Evidence map›Paper›PMID 29217645›Full record

ArticleJournal of epidemiology and community health2018

Do patients who die from an alcohol-related condition 'drift' into areas of greater deprivation? Alcohol-related mortality and health selection theory in Scotland.

Andrew Pulford, Ruth Gordon, Lesley Graham, James Lewsey, Gerry McCartney, Mark Robinson

Abstract read
In one paragraph

Article in Journal of epidemiology and community health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Andrew PulfordPublic Health Observatory, NHS Health Scotland, Glasgow, UK.ORCID 0000-0001-8378-3431
Ruth GordonInformation Services Division, NHS National Services Scotland, Edinburgh, UK.
Lesley GrahamInformation Services Division, NHS National Services Scotland, Edinburgh, UK.
James LewseyHealth Economics and Health Technology Assessment, Institute of Health & Wellbeing, University of Glasgow, Glasgow, UK.
Gerry McCartneyPublic Health Observatory, NHS Health Scotland, Glasgow, UK.
Mark RobinsonPublic Health Observatory, NHS Health Scotland, Glasgow, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth selection has been proposed to explain the patterning of alcohol-related mortality by area deprivation. This study investigated whether persons who die from alcohol-related conditions are more likely to experience social drift than those who die from other causes.

methodsDeaths recorded in Scotland (2013,

resultsOf 47 012 deaths, 1458 were alcohol-related. Upward and downward mobility was observed for both types of death. An estimated 31 more deaths than expected were classified 'alcohol-related' among cases whose deprivation score decreased, while 204 more deaths than expected were classified 'alcohol-related' among cases whose initial deprivation ranking was in the four most deprived deciles. Becoming more deprived and first deprivation category were both associated with increased odds of type of death being alcohol-related after adjusting for confounders.

conclusionThis study suggests that health selection appears to contribute less to the deprivation gradient in alcohol-related mortality in Scotland than an individual's initial area deprivation category.

Indexed as

Health BehaviorHealth Status DisparitiesPoverty AreasAdultAgedAged, 80 and overAlcohol-Related DisordersCause of DeathDeath CertificatesFemaleHumansLogistic ModelsMaleMiddle AgedScotlandalcoholdeprivationhealth inequalitiesmortality

Identifiers

PMID29217645
PMCPMC5800349

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.