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Commentary: Alcohol poisoning in Russia: implications for monitoring and comparative risk factor assessment.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Rehm, Jürgen |
| Copyright Year | 2009 |
| Abstract | Zaridze and colleagues demonstrated in their large autopsy study that, in recent years, alcohol has been a main underlying determinant of mortality in Russia. They also shed light on the role of drinking patterns, as a substantial part of death certificates with unspecified cardiovascular causes of death (i.e. disease categories labelled ‘other’ or ‘not classified’) had lethal, or potentially lethal, concentrations of ethanol in blood. These unspecified cardiovascular causes of death, together with external causes of death also markedly impacted by alcohol, were identified as the main impact factors on mortality fluctuations in the time period between 1991 and 2006. Alcohol has been identified as a main contributor to all-cause mortality in Russia, and has also been shown to be associated with an overall detrimental impact on cardiovascular mortality. Patterns of irregular heavy consumption have been discussed as the main underlying reason for the positive association between alcohol consumption and cardiovascular events in Russia; however, this impact has mainly been discussed as a chronic consequence of physiological mechanisms, rather than as a misclassification of, or an acute consequence of, alcohol poisoning. The analysis of Zaridze and colleagues thus adds considerably to the understanding of the causes of death in Russia and has several important implications for the measurement of the exposure of alcohol in epidemiological study, comparative risk analysis and monitoring of alcohol-attributable deaths and burden of disease. Implications for measurement in alcohol epidemiology |
| Starting Page | 239 |
| Ending Page | 249 |
| Page Count | 11 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://oup.silverchair-cdn.com/oup/backfile/Content_public/Journal/ije/38/1/10.1093/ije/dyn209/2/dyn209.pdf?Expires=1491492392&Key-Pair-Id=APKAIUCZBIA4LVPAVW3Q&Signature=L3MXVUZBs1h8d-JSYhq-gKpy1rZfC1NgZ-JQxwgC5LvtgIsMdJd~r8I1kwp2RQooNW6T9I-9U3FQnmaZFJTir2vJnsXfg0yw5OH9zVY9tR-sib~Sb~BB4JoJUZtsmn6dRygy8eMw9fBXlCTaRdMyy0LkL9XY7s6wEsajLY8-Z7odr038F~Ov0t~rJpM69QLbaH0bUwvTGAn9g34aXFvmJXiQh8CGaf-bR2zr0w92d9jCpXhiG9mz5NTnDGVfylCoxHxlU4PJASZgmnIwFB3OdL03DHVWAqCAzVhKgL-1fyLE8dWftp52HiYR7V~sf2IQIcYZ4~MESmH66X3nTiFRZA__ |
| PubMed reference number | 18824468v1 |
| Alternate Webpage(s) | https://doi.org/10.1093/ije/dyn209 |
| DOI | 10.1093/ije/dyn209 |
| Journal | International journal of epidemiology |
| Volume Number | 38 |
| Issue Number | 1 |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Alcohol consumption Alcohol poisoning Categories Certificate (record artifact) Cessation of life Death Certificates Epidemiologic Studies Epidemiology Ethanol Impacted tooth Published Comment |
| Content Type | Text |
| Resource Type | Article |