Csilla Nagy1, Attila Juhász2, Zoltán Papp3, Linda Beale4. 1. 1 Public Health Administration Service of Government Office of Capital City Budapest, Budapest, Hungary nagy.csilla@kmr.antsz.hu. 2. 1 Public Health Administration Service of Government Office of Capital City Budapest, Budapest, Hungary. 3. 2 Public Health Administration Service of Government Office of Heves County, Eger, Hungary. 4. 3 Small Area Health Statistics Unit, MRC Centre for Environment and Health, Imperial College London, UK.
Abstract
BACKGROUND: Excess alcohol consumption is a major public health issue in Hungary, with high mortality rates from alcohol disease. In addition, excess alcohol consumption has been found to differ by socioeconomic and environmental factors. METHODS: The spatial pattern of mortality from alcoholic liver disease across Hungary for the period 2005 and 2010, at municipality level, was investigated by sex using Bayesian modelling. The changes in mortality over this 6-year period were analysed using hierarchical spatio-temporal disease mapping. The association between the spatial distribution of mortality from alcoholic liver disease and cirrhosis and deprivation (by sex) was also assessed using a Hungarian-specific deprivation index. RESULTS: A statistically significant association was found between mortality and deprivation status in males. Areas of significantly highest age-adjusted relative risks were found, for males, in the south-western part, and at the eastern border of the country. A number of areas showed area-specific trends that were significantly steeper than the national average mortality trend. CONCLUSION: Using our findings, population groups with increasing mortality trends were identified, which may help decision makers fund effective health promotion programmes to reduce mortality rates in the working-age population.
BACKGROUND:Excess alcohol consumption is a major public health issue in Hungary, with high mortality rates from alcohol disease. In addition, excess alcohol consumption has been found to differ by socioeconomic and environmental factors. METHODS: The spatial pattern of mortality from alcoholic liver disease across Hungary for the period 2005 and 2010, at municipality level, was investigated by sex using Bayesian modelling. The changes in mortality over this 6-year period were analysed using hierarchical spatio-temporal disease mapping. The association between the spatial distribution of mortality from alcoholic liver disease and cirrhosis and deprivation (by sex) was also assessed using a Hungarian-specific deprivation index. RESULTS: A statistically significant association was found between mortality and deprivation status in males. Areas of significantly highest age-adjusted relative risks were found, for males, in the south-western part, and at the eastern border of the country. A number of areas showed area-specific trends that were significantly steeper than the national average mortality trend. CONCLUSION: Using our findings, population groups with increasing mortality trends were identified, which may help decision makers fund effective health promotion programmes to reduce mortality rates in the working-age population.
Authors: Csilla Nagy; Attila Juhász; Péter Pikó; Judit Diószegi; György Paragh; Zoltán Szabó; Orsolya Varga; Róza Ádány Journal: Int J Environ Res Public Health Date: 2021-02-24 Impact factor: 3.390
Authors: Attila Juhász; Csilla Nagy; Orsolya Varga; Klára Boruzs; Mária Csernoch; Zoltán Szabó; Róza Ádány Journal: Int J Environ Res Public Health Date: 2020-09-19 Impact factor: 3.390