Cardiovascular diseases mortality and alcohol control policy in Lithuania: exploring a possible link

Abstract Background Lithuania possesses one of the highest alcohol per capita consumption and has previously implemented alcohol control policies to reduce the alcohol-attributable burden. The aim of this study was to investigate Lithuanian cardiovascular disease (CVD) mortality rate trends between...

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Autores principales:	Ricardas Radisauskas, Kawon Victoria Kim, Shannon Lange, Vaida Liutkute-Gumarov, Olga Mesceriakova-Veliuliene, Janina Petkeviciene, Mindaugas Stelemekas, Tadas Telksnys, Alexander Tran, Jürgen Rehm
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Cardiovascular diseases Mortality Alcohol consumption Alcohol control policy Trends Sex Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/e3268e1366fd4bb2ae5376a53a73c16f
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spelling	oai:doaj.org-article:e3268e1366fd4bb2ae5376a53a73c16f2021-11-21T12:11:54ZCardiovascular diseases mortality and alcohol control policy in Lithuania: exploring a possible link10.1186/s12889-021-12177-71471-2458https://doaj.org/article/e3268e1366fd4bb2ae5376a53a73c16f2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12177-7https://doaj.org/toc/1471-2458Abstract Background Lithuania possesses one of the highest alcohol per capita consumption and has previously implemented alcohol control policies to reduce the alcohol-attributable burden. The aim of this study was to investigate Lithuanian cardiovascular disease (CVD) mortality rate trends between 2001 and 2018 and to explore a possible link between CVD mortality rate and alcohol control policy implementation. Methods Lithuanian population mortality and alcohol consumption data for 2001–2018 were obtained from Statistics Lithuania and The State Register of Death Cases and Their Causes, Institute of Hygiene. Sex-specific CVD mortality rates were directly standardized to the European standard population by five-year age groups and categorized according to the ICD-10 codes for all CVDs (I00-I99), ischemic heart disease (IHD) (I20-I25), cerebrovascular diseases (I60-I69) and alcoholic cardiomyopathy (ACM) (I42.6). Joinpoint regression analyses were performed to identify points of inflection to explore their alignment with five selected alcohol policy enactments. Results Overall, the 2001–2018 yearly mortality rates for all CVDs significantly decreased on average by − 1.6% (95% CI -2.0, − 1.2%) among men and − 2.1% (95% CI -2.5, − 1.8%) among women. Yearly changes in all CVDs, IHD, cerebrovascular diseases and ACM mortality rates were insignificant prior to their respective critical year points in 2006, 2005, 2008 and 2007, but significantly decreased afterwards by an average of − 2.4% (95% CI -2.7, − 2.0%), − 1.6% (95% CI -2.1, − 1.1%), − 1.2% (95 CI -1.7, − 0.6%) and − 4.5% (95% CI -7.3, − 1.6%) among men, and by − 2.7% (95% CI -3.0, − 2.3%), − 2.0% (95% CI -2.6, − 1.4%), − 1.8% (95% CI 2.4, − 1.3%) and − 6.6% (95% CI -10.7, − 2.2%) among women, respectively. The changes in the mortality rate trends for all CVDs, IHD, cerebrovascular diseases and especially ACM coincided with alcohol policies enacted on the January 1, 2008, January 1, 2009, April 1, 2014 and March 1, 2017. Conclusions Yearly mortality rates for all CVDs, IHD, cerebrovascular diseases and ACM have declined in Lithuania between 2001 and 2018, and declining trends were more prominent in women than in men. Among the ICD-10 CVD categories investigated, the points of inflection identified for the ACM mortality rate trend coincided best with the selected alcohol policy enactment dates.Ricardas RadisauskasKawon Victoria KimShannon LangeVaida Liutkute-GumarovOlga Mesceriakova-VeliulieneJanina PetkevicieneMindaugas StelemekasTadas TelksnysAlexander TranJürgen RehmBMCarticleCardiovascular diseasesMortalityAlcohol consumptionAlcohol control policyTrendsSexPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Cardiovascular diseases Mortality Alcohol consumption Alcohol control policy Trends Sex Public aspects of medicine RA1-1270
spellingShingle	Cardiovascular diseases Mortality Alcohol consumption Alcohol control policy Trends Sex Public aspects of medicine RA1-1270 Ricardas Radisauskas Kawon Victoria Kim Shannon Lange Vaida Liutkute-Gumarov Olga Mesceriakova-Veliuliene Janina Petkeviciene Mindaugas Stelemekas Tadas Telksnys Alexander Tran Jürgen Rehm Cardiovascular diseases mortality and alcohol control policy in Lithuania: exploring a possible link
description	Abstract Background Lithuania possesses one of the highest alcohol per capita consumption and has previously implemented alcohol control policies to reduce the alcohol-attributable burden. The aim of this study was to investigate Lithuanian cardiovascular disease (CVD) mortality rate trends between 2001 and 2018 and to explore a possible link between CVD mortality rate and alcohol control policy implementation. Methods Lithuanian population mortality and alcohol consumption data for 2001–2018 were obtained from Statistics Lithuania and The State Register of Death Cases and Their Causes, Institute of Hygiene. Sex-specific CVD mortality rates were directly standardized to the European standard population by five-year age groups and categorized according to the ICD-10 codes for all CVDs (I00-I99), ischemic heart disease (IHD) (I20-I25), cerebrovascular diseases (I60-I69) and alcoholic cardiomyopathy (ACM) (I42.6). Joinpoint regression analyses were performed to identify points of inflection to explore their alignment with five selected alcohol policy enactments. Results Overall, the 2001–2018 yearly mortality rates for all CVDs significantly decreased on average by − 1.6% (95% CI -2.0, − 1.2%) among men and − 2.1% (95% CI -2.5, − 1.8%) among women. Yearly changes in all CVDs, IHD, cerebrovascular diseases and ACM mortality rates were insignificant prior to their respective critical year points in 2006, 2005, 2008 and 2007, but significantly decreased afterwards by an average of − 2.4% (95% CI -2.7, − 2.0%), − 1.6% (95% CI -2.1, − 1.1%), − 1.2% (95 CI -1.7, − 0.6%) and − 4.5% (95% CI -7.3, − 1.6%) among men, and by − 2.7% (95% CI -3.0, − 2.3%), − 2.0% (95% CI -2.6, − 1.4%), − 1.8% (95% CI 2.4, − 1.3%) and − 6.6% (95% CI -10.7, − 2.2%) among women, respectively. The changes in the mortality rate trends for all CVDs, IHD, cerebrovascular diseases and especially ACM coincided with alcohol policies enacted on the January 1, 2008, January 1, 2009, April 1, 2014 and March 1, 2017. Conclusions Yearly mortality rates for all CVDs, IHD, cerebrovascular diseases and ACM have declined in Lithuania between 2001 and 2018, and declining trends were more prominent in women than in men. Among the ICD-10 CVD categories investigated, the points of inflection identified for the ACM mortality rate trend coincided best with the selected alcohol policy enactment dates.
format	article
author	Ricardas Radisauskas Kawon Victoria Kim Shannon Lange Vaida Liutkute-Gumarov Olga Mesceriakova-Veliuliene Janina Petkeviciene Mindaugas Stelemekas Tadas Telksnys Alexander Tran Jürgen Rehm
author_facet	Ricardas Radisauskas Kawon Victoria Kim Shannon Lange Vaida Liutkute-Gumarov Olga Mesceriakova-Veliuliene Janina Petkeviciene Mindaugas Stelemekas Tadas Telksnys Alexander Tran Jürgen Rehm
author_sort	Ricardas Radisauskas
title	Cardiovascular diseases mortality and alcohol control policy in Lithuania: exploring a possible link
title_short	Cardiovascular diseases mortality and alcohol control policy in Lithuania: exploring a possible link
title_full	Cardiovascular diseases mortality and alcohol control policy in Lithuania: exploring a possible link
title_fullStr	Cardiovascular diseases mortality and alcohol control policy in Lithuania: exploring a possible link
title_full_unstemmed	Cardiovascular diseases mortality and alcohol control policy in Lithuania: exploring a possible link
title_sort	cardiovascular diseases mortality and alcohol control policy in lithuania: exploring a possible link
publisher	BMC
publishDate	2021
url	https://doaj.org/article/e3268e1366fd4bb2ae5376a53a73c16f
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Cardiovascular diseases mortality and alcohol control policy in Lithuania: exploring a possible link

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