Trends in alcohol-attributable morbidity and mortality for Victoria, Australia from 2000/01 to 2009/10

Jayasekara, Harindra, Ferris, Jason, Matthews, Sharon, Livingston, Michael and Lloyd, Belinda (2013) Trends in alcohol-attributable morbidity and mortality for Victoria, Australia from 2000/01 to 2009/10. Journal of Public Health, Advance Access 1-9. doi:10.1093/pubmed/fdt063

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Author Jayasekara, Harindra
Ferris, Jason
Matthews, Sharon
Livingston, Michael
Lloyd, Belinda
Title Trends in alcohol-attributable morbidity and mortality for Victoria, Australia from 2000/01 to 2009/10
Journal name Journal of Public Health   Check publisher's open access policy
ISSN 1741-3842
Publication date 2013-06-30
Sub-type Article (original research)
DOI 10.1093/pubmed/fdt063
Open Access Status File (Author Post-print)
Volume Advance Access
Start page 1
End page 9
Total pages 9
Place of publication Oxford, United Kingdom
Publisher Oxford University Press
Collection year 2014
Language eng
Formatted abstract
Background To examine trends in alcohol-attributable morbidity (AAMorb) (2000/01–2009/10) and mortality (AAMort) (2000–07) by age, sex and region.

Methods Time-series analyses of population data for Victoria, Australia. We used joinpoint regression to quantify trends by estimating quarterly percent change (QPC) for rates of morbidity and mortality. We present the average QPC (AQPC) as a weighted average of QPCs. A test of parallelism was used to examine pairwise differences.

Results AAMorb increased significantly over time for Victoria (AQPC = 1.0%, 95% confidence interval 0.8–1.2). While females (1.6, 1.1–2.0), age groups 25–44 (1.0, 0.9–1.1) and 45–64 (1.2, 0.2–2.2), and metropolitan population (1.2, 0.5–1.9) were broad subgroups more at risk, multivariate analysis detected specific increases for metropolitan females aged 15–44 (1.8, 1.0–2.6) and 45+ (1.6, 0.2–3.0). Relatively greater increases in morbidity among metropolitan subgroups were widespread. AAMort remained stable for Victoria and for most subgroups, although significant declines in mortality were specifically experienced by metropolitan 15–24 (−2.0, −2.9 to −1.0) and 25–44 (−1.0, −1.7 to −0.3) age groups, and by regional males aged 45+ (−0.8, −1.3 to −0.3). Metropolitan males aged 45+ were a special high-risk population.

Discussion Our study has identified overlooked subgroups as being at increasing risk for alcohol-attributable chronic harm necessitating their inclusion in future policies for harm reduction.
Keyword Alcohol consumption
Joinpoint regression
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Authors prepress title: "Trends in alcohol-attributable morbidity and mortality for Victoria, Australia for 2000/01-2009/10". First published online: June 30, 2013.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Institute for Social Science Research - Publications
Official 2014 Collection
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Citation counts: TR Web of Science Citation Count  Cited 1 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 1 times in Scopus Article | Citations
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Created: Fri, 24 Jan 2014, 14:32:07 EST by Jason Ferris on behalf of ISSR - Research Groups