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Population drinking and fatal injuries in Eastern Europe: A time-series analysis of six countries
Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD).
2010 (English)In: European Addiction Research, ISSN 1022-6877, E-ISSN 1421-9891, Vol. 16, no 1, 43-52 p.Article in journal (Refereed) Published
Abstract [en]

Aims: To estimate to what extent injury mortality rates in 6 Eastern European countries are affected by changes in population drinking during the post-war period. Data and Methods: The analysis included injury mortality rates and per capita alcohol consumption in Russia, Belarus, Poland, Hungary, Bulgaria and the former Czechoslovakia. Total population and gender-specific models were estimated using auto regressive integrated moving average time-series modelling. Results: The estimates for the total population were generally positive and significant. For Russia and Belarus, a 1-litre increase in per capita consumption was associated with an increase in injury mortality of 7.5 and 5.5 per 100,000 inhabitants, respectively. The estimates for the remaining countries ranged between 1.4 and 2.0. The gender-specific estimates displayed national variations similar to the total population estimates although the estimates for males were higher than for females in all countries. Conclusions: The results suggest that changes in per capita consumption have a significant impact on injury mortality in these countries, but the strength of the association tends to be stronger in countries where intoxication-oriented drinking is more common.

Place, publisher, year, edition, pages
2010. Vol. 16, no 1, 43-52 p.
Keyword [en]
Alcohol consumption, Central and Eastern Europe, Drinking patterns
National Category
URN: urn:nbn:se:su:diva-33800DOI: 10.1159/000264616ISI: 000272893700006OAI: diva2:283624
Alcohol in Eastern Europe: a public health perspective
Available from: 2009-12-29 Created: 2009-12-29 Last updated: 2011-11-23Bibliographically approved
In thesis
1. Alcohol-Related Problems in Eastern Europe: A Comparative Perspective
Open this publication in new window or tab >>Alcohol-Related Problems in Eastern Europe: A Comparative Perspective
2010 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This thesis investigates the association between alcohol consumption and alcohol-related harm in Eastern Europe. The main aim was to estimate to what extent changes in per capita alcohol consumption have an impact on different forms of alcohol-related mortality, and to put the results in an international comparative perspective. The thesis includes four papers; the first two papers use aggregate time-series analysis to assess how changes in per capita consumption affect rates in suicide mortality and fatal non-intentional injuries in several Eastern European countries, respectively. The third paper applies the same methodological approach to analyse the population-level relationship between alcohol and homicide in Russia and the U.S.. The fourth paper employs survey data to assess how the risk of experiencing alcohol-related problems in relation to volume of consumption in the Baltic countries compares to Sweden and Italy. The results of the first three papers suggests: (i) that changes in per capita consumption are significantly related to changes in mortality rates of suicide, non-intentional injuries and homicide in the countries under study; (ii) that the relationship is stronger for men than for women, and (iii) that the relationship tends to be stronger in the countries with more detrimental drinking patterns, e.g. Russia. The results of the fourth paper suggest that the risk of experiencing alcohol-related problems in relation to level of drinking in the Baltic countries is similar to the corresponding risk in Sweden, but considerably stronger than in Italy. In conclusion, the findings support the significance of a public health approach to alcohol-related problems in Eastern Europe, i.e., policy measures directed towards total alcohol consumption. In addition, strategies aimed at reducing the occurrence of binge drinking seem to have great potential for reducing alcohol-related harm and mortality in Eastern European countries.

Place, publisher, year, edition, pages
Stockholm: Department of Sociology, Stockholm University, 2010. 46 p.
Centre for Social Research on Alcohol and Drugs, ISSN 1650-819X ; 10
Eastern Europe, alcohol consumption, alcohol-related harm, time-series analysis
National Category
Research subject
urn:nbn:se:su:diva-44215 (URN)978-91-7447-177-9 (ISBN)
External cooperation:
Public defence
2010-12-10, Nordenskiöldsalen, Geovetenskapens hus, Svante Arrhenius väg 12, Stockholm, 10:00 (English)
Alcohol in Eastern Europe - a Public Health Perspective

At the time of the doctoral defense, the following papers were unpublished and had a status as follows: Paper 3: Manuscript. Paper 4: Manuscript.

Available from: 2010-11-18 Created: 2010-11-03 Last updated: 2016-08-25Bibliographically approved

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