title: Societal norms and risk-taking behaviour: inter-cultural comparisons of casualties and alcohol consumption.
abstract: Inter-cultural comparisons point to associations among aggregate rates of consumption and certain alcohol-related complications, particularly chronic effects, such as liver cirrhosis mortality. Accidental, poisoning and violent incidents are not considered to have as strong an association with societal drinking patterns, since situational, environmental and interactional features contributing to the incident are likely to play a strong role relative to the volume of alcohol consumed. This paper compares annual alcohol consumption rates and male and female mortality rates for liver cirrhosis and 12 main accidental/violent causes of death for Canada, Finland, France, the Netherlands, Switzerland, and the US between 1965 and 1987. Using filtering techniques to account for autocorrelation, conservative measures of association were developed. The results indicate that while statistically significant correlations were evident with regard to liver cirrhosis and suicide in some jurisdictions, in most instances the comparisons were not significant. Further work is suggested with regard to the following: utilizing more refined approaches to examine the covariations of casualties and alcohol consumption, and studies combining aggregate level investigations with those focusing at the group or interactional level--in particular those specifying and examining societal norms and risk-taking at the group and sub-population levels.
authors.affiliation: Addiction Research Foundation, Toronto, Ontario, Canada.
authors.forename: N
authors.initials: N
authors.lastname: Giesbrecht
authors.forename: R
authors.initials: R
authors.lastname: Dick
mesh_terms: D000059:Accidents / Q000401:mortality* / Q000706:statistics & numerical data; D000428:Alcohol Drinking / Q000453:epidemiology* / Q000401:mortality / Q000523:psychology; D002170:Canada / Q000453:epidemiology; D002423:Cause of Death; D003431:Cross-Cultural Comparison; D005260:Female; D005387:Finland / Q000453:epidemiology; D005602:France / Q000453:epidemiology; D006708:Homicide / Q000706:statistics & numerical data; D006801:Humans; D008104:Liver Cirrhosis, Alcoholic / Q000401:mortality; D008297:Male; D009026:Mortality; D012309:Risk-Taking; D012961:Sociology; D013405:Suicide / Q000706:statistics & numerical data; D013557:Switzerland / Q000453:epidemiology; D013597:Systems Analysis; D014481:United States / Q000453:epidemiology; D014947:Wounds and Injuries / Q000453:epidemiology / Q000401:mortality*