Jürgen Rehm, Technical University of Dresden, Germany
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This document summarizes alcohol consumption trends and alcohol-attributable mortality in the European Union in 2010. It finds that while overall recorded alcohol consumption has decreased in the EU over the past 20 years, meeting the goal of a 10% reduction, consumption levels and trends vary significantly between different regions. Central-East and Eastern Europe generally have higher consumption levels and less decline compared to other regions like Western Europe and the Nordics. Liver cirrhosis, cancer, and injuries from alcohol account for around 90% of alcohol-attributable deaths. The conclusions note that alcohol harm remains high in Europe and reductions could still be made.
Jürgen Rehm, Technical University of Dresden, Germany
- 1. Alcohol in the European Union – consumption and attributable mortality J. Rehm (jtrehm@gmail.com) TU Dresden, Germany CAMH Toronto
- 2. Part of continuous monitoring Alcohol globally is one of the most important risk factors. The global strategy and the European action plan to reduce the harmful use of alcohol 2012–2020 both ask for regular updates on alcohol- attributable disease.
- 3. Status Report on Alcohol and Health 2013 • Co-sponsored by the European Commission and Finnish Ministry of Health • Using information collected in 2012 • Include EU Member States + Croatia, Norway, Switzerland (CNAPA Members) and EU applicant countries (Iceland, FYR Macedonia, Montenegro, Serbia, Turkey) • No country profiles but will be attached to the Global Status Report on Alcohol and Health 2013/14
- 4. Status Report on Alcohol and Health 2013 Three parts: 1. Trends in alcohol consumption and alcohol-attributable mortality in the European Union in 2010 2. Alcohol policy update 3. Country timelines
- 5. Alcohol consumption Volume Patterns Quality Health outcomes Incidence chronic conditions including AUDs Incidence acute conditions Mortality by cause Societal Factors Drinking culture Alcohol Policy Drinking environment Health care system Population group Gender Age Poverty Marginalization (individual) Currently used model for alcohol comparative risk assessment 2010
- 6. Trends in recorded consumption in the EU • Overall trends for EU or EU plus Croatia, Norway and Switzerland are down for the past 20 years. • Actually, the EU would fulfill the NCD criteria of – 10% for NCDs. • However, this is not true for all countries, nor for all regions
- 7. Regional categorisation Countries within each European region Central West and Western Europe: Austria, Belgium, France, Germany, Ireland, Luxembourg, Netherlan ds, Switzerland and the United Kingdom Central-East and Eastern Europe: Bulgaria, Czech Republic, Estonia, Hungary, Latvia, Lithuania, Poland, Romania, Slov akia and Slovenia Nordic countries: Denmark, Finland, Norway and Sweden Southern Europe: Cyprus, Greece, Italy, Malta, Portugal and Spain
- 8. EU.plus.Switzerland.Norway.and.Croatia 9 10 11 12 0 5 10 15 20 Year_RC 1990 1995 2000 2005 2010 Year Recordedadultpercapitaconsumptionofalcohol (litresofpurealcohol) European Union & Switzerland, Norway and Croatia
- 10. But differences in regions with respect to levels and trends Level Trend Unrecorded In l pure pc Patterns Score lower =better West- Central West Very high 1.0 1.5 East- Central East Very high 2.5 2.9 Nordic countries Lowest within EU 1.9 2.8 South high 2.0 1.1 EU plus N, Croatia, CH high 1.6 1.9
- 11. And some country differences 4.0 6.0 8.0 10.0 12.0 14.0 16.0 18.0 20.0 Italy Germany Spain UK Poland
- 12. ALCOHOL-ATTRIBUTABLE HEALTH HARM Cancer, liver cirrhosis and injury cover 90% of all net alcohol-attributable deaths
- 13. Alcohol-attributable liver cirrhosis, cancer and injury deaths
- 15. Alcohol-attributable liver cirrhosis deaths
- 17. Conclusions • Divergent trends in alcohol consumption in Europe: some good signs, and some bad signs • Overall Europe is still the region with the highest alcohol consumption in the world (Eastern Europe higher than EU). • So overall, harm is still high (more than every 10th death before age 65 is due to alcohol!) and can and should be reduced. • Harm is not restricted to health or to the drinker