Alcohol as a risk factor for global burden of disease.
OBJECTIVE
To make quantitative estimates of the burden of disease attributable to alcohol in the year 2000 on a global basis.


METHODS
Secondary data analysis.


METHODS
Two dimensions of alcohol exposure were included: average volume of alcohol consumption and patterns of drinking. There were also two main outcome measures: mortality, i.e. the number of deaths, and disability-adjusted life years (DALYs), i.e. the number of years of life lost to premature mortality or to disability. All estimates were prepared separately by sex, age group and WHO region.


RESULTS
Alcohol causes a considerable disease burden: 3.2% of the global deaths and 4.0% of the global DALYs in the year 2000 could be attributed to this exposure. There were marked differences by sex and region for both outcomes. In addition, there were differences by disease category and type of outcome; in particular, unintentional injuries contributed most to alcohol-attributable mortality burden while neuropsychiatric diseases contributed most to alcohol-attributable disease burden.


CONCLUSIONS
The underlying assumptions are discussed and reasons are given as to why the estimates should still be considered conservative despite the considerable burden attributable to alcohol globally.
Rehm
Jürgen
J
Addiction Research Institute, Zürich, Switzerland. jtrehm@aol.com
Room
Robin
R
Monteiro
Maristela
M
Gmel
Gerhard
G
Graham
Kathryn
K
Rehn
Nina
N
Sempos
Christopher T
CT
Jernigan
David
D
D000428:Alcohol Drinking / Q000453:epidemiology* / Q000401:mortality; D019973:Alcohol-Related Disorders / Q000453:epidemiology* / Q000401:mortality; D005260:Female; D014943:Global Health; D006801:Humans; D008297:Male; D012307:Risk Factors