ArticleAddiction (Abingdon, England)2020
Assessing the contribution of alcohol-specific causes to socio-economic inequalities in mortality in England and Wales 2001-16.
Article in Addiction (Abingdon, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Causal mechanisms proposed for the alcohol harm paradox-a systematic review.Addiction (Abingdon, England) · 2022Pooled it
- The dose-response relationship between socioeconomic deprivation and alcohol-attributable mortality risk-a systematic review and meta-analysis.BMC medicine · 2021Pooled it
- Do the Reasons People Drink Alcohol Aid Our Understanding of Sociodemographic Differences in Alcohol-Free and Low-Alcohol Consumption? A Path Analysis on a Cross-Sectional Study of Adult Alcohol Drinkers in Great Britain.Drug and alcohol review · 2026Article
- Describing the alcohol harm paradox: 20 years of data from Victoria, Australia.Addiction (Abingdon, England) · 2026Article
- Socioeconomic inequities in alcohol-attributable mortality by sex/gender and age in Canada: a 13-year population-representative cohort study.American journal of epidemiology · 2025Article
- "The alcohol-harm paradox": Understanding socioeconomic inequalities in liver disease.JHEP reports : innovation in hepatology · 2025Review
- The contribution of education-specific mortality trends to the life expectancy stagnation in England & Wales.European journal of epidemiology · 2025Article
- Understanding the challenges of identifying, supporting, and signposting patients with alcohol use disorder in secondary care hospitals, post COVID-19: a qualitative analysis from the North East and North Cumbria, England.BMC health services research · 2024Article
- Long-term trends in educational inequalities in alcohol-attributable mortality, and their impact on trends in educational inequalities in life expectancy.Frontiers in public health · 2024Article
- Trends in social inequality in mortality in Denmark 1995-2019: the contribution of smoking- and alcohol-related deaths.Journal of epidemiology and community health · 2023Article
- The contribution of health behaviour to socioeconomic inequalities in alcohol harm: Analysis of the UK biobank, a large cohort study with linked health outcomes.SSM - population health · 2023Article
- Alcohol-Attributable Deaths Help Drive Growing Socioeconomic Inequalities In US Life Expectancy, 2000-18.Health affairs (Project Hope) · 2022Article
- Article
- Beyond Behaviour: How Health Inequality Theory Can Enhance Our Understanding of the 'Alcohol-Harm Paradox'.International journal of environmental research and public health · 2021Review
- Assessing the contribution of alcohol-specific causes to socio-economic inequalities in mortality in England and Wales 2001-16.Addiction (Abingdon, England) · 2020Article
- Contrasts in alcohol-related mortality in Czechia and Lithuania: Analysis of time trends and educational differences.Drug and alcohol review · 2020Article
- Diversification in causes of death in low-mortality countries: emerging patterns and implications.BMJ global health · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
BACKGROUND AND
aimsWhen measuring inequalities in health, public health and addiction research has tended to focus on differences in average life-span between socio-economic groups. This does not account for the extent to which age of death varies between individuals within socio-economic groups or whether this variation differs between groups. This study assesses (1) socio-economic inequalities in both average life-span and variation in age at death, (2) the extent to which these inequalities can be attributed to alcohol-specific causes (i.e. those attributable only to alcohol) and (3) how this contribution has changed over time.
designCause-deleted life table analysis of national mortality records.
settingEngland and Wales, 2001-16. CASES: All-cause and alcohol-specific deaths for all adults aged 18+, stratified by sex, age and quintiles of the index of multiple deprivation (IMD). MEASUREMENTS: Life expectancy at age 18 yearss and standard deviation in age at death within IMD quintiles and the contribution of alcohol to overall differences in both measures between the highest and lowest IMD quintiles by comparing observed and cause-deleted inequality 'gaps'.
findingsIn 2016, alcohol-specific causes reduced life expectancy for men and women by 0.26 and 0.14 years, respectively, and increased the standard deviation in age at death. These causes also increased the inequality gap in life expectancy by 0.33 years for men and 0.17 years for women, and variation in age at death by 0.14 years and 0.13 years, respectively. For both measures, the contribution of alcohol to mortality inequalities rose after 2001 and subsequently fell back. For women, alcohol accounted for 3.6% of inequality in age at death and 6.0% of life-span uncertainty, suggesting that using only the former may underestimate alcohol-induced inequalities. There was no comparable difference for men.
conclusionsDeaths from alcohol-specific causes increase inequalities in both life expectancy and variation in age of death between socio-economic groups. Using both measures can provide a fuller picture of overall inequalities in health.
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