Las muertes con intervención judicial y medicolegal y su impacto en la estadística de causas de muerte en Cataluña

Serra, Anna; Ramírez, Adriana Freitas; Magarolas, Rosa Gispert; García, Josep Castellá; Gutiérrez, Claudina Vidal; Muñiz, Jordi Medallo; Domènech, Mercè Subirana; Alcázar, Helena Martínez

doi:10.1016/j.reml.2016.09.004

Cited by 6 publications

(2 citation statements)

References 17 publications

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“…It is very probable that in Spain, DAA deaths, especially from alcohol poisoning, were underestimated, thus trend changes among youth may have been less well captured. Such underestimation may be due to the very low proportion of deaths with forensic assessment (only 6% in Catalonia in 201344), the poor transfer of forensic data to mortality statistics (the retrieval of such data in a Catalonia study increased accidental poisoning deaths by 61.3%44) or even because illegal drugs are primarily coded when found together with alcohol. Changes in certification and coding routines of DAA deaths during the study period were not identified.…”

Section: Discussionmentioning

confidence: 99%

Changes in directly alcohol-attributable mortality during the great recession by employment status in Spain: a population cohort of 22 million people

Bilbao

Vallejo

Regidor

et al. 2017

J Epidemiol Community Health

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Section: Discussionmentioning

confidence: 99%

Changes in directly alcohol-attributable mortality during the great recession by employment status in Spain: a population cohort of 22 million people

Bilbao

Vallejo

Regidor

et al. 2017

J Epidemiol Community Health

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“…Directly alcohol‐attributable and other relevant alcohol‐related causes of death were included and grouped based on previous research and PAF estimates [38]. This aggregation circumvents the problem of the low number of deaths that in Spain are unequivocally attributed to alcohol in the death certificate, derived from the low proportion of autopsied deaths and the poor transfer of forensic data to mortality statistics [85]. In this sense, there is evidence from elsewhere [86] that, due to stigma or other reasons, quite a few alcohol‐related liver cirrhosis deaths are not certified under a specific code (K70) but into more unspecific codes (e.g.…”

Section: Discussionmentioning

confidence: 99%

Increase in educational inequalities in alcohol‐related mortality in Spain during a period of economic growth

et al. 2023

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Background and aimsAlcohol‐related mortality risk is almost always greater in lower than higher socio‐economic positions (SEPs). There is little information on the evolution of this SEP gradient and its relationship with the economic cycle. Some results suggest that during economic expansions, there is a hypersensitivity of low‐SEP people to harmful drinking. The main objective of this study was to measure the evolution of educational inequality in alcohol‐related and non‐alcohol related mortality by sex and age group in Spain during 2012–19.Design, Setting and MeasurementsThis is a repeated cross‐sectional study. This study includes all residents in Spain aged 25 years and over from 2012 to 2019. (1) We calculated age‐standardized mortality rates (ASMRs) from strongly/moderately alcohol‐related causes (directly alcohol‐attributable, unspecified liver cirrhosis, liver and upper aerodigestive tract cancers and moderately alcohol‐related), weakly alcohol‐related causes and other causes by educational level. (2) We used age‐adjusted relative index of inequality (RII) and slope index of inequality (SII) to measure relative and absolute educational inequality in mortality, respectively. (3) Age‐adjusted annual percentage change (APC) was also used to measure linear trends in mortality by educational level. RII, SII and APC were obtained from negative binomial regression.FindingsBetween 2012–15 and 2016–19, economic growth accelerated, the RII in mortality from strongly/moderately alcohol‐related causes increased from 2.0 to 2.2 among men and from 1.1 to 1.3 among women, and the SII in deaths/100 000 person‐years from 181.4 to 190.9 among men and from 18.9 to 46.5 among women. It also increased relative and absolute inequality in mortality from weakly alcohol‐related and other causes of death in both men and women. These increases in inequality were due primarily to a flattening or even reversal of the downward mortality trend among low‐ and medium‐educated people.ConclusionsDuring the economic expansion of 2012–19 in Spain, changes in mortality risk from strongly/moderately alcohol‐related causes were especially unfavourable among low‐ and medium‐educated people.

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Changes in drug and alcohol-related mortality by educational status during the 2008–2011 economic crisis: Results from a Spanish longitudinal study

Urdiales

Barrio

Belza

et al. 2020

Addictive Behaviors

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Las muertes con intervención judicial y medicolegal y su impacto en la estadística de causas de muerte en Cataluña

Cited by 6 publications

References 17 publications

Changes in directly alcohol-attributable mortality during the great recession by employment status in Spain: a population cohort of 22 million people

Changes in directly alcohol-attributable mortality during the great recession by employment status in Spain: a population cohort of 22 million people

Increase in educational inequalities in alcohol‐related mortality in Spain during a period of economic growth

Changes in drug and alcohol-related mortality by educational status during the 2008–2011 economic crisis: Results from a Spanish longitudinal study

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