Area of residence and alcohol-related mortality risk: a five-year follow-up study.

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Title: Area of residence and alcohol-related mortality risk: a five-year follow-up study.
Authors: Connolly, Sheelah (AUTHOR), O'Reilly, Dermot (AUTHOR), Rosato, Michael (AUTHOR), Cardwell, Chris (AUTHOR)
Source: Addiction. Jan2011, Vol. 106 Issue 1, p84-92. 9p. 3 Charts.
Subjects: Mortality, Physiological effects of alcohol, Deprivation (Psychology), Delinquent behavior, Households, Cities & towns, Rural geography, Work environment
Geographic Terms: Northern Ireland
Abstract: To examine differences in alcohol-related mortality risk between areas, while adjusting for the characteristics of the individuals living within these areas. A 5-year longitudinal study of individual and area characteristics of those dying and not dying from alcohol-related deaths. The Northern Ireland Mortality study. A total of 720 627 people aged 25-74, enumerated in the Northern Ireland 2001 Census, not living in communal establishments. Five hundred and seventy-eight alcohol-related deaths. There was an increased risk of alcohol-related mortality among disadvantaged individuals, and divorced, widowed and separated males. The risk of an alcohol-related death was significantly higher in deprived areas for both males [hazard ratio (HR) 3.70; 95% confidence interval (CI) 2.65, 5.18] and females (HR 2.67 (95% CI 1.72, 4.15); however, once adjustment was made for the characteristics of the individuals living within areas, the excess risk for more deprived areas disappeared. Both males and females in rural areas had a reduced risk of an alcohol-related death compared to their counterparts in urban areas; these differences remained after adjustment for the composition of the people within these areas. Alcohol-related mortality is higher in more deprived, compared to more affluent areas; however, this appears to be due to characteristics of individuals within deprived areas, rather than to some independent effect of area deprivation per se. Risk of alcohol-related mortality is lower in rural than urban areas, but the cause is unknown. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
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Abstract:To examine differences in alcohol-related mortality risk between areas, while adjusting for the characteristics of the individuals living within these areas. A 5-year longitudinal study of individual and area characteristics of those dying and not dying from alcohol-related deaths. The Northern Ireland Mortality study. A total of 720 627 people aged 25-74, enumerated in the Northern Ireland 2001 Census, not living in communal establishments. Five hundred and seventy-eight alcohol-related deaths. There was an increased risk of alcohol-related mortality among disadvantaged individuals, and divorced, widowed and separated males. The risk of an alcohol-related death was significantly higher in deprived areas for both males [hazard ratio (HR) 3.70; 95% confidence interval (CI) 2.65, 5.18] and females (HR 2.67 (95% CI 1.72, 4.15); however, once adjustment was made for the characteristics of the individuals living within areas, the excess risk for more deprived areas disappeared. Both males and females in rural areas had a reduced risk of an alcohol-related death compared to their counterparts in urban areas; these differences remained after adjustment for the composition of the people within these areas. Alcohol-related mortality is higher in more deprived, compared to more affluent areas; however, this appears to be due to characteristics of individuals within deprived areas, rather than to some independent effect of area deprivation per se. Risk of alcohol-related mortality is lower in rural than urban areas, but the cause is unknown. [ABSTRACT FROM AUTHOR]
ISSN:09652140
DOI:10.1111/j.1360-0443.2010.03103.x