1380 deaths, 8.3%). For women, the largest conrributors to alcohol related mortality were motor wchicle accidents(1,888 deaths, 30.3%), cerebrovascular diseases(1,215 deaths, 19.5%) and cancer of the stomach(845 deaths, 13.6%)
During 1995, approximately 352.812(male : 277,106, female : 75,706)YPLL to age 65 and 589,615(male : 451, 216, femalc : 138,399)YPLL to life expectancy were attributable to alcohol related causes. The major contributors to these alcohol related years lost were the diagnostic categories of unintentional injuries. On average, each male death was associated with 16.6 and 27.1 years lost, respectively, wheareas, each female death represented 12.2 and 24.6 years lost, respectively. For both sexes, alcohol related injury deaths accounted for nearly 24-27 YPLL to life expectancy per death_ Male-female YPLL differentials were greatest for intenional injury and mental disorder deaths.
The ate-adjusted alcohol defined death rate significantly declined from deaths (male : 18.9, female : 14.2) per 100,000 population aged 15 and over in 1990 to deaths (male : 18.0, female : 13.6) deaths in 1995. The age adjusted alcohol defined death rate for men was significantly higher than for women.
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