Liver cirrhosis mortality trends in Eastern Europe, 1970-1989. Analyses of age, period and cohort effects and of latency with alcohol consumption.
There is evidence that in some Eastern European countries alcohol-related deaths have an important impact on mortality.
In the whole European population increasing trends in mortality were observed until the second half of the 1970s, followed by a decline in the following decades.
By contrast, in Eastern Europe continuously rising trends have been observed.
The aim of the present study is to describe cirrhosis mortality trends in Eastern European countries between 1970 and 1989.
This is a descriptive study in seven European countries, compared with Europe as a whole.
A Poisson's log-linear age-period-cohort model is used to ascertain whether the recent trend in mortality represents a short-term fluctuation or an emerging long-term trend.
In addition, changes in cirrhosis death rates were regressed onto changes in per capita alcohol consumption (1961-89) in order to evaluate the latency period between trends.
The birth-cohort effects suggested that in Eastern Europe as a whole, and in particular in Hungary, Bulgaria and Romania, the mortality will probably increase in the next decade.
Eastern European countries showed a latency period between trends in alcohol consumption and in mortality rates of many years, whereas in Europe as a whole the cirrhosis mortality rates were explained by their relationship with per capita alcohol consumption which lagged by only a few years. (...)
Mots-clés Pascal : Etude longitudinale, Cirrhose, Epidémiologie, Homme, Europe Est, Europe, Mortalité, Ethanol, Toxicité, Age, Consommation, Appareil digestif pathologie, Foie pathologie
Mots-clés Pascal anglais : Follow up study, Cirrhosis, Epidemiology, Human, Eastern Europe, Europe, Mortality, Ethanol, Toxicity, Age, Consumption, Digestive diseases, Hepatic disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0509549
Code Inist : 002B03F. Création : 23/03/1999.