Years of life lost due to alcohol-related mortality: A nationwide population study in Poland, 1999–2017

• Published in: Drug and alcohol dependence 2021-10, Vol.227, p.108990-108990, Article 108990
• Main Authors: Ciabiada-Bryła, Beata, Maniecka-Bryła, Irena, Paciej-Gołębiowska, Paulina
• Format: Article
• Language: English
• Subjects: Alcohol related mortality; Alcohol use; Alcohol use disorders; Alcohol-related diseases; Alcoholism; Alcohols; Certificates; Death certificates; Epidemiology; Excess male mortality; Females; Life expectancy; Male to female; Males; Mathematical analysis; Mens health; Mortality; Mortality trends; Population studies; Population-based studies; Premature mortality; Regression analysis; Risk factor; SEYLL; Trend analysis; Womens health
• ISSN: 0376-8716; 1879-0046
• DOI: 10.1016/j.drugalcdep.2021.108990

•During the study period, alcohol-related mortality increased in both sexes.•Simultaneously, the male excess mortality rate decreased.•The increase in the number of Years of Life Lost was more rapid in females.•Alcoholic liver disease caused the highest number of Years of Life Lost.•The largest increase in Years of Life Lost was noted for intentional self-poisoning. The aim of this study was to assess alcohol-related mortality and years of life lost (YLL) in Poland between 1999 and 2017. A database of 7,168,765 death certificates of Polish residents who died in 1999–2017 was reviewed. This number included 112,512 people who had died due to alcohol consumption. YLL was calculated with the use of the Standard Expected Years of Life Lost (SEYLL) measure; its value was related to the size of the study population and calculated per 100,000 people (SEYLLp). Time trends were determined by joinpoint regression analysis. In 1999, the SEYLLp value was 653.99 years among males and 71.20 years among females; in 2017, these numbers rose to 1,263.76 and 293.10 years, respectively. Time trend analysis revealed that SEYLLp increased more quickly in females (by 8.69 % per year) than in males (by 3.68 %). The ratio of male to female SEYLLp values decreased from 9.18 to 4.31 over the study period. In Poland, both males and females are experiencing adverse changes in the number of alcohol-induced YLLs. However, the disparity in YLLs between males and females is gradually decreasing, primarily due to the value increasing more quickly in females.