The influence of alcohol abuse as a hidden contributor to mortality

Natta, Pearl Van; Malin, Henry J.; Bertolucci, Darryl; Kaelber, Charles T.

doi:10.1016/0741-8329(85)90130-2

Alcohol

1985

DOI: 10.1016/0741-8329(85)90130-2

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The influence of alcohol abuse as a hidden contributor to mortality

Pearl Van Natta

Henry J. Malin

Darryl Bertolucci

et al.

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1987

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Cited by 11 publications

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Underreporting of Alcohol-Related Mortality on Death Certificates of Young US Army Veterans

Pollock¹

1987

JAMA

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We assessed the validity of death certificate data for alcohol-related mortality in a population-based follow-up study of young, male US Army veterans. In a random sample of more than 18,000 men who entered the service between 1965 and 1971, there were 446 postservice deaths through Dec 31, 1983. For 426 of these deaths, we obtained both the death certificate and all other available medical and legal records pertaining to cause of death. A nosologist recorded each death certificate in accordance with the ninth revision of the International Classification of Diseases. A medical panel, without having access to the death certificates, assigned underlying and contributory causes of death on the basis of a review of only the medical and legal records. The panel recorded 133 alcohol-related deaths, or more than six times the number (21 deaths) determined by the original death certifiers. Omission of elevated blood alcohol levels in deaths due to injury accounts for most of the underreporting of alcohol-related mortality on the death certificates. Our findings suggest that death certificate data grossly underestimate the contribution of alcohol to mortality, especially in the area of injury, and the validity of official vital statistics for alcohol-related deaths would be enhanced if death certifiers incorporated all available antemortem and postmortem diagnostic information.

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Underreporting of Alcohol-Related Mortality on Death Certificates of Young US Army Veterans

Pollock¹

1987

JAMA

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The Phenomenon of Abusable Psychotropic Use Among North American Youth

Pagliaro

1993

The Journal of Clinical Pharma

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Abusable psychotropic use can, and does, affect all North American youth, either directly or indirectly, regardless of age, gender, culture, ethnic background, education, race, or socioeconomic status. Over the last decade, the morbidity and mortality associated with abusable psychotropic use among youth have become staggering. A current overview of the phenomenon of abusable psychotropic use among youth in North America, including the use of alcohol, cannabis, cocaine, LSD, nicotine, and polyabusable psychotropic use, is presented with attention to the expanding role of clinical pharmacologists in relation to both prevention and treatment. The Mega Interactive Model of Abusable Psychotropic Use Among Youth is presented as a heuristic device to assist clinical pharmacologists, and other health care providers, in addressing the multifactorial interactive aspects of this complex phenomenon as observed in the pediatric age group. In this regard, attention is given to the interaction of the Abusable Psychotropic Dimension, including the Abusable Psychotropic Variables (e.g., pharmacokinetics, abuse potential) and Pattern of Use Variables (e.g., social use, abuse, compulsive use), with the Young Person, Societal, and Time Dimensions.

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Characteristics of male medical patients referred for alcoholism treatment☆

Willenbring

Johnson

Tan

1994

Journal of Substance Abuse Treatment

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The influence of alcohol abuse as a hidden contributor to mortality

Cited by 11 publications

References 1 publication

Underreporting of Alcohol-Related Mortality on Death Certificates of Young US Army Veterans

Underreporting of Alcohol-Related Mortality on Death Certificates of Young US Army Veterans

The Phenomenon of Abusable Psychotropic Use Among North American Youth

Characteristics of male medical patients referred for alcoholism treatment☆

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