The influence of alcohol abuse as a hidden contributor to mortality |
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Authors: | P Van Natta H Malin D Bertolucci C Kaelber |
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Institution: | 1. CSR, Incorporated, 805 15th Street, N.W., Suite 500, Washington, DC 20005 USA;2. NIAAA, Room 14C-26, Parklawn Bldg., 5600 Fishers Lane, Rockville, MD 20857 USA |
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Abstract: | Although only about 2-3 percent of annual deaths are attributed to one of the four underlying causes linked to chronic alcohol use, research results suggest that the impact of alcohol is much greater. The recent issue of mortality multiple cause of death tapes from National Center for Health Statistics permit exploration of associations of chronic alcohol abuse with conditions coded as underlying cause of death and provide leads for case-finding. Data analysis is reported from certificates of resident deaths in the United States in 1978. There are 12 groups of underlying causes for which the percentage of pairings with chronic alcohol abuse ranges from 4-16 percent of the number of deaths from the underlying cause. Age, sex, and metropolitan status of residence are associated with a listing of chronic alcohol abuse among decedents of liver cancer, varicose veins, symptomatic heart disease, septicemia, and respiratory system disease. Planners concerned with secondary prevention can use these clues provided by logistic regression modelling as an aid in case-finding. |
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Keywords: | Mortality multiple cause data Logistic regression model Alcohol related conditions Associations among causes of death Alcohol psychosis Alcoholism Cirrhosis of liver Case-finding |
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