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Mortality in Alcohol-Related Diseases in Sweden During 1971–80 in Relation to Occupation, Marital Status and Citizenship in 1970

Karolinska Institute, Department of Social Medicine, Kronan Health Centre, S-172 83 Sundbyberg

Anders Romelsjü

Karolinska Institute, Department of Social Medicine, Kronan Health Centre, S-172 83 Sundbyberg

A new Swedish population register, created by linking Census data to the Cause of Death Registry and covering over 99% of the population, has been used to study the relationship between occupational category, marital status and citizenship in 1970 and mortality in closely alcohol-related diseases during 1971–1980 for the ages 25–64 years. Age-standardized rate ratios (SRR) have been computed for mortality in alcoholism, alcohol intoxication and alcohol psychosis ("AAA") and in liver cirrhosis. SRR-values for both diagnose categories and both sexes were higher than average among not gainfully employed (SRR = 3.71 among males and SRR = 1.96 among females in 1976–80 for "AAA"), among employees in the service sector, engine-drivers and unskilled workers and increased in liver cirrhosis among artists and authors. Among females there were smaller variations in mortality for occupational groups than among males. The SRR-values showed a tendency to be higher in 1976–80 than in 1971–75, probably due to health-related selection to some extent. The alcohol-related mortality was also increased among divorced, widows (SRR = 1.37 for "AAA" and 2.81 for liver cirrhosis in 1976–80) and widowers and among never married males. SRR was much higher among Finnish citizens in Sweden (SRR for "AAA" = 3.85 among males and 2.35 among females in 1976–80) than among males and females living in Finland (SRR for "AAA" = 1.13 among males and 0.36 among females) and also higher than among immigrants from other countries, summed (SRR for "AAA" = 0.62 among males and 0.64 among females). The social distribution of mortality in "AAA" and in liver cirrhosis was similar. The new register could be a valuable tool for epidemiological studies and for health planning, as the participation rate is exteremely high, and as information about occupation and other social factors were collected prior to mortality.

Key Words: Alcoholism • epidemiology • immigrants • liver cirrhosis • mortality • social factors

Scandinavian Journal of Public Health, Vol. 20, No. 3, 134-142 (1992)
DOI: 10.1177/140349489202000302


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