An improved aetiologic fraction for alcohol-caused mortality.

A method is proposed for estimation of alcohol-caused mortality in which the aetiologic fraction of deaths is derived from an exposure contrast between the 'unsafe' drinker and 'safe' drinker; not between the drinker and the nondrinker. The method is consistent with the objectives of public health intervention in the alcohol education field. The 'safe' drinker is the reference exposure category and aetiologic fractions are obtained for the single categories of a multiple-level exposure scale, using separate relative risks for the 'unsafe' drinker and the nondrinker. Preliminary application of the method to Australian data yields an estimate of the number of deaths caused by misuse of alcohol that is larger than those obtained under the old conceptual model. Thus, the public health importance of unsafe alcohol consumption has been underrepresented.

[1]  G. Friedman,et al.  Alcohol and Mortality , 1992, Annals of Internal Medicine.

[2]  B. Armstrong,et al.  The quantification of alcohol‐caused morbidity and mortality in Australia: the authors respond , 1992, The Medical journal of Australia.

[3]  B. Macmahon.  The quantification of alcohol‐caused morbidity and mortality in Australia: a critique* , 1992, The Medical journal of Australia.

[4]  A. Menotti,et al.  Alcohol and mortality in the Italian rural cohorts of the Seven Countries Study. , 1992, International journal of epidemiology.

[5]  P. Vokonas,et al.  Alcohol consumption and mortality in an American male population: recovering the U-shaped curve--findings from the normative Aging Study. , 1992, Journal of studies on alcohol.

[6]  M. Marmot,et al.  Alcohol and cardiovascular disease: the status of the U shaped curve. , 1991, BMJ.

[7]  P. Allebeck,et al.  Alcohol, social factors and mortality among young men. , 1991, British journal of addiction.

[8]  L. Garfinkel,et al.  Alcohol Drinking and Mortality among Men Enrolled in an American Cancer Society Prospective Study , 1990, Epidemiology.

[9]  A. G. Shaper.  Alcohol and mortality: a review of prospective studies. , 1990, British journal of addiction.

[10]  T. Gordon,et al.  DRINKING AND MORTALITY THE ALBANY STUDY , 1987 .

[11]  S. Kono,et al.  Alcohol and mortality: a cohort study of male Japanese physicians. , 1986, International journal of epidemiology.

[12]  W. Willett,et al.  Moderate alcohol and decreased cardiovascular mortality in an elderly cohort. , 1985, American heart journal.

[13]  G Rose,et al.  Sick individuals and sick populations. , 1985, International journal of epidemiology.

[14]  R. Havlik,et al.  Alcohol and coronary heart disease in Puerto Rico. , 1983, American journal of epidemiology.

[15]  J. Salonen,et al.  Intake of spirits and beer and risk of myocardial infarction and death--a longitudinal study in Eastern Finland. , 1983, Journal of chronic diseases.

[16]  N. Stenhouse,et al.  Alcohol and mortality in the Busselton study. , 1982, International journal of epidemiology.

[17]  A. Dyer,et al.  Alcohol consumption and 17-year mortality in the Chicago Western Electric Company study. , 1980, Preventive medicine.

[18]  S. Walter.  The estimation and interpretation of attributable risk in health research. , 1976, Biometrics.

[19]  O S Miettinen,et al.  Proportion of disease caused or prevented by a given exposure, trait or intervention. , 1974, American journal of epidemiology.