The aim of this study by Britton A and McPherson K, was to estimate
the number of deaths attributable to current alcohol consumption
levels in England and Wales by age and sex. An epidemiological
approach using published relative risks and population data was
used to show the number of deaths by age and sex and years of
life lost for alcohol related conditions.
The study found that as a result of the cardio-protective effects
of alcohol, it is estimated that there are approximately 2% fewer
deaths annually in England and Wales than would be expected in
a non-drinking population. The proportions varied greatly by age
and sex and the net favourable mortality balance is mainly amongst
men aged over 55 years and women over 65 years, where risk of
cardiovascular disease the biggest killer, is highest.
The study also estimated that in 1996 there were approximately
75 000 premature years of life lost in England and Wales attributable
to alcohol consumption. Among the young, the main alcohol related
mortality included road traffic fatalities, suicide and alcoholic
liver disease.
In England and Wales, at a population level, current alcohol consumption
may marginally reduce mortality. The benefit is disproportionately
found among the middle aged and elderly. Further research into
the possible effect of modifications to the pattern of consumption,
beverage type, age and gender will enable these estimates to be
improved.
Source:Britton A, McPherson K. Mortality in England and Wales
attributable to current alcohol consumption. Hlth Promotion Res
Unit, London Sch Hygiene and Tropical Med, Keppel St, London WC1E
7HT, UK. J Epidemiol Community Heath 2001;55:383-8
