the risk of alcohol in europe bridging the gap 16-19 june 2004
TRANSCRIPT
The Risk of Alcohol in Europe
Bridging the Gap 16-19 June 2004
The Risk of Alcohol in Europe
Bridging the Gap 16-19 June 2004
1. The more alcohol an individual drinks, the greater the harm
2. Alcohol can reduce the risk of heart disease; a large amount increases the risk
3. The less a country drinks, the less the harm4. A country that reduces its consumption
reduces its harm5. Alcohol causes nearly 1 in 10 of the burden
of ill-health in Europe
What I am going to sayWhat I am going to say
1. The more alcohol an individual drinks, the greater the harm
2. Alcohol can reduce the risk of heart disease; a large amount increases the risk
3. The less a country drinks, the less the harm4. A country that reduces its consumption
reduces its harm5. Alcohol causes nearly 1 in 10 of the burden
of ill-health in Europe
Source: Wyllie et al 2000
The risk of getting into a physical fightThe risk of getting into a physical fight
Source: Caetano & Cunradi 2002
The risk of being dependent on alcoholThe risk of being dependent on alcohol
The risk of liver cirrhosisThe risk of liver cirrhosis
Source: Corrao et al 1999
70
90
110
130
150
0 1 2 3 4 5 6Drinks per day
Bre
ast
canc
er b
y ag
e 80
Source: Collaborative group on
Hormonal factors in Breast Cancer, 2002
The incidence of breast cancer per 1,000 womenThe incidence of breast cancer per 1,000 women
The risk of haemorrhagic strokeThe risk of haemorrhagic stroke
Source: Corrao et al 1999
Alcohol and social class differences in deathAlcohol and social class differences in death
1. The more alcohol an individual drinks, the greater the harm
2. Alcohol can reduce the risk of heart disease; a large amount increases the risk
3. The less a country drinks, the less the harm4. A country that reduces its consumption
reduces its harm5. Alcohol causes nearly 1 in 10 of the burden
of ill-health in Europe
Grammes of alcohol per day
160140120100806040200
Rel
ativ
e ri
sk
1.6
1.4
1.2
1.0
.8
.6Source: Corrao et al. (2000)
The risk of heart diseaseThe risk of heart disease
Grammes of alcohol per day
20181614121086420
Rel
ativ
e ri
sk
1.0
.9
.8
Most of the benefit
5g a day, or one drink every second day
The risk of heart diseaseThe risk of heart disease
Source: Corrao et al. (2000)
Grammes of alcohol per day
160140120100806040200
Rea
ltiv
e ri
sk
1.6
1.4
1.2
1.0
.8
.6
The risk of heart diseaseThe risk of heart disease
Source: Corrao et al. (2000)
2.77
3.01
2
3
4
Non-drinkers Drinkers
Ser
vin
gs
per
day
Servings of vegetables per day. Male alumni, University of North Carolina (Barefoot et al 2002)
Non-drinkers eat less vegetablesNon-drinkers eat less vegetables
39.8
52.5
0
20
40
60
80
100
Non-drinkers Drinkers
Tak
ing
wee
kly
exer
cise
(%
)
Exercise per week. Male alumni, University of North Carolina (Barefoot et al 2002)
Non-drinkers take less exerciseNon-drinkers take less exercise
Male depression and alcohol consumptionMale depression and alcohol consumption
2
3
4
5
Non-drinkers
Low High
Alcohol consumption
Goldb
erg
depr
essio
n sco
reSource: Rodgers et al 2000
Beverage type and heart protective biochemical changesBeverage type and heart protective biochemical changes
-40
-30
-20
-10
0
10
20%
cha
nge
HDLCholesterol
Fibrinogen Inflammation
Biochemical indicator
Beer/alcohol free beer White wine/white grape juice
Red wine/de-alcoholized red wine Whisky
Source: Sierksma 2003
1. The more alcohol an individual drinks, the greater the harm
2. Alcohol can reduce the risk of heart disease; a large amount increases the risk
3. The less a country drinks, the less the harm4. A country that reduces its consumption
reduces its harm5. Alcohol causes nearly 1 in 10 of the burden
of ill-health in Europe
Death from liver disease by per capita alcohol consumption; 15 European countries
Death from liver disease by per capita alcohol consumption; 15 European countries
1
2
3
4
5
4681012141618
Per capita alcohol consumption
Male
live
r dise
ase m
orta
lity
Source: Ramstedt 2001
The proportion of heavy drinkers by alcohol consumption; 8 English regions
The proportion of heavy drinkers by alcohol consumption; 8 English regions
14
16
18
20
22
24
26
28
140150160170180190200210220
Mean population alcohol consumption (g/ week)
% d
rink
ing
>28
0g/w
eekSource: Primatesta et al 2002
1. The more alcohol an individual drinks, the greater the harm
2. Alcohol can reduce the risk of heart disease; a large amount increases the risk
3. The less a country drinks, the less the harm4. A country that reduces its consumption
reduces its harm5. Alcohol causes nearly 1 in 10 of the burden
of ill-health in Europe
Reductions in male death rates when alcohol consumption reduced by 1 L; European countries with moderate consumption
Reductions in male death rates when alcohol consumption reduced by 1 L; European countries with moderate consumption
-12
-10
-8
-6
-4
-2
0
AccidentsCirrhosisHomicideIHDSuicideAll causes
% reduction in death rate following reduction in per capita alcohol consumption of 1L per year
Source: Norström & Skog 2001
Alcohol consumption and proportion of abstainersAlcohol consumption and proportion of abstainers
9.4
9.8
10.7
0
2
4
6
8
10
12
14
16
1980 1990 2001
Year
% a
bst
ain
ers
8.5
9
9.5
10
10.5
11
Per
cap
ita
con
sum
pti
on
% femaleabstainers
% male abstainers
Per capitaconsumption
Source: Academy of Medical Sciences 2004
1. The more alcohol an individual drinks, the greater the harm
2. Alcohol can reduce the risk of heart disease; a large amount increases the risk
3. The less a country drinks, the less the harm4. A country that reduces its consumption
reduces its harm5. Alcohol causes nearly 1 in 10 of the burden
of ill-health in Europe
2000
3000
4000
5000
6000
7000
8000D
ALYs (0
00's
)Tobacco
High bloodpressureAlcohol
High cholesterol
Overweight
The top 5 risk factors for ill health and premature death, Europe
The top 5 risk factors for ill health and premature death, Europe
Source: World Health Organization 2004
0
1000
2000
3000
4000
5000
6000D
ALYs (0
00's
)
AlcoholDiabetesAsthma
Alcohol is more important than diabetes or asthmaAlcohol is more important than diabetes or asthma
Every adult drinker loses 1 week of healthy life each year due to alcohol
Source: World Health Organization 2004
Unintentional injuries
27%
Intentional injuries
13%Neuropsychiatric
38%
Cancers7%
Gastrointestinal8%
Cardiovascular7%
The cause of alcohol-related ill-health and premature deathThe cause of alcohol-related ill-health and premature death
Source: World Health Organization 2004
Crime60%
Lost productivity32%
Health care8%
Distribution of alcohol related costs to EnglandDistribution of alcohol related costs to England
Alcohol costs each English family over €2500 per year
Source: UK Cabinet Office 2003
How to choose?How to choose?
[http://www3.who.int/whosis]
2467
2351
1087
594
289
0 500 1000 1500 2000 2500 3000 3500
Cost per DALY prevented ($)
RBT
GP advice
Reduced access
Ad ban
Tax
Source: World Health Organization 2004
How to choose?How to choose?
[http://www3.who.int/whosis]
102
778
103
189
649
0 200 400 600 800 1000 1200
DALYs prevented (000's)
RBT
GP advice
Reduced access
Ad ban
Tax
Source: World Health Organization 2004
1. The more alcohol an individual drinks, the greater the harm
2. Alcohol can reduce the risk of heart disease; a large amount increases the risk
3. The less a country drinks, the less the harm4. A country that reduces its consumption
reduces its harm5. Alcohol causes nearly 1 in 10 of the burden
of ill-health in Europe
What I saidWhat I said