Socio-economic differences in all-cause mortality in people with alcohol use disorder : a prospective cohort study
© 2020 Society for the Study of Addiction..
BACKGROUND AND AIMS: While alcohol-attributable mortality rates are higher in low socio-economic status (SES) groups, less is known about SES differences in all-cause mortality in alcohol use disorder (AUD). The aim of this study was to explore whether there are SES differences in people with AUD, regarding (i) treatment admission, (ii) all-cause mortality risk and (iii) relative mortality risk.
DESIGN AND SETTING: A prospective cohort study in Norway, follow-up period from 2009-10 to 2013. Data on SES and mortality were obtained through linkages to national registries, using national unique ID numbers.
PARTICIPANTS: AUD patients (age 20+) admitted to treatment in 2009-10 (n = 11 726) and age and gender frequency-matched controls from the general population (n = 12 055).
MEASUREMENTS: The SES indicator was education level (low, intermediate and high). Mortality was calculated as deaths per 1000 person-years during the 4-year observation period.
FINDINGS: Admission to AUD treatment was elevated in the low compared with the high SES categories (OR = 3.31, 95% CI = 3.09, 3.55). Among AUD patients, mortality risk was elevated in the low SES category (HR = 1.23, 95% CI = 1.04, 1.45). Relative mortality risk from AUD was significantly higher in the high SES (HR = 8.65, 95% CI = 6.16, 12.14) compared with the low SES categories (HR = 3.29, 95% CI = 2.61, 4.15).
CONCLUSION: Admission to treatment for alcohol use disorders in Norway appears to decrease with increasing socio-economic status, and relative mortality risk from alcohol use disorder appears to increase with increasing socio-economic status.
| Errataetall: |
CommentIn: Addiction. 2021 Jan;116(1):60-61. - PMID 32633435 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:116 |
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| Enthalten in: |
Addiction (Abingdon, England) - 116(2021), 1 vom: 04. Jan., Seite 53-59 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Rossow, Ingeborg [VerfasserIn] |
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| Links: |
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| Themen: |
Alcohol use disorder |
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| Anmerkungen: |
Date Completed 22.07.2021 Date Revised 22.07.2021 published: Print-Electronic CommentIn: Addiction. 2021 Jan;116(1):60-61. - PMID 32633435 Citation Status MEDLINE |
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| doi: |
10.1111/add.15070 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM308527941 |
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| 500 | |a Date Revised 22.07.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a CommentIn: Addiction. 2021 Jan;116(1):60-61. - PMID 32633435 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2020 Society for the Study of Addiction. | ||
| 520 | |a BACKGROUND AND AIMS: While alcohol-attributable mortality rates are higher in low socio-economic status (SES) groups, less is known about SES differences in all-cause mortality in alcohol use disorder (AUD). The aim of this study was to explore whether there are SES differences in people with AUD, regarding (i) treatment admission, (ii) all-cause mortality risk and (iii) relative mortality risk | ||
| 520 | |a DESIGN AND SETTING: A prospective cohort study in Norway, follow-up period from 2009-10 to 2013. Data on SES and mortality were obtained through linkages to national registries, using national unique ID numbers | ||
| 520 | |a PARTICIPANTS: AUD patients (age 20+) admitted to treatment in 2009-10 (n = 11 726) and age and gender frequency-matched controls from the general population (n = 12 055) | ||
| 520 | |a MEASUREMENTS: The SES indicator was education level (low, intermediate and high). Mortality was calculated as deaths per 1000 person-years during the 4-year observation period | ||
| 520 | |a FINDINGS: Admission to AUD treatment was elevated in the low compared with the high SES categories (OR = 3.31, 95% CI = 3.09, 3.55). Among AUD patients, mortality risk was elevated in the low SES category (HR = 1.23, 95% CI = 1.04, 1.45). Relative mortality risk from AUD was significantly higher in the high SES (HR = 8.65, 95% CI = 6.16, 12.14) compared with the low SES categories (HR = 3.29, 95% CI = 2.61, 4.15) | ||
| 520 | |a CONCLUSION: Admission to treatment for alcohol use disorders in Norway appears to decrease with increasing socio-economic status, and relative mortality risk from alcohol use disorder appears to increase with increasing socio-economic status | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Alcohol use disorder | |
| 650 | 4 | |a Norway | |
| 650 | 4 | |a mortality | |
| 650 | 4 | |a prospective cohort | |
| 650 | 4 | |a register linkage | |
| 650 | 4 | |a socio-economic status | |
| 650 | 4 | |a treatment | |
| 700 | 1 | |a Amundsen, Ellen J |e verfasserin |4 aut | |
| 700 | 1 | |a Samuelsen, Sven Ove |e verfasserin |4 aut | |
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