The cumulative damage from alcohol abuse: the structure and assessment at the population level
|Session Name||5.3 Health promotion and population health|
|Author(s)||Andrey Soloviev (Northern State Medical University, Russian Federation), Edgar Mordovsky (Northern State Medical University, Russian Federation), Anatoly Sannikov (Northern State Medical University, Russian Federation)|
Introduction. Alcohol abuse is included in a leading list of population health risk factors (FR), especially in the Arctic territories. However, a methodological approach to the concept of "cumulative damage from alcohol abuse" (CDAA) has not been developed. This prevents a comparison of national and international epidemiological studies, the subject of which is CDAA or its components.
Methods. The analysis of international epidemiological studies is performed. The resources of search engines Medline, Elibrary were used as sources of information.
Results. CDAA should be understood as reducing the potential of population health, social and economic well-being associated with this FR. The structure of the CDAA can be divided into four components: medical, demographic, social and economic damage.
Each CDAA component we propose to divide into two parts: "direct" and "indirect" losses, which can be expressed through the value of "Alcohol-Attributive Fraction" (AAF) - a proportion of an incident of any condition in the population caused by alcohol abuse as FR. In the case of direct causation AAF is 100%; indirect - more than 0% but less than 100%. Thus, direct components will form some states, AAF of which is equal to 100%; indirect – where AAF is less than 100%.
Conclusion. The presented approach to the definition of CDAA and the way of its structuring allows to organize the identification of full list of states forming each of its components and to make a quantitative assessment of the scale of the medical and social phenomenon in the population.
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