Symp 3 - Alcohol and the Nations Health Flashcards
ALCOHOL ATTRIBUTABLE MORTALITY THROUGH THE LIFE COURSE:
16-34 yrs - how does alcohol cause death in this age group and what percentage?
Accidents/ trauma
Self Harm and Suicide
Alcohol intoxication (poisoning)
7-10% female deaths in age group
15-20% male deaths
Overall mortality in young age group is low but alcohols contribution is high
ALCOHOL ATTRIBUTABLE MORTALITY THROUGH THE LIFE COURSE:
34-64yrs - how does alcohol cause death in this age group and what percentage?
Alcohol related liver disease
6-12% female deaths
10-12% male deaths
ALCOHOL ATTRIBUTABLE MORTALITY THROUGH THE LIFE COURSE:
64+ yrs - how does alcohol cause death in this age group and what percentage?
Alcohol related cancers
Breast (5-10% of breast cancer due to alcohol), oesophagus, colon, mouth and upper aerodigestive tract
2-3% of deaths
Alcohol has a different impact with different ___ group
age
how are the working years lost affected by alcohol related deaths?
- Alcohol-related deaths typically occur at younger ages than smoking-related deaths and deaths from all causes.
- More working years under 65 are lost to alcohol than the 10 most frequent cancer types combined.
how has alcohol rleated liver disease changed in scotland?
- Alcohol related liver disease rates were increasing in Scotland
- Falling elsewhere in Europe
- Not historical or inevitable
Facing an upsurge of alcohol related liver disease which is opposite to Europe
how has the price of alcohol changed?
only became a bit cheaper in pubs but has became a lot cheaper in shops
does the amount of alcohol we drink change?
Large fall at the start of the 20th centaury
The amount we drink always changes
What’s Been Changing About Scottish Drinking in regards to distribution of consumption?
what is showm here?
Alcohol Price Trends in Scotland
Growing Price Gap Between Pub and Store Prices
Move towards heavy drinkers at home became more marked
are younger or older people doing a lot of the drinking?
Drinking was becoming an older persons activity
Shift towards consumption in older people
how has death rates changed in voer 45s?
Rise in death rate in over 45s in early 2000s
the most worrying trends in harm were in what people?
Men
Older people
Home drinking
Long term health conditions
what action/laws occured in scotland to help with the problem of alcohol?
Ones in red are most important
Problems with the ones in red are potentially all unpopular
Alcohol Prevention, Harm and Inequalities - Scottish Mortality Trends:
Biggest change in the _______ age group
People with ______ income much harder hit with alcohol and more likely to die
poorest
lower
what is a good way to influence the public about alcohol?
use health professions as they are listened to
is there a minimum pricing of alcohol?
yes
POST MIN UNIT PRICE DATA FROM SCOTLAND:
how has things changed?
Scottish consumption falling, notably in the off trade, and the long established Scotland / England & Wales gap is narrowing.
Consumer panel data shows that fall in alcohol purchase is almost exclusively in the 20% highest purchasing households, across all income groups
downward trend in Alcohol Related Liver Disease admissions, down 8% from 17-18
Downward ARLD admission trends are predominately in lower income groups. Liver admissions in lowest income decile are at lowest level since 2004
Alcohol mortality fell by 10% in 2019 but full effect is expected after 3 years
Industry Impact: Industry co-operation in evaluation has been limited, Benefit to smaller retailers, No evidence of substantial cross border sales, No evidence of move to other drugs, No evidence of home production
pretty muhc no effect on pub trade
What’s the Impact of the Pandemic on Alcohol Consumption and Harm?
Accelerated long established trend to home drinking
Cemented key role of major supermarkets in alcohol retail
Tax returns up 4.5%
Wine +13%
Spirits + 10%
Beer - 9.7% (Beer (dominant drink in pubs) has took biggest hit)
Cider -11.3%
Fall in alcohol related trauma
Consumer surveys show a polarisation with light drinkers drinking less and heavy drinkers drinking more
Likely to lead to an increase in chronic health harm
LEARNING OBJECTIVES
Consideration of the range and extent of alcohol related heath harm
Understanding the changing epidemiology of alcohol harm in Scotland
Understanding effective policy interventions to reduce alcohol harm.
Understanding the early outcomes of Minimum Unit Price for alcohol and other policy interventions.
Consideration of the possible impact of the COVID 19 pandemic on alcohol and health.
