Alcohol-attributed disease burden in four Nordic countries between 2000 and 2017: Are the gender gaps narrowing? A comparison using the Global Burden of Disease, Injury and Risk Factor 2017 study - PubMed (original) (raw)

. 2021 Mar;40(3):431-442.

doi: 10.1111/dar.13217. Epub 2020 Nov 18.

Peter Allebeck 1, Pär Flodin 1, Peter Wennberg 2, Mats Ramstedt 3 4, Ann Kristin Knudsen 5 6, Simon Øverland 5 6, Jonas Minet Kinge 5 7 8, Mette C Tollånes 9, Terje A Eikemo 10, Jens Christoffer Skogen 11 12 13, Pia Mäkelä 14, Mika Gissler 15 16, Knud Juel 17, Kim Moesgaard Iburg 18, John J McGrath 19 20 21, Mohsen Naghavi 22, Stein Emil Vollset 22, Emmanuela Gakidou 22, Anna-Karin Danielsson 1

Affiliations

Alcohol-attributed disease burden in four Nordic countries between 2000 and 2017: Are the gender gaps narrowing? A comparison using the Global Burden of Disease, Injury and Risk Factor 2017 study

Emilie E Agardh et al. Drug Alcohol Rev. 2021 Mar.

Abstract

Introduction and aims: The gender difference in alcohol use seems to have narrowed in the Nordic countries, but it is not clear to what extent this may have affected differences in levels of harm. We compared gender differences in all-cause and cause-specific alcohol-attributed disease burden, as measured by disability-adjusted life-years (DALY), in four Nordic countries in 2000-2017, to find out if gender gaps in DALYs had narrowed.

Design and methods: Alcohol-attributed disease burden by DALYs per 100 000 population with 95% uncertainty intervals were extracted from the Global Burden of Disease database.

Results: In 2017, all-cause DALYs in males varied between 2531 in Finland and 976 in Norway, and in females between 620 in Denmark and 270 in Norway. Finland had the largest gender differences and Norway the smallest, closely followed by Sweden. During 2000-2017, absolute gender differences in all-cause DALYs declined by 31% in Denmark, 26% in Finland, 19% in Sweden and 18% in Norway. In Finland, this was driven by a larger relative decline in males than females; in Norway, it was due to increased burden in females. In Denmark, the burden in females declined slightly more than in males, in relative terms, while in Sweden the relative decline was similar in males and females.

Discussion and conclusions: The gender gaps in harm narrowed to a different extent in the Nordic countries, with the differences driven by different conditions. Findings are informative about how inequality, policy and sociocultural differences affect levels of harm by gender.

Keywords: Nordic countries; alcohol; disease burden; global burden of disease.

© 2020 The Authors. Drug and Alcohol Review published by John Wiley & Sons Australia, Ltd on behalf of Australasian Professional Society on Alcohol and other Drugs.

PubMed Disclaimer

Conflict of interest statement

The authors have no conflicts of interest.

Figures

Figure 1

Figure 1

Overall and cause‐specific alcohol‐attributed disease burden by age‐standardised disability‐adjusted life‐years rates per 100 000 by males and females in the Nordic countries between 2000 and 2017.

Figure 2

Figure 2

Absolute and relative gender differences in overall alcohol‐attributed disease burden by age‐standardised disability‐adjusted life‐years rates per 100 000 in the Nordic countries between 2000 and 2017.

Figure 3

Figure 3

Absolute gender differences in cause‐specific alcohol‐attributed disease burden by age‐standardised disability‐adjusted life‐years rates per 100 000 in the Nordic countries between 2000 and 2017.

References

    1. GBD Compare ; Viz Hub. Available at: https://vizhub.healthdata.org/gbd-compare/# (accessed October 2019).
    1. GBD 2016 Alcohol Collaborators . Alcohol use and burden in 195 countries and territories, 1990‐2016: a systematic analysis for the global burden of disease study 2016. Lancet 2018;392:1015–35. - PMC - PubMed
    1. Erol A, Karpyak VM. Sex and gender‐related differences in alcohol use and its consequences: contemporary knowledge and future research considerations. Drug Alcohol Depend 2015;156:1–13. - PubMed
    1. Bloomfield K, Gmel G, Wilsnack S. Introduction to special issue ‘gender, culture and alcohol problems: a multinational study’. Alcohol Alcohol Suppl 2006;41:i3–7. - PubMed
    1. Kuntsche S, Gmel G, Knibbe RA et al. Gender and cultural differences in the association between family roles, social stratification, and alcohol use: a European cross‐cultural analysis. Alcohol Alcohol Suppl 2006;41:i37–46. - PubMed

Publication types

MeSH terms

LinkOut - more resources